I-Narcotic bowel syndrome (i-NBS) yisimo lapho umuntu abhekana nakho kwanda ubuhlungu besisu kanye nezinye izimpawu zamathumbu ezivela ekudleni kwemithi ye-opioid yama-narcotic. Ukusetshenziswa okunjalo nge-narcotic akudingeki kube yesikhathi eside, njengoba i-syndrome ingakhula ngemuva kwamasonto ambalwa okusetshenziswa. Ku-NBS, ukukhuphuka kobuhlungu akudluli naphezu kokukhula kwamanani we-narcotic-ukuphumula imithi.
Ukwenyuka okwenyuka okunjalo kuphelela ukukhuphula kuphela ubuhlungu obulandelayo. Kucatshangwa ukuthi ukusetshenziswa okungapheli kwezidakamizwa ze-opiate kubangelwa ukuguqulwa kwemizwa nemisipha emgodini wokugaya okuholela ekwenzeni ukwanda kwezinzwa kanye nokuphendula okunciphise eminye imithi.
Omunye akudingeki abe nomlando we-disorder tract disorder ukuze ahlakulele i-NBS. Kungathuthuka kunoma ubani othola imithi ephezulu yezokwelapha ngemva kokuhlinzwa noma njengokwelashwa nganoma yisiphi isimo sobuhlungu. Abantu abanezinkinga zokugaya okungapheli kusuka ezinkingeni ze-GI ezinokusebenza ezifana ne-IBS, noma ezinye izinhlobo zezifo ezingasakwazi ukugaya, ezifana ne- IBD noma i- diverticulitis , zingase zihlakulele i-NBS ngoba odokotela bazo baye baqamba ama-narcotics ngomzamo wokunciphisa ubuhlungu besisu ngalezo zimo. Ngokuvamile odokotela abazi ukuthi imithi yabo yezidakamizwa ingase ibe yinkinga kakhulu.
Kuthiwa ukuthi inani labantu abane-NBS likhuphuka.
Kuyinto eshaqisayo ukufunda ukuthi i-Unites States, equkethe cishe u-5% wabantu bomhlaba, i-80% yokusetshenziswa kwezambuzane emhlabeni jikelele.
Izimpawu
Ubuhlungu besisu kukhona uphawu olubaluleke kakhulu lwe-NBS. Ezinye izimpawu zifaka:
- Ukuqokwa
- Igesi nokuqhafaza
- Ukulahlekelwa kwesifiso kanye / noma isisindo
- I-nausea
- Ukuvota
Ezinye iziguli ze-NBS zibika ukuthi ukudla kungenza ngcono izimpawu zobuhlungu. Lokhu kungaholela ekugwemeni kokudla, okuholela ekulahlekeni kwesisindo.
Kwezinye izimo, i-X-rays yesisu ingabonisa izinkomba zokuvimbela ingxenye emathunjini, uma eqinisweni, kuyisimo esiphezulu se-stool kanye nomoya, okwenza ukuba kutholakale ukuthi i-ileus yamathumbu noma imithi yokuvimbela imithi.
Ukwelapha
Ukwelashwa okuyinhloko ukuyeka noma yikuphi ukusetshenziswa kwemithi yokwelapha. Kwabanye, le nqubo izokwenzeka kancane kancane, kanti iningi le nqubo ingenzeka ngokushesha. Ubude besikhathi esidingekayo ukuhoxiswa emithini yemithi buhlobene nokuthi umuntu usebenzise isikhathi eside kangakanani imishanguzo. Ngamanye amazwi, umuntu othuthukisa i-NBS ngokushesha ngemuva kokuhlinzwa angase angadingi inqubo ende yokuqeda njengomuntu owake waba.
Lokhu kukhishwa kwemithi yezokwelapha kwenziwa ngokuhlanganyela neminye imithi kanye nemithi yokwelashwa okuhloswe ukunciphisa imiphumela yokuhoxiswa nokunikeza ezinye izindlela zokuphumula kobuhlungu. Ezimweni eziningi, lokhu kungenziwa ngesineke. Kodwa-ke, iziguli ezibhekana nesicanucanu, ukuhlanza noma izibonakaliso ze-leus emathunjini noma ukuvimbela izidakamizwa kungadinga ukunakekelwa esibhedlela.
Kungaba yinselele ezigulini ukucabanga ngokuzitshalalisa emithini yabo njengoba izidakamizwa zinganikeza ukuphumula kobuhlungu.
Kodwa-ke, ezimweni ze-NBS, kubalulekile ukuqaphela ukuthi ama-narcotics anciphisa amathumba phansi futhi anikeze ebuhlungu kanye nezinye izimpawu zokugaya ezitholakalayo.
Ezinye zokwelapha ze-NBS zihlanganisa:
- Ama-anti-depressants, ngenxa yezindawo zabo zokunciphisa ubuhlungu.
- Imithi ephikisana nokukhathazeka yokunciphisa imiphumela yengqondo yokuhoxiswa kwezondo.
- Ukwelashwa kwengqondo, njenge- CBT , yokuphathwa kobuhlungu.
- I-Naltrexone isiza abantu ukuba bagweme ukusebenzisa izidakamizwa.
Odokotela abaningi baphatha i-NBS ngendlela efanayo njengoba bezophatha ukuxilongwa okubangelwa i-opioid (OIC), lapho kwenzeka khona imithi efana ne-Relistor (methylnaltrexone).
Imithombo:
Grunkemeier, D., et.al. "I-Narcotic Bowel Syndrome: Izici Zemitholampilo, I-Pathophysiology and Management" I-Gastroenterology Clinical ne-Hepatology 2007 5: 1126-1122.
I-Minocha, A. & Adamec, C. (2011) I-Encyclopedia of the Digestive System kanye ne-Digestive Disorders (2nd Ed.) ENew York: Amaqiniso kufayela.