IBS-D: Kuongorora uye Kurapa Sarudzo

Zvemukati

• Zviratidzo
• Kuongorora
• Zvinokonzera
• Mararamiro Ekurapa
• Mishonga
• Tora woenda nazvo

Irritable bowel syndrome (IBS) haina kufanana kune wese munhu. Nepo vamwe vachitambura nekuzvimbirwa, vamwe vanobata nemanyoka.

Ramba uchiverenga kuti udzidze nezve anogumbuka ura hwechirwere nemanyoka (IBS-D), kusanganisira zviratidzo zvayo, kuongororwa, uye nzira dzekurapa.

Zviratidzo

IBS-D inogovera zviratidzo zvakawanda nemamwe marudzi eBS (IBS-C uye IBS-M). Izvi zviratidzo zvakagovaniswa zvinosanganisira gasi, kurwadziwa mudumbu, uye kuzvimba. Zviratidzo zvekutanga zvakasarudzika neBS-D manyoka, zvigaro zvakasununguka, uye nekukurumidza kukurudzira kune hutumbu. Vanenge munhu mumwe chete pavanhu vatatu vane IBS-D vanorasikirwa nehuturu kana kusviba. Izvi zvine simba, rakashata pakurarama kwezuva nezuva.

Kuongorora

Kunyangwe iwe uchifunga kuti une IBS-D, zvakakosha kuti usazviongorore. Bvunza kune nyanzvi senge gastroenterologist. Ivo vangangoita bvunzo dzepanyama uye vowana nhoroondo yakazara yehutano hwako. Vanozobvunzawo nezve chero nhoroondo yemhuri yezvirwere zvakaita segomarara rekoloni, chirwere cheCeliac, kana chirwere cheCrohn.

Vanachiremba vanogona kuraira ropa uye zvituru bvunzo dzemarabhoritari. Iwe unogona zvakare kuda colonoscopy, inoshanduka sigmoidoscopy, uye x-ray. Iyi bvunzo inobatsira kutonga kunze kwezvimwe zvirwere. Kune mukuru IBS-D kuongororwa, iwe unofanirwa kuve nemanyoka sechiratidzo chekutanga kupfuura makumi maviri muzana yenguva. Iwe unofanirwa zvakare kuve nekuzvimbirwa pasi pe25 muzana yenguva.

Zvinokonzera

Mhando dzese dzeBS, kusanganisira IBS-D, zvine zvikonzero zvakafanana. Kushungurudzika chinhu chinowanzoitika, kunyangwe zviratidzo zvacho zvisingaite mupfungwa. Zvimwe zvekudya, zvakaita semukaka, gorosi, uye waini tsvuku, zvinowanzo kukonzera kukanganisa. Kusvuta uye caffeine kushandiswa kunogona zvakare kukonzera zviratidzo zveBS.

Mararamiro Ekurapa

Kugadzirisa chero mhando yeBS inoda hutano hwakanaka maitiro. Izvi zvinosanganisira kudzikisira kushushikana, kugara uchirovedza muviri, kunwa mvura yakakwana, uye kurara zvakakwana.

Kune avo vane IBS-D, shanduko yekudya inogona kubatsira zvakanyanya. Heano mamwe matipi ekudya:

• Bvisa chikafu chinogadzira gasi. Zvimwe zvekudya zvakakwirira mumakomponi anogadzira gasi. Izvi zvekudya zvinosanganisira bhinzi, zvinwiwa zvine kaboni, michero mbishi, uye miriwo yakaita kabichi uye broccoli. Kudzivisa izvi zvekudya kunogona kubatsira kudzikisira gasi rinorwadza uye kuzvimba.
• Bvisa gluten. Gluten ipuroteni inowanikwa mugorosi, rye uye bhari. A mumagazini Gastroenterology vakawana kuti kudya kwe-gluten-kwakashanda mukuderedza zviratidzo zveBS. Gluten yakakonzera zviratidzo zve "kuvuza gut" kana diki ura kukwana. Gluten zvakare yakawedzera mamaki ekuzvimba.
• Edza Yakaderera-FODMAP Kudya. FODMAP mhando yemakabohydrate anowanikwa mune zvimwe zvekudya. Izwi reFODMAP rinomiririra Fermentable Oligo-Di-Monosaccharides uye Polyols. Zvinyorwa zveFODMAP zvinosanganisira:
  • Fructose (michero, uchi, high-fructose chibage manyuchi)
  • Lactose (mukaka uye zvigadzirwa zvemukaka)
  • Fructans (gorosi, hanyanisi, gariki, uye inulin)
  • Galactans (nyemba dzakadai bhinzi, soya, uye nyemba)
  • Polyols (michero yematombo yakadai semakotapeya, ma cherries, uye mapichisi; shuga zvinodhaka zvakadai se sorbitol uye xylitol)

Kuderedza kudya kwako kweFODMAPs kunogona kubvisa zviratidzo zveBS. Zviratidzo izvi zvinosanganisira kurwadziwa mudumbu uye kupwanya, gasi, uye kuzvimba. Zvisinei, zvakawanda zvekudya zvine FODMAPs zvakanaka zvinobva kune fiber. Iwe unofanirwa kutora hanya kuti uwane fiber yakakwana kubva kune zvimwe zvekudya.

Mishonga

Kana mararamiro ehupenyu kana shanduko yemudyandigere isingasunungure zviratidzo zveBS, ungangoda kuwedzera mishonga kurapa-mutsara wako. Heano mamwe mazano:

• Antidiarrhea mishonga. Mishonga inodzora manyoka inosanganisira inopfuura-the-counter drug inonzi loperamide (Imodium). Mishonga yemishonga mukirasi inonzi bile acid binders inogona kubatsira. Izvi zvinosanganisira colestipol (Colestid), cholestyramine (Prevalite), uye colesevelam (Welchol). Nekudaro, iyi mishonga inogona kuwedzera kune iyo bloating iyo yatove iripo muBS.
• Anticholinergenic uye antispasmodic mishonga. Iyi mishonga inoderedza ura spasms uye kurwadziwa kwakabatana. Mienzaniso inosanganisira dicyclomine (Bentyl) uye hyosycamine (Levsin). Nekudaro, izvi zvinogona kukonzeresa kuzvimbirwa uye kunetseka kuita weti.
• Mast cell masisitiri uye 5-aminosalicylic acid (5-ASA). Inenge makumi maviri neshanu muzana yezviitiko zveBS-D zvinoitika mushure mekurwara ne gastroenteritis. Iyi mishonga inopesana nekurwisa maronda iyo inogona kubatsira mukurapa iyi subset yeBS-D kesi.
• Alosetron (Lotronex). Iyi ndiyo chete mishonga ikozvino yakatenderwa IBS-D. Zvinotenderwa chete kuvakadzi. Iyo mhedzisiro kubva kune uyu mushonga inogona kuva yakaoma, saka inongowanikwa chete nemushonga kubva kuna vanachiremba vakanyoreswa muchirongwa chakakosha. Inofanirwa kushandiswa chete senge yekupedzisira sarudzo mushure mekunge kumwe kurapa kusati kwabudirira.

Tora woenda nazvo

Kunyangwe IBS-D inogona kuve inonetesa uye inonyadzisa mamiriro, pane nzira dzekuzvibata. Taura nachiremba wako kana gastroenterologist nezve ako zviratidzo kuti uve nechokwadi chekuti iwe unowana kurapwa kwaunoda.