Kuru >> Dzidzo Yehutano >> Kuzvidya mwoyo kunokonzera IBS here?

Kuzvidya mwoyo kunokonzera IBS here?

Dzidzo yehutano

Uri kunzwa kushushikana uchidzidzira bvunzo yakakosha, kugadzirira kubvunza waunoshandira kukwidziridzwa, kana kugadzirira kugara pasi woita hurukuro yakaoma nemumwe wako. Ipapo, iko kunzwisisika kwekunzwa kunokurova: Dumbu rako rakaoma uye rinorwadza, uye pamwe unofanirwa kumhanyira kuchimbuzi nekukurumidza. Dumbu rinogumbuka inowanzoitika kuzvinetsa-zvichikonzera mamiriro. Tsinga uye matambudziko ekugaya anowanzoenda-mu-ruoko. Asi pane kuwirirana here pakati pehupenyu-zviitiko kana kusagadzikana kwepfungwa uye kushungurudzika kwehurwere chirwere (IBS)? Zvakaoma.

Chii chinonzi irritable bowel syndrome (IBS)?

Sekureva kweHofisi yeVakadzi Hutano, anogumbuka ura chirwere (IBS) iri kusanganiswa kwezviratidzo iyo inogara kwemwedzi mitatu. Zviratidzo zvakajairika zveBS zvinosanganisira:

Dumbu kana kupwanya
Marwadzo emudumbu
Bloating
Manyoka
Kuzvimbirwa

Dzimwe mamiriro anogona kukonzera zviratidzo zvakafanana, saka zvakakosha kuve nekuongororwa kwechiremba kuve nechokwadi kuti hapana chimwe cheizvi chiripo, anodaro David D. Clarke , MD, muzvinafundo we gastroenterology uye mutungamiri we Psychophysiologic Dambudziko Association .

Semuenzaniso, wako mupi wezvehutano anogona kuda kutonga kunze kwechiliac chirwere, chirwere chekuputira ura, chirwere cheCrohn, kusagadzikana kwelactose, kana kenza yekoloni. IBS inowanzo kuongororwa nekubviswa, maitiro ekuona kuti zviratidzo zvako hazvikonzerwe nezvimwe zvirwere zvakafanana.

Chii chinokonzera IBS?

Iko hakuna chikonzero chakajeka cheBS, sekureva kwe Cleveland Clinic . Zvisinei, pane zvimwe zvinokonzera njodzi:

Gender: IBS inowanzoitika kune vakadzi kupfuura varume. About 2 mu3 vanhu vane IBS vanhukadzi.
Kushungurudzika: Iwe unogona kutanga kuve neBS paunenge uchipfuura nekukosha kunetseka kwepfungwa, inotsanangura Ashkan Farhadi, MD , gastroenterologist kuChirangaridzoCare Orange Coast Medical Center muFountain Valley, California.
Matambudziko epfungwa: Mamiriro akaita senge-yekushungurudza kusagadzikana kusagadzikana, kutya kwekutya, kushushikana, kushushikana, uye zvakashata zviitiko zvehudiki (ACE) zvinogona kunge zvakabatana neBS, sekureva kwaDr Clarke.
Kuvhiringidzika mugumbo biome: Akakomberedza mumwe kana vaviri kubva pavashanu varwere vese vane IBS vanozove nekukura kwebhakitiriya mumudumbu mudiki. Kune mamiriro ezvinhu mumatumbu ayo anogona kukutungamira. Unogona kuve nechikamu chakaipa chegastroenteritis… kana hutachiona hwaenda, hypersensitivity inosara mushure inogona kukonzera zviratidzo zveBS, anodaro Dr. Farhadi.

Neraki, IBS haina kupfupisa hupenyu hwemurwere, vese Dr. Farhadi naDr Clarke vakasimbisa. Izvo zvakare hazvitungamire gomarara. Kune mishonga inoshanda inogona kudzoreredza hupenyu hwako, kunyangwe iwe uchisangana neBS chete, kana kushushikana, futi.

IBS uye kushushikana zvakabatana sei?

Uropi hwako uye ako emudumbu (GI) zviratidzo zvakabatana, nehurongwa hwekutaurirana mumuviri wako unonzi gut-brain axis. Mune mamwe mazwi, kana yako nervous system (iyo inodzora manzwiro ako nepfungwa) inosangana nekushushikana, iko kupindura kunokanganisa yako GI turakiti - uye zvinopesana.

Kana iwe uchinzwa kunetseka, mahormone ekudzvinyirira anokuita kuti unzwe nenzira iyoyo anogona kupfuudzwa kuura hwako-zvichikonzera zviratidzo zvemuviri zvinowanzodaidzwa nevanhu dumbu rekutya , dziya dzinongoerekana dzaita ura kana wagumbuka. Kana, kana kugara uchirwadziwa nemudumbu kuchiita kuti unzwe sekunge ungangoda kumhanyira kuchimbuzi chero nguva, moyo wako unogona kukanganisika. Zvakareruka zvinhu senge husiku kunze neshamwari kana kuenda refu mota dhiraivha inogona kuwedzera kushushikana uye kushungurudzika munharaunda. Zvakaoma kuziva izvo zvinouya pakutanga-kushushikana, kana zviratidzo zveBS.

Chikonzero nemhedzisiro mumushonga zvakanyatso kuoma kusimbisa, zvakanyanya zvatinogona kusimbisa kusangana, Dr. Farhadi anodaro. Kuzvidya mwoyo kunosanganisirwa zvakanyanya neBS, uye IBS inosangana zvakanyanya nekushushikana. Kunyangwe IBS iri kukonzera kushushikana, kana kushushikana kuri kukonzera IBS haisati yaonekwa. Zvakafanana nehuku nezai conundrum.

Kuzvidya mwoyo uye IBS zvinogona kuwedzera mumwe nemumwe, anodaro Dr. Clarke. Zvidzidzo zvinoratidza kuti kushushikana uye zvakajairika kusagadzikana kusagadzikana zvakanyanya kuwanda kune varwere vane IBS, kana tichienzanisa nehuwandu hwevanhu.

Imwe fundo inopedzisa kuti zviitiko zvakashata zvehucheche (ACE's) zvinowedzera mukana weBS. Chimwe chidzidzo inoti 30% yevarwere veBS vanosangana nekushushikana, zvichienzaniswa ne18% yehuwandu hwevanhu. Saizvozvowo, 16% yevarwere veBS vakati vane kushushikana, nepo 6% yehuwandu hwevanhu vakataura kunetseka. Mukati kumwe kutsvagurudza nhamba idzi dzaitonyanya kutyisa: 44% yevarwere veBS vakataura kunetseka, uye 84% vakataura kushungurudzika. Kubvumirana kwakawanda ndekwekuti haugone kupatsanura hutano hwepfungwa uye IBS.

Maitiro ekugadzirisa kushungurudzika-kwakabatana IBS

Kurapa kwe IBS inogona kusanganisira mararamiro ehupenyu uye mishonga yemishonga, zvichienderana nezviratidzo uye kuoma kwechirwere. Kana kushushikana kuri mumusanganiswa, kurapwa kunofanira zvakare kusanganisira ekurapa ekuderedza kunetseka kana kubata nezviratidzo zvehukama hwepfungwa hune hukama.

Mararamiro anochinja

Maererano ne Harvard Hutano , mamwe mararamire shanduko anosanganisira:

Zvishoma nezvishoma kuwedzera fiber kudya kunodzora ura
Kuchengeta chikafu chinodyiwa kuti uone chero chikafu chinokonzeresa IBS
Kudya zvidiki zvidiki kuti usaputika uye gasi
Kuvimbisa kunwa mvura kwakakodzera

Dr. Farhadi vanoti ivo vanotenda kuti dzidzo ndicho chinhu chakakosha kwazvo kubata IBS, uye anokurudzira varwere vake kuti vanzwisise miviri yavo uye maitiro ekudzora kuputika kweBS.

Mishonga

Mimwe mishonga yaakati inogona kubatsira kurapa IBS inosanganisira:

Mishonga inorwisa mabhakitiriya , iyo inouraya mabhakitiriya akaipa mumatumbu madiki. Mishonga inorwisa mabhakitiriya inowanzo dzidzwa yeBS ndeye Xifaxin ( rifaximin ).
MaProbiotic , izvo zvinowedzera mabhakitiriya akanaka ari mumatumbu uye zvinogona kubatsira kuvandudza mweya. Kuwedzera mishonga inorwisa mabhakitiriya ine probiotic inogona kudzikisira gastrointestinal mhedzisiro, senge kuputika, uye manyoka.
Prebiotic , iyo inopa mabhakitiriya akanaka (maprobiotic) anobatsira kuumba hutano gut biome.
Zvinodzvinyirira ( off-label tsamba ), kunyanya avo vari mumhuri tricyclic yemishonga yekudzvinyirira, inogona kubatsira kudzora ura, kana kubatsira kusagadzikana kwepfungwa.

Kurapa

Iyi yekurapa inotevera inogona kubatsira kudzora kushushikana uye nehukama hwepfungwa mamiriro.

Psychotherapy: Kuwana rubatsiro rwehunyanzvi rwekushushikana, kushushikana, kushungurudzika, kana mhedzisiro kubva kumaACE apfuura ayo asiri kuvandudza akakosha, anodaro Dr. Clarke.
Maitiro ekuzorora: Iyo International Foundation yeGastrointestinal Dambudziko (IFFGD) inokurudzira kufema kwakadzika, kana diaphragmatic / kufema kwepamuviri; kufambira mberi kwemhasuru kuzorora, izvo zvinoda kuti iwe utarise pane chaiwo masumbu aunomhanyisa, wozozorora; uye nemifananidzo yakanaka, zvinoreva kuti unoshandisa pfungwa dzako kuzvifungidzira uri munzvimbo ine runyararo nerunyararo.
Kufungisisa-maitiro ekurapa (CBT): Iyi nzira inogona kubatsira kuchinja mafungiro uye maitiro maitiro. Izvo zvinobatsira kurapa kushushikana, kushushikana, uye IBS zviratidzo.
Mapoka ekutsigira: Kusangana nevamwe vanhu vanoona zvine chekuita nekushushikana neBS kunogona kusimbisa kuti hausi wega.

Kana iwe uchifunga kuti kushushikana kuri kukonzera IBS kuputika, kutora matanho ekugadzirisa kunogona kudzikisira kuomarara kwezviratidzo zvako uye nehupenyu hwavo hurefu - kuti ugone kudzokera kuhupenyu hwakajairwa.