Irritable bowel chirwere

Irritable bowel syndrome (IBS) chirwere chinotungamira mukurwadziwa mudumbu uye ura shanduko.

IBS haina kufanana nechirwere chinoputira chirwere (IBD).

Izvo zvikonzero nei IBS inokura hazvisi pachena. Izvo zvinogona kuitika mushure mehutachiona hwehutachiona kana hutachiona hwehutachiona (giardiasis) hwematumbo. Izvi zvinonzi postinfectious IBS. Panogona zvakare kuve nezvimwe zvinokonzeresa, kusanganisira kushushikana.

Ura hwakabatana nehuropi uchishandisa mahormone uye tsinga maseru ayo anoenda nekudzoka pakati peuuropi nehuropi. Izvi zviratidzo zvinokanganisa ura kushanda uye zviratidzo. Mitsipa inogona kuwedzera kushanda panguva yekushushikana. Izvi zvinogona kukonzera ura kuti huve hwakanyanya uye chibvumirano zvakanyanya.

IBS inogona kuitika chero zera. Kazhinji, zvinotangira mumakore ekuyaruka kana kutanga kukura. Inowanikwa zvakapetwa kaviri muvakadzi kupfuura varume.

Izvo kashoma kuti itange muvanhu vakuru pamusoro pemakore makumi mashanu ekuberekwa.

Vanenge gumi kubva muzana kusvika gumi muzana muzana muUnited States vane zviratidzo zveBS. Ndiro dambudziko rinowanzoitika mudumbu rinokonzeresa kuti vanhu vaendeswe kune chiremba (gastroenterologist)

Zviratidzo zveBS zvinosiyana kubva pamunhu kuenda kumunhu, uye zvinotangira kubva pane zvakapfava kusvika pakukomba. Vanhu vazhinji vane zviratidzo zvishoma. Iwe unonzi une IBS kana zviratidzo zviripo kweinenge mazuva matatu pamwedzi kwenguva yemwedzi mitatu kana kupfuura.

Zviratidzo zvikuru zvinosanganisira:

• Marwadzo emudumbu
• Gasi
• Kuzara
• Bloating
• Chinja muhunhu tsika. Unogona kuva nemanyoka (IBS-D), kana kupatirwa (IBS-C).

Marwadzo uye zvimwe zviratidzo zvinowanzo deredzwa kana kuenda mushure mekutama kwekufamba. Zviratidzo zvinogona kusimuka kana paine shanduko mune kuwanda kwekutenderera kwako.

Vanhu vane IBS vanogona kuenda nekudzoka pakati pekuzvimbirwa nemanyoka kana kuva kana kunyanya kuva nechimwe kana chimwe.

• Kana iwe uine IBS ine diarrhea, iwe uchave uine kazhinji, akasununguka, ane zvigaro zvemvura. Iwe unogona kuve nechido chakakurumidza chekuita ura kufamba, izvo zvingave zvakaoma kudzora.
• Kana iwe uine IBS nekuzvimbirwa, iwe uchave nenguva yakaoma kupfuura chigaro, pamwe nekufamba kwembichana. Iwe ungangoda kumanikidza nekufamba kwemukati uye uine maronda. Kazhinji kacho, chidiki chete kana chisina kana chituru zvachose chinopfuura.

Zviratidzo zvinogona kuwedzera zvakanyanya kwemavhiki mashoma kana mwedzi, zvobva zvadzikira kwechinguva. Mune zvimwe zviitiko, zviratidzo zviripo nguva zhinji.

Iwe unogona zvakare kurasikirwa nechido chako kana uine IBS. Zvisinei, ropa muzvigaro uye zvisingadiwi kurasikirwa kwekurema hakusi chikamu cheBS.

Iko hakuna bvunzo yekuongorora IBS. Kazhinji yenguva, wako mupi wehutano anogona kuongorora IBS zvichibva pane zviratidzo zvako. Kudya chikafu chisina-lactose kwemavhiki maviri kunogona kubatsira mupi kuona lactase kushomeka (kana lactose kusagadzikana).

Iyi bvunzo inotevera inogona kuitwa kutonga mamwe matambudziko:

• Ropa bvunzo kuti uone kana iwe uine chirwere checliac kana yakaderera ropa kuverenga (anemia)
• Stool bvunzo yeropa remashiripiti
• Chituru tsika kuti utarise hutachiona
• Microscopic bvunzo yechituru sampuro yezvipembenene
• Chitsiko bvunzo yechinhu chinonzi fecal calprotectin

Wako mupi anogona kukurudzira colonoscopy. Munguva yebvunzo iyi, chubhu inochinjika inoiswa kuburikidza neiyo anus kuti iongorore colon. Ungangoda bvunzo iyi kana:

• Zviratidzo zvakatanga mushure mehupenyu (anopfuura makore makumi mashanu)
• Iwe une zviratidzo zvakadai sekuderedza uremu kana zvituru zvine ropa
• Iwe une kuongororwa kweropa zvisina kujairika (senge yakaderera ropa kuverenga)

Zvimwe zvinokanganisa zvinogona kukonzera zviratidzo zvakafanana zvinosanganisira:

• Chirwere cheCeliac
• Kenza yekoloni (kenza haiwanzokonzeresa zviratidzo zveBS, kunze kwekunge zviratidzo zvakaita sekurema, ropa muzvituru, kana kuongororwa kweropa zvisina kujairika kuripo)
• Chirwere cheCrohn kana ulcerative colitis

Chinangwa chekurapa ndechekusunungura zviratidzo.

Mune zvimwe zviitiko zveBS, mararamiro ehupenyu anogona kubatsira. Semuenzaniso, kugara uchirovedza muviri uye kunatsiridza tsika dzekurara kunogona kudzikisira kushushikana uye kubatsira kubvisa ura.

Kuchinja kwekudya kunogona kubatsira. Zvisinei, hapana chikafu chaicho chinogona kukurudzirwa kuBS nekuti mamiriro acho anosiyana kubva kune mumwe munhu kuenda kune mumwe.

Shanduko dzinotevera dzinogona kubatsira:

• Kudzivisa chikafu uye zvinwiwa zvinokurudzira ura (senge caffeine, tii, kana makora)
• Kudya zvidiki zvidyo
• Kuwedzera faibha mukudya (izvi zvinogona kuvandudza kuzvimbirwa kana manyoka, asi zvoita kuti bloating zvinyanye)

Taura nemupi wako usati watora anopfuura-the-counter mishonga.

Hapana mushonga mumwe unoshanda kune wese munhu. Zvimwe zvinopihwa nemupi wako zvinosanganisira:

• Mishonga yeanticholinergic (dicyclomine, propantheline, belladonna, uye hyoscyamine) inotorwa inenge hafu yeawa usati wadya kudzora ura hwemhasuru
• Loperamide kurapa IBS-D
• Alosetron (Lotronex) yeBS-D
• Eluxadoline (Viberzi) yeBS-D
• MaProbiotic
• Mashoma madhizaizi e tricyclic antidepressants kubatsira kubvisa maronda emukati
• Lubiprostone (amitiza) yeBS-C
• Bisacodyl kurapa IBS-C
• Rifaximin, mushonga unorwisa mabhakitiriya
• Linaclotide (Linzess) yeBS-C

Kurapa kwepfungwa kana mishonga yekushushikana kana kushushikana kunogona kubatsira padambudziko.

IBS inogona kunge iri hupenyu hwakareba mamiriro. Kune vamwe vanhu, zviratidzo zviri kuremadza uye zvinokanganisa basa, kufamba, uye zviitiko zvehukama.

Zviratidzo zvinowanzo kuve zvirinani nekurapwa.

IBS haina kukonzera kukuvara zvachose kumatumbu. Zvakare, haitungamiri kuchirwere chakakomba, senge kenza.

Fonera waunopa kana uine zviratidzo zveBS kana ukaona shanduko muhunhu hwako husingaendi.

IBS; Ura hunotsamwa; Spastic colon; Irritable colon; Mucous colitis; Spastic colitis; Kutambudzika kwepamuviri - IBS; Dhairrhea - IBS; Kuzvimbirwa - IBS; IBS-C; IBS-D

• Kuzvimbirwa - chii chekubvunza chiremba wako

• Kugaya chirongwa

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