Izinketho zokwelapha ze-IBS
Ukwelashwa kwe-britable syndrome (IBS) akungena kalula "kumuntu oyedwa ohambisana nhlobo". Ukusebenza nodokotela wakho, nangesilingo esincane nephutha, uzothola indlela yakho yokuphatha i-IBS yakho. Le ndlela ingadinga indlela ehlukahlukene, kodwa njengoba uzobona kulokhu okubukeziwe, kunezinketho eziningi zokwelapha okufanele uziphishekele.
Isinyathelo Sakho Sokuqala
Uma ungakaze wenze kanjalo, kubalulekile ukuthi ubone udokotela ukuze uxoxe nganoma yiziphi izimpawu eziqhubekayo zokugaya ukudla ongase ube nakho.
Nakuba izimpawu ze-IBS zibandakanya ubuhlungu besisu kanye nesifo esingavamile sokuqothulwa, isifo sohudo, noma kokubili, izimpawu ezinjalo zingase zibe umphumela wezinye izimo zezempilo ezingathí sina. Uma udokotela wakho eqinisekisile ukuxilongwa kwe-IBS, ungasebenzisa nabo ukusetha uhlelo oluhle lokwelashwa lokubhekana nezimpawu zakho.
Imithi ye-IBS
Ngokwesiko, ukukhethwa kwemithi ye-IBS kunqunyelwe.
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Yonke Imithi Etholakala Ukuphatha I-IBS
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Ingabe i-Iberogast I-Bitters Yilokho Okudingayo Nge-IBS Yakho?
Ngenhlanhla, leso simo siyashintsha ngokushesha njengoba imithi emisha ithuthukiswa. Nazi ezinye zezinketho zomuthi ezikhona okwamanje:
I-Antispasmodics: I- Antispasmodics imithi ejwayelekile kakhulu ebizwa nge-IBS njengoba isisiza ukunciphisa izimpawu zesisu esiswini kanye nokugcoba, ikakhulukazi kubantu abanesifo sohudo-kakhulu i-IBS (IBS-D). I-Antispasmodics isebenza kangcono uma kuthathwa imizuzu engu-30 kuya kwengu-60 ngaphambi kokuba idle futhi ingcono kakhulu ekuhlinzekeni isikhathi esifushane, ngokungahambisani nesikhathi eside, ukukhululeka kwezimpawu.
Imithi ecacile ye-IBS: Izinkampani zokwelapha ziye zaba nzima emsebenzini wokwakha imithi yokwelapha i-IBS, enezinketho eziningana ezintsha eziza emakethe eminyakeni embalwa edlule.
Le mithi ngokuvamile isebenza kuma-receptors ngaphakathi emathunjini amakhulu ukuze alethe ukuphulukiswa kwe-IBS. Izinketho zokwelashwa kwe-IBS (IBS-C) eziningi zihlanganisa:
Futhi ukwelashwa kwe-IBS-D:
Ama-antibiotic: Abantu bavame ukumangala lapho bezwa ukuthi ama-antibiotic angase anqunywe i-IBS , njengoba ngokuvamile ukuthatha imishanguzo ye-antibiotics kungenza izimpawu ze-IBS zibi nakakhulu. Kodwa-ke, ama-antibiotic asetshenziselwa ukuphatha i-IBS ayilona uhlobo oluthile-ama-antibiotic angangeni emzimbeni wakho, kodwa kunalokho uzobhebhetheka amabhaktheriya emathunjini akho amancane namakhulu. Kuleli klasi, kuphela i- Xifaxan inemvume ye-FDA futhi iyona yokwelashwa okungezona ukuqotshwa IBS.
Izidakamizwa: Udokotela wakho angakhetha ukubeka imishanguzo yokucindezeleka ngenxa yemiphumela yokusebenza kwesimiso sakho sokugaya futhi ngoba angathathwa ngokuphepha isikhathi eside-inzuzo yesifo esingapheli njengo-IBS. Odokotela baningi amathuba okuncoma ukucindezeleka kuwe uma izimpawu zakho zingakhulumi ngendlela yokuphila nokuguqulwa kokudla futhi uma uhlangabezana nokucindezeleka kanye / noma ukukhathazeka eceleni kwe-IBS yakho.
Ama-anti-depressants asetshenziselwa ukuphatha i-IBS afaka kokubili i-SSRIs kanye nama-anti-depressants asebekhulile ase-tricyclic. Zombili izigaba zemithi kucatshangwa ukuthi zinezimfanelo zokunciphisa ubuhlungu. Udokotela wakho angakhetha ukuthi yiluphi uhlobo lwe-anti-depressant olusekelwe enkingeni yakho yesifo esiyinkimbinkimbi, isib. Ukuqotshwa noma isifo sohudo, njengama-antidepressants ahlukene anemiphumela ehlukile ekwakheni isitembu kanye nemvamisa yokuhamba kwesisu.
Izixazululo ezingaphezulu kwe-Counter for IBS (OTCs)
Kunezinhlobonhlobo ze-OTC ezisetshenziselwa ukubhekana nezimpawu zokugaya. Le mikhiqizo itholakale ngaphandle kwemithi kadokotela futhi ayikho neze ucwaningo oluningi mayelana nokusebenza kwabo kweqiniso ekunciphiseni izimpawu ze-IBS. Khumbula ukuthi kuhlale kubalulekile ukuhlola nodokotela wakho ngaphambi kokusebenzisa noma yimuphi umkhiqizo we-OTC. Nazi ezimbalwa ze-OTC ezivame ukusetshenziswa kakhulu ze-IBS:
- Imodium : Ewusizo ekunciphiseni uhudo, kodwa hhayi ubuhlungu be-IBS.
- Ama-laxatives njenge-Miralax, i-Metamucil, i-Benefiber, ne-Citrucel.
- Izithako ze-probiotic : Lezi ziqukethe ubuhlungu obukhoma "bama-bacteria abungane."
- Amafutha e-Peppermint : Ucwaningo luye lwabonisa ukuthi i-peppermint yamafutha e-enteric anezici ezinamandla ze-antispasmodic futhi ngaleyo ndlela iphumelela ekunciphiseni ubuhlungu be-IBS.
- Izithako ze-Herbal : Kunezinhlobo ezihlukahlukene ze-supplements ezenziwe kahle ezicatshangwa ukuthi zilungile impilo yonke yokugaya nokuphatha izimpawu zokugaya.
> Ukubona ngeso lengqondo lokho okubangelwa yi-IBS kanye nezimpawu.
Ukudla Izinguquko
Enye yezindlela ezivame kakhulu abantu abazama ukubhekana nazo nge-IBS kungukuthi ukuvimbela ukudla. Uma ubhekana nezimpawu ezinzima kangaka, kulula ukukhomba ukudla njengokuthi uyisifo. Iqiniso elibalulekile lokugcina engqondweni ukuthi isenzo esilula sokudla, ikakhulukazi esidla ukudla okukhulu noma okunamafutha, kungakhuthaza isisu. Izingcindezi nezingcindezi ze-hormone nazo zenza izimpawu ze-IBS, ukuze ukudla okungenakubekezelelwa kwesinye isikhathi kungase kutholakale ngaphandle kokunye komunye.
Ukugcina konke lokhu engqondweni, kunezinto ezithile eziwusizo ongayenza ngokuphathelene nokudla okungase kube usizo ekunciphiseni izimpawu zakho (noma okungenani, hhayi ukubenza kube kubi nakakhulu!). Nazi ezinye izinketho:
1. Gcina idayari yokudla . Idayari yokudla nje i-akhawunti eqhubekayo yalokho okudlayo nendlela ozizwa ngayo. Kunconywa ukuthi uma ubhekene nokudla okunye njengokuthi ungumuntu ongenakwenzeka, ukuthi uqeda lokho kudla isikhathi esingangezinyanga ezintathu ukuze ubone ukuthi lokhu kunomthelela yini kumpawu zakho.
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Lapho isidlo esincane se-FODMAP se-IBS Asisebenzi
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Isinyathelo-nge-Isinyathelo Imiyalo Yokuthatha I-Bath Sitz
Uma kungenjalo, zama ukudla ngokuphindaphindiwe bese uphinda inqubo ngokudla okulandelayo kuhlu lwakho. Ababi abavamile abadla ukudla okunamafutha, imifino ekhiqiza igesi, iziphuzo ze-carbonated, ubumnandi bokufakelwa, i-caffeine no-alcohol. Ungase ucabange nokudla kokuqeda ukulawula ukungaboni kahle kwe- lactose noma i- fructose malabsorption .
2. Yidla ukudla okuncane, okudla njalo . Okungafani nalokhu kungukuthi ukuqotshwa ukudla kwasekuseni okukhulu kungasiza ekukhuthazeni ukuphambana kwamathumbu kanye nesifiso sokuba nokunyakaza kwamathumbu.
3. Ukwandisa i-fiber . I-fibre ngokuvamile iphakanyiswa ngenxa yezinzuzo zayo eziningi zezempilo kanye nekhono layo lokusiza kokubili ukunciphisa nokuqinisa isitifiketi. Noma kunjalo, kungcono ukwengeza i-fiber kancane ukuze uvumele umzimba wakho ukuba ulungise. Kukhona nobufakazi bokuthi i-fibre enesibili ibekezelela kangcono abantu abane-IBS.
4. Qaphela ukudla okuphansi kwe-FODMAP . Nakuba ukudla okungezansi kwe-FODMAP kungaba yinselele, kunomsizi wokucwaninga ozwakalayo wokusebenza kwawo. Ukudla kuhilela ukuqeda ama-carbohydrates athile ekudleni kwakho isikhathi esingamaviki ayisithupha kuya kweziyisishiyagalombili bese ubese uwafaka kancane kancane ekudleni kwakho ukuze uhlole ukubekezela.
I-Psychotherapy ye-IBS
Kunezinhlobo ezihlukahlukene zokwelashwa kwengqondo eziye zacutshungulwa ukuze ziphumelele ekunciphiseni imvamisa, amandla kanye nobude bezimpawu ze-IBS, kufaka phakathi ukwelashwa kokuziphatha kwengqondo (CBT), i-hypnotherapy, ukuphathwa kokucindezeleka nokuzivocavoca, kanye nemiphumela emihle kakhulu.
I-CBT kanye ne-hypnotherapy eqondiswa ngamathumbu inezinselelo eziqinile kakhulu zokucwaninga ukuze ziphumelele ekunciphiseni izimpawu ze-IBS. I-CBT uhlobo lwe-psychotherapy lapho uzofundiswa khona amasu okuguqula amaphethini okucabanga okungaqondakali kahle kanye nokuziphatha okusha ukulawula ukukhathazeka nokubhekana nezimo ezicindezelayo. I-hypnotherapy ihilela ukufakwa kwesimo sokuphumula nokunethezeka lapho kutholakala khona ukusikisela okuqondile ukuze kuholele ushintsho oluhlala njalo ekuziphatheni.
Izindlela zokwelapha zengqondo zinikeza inzuzo ekusizeni ukuba ufunde amasu okuhlala isikhathi eside ekusingatha i-IBS yakho ngaphandle kwengozi yemiphumela emibi engase ibe khona ehambisana nemithi.
Ukwenza Isinqumo Kukulungele
Ucwaningo luye lwabonisa ukuthi nge-IBS, uma unolwazi ngokwengeziwe njengesiguli, ngcono ukuthi imiphumela yakho yokwelapha izoba ngcono. Ucwaningo luye lwabonisa ukuthi imiphumela yakho yokwelapha iqiniswa uma unobungane obuhle bokusebenza nodokotela wakho. Uzothola ulwazi oluningi lapha mayelana nezinketho zakho zokwelapha. Sebenzisa isikhathi sokufunda okuningi ngangokunokwenzeka bese usebenza nodokotela wakho ukuze uhlele uhlelo lokuphatha izimpawu olungcono kumzimba wakho ohlukile.
Imithombo:
Foxx-Orenstein, i-AE. Izindlela ezintsha zokwelapha zokwelapha izifo zesifo sofuba: ukubuyekezwa kwabagastroenterologists. Ukuthuthukiswa Kwezokwelapha ku-Gastroenterology . 2016; 9: 354-375.
I-J, i-Vanuytsel T, i-Corsetti M. Modern Management ye-Irritable Bowel Syndrome: Okungaphezu kwe-Motility. Izifo zokugaya . 2016; 34: 566-573.