I-Irritable Bowel Syndrome (i-IBS)

Okubalulekile kwe-Irritable Bowel Syndrome (IBS)

I-irritable bowel syndrome (IBS) yinkinga yempilo abantu abaningi abanayo kodwa abantu abambalwa abakhuluma ngayo. Abantu abathintekayo abane-IBS bahlangabezana nezimpawu ezingapheli ezihlobene nokusebenza kwamathumbu abo.

Kuyini i-IBS?

I-IBS iyinkinga yokugaya ukudla lapho abantu bezwa khona izibhamu eziphindaphindiwe zobuhlungu besisu, kanye nezinguquko eziphawulekayo ekuhlangenwe nakho kwabo kokunyakaza kwamathumbu. Abantu abanayo i-IBS bangathola ukuqwashwa okungapheli, iziqephu zehudo oluphuthumayo, noma ukufiphaza emuva naphakathi phakathi kokubili kokubili.

> Chofoza ukuze ubone izimbangela nezimpawu ezikhona ze-IBS.

I-IBS ibhekwa njengesiyaluyalu somzimba esisemsebenzini , ngoba kuhilela ukungasebenzi ngendlela uhlelo lokusebenza lwamathumbu olusebenza ngayo, kodwa aluhambisani nanoma yiziphi izimpawu zendlela yokubonakala yesifo noma umonakalo wesisindo. Kucatshangwa ukuthi kuthinte amaphesenti angu-15 wabantu ngesikhathi esithile sokuphila kwabo.

Izimpawu ze-IBS zingahlukahluka komunye nomuntu, noma zingashintsha ngokuhamba kwesikhathi kumuntu ngamunye onesifo.

• Kungani i-IBS ibizwa ngokuthi i-Spastic Colon

• I-Reflex Engahle Yenze Ukwehluke Kuluhlaza okwesibhakabhaka

Abantu abane-IBS bangase babe nakho:

• Ubuhlungu besisu, ukucindezela, ukuphazamiseka, noma ukungahambi kahle (ngokuvamile kuvuswa ukunyakaza kwesisu)
• Isifo sohudo: okuxekethile, amanzi, mhlawumbe nemicabango yokuphuthuma, kanye / noma ukuhamba kwezinyanga ezintathu noma ngaphezulu ngosuku
• Ukuqotshwa: izitshalo ezinzima, ezomile, ukuhlanza endlini yangasese, kanye / noma ezintathu noma ezimbalwa ukunyakaza kwamathumbu ngesonto
• Imizwa yokuthuthwa okungaphelele ngemva kokunyakaza kwesisu
• Igesi elingaphezu kwamathumbu emathunjini
• Ukuvimbela, okuyinto evame ukukhathazeka njengoba usuku luqhubeka
• Izinguquko ekubukeni kwezitshalo
• I-Mucus izitshalo

Izinto Ezinhlanu Ezinhle Okwazi Ngayo Nge-IBS

1. Abacwaningi abasacaci ukuthi kungani abantu beqala i-IBS. Ngokuvamile lesi sifo sibonakala ngemva kokucindezeleka okukhulu kwe-gastroenteritis, okunye okubizwa ngokuthi isifo somkhuhlane. Ngezinye izikhathi izimpawu zivela ngemuva kokuhlangenwe nakho komcimbi ocindezelayo. Isimo esiphezulu se-IBS sibonakala kubantu abadala abahlukunyezwe ngokocansi noma ekuhlukunyezweni ngokomzimba ebuntwaneni.

1. I-IBS itholakale isekelwe ezimpawu, ngokuphambene nemiphumela yokuhlolwa. Lokhu kungenxa yokuthi izimpawu ze-IBS azibonakali ekuvivinyweni kokuhlola. Udokotela wakho angakhetha ukuhlola ezinye izivivinyo, ngokusekelwe esithombeni sakho somtholampilo nomlando wezokwelapha, kodwa lezi zivivinyo zisetshenziselwa ukulawula ezinye izifo zokugaya ezingase zidale izimpawu zakho.
2. Ukungabi nemiphumela emihle yokuhlolwa akusho ukuthi i-IBS iphelele ekhanda lakho. Ucwaningo lubonisa ukuthi izimpawu ze-IBS zingase zibe umphumela wokuxhumana phakathi kwezici eziningi, kufaka phakathi ezinye noma zonke ezilandelayo:
   • Izinguquko ku-gut motility - ijubane lokunyakaza kwamathumbu
   • I-hypersensitivity ye-Visceral - imizwa evelele yobuhlungu ezingxenyeni zangaphakathi kunokujwayelekile
   • Ukuvuvukala emgqeni wamathumbu
   • Ukungasebenzi phakathi kwezinhlelo zokuxhumana phakathi kwamathambo nobuchopho
   • Ukungalingani phakathi kwama-bacteria
   • Ukubekezelelana kokudla noma ukuzwela
   • Ukwandisa ukuvuthwa kwamathumbu emathunjini (i-leaky gut syndrome)
3. I-IBS ingahle ihlukaniswe ibe yizinhlobo ezahlukene ezihlukene: isifo sohudo-esiningi kakhulu (IBS-D), ukuqothulwa-okubaluleke kakhulu (IBS-C), kanye nohlobo oluthile (IBS-A), lapho uphawu olukhulu lwesiguli lushintsha ngokuhamba kwesikhathi.

Yini Okungeke Yenzeke?

I-IBS ithola ukuthi ngemuva kokunye ukuphazamiseka kuye kwavela ngaphandle kokuhlolwa kokuhlolwa kokujwayelekile. Okulandelayo ezinye zezimo zempilo udokotela wakho azofuna ukuzenza:

Izifo ze-Celiac: Isifo se-Celiac yisimiso lapho ukudla ukudla okuqukethe gluten kubangela impendulo eyinkimbinkimbi yokuzimela lapho i-villi efaka khona amathumbu amancane ewonakele. Abantu abane-IBS basengozini ephezulu yesifo esingenazo izifo ze-celiac.

Izifo Zezifo Ezivuthayo (IBD): Izifo ezikhukhumeza izifo zesifo sikaCrohn kanye nesifo sofuba esiswini sinezinkinga eziningi ezifana ne-IBS. Kodwa-ke, izimpawu ze-IBD zihlanganisa isifo sohudo, ukulahleka kwesisindo, nemifudu, zonke izimpawu ezingekho ku-IBS. Ngaphezu kwalokho, nge-IBD, izimpawu ezibonakalayo zokuvuvukala zizobonakala endleleni yokugaya ngesikhathi se-colonoscopy.

Ukungaboni Ukudla: Ukungabekezelelani kokudla kuhluke ekunganeni kokudla ngoba inkinga kwenzeka ezingeni le-digestive system ngokuphambene nokuphendula kwesimiso somzimba.

Ukudla ukushaywa indiva noma ukungahambisani kungabangela izimpawu ze-IBS. Izinhlobo ezimbili ezivame kakhulu ukungahambisani ne- lactose ne- fructose malabsorption .

I-Colon Cancer: Abantu abane-IBS bakhathazeka njalo ukuthi bangase babe nomdlavuza wekoloni owake waphoywa udokotela wabo. Izimpawu zomdlavuza wekoloni ezingabonakali ku-IBS ziwuphawu lokuphuma kwegazi noma igazi , i-anemia, ukukhathala okwedlulele, kanye nokulahlekelwa kwesisindo esingavamile.

Uma Usanda Kuxilongwa Nge-IBS

Nakuba udokotela wakho engakutshela ukuthi ayikho ikhambi ye-IBS, ungathola isiqinisekiso sokuthi kunezinto eziningi ezingenziwa ukuze kusize ukuthulisa izimpawu zakho. Nazi ezinye izinto ongafunda kabanzi mayelana:

Izinketho zokwelapha : Udokotela wakho angakhetha ukukunikeza imithi eyenzelwe ukunciphisa izimpawu zakho. Izinketho etholakalayo zihlanganisa:

• I-Antispasmodics : Ingahle ibekiwe ukuze kuphuculwe ubuhlungu besisu kanye nokweqa
• Ama-anti-depressants : Kungase kubekwe ukunciphisa ubuhlungu nokubhekana nanoma yikuphi ukucindezeleka okukhona noma izimpawu zokukhathazeka

• Okwenza Udinga Ukwazi Ngezinyimba Zakho Zokugaya

• Into Eyinqaba Engathi Abanye Abangcolile Bangayenza Kukholoni Yakho

• Ama-antibiotics : Izinhlobo ezithile zingahle zenziwe ukuthi zibheke ukukhuphuka kwamagciwane amaningi emathunjini amancane ( SIBO )
• Imithi ethize ye-IBS: Lokhu kuhlanganisa i- Amitiza ne- Linzess ye-IBS-C ne- Viberzi ye-IBS-D.

Izixazululo ezingaphezulu kwe-Counter (Counter Counter (OTCS) : Khuluma nodokotela wakho mayelana nokuthi yiziphi i-OTC eziphephile ozisebenzisayo. I-OTCS evame ukusetshenziswa kakhulu abantu abane-IBS kubandakanya ama-laxatives, ama-probiotics, amafutha we-peppermint, ama-antidiarrheal agents, nezinye izithako ze-herbal.

Okudliwayo! Ukuthola ukuthi yikuphi ukudla okudingwayo uma unayo i-IBS ingaba inselele. Kungaba usizo ukugcina idayari yokudla ukuze ubuke noma yikuphi ukuxhumana okungenzeka phakathi kokudla okudlayo kanye nezimpawu ozizwayo. Ukudla okuphansi kwe-FODMAP kunokusekela okunamandla okucwaninga ngokuphumelela kwayo ekunciphiseni izimpawu ze-IBS, kodwa kungaba yinselele ukulandela. Ukwandisa i-fibre yokudla, ikakhulukazi i-fibre ehlanganisiwe, kungaba usizo uma kwenziwa kancane. Ngaphandle kokufunda ukuthi yikuphi ukudla okungcono kakhulu ukuthi udle, kufanele futhi uqaphele ukuthi udla kanjani. Ungase uthole ukuthi kuyasiza ukudla ukudla okuncani njengamakhulu, ukudla okunzima kungakuqinisa ukuphazamiseka kwamathumbu.

Izwi elivela

Nakuba sonke sifunde ukugcina "inkulumo yokugezela" eyimfihlo, asikho isidingo sokuvumela amahloni ngezimpawu zakho zokugaya ukudla kukuvimbela ekutholeni usizo nokusekelwa okudingayo ukuze uthole i-IBS yakho ngaphansi kokulawula okungcono. Khuluma ngokukhululekile nodokotela wakho mayelana nezimpawu zakho, ngakho-ke ungathola uhlelo oluhle lokulashwa. Funa amaqembu asekelayo we-IBS ku-intanethi ukuze ungazizwa ungeyedwa ekubhekaneni nale nkinga yezempilo ephazamisayo. Ukuthatha indlela yeqiniso ye-IBS yakho kuzokusiza ukwehlisa izinga lakho lokucindezeleka futhi uvikele ukuzethemba kwakho .

_Imithombo:

_{I-Minocha A. & Adamec, C. (2011) I-Encyclopedia of the Digestive System ne-Digestive Disorders (2nd Ed.) ENew York: Amaqiniso kufayela.}

_{I-J, i-Vanuytsel T, i-Corsetti M. Modern Management ye-Irritable Bowel Syndrome: Okungaphezu kwe-Motility. Izifo zokugaya 2016; 34: 566-573.}

_{I-Torpy JM, i-Lynm C, i-Glass RM. I-Irritable Bowel Syndrome. I-JAMA . 2006; 295 (8): 960.}