I-IBS neNausea: Kungani Nginomuzwa Wokuxakeka?

-Delile

• Izimbangela zesicanucanu se-IBS
• Ezinye izimbangela
• Izimpawu ezenzeka ngokuhlanganyela
• Ukwelashwa okuvamile
• Olunye uhlobo lomuthi kanye nezinguquko zokuphila
• Izinguquko zendlela yokuphila
• Ukucindezeleka okwandisiwe
• Ukudla okuthile
• Amakhambi
• Umbono
• Q:
• A:

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Sibutsetelo se-IBS

I-Irritable bowel syndrome (i-IBS) yisimo esingelapheki (noma esiqhubekayo) esingacasuli. Ngenkathi kuvame ukuqhathaniswa nezifo zamathumbu ezivuthayo (IBD) ezifana nesifo sikaCrohn, i-IBS yehlukile. Ithinta kuphela ikholoni. I-IBS nayo ayizibulali izicubu zakho.

Naphezu kwalokhu umehluko omkhulu, i-IBS isengaba yinkinga ngenxa yezimpawu zayo. Eqinisweni, ngokusho koMayo Clinic, abantu abadala abangafika koyedwa kwabahlanu e-United States bathola lezi zimpawu.

I-nausea ihlotshaniswa ne-IBS. Izimpawu zingafika zidlule. Uma zenzeka, zingathinta kakhulu ikhwalithi yempilo yakho.

Ungaphatha i-IBS ngenhlanganisela yokwelashwa nezinguquko zendlela yokuphila, kepha kudinga ukuphathwa impilo yonke. Uma kukhulunywa ngesicanucanu, kubalulekile futhi ukunquma ukuthi ngabe kuyisibonakaliso esenzeka ngokubambisana se-IBS, noma uma sihlobene nokunye.

Izimbangela zesicanucanu se-IBS

I-IBS ayinayo imbangela eyodwa. Ngokusho kweMayo Clinic, izinto ezibalulekile zifaka:

• ukuqina kwamathumbu okunamandla ngesikhathi soshintsho olujwayelekile lokugaya ukudla
• isifo samathumbu esibuhlungu
• ukungajwayelekile ngaphakathi kohlelo lwesisu
• amasiginali angajwayelekile phakathi kwamathumbu akho nobuchopho

Ngaphandle kwezimbangela ezahlukahlukene ze-IBS, abantu abaningi bakhathazeke kakhulu ngezimpawu ezivame ukuphazamisa ikhwalithi yabo yokuphila. Ayikho imbangela eyodwa yesicanucanu esihlobene ne-IBS, kodwa isavamile kubantu abane-IBS.

Ngokusho kocwaningo luka-2014 lukaDkt Lin Chang, udokotela kanye noprofesa e-UCLA, isicanucanu esihlobene ne-IBS sithinta cishe amaphesenti angama-38 abesifazane namaphesenti angama-27 abesilisa. Izinguquko zeHormonal ziyinkinga yabesifazane abane-IBS. Lesi simo sithinta kakhulu abesifazane, ngokusho kweMayo Clinic.

I-nausea kubantu abane-IBS ivame ukuhlobene nezinye izimpawu ezivamile njengokugcwala, ubuhlungu besisu, nokuqunjelwa ngemuva kokudla. Ngenkathi kungenjalo ngaso sonke isikhathi, isicanucanu se-IBS singenzeka kaningi ngemuva kokuthi ukudla okuthile kubangele izimpawu zakho.

Imithi ethile esetshenziselwa ukwelapha izimpawu ze-IBS, njengesidakamizwa i-lubiprostone, nayo ingakhuphula ubungozi bokuba nesicanucanu. Eminye imithi engahlobene ne-IBS engadala isicanucanu ifaka:

• ama-antibiotic
• imishanguzo
• i-aspirin
• izidakamizwa
• izidakamizwa ezingezona ukuvuvukala (ama-NSAID), njenge-ibuprofen
• amaphilisi okuvimbela inzalo

Ezinye izimbangela

Ngenkathi isicanucanu singenzeka nge-IBS, udokotela wakho angabheka ezinye izimbangela uma ungakhombisi izimpawu ezivamile ze-IBS.

Isicanucanu sakho singahlotshaniswa nezinye izimo, njenge:

• isifo se-reflux se-gastroesophageal (GERD)
• isilungulela ngezikhathi ezithile
• migraines
• i-dyspepsia esebenzayo

Bheka udokotela wakho ngokushesha uma ulahlekelwa isisindo ngokungazelelwe futhi wopha ngaphakathi. Lokhu kungaba yizimpawu zesimo esibi kakhulu, njengomdlavuza wekoloni. Kufanele futhi ubone udokotela wakho ngokushesha uma une:

• umkhuhlane omkhulu
• ubuhlungu besifuba
• ukungaboni kahle
• ukuquleka

Izimpawu ezenzeka ngokuhlanganyela

Ngaphandle kwesicanucanu esihlobene ne-IBS, ungahle ube nokuhlanza, ukulahlekelwa isifiso sokudla, kanye nokugqashuka ngokweqile.

Ezinye izimpawu ezivamile ze-IBS zifaka phakathi, kepha azikhawulelwe ku:

• ubuhlungu besisu
• ukuqunjelwa
• ukuqunjelwa
• amajaqamba
• isifo sohudo
• igesi

I-nausea uqobo lwayo ivame ukubangelwa yi-viral gastroenteritis. Uma uhlangabezana nesicanucanu okwesikhashana, kungaba yingxenye yokugula ngaphandle kwe-IBS.

Ukwelashwa okuvamile

Imithi kadokotela ehlose kuphela i-IBS ifaka i-alosetron ne-lubiprostone. I-Alosetron isiza ukulawula ukufinyela kwekholoni yakho futhi yehlisa ukugaya. I-Alosetron inconywa kuphela kwabesifazane abazame eminye imishanguzo ehlulekile.

ILubiprostone isebenza ngokufihla uketshezi kwiziguli ze-IBS ezibhekene nokuqunjelwa okungapheli. Kunconywa kuphela kwabesifazane, kodwa omunye wemiphumela emibi isicanucanu.

Kwesinye isikhathi ukwelashwa kwe-IBS ngeke kusize ukudambisa zonke izimpawu ezihlobene. Kungaba usizo ukuphatha ngqo ezinye zezinkinga ezikhathaza kakhulu. Ngesiyaluyalu esingapheli, ungahle ucabangele imishanguzo yokulwa nesicanucanu efana neprochlorperazine.

Olunye uhlobo lomuthi kanye nezinguquko zokuphila

Izinguquko zendlela yokuphila

Izinguquko zokuphila zingaphinde zivimbele izimpawu ze-IBS ezifana nesicanucanu. Umtholampilo waseMayo ukhomba izimbangela zezimpawu ezilandelayo:

Ukucindezeleka okwandisiwe

Uma ucindezeleke kakhulu, ungahle uhlangabezane nezimpawu ezivamile noma eziba zimbi kakhulu. Ukuba novalo noma ukucindezelwa kungadala isicanucanu kubantu abangenayo i-IBS. Ngakho-ke, ukuba ne-IBS kungakhuphula le ngozi kakhulu. Ukunciphisa ukucindezeleka kungasiza izimpawu zakho ze-IBS.

Ukudla okuthile

Izimbangela zokudla zingahluka, kepha ukukhetha kokudla kuvame ukwandisa izimpawu ze-IBS. Izimbangela eziyinhloko zifaka:

• utshwala
• ubisi
• i-caffeine
• ubhontshisi
• amafutha
• i-broccoli

Ukuqeda ukudla okubangela igesi kungasiza ekunciphiseni isicanucanu esivamile.

Amakhambi

Enye indlela yokwelapha ingasiza ekucanuzeleni kwenhliziyo, kodwa kubalulekile ukusebenzisa amakhambi anjalo ngokuqapha. Amakhambi nezithasiselo zingasebenzisana nemithi kadokotela, futhi zingasenza sibi isimo sakho. Izinketho ezilandelayo zingasiza i-IBS yakho nesicanucanu:

• ujinja
• uwoyela we-peppermint
• ama-probiotic
• inhlanganisela yamakhambi athile aseChina

Ezinye izixazululo zezimpawu ze-IBS zifaka:

• ukutshopa
• i-hypnotherapy
• ukuzindla
• I-reflexology
• i-yoga

Ngokwe-mind, imikhuba yengqondo neyomzimba iphakathi kwezindlela zokuphepha zemvelo eziphephe kakhulu ku-IBS. Yize lezi zinto zingasiza, kubalulekile ukukhumbula ukuthi abukho ubufakazi obuqinile obuzisekelayo okwamanje.

Umbono

I-IBS uqobo ayiholeli ezinkingeni ezinkulu kakhulu, kepha isicanucanu singaba yinkinga.

Isibonelo, ukungondleki kungaba yinto ekhathazayo. Ukugwema izimpawu ezifana nesicanucanu kungakudikibalisa ekudleni izinhlobo eziningi zokudla obekungaba yingxenye yokudla okunomsoco. Futhi, uma isicanucanu sakho sibangela ukuhlanza, ungahle ungatholi izakhamzimba ezanele.

Uma i-IBS idala isicanucanu, ingathola ukukhululeka ngokushintsha kwendlela yokuphila yesikhathi eside. Izidakamizwa zokulwa nesicanucanu kanye nezinguquko emithini yakho nakho kungasiza. Kubalulekile ukuxoxa ngazo zonke izinketho zakho ne-gastroenterologist yakho.

Landela udokotela wakho uma une-IBS futhi isicanucanu sakho asithuthuki.

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