Matenda okhumudwitsa

Irritable bowel syndrome (IBS) ndimatenda omwe amabweretsa zowawa m'mimba komanso matumbo.

IBS siyofanana ndi matenda opatsirana am'mimba (IBD).

Zifukwa zomwe IBS ikukula sizikudziwika. Zitha kuchitika pambuyo pa matenda a bakiteriya kapena matenda opatsirana (giardiasis) m'matumbo. Izi zimatchedwa IBS yopatsirana. Pakhoza kukhalanso zoyambitsa zina, kuphatikizapo kupsinjika.

Matumbo amalumikizidwa kuubongo pogwiritsa ntchito ma mahomoni ndi mitsempha yomwe imapita ndikubwerera pakati pamatumbo ndi ubongo. Zizindikirozi zimakhudza matumbo ndi zizindikiritso. Mitsempha imatha kugwira ntchito kwambiri panthawi yamavuto. Izi zitha kupangitsa kuti matumbo azikhala achisoni komanso azigwirana kwambiri.

IBS imatha kuchitika msinkhu uliwonse. Nthawi zambiri, zimayambira zaka zaunyamata kapena zaka zaunyamata. Ndiwowirikiza kawiri mwa akazi kuposa amuna.

Sizingatheke kuyamba kwa anthu achikulire opitirira zaka 50.

Pafupifupi 10% mpaka 15% ya anthu ku United States ali ndi zizindikiro za IBS. Ndilo vuto lamatumbo lomwe limafala kwambiri lomwe limapangitsa kuti anthu atumizidwe kwa katswiri wamatumbo (gastroenterologist).

Zizindikiro za IBS zimasiyanasiyana malinga ndi munthu, ndipo zimakhazikika pofatsa mpaka zovuta. Anthu ambiri ali ndi zizindikiro zochepa. Mukuti muli ndi IBS pomwe zizindikilo zilipo kwa masiku osachepera atatu pamwezi kwa miyezi itatu kapena kupitilira apo.

Zizindikiro zazikulu ndi monga:

• Kupweteka m'mimba
• Gasi
• Chidzalo
• Kuphulika
• Sinthani zizolowezi zamatumbo. Amatha kukhala ndi kutsekula m'mimba (IBS-D), kapena kudzimbidwa (IBS-C).

Ululu ndi zizindikilo zina zimachepetsedwa kapena kutha pambuyo poyenda matumbo. Zizindikiro zimatha kuwonekera pakasintha pafupipafupi momwe mumayendera.

Anthu omwe ali ndi IBS amatha kubwerera mmbuyo ndi mtsogolo pakati pa kudzimbidwa ndi kutsekula m'mimba kapena kukhala nawo kapena kukhala nawo.

• Ngati muli ndi IBS ndi kutsekula m'mimba, mudzakhala ndi mipando yamafupipafupi, yotayirira, yamadzi. Mutha kukhala ndi chosowa chofulumira chokhala ndi matumbo, omwe angakhale ovuta kuwongolera.
• Ngati muli ndi IBS ndikudzimbidwa, mudzakhala wovuta kudutsa chopondapo, komanso kuchepa kwa matumbo. Mungafunike kupsyinjika ndi matumbo ndikukhala ndi kukokana. Nthawi zambiri, chodyera chaching'ono kapena chopanda konse chimadutsa.

Zizindikiro zimatha kukulirakulira kwa milungu ingapo kapena mwezi, kenako zimachepa kwakanthawi. Nthawi zina, zizindikilo zimakhalapo nthawi zambiri.

Muthanso kutaya njala ngati muli ndi IBS. Komabe, magazi m'mipando ndi kutaya mwangozi si mbali ya IBS.

Palibe mayeso oti mupeze IBS. Nthawi zambiri, wothandizira zaumoyo wanu amatha kudziwa IBS kutengera zomwe muli nazo. Kudya chakudya chopanda lactose kwa milungu iwiri kungathandize woperekayo kuzindikira kuchepa kwa lactase (kapena kusagwirizana kwa lactose).

Mayesero otsatirawa atha kuchitidwa kuti athetse mavuto ena:

• Kuyezetsa magazi kuti muwone ngati muli ndi matenda a leliac kapena kuchuluka kwamagazi (kuchepa magazi)
• Kupondapo magazi amatsenga
• Chikhalidwe chopondapo kuti chifufuze matenda
• Kuyesa kwazing'ono zazithunzi zazitsulo za tizilombo toyambitsa matenda
• Kupenda chopondapo chinthu chotchedwa fecal calprotectin

Wothandizira anu akhoza kulimbikitsa colonoscopy. Pakuyesa uku, chubu chosinthika chimalowetsedwa kudzera mu anus kuti chifufuze m'matumbo. Mungafunike mayeso awa ngati:

• Zizindikiro zidayamba pambuyo pake m'moyo (opitilira zaka 50)
• Muli ndi zizindikiro monga kuchepa thupi kapena zotchinga zamagazi
• Muli ndi mayeso achilendo amwazi (monga kuchuluka kwamagazi ochepa)

Zovuta zina zomwe zingayambitse zofananira ndi izi:

• Matenda a Celiac
• Khansa ya m'matumbo (khansa imayambitsa matenda amtundu wa IBS, pokhapokha ngati pali zina monga kuchepa thupi, magazi m'mipando, kapena kuyezetsa magazi kosazolowereka)
• Matenda a Crohn kapena ulcerative colitis

Cholinga cha chithandizo ndikuthetsa zizindikiro.

Nthawi zina za IBS, kusintha kwa moyo kumatha kuthandizira. Mwachitsanzo, kuchita masewera olimbitsa thupi pafupipafupi komanso kugona mokwanira kumachepetsa nkhawa komanso kuthandizira kuthetsa matumbo.

Kusintha kwa zakudya kumatha kukhala kothandiza. Komabe, palibe zakudya zilizonse zomwe zingalimbikitsidwe kwa IBS chifukwa vutoli limasiyana ndi munthu wina.

Zosintha zotsatirazi zitha kuthandiza:

• Kupewa zakudya ndi zakumwa zomwe zimalimbikitsa matumbo (monga caffeine, tiyi, kapena colas)
• Kudya zakudya zazing'ono
• Kuchulukitsa kwa zakudya mu zakudya (izi zitha kupititsa patsogolo kudzimbidwa kapena kutsekula m'mimba, koma zimapangitsa kuti kufufuma kukule kwambiri)

Lankhulani ndi omwe amakupatsani mankhwala musanamwe mankhwala owonjezera.

Palibe mankhwala amodzi omwe amagwirira ntchito aliyense. Zina zomwe woperekayo anganene kuti ndi izi:

• Mankhwala a anticholinergic (dicyclomine, propantheline, belladonna, ndi hyoscyamine) omwe amatengedwa pafupifupi theka la ola asanadye kuti athane ndi zotupa zamatumbo
• Loperamide yochiza IBS-D
• Alosetron (Lotronex) ya IBS-D
• Eluxadoline (Viberzi) ya IBS-D
• Mapuloteni
• Mlingo wochepa wa mankhwala opatsirana pogonana a tricyclic othandizira kuthetsa ululu wamimba
• Lubiprostone (amitiza) ya IBS-C
• Bisacodyl amachiza IBS-C
• Rifaximin, mankhwala opha tizilombo
• Linaclotide (Linzess) ya IBS-C

Chithandizo chamaganizidwe kapena mankhwala amantha kapena nkhawa atha kuthana ndi vutoli.

IBS ikhoza kukhala moyo wautali. Kwa anthu ena, zizindikiro zimalepheretsa ndikusokoneza ntchito, maulendo, komanso zochitika zina.

Zizindikiro nthawi zambiri zimakhala bwino ndi chithandizo.

IBS siyimavulaza matumbo mpaka kalekale. Komanso, sizimayambitsa matenda oyipa, monga khansa.

Itanani omwe akukuthandizani ngati muli ndi zizindikiro za IBS kapena mukawona kusintha kwa matumbo anu omwe samachoka.

IBS; Matumbo osakwiya; Spastic m'matumbo; M'matumbo mokwiya; Matenda am`matumbo; Kutuluka kwamatenda; Kupweteka m'mimba - IBS; Kutsekula m'mimba - IBS; Kudzimbidwa - IBS; Zamgululi Kufotokozera: IBS-D

• Kudzimbidwa - zomwe mungafunse dokotala

• Dongosolo m'mimba

Aronson JK. Mankhwala otsekemera. Mu: Aronson JK, mkonzi. Zotsatira zoyipa za Meyler za Mankhwala Osokoneza bongo. Wolemba 16. Philadelphia, PA: Elsevier; 2016: 488-494.

Canavan C, West J, Khadi T. Matenda omwe amapezeka m'matumbo. Clin Epidemiol. 2014; 6: 71-80. PMID: 24523597 www.ncbi.nlm.nih.gov/pubmed/24523597.

Ferri FF. Matenda okhumudwitsa. Mu: Ferri FF, Mkonzi. Mlangizi wa Zachipatala wa Ferri 2019. Philadelphia, PA: Elsevier; 2019: 798-801.

Ford AC, Talley NJ. Matenda okhumudwitsa. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 122.

Mtsogoleri EA. Ntchito zovuta zam'mimba: matumbo opweteka, dyspepsia, kupweteka pachifuwa komwe kumaganiziridwa kuti ndi kwam'mero, komanso kutentha pa chifuwa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 137.

Wolfe MM. Zizindikiro zodziwika bwino zamatenda am'mimba. Mu: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, olemba. Andreec ndi Carpenter a Cecil zofunika za mankhwala. 9th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 33.