I-IBS kunye ne-nausea: Kutheni le nto ndinesicaphucaphu?

Umxholo

• Unobangela we-IBS nausea
• Ezinye izizathu
• Iimpawu ezenzeka ngokufanayo
• Unyango oluqhelekileyo
• Olunye unyango kunye notshintsho kwindlela yokuphila
• Utshintsho kwindlela yokuphila
• Ukwanda koxinzelelo
• Ukutya okuthile
• Uncedo
• Imbonakalo
• Q:
• A:

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Ushwankathelo lwe-IBS

Irritable bowel syndrome (IBS) sisifo esinganyangekiyo (okanye esiqhubekayo) esinganyanzelisiyo. Nangona ihlala ithelekiswa nezifo zamathumbu (IBD) ezinje ngesifo sikaCrohn, IBS yahlukile. Ichaphazela kuphela ikholoni. I-IBS nayo ayizitshabalalisi izicubu zakho.

Ngaphandle kwale yantlukwano iphambili, i-IBS isenokuba yingxaki ngenxa yeempawu zayo. Ngapha koko, ngokweKliniki yaseMayo, uninzi lwabantu abadala abali-1 e-5 e-United States banazo ezi mpawu.

Isicaphucaphu sinxulunyaniswa ne-IBS. Iimpawu zinokuza zihambe. Xa zisenzeka, zinokuchaphazela kakhulu umgangatho wobomi bakho.

Unokulawula i-IBS ngokudibanisa unyango kunye notshintsho kwindlela yokuphila, kodwa ifuna ulawulo lobomi bonke. Xa kuziwa kwisicaphucaphu, kukwabalulekile ukumisela ukuba ngaba luphawu olwenzeka ngokudibeneyo lwe-IBS, okanye ukuba inxulumene nenye into.

Unobangela we-IBS nausea

I-IBS ayinasizathu esinye. Ngokwe-Mayo Clinic, izinto eziphambili zibandakanya:

• Ukuqina kwamathumbu emathunjini ngexesha lotshintsho oluqhelekileyo lokwetyisa
• isifo sesisu esibuhlungu
• ukungaqheleki ngaphakathi kwenkqubo yamathumbu
• imiqondiso engaqhelekanga phakathi kwamathumbu akho nengqondo

Ngaphandle kwezizathu ezahlukeneyo ze-IBS, abantu abaninzi banomdla ngakumbi kwiimpawu ezihlala ziphazamisa umgangatho wabo wobomi. Akukho sizathu esinye sezicaphucaphu ezinxulumene ne-IBS, kodwa kuqhelekile kubantu abane-IBS.

Ngokophando olwenziwe ngo-2014 nguGqirha Lin Chang, ugqirha kunye nonjingalwazi e-UCLA, isicaphucaphu esinxulumene ne-IBS sichaphazela malunga neepesenti ezingama-38 zabasetyhini kunye neepesenti ezingama-27 zamadoda. Utshintsho lweHormonal ngumba wabasetyhini abane-IBS. Le meko ichaphazela ikakhulu abasetyhini, ngokweKliniki yaseMayo.

I-nausea kubantu abane-IBS ihlala inxulumene nezinye iimpawu eziqhelekileyo njengokugcwala, iintlungu zesisu kunye nokuqunjelwa emva kokutya. Ngelixa bekungasoloko kunjalo, isicaphucaphu se-IBS sinokwenzeka rhoqo emva kokuba ukutya okuthile kubangele iimpawu zakho.

Amanye amayeza asetyenziselwa ukunyanga iimpawu ze-IBS, njengechiza le-lubiprostone, anokunyusa umngcipheko wokuba nesicaphucaphu. Amanye amayeza angahambelani ne-IBS anokubangela isicaphucaphu kubandakanya:

• iyeza lokubulala iintsholongwane
• iziyobisi
• Iasprini
• iziyobisi
• ii-nonsteroidal anti-inflammatory drugs (ii-NSAID), ezinje nge-ibuprofen
• iipilisi zokulawula inzala

Ezinye izizathu

Ngelixa isicaphucaphu sinokwenzeka nge-IBS, ugqirha wakho unokujonga ezinye izizathu ukuba awubonisi zimpawu ziqhelekileyo ze-IBS.

Isicaphucaphu sakho sinokudibana nezinye iimeko, ezinje:

• isifo se-reflux sesifo se-gastroesophageal (GERD)
• ukukhathazeka kwangexesha elithile
• migraines
• Umsebenzi wedyspepsia

Jonga ugqirha wakho ngokukhawuleza ukuba uye waphulukana nobunzima ngesiquphe kunye nokuphuma kwegazi kwakhona. Ezi zinokuba ziimpawu zesimo esibi kakhulu, njengomhlaza wekolon. Kuya kufuneka ubonane nogqirha ngokukhawuleza ukuba unayo:

• ifiva ephezulu
• iintlungu zesifuba
• ukungaboni kakuhle
• ukuphelelwa amandla

Iimpawu ezenzeka ngokufanayo

Ukongeza kwisicaphucaphu esinxulumene ne-IBS, usenokuba nokugabha, ukulahleka kwesidlo, kunye nokugqabhuka kakhulu.

Ezinye iimpawu eziqhelekileyo ze-IBS zibandakanya, kodwa azikhawulelwanga:

• intlungu zesisu
• ukudumba
• ukuqhina
• iicampu
• urhudo
• irhasi

Isicaphucaphu ngokwaso siqhele ukubangelwa sisifo sentsholongwane egazini. Ukuba ufumana isicaphucaphu okwethutyana, inokuba yinxalenye yesifo ngaphandle kwe-IBS.

Unyango oluqhelekileyo

Amayeza amiselweyo kuphela enzelwe i-IBS abandakanya ialosetron kunye ne-lubiprostone. I-Alosetron inceda ukulawula ukucinywa kwekholoni yakho kunye nokunciphisa ukutya. I-Alosetron inconywa kuphela kwabasetyhini abaye bazama amanye amayeza ahlulekile.

ILubiprostone isebenza ngokugcina ulwelo kwizigulana ze-IBS ezifumana ukuqhina okungapheliyo. Kukwacetyiswa kuphela kwabasetyhini, kodwa enye yeziphumo ebezingalindelekanga isicaphucaphu.

Ngamanye amaxesha unyango lwe-IBS alunakunceda ukunciphisa zonke iimpawu ezinxulumene noko. Kunokuba luncedo ukunyanga ngokuthe ngqo ezinye zeengxaki ezinzima kakhulu. Ngesihlunu esingapheliyo, unokucinga ngamayeza okunyanga isicaphucaphu afana neprochlorperazine.

Olunye unyango kunye notshintsho kwindlela yokuphila

Utshintsho kwindlela yokuphila

Utshintsho kwindlela yokuphila lunokuthintela neempawu ze-IBS ezinje ngesicaphucaphu. Ikliniki yaseMayo ichonga ezi zinto zibangela iimpawu:

Ukwanda koxinzelelo

Xa uxinezeleke kakhulu, unokufumana rhoqo rhoqo okanye ukwanda kweempawu. Ukuba novalo okanye uxinzelelo kunokubangela isicaphucaphu kubantu abangenayo i-IBS. Ngoko ke, ukuba ne-IBS kunokunyusa lo mngcipheko ngakumbi. Ukunciphisa uxinzelelo kunokunceda iimpawu zakho ze-IBS.

Ukutya okuthile

Izinto ezibangela ukutya zinokwahluka, kodwa ukhetho lokutya luhlala lonyusa iimpawu ze-IBS. Iziphumo eziphambili zibandakanya:

• utywala
• ubisi
• ikhafeyini
• iimbotyi
• amafutha
• ibrokholi

Ukuphelisa ukutya okubangela igesi kunokunceda ukunciphisa isicaphucaphu rhoqo.

Uncedo

Olunye unyango lunokunceda isicaphucaphu, kodwa kubalulekile ukuba ulusebenzise ngononophelo olo. Iherbs kunye nezongezo zinokunxibelelana neziyobisi, kwaye zinokuyenza mandundu imeko yakho. Olu khetho lulandelayo lunokunceda i-IBS kunye nesicaphucaphu:

• ijinja
• ioli yepepermint
• Iiprobiotic
• indibaniselwano yamayeza athile amaTshayina

Olunye unyango lweempawu ze-IBS lubandakanya:

• ukutshiza
• Unyango
• ukucamngca
• reflexology
• iyoga

Ngokwengqondo, ukusebenza kwengqondo kunye nomzimba ziphakathi kwezona ndlela zonyango zikhuselekileyo ze-IBS. Ngelixa ezi zinto zinokunceda, kubalulekile ukuba ukhumbule ukuba abukho ubungqina obuqinileyo obuzixhasayo okwangoku.

Imbonakalo

I-IBS ngokwayo ayikhokeleli kubunzima obukhulu, kodwa isicaphucaphu sinokuba yingxaki.

Umzekelo, ukungondleki kunokuba yinto exhalabisayo. Ukuthintela iimpawu ezinje ngesicaphucaphu kunokukutyhafisa ekutyeni uluhlu lokutya okunokuba yinxalenye yokutya okufanelekileyo. Kwakhona, ukuba isicaphucaphu sakho sibangela ukugabha, usenokungafumani zondlo zaneleyo.

Ukuba i-IBS ibangela isicaphucaphu, inokufumana isiqabu ngotshintsho lwexesha elide lokuphila. Amachiza okunyanga isicaphucaphu kunye notshintsho kumayeza akho anokunceda. Kubalulekile ukuba uxoxe ngazo zonke iindlela onokukhetha kuzo kunye nesisu sakho se-gastroenterologist.

Landela ugqirha wakho ukuba unayo i-IBS kwaye isicaphucaphu sakho asiphucuki.

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