Izigqoko eziphambili ziyisifo esiyinhloko se-IBS kubantu abanesifo sohudo-kakhulu i-IBS (IBS-D) kanye nesibonakaliso sangaphakathi kulabo abane- IBS-ehlukile . Ngokuvamile lezi zihlalo ezixhumeneyo zihlobene nokuhlukunyezwa kwesisu ngesikhathi sokuhamba kwamathumbu, ukukhulelwa kwesifo sohudo futhi, ezindaweni ezimbi kakhulu, izingozi zokugezela.
Ngezi zimpawu, ukwazi ukuthi ukwenza isitoreji sakho singaguquki futhi ugweme izitshalo ezivulekile kungathuthukisa izinga lakho lokuphila. Iseluleko lapha kuphela kulabo abane-diagnostic ye-IBS. Kunezimo eziningi zezempilo ezingabangela izihlalo ezivulekile. Uma ungakabonwa ngudokotela wakho izihlalo ezihlala isikhathi eside kunamaviki amabili, udinga ukutshela udokotela wakho ngokushesha ukuze uthole ukuxilongwa okufanele nokwelapha.
Kungani Izitshalo Ziyikhululekile Namaqiniso?
Ukukusiza ukuba uqonde ukuthi kungani umzimba wakho ukhiqiza izitokisi ezivulekile, kusiza ukuvuselela inkumbulo yakho ngokuthi uhlelo lokusebenza lokugaya lusebenza kanjani. Ngokweqile, ukudla esikudlayo kuqala kwehlelwa esiswini sethu, bese kuthunyelwa emathunjini ethu amancane, lapho izakhi zitholwa khona. Umathumbu omncane usuke uthumela i- fiber engaphelelwanga kanye namanzi emathunjini ethu amakhulu lapho amanzi adonsela khona ukuze akhe isitolishi.
Kusukela manje, aziwa ukuthi kungani abantu abane-IBS bethola ushintsho ekujuleni nasekubukeni kokunyakaza kwabo kwezinyosi. Yini eyaziwa ukuthi izitshalo ezivulekile ziwumphumela wokunyakaza kwezinyosi okusheshayo, amathumbu akhiqiza amanzi amaningi, noma izingxenye zokudla eziqala inqubo yokudweba amanzi amaningi kakhulu esitokisini. Njengoba usebenza nodokotela wakho ukuze ahlele uhlelo lokuphatha lwezimpawu zakho ze-IBS, kunezinye izinguquko zokuzinakekela ongazisebenzisa.
Gwema Ukudla Nephuzo Okungaholela Ekukhunjweni Kwezitofu
Ukudla okulandelayo kunomlando wokwehlisa isitoreji. Njengoba akekho kubo obalulekile empilweni, zizwe ukhululekile ukuzisusa ekudleni kwakho.
- Imikhiqizo yobisi enezinga eliphakeme le-lactose (ubisi, ushizi olunoshukela nolusetshenzisiwe)
- Ukudla okungenamsoco nge-olestra njengesithako (i-ayisikhilimu, ama-mbatata)
- Ukudla okungenashukela kanye nezinambuzane zokuhlakulela nge-sweeteners okufakelwayo ephela -ol
- Iziphuzo ezine-caffeine (ikhofi, i-soda, itiye)
Ungadli izithelo eziningi kakhulu ngesikhathi esifanayo
Izithelo ziwumthombo omuhle wezakhi, njengevithamini, amaminerali kanye nama-antioxidants. Kodwa-ke, nazo ziqukethe i-fructose futhi imizimba yethu inekhono elilinganiselwe lokuthola i-fructose kakhulu ngesikhathi esifanayo. Izithelo eziningi kakhulu, maduzane, kusho ukuthi i-fructose eyedlulele yenza indlela yokungena emathunjini amakhulu lapho ingaba khona amanzi amaningi ngokweqile ngokwenza ukuba kube khona ukuhleleka kwezihlalo zakho.
Ungathathi i-OTC equkethe i-Magnesium
I-Magnesium ine idumela elihle elisebenza njenge-laxative. Eqinisweni, kuyisithako esiyinhloko emisebeni eminingi yokulungiselela kuqala ye- colonoscopies .
Qaphela ukuthi awuthathi isilinganiso esiphezulu se-magnesium esivumelana nesitembu esivela kumkhiqizo ongaphezu komkhiqizo ngaphandle kokwazi. Okulandelayo kungabandakanya i-magnesium ukuze ufunde amalebuli ngokucophelela:
- Ama-Antacids
- Ama-multivitamini
- Amanye ama-vitamin formulations
Yenza: Cabanga ngamaProbiotics
Ama-probiotics angama-bacterial strains acatshangwa ukuthi ayazuzisa amapheshana ethu okugaya. Kukhona ubufakazi bokuthi bakhuthaza ibhalansi enhle kakhulu yamabhaktheriya akho .
Lo mphumela ozuzayo kuma-bacterium emathunjini akho angasiza umzimba wakho ukuba uqinisekise ukuthi u-motility uthuthukile futhi ubangele igesi elingaphansi kwamathumbu, okubili okungaholela ekunciphiseni isivinini esisheshayo sokuphambana kwamathumbu emathunjini okubangela izitshalo ezivulekile.
Ungakwazi ukwandisa ukudla kwakho kwama-probiotics ngokusebenzisa ama-probiotic supplement formulations noma ngokudla ukudla okuvutshiwe , njenge-yogurt noma i-sauerkraut entsha.
Yenza: Buza Udokotela Wakho Ngezindlela ZamaFiber
Nakuba ngokuvamile kunconywa ukuba unciphise ukuqotshwa, ama-fiber supplements (abuye aziwe ngokuthi ama-laxatives amaningi) athela amanzi esitokisini, asize ukuyiqinisa. Nazi ezinye izinqumo:
- I-Psyllium (i-Fiberall, i-Genfiber, iKonsyl, i-Metamucil)
- I-calcium polycarbophil (i-Fibercon, i-Equalactin)
- I-Methylcellulose (I-Citrucel)
Yenza: Phatha Ukucindezeleka Kwakho
Kuye kwaziwa isikhathi eside ukucindezeleka ukusheshisa ukunyakaza kwamathumbu ngenxa yokuphendula komzimba ngokwemvelo. Ukunciphisa ukucindezeleka kungasiza umzimba wakho ukuba wenze isigqi esingcono, ukugcina isitoreji eside ukuvumela ukuba siqine njengoba amanzi ekhishwa. Uma kunokwenzeka, zama ukunciphisa inani lokucindezeleka empilweni yakho ngokugwema izimo ezicindezelayo noma abantu ngabanye. Uma lokhu kungenakwenzeka, qiniseka ukuthi uhlanganyela emisebenzini eyehlisa umphumela wokucindezeleka onomzimba wakho. Nazi ezimbalwa okufanele zicabangele:
- Ukuzindla
- Ukuzivocavoca umzimba
- Tai Chi
- Yoga
Ezinye Izimbangela Zezakhiwo Ezinkulu
Uma ungatholakali ukuthi una-IBS, kungase kube nezinye izimbangela eziningi zezitshalo ezivulekile. Njengoba uzama ukuthola ukuthi yini engase ingahambi kahle, futhi ukuqinisekisa ukuthi unikeza ulwazi lwakho nodokotela oluzosiza ukuxilongwa okulungile, zibuze imibuzo elandelayo:
- Noma yiziphi izinguquko zamuva endleleni odla ngayo?
- Ingabe unemithi emisha?
- Ingabe umthombo wakho wamanzi ushintshile, wakubeka ezinhlotsheni ezahlukene zamabhaktheriya?
- Usuvele uhamba?
- Ingabe usanda kubhekana nokudla okunobuthi noma ezinye izifo zamathumbu?
- Ingabe izinga lakho lokucindezeleka liphakeme kunalesijwayelekile?
Izimo zezeMpilo ezinezicabha ezilahla njengesibonakaliso
Kunezimo ezihlukahlukene zezempilo ezinezihlalo ezingavamile njengezimpawu. Ngezansi uzothola ezinye zezifo ezivame kakhulu nezifo ezizocatshangelwa udokotela wakho njengoba bezama ukubona ukuthi kungani uhlangabezana nokushintsha emikhondweni yakho yesisu.
Izimo zempilo ezilandelayo ezihlobene nokudla ukudla zingase zibe nomthelela ezitheni ezivulekile:
- Isifo se-Celiac
- Ukungavumelani kwe-Lactose
- I-Fructose malabsorption
- Ukuzwela kwe-gluten
- I-malabsorption yamafutha
Nakuba lezi zimo ezilandelayo zihluke kakhulu ngokubangela, zihlanganyela ngesibonakaliso sezihlalo ezivulekile:
- Isifo sikaCrohn
- I-irritable bowel syndrome (i-IBS)
- Izifo: amabhaktheriya, ubuthi bokudla, i-parasitic, isifo sohudo , isifo segciwane
- Ukuhlinzwa kwesisu noma isisu
- I-colcer ulcerative
Izimpawu Ezidinga Ukunakekelwa Okusheshayo Kwezokwelapha
Njengoba ubona, izimbangela ze-stool ezivulekile zingahle zivele ekuphenduleni okuncane kuya kokudla okudliwayo kwesifo esibi kakhulu noma esingapheliyo. Uma ubhekene nanoma yiziphi izimpawu ezilandelayo eceleni kwezihlalo zakho ezixekethile, kubalulekile ukuthi uthintane nochwepheshe wezokwelapha ngokushesha:
- Igazi noma i-pus esihlalweni
- Ukwehla kwamanzi
- Umkhuhlane ophakeme kunama-102 noma uhlala isikhathi eside kunezinsuku ezintathu
- Ubuhlungu obukhulu besisu
- Gwema okumnyama noma uhlale
- Ukulahlekelwa kwesisindo esingachaziwe
Izwi elivela
Kungaba yinselele ukuhlala nesifo sohudo esingapheli. Qinisekisa ukuthi uxoxisana ngayo nomhlinzeki wakho wezempilo ukuze uthole ukuxilongwa okufanele nokwelashwa okufanelekile.
> Imithombo:
> Umhudo. I-Medline Plus. https://medlineplus.gov/ency/article/003126.htm.
> Umhudo. I-Merck Manual. http://www.merckmanuals.com/professional/mastrointestinal-disorders/symptoms-of-gi-disorders/diarrhea.
> Umhudo. I-National Institute of Diabetes kanye ne-Digestive and Kidney Diseases. https://www.niddk.nih.gov/health-information/digestive-diseases/diarrhea.
> Juckett G, Trivedi R. "Ukuhlolwa kwesifo sohudo esingapheli." I-American Family Physician 2011 84: 1119.
> Palsson, O., et.al. "Iziguli ze-IBS Bonisa ukushintshashintsha okuvamile phakathi kwezinto ezihambayo / ezimanzi nezinsimbi eziqinile / eziqinile / izinhlanzi ezinamandla: Impikiswano yokwelapha" I- American Journal of Gastroenterology 2012: 286-95.