Ðe dɔgbo hã tena ɖe dziwò enuenua? Mina míasrɔ̃ nu geɖe tso dɔléle sia si woyɔna be (Irritable Bowel Syndrome - IBS) ŋua?

Ðe dɔgbo me ʋuʋuna nukutɔe, fuɖename, aɖuɖɔ si le abe aɖuɖɔtoe ene nɔa ŋuwò ɣeaɖewoɣi ne èyi nugododeƒe, alo ɖe wòsesẽna na wò be nànɔ dɔmeɖui ŋkeke geɖea? Dzesi siawo menye ɖeka o, ke boŋ wo dometɔ geɖe va ƒoa ƒu eye wokpɔa ŋusẽ ɖe wò nuɖuɖumeŋusẽ dzi, si ŋu míele nu ƒom tsoe egbea (Irritable Bowel Syndrome), alo (IBS) kpuie. Esia nye nɔnɔme si bɔ ŋutɔ eye meɖea dzi ɖi o.

Nukae Nye Dɔgbo ƒe Dɔléle (IBS)?

Kpuie ko la, IBS nye dzesiwo kple kuxi siwo gblẽa nu le wò nuɖuɖumeŋusẽ ŋu, vevietɔ wò dɔgbowo, ƒe ƒuƒoƒo. Enye dɔléle si bɔ si gblẽa nu le wò dɔgbowo ŋu. Amesiwo ŋu IBS le ate ŋu ase dɔgbo veve kple woƒe ƒodo enuenu. Tsɔ kpe ɖe esia ŋu la, aɖuɖɔtoe, dɔmeɖui, alo evea siaa ate ŋu anɔ ŋuwò enuenu.

Gake nu nyuitɔ kekeakee nye be IBS megblẽa nu le wò nuɖuɖumeŋusẽ ƒe lãkusiwo ŋu o. Menaa wò afɔku si le dɔléle sesẽwo abe dɔgbo me kansa ene xɔxɔ hã dzina ɖe edzi o. Togbɔ be enye dɔléle si nɔa anyi didi hã la, ame geɖe ate ŋu akpɔ egbɔ nyuie ne wowɔ tɔtrɔ le woƒe gbesiagbegbenɔnɔ, nuɖuɖu, atikewo nono ne ehiã, kple nuwɔna aɖewo ƒe atikewɔwɔ me.

Ðe IBS ƒomevi vevi aɖewo lia?

Ẽ, woda IBS ɖe hatsotsowo me koŋ le wò aɖuɖɔ ƒe nɔnɔme nu (zi geɖe la, míeyɔnae be ‘poo’) le ŋkeke siwo dzi wò dzesiawo nu sẽna wu. Ame geɖe siwo ŋu IBS le la ƒe dɔgbowo ʋuna nyuie le ŋkeke aɖewo dzi, gake woƒe dɔgbowo mebɔna le ŋkeke bubuwo dzi. Aɖuɖɔtoe ƒomevi si woɖena le ŋkeke mawo siwo mebɔ o dzi ye afia IBS ƒe ƒomevi.

• IBS with constipation (IBS-C): Le go sia me la, wò aɖuɖɔ akpa gãtɔ me toto sesẽna, eƒe aɖuɖɔtoewo ƒoa ƒu, eye wòƒuna.
• IBS si me aɖuɖɔtoe le (IBS-D): Afi siae wò aɖuɖɔ akpa gãtɔ le, abe tsi ene.
• IBS with mixed bowel habits (IBS-M): Le ƒomevi sia me la, àte ŋu akpɔ aɖuɖɔtoe (aɖuɖɔ sesẽ, si me ƒu) kple aɖuɖɔtoe (aɖuɖɔ si me mekɔ o) ƒe ɣeyiɣi siwo ɖɔlia wo nɔewo.

Ele vevie be míase vovototo siawo gɔme, elabena IBS ƒomevi aɖewo koe atikewɔwɔ aɖewo wɔa dɔ na.

Aleke gbegbee IBS bɔe?

Le nyateƒe me la, esia nye nɔnɔme si bɔ ŋutɔ. Le eŋutinunyalawo ƒe nya nu la, wobu akɔnta be IBS le ame tsitsi siwo le United States ƒe 10% va ɖo 15%. Gake ame ʋɛ aɖewo koe, siwo le 5% va ɖo 7%, yia ɖɔkta kpɔ eye wokpɔa dɔlélea. Anɔ eme be nɔnɔme si le míaƒe dukɔa me hã anɔ nenema ŋutɔ.

IBS nye dɔléle siwo dɔgboŋutinunyalawo kpɔna zi geɖe la dometɔ ɖeka.

Nukae nye (IBS) ƒe dzesiwo?

IBS ƒe dzesiwo ate ŋu anɔ anyi ɖaa. Alo, woate ŋu anye esiwo nɔa anyi ɣeaɖewoɣi (flare-ups). Eyae nye be, menye ɣesiaɣie dzesiwo dzena le ŋuwò o. Ɣeaɖewoɣi la, dzesiawo nu yina (wò dɔgbo ƒe ʋuʋu le mɔ nyuitɔ nu), eye emegbe wogatrɔna vaa eme le ɣeyiɣi aɖe megbe.

IBS ƒe dzesi vevitɔwoe nye:

• Zi geɖe la, dɔgbo ƒe vevesese alo ʋuʋudedi kpena ɖe esia ŋu, eye zi geɖe la, ehiã be woaɖe aɖuɖɔ hã kpena ɖe eŋu.
• Gas si gbɔ eme kple ʋuʋudedi.
• Aɖuɖɔtoe, dɔmeɖui, alo wo ame evea ƒe tɔtrɔ ɖe wo nɔewo ŋu.
• Ðewohĩ nusiwo le abe ʋuʋudedi ene (abe tsi si le ɣie ene) nanɔ aɖuɖɔa me.
• Sese le eɖokui me abe ɖe ƒodoa mekɔ keŋkeŋ o ene, le aɖuɖɔ ɖeɖe vɔ megbe gɔ̃ hã.

Nukawoe hea IBS vɛ?

Numekulawo menya nusi tututu hea IBS vɛ haɖe o. Gake wobui be enye ahɔhɔ̃mekawo ƒe dɔléle (GI) ƒe dɔléle. Wogayɔa nɔnɔme siawo be "dɔgbo kple ahɔhɔ̃ ƒe kadodo ƒe kuxiwo." Kpuie ko la, woxɔe se be kuxi siwo le kadodo si le wò ahɔhɔ̃ kple wò dɔgbo dome, si kpena ɖe wò nuɖuɖumeŋusẽ ŋu wòwɔa dɔ nyuie gbɔe wòtso.

Kadodo ƒe kuxi siawo siwo le ahɔhɔ̃a kple dɔgboa dome ate ŋu ahe nuwo abe:

• Dysmotility: Kuxi siwo doa mo ɖa le alesi lãmeka siwo le wò nuɖuɖumeŋusẽ me ƒoa ƒui hekplɔa nuɖuɖu yia nuɖuɖumeŋusẽ me ŋu . Edze abe lãmekawo tetena le amesiwo ŋu IBS le ƒe dɔgbo gã me wu alesi wòle dzɔdzɔmee ene. Nutete siawo nana ame ƒe lãme ʋuʋuna eye wòsea veve.
• Visceral hypersensitivity: Lãmetsi siwo le wò nuɖuɖumeŋusẽ me ate ŋu ava se veve akpa. Wokpɔe be amesiwo ŋu IBS le ƒe vevesese dzi ɖuɖu medea amesiwo ŋu IBS mele o. Esia fia be wò dɔgbo ate ŋu ase veve kple vevesese wu ame mamã dedie.

Nu bubu aɖewo siwo ate ŋu ana IBS nadze ame dzi lae nye esi:

• Dɔlékui siwo le dɔgboa me: Numekukuwo ɖee fia be vovototo le dɔlékui siwo le amesiwo ŋu IBS le ƒe nuɖuɖumeŋusẽ me la me. Vovototo siawo ate ŋu ana dzesiawo nadze. Numekukuwo ɖee fia be dɔlékui ƒomevi kple agbɔsɔsɔme si le amesiwo ŋu IBS le ƒe dɔgbo me to vovo na amesiwo ŋu IBS mele o.
• Dɔlékui sesẽwo: Wokpɔa IBS le ame aɖewo ŋu le dɔlékui sesẽ aɖe si gblẽa nu le nuɖuɖumeŋusẽ ŋu vɔ megbe. Eyata ate ŋu adzɔ be dɔlékuiwo nawɔ akpa aɖe le esia me.
• Nuɖuɖu ƒe mɔmaɖemaɖeɖenuŋu: Nuɖuɖu ƒe seselelãme alo nulɔdɔ aɖewo ate ŋu ana IBS nadze ame dzi. Le kpɔɖeŋu me, ame aɖewo mete ŋu ɖua nyinotsinuwo o, evɔ ame bubuwo ya mesea veve ne wole nuɖuɖu siwo wotsɔ lu wɔe ɖum o.
• Ðevimenɔɣi ƒe nuteɖeamedzi: IBS bɔ ɖe amesiwo to ŋutilã, gbɔdɔdɔ, alo seselelãme ƒe ŋlɔmiwɔwɔ me le woƒe ɖevime la me wu. Esia fia be susu me nuteɖeamedzi sesẽwo hã wɔa akpa aɖe.

Nukae nye nusiwo hea IBS ƒe dzesiwo dzina ɖe edzi?

Ne IBS le ŋuwò la, ɖewohĩ ède dzesii be nu aɖewo nana wò dzesiawo gagblẽna ɖe edzi. Menye esiawo gbɔe nɔnɔmea tso o, gake woate ŋu ana wò dzesiwo nagagblẽ ɖe edzi alo ana ame yeyewo nado. Míeyɔa nusiawo be nusiwo ʋãa ame. Nusiwo hea dɔlélea vɛ zi geɖee nye:

• Ɣeyiɣiwo: Àte ŋu akpɔe be yeƒe dzesiwo dzina ɖe edzi ne èle dzinu kpɔm ɣleti sia ɣleti.
• Nuɖuɖu aɖewo: Esia toa vovo tso ame ɖeka gbɔ yi bubu gbɔ. Gake nuɖuɖu siwo bɔ siwo ate ŋu ana IBS ƒe dzesiwo nadzi ɖe edzi dometɔ aɖewoe nye nyinotsi, nuɖuɖu siwo me gluten le (abe lu ƒe wɔ ene), kple nuɖuɖu kple nunono siwo hea gas vɛ (e.g., gbewo, kabɔb, aha viviwo).
• Nuteɖeamedzi: Numekula aɖewo gblɔ be IBS nye alesi wò dɔgbo wɔa nui ne nuteɖeamedzi le eŋu. Esia tae woyɔa IBS ɣeaɖewoɣi be "dɔgbo si me dzitsitsi le" alo "dɔgbo si tsi dzimaɖi." Bu eŋu kpɔ, ɖe nèsena le ɖokuiwò me be yeƒe dɔgbo le veve sem wu ne dodokpɔ aɖe gbɔna alo ne kuxi aɖe do mo ɖa le ɔfisa? Esɔ nenema.

Amekawoe le afɔku gã me be woaxɔ IBS?

IBS bɔ ɖe amesiwo xɔ tso ƒe 18-20 va ɖo ƒe 40 kple edzivɔwo dome wu . Nyɔnuwo ate ŋu axɔ IBS wu ŋutsuwo abe zi gbɔ zi eve ene. Afɔku bubuwoe nye:

• Nuɖuɖu aɖewo ƒe mɔmaɖemaɖeɖenuŋu.
• Esi nuɖuɖumeŋusẽ ƒe dɔléle sesẽ aɖe nɔ ŋunye va yi ta.
• Abe alesi míegblɔe va yi ene la, ŋutasẽnuwɔwɔ ƒe ŋutinya si nɔ ame si le ɖevime alo emegbe.
• Susu me dɔlélewo abe dzimaɖitsitsi, blanuiléle, alo nuteɖeamedzi le afɔku megbe (PTSD) ene ƒe amesinɔnɔ.

Vevesese bubu siwo nɔa anyi didi hã le ame geɖe siwo ŋu IBS le la ŋu. Nɔnɔme siwo nana IBS ƒe afɔkua dzina ɖe edzi dometɔ aɖewoe nye:

• Fibromyalgia ƒe dɔléle
• Ðeɖiteameŋu si nɔa anyi didi ƒe dɔléle (Ðeɖiteameŋu si nɔa anyi didi) .
• Vevesese si nɔa anyi didi le akɔta

Aleke nàwɔ anya ne IBS le ŋuwò? (Dɔléle ƒe dzesi) .

Afɔɖeɖe gbãtɔ si woawɔ le IBS didi me enye be woawɔ atikewɔwɔ ŋutinya blibo. Wò ɖɔkta abia nya wò tso wò dzesiwo ŋu. Le kpɔɖeŋu me:

• Ðe nèsea veve ne èle aɖuɖɔ ɖem?
• Ðe nède dzesi vovototo aɖe le wò dɔgbo ƒe ʋuʋu zi gbɔ zi geɖe mea?
• Ðe tɔtrɔ aɖe va le wò aɖuɖɔ ƒe dzedzeme mea?
• Zi nenie dzesi siawo dzena na wò?
• Ɣekaɣie dzesi siawo dze egɔme?
• Ðe nèle atike aɖewo nom?
• Ðe nèdze dɔ alo to nuteɖeamedzi aɖe me le wò agbe me nyitsɔ laa?

Le wò dzesiwo nu la, ahiã be nàgawɔ dodokpɔ bubuwo atsɔ aɖo kpe dɔlélea dzi. Dodokpɔ ɖeka aɖeke meli si ŋu kakaɖedzi le be woatsɔ anya IBS o. Ke boŋ wò ɖɔkta akpɔe ɖa be IBS le ŋuwò to:

• Mese wò dzesiwo ŋu nya.
• Kpɔe ɖa be wowɔ wò dɔgbo me kansa dodokpɔ na ye ɖe game dzi hã.
• Kpɔ egbɔ be dzesi siwo fia be dɔléle bubuwo le ŋuwò la mele ye ŋu o.

Nudokpɔƒe ƒe dodokpɔwo

Zi geɖe la, wowɔa dodokpɔ siwo wowɔna le dodokpɔxɔ me tsɔ ɖea nɔnɔme bubu siwo ate ŋu ahe wò dzesiwo vɛ, abe dɔlékui, nuɖuɖu ƒe dɔmawɔmawɔ nyuie, alo nuɖuɖumeŋusẽdɔ bubu (abe Inflammatory Bowel Disease - IBD ene) ɖa. Menye amesiamee hiã dodokpɔ ɖeka mawo ke o.

• Ʋudodokpɔ: Kpɔe ɖa be nuɖuɖumeŋusẽdɔ alo nɔnɔme bubu siwo ate ŋu ahe wò dzesiwo vɛ hã.
• Aɖuɖɔ dodokpɔ: Be woakpɔe ɖa be dɔgbowo le dɔdzẽ alo nuɖuɖumeŋusẽ ƒe dɔléle aɖe ta hã.
• Hydrogen gbɔgbɔ dodokpɔ: Kpɔe ɖa be dɔgbo sue me dɔlékuiwo ƒe tsitsi fũ akpa (SIBO) alo nuɖuɖu ƒe dɔmawɔmawɔ nyuie le ŋuwò hã.

Dodokpɔ bubuwo (Imaging tests) .

Ðewohĩ ahiã be woawɔ nɔnɔmetatawo na wò be nàɖe abi alo tsitsi si mesɔ o le wò nuɖuɖumeŋusẽ me ɖa.

• Dɔgbomekpɔkpɔ: Esia kpena ɖe wò ɖɔkta ŋu wònya ne dɔgbo me kuxi aɖewo (abe polyps, IBD, alo kansa ƒe tsitsi ene) le ŋuwò si ate ŋu anɔ wò dzesiawo hem vɛ. Le dodokpɔ sia me la, wò ɖɔkta dea mɔ̃ aɖe (scope) si me fotoɖemɔ̃ le si ate ŋu akpɔ wò dɔgbo bliboa.
• Flexible sigmoidoscopy: Esia sɔ kple dɔgbo me nukpɔkpɔ, gake wò dɔgbo ƒe akpa si le eme kple wò dɔgbo ƒe akpa si le ete koe ɖɔktaa ate ŋu akpɔ.
• Upper endoscopy: Esia ate ŋu akpe ɖe ame ŋu wòanya celiac dɔléle alo nuɖuɖumeŋusẽ ƒe kuxi bubuwo. Dodokpɔ sia zãa mɔ̃ tsɛ aɖe tsɔ léa ŋku ɖe wò nuɖuɖutome, dɔgbo, kple wò dɔgbo suea ƒe akpa gbãtɔ, si nye dɔgboa ŋu.

Nukawoe nye atike siwo wozãna na IBS?

Atikewɔwɔ ɖeka aɖeke meli si sɔ na amewo katã o. Gake ame akpa gãtɔ siwo ŋu IBS le ate ŋu akpɔ atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na wo. Dɔdamɔnu siwo bɔ dometɔ aɖewoe nye nuɖuɖu ƒe tɔtrɔ kple agbenɔnɔ ƒe tɔtrɔ. Atikewo hã ate ŋu akpe ɖe ŋuwò. Nuwɔna ƒe lãmesẽnyawo gbɔ kpɔkpɔ hã ate ŋu akpe ɖe ame aɖewo ŋu.

Dɔdamɔnu siawo dometɔ geɖe xɔa ɣeyiɣi aɖe hafi wɔa dɔ. Togbɔ be woate ŋu akpe ɖe ŋuwò nàɖu wò dzesiwo dzi hã la, womate ŋu aɖe wo ɖa keŋkeŋ o.

Tɔtrɔ siwo va le nuɖuɖu me

Nuɖuɖuŋutinunyala ate ŋu akpe ɖe ŋuwò nàtia nuɖuɖu siwo sɔ na wò eye nàtrɔ wò nuɖuɖu ƒe nɔnɔmewo be dzesiawo nagagblẽ ɖe edzi o. Ate ŋu akafu nusiwo le abe:

• Tsɔ fibre geɖe kpe ɖe wò nuɖuɖu ŋu. Nuɖuɖu siwo me fibre sɔ gbɔ ɖo (atikutsetsewo, amagbewo, nuku blibowo, waintsetse ƒuƒu, nukuwo) ate ŋu akpe ɖe amesiwo ŋu dɔgbo le ŋu. Gake mègadze fibre geɖe ɖuɖu gɔme zi ɖeka o; tsɔe kpe ɖe eŋu vivivi, ale be wò dɔgbowo nakpɔ ɣeyiɣi atrɔ ɖe nɔnɔmeawo ŋu.
• No fibre si wotsɔ kpe ɖe eŋu. Mɔnu bubue nye be nàzã fibre kpeɖeŋutɔ abe Metamucil® alo Citrucel® (yi wò ɖɔkta gbɔ hafi nàno esiawo).
• Ðe seɖoƒe na nyinotsi nuɖuɖuwo (abe cheese kple notsi ene). Lactose ƒe dɔmawɔmawɔ nyuie bɔ ɖe amesiwo ŋu IBS le dome. Ne èle nyinotsi dzi ɖem kpɔtɔ la, kpɔ egbɔ be yeɖu nuɖuɖu bubu siwo me calcium sɔ gbɔ ɖo (e.g., broccoli, spinach, salmon).
• Ðe nuɖuɖu siwo hea gas vɛ dzi kpɔtɔ. Wonya be nuɖuɖuwo abe gbegãdzi, Brussels sprouts, kple kabɔb ene hea gas vɛ. Nunono siwo me carbon le kple aŋe hã ate ŋu ahe gas vɛ. Ðe nuɖuɖu siawo dzi kpɔtɔ eye nàna wò dɔgbowo nagbɔ ɖe eme.
• Ƒo asa na nuɖuɖu siwo me gluten le. Ame siwo si celiac dɔléle (IBS) mele o gɔ̃ hã ate ŋu ase veve ɖe gluten nu. Ne ètia nuɖuɖu si me gluten mele o la, ƒo nu kple wò ɖɔkta be nàkpɔ egbɔ be vitamin kple mineral veviwo (abe fiber, iron, kple calcium ene) siwo le nuɖuɖu siwo me gluten le me la le asiwò.
• Te nuɖuɖu si me FODMAP mesɔ gbɔ ɖo o la kpɔ. Nuɖuɖu ŋuti ɖoɖo sia ɖea carbohydrates si nèɖuna dzi kpɔtɔna. Ke boŋ ekafua nuɖuɖu bubu siwo naa nunyiame siwo nèhiã eye wonɔa bɔbɔe na wò nuɖuɖumeŋusẽ. Esia ate ŋu asesẽ vie, eyata anyo wu be nàbia ɖɔkta alo nuɖuɖuŋutinunyala.
• No tsi geɖe. No tsi kplu 8 (anɔ abe lita 2 ene) ya teti gbesiagbe. Tsi nana tsi nɔa wò nuɖuɖumeŋusẽ me eye wòkpena ɖe ame ŋu wòɖea dɔmeɖui dzi kpɔtɔna alo xea mɔ nɛ.
• Dzra nuɖuɖu ŋuti nuŋlɔɖigbalẽ ɖo. Wò ɖɔkta ate ŋu abia tso asiwò be nàwɔ nuɖuɖu ŋuti nuŋlɔɖigbalẽ be nànya nuɖuɖu siwo nèɖuna kple nuɖuɖu siwo hea wò IBS ƒe dzesiwo vɛ. Emegbe àte ŋu aɖe esia afia nuɖuɖuŋutinunyala.

Agbenɔnɔ ƒe tɔtrɔ

Trɔtrɔ wò gbesiagbedɔwo hã ate ŋu akpe ɖe ŋuwò. Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be:

• De kame edziedzi. Ðoe kplikpaa be yeade kame si sɔ aɖabaƒoƒo 150 kwasiɖa sia kwasiɖa. Ema anɔ abe miniti 30 ene gbesiagbe, ŋkeke 5 le kwasiɖa me. "Moderate" fia alesi wò dzi ƒe tsotso dzina ɖe edzi.
• Te ɖiɖiɖeme ƒe mɔnuwo kpɔ. Yoga, ŋugbledede, kple nuteɖeamedzi dzi ɖeɖe kpɔtɔ ƒe mɔnu bubu siwo wozãna gbesiagbe ate ŋu akpe ɖe ame ŋu wòana lãmeka siwo wɔa dɔ fũu akpa kple “dɔgbo si meɖea dzi ɖi o” ƒe dzi nadze eme. Ɣeaɖewoɣi la, nuwɔna ŋuti nunyala hã ate ŋu akpe ɖe ŋuwò.
• Dɔ alɔ̃ nyuie. Ðoe kplikpaa be yeadɔ alɔ̃ nyuie gaƒoƒo 7 va ɖo 9 zã sia zã. Mlɔ anyi le ɣeyiɣi ɖeka dzi gbesiagbe. Alɔ̃dɔdɔ nyuie nye mɔ sẽŋu siwo dzi woato aɖe nuteɖeamedzi dzi akpɔtɔ la dometɔ ɖeka. Ne alɔ̃dɔdɔ le sesẽm na wò la, yi ɖɔkta gbɔ.
• Dzra dɔwɔnawo ƒe ŋkekenyuigbalẽ ɖo. Ŋlɔ dɔwɔna siwo kpena ɖe ŋuwò nèkpɔa wò IBS dzi eye nàdzro wo me kple wò ɖɔkta.

Atikewɔwɔ

Eɖea vi na ame geɖe siwo ŋu IBS le ne woyi atikewɔla gbɔ. Atikewɔwɔ ate ŋu akpe ɖe ŋuwò nàɖu nuteɖeamedzi kple nɔnɔme siwo hea IBS vɛ, abe dzimaɖitsitsi kple blanuiléle ene dzi. Ame aɖewo kpɔa gbɔdzɔe to mɔnu siawo zazã me:

• Nuwɔna si wozãna le susu me ƒe atikewɔwɔ (CBT) .
• Alɔ̃dɔdɔ ƒe atikewɔwɔ
• Nu gbagbewo ƒe nyaŋuɖoɖo

Atikewo

Wò ɖɔkta ate ŋu aŋlɔ atikewo abe esiawo ene na wò be wòaɖe dzesiawo dzi akpɔtɔ:

• Blanuilélenutsitikewo (ne ƒodo me vevesese gã aɖe le ŋuwò kpe ɖe blanuiléle kple dzimaɖitsitsi ŋu). Esiawo dometɔ aɖewoe nye atikewo abe tricyclic antidepressants (TCAs) kple selective serotonin reuptake inhibitors (SSRIs) ene.
• Atike siwo ɖea dɔmeɖui dzi kpɔtɔna (siwo dometɔ aɖewoe nye fibre kpeɖeŋutɔ kple aɖuɖɔtoemetikewo).
• Atike siwo naa aɖuɖɔwo ƒoa ke (anti-diarrheals).
• Atike siwo ɖea dɔgbo ƒe ʋuʋu dzi kpɔtɔna.

Togbɔ be wogale numekuku wɔm tso woƒe dɔwɔwɔ ŋu hã la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã probiotics. "Dɔlékui nyui" siawo ateŋu akpeɖeŋu be woaɖe IBS ƒe dzesiwo dzi akpɔtɔ.

Atike siwo wozãna koŋ tsɔ daa IBS hã li:

• Dicyclomine (Bentyl®) ƒe dɔlékuiwutike .
• Hyoscyamine (Levsin®) ƒe dɔlékuiwo .
• Lubiprostone ((Lubiprostone (Amitiza®))) ƒe lãgbalẽ.
• Linaclotide ((Linaclotide (Linzess®))) ƒe atike si wotsɔna ƒoa ƒui.
• Plecanatide ((Plecanatide (Trulance®))) ƒe atike si wotsɔna ƒoa ƒui.
• Rifaximin ((Rifaximin (Xifaxan®))) ƒe lãmesẽnyawo gbɔ kpɔkpɔ.

Vevietɔ: Ele be woazã atike siawo katã le atikewɔlawo ƒe aɖaŋuɖoɖo te ko. Mègano atikewo le ɖokuiwò si o.

Ðe woate ŋu ada IBS keŋkeŋa?

Ao, atike aɖeke meli na IBS o. Gake ame geɖe ate ŋu akpɔ woƒe dzesiwo gbɔ nyuie ne woƒo asa na nusiwo hea dɔlélea vɛ kple atikewo nono ne ehiã.

Ðe IBS ate ŋu ahe dɔgbo me dɔléle sesẽ bubuwo vɛa?

Ao, IBS ƒe amedzidzedze menaa wò afɔku geɖe wu be nàxɔ dɔléle sesẽwo abe dɔgbo ƒe dɔléle, Crohn ƒe dɔléle, alo dɔgbo me kansa ene o. Esia nye vɔvɔ̃ gã aɖe na ame geɖe, gake mègatsi dzi ɖe eŋu fũu akpa o.

Aleke ame si ŋu IBS le sena le eɖokui me zi geɖe?

Agbenɔnɔ kple IBS ate ŋu asesẽ, elabena dzesiawo ate ŋu ava eye woadzo le wò agbemeŋkekewo katã me. Atikewɔwɔ didi ate ŋu anye dodokpɔ kple vodada ƒe ɖoɖo vie. Gake nya nyuiae nye be amesiame kloe si ŋu IBS le ate ŋu akpɔ atike si awɔ dɔ na wo mlɔeba.

Zi geɖe la, dzesiawo nyona ɖe edzi le ɣeyiɣi aɖe megbe ne èwɔ tɔtrɔ le wò nuɖuɖu kple wò dɔwɔnawo ŋu. Ðewohĩ ahiã be nàgbɔ dzi ɖi esi nèle nusiwo aʋã wò la dim eye nèle asa ƒom na wo. Ðewohĩ wò dzesiwo madzo keŋkeŋ o. Gake ele be nàkpɔ ŋgɔyiyi ɖedzesi aɖe le alesi nèsena le ɖokuiwò me ŋu le kwasiɖa alo ɣleti ʋɛ aɖewo me.

Ðe mate ŋu axe mɔ ɖe IBS nua?

Esi womenya nusi tututu gbɔ IBS tsona haɖe o ta la, mɔ aɖeke meli si dzi woato axe mɔ ɖe enu alo atrɔe o. Gake ne IBS le ŋuwò la, ƒoƒo asa na nusiwo hea dɔlélea vɛ ate ŋu akpe ɖe ŋuwò nàɖe wò dzesiawo ƒe dzedzeme dzi akpɔtɔ.

Ɣekaɣie wòanyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo?

Ne wò dzesiwo gakpɔtɔ li wu ɣleti etɔ̃, alo ne wole sesẽm ɖe edzi gbesiagbe la, ele be nàkpɔ ɖɔkta godoo. Ne wò dzesiwo medzena zi geɖe o hã la, ne wodoa kplamatse wò gbesiagbegbenɔnɔ la, anyo be nàƒo nu kple wò ƒomea ƒe ɖɔkta (Primary care provider).

Dzesi aɖewo ate ŋu afia be kuxi si nu sẽ wu. Ne nusiwo gbɔna dometɔ aɖe le ŋuwò kpe ɖe IBS ƒe dzesi siwo bɔ ŋu la , yi ɖɔkta kaba ale si nàte ŋui:

Ne dzesi siawo dometɔ aɖe le ŋuwò kpe ɖe IBS ƒe dzesiwo ŋu la, yi ɖɔkta gbɔ enumake!

• Asrã
• Ʋuʋudedi
• Ʋu si dona le dɔgboa me
• Kpekpeme dzi ɖeɖe kpɔtɔ si womeɖe o
• Aɖuɖɔtoetetedɔ nu sẽ ale gbegbe be enyɔa wò le zã me.
• Dɔgbo ƒe vevesese sesẽ (vevietɔ vevesese si medzona le aɖuɖɔtoe alo ya si to eme megbe o).

Nya siwo wòle be nàbia wò ɖɔkta

Ne IBS ƒe dzesiwo le ŋuwò la, bia wò ɖɔkta nya siawo tɔgbe:

• Atike kawoe ate ŋu akpe ɖe ŋunye?
• Nuɖuɖu kawoe wòle be matsri?
• Agbenɔnɔ ƒe tɔtrɔ kawoe wòle be mawɔ?
• Eteƒe madidi o nye lãme asẽ?

Gbedasi si Wotsɔ Yi Aƒeme

IBS ƒe dzesiwo abe dɔgbo ƒe vevesese, aɖuɖɔtoe, dɔmeɖui, kple ʋuʋudedi ene ate ŋu ana nàvo le ɖokuiwò me ŋutɔŋutɔ eye ate ŋu ado kplamatse wò agbenɔnɔ. Gake IBS nye dɔléle si dzi woate ŋu aɖu.Àte ŋu ana wò dzesiwo nanyo ɖe edzi ne ètrɔ nusiwo nèɖuna kple nunono eye nètrɔ asi le wò gbesiagbenuwɔnawo ŋu be nàkpɔ nusiwo hea dɔlélea vɛ gbɔ. Ne dɔgbo le veve sem atraɖii la, kpɔ egbɔ be yeyi ɖɔkta gbɔ. Miate ŋu awɔ ɖeka akpɔ IBS ƒe atikewɔwɔ ƒe ɖoɖo si awɔ dɔ na mi. Mègatsi dzodzodzoe o, eye mègakpe fu wò ɖeka o!

` IBS, dɔgbo ƒe vevesese, aɖuɖɔtoe, dɔmeɖui, nuɖuɖumeŋusẽ, dɔgbo me dɔlélewo, nuteɖeamedzi kple dɔgbo ƒe vevesese