Unewo matambudziko emudumbu here? Ngatidzidzei zvakawanda nezvechirwere ichi chinonzi (Irritable Bowel Syndrome - IBS)?

Dzimwe nguva unombonzwa kurwadziwa mudumbu, kuzvimba, tsvina yakaita semanyoka here paunoenda kuchimbuzi, kana kuti unonetseka nekuzvimba kwemazuva? Zviratidzo izvi hazvisi chimwe chete, asi zvakawanda zvinosangana pamwe chete uye zvinokanganisa kugaya kwako, izvo zvatiri kutaura nezvazvo nhasi (Irritable Bowel Syndrome), kana kuti (IBS) muchidimbu. Ichi chirwere chinowanzoitika uye chisingafadzi.

Chii chinonzi Irritable Bowel Syndrome (IBS)?

Zvichitaurwa zviri nyore, IBS muunganidzwa wezviratidzo nematambudziko anokanganisa kugaya kwako, kunyanya ura hwako. Chirwere chinowanzoitika chinokanganisa ura hwako. Vanhu vane IBS vanogona kurwadziwa mudumbu kakawanda. Pamwe chete neizvi, unogona kunge uine manyoka, kuvimbiwa, kana dzimwe nguva zvese zviri zviviri.

Asi chinhu chakanakisa ndechekuti IBS haikuvadzi nhengo dzemuviri wako. Haiwedzerewo njodzi yekubatwa nezvirwere zvakakomba zvakaita sekenza yemuura. Kunyangwe iri chirwere chisingaperi, vanhu vazhinji vanogona kurarama nacho zvakanaka nekuchinja mararamiro avo ezuva nezuva, kudya, kutora mishonga kana zvichidikanwa, uye kumwe kurapa maitiro.

Kune mhando huru dzeIBS here?

Ehe, IBS inonyanya kurongwa zvichienderana nemhando yetsvina yako (tinowanzoidaidza kuti 'tsvina') pamazuva apo zviratidzo zvako zvinonyanya kuoma. Vanhu vazhinji vane IBS vanofamba-famba zvakanaka mune mamwe mazuva, asi vanofamba-famba zvisina kujairika mune mamwe mazuva. Rudzi rwekufamba-famba kwetsvina mumazuva iwayo asina kujairika ndirwo runosarudza rudzi rweIBS.

• IBS ine kuvimbiwa (IBS-C): Muchiitiko ichi, tsvina yako yakawanda inonetsa kubuda, ine mapundu, uye yakaoma.
• IBS ine manyoka (IBS-D): Apa ndipo panowanzoita tsvina yako isina kuzara, semvura.
• IBS ine maitiro akasiyana-siyana ekubvisa ura (IBS-M): Murudzi urwu, unogona kusangana nezviitiko zvakasiyana-siyana zvekuzvimba (tsvina yakaoma, ine mapundu) uye manyoka (tsvina yakashama).

Zvakakosha kunzwisisa misiyano iyi, sezvo mamwe marapirwo anongoshanda kune mamwe marudzi eIBS.

IBS yakajairika zvakadii?

Ichi chirwere chinowanzoitika. Sekureva kwenyanzvi, zvinofungidzirwa kuti pakati pe10% ne15% yevanhu vakuru muUnited States vane IBS. Zvisinei, chikamu chidiki chete, chiri pakati pe5% ne7%, chinomboona chiremba uye chinoongororwa. Mamiriro ezvinhu munyika medu angangove akafanana zvakanyanya.

IBS ndeimwe yezvirwere zvinowanzoonekwa nevanoongorora gastroenterologists.

Ndezvipi zviratidzo zve (IBS)?

Zviratidzo zveIBS zvinogona kugara zviripo. Kana kuti, zvinogona kuitika nguva nenguva (flare-ups). Izvi zvinoreva kuti hauna zviratidzo nguva dzose. Dzimwe nguva zviratidzo zvinopera (unenge uine nzira dzekubvisa tsvina dzakajairwa), uye zvinozodzoka mushure mechinguva.

Zviratidzo zvikuru zveIBS ndezvi:

• Izvi zvinowanzoperekedzwa nekurwadziwa mudumbu kana kurwadziwa kwemudumbu, kazhinji zvichiperekedzwa nekuda kwekuita tsvina.
• Kuzvimba negasi rakawandisa.
• Manyoka, kuvimbiwa, kana kuchinjana pakati pezviviri izvi.
• Panogona kunge paine zvidimbu zvakaita semanyoka (senge mvura chena) mutsvina.
• Kunzwa sekunge mudumbu hamuna kubuda ropa zvachose, kunyangwe mushure mekubuda tsvina.

Ndezvipi zvikonzero zveIBS?

Vaongorori havasati vaziva kuti chii chinokonzera IBS. Zvisinei, chirwere ichi chinoonekwa sechirwere chepfungwa nedumbu (GI). Matambudziko aya anonziwo "matambudziko ekubatana kweuropi nedumbu." Zvichitaurwa zviri nyore, zvinofungidzirwa kuti zvinokonzerwa nematambudziko ekutaurirana pakati peuropi hwako nedumbu rako, izvo zvinobatsira kuti kugaya chikafu chako kushande zvakanaka.

Matambudziko aya ekutaurirana pakati pehuropi nedumbu anogona kukonzera zvinhu zvakaita se:

• Kusafamba-famba: Matambudziko nemaitiro anoita tsandanyama dziri mudumbu rako uye dzinofambisa chikafu munzira yekugaya . Vanhu vane IBS vanoita sekuti vane tsandanyama dzakawanda muura hwavo hukuru kupfuura zvakajairika. Kusunga uku kunokonzera kurwadziwa.
• Kusanzwa zvakanaka kwemuviri: Tsinga dziri mudumbu rako dzinogona kubatwa zvakanyanya. Vanhu vane IBS vakawanikwa vasina marwadzo akawanda kupfuura avo vasina IBS. Izvi zvinoreva kuti ura hwako hunogona kunzwa kurwadziwa zvakanyanya kupfuura munhuwo zvake.

Heano zvimwe zvinhu zvinogona kukonzera IBS:

• Mabhakitiriya emudumbu: Ongororo yakaratidza kuti kune mutsauko mumabhakitiriya ari mudumbu revanhu vane IBS. Mutsauko uyu unogona kukonzera zviratidzo. Ongororo dzakaona kuti mhando nehuwandu hwemabhakitiriya ari mudumbu revanhu vane IBS hwakasiyana neavo vasina IBS.
• Utachiona hwakanyanya: Vamwe vanhu vanoonekwa vaine IBS mushure mekunge vabatwa nehutachiona hwakanyanya hunokanganisa kugaya chikafu. Saka zvinogoneka kuti utachiona hune chekuita neizvi.
• Kusawirirana nechikafu: Kusawirirana nechikafu kana zvimwe zvirwere zvinogona kukonzera IBS. Semuenzaniso, vamwe vanhu havagone kugaya zvigadzirwa zvemukaka, nepo vamwe vachinzwa kusagadzikana pavanodya chikafu chakagadzirwa neupfu hwegorosi.
• Kushushikana kwevana: IBS inowanzoonekwa nevanhu vakamboshungurudzwa mumuviri, pabonde, kana mupfungwa pavaiva vana. Izvi zvinoreva kuti kushushikana kwepfungwa kwakanyanya kunewo basa.

Ndezvipi zvinokonzera zviratidzo zveIBS?

Kana uine IBS, ungave wakaona kuti zvimwe zvinhu zvinoita kuti zviratidzo zvako zviwedzere kuipa. Izvi hazvisi izvo zvinokonzera chirwere ichi, asi zvinogona kuita kuti zviratidzo zvako zviwedzere kuipa kana kuti zviite kuti zvimwe zvitsva zvioneke. Tinozvidaidza kuti zvinokonzera chirwere ichi. Zvinonyanya kukonzera chirwere ndeizvi:

• Kuenda kumwedzi: Unogona kuona kuti zviratidzo zvako zvinowedzera nekuenda kwako kumwedzi kwemwedzi wega wega.
• Zvimwe zvekudya: Izvi zvinosiyana kubva pamunhu nemunhu. Zvisinei, zvekudya zvinowanzo wedzera zviratidzo zveIBS zvinosanganisira mukaka, chikafu chine gluten (senge furawa yegorosi), uye chikafu nezvinwiwa zvinokonzera gasi (semuenzaniso, bhinzi, kabichi, zvinwiwa zvinotapira).
• Kushushikana: Vamwe vaongorori vanoti IBS imhinduro yedumbu rako kune kushushikana. Ndosaka IBS dzimwe nguva ichinzi "dumbu rine tsinga" kana kuti "dumbu rine shungu." Funga nezvazvo, unonzwa here kuti dumbu rako rinonyanya kurwadza kana uine bvunzo iri kuuya kana kana uine dambudziko kuhofisi? Ndizvozvo.

Ndiani ari panjodzi huru yekuva neIBS?

IBS inonyanya kuwanikwa muvanhu vari pakati pemakore 18-20 nekutanga kwemakore 40. Vakadzi vane mukana wakapetwa kaviri wekuwana IBS kupfuura varume. Zvimwe zvinhu zvinoisa njodzi zvinosanganisira:

• Kusashivirira zvimwe zvekudya.
• Kumbova nechirwere chakakomba chemudumbu kare.
• Sezvambotaurwa, kuva nenhoroondo yekushungurudzwa paudiki kana kuti gare gare.
• Kuva nematambudziko epfungwa akadai sekuzvidya mwoyo, kuora mwoyo, kana kuti post-traumatic stress disorder (PTSD).

Vanhu vazhinji vane IBS vanewo mamwe matambudziko ekurwadziwa kwenguva refu. Matambudziko anowedzera njodzi yeIBS anosanganisira:

• Fibromyalgia
• Chirwere chekuneta kwenguva refu (Chronic fatigue syndrome)
• Kurwadziwa kwenguva refu kwechiuno

Ungaziva sei kana uine IBS? (Kuongororwa)

Danho rekutanga pakuongorora IBS nderekunyora nhoroondo yakazara yezvekurapa. Chiremba wako achakubvunza nezvezviratidzo zvako. Semuenzaniso:

• Unonzwa kurwadziwa here paunenge uchibvisa tsvina?
• Unoona here musiyano wekufamba-famba kwedumbu rako kakawanda?
• Pane shanduko here pakuonekwa kwechitsiko chako?
• Unowanzova nezviratidzo izvi kangani?
• Zviratidzo izvi zvakatanga rini?
• Uri kutora mishonga here?
• Wakamborwara here munguva pfupi yapfuura kana kuti wakasangana nechiitiko chinoshungurudza muhupenyu hwako?

Zvichienderana nezviratidzo zvako, ungangoda kuongororwazve kuti usimbise chirwere chako. Hapana imwe bvunzo imwe chete yekuongorora IBS. Pane kudaro, chiremba wako ndiye achaona kana uine IBS ne:

• Ndakanzwa nezvezviratidzo zvako.
• Tarisa kana wakaongororwa kenza yemuura wako nenguva.
• Iva nechokwadi chekuti hauna zviratidzo zvinoratidza zvimwe zvirwere.

Kuongororwa kwemurabhoritari

Kazhinji, bvunzo dzemurabhoritari dzinoitwa kuti pasave nezvimwe zvirwere zvinogona kukonzera zviratidzo zvako, zvakaita sehutachiona, kusawirirana nechikafu, kana chimwe chirwere chekugaya (senge Inflammatory Bowel Disease - IBD). Havasi vese vanoda bvunzo dzakafanana.

• Kuongororwa kweropa: Tarisa chirwere chekugaya chikafu kana zvimwe zvirwere zvinogona kukonzera zviratidzo zvako.
• Kuongororwa kwechitsiko: Kuongorora kuzvimba muura nekuda kwehutachiona kana chirwere chemudumbu.
• Kuongororwa kwekufema kwehydrogen: Tarisa kana uine kukura kwemabhakitiriya mudumbu (SIBO) kana kuti une dambudziko rekusakwanisa kudya.

Mimwe miedzo (Miedzo yemifananidzo)

Maitiro ekutora mifananidzo anogona kudiwa kuti ubvise kuzvimba kana kukura kusina kujairika mudumbu rako.

• Colonoscopy: Izvi zvinobatsira chiremba wako kuziva kana uine matambudziko emudumbu (akadai sema polyps, IBD, kana kenza) izvo zvingave zvichikonzera zviratidzo zvako. Munguva yekuyedzwa uku, chiremba wako anoisa chubhu (scope) ine kamera mukati mayo inogona kuona ura hwako hwese.
• Kuongororwa kwe sigmoidoscopy kunochinjika: Izvi zvakafanana ne colonoscopy, asi chiremba anogona kuona mukati me rectum yako nechikamu chezasi che colon yako chete.
• Endoscopy yepamusoro: Izvi zvinogona kubatsira kuona chirwere checeliac kana mamwe matambudziko ekugaya chikafu. Kuongororwa uku kunoshandisa chubhu tete kuti utarise gumbo rako, dumbu, uye chikamu chekutanga cheura hwako hudiki, duodenum.

Ndeipi mishonga yekurapa IBS?

Hapana mushonga mumwe chete unoshanda kune vese. Zvisinei, vanhu vazhinji vane IBS vanogona kuwana nzira yekurapa inovabatsira. Marapirwo akajairika anosanganisira kuchinja zvekudya uye kuchinja mararamiro. Mishonga inogonawo kubatsira. Kurapa kwehutano hwepfungwa kunogona kubatsirawo vamwe vanhu.

Mishonga iyi yakawanda inotora nguva kuti ishande. Kunyange zvazvo ichigona kubatsira kudzora zviratidzo zvako, inogona kusazvibvisa zvachose.

Kuchinja mukudya

Nyanzvi yezvekudya inogona kukubatsira kusarudza chikafu chakakunakira uye kuchinja maitiro ako ekudya kudzivirira zviratidzo zvekurwara. Anogona kukukurudzira zvinhu zvakaita se:

• Wedzera faibha yakawanda pakudya kwako. Zvikafu zvine faibha yakawanda (michero, miriwo, zviyo zvese, mazambiringa akaomeswa, nzungu) zvinogona kubatsira vanhu vane kuvimbiwa. Asi usatange kudya faibha yakawanda panguva imwe chete; iwedzere zvishoma nezvishoma, kuitira kuti ura hwako huve nenguva yekuchinjira.
• Tora fiber yekuwedzera. Imwe nzira ndeyekushandisa fiber supplements dzakadai seMetamucil® kana Citrucel® (bvunza chiremba wako usati watora izvi).
• Deredza kudya kwemukaka (senge chizi nemukaka). Kusawirirana nelactose kwakajairika kuvanhu vane IBS. Kana uri kuderedza kudya mukaka, iva nechokwadi chekudya zvimwe zvekudya zvine calcium yakawanda (semuenzaniso, broccoli, sipinachi, salmon).
• Deredza kudya kunokonzera gasi. Zvikafu zvakaita sebhinzi, Brussels sprouts, uye cabbage zvinozivikanwa kuti zvinokonzera gasi. Zvinwiwa zvine carbon uye chewing gum zvinogonawo kukonzera gasi. Deredza kudya uku uye dzikamisa ura hwako.
• Dzivisa zvekudya zvine gluten. Kunyangwe vanhu vasina chirwere checeliac (IBS) vanogona kukanganiswa negluten. Kana ukasarudza kudya kusina gluten, taura nachiremba wako kuti uve nechokwadi chekuti uri kuwana mavhitamini nemaminerari akakosha (akadai sefiber, iron, uye calcium) anowanikwa muzvikafu zvine gluten.
• Edza kudya kweFoodMAP kushoma. Chirongwa ichi chekudya chinoderedza huwandu hwemakabhohaidhiretsi aunodya. Pane kudaro, chinokurudzira zvimwe zvekudya zvinokupa zvinovaka muviri zvaunoda uye zviri nyore kugaya. Izvi zvinogona kuoma zvishoma, saka zvakanaka kubvunza chiremba kana nyanzvi yezvekudya.
• Inwa mvura yakawanda. Inwa magirazi masere (anenge marita maviri) emvura pazuva. Mvura inochengetedza kugaya kwako uye inobatsira kuderedza kana kudzivirira kuvimbiwa.
• Chengeta dhayari rezvekudya. Chiremba wako anogona kukukumbira kuti uchengetedze dhayari rezvekudya kuti uzive kuti ndezvipi zvekudya zvaunodya uye kuti ndezvipi zvekudya zvinokonzera zviratidzo zveIBS yako. Unogona kuratidza izvi kune nyanzvi yezvekudya.

Kuchinja kwemararamiro

Kuchinja mabasa ako ezuva nezuva kunogonawo kubatsira. Chiremba wako anogona kukukurudzira zvinotevera:

• Rovedza muviri nguva dzose. Edza kurovedza muviri zvine mwero kwemaminitsi zana nemakumi mashanu pasvondo. Izvi zvinoreva maminitsi makumi matatu pazuva, mazuva mashanu pasvondo. "Zviri pakati nepakati" zvinoreva mwero wekurova kwemoyo wako.
• Edza nzira dzekuzorora. Yoga yezuva nezuva, kufungisisa, nedzimwe nzira dzekuderedza kushushikana zvinogona kubatsira kudzikamisa hurongwa hwetsinga hwakanyanya kushanda uye "dumbu risina kugadzikana." Dzimwe nguva chiremba wezvetsika anogonawo kubatsira.
• Wana hope dzakakwana. Ronga kurara zvakanaka kwemaawa manomwe kusvika mapfumbamwe husiku hwese. Enda kunorara panguva imwe chete zuva rega rega. Kurara zvakanaka husiku ndeimwe yenzira dzine simba rekuderedza kushushikana. Kana uchinetseka nekurara, enda kuna chiremba.
• Nyora pasi mabasa anokubatsira kugadzirisa IBS yako wozokurukura nachiremba wako.

Kurapa

Vanhu vazhinji vane IBS vanobatsirwa nekuona chiremba wepfungwa. Kurapa kunogona kukubatsira kudzora kushushikana nemamiriro ezvinhu anokonzera IBS, akadai sekuzvidya mwoyo uye kuora mwoyo. Vamwe vanhu vanowana zororo nenzira idzi:

• Kurapa kwemaitiro ekuziva (CBT)
• Kurapa neHypnotherapy
• Mhinduro dzezvehupenyu

Mishonga

Chiremba wako anogona kukupa mishonga yakaita seiyi yekuderedza zviratidzo:

• Mishonga yekuderedza kushungurudzika (kana uine kurwadziwa kwakanyanya mudumbu pamwe chete nekuora mwoyo uye kuzvidya mwoyo). Izvi zvinosanganisira mishonga yakaita se tricyclic antidepressants (TCAs) uye selective serotonin reuptake inhibitors (SSRIs).
• Mishonga inoderedza kuvimbiwa (kusanganisira fiber supplements uye laxatives).
• Mishonga inokora tsvina (inoderedza manyoka).
• Mishonga inoderedza kurwadziwa kwemudumbu.

Kunyange hazvo tsvakiridzo yekushanda kwayo ichiri kuenderera mberi, chiremba wako anogona kukurudzira ma probiotics. Aya "mabhakitiriya akanaka" anogona kubatsira kuderedza zviratidzo zveIBS.

Kunewo mishonga inoshandiswa kurapa IBS:

• Dicyclomine (Bentyl®)
• Hyoscyamine (Levsin®)
• Lubiprostone ((Lubiprostone (Amitiza®)))
• Linaclotide (Linaclotide (Linzess®))
• Plecanatide ((Plecanatide (Trulance®)))
• Rifaximin ((Rifaximin (Xifaxan®)))

Zvakakosha: Mishonga iyi yese inofanira kushandiswa chete kana chiremba akupa zano. Usatore mishonga wega.

Ko IBS inogona kuporeswa zvachose here?

Kwete, hapana mushonga weIBS. Zvisinei, vanhu vazhinji vanogona kudzora zviratidzo zvavo zvakanaka nekudzivisa zvinovakonzera uye kutora mishonga kana zvichidikanwa.

Ko IBS inogona kukonzera zvimwe zvirwere zvakakomba zvemudumbu here?

Kwete, kuva neIBS hakukuisi panjodzi huru yekubatwa nezvirwere zvakakomba zvakaita secolitis, chirwere cheCrohn, kana kenza yemuura. Izvi zvinotyisa vanhu vazhinji, asi usanyanya kunetseka nezvazvo.

Munhu ane IBS anowanzonzwa sei?

Kurarama neIBS kunogona kuoma, sezvo zviratidzo zvinogona kuuya uye zvichienda muhupenyu hwako hwese. Kuwana mushonga kunogona kuva kuedza uye kukanganisa. Asi mashoko akanaka ndeekuti anenge munhu wese ane IBS anogona kuwana mushonga unoshanda kwavari.

Kazhinji, zviratidzo zvinovandudzika nekufamba kwenguva nekuchinja kudya kwako uye mazinga ekuita. Ungangoda kuva nemoyo murefu paunoona uye kudzivirira zvinokonzera. Zviratidzo zvako zvingasapera zvachose. Zvisinei, unofanira kuona kuvandudzika kukuru mumanzwiro ako mukati memavhiki kana mwedzi mishoma.

Ndinogona here kudzivirira IBS?

Sezvo chikonzero chaicho cheIBS chisati chazivikanwa, hapana nzira yekudzivirira kana kudzosera shure. Zvisinei, kana uine IBS, kudzivirira zvinokonzera zvinogona kubatsira kuderedza kuwanda kwezviratidzo zvako.

Ndirini pakanakisisa pekutsvaga mazano ekurapa?

Kana zviratidzo zvako zvikaramba zviripo kwemwedzi inopfuura mitatu, kana zvikawedzera kuipa zuva nezuva, unofanira kuona chiremba. Kunyangwe zviratidzo zvako zvisingawanzoitiki, kana zvikakanganisa hupenyu hwako hwezuva nezuva, zvakanaka kutaura nachiremba wemhuri yako (mupi wehutano hwepakutanga).

Zvimwe zviratidzo zvinogona kuratidza dambudziko rakakura. Kana uine chimwe chezvinotevera pamwe chete nezviratidzo zveIBS , enda kuna chiremba nekukurumidza sezvinobvira:

Kana uine chimwe chezviratidzo izvi pamwe chete nezviratidzo zveIBS, enda kuna chiremba nekukasika!

• Kupindwa nechando
• Kurutsa
• Kubuda ropa mutsvina
• Kuderedza uremu kusingatsananguriki
• Manyoka akanyanya zvekuti anokumutsa husiku.
• Kurwadziwa kwakanyanya mudumbu (kunyanya kurwadziwa kusingapere mushure mekubvisa tsvina kana kubuda mweya).

Mibvunzo yekubvunza chiremba wako

Kana uine zviratidzo zveIBS, bvunza chiremba wako mibvunzo yakaita seiyi:

• Mishonga ipi inogona kundibatsira?
• Ndezvipi zvekudya zvandinofanira kudzivisa?
• Ndezvipi zvinhu zvandinofanira kuchinja pamararamiro angu?
• Ndichatanga kunzwa zviri nani kwenguva yakareba sei?

Mharidzo Yekuenda Nayo Kumba

Zviratidzo zveIBS, zvakaita sekurwadziwa mudumbu, manyoka, kuvimbiwa, uye kuzvimba, zvinogona kushungurudza uye zvinogona kukanganisa hupenyu hwako. Zvisinei, IBS chirwere chinorapika.Unogona kugadzirisa zviratidzo zvako nekuchinja zvaunodya nezvaunonwa uye nekugadzirisa maitiro ako ezuva nezuva kuti ugadzirise zvinokukonzera. Kana uine kurwadziwa kwemudumbu kunoramba kuripo, iva nechokwadi chekuona chiremba. Pamwe chete, munogona kuwana chirongwa chekurapa IBS chinoshanda kwamuri. Musavhunduka, uye musatambura muri mega!

IBS , kurwadziwa nemudumbu, manyoka, kuvimbiwa, kugaya chikafu, zvirwere zvemudumbu, kushushikana uye kurwadziwa nemudumbu