Yeka ukuthi izidakamizwa zibheke kanjani izidakamizwa ukuze zifinyelele izibonakaliso
I-Centers for Disease Control and Prevention izilinganiselwa ukuthi abantu abangaba ngu-1.3 baseMelika abahluphekile izimpawu zesifo sofuba esiyingozi (IBS) , isifo esiwumzimba esisemsebenzini esibangela ubuhlungu besisu kanye nemigomo emithanjeni.
Njengoba abacwaningi bengakaboni imbangela ye-IBS, ukwelashwa ngokuyinhloko kuhloswe ekunciphiseni izimpawu zesifo (kubandakanya ubuhlungu besisu, ukuchotshozwa, ukubhubhisa, isifo sohudo, nokuqothulwa).
Phakathi kwezidakamizwa ezihlukahlukene ezisetshenziselwa ukwelapha i-IBS, ama- antispasmodics aboniswe ngokulinganisela ekunciphiseni izimpawu ngokukhomba nokuphumula imisipha ebushelelezi yegciwane lokugaya. Njengoba izimpawu zivame ukujula kakhulu ngemva kokudliwa komuntu, izidakamizwa zithathwa amaminithi angu-30 kuya kwangu-60 ngaphambi kokudla.
Kunezinhlobo ezihlukahlukene ze-antispasmodic ezisetshenziselwa ukuphatha i-IBS, kufaka phakathi:
- Anticholinergics
- Mebeverine
- Amafutha e-Peppermint
Anticholinergics
I-Anticholinergics yiklasi lesidakamizwa esenzelwe ukuvimbela i-acetylcholine ye-compound. Lena yikhemikhali eyenziwa ngumzimba osebenza ohlelweni lwezinzwa ezizimele (ingxenye yesimiso sezinzwa ezihambisana nemisebenzi yokungenzi lutho). Ngokuvimbela i-acetylcholine receptors endleleni yokugaya, i-anticholinergics inganciphisa ubunzima be-spasms ye-muscle nokukhishwa ngokweqile kwe- mucus .
Ngeshwa, lesi sidakamizwa singathinta nezinye izinhlelo zomzimba , kubangele imiphumela emibi evela embonweni ogqamile nokuqothulwa ukunciphisa ukuchama nokusizakala.
Ngenxa yobungozi bokuqothulwa, i-anticholinergics iyasetshenziswa kangcono ezimweni zokuhuda-kakhulu i-IBS ( IBS-D ) esikhundleni sokuqothulwa-i-IBS ( IBS-C ) kakhulu. I-reflux ye-gastric iphinde ibe nomphumela ovamile ohlangothini.
Anticholinergics ejwayelekile kakhulu ihlanganisa:
- Hyoscyamine
Mebeverine
I-Mebeverine iyinhlangano ye-musculotropic spasmolytic esebenza ngendlela efanayo ne-anticholinergics kodwa ayinayo imiphumela emibi ye-acetylcholine. Ukuphendula okwe-allergen kuye kwabikwa kwabanye, ikakhulukazi ngesimo se-low grade grade.
I-Mebeverine ivame ukushiwo abantu abane-IBS futhi itholakala ngaphansi kwamagama amaningi e-brand ahlanganisa uColofac, Duspamen, no-Duspatalin.
I-Peppermint Oil
I-peppermint i-add -the-counter eyengeziwe equkethe i-menthol, into ebonakala ibe nomphumela ophumuzayo kumisipha ebushelelezi.
Ukubuyekezwa kokuhlolwa kuka-2015 yi-University of California, eSan Diego kwaphetha ngokuthi abantu abanezibonakaliso ze-IBS babevame ukuphindwa kathathu ukuze bazuze ukuphumula ngamafutha e-peppermint uma kuqhathaniswa nalabo abanikezwa i-placebo.
Nakuba kucatshangwa ukuthi kuphephile ukusetshenziswa kwesikhashana, i-peppermint oyelaziyo iyaziwa ngenxa yokubamba ukushisa (isimo esingagwemeka ngokusebenzisa amakhemikhali ahlanganisiwe ). Qinisekisa ukuthi uthintane nodokotela wakho ngaphambi kokuthatha i-peppermint oyile noma noma yimuphi omunye umphelelisi we-over-the-counter.
Amafutha e-Peppermint kufanele asetshenziswe ngokucophelela kubantu abanezinkinga zokugaya, ukulimala kwe-hiatal, ukulimala kwesibindi esikhulu, ukubola kwesibindi, noma ukuvinjelwa kwe-bile duct.
Izinguquko Zezinkukhu
Ngaphandle kwemithi ye-antispasmodic, izinguquko zokudla zingabuye zithuthukise kakhulu izimpawu ze-IBS.
Kuye ngezinhlobo ohlangabezana nazo, ungase ufune:
- Ukwandisa i-fibre yokudla noma usebenzise i-fiber supplement ukuze unciphise ukuqotshwa kwe-IBS noma isifo sohudo.
- Ukwandisa ukungena kwamanzi uma kuqotshwa.
- Gwema i-caffeine. ( Itiye lePeppermint liyisabelo esihle kakhulu.)
- Gwema ama-legumes ukunciphisa ukubhuqa.
- Ukunciphisa ukudla okuqukethe i-lactose, i-fructose, noma i- FODMAP (ama-oligosaccharides angenayo, ama-disaccharides, ama-monosaccharides, nama-polyols).
- Thatha i-probiotic yansuku zonke ukuze ugcine imifino enomsoco enempilo.
> Imithombo:
> Amasevisi Okulawula Nokuvimbela Izifo. "I-Epidemiology ye-IBD." I-Atlanta, Georgia; ibuyekeziwe ngoMashi 31, 2015.
> Ford, A .; Moyyadedi, P .; ULacy, B. et.al. "I-American College of Gastroenterology Monograph ekuphathweni kwe-Irritable Bowel Syndrome ne-Chronic Idiopathic Constipation" u- Amer J Gastroenterol. 2014; 109: S2-S26. I-DOI: 10.1038 / ajg.2014.187.
> Khanna, A .; MacDonald, J; noLevesque, B. "Amafutha e-Peppermint ekwelapheni isifo sofuba esiswini: ukuhlolwa okuhlelekile nokuhlaziywa kwemeta." J Clin Gastroenterol. 2014; 48 (6): 505-12. I-DOI: 10.1097 / MCG.0b013e3182a88357.