I pum a na fo bawk em? He natna (Irritable Bowel Syndrome - IBS) tih hi i hrechiang zawk ang u?

Toilet i kal hian a chang chuan pum na mak tak tak, pum na, riltam ang maia bawlhhlawh i nei thin em, ni tam tak chhung chu chaw ei kham harsa i ti em? Heng symptoms te hi pakhat ni lovin, engemaw zat a inzawm khawm a, i digestive system a nghawng a, chu chu tunlaia kan sawi tum (Irritable Bowel Syndrome), a tawi zawngin (IBS) a ni. Hei hi thil awmdan pangngai leh nuam lo tak a ni.

Irritable Bowel Syndrome (IBS) hi eng nge ni?

A awlsam zawngin IBS hi i chaw ei dan, a bik takin i chaw kawng tichhe thei symptom leh harsatna hrang hrang awmkhawm a ni. I intestines tichhe thei natna tlanglawn tak a ni. IBS vei te hian pum na leh cramping an nei fo thei. Hemi rual hian ril\am, chaw ei kham, a nih loh leh a châng chuan a pahnih pawh i nei fo thei bawk.

Mahse a tha ber chu IBS hian i digestive system tissue a tichhe lo. Tin, colon cancer ang chi natna khirh tak tak i vei theihna a tipung lo bawk. Chronic condition ni mahse, mi tam tak chuan an nitin nunphung tihdanglam te, ei leh in dan te, a tul chuan damdawi ei te, leh behavioral therapy thenkhat te hmangin an enkawl tha thei a ni.

IBS chi hrang hrang lian ber ber a awm em?

Ni e, IBS hi i symptoms nasat ber ni-a i bawlhhlawh awm dan (‘poo’ kan ti tlangpui) a zirin classified a ni ber. IBS vei tam tak chuan ni engemaw zat chu an ril a normal a, ni dangah erawh chuan a danglam bik hle thung. Chu ni danglam takah chuan rilru hahna chi hrang hrang hian IBS chi chu a hril a ni.

• IBS with constipation (IBS-C): Chutiang a nih chuan i bawlhhlawh tam zawk chu kal harsa a ni a, a lum a, a vawt bawk.
• IBS with diarrhea (IBS-D): Hei hi i bawlhhlawh tam zawk chu tui ang maia a lo chhuahna hmun a ni.
• IBS with mixed bowel habits (IBS-M): Hetiang chi hian constipation (hard, lumpy stools) leh diarrhea (loose stools) episode inthlak danglamin i nei thei a ni.

Heng danglamna te hi hriatthiam a pawimawh a , enkawlna thenkhat chuan IBS chi thenkhat tan chauh hna a thawk a ni.

IBS hi engtiang chiahin nge a hluar?

Hei hi a takah chuan thil awm dan tlangpui tak a ni. Mithiamte sawi dan chuan United States-ah hian puitling zinga 10% leh 15% inkar velin IBS an vei nia chhut a ni. Mahse, za zela tlemte, 5% leh 7% inkar chauhvin doctor an pan ngai a, diagnosis an dawng ngai lo. Kan ram dinhmun hi a inang hle a rinawm.

IBS hi gastroenterologist ten an hmuhchhuah tam ber zinga mi a ni.

(IBS) natna lan chhuah dan chu engte nge ni?

IBS symptoms hi a awm reng thei. A nih loh leh, intermittent (flare-ups) an ni thei bawk. Chu chu symptoms i nei reng reng lo tihna a ni. A chang chuan symptoms te chu a reh (buwel movement pangngai i nei), chutah chuan rei vak lo hnuah a lo let leh thin.

IBS natna lan chhuah dan ber chu:

• Hei hi pum na emaw, hrual emaw nen a inzawm fo a, ek chhuah a ngai fo bawk.
• Gas tam lutuk leh bloating.
• Diarrhea, constipation, emaw, a pahnih inkara inthlak danglam emaw.
• Stool-ah hian mucus ang chi (vitish liquid ang chi) a awm thei.
• Pum chu a hring vek lo ang maia hriatna, ek chhuah hnuah pawh.

IBS awm chhante chu engte nge ni?

Researcher-te chuan IBS hi eng nge a thlen tih chiang takin an la hre lo. Mahse, neurogastrointestinal (GI) disorder-ah dah a ni. Heng dinhmunte hi "gut-brain inzawmna lama harsatna" an ti bawk. A awlsam zawngin sawi ila, i thluak leh i gut inkara inbiakpawhna lama harsatna avanga lo awm niin an ngai a, chu chuan i chaw ei dan (digestive system) a thawk tha thei hle.

Heng thluak leh gut inkara inbiakpawhna lama harsatna te hian hetiang hi a thlen thei a ni:

• Dysmotility: I chaw ei kawng (digestive system)-a taksa peng hrang hrangte inzawmkhawm dan leh chaw ei tur kawng hnuai lama an kal dan chungchanga harsatna awm . IBS vei te hian an intestine lianah hian a tlangpui aia tam taksa ruh (muscle contractions) an nei tam zawk niin a lang. Heng contraction te hian cramping leh natna a thlen thin.
• Visceral hypersensitivity: I chaw ei kawng chhunga nerve te hi a sensitive lutuk thei. IBS vei te hian IBS nei lo te aiin natna tuar thiamna an nei tlem zawk tih hmuhchhuah a ni. Chumi awmzia chu i gut hian mi pangngai aiin natna leh hrehawmna a tuar zawk thei tihna a ni.

IBS lo awm theihna tura pui thei thil dang thenkhat chu hetiang hi a ni:

• Gut bacteria: Research atanga a lan dan chuan IBS vei te chaw ei kawngah bacteria hi a inang lo hle. Heng danglamnate hian natna lan chhuahna a thlen thei a ni. Zirna hrang hrangah IBS vei te gut-a bacteria chi hrang hrang leh awm zat hi IBS nei lo te nen a danglam tih hmuhchhuah a ni.
• Infection na tak: Mi thenkhat chu IBS natna nasa tak an kai hnuah chaw ei kawng a nghawng tih hmuhchhuah an ni. Chuvangin he thil ah hian natna hrik te hian chanvo an nei thei a ni.
• Food intolerance: Food sensitivity emaw allergy thenkhat hian IBS a thlen thei. Entirnan, mi thenkhat chuan bawnghnute atanga siam thilte chu an ei thei lo a, thenkhat erawh chuan buh chi hmanga siam chaw ei hian harsatna an tawk thung.
• Naupan laia rilru hahna: IBS hi naupan laia taksa, mipat hmeichhiatna leh rilru lama tihduhdahna tawk tawhte zingah a tam zawk. Hei hian psychological stress na tak pawhin hmun a chang tihna a ni.

IBS symptoms tipungtu trigger te chu engte nge ni?

IBS i neih chuan thil engemaw takin i symptoms a ti na zual tih i hre tawh mai thei. Hengte hi natna thlentu a ni lo va, mahse i natna lan chhuah dan a tizual thei a, a thar a lo lang thei bawk. Hengte hi trigger kan ti thin. Trigger tam ber chu:

• Periods: Thla tin i thlasik hun chhung hian i symptoms a pung tih i hmu mai thei.
• Chaw thenkhat: Hei hi mi hrang hrangah a inang lo. Mahse, IBS symptoms tipung thei ei tur tlanglawn tak takte chu bawnghnute, gluten awmna ei tur (wheat flour ang chi), leh gas thlentu ei leh in (e.g., bean, cabbage, sweetened beverages) te an ni.
• Stress: Researcher thenkhat chuan IBS hi i gut-in stress a tawh chhanna a ni an ti. Hei vang hian IBS hi "nervous stomach" emaw "anxious stomach" emaw an ti fo thin. Ngaihtuah teh, exam i neih dawn emaw, office-a harsatna i neih hunah emaw i pum a na zawkin i hria em? Chu chu a dik a ni.

Tute nge IBS vei theihna chance sang zawk?

IBS hi kum 18-20 inkar leh kum 40 hnuai lam te zingah a tam ber a ni . Hmeichhia hi mipa aiin IBS vei an tam zawk a, a let hnih velin an tam zawk. Risk factor dangte chu:

• Chaw thenkhat tuar theih lohna.
• Tun hmaa digestive tract infection na tak a lo neih tawh avangin.
• Sawi tawh angin, naupan lai emaw, a hnu lama tihduhdah tawhna history neih.
• Rilru lam hriselna lama harsatna nei, lungkhamna, lungngaihna, emaw post-traumatic stress disorder (PTSD) te.

IBS vei tam tak chuan natna dang (chronic pain condition) an nei bawk. IBS vei theihna tipungtu dinhmunte chu:

• Fibromyalgia natna a ni
• Chronic fatigue syndrome (Chronic fatigue syndrome) tih a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• Pelvic natna rei tak a awm

IBS i vei leh neih loh engtin nge i hriat theih ang? (Diagnosis) tih a ni.

IBS hmuhchhuahna atana hmalakna hmasa ber chu medical history kimchang tak lak a ni. I doctor chuan i symptoms te a zawt ang che. Entir nan:

• Efecation i tih hian natna i nei em?
• I ril a chhuah tam danah danglamna i hmu em?
• I stool hmel lan danah danglamna a awm em?
• Heng symptoms te hi engzat nge i neih?
• Engtik atang khan nge heng symptoms te hi a lo intan?
• Damdawi i ei em?
• Tun hnaiah i damlo emaw, i nunah thil lungchhiatthlak tak i tawng tawh em?

I natna lan chhuah dan azirin, i natna hriat chian nan test dang neih belh a ngai mai thei. IBS hriat theihna tur test chiang tak pakhat mah a awm lo. Chu ai chuan i doctor chuan IBS i neih leh neih loh chu hetiang hian a hre ang:

• I symptoms te chu ka hre ta.
• I colon cancer screening chu a hun taka tihsak i nih leh nih loh enfiah rawh.
• Damdawi lam thil dang tilang thei symptom i neih loh nan fimkhur rawh.

Laboratory-a test neih a ni

Vawi tam tak chu lab test hi i natna lan chhuahna thlentu tur thil dang, natna hrik, ei tur tuar theih lohna, emaw, chaw ei tur natna dang (Inflammatory Bowel Disease - IBD ang chi) te chu paih chhuah nan an ti thin. Mi zawng zawng hian test inang an mamawh vek lo.

• Thisen test: Digestive system natna emaw, i natna lan chhuahna thlentu tur thil dang emaw enfiah rawh.
• Stool test: Infection emaw digestive system natna avanga intestine-a inflammation awm leh awm loh enfiah nan.
• Hydrogen breath test: Small intestinal bacterial overgrowth (SIBO) emaw ei leh in lama harsatna i neih leh neih loh enfiah thin ang che.

Test dang (Imaging test) te pawh a awm bawk.

I digestive system-a inflammation emaw, a pangngai lo emaw a awm loh nan imaging procedures a ngai mai thei.

• Colonoscopy: Hei hian i doctor chu i natna lan chhuahna thlentu ni thei tur, i rilru lam harsatna (polyps, IBD, cancer growth ang chi) i neih leh neih loh a hriat theih nan a pui a ni. He test neih chhung hian i doctor chuan tube (scope) a dah a, a chhungah hian camera a awm a, chu chuan i colon pumpui a hmu thei a ni.
• Flexible sigmoidoscopy: Hei hi colonoscopy nen a inang a, mahse doctor chuan i rectum chhung leh i colon hnuai lam chauh a hmu thei.
• Upper endoscopy: Hei hian celiac natna emaw, ei leh in lama harsatna dang emaw a hriat theih nan a pui thei a ni. He test hian tube te tak te hmangin i esophagus, i pum leh i small intestine hmun hmasa ber, duodenum te chu a en thin.

IBS enkawlna tur engte nge ni?

Mi zawng zawng tan enkawlna pakhat chauh a awm lo. Mahse, IBS vei tam zawk chuan an tana tha tur enkawlna ruahmanna an hmu thei a ni. Enkawlna tlangpui chu ei leh in thlak danglam leh nunphung thlak danglam te a ni. Damdawi pawhin a pui thei bawk. Behavioral health therapy pawhin mi thenkhat a pui thei bawk.

Heng enkawlna tam tak hian hna thawh nan hun engemaw chen a mamawh a ni. I symptoms control-naah an pui thei a, mahse an ti bo vek lo mai thei.

Ei leh in lama inthlak danglamna

Dietitian chuan i tana tha tur ei tur thlang turin a pui thei che a, i ei leh in dan pawh a thlak danglam thei bawk a, chu chuan natna lan chhuahna a zual loh nan a pui thei che a ni. Amah chuan hetiang hi a rawt thei a ni:

• I ei leh in ah fiber tam zawk dah la. Fiber tamna ei tur (thei, thlai, whole grains, raisins, nuts) te hian constipation nei te chu a pui thei a ni. Mahse, vawi khatah fiber tam zawk ei tan suh; zawi zawiin add la, chutiang chuan i intestines chuan insiamrem hun a nei ang.
• Supplemental fiber ei tur a ni. Thil dang chu fiber supplement Metamucil® emaw Citrucel® emaw hman a ni (hengte hi i ei hmain doctor rawn hmasa phawt ang che).
• Dairy foods (cheese leh milk ang chi) ei tlem rawh. IBS vei zingah hian lactose intolerance hi a awm fo thin. Dairy i tihtlem chuan ei tur dang calcium tamna (e.g., broccoli, spinach, salmon) ei ngei ngei tur a ni.
• Gas thlentu chaw ei khap rawh. Bean, Brussels sprouts, leh cabbage ang chi ei tur te hian gas a siam tih hriat a ni. Carbonated drinks leh chewing gum te hian gas a siam thei bawk. Heng ei tur te hi tihtlem la, i intestines te chu chawlh hahdam tir rawh.
• Gluten awmna ei tur ei loh tur. Celiac disease (IBS) nei lote pawhin gluten hi an sensitive thei hle. Gluten tel lo ei tur i thlang a nih chuan, gluten telna ei tur a awm, vitamin leh mineral pawimawh tak tak (fiber, iron, leh calcium ang chi) te chu i dawng em tih hriat chian nan i doctor nen inbia ang che.
• Low FODMAP diet hi han en ve teh. He diet plan hian carbohydrates i ei zat a tihtlem phah a ni. Chu ai chuan, i mamawh tur nutrients pe thei tur leh i digestive system tana awlsam thei tur ei tur dang a rawt zawk a ni. Hei hi a buaithlak deuh thei a, chuvangin doctor emaw dietitian emaw rawn hmasak a tha ber.
• Tui tam tak in thin ang che. Ni khatah tui glass 8 (litre 2 vel) tal in tur a ni. Tui hian i digestive system a ti hydrated a, constipation a ti reh emaw, a veng thei bawk.
• Chaw ei tur diary siam rawh. I doctor chuan eng ei tur nge i ei tih leh eng ei tur nge i IBS symptoms tichhuak tih hriat nan food diary ziak turin a ti thei che a ni. Chumi hnuah chuan hei hi nutritionist hnenah i entir thei ang.

Nunphung a inthlak danglam thin

Ni tin i thiltih tihdanglam hian a pui thei bawk. I doctor chuan a hnuaia mi hi a rawn rawt thei ang:

• Exercise neih fo thin ang che. Kar khatah minute 150 chhung exercise tlemte neih tum ang che. Chu chu ni khatah minute 30 vel, kar khatah ni 5 vel a ni. "Moderate" tih hian i heart rate a sanna level a kawk a ni.
• Relaxation technique te hi han hmang ve teh. Nitin yoga, meditation leh stress tihtlem dan dangte hian nervous system hnathawh lutuk leh "rilru hahdam lo" te chu a ti reh thei a ni. A châng chuan behavioral therapist pawhin a pui thei bawk.
• Mut tam rawh. Zan tin darkar 7 atanga darkar 9 chhung mut that tum ang che. Nitin hun khatah mut thin ang che. Zan mut that hi stress tihziaawmna kawng chak ber pakhat a ni. Mut harsatna i neih chuan Doctor pan rawh.
• Activity diary siam rawh. I IBS enkawlna atana puitu hnathawh turte ziak la, i doctor nen sawiho rawh.

Therapy hmanga enkawl a ni

IBS vei tam tak chuan therapist an hmuh hian hlawkna an hmu a ni. Therapy hian IBS thlentu stress leh condition, lungkhamna leh lungngaihna te chu a enkawl thei che a ni. Mi thenkhat chuan heng hmanrua hmang hian hahdamna an hmu thin:

• Cognitive behavioral therapy (CBT) hmanga tihdam theih a ni.
• Hypnotherapy hmanga enkawl a ni
• Biofeedback a ni

Damdawi chi hrang hrang

I doctor chuan natna lan chhuahna tihziaawmna atan hetiang damdawi hi a pe thei ang:

• Antidepressants (depression leh lungkhamna nen hian pum na nasa tak i neih chuan). Chung zingah chuan damdawi, tricyclic antidepressants (TCA) leh selective serotonin reuptake inhibitor (SSRI) te pawh a tel.
• Constipation tihziaawmna damdawi (fiber supplement leh laxatives te pawh tel).
• Damdawi, bawlhhlawh tithianghlimtu (anti-diarrheals).
• Intestinal cramping tihziaawmna damdawi.

An that dan zirchianna chu kalpui mek ni mahse, i doctor chuan probiotics a rawn rawt mai thei. Heng "bacteria tha" te hian IBS symptoms te chu a tiziaawm thei a ni.

IBS enkawlna atana hman bik damdawi pawh a awm a:

• Dicyclomine (Bentyl®) hmanga siam a ni.
• Hyoscyamine (Levsin®) hmanga siam a ni.
• Lubiprostone ((Lubiprostone (Amitiza®))) tih a ni a, a man hi a to hle.
• A rilru a buai em em a, a rilru a hah em em bawk a.
• A rilru a buai em em a, a rilru a hah em em bawk a.
• Rifaximin ((Rifaximin (Xifaxan®))) tih a ni a, a man hi a to hle.

Pawimawh: Heng damdawi zawng zawng hi damdawi lam thurawn hnuaiah chauh hman tur a ni. Damdawi hi mahni chauhin ei suh.

IBS hi a dam kim thei ang em?

Ni lo, IBS hi damdawi a awm lo. Mahse, mi tam tak chuan an natna lan chhuah dan chu an enkawl tha thei a, triggers te chu pumpelh a, a tul hunah damdawi ei thin a ni.

IBS hian intestinal natna khirh tak dang a thlen thei em?

Ni lo, IBS neih hian colitis, Crohn’s disease, emaw colon cancer ang chi natna khirh tak tak neih theihna a tipung lo. Hei hi mi tam tak tan chuan hlauhna lian tak a ni a, mahse ngaihtuah lutuk suh.

IBS vei chu engtin nge a awm tlangpui?

IBS natna vei hi thil harsa tak a ni thei a, i dam chhung zawngin symptoms a lo thleng thei a, a kal zel thei bawk. Damdawi zawn hi trial and error process a ni deuh thei. Mahse thu lawmawm tak chu IBS vei zawng zawng deuhthaw hian a tawpah chuan an tana tha tur damdawi an hmu thei ta a ni.

A tlangpuiin, hun kal zelah i ei leh in leh i activity level-ah inthlak danglamna siamin symptoms a lo tha chho thin. Trigger i hriatchhuah leh i pumpelh hian i dawhtheih a ngai mai thei. I symptoms te chu a bo vek lo mai thei. Mahse, kar tlemte emaw, thla engemaw zat emaw chhungin i rilru put hmangah hmasawnna nasa tak i hmu tur a ni.

IBS hi ka veng thei ang em?

IBS thlen chhan dik tak hriat a la nih loh avangin ven theih dan leh tihdanglam dan tur a awm lo. Mahse, IBS i neih chuan triggers te pumpelh hian i symptoms awm fo thin chu a ti tlem thei a ni.

Engtikah nge damdawi lam thurawn lak a tha ber?

I natna lan chhuah dan hi thla thum aia rei a awm reng a nih chuan, a nih loh leh nitin a zual zel a nih chuan doctor i pan ngei ngei tur a ni. I natna lan chhuah dan hi a tam vak lo a nih pawhin nitin nun a tibuai a nih chuan chhungkaw doctor (Primary care provider) nena inbiakna neih a tha.

Symptom thenkhat chuan harsatna lian zawk a awm tih a tilang thei. IBS symptoms pangngai nen a hnuaia mi te hi i neih chuan a rang thei ang bera doctor pan rawh:

IBS symptoms nen hian heng symptoms te hi i neih chuan doctor pan nghal rawh!

• Khawsik
• Luak chhuak
• Rectal atanga thisen chhuak
• Sawifiah loha taksa rihna tlahniam
• Diarrhea a nasat em avangin zanah a kaitho thin.
• Pum natna nasa tak (a bik takin riltam emaw, boruak kaltlang emaw hnua reh loh natna).

I doctor zawh tur zawhna

IBS symptoms i neih chuan doctor hnenah hetiang zawhna hi zawt la:

• Eng damdawi nge min pui thei ang?
• Eng ei tur nge ka ei loh tur?
• Eng nunphung tihdanglamna nge ka neih?
• Engtiang chiahin nge ka rilru a hahdam tan ang?

Take-Home Thuchah a ni

IBS symptoms, pum na, riltam, chaw ei kham, leh pum na te hi a nuam lo tak zet a, i nun a tibuai thei bawk. Mahse, IBS hi enkawl theih a ni.I ei leh in te i thlak danglam a, nitin i tih dan te chu triggers te hmachhawn turin i siamrem thei a ni. I pum na reng reng i neih chuan doctor pan ngei ngei tur a ni. In thawhhona chuan IBS enkawlna tur ruahmanna, in tana tha tur chu in hmu thei ang. Hlauthawng suh la, nangmah chauhin hrehawm tuar suh!

` IBS, pum na, ril\am, ril\am, chaw ei \ha, intestinal disease, stress leh pum na