Loaʻa iā ʻoe i kekahi manawa nā ʻeha ʻōpū ʻē, ka pehu ʻana, nā ʻōpala e like me ka maʻi diarrhea ke hele ʻoe i ka lua, a i ʻole he paʻakikī ke noho paʻa no nā lā? ʻAʻole hoʻokahi kēia mau hōʻailona, akā he mau mea e hui pū ana a hoʻopilikia i kāu ʻōnaehana hoʻoheheʻe, ʻo ia ka mea a mākou e kamaʻilio nei i kēia lā (Irritable Bowel Syndrome), a i ʻole (IBS) no ka pōkole. He maʻi maʻamau a ʻoluʻolu ʻole kēia.
He aha ka Irritable Bowel Syndrome (IBS)?
I ka ʻōlelo maʻalahi, ʻo IBS kahi hōʻiliʻili o nā hōʻailona a me nā pilikia e hoʻopilikia i kāu ʻōnaehana hoʻoheheʻe, ʻoiai kou ʻōpū. He kūlana maʻamau ia e hoʻopilikia ai i kou ʻōpū. Hiki i ka poʻe me IBS ke ʻeha pinepine i ka ʻōpū a me ka ʻūlū. Me kēia, hiki iā ʻoe ke loaʻa pinepine i ka maʻi diarrhea, constipation, a i ʻole i kekahi manawa ʻelua.
Akā ʻo ka mea maikaʻi loa, ʻaʻole hōʻino ka IBS i nā ʻiʻo o kāu ʻōnaehana hoʻoheheʻe. ʻAʻole hoʻi ia e hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi koʻikoʻi e like me ke kanesa colon. ʻOiai he maʻi mau loa ia, hiki i nā poʻe he nui ke hoʻokele maikaʻi iā ia ma o ka hoʻololi ʻana i ko lākou nohona o kēlā me kēia lā, nā ʻano ʻai, ka lawe ʻana i ka lāʻau lapaʻau inā pono, a me kekahi ʻano hana lapaʻau.
Aia kekahi mau ʻano nui o IBS?
ʻAe, ua hoʻokaʻawale nui ʻia ʻo IBS ma muli o ke ʻano o kou mau ʻōpala (kapa pinepine mākou iā lākou he 'poo') i nā lā i ʻoi loa ai kou mau hōʻailona. He nui ka poʻe me IBS e neʻe maʻamau ka ʻōpū i kekahi mau lā, akā he neʻe ʻōpū maʻamau ʻole i nā lā ʻē aʻe. ʻO ke ʻano o ka neʻe ʻana o ka ʻōpū i kēlā mau lā maʻamau ʻole e hoʻoholo ai i ke ʻano o IBS.
- IBS me ka paʻa ʻana (IBS-C): I kēia hihia, paʻakikī ka hapa nui o kāu mau ʻōpala e hele, pumpy, a maloʻo.
- IBS me ka maʻi pākī (IBS-D): ʻO kēia kahi e wehe ai ka hapa nui o kāu mau ʻōpala, e like me ka wai.
- IBS me nā ʻano ʻōpū hui ʻia (IBS-M): Ma kēia ʻano, hiki iā ʻoe ke ʻike i nā hanana ʻē aʻe o ka constipation (paʻakikī, pumpy stools) a me ka diarrhea (loose stools).
He mea nui e hoʻomaopopo i kēia mau ʻokoʻa, ʻoiai kekahi mau lāʻau lapaʻau e hana wale no kekahi ʻano IBS.
Pehea ka maʻamau o ka IBS?
He kūlana maʻamau loa kēia. Wahi a nā loea, ua manaʻo ʻia aia ma waena o 10% a me 15% o nā pākeke ma ʻAmelika Hui Pū ʻIa he IBS. Eia nō naʻe, he hapa liʻiliʻi wale nō, ma waena o 5% a me 7%, i ʻike i ke kauka a loaʻa kahi hōʻailona. ʻO ke kūlana ma ko mākou ʻāina e like loa paha.
ʻO ka IBS kekahi o nā maʻi i ʻike pinepine ʻia e nā gastroenterologists.
He aha nā hōʻailona o ka maʻi ʻōpū (IBS)?
Hiki i nā hōʻailona IBS ke mau. A i ʻole, hiki iā lākou ke intermittent (flare-ups). ʻO ia hoʻi, ʻaʻole ʻoe e loaʻa mau i nā hōʻailona. I kekahi manawa e nalowale nā hōʻailona (loaʻa iā ʻoe nā neʻe ʻōpū maʻamau), a laila hoʻi mai lākou ma hope o kekahi manawa.
ʻO nā hōʻailona nui o ka IBS:
- Hoʻopili pinepine ʻia kēia me ka ʻeha o ka ʻōpū a i ʻole ka ʻūmiʻi, pinepine ʻia me ka pono e kiola i ka wai koko.
- Ka nui o ke kinoea a me ka pehu ʻana.
- Ka maʻi kahe, ka paʻa ʻana o ka ʻōpū, a i ʻole ke ʻano ʻē ma waena o nā mea ʻelua.
- Aia paha he mau ʻāpana e like me ka mucus (e like me ka wai keʻokeʻo) i loko o ka ʻeke.
- Manaʻo me he mea lā ʻaʻole i hoʻokahe loa ʻia ka ʻōpū, ʻoiai ma hope o ka neʻe ʻana i ka wai.
He aha nā kumu o ka IBS?
ʻAʻole maopopo i nā kānaka noiʻi ke kumu o ka IBS. Eia nō naʻe, ua hoʻokaʻawale ʻia ʻo ia he maʻi neurogastrointestinal (GI). Ua kapa ʻia kēia mau kūlana he "maʻi o ka pilina ʻōpū-lolo." I ka ʻōlelo maʻalahi, ua manaʻo ʻia ua hana ʻia e nā pilikia me ke kamaʻilio ʻana ma waena o kou lolo a me kou ʻōpū, kahi e kōkua ai i kāu ʻōnaehana hoʻoheheʻe e hana pono.
Hiki i kēia mau pilikia kamaʻilio ma waena o ka lolo a me ka ʻōpū ke hana i nā mea e like me:
- Dysmotility: Nā pilikia me ke ʻano o ka ʻaelike ʻana o nā ʻiʻo i loko o kāu ʻōnaehana hoʻoheheʻe a me ka hoʻoneʻe ʻana i ka meaʻai i lalo o ke ala hoʻoheheʻe . ʻIke ʻia he nui aku ka ʻaelike ʻana o nā ʻiʻo o ka poʻe me IBS ma ko lākou ʻōpū nui ma mua o ka maʻamau. Hoʻoulu kēia mau ʻaelike i ka ʻūlū a me ka ʻeha.
- ʻO ka hypersensitivity visceral: Hiki i nā aʻalolo i loko o kāu ʻōnaehana hoʻoheheʻe ke lilo i mea ʻeha loa. Ua ʻike ʻia ka poʻe me IBS he haʻahaʻa ko lākou hoʻomanawanui ʻana i ka ʻeha ma mua o ka poʻe me ka ʻole o IBS. ʻO ke ʻano kēia, ʻoi aku ka ʻeha o kou ʻōpū i ka ʻeha a me ka ʻoluʻolu ʻole ma mua o ke kanaka maʻamau.
Eia kekahi mau kumu ʻē aʻe e hiki ke kōkua i ka ulu ʻana o IBS:
- ʻO ka bacteria o ka ʻōpū: Ua hōʻike ʻia e ka noiʻi he ʻokoʻa nā bacteria i loko o ke ala ʻai o ka poʻe me IBS. Hiki i kēia mau ʻokoʻa ke kōkua i nā hōʻailona. Ua ʻike ʻia e nā noiʻi he ʻokoʻa nā ʻano a me ka nui o nā bacteria i loko o ka ʻōpū o ka poʻe me IBS mai ka poʻe me ka ʻole o IBS.
- Nā maʻi koʻikoʻi: Ua ʻike ʻia kekahi poʻe me ka IBS ma hope o kahi maʻi koʻikoʻi e hoʻopilikia ai i ka ʻōnaehana hoʻoheheʻe. No laila, hiki i nā germs ke kuleana i kēia.
- ʻAʻole hiki ke hoʻomanawanui i ka meaʻai: Hiki i kekahi mau ʻano maʻalahi i ka meaʻai a i ʻole nā maʻi ʻaleka ke kōkua i ka IBS. No ka laʻana, ʻaʻole hiki i kekahi poʻe ke hoʻoheheʻe i nā huahana waiū, aʻo kekahi poʻe e ʻeha i ka ʻai ʻana i nā meaʻai i hana ʻia me ka palaoa huita.
- Ke kaumaha o ke kamaliʻi: ʻOi aku ka maʻamau o ka IBS i nā poʻe i loaʻa i ka hana ʻino kino, moekolohe, a i ʻole ka hana ʻino naʻau i ka wā kamaliʻi. ʻO ke ʻano kēia, he kuleana koʻikoʻi koʻikoʻi ko ka noʻonoʻo.
He aha nā mea hoʻonāukiuki e hoʻonui ai i nā hōʻailona IBS?
Inā loaʻa iā ʻoe ka IBS, ua ʻike paha ʻoe he mau mea e hoʻonui ai i kou mau hōʻailona. ʻAʻole kēia ke kumu o ke kūlana, akā hiki iā lākou ke hoʻonui i kou mau hōʻailona a i ʻole e hoʻoulu i nā mea hou e ʻike ʻia. Kāhea mākou i kēia mau mea hoʻonāukiuki. ʻO nā mea hoʻonāukiuki maʻamau:
- Nā Kau: E ʻike paha ʻoe e hoʻonui ana kāu mau hōʻailona me kāu pōʻaiapuni menstrual mahina.
- Kekahi mau meaʻai: ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka. Eia nō naʻe, ʻo nā meaʻai maʻamau e hiki ke hoʻonui i nā hōʻailona IBS e komo pū me nā meaʻai waiū, nā meaʻai i loaʻa ka gluten (e like me ka palaoa huita), a me nā meaʻai a me nā mea inu e hoʻoulu ai i ke kinoea (e laʻa, nā pīni, kāpeti, nā mea inu ʻono).
- Kaumaha: Wahi a kekahi poʻe noiʻi he pane ko ka IBS i ke kaumaha. ʻO ia ke kumu i kapa ʻia ai ʻo IBS i kekahi manawa he "ʻōpū hopohopo" a i ʻole "ʻōpū hopohopo." E noʻonoʻo e pili ana, ke manaʻo nei ʻoe ua ʻeha nui kou ʻōpū ke loaʻa iā ʻoe kahi hoʻokolohua e hiki mai ana a i ʻole ke loaʻa iā ʻoe kahi pilikia ma ke keʻena? Pololei kēlā.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka IBS?
ʻO ka IBS ka mea maʻamau i nā kānaka ma waena o nā makahiki 18-20 a me nā makahiki 40 mua . ʻOi aku ka nui o ka loaʻa ʻana o ka IBS i nā wāhine ma mua o nā kāne. ʻO nā kumu pilikia ʻē aʻe:
- ʻO ka hoʻomanawanui ʻole i kekahi mau meaʻai.
- Ua loaʻa iā ia kahi maʻi ʻōpū ʻeha nui i ka wā ma mua.
- E like me ka mea i ʻōlelo ʻia ma mua, he moʻolelo o ka hana ʻino ʻia i ka wā kamaliʻi a ma hope paha.
- Loaʻa nā maʻi olakino noʻonoʻo e like me ka hopohopo, ke kaumaha, a i ʻole ka maʻi kaumaha post-traumatic (PTSD).
He nui ka poʻe me IBS i loaʻa i nā maʻi ʻeha mau ʻē aʻe. ʻO nā kūlana e hoʻonui ai i ka pilikia o IBS:
- ʻO ka Fibromyalgia
- ʻO ka maʻi luhi mau loa (Chronic fatigue syndrome)
- ʻEha pelvic mau loa
Pehea e ʻike ai inā loaʻa iā ʻoe ka IBS? (Diagnosis)
ʻO ka hana mua i ka ʻike ʻana i ka IBS, ʻo ia ke lawe i kahi mōʻaukala olakino piha. E nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona. Eia kekahi laʻana:
- Ke ʻeha nei ʻoe i ka wā e kahe ai ke koko?
- Ke ʻike nei ʻoe i kahi ʻokoʻa i ke alapine (frequency) o kou neʻe ʻana o ka ʻōpū?
- Aia kekahi loli i ke ʻano o kou noho?
- ʻEhia pinepine kou loaʻa ʻana o kēia mau hōʻailona?
- I ka manawa hea i hoʻomaka ai kēia mau hōʻailona?
- Ke lawe nei ʻoe i kekahi mau lāʻau lapaʻau?
- Ua maʻi anei ʻoe i kēia manawa a i ʻole ua hala paha kahi hanana kaumaha i kou ola?
Ma muli o kāu mau hōʻailona, pono paha ʻoe e loaʻa nā hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona. ʻAʻohe hoʻokolohua paʻa hoʻokahi e hōʻoia i ka IBS. Akā, e hoʻoholo kāu kauka inā he IBS kou ma:
- Ua lohe au e pili ana i kou mau hōʻailona.
- E nānā e ʻike inā ua hana ʻia kāu hoʻāʻo ʻana no ka maʻi ʻaʻai colon i ka manawa kūpono.
- E hōʻoia ʻaʻole ʻoe i loaʻa nā hōʻailona e hōʻike ana i nā pilikia olakino ʻē aʻe.
Nā hoʻokolohua keʻena hoʻokolohua
I ka manawa pinepine, hana ʻia nā hoʻokolohua lab e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona, e like me ka maʻi, ka ʻai ʻole ʻana i ka meaʻai, a i ʻole kekahi maʻi ʻōpū (e like me ka Inflammatory Bowel Disease - IBD). ʻAʻole pono nā kānaka a pau i nā hoʻokolohua like.
- Hoʻāʻo koko: E nānā i nā maʻi o ka ʻōnaehana hoʻoheheʻe a i ʻole nā kūlana ʻē aʻe e hiki ke hoʻoulu i kāu mau hōʻailona.
- Hoʻāʻo ʻōpala: No ka nānā ʻana i ka mumū i loko o nā ʻōpū ma muli o kahi maʻi a i ʻole ka maʻi o ka ʻōnaehana hoʻoheheʻe.
- Hoʻāʻo hanu hydrogen: E nānā inā loaʻa iā ʻoe ka ulu nui ʻana o ka bacteria ʻōpū liʻiliʻi (SIBO) a i ʻole nā mea ʻai ʻole.
Nā hoʻokolohua ʻē aʻe (Nā hoʻokolohua kiʻi)
Pono paha nā kaʻina hana kiʻi e kāpae i ka mumū a i ʻole nā ulu kūpono ʻole i kāu ʻōnaehana hoʻoheheʻe.
- Colonoscopy: Kōkua kēia i kāu kauka e ʻike inā he mau pilikia ʻōpū kou (e like me nā polyps, IBD, a i ʻole nā ulu ʻana o ke kanesa) e hiki ke kumu o kāu mau hōʻailona. I loko o kēia hoʻāʻo, hoʻokomo kāu kauka i kahi ʻōmole (scope) me kahi kāmela i loko e hiki ke ʻike i kāu kolona holoʻokoʻa.
- ʻO ka sigmoidoscopy maʻalahi: Ua like kēia me ka colonoscopy, akā hiki i ke kauka ke ʻike wale i loko o kou rectum a me ka ʻaoʻao haʻahaʻa o kāu colon.
- ʻO ka endoscopy kiʻekiʻe: Hiki i kēia ke kōkua i ka ʻike ʻana i ka maʻi celiac a i ʻole nā pilikia ʻē aʻe o ka ʻōnaehana digestive. Hoʻohana kēia hoʻāʻo i kahi ʻōmole lahilahi e nānā i kou esophagus, ʻōpū, a me ka hapa mua o kou ʻōpū liʻiliʻi, ka duodenum.
He aha nā lāʻau lapaʻau no IBS?
ʻAʻohe lāʻau lapaʻau hoʻokahi e kūpono i nā mea āpau. Eia nō naʻe, hiki i ka hapa nui o ka poʻe me IBS ke loaʻa i kahi hoʻolālā lapaʻau e kūpono no lākou. ʻO nā lāʻau lapaʻau maʻamau e komo pū me nā hoʻololi ʻai a me nā hoʻololi ʻano nohona. Hiki i nā lāʻau lapaʻau ke kōkua. Hiki i ka lāʻau lapaʻau olakino ke kōkua i kekahi poʻe.
He nui o kēia mau lāʻau lapaʻau e lōʻihi ka manawa e hana ai. ʻOiai e kōkua paha lākou i ka kaohi ʻana i kāu mau hōʻailona, ʻaʻole paha lākou e hoʻopau loa iā lākou.
Nā loli i ka ʻai
Hiki i kekahi meaʻai meaʻai ke kōkua iā ʻoe e koho i nā meaʻai kūpono iā ʻoe a hoʻololi i kāu mau ʻano ʻai e pale aku i ka ʻino ʻana o nā hōʻailona. Hiki iā ia ke paipai i nā mea e like me:
- E hoʻohui i ka fiber hou aʻe i kāu meaʻai. Hiki i nā meaʻai kiʻekiʻe i ka fiber (nā huaʻai, nā mea kanu, nā palaoa piha, nā hua waina maloʻo, nā nati) ke kōkua i ka poʻe me ka paʻa ʻana o ka ʻōpū. Akā, mai hoʻomaka e ʻai i ka fiber hou aʻe i ka manawa hoʻokahi; e hoʻohui mālie, i loaʻa i kou ʻōpū ka manawa e hoʻomaʻamaʻa ai.
- E lawe i ka fiber hoʻohui. ʻO kekahi koho ʻē aʻe, ʻo ia ka hoʻohana ʻana i nā mea hoʻohui fiber e like me Metamucil® a i ʻole Citrucel® (e kūkākūkā me kāu kauka ma mua o ka lawe ʻana i kēia mau mea).
- E hōʻemi i nā meaʻai waiū (e like me ka tīhi a me ka waiū). He mea maʻamau ka lactose intolerance i waena o ka poʻe me IBS. Inā ʻoe e hōʻemi ana i ka waiū, e ʻai pono i nā meaʻai ʻē aʻe i waiwai i ka calcium (e laʻa, broccoli, spinach, salmon).
- E kaupalena i nā meaʻai e hoʻoulu ai i ke kinoea. ʻIke ʻia nā meaʻai e like me nā pīni, nā ʻōpuʻu Brussels, a me ke kāpeti e hoʻoulu ai i ke kinoea. Hiki i nā mea inu kalapona a me ka gum nau ke hoʻoulu i ke kinoea. E hōʻemi i kēia mau meaʻai a hāʻawi i kou ʻōpū i kahi hoʻomaha.
- E pale i nā meaʻai i loaʻa ka gluten. ʻOiai ka poʻe i loaʻa ʻole ka maʻi celiac (IBS) hiki ke maʻalahi i ka gluten. Inā koho ʻoe i kahi papaʻai gluten-free, e kamaʻilio me kāu kauka e hōʻoia i ka loaʻa ʻana o nā huaora a me nā minelala koʻikoʻi (e like me ka fiber, ka hao, a me ka calcium) i loaʻa i nā meaʻai i loaʻa ka gluten.
- E hoʻāʻo i ka papaʻai Low FODMAP. Hoʻemi kēia papaʻai i ka nui o nā kalapona āu e ʻai ai. Akā, paipai ia i nā meaʻai ʻē aʻe e hāʻawi iā ʻoe i nā meaolaola āu e pono ai a maʻalahi hoʻi i kāu ʻōnaehana hoʻoheheʻe. Hiki ke paʻakikī iki kēia, no laila ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me ke kauka a meaʻai meaʻai paha.
- E inu i ka nui o ka wai. E inu ma ka liʻiliʻi he 8 mau aniani (ma kahi o 2 lita) o ka wai i ka lā. Mālama ka wai i kāu ʻōnaehana hoʻoheheʻe a kōkua i ka hōʻoluʻolu a pale aku paha i ka paʻa ʻana o ka ʻōpū.
- E mālama i kahi puke moʻolelo meaʻai. E noi paha kāu kauka iā ʻoe e mālama i kahi puke moʻolelo meaʻai e ʻike ai i nā meaʻai āu e ʻai ai a me nā meaʻai e hoʻoulu ai i kāu mau hōʻailona IBS. A laila hiki iā ʻoe ke hōʻike i kēia i kahi meaʻai meaʻai.
Nā loli o ke ʻano o ka nohona
Hiki i ka hoʻololi ʻana i kāu mau hana o kēlā me kēia lā ke kōkua. Hiki i kāu kauka ke ʻōlelo i kēia mau mea:
- E hoʻoikaika kino mau. E hoʻāʻo no 150 mau minuke o ka hoʻoikaika kino kaulike i kēlā me kēia pule. ʻO ia hoʻi ma kahi o 30 mau minuke i ka lā, 5 mau lā o ka pule. ʻO ke ʻano o "Waena" ʻo ia hoʻi ka pae e piʻi ai kou puʻuwai.
- E hoʻāʻo i nā hana hoʻomaha. ʻO ka yoga i kēlā me kēia lā, ka noʻonoʻo ʻana, a me nā ʻano hana hoʻēmi kaumaha ʻē aʻe e hiki ke kōkua i ka hōʻoluʻolu ʻana i kahi ʻōnaehana nerve i hana nui ʻia a me ka "ʻōpū hoʻomaha ʻole." I kekahi manawa hiki i kahi mea hoʻoponopono ʻano ke kōkua pū kekahi.
- E hiamoe pono. E hoʻāʻo no 7 a 9 mau hola o ka hiamoe maikaʻi i kēlā me kēia pō. E hiamoe i ka manawa like i kēlā me kēia lā. ʻO ka hiamoe maikaʻi i ka pō kekahi o nā ala ikaika loa e hōʻemi ai i ke kaumaha. Inā pilikia ʻoe i ka hiamoe, e ʻike i ke kauka.
- E mālama i kahi puke moʻolelo hana. E kākau i lalo i nā hana e kōkua iā ʻoe e hoʻokele i kāu IBS a kūkākūkā me kāu kauka.
Hoʻōla
He nui ka poʻe me IBS e pōmaikaʻi ana mai ka ʻike ʻana i kahi mea lapaʻau. Hiki i ka Therapy ke kōkua iā ʻoe e hoʻokele i ke kaumaha a me nā kūlana e kōkua ai i ka IBS, e like me ka hopohopo a me ke kaumaha. Loaʻa i kekahi poʻe ka hōʻoluʻolu me kēia mau ʻano:
- Ka lāʻau lapaʻau noʻonoʻo (CBT)
- Hoʻōla Hipno
- Manaʻo Olaola
Nā lāʻau lapaʻau
Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia e hōʻoluʻolu i nā hōʻailona:
- Nā lāʻau hoʻēmi kaumaha (inā loaʻa iā ʻoe ka ʻeha ʻōpū nui me ke kaumaha a me ka hopohopo). ʻO kēia mau mea nā lāʻau lapaʻau e like me nā tricyclic antidepressants (TCAs) a me nā mea hoʻopaʻa serotonin reuptake selective (SSRIs).
- Nā lāʻau lapaʻau e hōʻoluʻolu ai i ka paʻa ʻana (me nā mea hoʻopihapiha fiber a me nā laxatives).
- Nā lāʻau lapaʻau e hoʻomānoanoa i ka ʻōpala (anti-diarrheals).
- Nā lāʻau lapaʻau e hōʻemi ai i ka ʻeha ʻōpū.
ʻOiai ke hoʻomau nei ka noiʻi ʻana i ko lākou pono, hiki i kāu kauka ke ʻōlelo aku i nā probiotics. Hiki i kēia mau "bacteria maikaʻi" ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona IBS.
Aia kekahi mau lāʻau lapaʻau i hoʻohana pono ʻia e mālama iā IBS:
- ʻO Dicyclomine (Bentyl®)
- Hyoscyamine (Levsin®)
- Lubiprostone ((Lubiprostone (Amitiza®)))
- Linaclotide ((Linaclotide (Linzess®)))
- Plecanatide ((Plecanatide (Trulance®)))
- ʻO Rifaximin ((Rifaximin (Xifaxan®)))
He mea nui: Pono e hoʻohana ʻia kēia mau lāʻau lapaʻau a pau ma lalo o ke aʻo ʻana a ke kauka. Mai lawe i nā lāʻau lapaʻau ma kāu iho.
Hiki ke ho'ōla loa ʻia ka IBS?
ʻAʻole, ʻaʻohe lāʻau lapaʻau no IBS. Eia nō naʻe, hiki i nā poʻe he nui ke hoʻokele maikaʻi i kā lākou mau hōʻailona ma ka pale ʻana i nā mea hoʻonāukiuki a me ka lawe ʻana i ka lāʻau lapaʻau i ka wā e pono ai.
Hiki iā IBS ke hoʻoulu i nā maʻi ʻōpū koʻikoʻi ʻē aʻe?
ʻAʻole, ʻo ka loaʻa ʻana o ka IBS ʻaʻole ia e hoʻonui i ka pilikia o ka loaʻa ʻana o nā maʻi koʻikoʻi e like me ka colitis, ka maʻi Crohn, a i ʻole ke kanesa colon. He makaʻu nui kēia no nā poʻe he nui, akā mai hopohopo nui e pili ana i ia mea.
Pehea ka manaʻo o ka mea me IBS?
Hiki ke paʻakikī ke noho me ka IBS, no ka mea, hiki ke hele mai nā hōʻailona a hele aku i kou ola a pau. Hiki i ka loaʻa ʻana o kahi lāʻau lapaʻau ke lilo i kahi hana hoʻāʻo a me ka hewa. Akā ʻo ka nūhou maikaʻi, hiki i ka poʻe āpau me IBS ke loaʻa i kahi lāʻau lapaʻau e kūpono iā lākou.
ʻO ka maʻamau, hoʻomaikaʻi nā hōʻailona i ka hala ʻana o ka manawa ma ka hoʻololi ʻana i kāu meaʻai a me nā pae hana. Pono paha ʻoe e hoʻomanawanui i kou ʻike ʻana a me ka pale ʻana i nā mea hoʻonāukiuki. ʻAʻole paha e nalowale loa kāu mau hōʻailona. Eia nō naʻe, pono ʻoe e ʻike i kahi hoʻomaikaʻi koʻikoʻi i kou manaʻo i loko o kekahi mau pule a i ʻole mau mahina.
Hiki iaʻu ke pale aku i ka IBS?
ʻOiai ʻaʻole i ʻike ʻia ke kumu kikoʻī o ka IBS, ʻaʻohe ala e pale aku ai a hoʻohuli paha iā ia. Eia nō naʻe, inā loaʻa iā ʻoe ka IBS, hiki i ka pale ʻana i nā mea hoʻonāukiuki ke kōkua i ka hōʻemi ʻana i ke alapine o kāu mau hōʻailona.
I ka manawa hea ka maikaʻi e ʻimi ai i ke aʻo lapaʻau?
Inā hoʻomau kāu mau hōʻailona no ʻekolu mahina a ʻoi aku paha, a inā e ʻoi aku ka ʻino o kēlā me kēia lā, pono ʻoe e ʻike i ke kauka. ʻOiai inā ʻaʻole pinepine loa kāu mau hōʻailona, inā hoʻopilikia lākou i kou ola o kēlā me kēia lā, he manaʻo maikaʻi e kamaʻilio me kāu kauka ʻohana (mea lawelawe mālama mua).
Hiki i kekahi mau hōʻailona ke hōʻike i kahi pilikia koʻikoʻi. Inā loaʻa iā ʻoe kekahi o kēia mau mea me nā hōʻailona IBS maʻamau , e ʻike koke i ke kauka:
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona me nā hōʻailona IBS, e ʻike koke i ke kauka!
- kuni
- Ka luaʻi ʻana
- Ke kahe koko ʻana o ka rectum
- Ka pohō kaumaha i wehewehe ʻole ʻia
- Ka maʻi kahe nui loa a hiki ke hoʻāla iā ʻoe i ka pō.
- ʻEha nui o ka ʻōpū (ʻoiai ka ʻeha ʻaʻole e nalowale ma hope o ka neʻe ʻana o ka ʻōpū a i ʻole ka ea ʻana).
Nā nīnau e nīnau aku ai i kāu kauka
Inā loaʻa iā ʻoe nā hōʻailona o IBS, e nīnau i kāu kauka i nā nīnau e like me kēia:
- He aha nā lāʻau lapaʻau e hiki ke kōkua iaʻu?
- He aha nā meaʻai e pono iaʻu ke pale aku?
- He aha nā hoʻololi o ke ʻano o ka nohona e pono iaʻu e hana?
- Pehea ka wikiwiki e hoʻomaka ai au e ʻoi aku ka maikaʻi?
Leka Lawe-Home
ʻO nā hōʻailona IBS, e like me ka ʻeha o ka ʻōpū, ka maʻi kahe, ka paʻa ʻana o ka ʻōpū, a me ka pehu ʻana, hiki ke lilo i mea ʻoluʻolu ʻole a hiki ke hoʻopilikia i kou ola. Eia nō naʻe, he kūlana hiki ke hoʻokele ʻia ka IBS.Hiki iā ʻoe ke hoʻomaikaʻi i kāu mau hōʻailona ma ka hoʻololi ʻana i kāu meaʻai a inu a ma ka hoʻoponopono ʻana i kāu mau hana i kēlā me kēia lā e hoʻoponopono i nā mea hoʻonāukiuki. Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū mau, e ʻike pono i ke kauka. E hui pū, hiki iā ʻoe ke loaʻa kahi hoʻolālā lapaʻau IBS e kūpono iā ʻoe. Mai hopohopo, a mai ʻeha hoʻokahi!
ʻIBS , ʻeha ʻōpū, maʻi palahēhē, paʻa ʻōpū, ʻōnaehana hoʻoheheʻe, nā maʻi ʻōpū, ke kaumaha a me ka ʻeha ʻōpū











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