I-IBS-D: Izinketho Zokuxilonga Nezokwelapha

-Delile

• Izimpawu
• Ukuxilongwa
• Izimbangela
• Ukwelashwa Kwendlela Yokuphila
• Imithi
• Ukudla okudlela endlini

I-irritable bowel syndrome (IBS) ayifani nawo wonke umuntu. Ngenkathi abanye behlushwa ukuqunjelwa, abanye babhekana nohudo.

Qhubeka ufunda ukuze ufunde ngesifo samathumbu esibuhlungu esinohudo (IBS-D), kufaka phakathi izimpawu zaso, ukuxilongwa, nezindlela zokwelashwa.

Izimpawu

I-IBS-D yabelana ngezimpawu eziningi nezinye izinhlobo ze-IBS (IBS-C ne-IBS-M). Lezi zimpawu ezabiwe zifaka phakathi igesi, ubuhlungu besisu, nokuqunjelwa. Izimpawu eziyinhloko ezihlukile kwi-IBS-D uhudo, izitulo ezivulekile, kanye nokunxusa okungazelelwe kokunyakaza kwamathumbu. Cishe umuntu oyedwa kwabathathu abane-IBS-D balahlekelwe ukulawula amathumbu noma ukungcola. Lokhu kunomthelela oqinile, omubi empilweni yansuku zonke.

Ukuxilongwa

Noma ucabanga ukuthi une-IBS-D, kubalulekile ukuthi ungazihloli. Xhumana nodokotela onjenge-gastroenterologist. Kungenzeka benze ukuhlolwa komzimba futhi bathole umlando oningiliziwe wezempilo yakho. Bazobuza futhi nganoma yimuphi umlando womndeni wezifo ezifana nomdlavuza wamathumbu, isifo seCeliac, noma isifo sikaCrohn.

Odokotela banga-oda ukuhlolwa kwegazi nezitokisi. Ungadinga futhi i-colonoscopy, i-sigmoidoscopy eguquguqukayo, nama-x-ray. Lezi zivivinyo zisiza ukukhipha ezinye izifo. Ukuze uthole ukuxilongwa okusemthethweni kwe-IBS-D, kufanele ube nohudo njengesibonakaliso esiyinhloko ngaphezu kwamaphesenti angama-25 wesikhathi. Kumele futhi ube nokuqunjelwa ngaphansi kwamaphesenti angama-25 wesikhathi.

Izimbangela

Zonke izinhlobo ze-IBS, kufaka phakathi i-IBS-D, zinezimbangela ezifanayo. Ukucindezeleka kuyimbangela evamile, noma ngabe izimpawu azikho ngokwengqondo ngokwemvelo. Ukudla okuthile, njengobisi, ukolweni newayini elibomvu, kunamathuba amaningi okuthi kudale ukusabela. Ukubhema nokusetshenziswa kwe-caffeine nakho kungadala izimpawu ze-IBS.

Ukwelashwa Kwendlela Yokuphila

Ukuphatha noma yiluphi uhlobo lwe-IBS kudinga imikhuba yokuphila enempilo. Lokhu kubandakanya ukunciphisa ukucindezeleka, ukuvivinya umzimba njalo, ukuphuza amanzi anele, nokulala ngokwanele.

Kulabo abane-IBS-D, izinguquko zokudla zingasiza kakhulu. Nawa amanye amathiphu wokudla:

• Susa ukudla okukhiqiza igesi. Okunye ukudla kunamakhemikhali amaningi akhiqiza igesi. Lokhu kudla kufaka ubhontshisi, iziphuzo ezinekhabhoni, izithelo ezingavuthiwe, nemifino enjengeklabishi ne-broccoli. Ukugwema lokhu kudla kungasiza ukunciphisa igesi ebuhlungu nokuqunjelwa.
• Susa i-gluten. I-Gluten yiprotheni etholakala kukolweni, i-rye nebhali. A kumagazini I-Gastroenterology ithole ukuthi ukudla okungenayo i-gluten kuyasebenza ekwehliseni izimpawu ze-IBS. I-Gluten idale izimpawu "zamathumbu avuzayo" noma ukungena kwamathumbu amancane. I-Gluten yabuye yanda izimpawu zokuvuvukala.
• Zama Ukudla Okuphansi kwe-FODMAP. Ama-FODMAP awuhlobo lwe-carbohydrate etholakala ekudleni okuthile. Isichazamazwi se-FODMAP simele i-Fermentable Oligo-Di-Monosaccharides namaPolyols. Imithombo ye-FODMAP ifaka:
  • I-Fructose (izithelo, uju, isiraphu yommbila ephezulu-fructose)
  • I-Lactose (ubisi nemikhiqizo yobisi)
  • AmaFructans (ukolweni, u-anyanisi, ugalikhi, ne-inulin)
  • Ama-Galactans (imifino efana nobhontshisi, ubhontshisi, nama-lentile)
  • Ama-Polyols (izithelo zamatshe ezifana nama-avocado, ama-cherries, kanye namapentshisi; ama-alcohol alcohol afana ne-sorbitol ne-xylitol)

Ukunciphisa ukudla kwakho kwe-FODMAP kunganciphisa izimpawu ezivamile ze-IBS. Lezi zimpawu zifaka phakathi ubuhlungu besisu nokucinana, igesi nokuqunjelwa. Kodwa-ke, ukudla okuningi okuqukethe ama-FODMAP yimithombo emihle ye-fiber. Uzodinga ukunakekela ukuthola i-fiber eyanele kusuka kokunye ukudla.

Imithi

Uma indlela yokuphila noma ushintsho ekudleni kungazinciphisi izimpawu zakho ze-IBS, ungahle uthande ukwengeza umuthi kulayini lwakho lokwelashwa. Nayi eminye imibono:

• Imithi elwa nehudo. Imithi elawula isifo sohudo ifaka phakathi umuthi ongaphezu kwamaphilisi okuthiwa yi-loperamide (Imodium). Imithi kadokotela ekilasini ebizwa nge-bile acid binders nayo ingasiza. Lokhu kufaka phakathi i-colestipol (Colestid), cholestyramine (Prevalite), ne-colesevelam (Welchol). Kodwa-ke, le mithi ingangeza ekubhujisweni okuvele kukhona ku-IBS.
• Imithi ye-Anticholinergenic ne-antispasmodic. Le mithi inciphisa ukuqhuma kwamathumbu nobuhlungu obuhambisana nakho. Izibonelo zifaka phakathi i-dicyclomine (Bentyl) ne-hyosycamine (Levsin). Kodwa-ke, lokhu kungaholela ekuqunjelweni nasekuchameni kanzima.
• Ama-mast cell stabilizers kanye ne-5-aminosalicylic acid (5-ASA). Cishe amaphesenti angama-25 amacala e-IBS-D enzeka ngemuva kokuqubuka ne-gastroenteritis. Le mithi ingama-anti-inflammatory agents angasiza ekwelapheni le subset yamacala e-IBS-D.
• I-Alosetron (ILotronex). Lona kuphela umuthi manje ovunyelwe i-IBS-D. Kuvunyelwe kuphela abesifazane. Imiphumela emibi evela kulo muthi ingaba nzima, ngakho-ke itholakala kuphela ngemithi evela kodokotela ababhalise ohlelweni olukhethekile. Kufanele isetshenziswe kuphela njengesinqumo sokugcina ngemuva kokuthi ezinye izindlela zokwelashwa zingaphumelelanga.

Ukudla okudlela endlini

Yize i-IBS-D ingaba isimo esinciphisayo nesiphoxayo, kunezindlela zokuyilawula. Khuluma nodokotela wakho noma i-gastroenterologist mayelana nezimpawu zakho ukuqinisekisa ukuthi uthola ukwelashwa okudingayo.