Inonzi irritable bowel syndrome (IBS) chirwere chinoshanda chekoloni (mumukati makuru) chinokonzera kurwadziwa kwepamuviri kamuviri, kubvisa, kuvimbiswa, uye / kana chirwere. IBS inorondedzerwa sechirwere chepachiviri chinoshanda nokuti hapana chimiro kana chikonzero chezvinhu zvinokonzerwa nehupenyu chinogona kuwanikwa kutsanangura zviratidzo. Pamusoro pekuongororwa kuongororwa, hutoni hahuratidzi humwe hutachiona hwehutachiona kana kupisa.
Nokudaro, IBS inoratidzika chete pashure pokunge zvimwe zvirwere uye zvirwere zvingangodaro zvingave zvakarongwa kunze.
IBS inowanzosarudzwa kana kusatumidzwa sehutachiita, mucous colitis, spontic colon, chirwere chinokanganisa maronda, kana chirwere chinokonzera (colon). Izvi zvinopesana zvinoramba zvichiripo, kunyange zvazvo IBS ikozvino inozivikanwa uye inogona kurapwa. Kuita vanhu pakati pemamiriyoni 25 kusvika ku55 muUnited States, IBS inowedzera mamiriyoni 2.5 kusvika ku3,5 gore negore kushanya kune vanachiremba. 20 kusvika ku40 muzana yevose vanoshanyira gastroenterologists vanobva nekuda kwezviratidzo zveBS.
Zviratidzo
Zviratidzo zveBS zvinogona kusanganisira:
- Gesi
- Pain
- Bloating
- Nausea
- Kudzora
- Mucus in the stool
- Constipation
- Diarrhea
Zvipfeko zvinowanzorodzwa nechisimba chechikwata, asi vamwe vanhu vane IBS vanogona kunge vakagumburwa uye vasingakwanisi kudarika chero chinhu. Kusuruvara kwezviratidzo kunopesana, uye kunogona kuva chero kubva pane kugumbuka kunorwadza kuderera. Ropa muhombodo , fivha, kuora muviri, kurutsira bile, uye kurwadziwa kunoramba kuripo hakuzi zviratidzo zveBS uye zvinogona kuva mugumisiro weimwe dambudziko. IBS haina kutungamirira kune chero zvirwere zvehupenyu, zvakadai seCrohn's disease kana ulcerative colitis, kana chero rudzi rwechirwere chepamuviri.
Zvinokonzera
Misumbu iri mumakoloni kazhinji inobata kaviri pamusi, ichifambisa zvipfeko pamwe chete uye pakupedzisira inoguma nekufamba kwechirwere. Zvinotendwa kuti mumunhu ane IBS, mishonga iyi inonyanya kugadzikana kune zvimwe zvikonzero, kana zvinokonzera.
Vatsvakurudzi havasi kunyatsoziva kuti nei masumbu ari mumutumbi wemunhu ane IBS ari kunyanya kunetseka.
Zvisinei, IBS haisi kukonzerwa nekunetseka kana simba. Vamwe vanhu vane matanho ekutanga e-IBS zviratidzo panguva inonetsa munguva yehupenyu hwavo sekufa kwehama kana kurasikirwa nebasa. Zvisinei, kushungurudzika uku hakuna kukonzera mamiriro acho asi asi kwakanyanya kuwedzera kusvika pakasvika pakanyanya kuonekwa kana kuvhiringidza.
Mhando dzakasiyana dzeBS
Kune maitiro matatu akasiyana eBS: Diarrhea-predominant (D-IBS), kuvimbiswa-kunyanya (C-IBS), uye kushandiswa kwekudzivirira uye chirwere (A-IBS). Zviratidzo zvemhando dzakasiyana dzinosanganisira:
- D-IBS: kusuruvara kwepamuviri kana kurwadziwa, kukurumidza, uye chirwere
- C-IBS: kusuruvara kwepamuviri kana kurwadziwa, kubvongodza nekudzivirirwa
- A-IBS: Zviratidzo zveD-IBS neC-IBS
Kuziva
IBS inorwara yekuregererwa, izvo zvinoreva kuti zvirwere zvinokonzerwa nehutachiona, hutachiona, kana chimwe chikonzero chezviratidzo chinofanira kubviswa kunze. Muna 1988 boka rechiremba rakatsanangura nzira yekunyatsorondedzera kuongorora IBS. Iyo inozivikanwa seChirongwa cheRoma , iri rinotungamira rinotsanangura zviratidzo uye rinoshandisa zviyero zvakadai sehuwandu uye nguva yakaita kuti zvive nyore kunyatsoongorora yeBS.
Zviratidzo muRoma Mazano haasi ega zviratidzo zveBS. Zviratidzo zvisingaverengeki zvinosanganisira:
- Nausea
- Kuneta
- Kunzwa kwakakwana mushure mekudya kuduku
- Kudzora
Miedzo Yakashandiswa Kuongororwa
Mukuwedzera pakushandisa mazano eRoma, vanachiremba vanogona kuedza miedzo yakasiyana-siyana kuti vaone kuti hapana kuvhiringidza kana utachiona mumuviri.
Kuyera ropa. Kuongororwa ropa kunogona kushandiswa kutarisa dhena rekuyera ropa kana kana anemia iripo. Imwe tsvuku yakawanda yeropa yakawanda inopa vanachiremba kuratidza kuti kuputika kuri kuitika mune imwe nzvimbo mumuviri. Kuvhiringidza haisi chiratidzo IBS.
Fecal magic test test. Uyu muedzo unogona kuona kubuda ropa kubva kune chero kupi zvako mumugwagwa wezvokudya, kunyange kana usina kuonekwa neusingaoni.
Ropa muhangu haisi chiratidzo cheBS.
Stool tsika. Chiremba angada kutonga zvimwe zvikonzero zvinokonzera chirwere, zvakadai seutachiona hwehutachiona kana chirwere chepasitini, ine chigaro chechigaro. Kana chero mabhakitiriya akawanika, masayendisiti anogona kuedzesa kuti aone kuti ndeapi mhuka uye ndeipi yakanakisisa yekurapa.
Barium enema. A barium enema (kana kuti pasi mukati mezvikamu zvakasiyana-siyana) anoshandisa bhayoum sulphate uye mhepo kuti ibudise rutivi rwekamuti nekoloni. Utachiona husina kunaka hunogona kuoneka semasviko masikati kana mapepa pamwe chete nemukati yakanyungudzana pa X-ray.
Sigmoidoscopy. A sigmoidoscopy inzira yekuti chiremba aongorore chetatu chekupedzisira chemukati mako. Bhiopsy inogona kutorwa panguva iyo, iyo ichaongororwa kuti ibatsire chiremba kuziva chikonzero chekuputika chero kupi zvayo.
Colonoscopy. A colonoscopy inoshandiswa kuongorora mukati memakoloni kunze kwenzvimbo iyo sigmoidoscopy inogona kusvika. Nyuchi dzinotorwa panguva yekuedzwa uye varwere vanowanzogadziriswa kana kupiwa "usiku hwokuvata hope" kuitira kuti varege kunzwa kurwadziwa.
Mimwe miedzo inogona kushandiswa navanachiremba sezvinodiwa kuti vaongorore IBS kana kutonga kunze kwezvimwe zvinogona kuongororwa.
Mishonga yekurapa
Mhando dzakasiyana-siyana dzemishonga inogona kushandiswa kurapa IBS. Chinangwa chemishonga ndechokuderedza zviratidzo zvinoshungurudza zveBS zvakadai sehururu, kupwanya, kurwadziwa, kana kubatwa.
Anticholinergics. Iyi kirasi yemishonga inokanganisa masero emagunha kana mishonga inoshandiswa uye inoshandiswa kugadzirisa maronda emasumbu mumatumbo uye kubatsira zviratidzo zveBS zvakadai sokupwanya marwadzo kana chirwere.
- Dicyclomine (Bentyl). Dicyclomine inodzokorora huturu hwemukati uye chirwere chekudzivirira kuchengetedza maruva uye kunoderedza kuwanda kwemuviri weAIDS inogadzirwa. Dicyclomine inogona kushandiswa zvakachengetwa kwenguva refu, pasi pekutungamirirwa kwachiremba. Migumisiro yakajairika inosanganisira kuvimbiswa, kuoma kwemuromo, mhuno, huro, kana ganda uye kuderedza simba rekupfugama (izvo zvinogona kuita kuti kupisa kunzwe).
- Belladonna / Phenobarbital (Donnatal, Antispas, Barbidonna, Donnapine, Hyosophen, Spasmolin). Iko kusanganiswa kwemishonga miviri inoshandiswa kuponesa mishonga mumakumbo uye mumatumbo pamwe nekuderedza dumbu reAIDS. Phenobarbital unyoro hunogona kuva tsika-kuumba. Nzira dzakasangana dzebladladonna / phenobarbital dzinosanganisira misoro, kusuruvara, kuvimbiswa, kuputika, uye kurutsa. Izvi zvinogona kutora mazuva mana kana mashanu kuti ave akabudirira, uye, pasi pekutarisirwa kwechiremba, inogona kushandiswa zvakachengetwa kwenguva refu.
- Hyoscyamine (Levsin, Anaspaz). Iko kusanganiswa kwemishonga mbiri, bladladonna alkaloids uye barbiturates, inoshandiswa kuponesa mishonga mumakumbo uye mumatumbo pamwe nekuderedza dumbu re acid. Migumisiro yakajairika inosanganisira kuora musoro, kusuruvara, kuvimbiswa, kuputika, uye kurutsa. Hyoscyamine inogona kutorwa nguva yakareba pasi pekutungamirirwa kwachiremba chero bedzi migumisiro isiripo kana isingakanganwiki.
- Chlordiazepoxide / clidinium (Librax) . Chlordiazepoxide / clidinium inodzivirira spams mumatope uyewo chikafu. Chlordiazepoxide inofadza uye inogona kuva tsika-kuumba. Migumisiro yakajairika inosanganisira kunzwa kwakadzika, kuderera kutuka, dutu, kurara, kuoma kwemuromo, uye musoro. Izvi zvinogona kutora mazuva mana kana mashanu kuti ave akabudirira, uye, pasi pekutarisirwa kwechiremba kunogona kushandiswa zvakachengetwa kwenguva refu.
Antidiarrheals. Antidiarrheals inoshandiswa kuderedza kusvibiswa kwehutachiona. Iyi mishonga inogona kushandiswa kudzivirira chirwere chinowanikwa kubva kuBS.
- Diphenoxylate / atropine (Lomotil). Iyo diphenoxylate chikamu chechirwere ichi chinoshandiswa kurapa manyoka, asi apo atropine inoderedza musikana spams mumatumbo. Migumisiro yakajairika inosanganisira misoro, kushaya gumbo, kurara, kuonekwa zvakasviba, muromo wakaoma, uye kuvhiringidzika. Kunyange zvazvo iyo isiri yenyangadza, diphenoxylate yakabva pane zvinoratidzira uye inogona kunge yakanyatsodzika-kuumba. Diphenoxylate / atropine inowanzogadzirirwa kuchengetedza mararamiro munguva pfupi uye haifaniri kutarisirwa kwenguva refu.
- Alosetron hydrochloride (Lotronex). Ichi chinodhaka chinoshandiswa kuporesa vakadzi vane D-IBS yakaoma. Alosetron hydrochloride yakagamuchirwa ndokubva yatora kubva mumusika neDFA mushure menguva yakawanda yezviitiko zvakakomba madzimai kune vakadzi vanoitora. Iko zvino yakagamuchirwa chete kuti ishandiswe pane zvishoma. Alosetron hydrochloride inokanganisa kushanda kwe seratonin, kemikemikari mumuviri inobata pamuviri nekurwadziwa. Mishonga inowanzotanga nekuedzwa kwemavhiki mana uye inogona kupfuurirwa kune mamwe mavhiki mana pasi pekutarisirwa kwechiremba.
Zvigadzirwa Zvokubatsira Nezviratidzo
Vanhu vazhinji vane IBS vanogona kuwedzera kune zvigadzirwa kuti vawedzere kana kuti vagadzirise kurapa kwechirwere chetsika. Kune zvidimbu zvinogona kubatsira nemararamiro eBS, asi zvakakosha kuziva kuti vanogonawo kuva nemigumisiro, uye kushandiswa kwavo kunofanira kuonekwa nguva dzose kune vanachiremba semhando ipi zvayo yemishonga yemishonga.
Acidophilus. Acidophilus ndiyo "bhakitiriya yakanaka" inogara mucoloni yako. A supplement inogona kubatsira utano hwakanaka kugadzira mabhakitiriya kukura nekuderedza mabhakitiriya anokuvadza. Fructo-oligosaccharides (FOS) inogona kuwedzerwa ku acidophilus mapiritsi. FOS ndiwo mahydrohydrates asingadi kudyiwa nevanhu, asi vanoshumira kubatsira mabhakitiriya anobatsira kukura. Acidophilus inouya mu-form capsule, uye mabhakitiriya anofanira kunge ari mupenyu kuti ave anoshanda.
Chamomile . Chamomile inozivikanwa anti-spasmodic uye inogona kugadzirisa mishonga mumakumbo ekudya. Kunyange zvazvo pasina rubatsiro rwevanhu rwakaitwa pane izvi kuwedzera maererano neBS, yakaratidza kuti inoderedza kutsamwa nekupwanya mhuka. Chamomile inogona kutorwa seyei, kana se capsule.
Ginger . Ginger yakagara ichizivikanwa kuti ibatsire neyeusa, uye inogonawo kubatsira mukusimudzira kuparara uye kuderedza marwadzo anorwadza. Ginger inogona kutorwa seii, capsule, kana kunyange mune zvokudya.
Peppermint Oil . Peppermint inogona kusunungura misungo mukati megumbo rekudya. Izvi zvinobatsira kuderedza mararamiro mumakoloni, asi inogonawo kugadzirisa pasi shoma esophageal sphincter uye inokonzera kuora mwoyo kana kuwedzera gastroesophageal reflux chirwere . Peppermint mafuta inogona kutorwa mune kapule kana kuti tei fomu. Kunyange zvazvo ichinyanya kushanda, capsules inogona kukonzera kutsamwa kweguru.
Alternative Uye Complementary Therapies
Hypnosis. Chimwe chikonzero chekudzidzira muna 1984 chakaratidza kuti varwere veBB vakaporerwa ne hypnotherapy vakaratidzira kwete kungoita kuwedzera kwakanyanya muzviratidzo zvavo asiwo havana kutambura zvakare pakudzoka kwemwedzi mitatu. Gutungamirirwa Hypnotherapy yakagadzirirwa zvakananga kuvarwere veBib uye yakaratidza kuti inoderedza zviratidzo mu 80% yematambudziko.
Cognitive Behavior Therapy . Utachiona hwekuita hunobatsira kuderedza kushamwaridzana pakati pemamiriro ezvinhu anotambudza uye kuitika kwevanhu kune avo. Chirwere chepfungwa chinoongorora hukama pakati pemafungiro nezviratidzo. Vose pamwe chete maitiro aya maviri anozivikanwa sekugadzirisa maitiro therapy (CBT). Kurapa kunogona kutanga nedhidhiyiti yezviratidzo zveBS, zvino enda kune biofeedback, zvakanaka kuzvitaura, uye kuderedza mhinduro dzakaipa kudzvinyirira.
Zvokudya Zvinosvibisa Sei IBS
Kunyange zvazvo zvikafu zvisina kukonzera IBS, kudya zvimwe zvokudya, zvinonzi "trigger foods" zvinogona kugadzirisa zviratidzo zvekurara, kuputika, kana kurwadziwa. Zvinosuruvarisa, hapana kudya kunozoshanda kune vanhu vose vane IBS, asi kune mamwe mazano anogona kubatsira.
Kudya zvokudya zvishomanana masikati masikati, panzvimbo pezvikuru zvitatu zvinogona kubatsira kuderedza zviratidzo (huru zvokudya zvinogona kukonzera kuputika uye chirwere). Uyezve, zvingava zvinobatsira kuchengeta zvokudya zvakaderera mumafuta uye zvakakosha mumakhahydrates akaita se-bread-breads, pasta, mupunga, michero, miriwo, uye zviyo. A low fat, high protein yezvokudya inogonawo kubatsira nemarwadzo akawana mushure mokudya.
Zvokudya zvinowanzokonzera zvinosanganisira:
- Doro
- Zvinotapira zvinokonzerwa nemafuta kana mashizha anotsigira
- Mafuta ekugadzira (Olestra)
- Zvimwenje zvinokonzerwa
- Kokonati mukaka
- Kafi (kunyange decaffeinated)
- Dairy
- Egg yolks
- Fried Foods
- Mafuta
- Nguruve ganda uye nyama yakasviba
- Nyama tsvuku
- Kupfupisa
- Chocolate Yakasimba
Soluble fiber ine zvikomborero zvakawanda zvinogonawo kuderedza zviratidzo zveBS. Fiber inogona kudzivirira maruva emhepo nekuti inoita kuti ikoni ikanganiswe. Inobatawo mvura, iyo inobatsira kuchengeta zvigaro kubva pakuoma kwakanyanya uye saka zvakaoma kudarika. Pakutanga kuchinja kune yakakura fibhi kudya kunogona kuwedzera gesi uye bloat, asi zviratidzo izvi zvinofanira kuderera mumavhiki mashoma apo muviri unogadzirisa.
Zvigadzirwa zvinogona kubatsira pakuwedzera fibhi inofanirwa kudya. Pane mitatu yakakosha ye-soluble fiber supplements (psyllium, methylcellulose, uye polycarbophil) uye imwe neimwe inoshandiswa zvakasiyana-siyana, migumisiro, uye nzvimbo.
Kuderedza kudya kwezvokudya zvinokonzera mumukirini gasi kunogona kubatsira mukuderedza kubhururuka. Kucheka gum kunowedzera gomu mumuviri, sezvinoita kumedza mhepo paanenge achidya (izvo zvinogona kuitika kana kukura mvura kana kutaura kana uchidya). Zvimwiwa zvinokonzerwa nemafuta (zvakadai soda pop kana zvinopenya mvura) zvinogonawo kukonzera kubvongodza uye mumukaka gesi (pamwe chete nebenching).
Zvokudya Sensitivities
Vamwe vanhu vane IBS vanogonawo kuva nekunzwa kwezvokudya. Kunzwisiswa kwezvokudya kune zvakasiyana nezvokudya zvezvokudya zvechokwadi, saka zvingave zvisingawanikwi mune zvekare zvinokonzera zvirwere. Zvimwe zvezvikonzero zvinowanzokonzerwa zvekunzwa kwekudya zvinosanganisira:
- Sorbitol (anotsiva gorosi)
- Fructose (inowanikwa mumuchero wezvibereko nemichero yakaomeswa)
- Lactose (inowanikwa mumukaka)
- Gorosi bran
Kusagadzikana kwechitose chinhu chinowanzova chikonzero chekushaya muviri kwekushaya chirose, kana shuga yekisi. Zviratidzo zvinosanganisira gesi, kuputika, uye dzimwe nguva kunyange kurwadziwa. Kana chirwere chisina kuvhiringidzika chichifungidzirwa, kudzivisa mukaka nemishonga yemukaka kunofanira kuderedza zviratidzo.
Kuwana Iko IBS Trigger Foods
Kuchengeta kudya uye zviratidzo zvemavara inzira yakanaka yekutsvaga zvokudya zvinotungamirira kuBS kutambudzwa. Zvinyorwa zvekudya zvinofanira kusanganisira kwete nguva chete nezvokudya zvakadyiwa, asiwo kwavakadyiwa, uye mafungiro emafungiro kana mafungiro. Zvakakosha kuisa zvokudya zvose (kunyange magetsi iwe unodya kubva mundiro pane dairy work co-worker) uye kuti yakagadzirirwa sei (kureva kuti "fried chicken", kwete "chicken" chete). Dhidhiyo inofanira kuzadzirwa kakawanda pazuva kuitira kuti hapana chakakanganwika. Pashure pevhiki dzinoverengeka, chiremba kana chiremba anogona kubatsira pakudzokorora diary kuti awane kutengesa mamiriro ekudya.