I-diarrhea eyinkimbinkimbi kakhulu ye-bowel syndrome (i-IBS-D) kanye nezimpawu zayo zobuhlungu obukhulu besisu kanye nokwehliswa, futhi izikhathi eziphuthumayo zokuphuza izidakamizwa eziphuthumayo, ziyinkinga yezempilo ephazamisayo. Nakuba kunomkhawulo, kunemithi ethile engase ibekwe emzamweni wokunciphisa izimpawu. Ezinye zalezi mithi zenzelwe ngqo i-IBS-D, kuyilapho ezinye zisetshenziselwa ukubhekana nezimpawu ezithile, kanti ezinye zisetshenziswe ngendlela engafakiwe.
Lapha uzothola ukubuka ngokuningiliziwe kwemithi eyinhloko udokotela wakho angakukhetha.
Imithi yokwelapha ngaphezulu
Kubantu abaningi abane-IBS-D, i- Imodium , imishanguzo ye-anti-rhythm ye-over-the-counter yinto evame ukuvalwa eduze. Imodium ithathwa ngomlomo futhi ivame ukubekezelela kahle. Isebenza ekuhudokeni ngokunciphisa ijubane lokuqhekeka emathunjini kanye nomthamo wetshezi emathunjini amakhulu. Lokhu kubangela ukuphuthuma okuncane kanye nesitoreji esiqinile. Ngeshwa, i-imodium ayibonakali ibe nomthelela omkhulu ngokunciphisa ubuhlungu besisu.
Imithi yokwelashwa
Imithi elandelayo ithole imvume ye-FDA yokwelashwa kwe-IBS-D:
I-Xifaxan: I- Xifaxan (rifaximin) iyi-antibiotic esebenza ngendlela ehlukile kune-antibiotics ongase uyijwayele. I-Xifaxan ayitholakali esiswini ngakho-ke izenzo zayo kucatshangwa ukuthi zenzeka endaweni yangaphakathi emathunjini amancane.
Ukusetshenziswa kwe-Xifaxan njengokwelashwa kwe-IBS-D kuvele ekucwaningweni okuphakamisa ukuthi ukwanda okukhulu kwamagciwane emathumbu (SIBO) kungase kubangele izimpawu ze-IBS-D. Ngenxa yokuthi imithi isebenza endaweni yangakini, ivame ukubekezelela kahle futhi ayinayo umthelela kuma-bacteria ngaphakathi kwamathumbu amakhulu amanye ama-antibiotic.
Kuzocwaningo, i-Xifaxan inomsebenzi omuhle ekunciphiseni ubuhlungu besisu, izihudo ezikhulayo kanye nokubhula.
I-Viberzi, iTruberzi (Yurophu): I- Viberzi (i-eluxadoline) isebenza kuma-receptor opioid ngaphakathi kwesistimu yakho yokugaya ukudla. Lezi zitholampilo zilawula ijubane lokuvimbela emathunjini, ukuvinjelwa kwamanzi kanye nokuzwela ubuhlungu. I-Viberzi isebenza endaweni yangakini ngakho-ke imiphumela emibi ivame ukuncane. I-Viberzi ibizwa ngokuthi "izinto ezilawulwayo" ngoba kunengozi yokuthi ingaba umkhuba wokuzijwayeza. Ezingcwaningweni zocwaningo, i-Viberzi iye yaboniswa ukunciphisa isifo sohudo nezifo zesisu.
I-Antispasmodics / Anticholinergics
Imithi ye- Antispasmodic (anticholinergic) ijwayele ukuhlinzekwa ukukhululeka kwezihlungu zesisu nokuqhaqhazela abantu abane-IBS-D. Lezi zinhloso zemithi futhi kunciphise i-acetylcholine ye-neurotransmitter ohlelweni lwezinzwa. Inzuzo yale mithi ye-IBS = D ivela ekunciphiseni ukuvinjelwa kwe- mucus nokunciphisa ama-spasms emathumbu. Kukhona ukusekelwa okucwaningayo kocwaningo lwezindawo zokukhulula ubuhlungu be-antispasmodics ye-IBS. I-Antispasmodics enqunyelwe i-IBS ihlanganisa:
- I-Buscopan (i-Hyoscine butylbromide)
Ama-antidepressants
Nakuba kuvame ukushiwo ukwelashwa kokucindezeleka nokukhathazeka, ngezinye izikhathi izifo ezicindezelayo zichazwe ngenxa yemiphumela yazo enenzuzo kumpawu ze-IBS. Akukaziwa kahle ukuthi kungani lokhu kusebenza okuhle kwenzeka. Kungenzeka ngenxa yemithi enethonya kuma-neurotransmitters etholakala kokubili ebuchosheni nasemathunjini , kungase kube nento ephathelene nomphumela ekukhulumisaneni phakathi kwamathambo nobuchopho ngokwempendulo yokucindezeleka , noma kungadingeka ukuba yenza ngomphumela wale mithi ezingxenyeni zobuchopho ezihilelekile ekucindezelekeni kanye / noma ekuphenduleni ubuhlungu.
Kunoma yikuphi, ama-anti-depressants angasiza ekunciphiseni ubuhlungu futhi anciphise ukunyakaza kwamathumbu, ikakhulukazi uma kukhethwe i-tricylic anti-depressant. Ukuchaza i-IBS yokucindezeleka ngokubhebhethekisa ukucindezeleka kubhekwa "ngaphandle kwelebuli," kodwa kunconywa yi-American College of Gastroenterology.
Izibophezelo ze-Acid Binders
Ucwaningo olukhulayo lubonise ukuthi cishe ingxenye eyodwa kwezintathu zazo zonke izigameko ze-IBS-D kungenzeka empeleni zibangelwe isimo esaziwa ngokuthi i- bile acid diarrhea (i-BAD). Isibonakaliso salokhu kungase kube ukuthi izidumbu ezihudo zivele ngemuva kokudla. Lesi simo singase sizuze ekusetshenzisweni kwe-off-label kwemithi eyaziwa ngokuthi i-bile acid binders. Le mithi ihlanganisa:
- I-Cholestyramine (i-Questran)
- I-Colesevelam (i-WelChol)
- I-Colestipol (i-Colestid)
> Imithombo:
> I-American College of Gastroenterology I-IBS Task Force "Isitatimende Esibekiwe Esikhundleni Sokuqondiswa Kwe-Irritable Bowel Syndrome" I- American Journal of Gastroenterology 2009: S1-S35.
> Lazaraki, G., Chatzimavroudis, G. & Katsinelos, P. "Ukuthuthukiswa kwamuva kwindlela yokwelapha ye-bowel syndrome ecasula" I- World Journal of Gastroenterology 2014; 20: 8867-8885.
> I-J, i-Vanuytsel T, i-Corsetti M. "Ukuphathwa Kwamanje Kwe-Irritable Bowel Syndrome: Okungaphezu Kwama-Motility." Izifo Zokugaya I- digestive 2016; 34: 566-573.