Kuzo zonke izimo zezempilo ezehlukene ezihlupha abantu, akekho ozobonakala ehilela ukuxhumana phakathi kwengqondo nomzimba njengoba nje nesifo sofuba esiswini (IBS). Lokhu akubanga ukuthi i-IBS "konke ekhanda elilodwa," kodwa kunalokho ngenxa yokungalingani okukhulu kobuchopho bethu kanye nesistimu yethu yokugaya ukudla.
Lokhu kuxhunywa kobuchopho-ku-intombazane kuye kwaholela ekusebenziseni izinketho ezihlukahlukene zengqondo / zomzimba zokwelapha njengezokwelapha ezingase zibe ze-IBS.
Ingxoxo elandelayo yobungani bomqondo / womzimba ku-IBS kanye nezinhlobo ezihlukahlukene zengqondo / izinketho zokwelapha zomzimba kuzokusiza ukuba unqume ukuthi lokho kungakwenza kube kuhle kuwe.
Ukuhlukaniswa kwengqondo / umzimba
Njengoba imvelaphi evame ukubizwa ngokuthi yi-filosofi uRene Descartes, imithi yesimanje isetshenziswe "isu lokuhlukanisa nokuqothula" futhi ngaleyo ndlela ihlele ukuhlukaniswa phakathi kwengqondo nomzimba. Nakuba le ndlela iyasebenza lapho abacwaningi nodokotela bengagxila emisebenzini ethile yomzimba, ukwehluleka okukhulu ukulahlekelwa kugxile ekutheni umzimba usebenza njengamanye. Izimo zezokwelapha ezicindezelekile, ezifana ne-IBS, ezithinta umugqa phakathi kwengqondo nomzimba aziqondi kalula noma ziphathwa kalula. Ngakho-ke, bavame ukuwela emiphakathini ephakathi kwezokwelapha.
Ukuxhuma kwengqondo / Umzimba ku-IBS
Ngenhlanhla, imizamo yocwaningo yamuva iye yazama ukuqonda kangcono izifo ezihlobene nokucindezeleka.
Endabeni ye-IBS, abacwaningi baye bagxila emkhatsini we-brain-gut, uhlelo lwezokuxhumana emuva nangaphandle phakathi kobuchopho bethu namathumbu ethu. Ngaphakathi kwalesi sigaba, ukuxhumana kuvela nge-neurotransmitters, amakhemikhali atholakale kuwo wonke isimiso sezinzwa ezisemkhatsini kanye nesistimu yenzwa ye-enteric, eyingxenye yesistimu yezinzwa ezizimele eziphatha ukugaya.
Ukukhubazeka ekusetshenzisweni kwalezi zinhlelo kucatshangwa ukuthi kubangele izinkinga ze-motility kanye ne- visceral hypersensitivity ebhekene neziguli ze-IBS.
Nakuba kunezici eziningi, ezaziwa futhi ezingaziwa, kucatshangwa ukuthi zenze izimpawu ze-IBS , omunye obala ngokucacile ucindezelekile. Uma sigxilile, izinguquko ze-neurochemical ziyabonakala kuzo zonke izinhlelo ezisemkhatsini kanye ne-enteric zezinzwa, njengengxenye yokuphendula komzimba ngokomzimba . Ososayensi batadisha ukuthi kungani lezi zinguquko ezithile ze-neurochemical zenza i-IBS.
Ukuze uqhubeke ucindezela le nkinga, iziguli eziningi ze-IBS zizokutshela ukuthi, kunezici "zezinkukhu neqanda" ku-IBS. Ukucindezeleka kungacindezela izimpawu ze-IBS, kodwa i-IBS ngokwayo ingaba nzima kakhulu! Ukucabanga / izindlela zokwelashwa komzimba kuba yindlela ekhangayo njengoba basiza ukwandisa ikhono lomzimba lokusingatha ukucindezeleka kwengqondo.
I-Psychotherapy ye-IBS
I-Psychotherapy yilona uhlobo lwengqondo / ukwelashwa komzimba okuye kwakuthola ukunakwa okucwaninga kakhulu. Ngokuvamile, ucwaningo luye lwabonisa ukuthi izinhlobo ezilandelayo ze-psychotherapy ziphakeme kunokwelashwa okujwayelekile ukunciphisa izimpawu ze-IBS jikelele. Ukuthuthukiswa kwezimpawu ngokusebenzisa ukusetshenziswa kwe-psychotherapy akukwenzeka nje kuphela esikhathini esifushane kodwa kubonakala sengathi kuqhubeka isikhathi eside.
- Ukwelashwa kokuziphatha kwengqondo (CBT)
- Hypnotherapy
- Psychodynamic psychotherapy
Nakuba kungcono ukuthola udokotela onolwazi okwelapha i-IBS, lokhu akunakwenzeka ngaso sonke isikhathi. Kulo mbono nokuhlangenwe nakho komlobi, udokotela obhekene nokukhathazeka angase abe usizo uma nje evulekile ukuqonda izinselelo ezithile eziphathelene nokubhekana ne-IBS. Kunoma yikuphi, qiniseka ukuthi umuthi wakho ulayisensi efanele.
Ezinye zokwelapha
Lezi zokwelashwa ezilandelayo zisetshenziswe ngempumelelo ukuphatha izifo eziningi zabantu futhi ziye zafundwa nge-IBS. Kuze kube manje, ucwaningo alubonisanga izinzuzo eziqhubekayo zokukhishwa kwe-IBS.
Ngakolunye uhlangothi, i-biofeedback ibonise ukusekelwa kocwaningo njengokwelashwa kokuqothulwa , ikakhulukazi okubangelwa isimo esibizwa ngokuthi i- dyssynergic defecation .
Ukuzindla Ngengqondo
Ukuzindla kwengqondo, okuyingxenye enkulu yokunciphisa ukucindezeleka kwengqondo (MBSR), kuzovela enkulumweni ukuba ibe yindalo yemvelo njengendlela yokunciphisa izimpawu ze-IBS. Ucwaningo lwezokwelapha mayelana nokusetshenziswa kwe-MBSR ye-IBS lubonise ukuthi kungasiza ekudambiseni izimpawu, ikakhulukazi ubuhlungu, nokuthuthukisa ikhwalithi yokuphila.
Ukuzindla Okusekelwe Movement
Imisebenti lelandzelako sekuye kwentiwe yentiwe njengendlela yekunciphisa ukucindezeleka nekukhulisa impilo. Izifundo zokuqala zibonise imiphumela emihle ye-yoga ezimpawu ze-IBS, kodwa-ke, ucwaningo olusemthethweni ngezinzuzo ze-tai chi ze-IBS lubonakala lungekho.
- Yoga
- Tai chi
Imithombo:
I-Ford, A., etal. "I- American College of Gastroenterology Monograph ekuphathweni kwe-Irritable Bowel Syndrome ne-Chronic Idiopathic Constipation " I- American Journal of Gastroenterology 2014 109: S2-S26.
Lakhan, S. & Schofield, K. "Izinkinga zokwelapha ezicatshangelwayo ekuPhilweni kokuSwashisa kweSomalization: Ukubuyekezwa okuhlelekile kanye nokuhlaziywa kwe-Meta-Analysis" PLoS One 2013 8: e71834.
I-Laird, K., et. al. "Ukusebenza kwesikhathi esifushane kanye ne-Long-term Efficacy of Psychological Therapees for Irritable Bowel Syndrome: Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwe-Meta" I-Gastroenterology Clinical ne-Hepatology 2015 Epub ngaphambi kokuphrinta.
Tanaka, Y., et.al. "Isibonelo se-Biopsychosocial of Irritable Bowel Syndrome" I- Journal ye-Neurogastroenterology ne-Motility 2011 17: 131-139.