I-diarrhea eyinkimbinkimbi enkulu ye-bowel syndrome (i-IBS-D) i-subtype ye- IBS lapho umuntu abhekana khona neziqephu ezivame kakhulu zokuhuda ezihambisana nobuhlungu besisu. Njenga-IBS, i-IBS-D iyinkimbinkimbi yokusebenza kwamathumbu (FGD) ngokuthi ayikho isifo esibonakalayo, ukuvuvukala noma ukulimala ku-akhawunti izimpawu zayo. Kulinganiselwa ukuthi cishe ingxenye eyodwa kwezintathu zabantu abane-IBS bahlangabezana nalesi sifo nesifo sohudo njengendlela yokugaya kakhulu.
Izimpawu
Ngokungafani nezinye izinhlobo ze-IBS, abantu abane-IBS-D ngokuvamile bahlangabezana nakho:
- Ukunyakaza okuhamba njalo emathunjini
- Izihlalo ezikhululekile
- Imizwa yokuphuthuma
Ngaphezu kwalokho, abantu abane-IBS-D nabo bahlangabezana nokunye noma zonke izimpawu ze-IBS ezilandelayo:
Ngokusho kwe- III III ye-FGDs , ezinye izinkinga zempilo kumele zikhishwe futhi izimpawu kumele zithole okungenani izinsuku ezintathu ngenyanga kulezi zinyanga ezintathu ezedlule ukuze kutholakale ukuhlolwa kwe-IBS-D.
Abanye abantu abane-IBS bangathola ukuthi bashintsha ngezikhathi zokuba ne-IBS-D ngezikhathi zokubanjwa kwesibindi-IBS enkulu (IBS-C). Ezinye zihamba phakathi kokuqothulwa nokuhuda njalo, isimo esibizwa ngokuthi i- irritable bowel syndrome - uhlobo oluthile (IBS-A).
Izimbangela
Nakuba isizathu esiqondile sokuthi kungani umuntu angakhula i-IBS-D kungenzeka ukuthi akucaci nakancane, abacwaningi baphenya izindawo ezihlukahlukene zokuphenywa.
Lokhu kufaka:
- Ukungasebenzi kahle ekuxhumaneni kwe-brain-gut , nokubandakanyeka kwe-neurotransmitter
- Ukuzwela kokudla
- Gut dysbiosis
- Idiopathic bile acid malabsorption (I-BAM)
- Ukuvuvukala okuncane kwamakamelo okugaya
- Ukukhukhulwa kwamagciwane amancane emathunjini (SIBO)
Ukwelapha
Uma ucabanga ukuthi ungase ube ne-IBS-D, sicela wenze i-aphoyintimenti nodokotela wakho.
Kunezinye izimo zempilo ezimbi ezihlanganyela izimpawu eziningi ezifanayo ne-IBS-D. Kubalulekile ukuthi lezi zikhishwe ngaphandle.
Uma udokotela wakho ephetha ukuthi une-IBS-D, bazosebenza nawe ohlelweni lokulashwa. Bangase batusa noma bakunike imithi. Izinketho zihlanganisa:
- Imithi yokulwa nesifo sohudo, efana ne- Imodium
- I-anti-depressant - ukunciphisa umqondo we-motility nokunciphisa ubuhlungu
- Antispasmodic ukunciphisa ukungcoliswa kwamanzi kanye nobuhlungu
- I-Xifaxan - i-antibiotic ehlosiwe
- I-bile acid binder njenge- cholestyramine
- Imithi e-opioid ehlosiwe efana ne- Viberzi
Izimpawu ze-IBS-D zingase zizuze ekushintsheni kokudla. Ukudla ukudla okuncane nokugwema ukudla okunamafutha amakhulu kungaba usizo. Ukugcina idayari yokudla kungabonisa ukuzwela kokudla okungenzeka. Ngaphezu kwalokho, ukudla okuphansi kwe-FODMAP kunokwesekwa kocwaningo lokunciphisa izimpawu ze-IBS-D.
Okokugcina, izimpawu ze-IBS-D zingancishiswa ngomqondo / emzimbeni, ngezindlela zokwelapha zokuzicabangela (CBT) kanye ne- hypnotherapy enokucwaninga kakhulu okusekela ukusebenza kwazo kwe-IBS.
Umthombo:
Saha, L. "I-syndrome eyathukuthela: i-Pathogenesis, i-diagnostic, ukwelashwa, kanye nomuthi osekelwe ebufakazini" World Journal of Gastroenterology 2014 20: 6759-6773.