Chimwe chezvinhu zvinoshungurudza zvakanyanya pamusoro pokutambura nehasha dzinoshungurudza chirwere (IBS) ndiko kusakosha kwehupowo hwechikonzero chechirwere ichi, zvichiita kuti zviite sekuti "zvose zviri mumusoro wako". Kunyange zvazvo uchirwisana nezviratidzo zvinoparadza uye mushure mokunge uine zviratidzo zvakasiyana-siyana, varwere vanowanzoudzwa kuti "Hapana chakaipa" kana kuti "Icho chinongova kushungurudzika." Chaizvoizvo, IBS inorondedzerwa sechirwere chepachiviri chinoshanda nokuti hapana kuonekwa kunooneka kana kusaputika kwenyama kunogona kuva kuonekwa kuburikidza nehuwandu kuongororwa kuongororwa .
Zvisinei, izvi hazvirevi kuti hakuna chakaipa chepanyama nemunhu anotambura neBS. Vatsvakurudzi vari kutsvaga nzvimbo shanu umo pane pangave nekusiyana pakati pemitumbi yevanhu vanotambura neBH uye avo vasingatendi.
Motility
Unyanzvi hunoreva kutenderera kwemafupa akanyorova emutsara wekudya . Kunyangwe kutsvakurudza kusina kuratidza zviitiko zvisingagumi, kune humwe humwe uchapupu hwokuti kukurumidza kwechikwata ichi kunoshandiswa mune zvose zviri mumakoloni uye mumatumbo maduku evanhu vane IBS. Zviratidzo zvinokurumidza kudarika zvinowanzoonekwa mune vamwe vanhu vanotambura nehurwere-inonyanya kuve IBS (IBS-D), asi hutsika hwemasumbu huri kunonoka kune vamwe vanotambura nekuvharirwa-kunyanya IBS (IBS-C).
Visceral Hypersensitivity
Kutaridzika hypersensitivity inonzwisisika inorwadza mukati momuviri womuviri. Zvidzidzo zvakaratidza kuti varwere vakawanda vane IBS vanonzwa kurwadziwa mune rectum pane imwe nzira yepamusoro pane vanhu vasina chirwere.
Zvinofungidzirwa kuti misiyano iyi mukurwadziwa kunzwisisika ndeye mugumisiro wegadziriro iyo mitsipa yegomba inowedzera kukurudzirwa kukurudzira.
Ubongo-Gut Connection
Izvo chirwere chekudya chinorudzi rwehuropi hwaro, system entered yenhere. Iyi nhungetedzo yemitsipa inotungamirira nzira dzekudya uye iri mukukurukurirana kwepedyo neuropi.
Uku kubatana kunoonekwa zvakajeka munguva yekudzvinyirirwa . Pane humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe humwe hunoti hutachiona hwehutano hunoita kuti zviratidzo zveBS zvivepo. Izvi zvinofungidzirwa kuti zvakabatana nekusawirirana mumagariro evanhu vanokonzerwa neurotransmitter , ndicho chikonzero nei varwere veBIV vanowanzowana zororo kubva pazviratidzo pavanotora zvirwere zvinorwisa zvirwere zvinotarisa maurotransmitter chaiwo.
Kuvhiringidza
Nenzira, IBS hairei neinooneka kuputika. Izvi hazvirevi kuti kupisa hazvirevi hazvo; zvinongoreva kuti kupisa hakuoneki panguva yekuongorora kuongorora. Uhu huri kutanga hunoonekwa nehutori hwehutsika hwegadzire kusingaperi kuvhiringidza pamasero emunharaunda mune vamwe vanhu vanotambura neBS. Izvi zvinofungidzirwa kuti zvinowanzobatanidzwa nematambudziko umo IBS yakatangira ne- gastroenteritis , chirwere chinorondedzerwa se -post-infectious IBS (IBS-PI) .
Gadzira Bhakitiriya
Kunyange zvisingaiti sezviri pachena-zvakatemwa sezvinonzwika, kuoma kwemaitiro emaktheria kunonzwisisika nyore nyore apo zvinorondedzerwa seabhakitiriya akanaka (akadai seprobiotics ), uye mabhakitiriya akaipa (avo vanobatanidzwa nehutachiona nekuputika).
Kutsvakurudza kunotarisa pamagetsi mabhakitiriya atanga kupa humwe humwe uchapupu hwokuti pane musiyano pakati pezvigadzirwa zvebhakitiriya zvevamwe varwere veBS uye avo vasingatambudzi nedambudziko. Kunyanya kukoshesa kwakapiwa basa rebhakitiriya mumucheche muduku sechikamu cheBBS, kureva, chirwere chiduku chebhakitiriya rinoputika (SIBO).