Ngaba nawe usoloko unengxaki yesisu? Masifunde ngakumbi ngesi sifo sibizwa ngokuba yi-(Irritable Bowel Syndrome - IBS)?

Ngaba ngamanye amaxesha ubanezintlungu zesisu ezingaqhelekanga, ukudumba, indle efana norhudo xa usiya kwindlu yangasese, okanye unengxaki yokuhlala uqunjelwe iintsuku ezininzi? Ezi mpawu azikho, kodwa zininzi ezidibanayo kwaye zichaphazele inkqubo yakho yokugaya ukutya, nto leyo esithetha ngayo namhlanje (Irritable Bowel Syndrome), okanye (IBS) ngamafutshane. Le yimeko eqhelekileyo nengakhululekanga.

Yintoni i-Irritable Bowel Syndrome (IBS)?

Ngamafutshane, i-IBS yingqokelela yeempawu kunye neengxaki ezichaphazela inkqubo yakho yokugaya ukutya, ingakumbi amathumbu akho. Yimeko eqhelekileyo echaphazela amathumbu akho. Abantu abane-IBS banokufumana iintlungu zesisu rhoqo kunye nokuqaqamba. Kunye noku, usenokuba norhudo rhoqo, ukuqhina, okanye ngamanye amaxesha zombini.

Kodwa eyona nto ilungileyo kukuba i-IBS ayonakalisi izicubu zenkqubo yakho yokugaya ukutya. Ayinyusi nomngcipheko wakho wokuba nezifo ezinzulu ezifana nomhlaza wamathumbu amakhulu. Nangona sisimo esingapheliyo, abantu abaninzi banokuyilawula kakuhle ngokwenza utshintsho kwindlela yabo yokuphila yemihla ngemihla, imikhwa yokutya, ukuthatha amayeza ukuba kuyimfuneko, kunye nonyango oluthile lokuziphatha.

Ngaba kukho iintlobo eziphambili ze-IBS?

Ewe, i-IBS ihlelwa ngokusekwe kuhlobo lwendle yakho (sidla ngokuyibiza ngokuba yi-'poo') kwiintsuku apho iimpawu zakho zinzima kakhulu. Abantu abaninzi abane-IBS baneentshukumo eziqhelekileyo zamathumbu ngezinye iintsuku, kodwa iintshukumo ezingaqhelekanga zamathumbu kwezinye iintsuku. Uhlobo lweentshukumo zamathumbu ngaloo mihla ingaqhelekanga luchaza uhlobo lwe-IBS.

• I-IBS ene-constipation (IBS-C): Kwimeko enjalo, uninzi lwendle yakho kunzima ukuyikhupha, inamaqhubu, kwaye yomile.
• I-IBS ene-diarrhea (IBS-D): Kulapho uninzi lwendle yakho lukhululekile khona, njengamanzi.
• I-IBS enemikhwa yokuxutywa kwamathumbu (IBS-M): Kolu hlobo, unokufumana iziqendu ezahlukeneyo zokuqunjelwa (indle eqinileyo, enamaqhuqhuva) kunye norhudo (indle ekhululekileyo).

Kubalulekile ukuqonda la mahluko, njengoko ezinye iindlela zonyango zisebenza kuphela kwiintlobo ezithile ze-IBS.

Ixhaphake kangakanani i-IBS?

Le yimeko eqhelekileyo kakhulu. Ngokutsho kweengcali, kuqikelelwa ukuba phakathi kwe-10% kunye ne-15% yabantu abadala eMelika bane-IBS. Nangona kunjalo, yipesenti encinci kuphela, phakathi kwe-5% kunye ne-7%, eyakha yabona ugqirha kwaye yafunyaniswa ukuba ine-IBS. Imeko kwilizwe lethu isenokuba ifana kakhulu.

I-IBS yenye yezifo ezixhaphakileyo ezichongwa ziingcali ze-gastroenterologists.

Zithini iimpawu ze-IBS?

Iimpawu ze-IBS zinokuba yinto engaguqukiyo. Okanye, zinokuba zizinto ezingaqhelekanga (ukudumba). Oko kuthetha ukuba awunazo iimpawu ngalo lonke ixesha. Ngamanye amaxesha iimpawu ziyaphela (uba nesisu esiqhelekileyo), zize zibuye emva kwexesha elithile.

Iimpawu eziphambili ze-IBS zezi:

• Oku kudla ngokuhamba neentlungu zesisu okanye ukuqaqamba, okudla ngokuhamba nemfuneko yokukhupha indle.
• Igesi egqithisileyo kunye nokudumba.
• Urhudo, ukuqhina, okanye ukutshintshana phakathi kwezi zinto zimbini.
• Kusenokubakho amasuntswana afana ne-mucus (njengolwelo olumhlophe) kwi-stool.
• Ukuziva ngathi isisu asikaphumi ngokupheleleyo, nokuba sele uphumile.

Ziziphi izizathu ze-IBS?

Abaphandi abakayazi kakuhle into ebangela i-IBS. Nangona kunjalo, ihlelwa njengesifo se-neurogastrointestinal (GI). Ezi meko zikwabizwa ngokuba "ziingxaki zokusebenzisana kwamathumbu nobuchopho." Ngamafutshane, kukholelwa ukuba zibangelwa ziingxaki zonxibelelwano phakathi kwengqondo yakho kunye namathumbu akho, nto leyo enceda inkqubo yakho yokugaya ukutya isebenze kakuhle.

Ezi ngxaki zonxibelelwano phakathi kwengqondo kunye namathumbu zinokubangela izinto ezifana nezi:

• Ukungasebenzi kakuhle kwemisipha: Iingxaki ngendlela izihlunu kwinkqubo yakho yokugaya ukutya ezincipha ngayo kwaye zihambisa ukutya kwindlela yokugaya ukutya . Abantu abane-IBS babonakala bencipha kakhulu kwimisipha yabo enkulu kunesiqhelo. Ezi zinciphiso zibangela ukuqaqamba kunye nentlungu.
• Ukwanda kwe-visceral hypersensitivity: Imithambo-luvo kwinkqubo yakho yokugaya ukutya inokuba novakalelo olugqithisileyo. Abantu abane-IBS bafunyenwe benokunyamezela iintlungu okuncinci kunabo bangenayo i-IBS. Oku kuthetha ukuba amathumbu akho anokuba novakalelo olungakumbi kwiintlungu nokungonwabi kunomntu oqhelekileyo.

Nazi ezinye izinto ezinokubangela i-IBS:

• Iibhaktheriya zamathumbu: Uphando lubonise ukuba kukho umahluko kwiibhaktheriya kwindlela yokugaya ukutya yabantu abane-IBS. Olu mahluko lunokuba negalelo kwiimpawu. Izifundo zifumanise ukuba iintlobo kunye nobungakanani beebhaktheriya zamathumbu abantu abane-IBS bahlukile kwezo zingenayo i-IBS.
• Usulelo olunzima: Abanye abantu bafunyanwa bene-IBS emva kosulelo olunzima oluchaphazela inkqubo yokugaya ukutya. Ngoko ke kusenokwenzeka ukuba iintsholongwane zidlala indima koku.
• Ukunganyamezelani nokutya: Ukunganyamezelani nokutya okuthile okanye ukunganyamezelani nokutya kunokubangela i-IBS. Umzekelo, abanye abantu abakwazi ukugaya iimveliso zobisi, ngelixa abanye beziva bengakhululekanga xa besitya ukutya okwenziwe ngomgubo wengqolowa.
• Uxinzelelo lobuntwana: I-IBS ixhaphake kakhulu kubantu abaye baxhatshazwa ngokwasemzimbeni, ngokwesondo, okanye ngokweemvakalelo ebuntwaneni. Oku kuthetha ukuba uxinzelelo olukhulu lwengqondo nalo ludlala indima.

Ziziphi izinto ezibangela ukuba iimpawu ze-IBS ziphakame?

Ukuba une-IBS, usenokuba uqaphele ukuba ezinye izinto zenza iimpawu zakho zibe mandundu. Ezi azingonobangela weso simo, kodwa zinokwenza iimpawu zakho zibe mandundu okanye zibangele ukuba kuvele ezintsha. Ezi sizibiza ngokuba zizinto ezibangela isifo. Ezona zinto zixhaphakileyo zezi:

• Ukuya exesheni: Usenokufumanisa ukuba iimpawu zakho ziyanda xa usiya exesheni.
• Ukutya okuthile: Oku kuyahluka kumntu nomntu. Nangona kunjalo, ukutya okuqhelekileyo okunokunyusa iimpawu ze-IBS kubandakanya ubisi, ukutya okuqulethe i-gluten (njengomgubo wengqolowa), kunye nokutya neziselo ezibangela igesi (umz., iimbotyi, ikhaphetshu, iziselo ezineswekile).
• Uxinzelelo: Abanye abaphandi bathi i-IBS yindlela esabela ngayo kuxinzelelo. Yingakho i-IBS ngamanye amaxesha ibizwa ngokuba "yisisu esineemvakalelo" okanye "isisu esixhalabileyo." Cinga ngayo, ngaba uziva ngathi isisu sakho sibuhlungu ngakumbi xa unovavanyo oluzayo okanye xa unengxaki eofisini? Kulungile.

Ngubani osengozini enkulu yokuphuhlisa i-IBS?

I-IBS ixhaphake kakhulu kubantu abaphakathi kweminyaka eli-18 ukuya kwengama-20 kunye nasekuqaleni kweminyaka engama-40 . Abafazi banamathuba aphindwe kabini okufumana i-IBS kunamadoda. Ezinye izinto ezinobungozi ziquka:

• Ukunganyamezelani nokutya okuthile.
• Ukuba ndikhe ndanesifo sokugaya ukutya esibi kakhulu ngaphambili.
• Njengoko bekutshiwo ngaphambili, ukuba nembali yokuxhatshazwa ebuntwaneni okanye kamva.
• Ukuba neemeko zempilo yengqondo ezifana nokuxhalaba, ukudakumba, okanye isifo soxinzelelo emva kwesiganeko esibuhlungu (PTSD).

Abantu abaninzi abane-IBS banezinye iimeko zentlungu engapheliyo. Iimeko ezonyusa umngcipheko we-IBS ziquka:

• I-Fibromyalgia
• Isifo sokudinwa okungapheliyo (isifo sokudinwa okungapheliyo)
• Intlungu engapheliyo ye-pelvic

Ungafumanisa njani ukuba une-IBS? (Ukuxilongwa)

Inyathelo lokuqala ekuxilongeni i-IBS kukuthatha imbali epheleleyo yezonyango. Ugqirha wakho uza kukubuza ngeempawu zakho. Umzekelo:

• Ngaba uziva iintlungu xa ukhupha indle?
• Ngaba uyawubona umahluko kwindlela ohamba ngayo amathumbu akho rhoqo?
• Ngaba kukho utshintsho kwindlela esibonakala ngayo isitulo sakho?
• Uba nala mpawu kangaphi?
• Ziqale nini ezi mpawu?
• Ngaba kukho amayeza owasebenzisayo?
• Ngaba ukhe wagula kutshanje okanye wadibana nesiganeko esibangela uxinezeleko ebomini bakho?

Ngokuxhomekeke kwiimpawu zakho, kunokufuneka wenze olunye uvavanyo ukuqinisekisa ukuxilongwa. Akukho vavanyo lunye oluqinisekileyo lokufumanisa i-IBS. Endaweni yoko, ugqirha wakho uya kugqiba ukuba unayo na i-IBS ngoku:

• Ndivile ngeempawu zakho.
• Jonga ukuba sele uhlolwe umhlaza wamathumbu akho ngexesha elifanelekileyo na.
• Qiniseka ukuba awunazo iimpawu ezibonisa ezinye iimeko zempilo.

Uvavanyo lwelebhu

Rhoqo, uvavanyo lwelabhoratri lwenziwa ukuze kuthintelwe ezinye iimeko ezinokubangela iimpawu zakho, ezinje ngokosuleleka, ukunganyamezelani nokutya, okanye esinye isifo sokugaya ukutya (njengeSifo sokudumba kwamathumbu - IBD). Asinguye wonke umntu ofuna uvavanyo olufanayo.

• Uvavanyo lwegazi: Jonga ukuba kukho isifo senkqubo yokugaya ukutya okanye ezinye iimeko ezinokubangela iimpawu zakho.
• Uvavanyo lwesitulo: Ukujonga ukudumba kwamathumbu ngenxa yosulelo okanye isifo senkqubo yokugaya ukutya.
• Uvavanyo lokuphefumla nge-hydrogen: Jonga ukuba ngaba une-small intestine overgrowth (SIBO) okanye ukuba awunakukwazi ukujamelana nokutya.

Ezinye iimvavanyo (Uvavanyo lomfanekiso)

Iinkqubo zokuthatha imifanekiso zingafuneka ukuze kuthintelwe ukudumba okanye ukukhula okungaqhelekanga kwinkqubo yakho yokugaya ukutya.

• I-Colonoscopy: Oku kunceda ugqirha wakho ukuba afumanise ukuba unayo nayiphi na ingxaki yamathumbu (njenge-polyps, i-IBD, okanye ukukhula komhlaza) okunokubangela iimpawu zakho. Ngexesha lovavanyo, ugqirha wakho ufaka ityhubhu (scope) enekhamera ngaphakathi kuyo enokuyibona yonke ikholoni yakho.
• I-sigmoidoscopy eguquguqukayo: Oku kufana ne-colonoscopy, kodwa ugqirha unokubona kuphela ngaphakathi kwe-rectum yakho nakwinxalenye esezantsi ye-colon yakho.
• I-Upper endoscopy: Oku kunokunceda ekuxilongeni isifo se-celiac okanye ezinye iingxaki zenkqubo yokugaya ukutya. Olu vavanyo lusebenzisa ityhubhu encinci ukujonga umphimbo wakho, isisu, kunye nenxalenye yokuqala yamathumbu akho amancinci, i-duodenum.

Ziziphi iindlela zonyango ze-IBS?

Akukho nyango lufanayo nolunye. Nangona kunjalo, uninzi lwabantu abane-IBS banokufumana isicwangciso sonyango esibalungeleyo. Unyango oluqhelekileyo luquka utshintsho kwindlela yokutya kunye notshintsho kwindlela yokuphila. Amayeza anokunceda. Unyango lwempilo yokuziphatha lunokunceda nabanye abantu.

Uninzi lwezi ndlela zonyango zithatha ixesha ukusebenza. Nangona zinokukunceda ukulawula iimpawu zakho, zisenokungaziphelisi ngokupheleleyo.

Utshintsho kwindlela yokutya

Ingcali yesondlo ingakunceda ukhethe ukutya okufanelekileyo kuwe kwaye utshintshe indlela otya ngayo ukuze uthintele iimpawu ukuba zingabi mbi. Ingacebisa izinto ezifana nezi:

• Yongeza ifayibha engakumbi ekutyeni kwakho. Ukutya okunefayibha eninzi (iziqhamo, imifuno, iinkozo ezipheleleyo, iirasentyisi, amandongomane) kunokunceda abantu abanesifo sokuqhinwa. Kodwa musa ukuqala ukutya ifayibha engakumbi ngaxeshanye; yongeza kancinci kancinci, ukuze amathumbu akho abe nexesha lokuziqhelanisa.
• Thatha ifayibha eyongezelelweyo. Enye indlela kukusebenzisa izongezo zefayibha ezifana neMetamucil® okanye iCitrucel® (qhagamshelana nogqirha wakho ngaphambi kokuba uzisebenzise).
• Nciphisa ukutya kobisi (okufana netshizi nobisi). Ukunganyamezelani ne-lactose kuxhaphakile kubantu abane-IBS. Ukuba uyayeka ukusebenzisa ubisi, qiniseka ukuba utya ezinye ukutya okutyebileyo kwi-calcium (umz., ibroccoli, ispinatshi, isalmon).
• Nciphisa ukutya okubangela igesi. Ukutya okufana neembotyi, iiBrussels sprouts, kunye nekhaphetshu kwaziwa ngokuba kubangela igesi. Iziselo ezinekhabhoni kunye ne-chewing gum nazo zinokubangela igesi. Nciphisa oku kutya kwaye unike amathumbu akho ikhefu.
• Kuphephe ukutya okuqulethe igluten. Kwanabantu abangenaso isifo se-celiac (IBS) banokuba novelwano kwigluten. Ukuba ukhetha ukutya okungenagluten, thetha nogqirha wakho ukuqinisekisa ukuba ufumana iivithamini kunye neeminerali ezibalulekileyo (ezifana nefayibha, isinyithi, kunye necalcium) ezifumaneka ekutyeni okuqulethe igluten.
• Zama ukutya okune-FODMAP ephantsi. Olu cwangciso lokutya lunciphisa inani lee-carbohydrate ozityayo. Endaweni yoko, lucebisa ukutya okuhlukileyo okukunika izondlo ozifunayo kwaye kulula kwindlela yakho yokugaya ukutya. Oku kunokuba nzima kancinci, ngoko ke kungcono ukubonana nogqirha okanye ingcali yezondlo.
• Sela amanzi amaninzi. Sela ubuncinane iiglasi ezisi-8 (malunga neelitha ezi-2) zamanzi ngosuku. Amanzi agcina inkqubo yakho yokugaya ukutya inamanzi kwaye anceda ekunciphiseni okanye ekuthinteleni ukuqhinwa.
• Gcina idayari yokutya. Ugqirha wakho angakucela ukuba ugcine idayari yokutya ukuze ufumane ukuba zeziphi ukutya ozityayo kunye nokuba zeziphi ukutya ezibangela iimpawu zakho ze-IBS. Ungabonisa oku kwingcali yesondlo.

Utshintsho kwindlela yokuphila

Ukutshintsha imisebenzi yakho yemihla ngemihla nako kunokunceda. Ugqirha wakho angacebisa oku kulandelayo:

• Zilolonge rhoqo. Zimisele imizuzu eli-150 yokuzilolonga okuphakathi ngeveki. Oko kuthetha malunga nemizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki. "Okuphakathi" kuthetha inqanaba apho isantya sentliziyo yakho sinyuka khona.
• Zama iindlela zokuphumla. I-yoga yemihla ngemihla, ukucamngca, kunye nezinye iindlela zokunciphisa uxinzelelo zinokunceda ukuzola inkqubo yemithambo-luvo esebenza kakhulu kunye "nesisu esingaphumliyo." Ngamanye amaxesha ingcali yezonyango yokuziphatha inokunceda.
• Lala ngokwaneleyo. Zimisele ukulala kakuhle iiyure ezisi-7 ukuya kwezisi-9 ubusuku ngabunye. Lala ngexesha elifanayo yonke imihla. Ukulala kakuhle ebusuku yenye yezona ndlela zinamandla zokunciphisa uxinzelelo. Ukuba unengxaki yokulala, bona ugqirha.
• Gcina idayari yemisebenzi. Bhala phantsi imisebenzi ekuncedayo ukulawula i-IBS yakho uze uyixoxe nogqirha wakho.

Unyango

Abantu abaninzi abane-IBS bayazuza ngokubona ugqirha wengqondo. Unyango lunokukunceda ulawule uxinzelelo kunye neemeko ezibangela i-IBS, ezinje ngexhala nokudakumba. Abanye abantu bafumana isiqabu ngezi ndlela:

• Unyango lokuziphatha kwengqondo (i-CBT)
• Unyango lwe-hypnotherapy
• Impendulo ye-Bio

Amayeza

Ugqirha wakho angakunika amayeza anjengala ukunciphisa iimpawu:

• Amayeza okudakumba (ukuba unentlungu enkulu esiswini kunye nokudakumba kunye nokuxhalaba). Ezi ziquka amayeza afana ne-tricyclic antidepressants (TCAs) kunye ne-selective serotonin reuptake inhibitors (SSRIs).
• Amayeza anceda ukuqhina kwesisu (kuquka izongezo zefayibha kunye neyeza lokuhambisa isisu).
• Amayeza aqinisa indle (alwa norhudo).
• Amayeza anciphisa ukuqaqamba kwamathumbu.

Nangona uphando malunga nokusebenza kwazo lusaqhubeka, ugqirha wakho unokucebisa iiprobiotics. Ezi "bhaktheriya zilungileyo" zinokunceda ekunciphiseni iimpawu ze-IBS.

Kukwakho namayeza asetyenziswa ngokukodwa ukunyanga i-IBS:

• I-Dicyclomine (iBentyl®)
• IHyoscyamine (Levsin®)
• ILubiprostone ((Lubiprostone (Amitiza®)))
• ILinaclotide ((Linaclotide (Linzess®))
• I-Plecanatide ((Plecanatide (Trulance®)))
• I-Rifaximin ((Rifaximin (Xifaxan®)))

Kubalulekile: Onke la mayeza afanele asetyenziswe kuphela phantsi kwengcebiso kagqirha. Musa ukuwasela amayeza wedwa.

Ngaba i-IBS inganyangeka ngokupheleleyo?

Hayi, akukho nyango lwe-IBS. Nangona kunjalo, abantu abaninzi banokuzilawula kakuhle iimpawu zabo ngokuphepha izinto ezibangela esi sifo nangokuthatha amayeza xa kuyimfuneko.

Ngaba i-IBS ingabangela ezinye izifo ezinzulu zamathumbu?

Hayi, ukuba ne-IBS akukubeki emngciphekweni omkhulu wokuba nezifo ezinzulu ezifana ne-colitis, isifo sikaCrohn, okanye umhlaza wamathumbu amakhulu. Olu loyikiso olukhulu kubantu abaninzi, kodwa ungakhathazeki kakhulu ngalo.

Umntu one-IBS uziva njani rhoqo?

Ukuphila ne-IBS kunokuba nzima, njengoko iimpawu zinokuvela zize zidlule ubomi bakho bonke. Ukufumana unyango kunokuba yinkqubo yokuzama nokulungisa. Kodwa iindaba ezimnandi zezokuba phantse wonke umntu one-IBS ekugqibeleni unokufumana unyango olubalungeleyo.

Ngokwesiqhelo, iimpawu ziyaphucuka ngokuhamba kwexesha ngokwenza utshintsho kwindlela otya ngayo kunye namanqanaba omsebenzi wakho. Kusenokufuneka ube nomonde njengoko uqaphela kwaye uphepha izinto ezibangela oku. Iimpawu zakho zisenokungapheli ngokupheleleyo. Nangona kunjalo, kuya kufuneka ubone ukuphucuka okukhulu kwindlela oziva ngayo kwiiveki okanye kwiinyanga ezimbalwa.

Ndingayithintela na i-IBS?

Ekubeni unobangela we-IBS ungekaziwa okwangoku, akukho ndlela yokuyithintela okanye yokuyiguqula. Nangona kunjalo, ukuba une-IBS, ukuphepha izinto ezibangela ukuba ube nesifo kunokunceda ukunciphisa ukuphindaphindeka kweempawu zakho.

Kunini apho kungcono ukufumana ingcebiso kagqirha?

Ukuba iimpawu zakho ziyaqhubeka ixesha elingaphezu kweenyanga ezintathu, okanye ukuba ziya zisiba mandundu imihla ngemihla, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Nokuba iimpawu zakho aziqhelekanga, ukuba ziyaphazamisana nobomi bakho bemihla ngemihla, kulungile ukuthetha nogqirha wakho wosapho (umboneleli weenkonzo zokhathalelo oluphambili).

Ezinye iimpawu zingabonisa ingxaki enkulu ngakumbi. Ukuba unayo nayiphi na kwezi zilandelayo kunye neempawu eziqhelekileyo ze-IBS , bona ugqirha ngokukhawuleza:

Ukuba unayo nayiphi na kwezi mpawu kunye neempawu ze-IBS, bonana nogqirha ngokukhawuleza!

• Ifiva
• Ukuhlanza
• Ukopha emqolo
• Ukunciphisa umzimba ngendlela engachazekiyo
• Urhudo lunzima kangangokuba lukuvusa ebusuku.
• Intlungu ebuhlungu esiswini (ingakumbi intlungu engapheli emva kokuphuma kwesisu okanye ukuphuma komoya).

Imibuzo omele uyibuze ugqirha wakho

Ukuba uneempawu ze-IBS, buza ugqirha wakho imibuzo efana nale:

• Ngawaphi amayeza anokundinceda?
• Ziziphi ukutya ekufuneka ndiziphephe?
• Zeziphi iinguqu zendlela yokuphila ekufuneka ndizenze?
• Ndiza kuqala nini ukuziva ngcono?

Umyalezo Wokuya Ekhaya

Iimpawu ze-IBS, ezinje ngeentlungu zesisu, urhudo, ukuqhina, kunye nokudumba, zinokuba nzima kakhulu kwaye zinokuphazamisa ubomi bakho. Nangona kunjalo, i-IBS yimeko elawulekayo.Ungaziphucula iimpawu zakho ngokutshintsha oko ukutyayo nokuselayo nangokulungisa imikhwa yakho yemihla ngemihla ukuze ujongane nezinto ezibangela oku. Ukuba unentlungu yesisu engapheliyo, qiniseka ukuba ubona ugqirha. Kunye, ninokufumana isicwangciso sonyango lwe-IBS esikusebenzelayo. Musa ukoyika, kwaye ungabi wedwa!

I- IBS, iintlungu zesisu, urhudo, ukuqhina, inkqubo yokwetyisa, izifo zamathumbu, uxinzelelo kunye nentlungu yesisu