Iseluleko sabazali
Enye yezinto ezibucayi kakhulu kubazali ukubona ingane yabo ebuhlungu. Uma ingane yakho itholwe ukuthi inesifo sofuba esiswini (IBS) noma ubuhlungu besisu esisemsebenzini (FAP), kungenzeka ukuthi uhlangabezana nemizwa yokungenamandla, ukukhungatheka nokudideka.
Njengoba uhamba phambili, uyazi ukuthi i-IBS ezinganeni akuyona into encane. Ucwaningo luye lwabonisa ukuthi izingane ezine-IBS zithola izinga eliphansi lokuphila, zilahlekelwa yisikole eziningi futhi zizoya ezinqumweni eziningi zezokwelapha.
Umthelela we-IBS kumntwana oyedwa ungathinta wonke umndeni onamandla. Ngenhlanhla, ezinganeni eziningi, lesi sifo sizophucula ngesikhathi kanye nokungenelela okuncane. Ngeshwa, kwabanye, izinkinga zokugaya zingase ziqhubeke ziba ngabantu abadala.
Kuye kwavame ukushiwo ukuthi izingane azilezi izincwadi zokufundisa. Lokhu kuyiqiniso nakakhulu uma kuziwa ezincwadini zokusiza abazali ukuba babhekane nezinselele zesifo somzimba esisemsebenzini njengo-IBS. Lapha uzonikezwa ezinye iziqondiso ozolandela njengoba usebenza nodokotela wengane yakho kanye nodokotela wengane yakho ukusiza ukunciphisa ukucindezeleka kwengane yakho.
1. Zifundise
Ukuze ube usizo oluhle kwengane yakho, udinga ukuqonda kahle ukuthi yini ebangela inkinga. I-IBS ayifani nezinye izinkinga zempilo ngoba ayikho ukuhlolwa okuhloswe ngokucacile noma ukuhlolwa kwelabhutrikhi okukhomba ukuthi yini engalungile. Nakuba imbangela eqondile ingase ingabonakali, abantu abane-IBS babhekana ne-hypcerensitivity ye-visceral , okusho ukuthi bazwela kakhulu ekuhlangenwe nakho kobuhlungu obuvela ezingxenyeni zangaphakathi, ne- coloni motility , okusho ukuthi kunenkinga ngejubane lokusebenza kwamathumbu abo .
Kunemibono eminingi mayelana nokuthi yini engase ibe ngemuva kwalezi zinkinga:
- Kungase kube nenkinga endleleni i- guthu ekhuluma ngayo nobuchopho.
- Kungase kube nokulinganisela okungahambi kahle kwamabhaktheriya ngaphakathi kwamathumbu .
- Kungase kube khona okuyisisekelo, ukuvuvukala okuncane kakhulu.
2. Yakha Ukusebenzisana Okuhle Neqembu Lezokwelapha Zengane Yakho
Iziguli ze-IBS abadala ezizizwa zihle mayelana nobuhlobo bazo nodokotela wazo zinomphumela ongcono wezokwelapha.
Ngakho-ke kungenzeka ukuthi uzomuzwa uzizwa uqiniseka ngokwengeziwe ngendlela ongayisingatha ngayo i-IBS yengane yakho uma usebenza nodokotela ukuthi uyamethemba futhi uyawahlonipha. Qinisekisa ukuthi odokotela bakho bazinika isikhathi sokulalela ukukhathazeka kwakho futhi, okubaluleke kakhulu, babathinte ngokungathí sina. Uma unomuzwa wokuthi udokotela ulahla noma unciphisa ukucindezeleka kwengane yakho, lokhu akulona udokotela ofanele ingane yakho. Uma iseluleko sikadokotela singahlali kahle nawe, xoxani nokukhathazeka kwakho nodokotela, noma uthole umbono wesibili. Akekho owazi ingane yakho kanye nokwenza kwakho.
Qinisekisa ukusetha okulindelekile: IBS ayiyona inkinga yezempilo udokotela wakho angaphilisa ngokushesha. Esikhundleni salokho, bheka ukuthuthukiswa kwesibonakaliso sezimpawu kanye nekhono elikhudlwana lomntanakho ukuba ahlanganyele emisebenzini yakhe evamile.
3. Fundisa Ingane Yakho Mayelana Nokugaya
Kungasiza ingane yakho ukuba ibhekane kangcono nalokho okwenzeka emzimbeni wakhe uma inokuqonda kangcono inqubo yokugaya. Ezinganeni ezincane, izithombe ezilula zingcono kakhulu, kanti izingane ezindala nezintsha zingathola inkulumo eningiliziwe . Ukusiza ingane yakho ukwazi ukuthi umzimba wabo kufanele usebenze kuzobasiza ukuba basebenzisane nabo, futhi bazuze, imithi eyenzelwe ukunciphisa izimpawu zabo.
4. Siza Ingane Yakho Yakha Imikhuba Emihle Yomzimba
Izingane ezincane zibonakala zithanda ukugwema izinto, kungakhathaliseki ukuthi zigeza, zixubha amazinyo noma zichithe isikhathi sokunyakaza. Izingane ezindala zingase zishaye ukusebenzisa izindawo zokuphumula zomphakathi, noma zingavuki ekuseni ngokwanele ukuze zenze isikhathi sokuhamba ngasese. Manje njengoba usuchazele indlela yokugaya, zibandakanye kuzo ekusizeni imizimba yabo ukuba izame ukuthola indlela yabo yokubuyela emuva.
Izingane ezinesifo esiyinhloko sokuqotshwa kufanele zifundiswe ukuba "zivumelanise" ezinkomba ukuthi umzimba wabo ulungele ukunyakaza kwamathumba.
Kungase futhi bazuze ekufundiseni imfuyo , okuyindlela yokuzama ukungena emidlalweni yemvelo yomzimba ukuze bahlale njalo.
Izingane ezibhekene nesifo sohudo esiphuthumayo zingafundiswa amakhono okuphumula ukuze kusize ukunciphisa ukukhathazeka okungase kuqinise ukuphikisana kwamakholoni futhi ngaleyo ndlela kunciphise umuzwa wokuphuthuma .
5. Qinisekisa Ubuhlungu Babo
Kungenxa yokuthi akukho lutho olungaboniswa kwi-scan ye-CAT alisho ukuthi ubuhlungu ingane yakho ehlangabezana nayo akuyona yangempela. Noma imuphi umzamo wokunciphisa ubuhlungu bakhe uzoba nomlilo kuwe, njengoba uzokwenyusa ukukhathazeka kwengane yakho ukuthi awunaki iqiniso lokuthi kukhona okungahambi kahle. Uma umuntu ekhathazeka ngokwengeziwe, ukuzwa okubuhlungu kuthuthukiswa nakakhulu.
Uma ingane yakho ibuhlungu, sondeza futhi ududuze. Bakhuthaze ukuba basebenzise amasu okuzithokozisa. Ezinganeni ezincane, kungase kusho ukugoqa ngesilwane esithandwa kakhulu noma ingubo. Izingane ezindala zingathola ukuthi ukulalela umculo otholile noma ukuphazamiseka kokuxhumana nabangane babo emithonjeni yezenhlalo kubasiza ukuba bafinyelele ubuhlungu besisu.
Ungathuthukisa umntanakho umqondo wokuzikhandla, futhi mhlawumbe unciphise ukukhathazeka okukhushulwa ubuhlungu, ngokubabuza ukuba bacabangele imibono yokuzihlisa . Kubantwana abancane, inqubo emangalisayo ukukhuluma ngokuqondile nesilwane esithandwa kakhulu. Isibonelo, buza "Ingabe i-Teddy inayo imibono mayelana nokuthi yini ezokusiza uzizwe ungcono?" Izingane ezindala zingabuzwa ngokuqondile ngemibono yazo mayelana nokuthi bacabanga ukuthi zingasiza.
6. Funda mayelana nobudlelwane be-IBS Izimpawu zokudla
Yize kubonakala sengathi kunengqondo, ukucwaninga akubonanga umthelela omkhulu wezinguquko zokudla ezimpawu ze-IBS ezinganeni. Lokhu kubonakala kuyiqiniso ikakhulukazi uma kuziwa ngesifo sezinhlungu zesisu. Ngalokho engqondweni, kunemihlahlandlela ejwayelekile yokugcina engqondweni:
Sebenzisa idayari yokudla ukuze ubheke ukubekezelelana kwe-lactose noma i- fructose malabsorption inkinga.
Yenza ingane yakho igweme lokhu okulandelayo:
- Ama-sweeteners okuzenzela aphela "-ol"
- I-caffeine
- Ukudla okunamafutha
- Ukudla kwe-Gassy
Uma isithombe sesibonakaliso somntanakho sibandakanya izidakamizwa zesifo sohudo, mkhuthaze ukuba adle ukudla okuncane emini ukuze agweme ukuqinisa amathumbu emathumbu. Uma ingane yakho ingase ibhekane nokuqothulwa, mkhuthaze ukuba adle ukudla okukhulu - ikakhulukazi ekuseni - ukusiza ukuqala ukunyakaza kwamathumba.
Uma kunesidingo, ukwandisa ukungenisa kwe-fiber yengane yakho, kodwa yenze kancane kakhulu. Ukuze uthole ukuthi zingaki amagremu we-fiber ngosuku ingane yakho okufanele idle, mane ungeze amahlanu ubudala. I-fibre iyakusiza kokubili inqwaba phezulu (okuhle kuhudo) nokunciphisa isitokisi (okuhle kokuqothulwa). Kodwa-ke, imithombo eminingi ye-fiber ingabangela igesi nokuqhaqhaza, okungahle kube nzima kakhulu izimpawu zomntanakho. Ukwandisa kancane okuqukethwe kwe-fiber yokudla kwengane yakho kungasiza umzimba wakhe ukuba ulungise ngaphandle kokuqeda ngokweqile.
Ungase futhi ufune ukukhuluma nodokotela wakho ngokubeka ingane yakho ekudleni okuphansi kwe-FODMAP. Lokhu kudla kuhilela ukuvimbela ezinye izinhlobo ze-carbohydrate, ezaziwa ndawonye njenge-FODMAPs, amasonto ambalwa ngaphambi kokuzifaka kabusha ekudleni kwengane yakho ukuhlola ukubekezela. Lokhu kudla kungcono uma kwenziwa ngaphansi kokuqondiswa kwesidlo sokudla.
Ngaphambi kokwenza noma yiziphi izinguquko ezinkulu ekudleni kwengane yakho, qiniseka ukuthi uxoxisana nezinhlelo zakho nodokotela wengane yakho, osesikhundleni sokukwazi kangcono ukuthi yiziphi izinguquko ezothinta impilo yengane yakho.
Hlola Ingqondo-Ukwelapha Umzimba
Ucwaningo lubonise ukuthi ezinye izinhlobo ze-psychotherapy zingaba nethonya elihle ezimpawu ze-IBS. Uma ingane yakho ihlangabezana neziqephu zezinhlungu zesisu, ingase izuze ku- hypnotherapy . Uma ingane yakho ibhekene nokukhathazeka okuningi, futhi ucabanga ukuthi le nkathazo yenza izimpawu zakhe zibi nakakhulu, angase azuze ekuthandeni ukuziphatha kwengqondo (CBT).
8. Ukusebenza nabasebenzi beSikole
Esinye sezici ezikhungathekisa futhi eziphazamisayo ze-IBS ezinganeni lapho ziphazamisa ikhono labo lokuya esikoleni . Kuyinto evamile ukukhathazeka ngokuthi ingane ixoshe izimpawu zakhe ukuze igweme isikole. Kungaba nokukhathazeka ukucabanga ngomthelela olahlekelwe yisikole esinengi kakhulu emfundweni jikelele yengane yakho. Lalela umntanakho kanye nezizukulwane zabazali bakho ukuthola ukuthi bayakwazi yini ukuya esikoleni noma cha. Kuzingane eziningi, izimpawu zibi kakhulu ekuseni, ngakho-ke ngezinye izikhathi ukuqala kwesikhathi kungase kube yilokho okudingekayo. Ngokweqile, ingane yakho ingadinga imfundo yasekhaya.
Kubalulekile ukuzama ukusebenza nesikole ukuqinisekisa ukuthi izidingo zemfundo yengane yakho zihlangene. Ingane yakho inamalungelo athile ngokuphathelene nokuthola imfundo naphezu kokuba nesimo sezokwelapha njenge-IBS. Xoxa nezikhulu zakho zesikole mayelana nokuhleleka kokubhala uhlelo olungama-504 , oluchaza ukuthi yikuphi ukuhlala ingane yakho okungase kudingeke ukuba iphumelele esikoleni ngenxa yezimpikiswano zabo zesisu.
9. Ungayinaki Ezinye Izingane zakho
Inkinga yezempilo ayithinti nje kuphela umuntu obhekene nesifo. Ukuphila kwezingane zakubo nakho kuthinteka: ingane "egulayo" ibonakala njengokwengeziwe, izinhlelo zomndeni zikhanseliwe, ukudla okunye akukwazi ukukhonzwa, njll. Imizwa yentukuthelo ingathuthuka kubantakwethu abanempilo. Kwezinye izimo, umntanakho onempilo angase aqale "ukwenza okuthile" ngomzamo wokushintsha isikhungo sokunakwa.
Nakuba sonke siyazi ukuthi ukuphila okumatasa kungakanani, kubalulekile ukuzama ukuthola "isikhathi esedwa" nezinye izingane zakho. Uma ubabeka wedwa, bakhuthaze ukuba baveze imizwa yabo mayelana nenkinga ye-IBS yomfowenu noma udadewabo. Bazise ukuthi noma yimiphi imizwa engafanele ayinayo futhi iyaqondakala. Kuyamangaza ukuthi abantu bangcono kangakanani bazizwa lapho imizwa yabo iqinisekisiwe.
Izingane eziningi zinzima ukubeka imizwa yazo ngamazwi. Ezinganeni ezincane, ungacela usizo lwesilwane sabo esithandwa kakhulu. Ngokuvamile ingane ingakutshela ukuthi, "U-Teddy uyamzonda umfowethu," kodwa wazi ukuthi cishe akufanele athi ngokwabo! Kubantwana asebekhulile, imizwa yabo ingaqinisekiswa ngokuzibeka emagameni, isib. "Ungase ucasuke ngalokho okwenzekayo nodadewabo. Ungase uthukuthele ukunakekelwa kwakhe noma ukusikhukhumeza uma kufanele sikhansele umndeni wethu uhlela. Lezi zindlela zijwayelekile futhi ziyaqondakala ".
Izingane ezineminyaka yonke zingazuza ngokucelwa imibono yazo mayelana nezixazululo, isib. "Yiziphi imibono onayo emnandi yomndeni esingayenza eduze kwekhaya?" noma "Ingabe unemiqondo mayelana nokuthi yini engenza umfowenu / dade wakho azizwe kangcono?" Futhi, kubantwana abancane, kufaka phakathi ukuphepha kwabo engxoxweni kungasiza ekwenzeni imibono. Noma yikuphi okusebenzayo. Iphuzu ukukwenza izingane zakini ezinempilo zizwe ukuthi ziyingxenye ebalulekile yomndeni. Futhi khumbula, sonke siphume kangcono kakhulu ekusebenzisaneni necebo uma sisize ukuza nalo!
10. Thola i-Balance for Yourself, Ingane Yakho Nomndeni Wakho
Ukuba nomntwana ogulayo kunzima kakhulu, kunzima kakhulu. Qinisekisa ukuthi awunaki izidingo zakho njengoba uzama ukusiza ingane yakho ibhekane nayo ne-IBS. Thola izindlela zokuthi "ubuyise kabusha amabhethri akho" uma kunokwenzeka. Khumbula ukuthi ukhathalela kangcono wena ngokwakho, kuyodingeka ukhiphe abanye.
Ngamafu onke amnyama, kukhona ukugqoka kwesiliva. Mhlawumbe ukukhanya kwesiliva kwefu elimnyama eliyi-IBS yengane yakho kukuthi umele umndeni wakho uhambe kancane futhi uchithe isikhathi ndawonye - okunethezeka okungavamile kumasiko wethu omatasa kakhulu. Thola imisebenzi ephansi yokucindezeleka engayithokozela umndeni wakho wonke, njengokufunda izincwadi ndawonye, ukubukela amabhayisikobho, noma ukusebenzisa i-jigsaw puzzle edala. Ubuchwepheshe banamuhla buhlinzeka ngezindlela eziningi zokugcina izingane zihambele ekhaya. Funa imidlalo yamavidiyo noma izinhlelo zokusebenza wonke umndeni ongakujabulela ndawonye. Vumela i-IBS inikeze ithuba lawo wonke amalungu omndeni ukwazi ukuthi abathandekayo, nokuqinisekisa ukuthi izidingo zomuntu wonke ziyakhuliswa.
Umthombo:
U-Chiou E & Nurko S. "Ukuphathwa kwezinhlungu zomzimba zesisu kanye nesifo sofuba esiswini ezinganeni nasebancane." Ukubukeza Ochwepheshe We-Gastroenterology & Hepatology 2010 4: 293-304.