I-IBS-D: Ukuchongwa kunye nokukhethwa kunyango

Umxholo

• Iimpawu
• Uxilongo
• Izinto ezibangela
• Unyango lweNdlela yokuphila
• Amayeza
• Yise kude

Irritable bowel syndrome (IBS) ayifani kumntu wonke. Ngelixa abanye benengxaki yokuqhinwa, abanye bajongana nohudo.

Qhubeka ufunda ukuze ufunde ngesifo esinganyangekiyo samathumbu ngohudo (IBS-D), kubandakanya neempawu zayo, isifo, kunye neendlela zonyango.

Iimpawu

I-IBS-D yabelana ngeempawu ezininzi kunye nezinye iintlobo ze-IBS (IBS-C kunye ne-IBS-M). Ezi zimpawu zabelwayo zibandakanya igesi, iintlungu zesisu kunye nokudumba. Iimpawu eziphambili ezahlukileyo kwi-IBS-D sisifo sorhudo, izitulo ezivulekileyo, kunye nezibongozo zequbuliso zokuba ube nokuhamba kwamathumbu. Phantse umntu omnye kwabathathu abane-IBS-D baphulukene nolawulo lwamathumbu okanye ukungcola. Oku kunefuthe elomeleleyo, elibi kwimpilo yemihla ngemihla.

Uxilongo

Nokuba ucinga ukuba une-IBS-D, kubalulekile ukuba ungazixilongi. Nxibelelana neengcali ezinje nge-gastroenterologist. Baya kwenza uvavanyo lomzimba kwaye bafumane imbali eneenkcukacha zempilo yakho. Baza kuphinda babuze malunga nayiphi na imbali yosapho yezifo ezinje ngomhlaza wamathumbu, isifo seCeliac, okanye isifo sikaCrohn.

Oogqirha banoku-odola igazi kunye nokugcina iimvavanyo zelebhu. Unokufuna kwakhona i-colonoscopy, i-sigmoidoscopy eguqukayo kunye ne-x-ray. Ezi mvavanyo zinceda ukulawula ezinye izifo. Ukuxilongwa kwe-IBS-D esemthethweni, kufuneka ube nesifo sohudo njengophawu oluphambili ngaphezu kweepesenti ezingama-25 zexesha. Kuya kufuneka ube nokuqunjelwa ngaphantsi kweepesenti ezingama-25 zexesha.

Izinto ezibangela

Zonke iintlobo ze-IBS, kubandakanya i-IBS-D, zineempawu ezifanayo. Uxinzelelo sisizathu esiqhelekileyo, nangona iimpawu zingangokwengqondo kwindalo. Ukutya okuthile, njengobisi, ingqolowa, newayini ebomvu, kunokwenzeka ukuba kubangele ukusabela. Ukutshaya kunye nokusetyenziswa kwe-caffeine kunokubangela neempawu ze-IBS.

Unyango lweNdlela yokuphila

Ukulawula naluphi na uhlobo lwe-IBS kufuna imikhwa yokuphila esempilweni. Oku kubandakanya ukunciphisa uxinzelelo, ukwenza umthambo rhoqo, ukusela amanzi aneleyo, nokulala ngokwaneleyo.

Kulabo abane-IBS-D, utshintsho kwindlela yokutya lunokuba luncedo ngakumbi. Nanga amanye amacebo okutya:

• Ukuphelisa ukutya okuvelisa irhasi. Okunye ukutya kuphezulu kwimixube evelisa igesi. Oku kutya kubandakanya iimbotyi, iziselo ezinekhabhonikhi, iziqhamo eziluhlaza, kunye nemifuno enje ngeklabishi kunye ne-broccoli. Ukuphepha oku kutya kunokunceda ukunciphisa igesi ebuhlungu kunye nokuqunjelwa.
• Susa igluten. IGluten yiprotein efumaneka kwingqolowa, irye nerhasi. A kwijenali Gastroenterology yafumanisa ukuba ukutya okungenagluten kwakusebenza ngempumelelo ekunciphiseni iimpawu ze-IBS. I-Gluten ibangele iimpawu "zokuvuza kwamathumbu" okanye ukungena kwamathumbu amancinci. I-Gluten yonyusa amanqaku okumakisha.
• Zama ukutya okuPhantsi kweFODMAP. Ii-FODMAPs ziluhlobo lwe-carbohydrate efumaneka kukutya okuthile. Isichazi seFODMAP simi kwiOrigo-Di-Monosaccharides kunye nePolols. Imithombo yeFODMAP ibandakanya:
  • I-Fructose (iziqhamo, ubusi, isiraphu yengqolowa ene-high-fructose)
  • I-Lactose (ubisi kunye neemveliso zobisi)
  • IiFructans (ingqolowa, itswele, igalikhi, kunye ne-inulin)
  • IiGalactans (iimbotyi ezinjengeembotyi, iimbotyi zesoya, neelentile)
  • Iipolyol (iziqhamo zamatye ezifana neeavokhado, iitsheri, kunye neepesika; iswekile yotywala efana ne sorbitol kunye ne xylitol)

Ukunciphisa ukutya kwakho ii-FODMAP kunokunciphisa iimpawu eziqhelekileyo ze-IBS. Ezi mpawu zibandakanya iintlungu zesisu kunye necramping, igesi kunye nokudumba. Nangona kunjalo, ukutya okuninzi okuqukethe ii-FODMAPs yimithombo elungileyo yefayibha. Kuya kufuneka ukhathalele ukufumana ifayibha eyoneleyo kokunye ukutya.

Amayeza

Ukuba indlela yokuphila okanye utshintsho kwindlela otya ngayo ayizinciphisi iimpawu zakho ze-IBS, unokufuna ukongeza amayeza kuluhlu lwakho lonyango. Nazi ezinye zeengcebiso:

• Amayeza okubola. Amayeza alawula urhudo aquka ichiza elithengiswa ekhawuntareni elibizwa ngokuba yi-loperamide (Imodium). Amayeza amiselweyo kwiklasi ebizwa ngokuba yi-bile acid binders nayo inokunceda. Oku kubandakanya i-colestipol (Colestid), cholestyramine (Prevalite), kunye ne-colesevelam (Welchol). Nangona kunjalo, la mayeza anokongeza ekubhlokeni esele ikho kwi-IBS.
• Anticholinergenic kunye ne-antispasmodic amayeza. La mayeza anciphisa amathumbu kunye neentlungu ezinxulumene noko. Imizekelo ibandakanya i-dicyclomine (Bentyl) kunye ne-hyosycamine (Levsin). Nangona kunjalo, ezi zinokukhokelela ekuqunjelweni kunye nobunzima bokuchama.
• I-Mast cell stabilizers kunye ne-5-aminosalicylic acid (5-ASA). Phantse iipesenti ezingama-25 zamatyala e-IBS-D ayenzeka emva kokuphuma kwegastroenteritis. La mayeza zii-arhente ezichasayo ezinokuthi zibe luncedo ekunyangeni le subset yamatyala e-IBS-D.
• IAlosetron (ILotronex). Le yonyango kuphela evunyiweyo ngoku ye-IBS-D. Kuvunyiwe kuphela kubafazi. Iziphumo ebezingalindelekanga ezivela kolu nyango zinokuba nzima, ke zifumaneka kuphela ngugqirha ogqirha ababhalise kwinkqubo ekhethekileyo. Kufuneka isetyenziswe kuphela njengendawo yokugqibela emva kokuba olunye unyango lungaphumelelanga.

Yise kude

Nangona i-IBS-D inokuba yimeko yokuphelisa kunye neentloni, kukho iindlela zokuyilawula. Thetha nogqirha wakho okanye i-gastroenterologist malunga neempawu zakho ukuqinisekisa ukuba ufumana unyango olufunayo.