Irritable bowel syndrome - ukunakekelwa ngemuva

Irritable bowel syndrome (IBS) yisifo esiholela ebuhlungwini besisu nasekushintsheni kwamathumbu. Umhlinzeki wakho wezokunakekelwa kwempilo uzokhuluma ngezinto ongazenza ekhaya ukuphatha isimo sakho.

I-irritable bowel syndrome (IBS) ingaba isimo sempilo yonke. Kungenzeka ukuthi uphethwe yizinhlungu zokugcotshwa nezibi, uhudo, ukuqunjelwa, noma inhlanganisela yalezi zimpawu.

Kwabanye abantu, izimpawu ze-IBS zingaphazamisa umsebenzi, ukuhamba, nokuhambela imicimbi yomphakathi. Kepha ukuthatha imithi nokwenza ushintsho endleleni yokuphila kungakusiza ukuphatha izimpawu zakho.

Izinguquko ekudleni kwakho zingasiza. Noma kunjalo, i-IBS iyahluka kuye ngomuntu nomuntu. Ngakho-ke ushintsho olufanayo kungenzeka lungasebenzi kuwo wonke umuntu.

• Gcina umkhondo wezimpawu zakho nokudla okudlayo. Lokhu kuzokusiza ukuthi ubheke iphethini yokudla okungenza izimpawu zakho zibe zimbi kakhulu.
• Gwema ukudla okudala izimpawu. Lokhu kungafaka ukudla okunamafutha noma okuthosiwe, imikhiqizo yobisi, i-caffeine, ama-sodas, utshwala, ushokoledi nezinhlamvu ezifana nokolweni, i-rye nebhali.
• Yidla izidlo ezincane ezine kuya kwezingu-5 ngosuku, kunokudla okukhudlwana oku-3.

Khulisa i-fiber ekudleni kwakho ukuqeda izimpawu zokuqunjelwa.I-fibre itholakala kuzinkwa eziphelele zokusanhlamvu nokusanhlamvu, ubhontshisi, izithelo nemifino. Njengoba i-fiber ingadala igesi, kungcono ukwengeza lokhu kudla ekudleni kwakho kancane.

Asikho isidakamizwa esisodwa esizosebenzela wonke umuntu. Eminye imithi inqunyelwe ngqo i-IBS enesifo sohudo (IBS-D) noma i-IBS ngokuqunjelwa (IBS-C). Imithi umhlinzeki wakho angakucindezela uzame ukufaka:

• Imithi ye-antispasmodic oyithathayo ngaphambi kokudla ukulawula ukuphazamiseka kwemisipha yamakholoni nokucinana kwesisu
• Imithi elwa nehudo efana ne-loperamide, i-eluxadoline ne-alosetron ye-IBS-D
• Ama-laxatives, afana ne-lubiprostone, i-linaclotide, i-plecanatide, i-bisacodyl, namanye athengwe ngaphandle kwemithi ye-IBS-C
• Ama-anti-depressants ukusiza ukudambisa izinhlungu noma ukungaphatheki kahle
• I-Rifaximin, i-antibiotic engafakwa emathunjini akho
• Ama-Probiotic

Kubaluleke kakhulu ukulandela imiyalo yomhlinzeki wakho lapho usebenzisa imithi ye-IBS. Ukuphuza imishanguzo ehlukile noma ukungayiphuzi ngendlela oluleke ngayo kungaholela ezinkingeni eziningi.

Ukucindezeleka kungadala ukuthi amathumbu akho azwele kakhulu futhi asebenze kakhudlwana. Izinto eziningi zingadala ukucindezeleka, kufaka phakathi:

• Ukungakwazi ukwenza imisebenzi ngenxa yobuhlungu bakho
• Izinguquko noma izinkinga emsebenzini noma ekhaya
• Isikhathi esimatasa
• Ukuchitha isikhathi esiningi wedwa
• Ukuba nezinye izinkinga zezokwelapha

Isinyathelo sokuqala ekunciphiseni ukucindezeleka kwakho ukuthola ukuthi yini ekwenza uzizwe ucindezelekile.

• Bheka izinto empilweni yakho ezikukhathaza kakhulu.
• Gcina idayari yokuhlangenwe nakho nemicabango ebonakala ihlobene nokukhathazeka kwakho bese ubona ukuthi ungazenza yini izinguquko kulezi zimo.
• Finyelela kwabanye abantu.
• Thola umuntu omethembayo (njengomngani, ilunga lomndeni, umakhelwane, noma ilungu labefundisi) ozokulalela. Imvamisa, ukukhuluma nje nothile kuyasiza ekunciphiseni ukukhathazeka nokucindezeleka.

Shayela umhlinzeki wakho uma:

• Uba nomkhuhlane
• Unegazi elivela emathunjini
• Unobuhlungu obubi obungapheli
• Ulahlekelwa ngaphezu kwamakhilogremu ama-5 kuye kwayi-10 (2 kuya ku-4.5 kilograms) lapho ungazami ukunciphisa umzimba

IBS; I-mucus colitis; IBS-D; IBS-C

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IMeya EA. Umsebenzi wokuphazamiseka kwamathumbu emathunjini: i-irritable bowel syndrome, i-dyspepsia, ubuhlungu besifuba bokucatshangwa ukuthi buvela esophageal, nesilungulela. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 137.

I-Waller DG, iSampson AP. Ukuqunjelwa, isifo sohudo kanye nesifo samathumbu esingacasulwa. Ku: Waller DG, Sampson AP, ama-eds. I-Medical Pharmacology kanye ne-Therapeutics. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2018: isahluko 35.