Isifo esichaphazelayo samathumbu-ukhathalelo lwamva

Irritable bowel syndrome (IBS) sisifo esikhokelela kwintlungu esiswini kunye notshintsho lwamathumbu. Umboneleli wakho wezempilo uya kuthetha ngezinto onokuzenza ekhaya ukulawula imeko yakho.

Iirrrrrrrrrrrrrrrrrrrrnnnzitvs.I-Irritable bowel syndrome (IBS) ingaba yimeko yokuphila. Unokuba unesifo sokuqunjelwa kunye nezihlalo ezikhululekileyo, urhudo, ukuqhina, okanye indibaniselwano yezi mpawu.

Abanye abantu, iimpawu ze-IBS zinokuphazamisa umsebenzi, ukuhamba, kunye nokuya kwiminyhadala yoluntu. Kodwa ukuthatha amayeza kunye nokwenza utshintsho kwindlela yokuphila kunokukunceda ulawule iimpawu zakho.

Utshintsho kwindlela otya ngayo lunokuba luncedo. Nangona kunjalo, i-IBS iyahluka ukusuka komnye umntu ukuya komnye. Ke utshintsho olufanayo alunakusebenzela wonke umntu.

• Gcina umkhondo weempawu zakho kunye nokutya okutyayo. Oku kuya kukunceda ujonge ipateni yokutya enokwenza ukuba iimpawu zakho zibe mandundu.
• Kuphephe ukutya okubangela iimpawu. Oku kunokubandakanya ukutya okunamafutha okanye okuthosiweyo, iimveliso zobisi, icaffeine, isoda, utywala, itshokholethi kunye neenkozo ezifana nengqolowa, irye nerhasi.
• Yitya izidlo ezincinci ezi-4 ukuya kwezi-5 ngosuku, endaweni yokutya ezi-3 ezinkulu.

Yandisa ifayibha ekutyeni kwakho ukunciphisa iimpawu zokuqhinwa.Ifayibha ifumaneka kwizonka eziziinkozo kunye neesiriyeli, iimbotyi, iziqhamo kunye nemifuno. Kuba ifayibha inokubangela irhasi, kungcono ukongeza oku kutya kukutya okucothayo.

Akukho siyobisi sinye siya kusebenza kuwo wonke umntu. Amanye amayeza amiselwe ngokukodwa i-IBS ngotyatyazo (IBS-D) okanye i-IBS ngokuqunjelwa (IBS-C). Amayeza umboneleli wakho unokuzama ukubandakanya:

• Amayeza e-Antispasmodic owathathayo ngaphambi kokutya ukulawula i-colon spasms kunye ne-cramping esiswini
• Amayeza e-Antidiarrheal afana ne-loperamide, i-eluxadoline kunye ne-alosetron ye-IBS-D
• I-Laxatives, efana ne-lubiprostone, i-linaclotide, i-plecanatide, i-bisacodyl, kunye nezinye ezithengwa ngaphandle kommiselo we-IBS-C
• Ukudakumba ukunceda ukunciphisa iintlungu okanye ukungonwabi
• I-Rifaximin, isibulala-zintsholongwane esingafakwanga emathunjini akho
• Iiprobiotic

Kubaluleke kakhulu ukulandela imiyalelo yomboneleli wakho xa usebenzisa amayeza e-IBS. Ukuthatha amayeza ahlukeneyo okanye ukungawasebenzisi ngendlela ocetyiswe ngayo kungakhokelela kwiingxaki ezininzi.

Uxinzelelo kunokubangela ukuba amathumbu akho abe novakalelo ngakumbi kwaye enze isivumelwano ngakumbi. Izinto ezininzi zinokubangela uxinzelelo, kubandakanya:

• Ukungabinakho ukwenza imisebenzi ngenxa yentlungu yakho
• Utshintsho okanye iingxaki emsebenzini okanye ekhaya
• Ishedyuli exakekileyo
• Ukuchitha ixesha elininzi wedwa
• Ukuba nezinye iingxaki zonyango

Isinyathelo sokuqala ekunciphiseni uxinzelelo lwakho kukufumanisa oko kukwenza uzive uxinezelekile.

• Jonga izinto ebomini bakho ezibangela ukuba ube nexhala kakhulu.
• Gcina idayari yamava kunye neengcinga ezibonakala zihambelana noxinzelelo lwakho kwaye ubone ukuba unokwenza utshintsho kwezi meko.
• Fikelela kwabanye abantu.
• Fumana umntu omthembileyo (njengomhlobo, ilungu losapho, ummelwane, okanye ilungu labefundisi) oza kukumamela. Rhoqo, ukuthetha nje nomntu kuyanceda ekunciphiseni uxinzelelo noxinzelelo.

Fowunela umnikezeli wakho ukuba:

• Uba nefiva
• Ukopha emathunjini
• Unentlungu embi engapheliyo
• Ulahla ngaphezulu kwe-5 ukuya kwi-10 yeepawundi (2 ukuya kwi-4.5 yeekhilogram) xa ungazami ukunciphisa umzimba

IBS; Umchamo wokudumba; IBS-D; IBS-C

IFord AC, iTalley NJ. Isifo esichaphazelayo samathumbu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; I-2016: isahluko 122.

UMeya we-EA. Umsebenzi wokuphazamiseka kwesisu: isifo esinganyanzelekanga samathumbu, idyspepsia, iintlungu zesifuba semvelaphi yokuqunjelwa, kunye nesilonda. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 137.

Umgcini we-DG, uSampson AP. Ukuqunjelwa, urhudo kunye nesifo sengqondo esishukumisayo. Ku: Waller DG, Sampson AP, ii-eds. Unyango lwezoNyango kunye noNyango. Umhla we-5. IPhiladelphia, PA: Elsevier; 2018: isahluko 35.