Ukuphathwa kwesifo sohudo-esiyingozi kakhulu esiswini esiyingozi (IBS-D) akulula ngaphansi kwezimo eziningi futhi ngokuqinisekile kuyinkimbinkimbi ngokukhulelwa . Kuzodingeka usebenze ukuthola amasu okusiza ukuphatha izimpawu zakho ngaphandle kokubeka ingane yakho engozini. Ake sibuke ukuthi yini eyaziwa nge-IBS-D nokukhulelwa nokuthi yini ongayenza ukuze uzigcine wena nomntanakho uphilile.
IBS nokukhulelwa
Ngokuvamile, abesifazane abakhulelwe bavame ukuzwa izimpawu eziningi ze- IBS kunabesifazane abangakhulelwe. Lokhu kungenzeka ukuthi ama-hormone wokukhulelwa anomthelela ekusebenzeni kwesistimu yakho yokugaya . Le miphumela ihlanganisa ukushintsha ijubane lapho isitembu sishukumisela khona emathunjini akho amakhulu nokuthi amanzi amanzi asuke esitokisini njengoba enza indlela. Ayikho into eyaziwa kakhulu ngokuqondene nobuhlobo phakathi kwe-IBS-D nokukhulelwa, kodwa isifundo esisodwa esincane sathola ukuthi izimpawu ze-IBS-D zingase zibe nzima nakwezinyanga ezintathu nesithathu.
Okukhathazeka okukhulu yiziphumo zocwaningo olukhulu oluthola ukwanda kwengozi yokukhulelwa kwesisu kanye nokukhulelwa kwe-ectopic kwabesifazane abane-IBS. Lolu cwaningo aluzange luhlinzeke nganoma yiluphi ulwazi mayelana nokuthi lo mngcipheko uhlobene kanjani ne- IBS subtype . Ingozi efana nokwanda kokukhulelwa kwesisu kanye nokukhulelwa kwe-ectopic kwatholakala nakwabesifazane abane-IBS kanye nokukhathazeka nokucindezeleka.
Futhi akumangalisi ukuthi ingozi yayiphezulu kwabesifazane ababene-IBS futhi bebhema. Ngenhlanhla, kwakungekho nengozi eyengeziwe eyaboniswa ngokuba nezingane ezingakazalwa.
Khumbula ukuthi izifundo ezinjalo zikhomba ukuhlanganiswa futhi hhayi ukucubungula. Kungenzeka kungabi yi-IBS-D yakho ephakamisa ingozi yakho, kodwa kunokunye okungaziwa okuphakamisa ingozi ye-IBS nanoma yiziphi izinkinga ezikhona ngokukhulelwa kwakho.
Nakuba kungakaziwa ukuthi kungani kuzoba khona ingozi yokukhulelwa kwezinkinga zokukhulelwa, lolu cwaningo luqokomisa isidingo sokunakekelwa kahle kwezokwelapha nokunakekela ukunakekela ngenkathi ukhulelwe. Nazi ezinye izinto ongayenza:
1. Sebenza Ngokudokotela Wakho
Kubalulekile ukukhuluma nodokotela wakho wesifo ngaphambi kokuthatha noma yimiphi imithi yokwelapha izimpawu zakho ze-IBS-D, kufaka phakathi imikhiqizo engaphezu kwe-counter. Uma kuziwa ekuphepheni kwemithi yokwelashwa yesifo sohudo , udokotela wakho usesimweni esihle kakhulu sokukukwazisa mayelana nerekhodi lokuphepha lezinketho ezahlukene. Ezinye imithi ingahle ifanele uma isetshenziswe njalo; ezinye zingcono ukugwema. Futhi nakuba kungenzeka ukuthi ufikile i - Imodium njalo ngaphambi kokuba ukhulelwe njengoba ngokuvamile kubhekwa njengomkhiqizo ophephile, kungenzeka ukuthi akuyona into enhle kakhulu kuwe manje. Kukhona imiphumela ehlangene yocwaningo yokuthi i-imodium ingabangela yini izinkinga kumntwana okhulayo. Njengoba ubona, ngakho-ke kubalulekile ukusebenza nodokotela wakho ukuthola ukuthi imiphi imithi engasetshenziswa ngokuphepha ngenkathi ukhulelwe.
2. Yidla Ngokuhlakanipha
Indlela ephephile kakhulu yokuzama ukuphatha izimpawu zakho ze-IBS-D ngenkathi ukhulelwe kungukuguqulwa kokudla. Uzofuna ukuqinisekisa ukuthi ulandela ukudla okunomsoco ukuze uqinisekise ukuthi ukudla okunomsoco okungcono kunomntwana wakho okhulayo.
Uma wenza kanjalo, gcina engqondweni lezi ziqondiso eziyisisekelo:
- Gwema ukudla ukudla okugcwele amafutha angenampilo. Lokhu kuhlanganisa ukudla okuthosiwe, ukudla okunamafutha, nokudla okusheshayo njengoba lokhu kudla kungaqinisa imithwalo yezinyosi emathunjini eyabangela ubuhlungu besisu kanye nesifo sohudo. Unganaki ukuthatha amafutha enempilo, njengoba la mafutha ebalulekile empilweni yakho nakumntwana wakho okhulayo. Izibonelo zamafutha enempilo zifaka i- avocad , amafutha kakhukhunathi , amantongomane nama nutters.
- Gwema ushukela ongafuthi kahle , njenge- lactose , i- fructose , ne-sorbitol, uma uvame ukuzizwa uvinjelwa nehudo.
- Uma uhlangabezana nokudla ngokweqile, unciphisa ukudla kwakho kwe- gassy .
3. Phuza okuningi kwamanzi
Khumbula ukuthi uphuza ababili. Ukugcina i-hydration eyanele kubalulekile empilweni yakho nakumntwana wakho. Uma uhlangabezana neziqephu ezingapheli zokuhuda, usengozini yokulahlekelwa ngokweqile kwamanzi futhi ngakho-ke isimo sokuphelelwa amandla kwamanzi. Uzokwazi ukuthi uthatha amanzi anele uma umchamo wakho ucacile.
4. Sebenzisa Izinketho Zokuphathwa Kokucindezeleka
Uma ungakaze uzame i- psychotherapy njengokwelashwa kwe-IBS-D yakho, ukukhulelwa kwakho kungaba yinto nje ukuze ukhuthazwe. Lokhu kungase kubaluleke kakhulu uma ubhekene nokukhathazeka noma ukucindezeleka eceleni kwe-IBS yakho, njengoba kukhona lolo cwaningo oluthile lawa ma-combos njengokwandisa ingozi yokukhulelwa kwesisu nokukhulelwa kwe-ectopic.
Izinhlobo ezimbili zokwelashwa - ukwelashwa kokuziphatha kwengqondo (CBT) kanye ne- hypnotherapy - kuye kwaboniswa ukuthi kuyasebenza ekunciphiseni izimpawu ze-IBS. Inzuzo enkulu kulezi zokwelapha ukuthi akudingeki ukhathazeke ngemiphumela emibi enganeni yakho.
Ezinye izindlela zomqondo / zomzimba zinikeza izinketho ezengeziwe. I-Yoga kungenzeka ingasizuzisi nje kuphela izimpawu zakho ze-IBS kodwa ingasiza ekunciphiseni ukukhululeka ngesikhathi sokubeletha nokubeletha. Ukuzindla futhi kuyindlela enhle yokunciphisa imiphumela yokucindezeleka kwangaphandle emzimbeni wakho.
Imithombo:
Adibi, N. et. al. "Izimpawu zesifo sofuba esiswini ngesikhathi sokukhulelwa" Journal of Research in Sciences Medical 2012 17: S171-S174.
Einarson, A., et. al. "Ucwaningo olulindeleke, olulawulwayo, olunolwazi olubanzi lwe-loperamide ekukhulelwe" I- Canadian Journal of Gastroenterology neHepatology 2000 14: 185-187.
Hasler, W. "I-syndrome eyathukuthela ngesikhathi sokukhulelwa" Imitholampilo ye-Gastroenterology eNyakatho Melika 2003 32: 385-406.
Kallen, B., Nilsson, E. & Otterblad Olausson, P. "Ukusetshenziswa komama kokubeletha ngesikhathi sokukhulelwa kokuqala nokubeletha." I- Acta Paediatrica 2008: 541-545.
Khashan, A., et. al. "Ingozi Ekhulayo Yokuthutha Ukushada Nokushada Kwama-Ectopic Phakathi Kwabesifazane abane-Irritable Bowel Syndrome" I-Gastroenterology Clinic ne-Hepatology 2012 10: 902-909.