Ngeshwa, abantu bavame ukuqeda ukubhekana nezinkinga ezingaphezu kweyodwa kwezempilo ngesikhathi esisodwa. Futhi ngezinye izikhathi, kungase kube khona izici ezingezansi ezibangela ukuthi umuntu abe nethuba elikhulayo lokuba nesifo esingaphezu kwesisodwa. Lokhu kubonakala sengathi kunjalo nge-IBS nokucindezeleka. Lokhu kubuka kabanzi kubheka lokho okuyaziwa mayelana nokuqoqwa kwezimo ezimbili, nokuthi yini ongayenza ukuze uphathe kahle izimpawu zombili izifo.
Kuyini Ukucindezeleka?
Ukucindezeleka ukugula okubhekene nomoya ophikisayo noma ukulahleka kwesithakazelo noma injabulo okuhambisana nezinye izimpawu eziphazamisa ikhono lomuntu lokusebenza nokujabulela ukuphila. Izimpawu zokucindezeleka zingabandakanya:
- Izinguquko kokudla nesisindo
- Ukubunzima ukugxila
- Kunzima ukulala kanye / noma ubunzima ukuhlala ulele
- Imizwa yokungathembeki, ukuzethemba okuphansi, ukuzithoba ngokweqile, nokukhathazeka
- Ukungabi namandla namandla
- Ukuhlukaniswa komphakathi
- Imiqondo yokuzibulala nemizamo
Kunemiyalo eminingi yokucindezeleka enezici ezihlukene, kufaka phakathi:
- Ukuphazamiseka kwemizwa yokucindezeleka kwemizwelo
- Isifo esikhulu sokucindezeleka
- I-Dysthymic disorder
- I-Premenstrual disorder disorder (PMDD)
Ukuqhekeka kwe-IBS nokucindezeleka
Isifo esivame ukutholakala ngezifo zengqondo ezigulini ze-IBS ukucindezeleka. Kwesinye isifundo, ukusabalalisa kokucindezeleka okuxilongwa kwakulinganiselwa ku-31% kwiziguli ze-IBS ezazifuna ukwelashwa.
Lezi zinombolo ziphakeme kunamazinga wokucindezeleka obonwe ezigulini ezinezifo zesifo sofuba (IBD) noma kubantu abaphilile.
Kungani iziguli ze-IBS zingaba ingozi enkulu yokucindezeleka? Abacwaningi bebefuna izimpendulo. Indawo eyodwa yokuphenya ihlobene nokuhlukunyezwa kwasebuntwaneni. Izinga lokuvama lokuhlukumeza ngokocansi kanye / noma ngokomzwelo kumagciwane e-IBS lubanzi kakhulu, kanti ezinye zilinganisela ukuthi ziphakeme ngo-50%.
Ukubhekana nosizi olunjalo kubeka umuntu engozini ekuthuthukiseni ukukhathazeka kwemizwelo njengokucindezeleka.
Abacwaningi be-IBS baye babheka indima i-serotonin ye-neurotransmitter edlala kuzo zonke izinkinga. I-Serotonin ihileleke emisebenzini eminingi yokugaya futhi idlala indima ebalulekile ekukhulumisaneni phakathi kobuchopho bethu nama-guts ethu. Amazinga aseSerotonin nawo ahlotshaniswa nezimpawu zokucindezeleka nakuba inqubo ebusweni lobu buhlobo ayiqondi kahle. Ngakho, izinkinga ngomthethonqubo womzimba we-serotonin kungenzeka ukuthi zibangele ukuqoqa.
Omunye umbuzo omuhle ukuthi ngabe i-IBS ingabangela ukucindezeleka. Ucwaningo olukhulu lwezinyanga ezingu-12 lwathola ukuthi ukuba ne-IBS ekuqaleni kwaleso sifundo kwahlanganiswa namazinga aphezulu okukhathazeka nokucindezeleka ekupheleni kwesifundo. Kodwa-ke, ukuguqulwa kwakuyiqiniso. Abantu ababenamazinga aphezulu okukhathazeka nokucindezeleka ekuqaleni kokucwaninga babenengozi enkulu yokuthuthukiswa kwe-IBS ekupheleni kwesifundo. Abacwaningi abacwaningi baphetha ngokuthi lokhu kubonisa ukuthi ukukhubazeka kokubili ukuphazamiseka kungase kwenzeke kunoma yikuphi ukuqondisa, okungukuthi kusukela ebuchosheni kuya emanzini noma emanzini kuya emqondweni.
Okufanele Ukwenze Uma Unayo Bobabili
Nakuba ukukhathazeka okubili ngesikhathi esifanayo kungeniswe ngokuqondile ngaphansi kwesigaba esithi "ukuphila akuyona into ehlelekile," kukhona okuncane kokugqoka isiliva.
Yini enhle ngesifo esisodwa singase sibonakale sisiza kwesinye isifo. Ungathola lokhu ikakhulukazi endaweni yemithi kadokotela.
Nakuba kucatshangwa ukuthi kukhona ukusetshenziswa kwelebuli, ama- anti-depressants avame ukuba anikezwe iziguli ze-IBS ngenxa yomphumela onenzuzo ngokunciphisa ubuhlungu nokuthuthukisa ukusebenza kwegulane. Kucatshangwa ukuthi le mphumela ewusizo ingenxa yomphumela we-anti-depressant ku-serotonin nakwamanye ama-neurotransmitter.
I-Tricyclic antidepressants yilasilasi lama-anti-depressants elinciphisa umgudu wamathumbu, mhlawumbe okwenza kube ngcono kuneziguli ezinesifo sohudo esiyinkimbinkimbi esishubile (i-IBS-D).
I-Serotonin Reuptake Inhibitors (i-SSRIs) ekhethiwe iyisigaba sama-anti-depressants okucatshangwa ukuthi aqondise kuphela i-serotonin, okuholela emiphumeleni engadingeki engadingeki, kuhlanganise nokuqotshwa. Ngakho-ke, umuntu one -syndrome- eyimbangela yokuqothulwa kakhulu (i-IBS-C) engcono kakhulu ingase ibe ngcono ekubhekaneni nokucindezeleka kwakhe okubhekiswe yimithi evela kuleli klasi.
Enye indlela yokucabangela ukusetshenziswa kwengqondo yokuziphatha kwengqondo (CBT). I-CBT inezinsizakalo zokucwaninga ngokuqinile ekusizeni ekunciphiseni izimpawu zombili ukucindezeleka ne-IBS.
Imithombo:
I-American Psychiatric Association. "Incwadi Yokuhlola Nezibalo Zezinkinga Zengqondo, 4th ed., Ukubuyekezwa kombhalo" 2000 Washington, DC
Koloski1, N., et.al. "Indlela yokuguqula ubuchopho ezinkingeni zomzimba ezisebenza kahle yi-bidirectional: isifundo esilandelayo esiphezulu sabantu abaneminyaka engu-12" Gut 2012 61: 1284-1290.
I-Surdea-Blaga, T., iBaban, A. & Dumitrascu, D. "Iziqunto zengqondo ze-bowel syndrome" I- World Journal of Gastroenterology 2012 18: 616-626.