Matenda owopsa am'mimba - pambuyo pothandizira

Irritable bowel syndrome (IBS) ndi vuto lomwe limayambitsa kupweteka m'mimba ndikusintha kwamatumbo. Wothandizira zaumoyo wanu amalankhula zazomwe mungachite kunyumba kuti muthane ndi vuto lanu.

Matenda owopsa am'mimba (IBS) atha kukhala moyo wonse. Mutha kukhala mukuvutika ndi zotupa, zotsekula m'mimba, kudzimbidwa, kapena kuphatikiza kwa izi.

Kwa anthu ena, zizindikiro za IBS zitha kusokoneza ntchito, kuyenda, komanso kupita kumisangala. Koma kumwa mankhwala ndikusintha moyo wanu kumatha kuthandizira kusamalira zizindikilo zanu.

Kusintha kwa zakudya zanu kungakhale kothandiza. Komabe, IBS imasiyanasiyana malinga ndi munthu. Chifukwa chake kusintha komweku sikungagwire ntchito kwa aliyense.

• Onetsetsani zizindikiro zanu komanso zakudya zomwe mukudya. Izi zikuthandizani kuti muyang'ane mtundu wa zakudya zomwe zitha kukulitsa zizindikiritso zanu.
• Pewani zakudya zomwe zimayambitsa zizindikiro. Izi zingaphatikizepo zakudya zamafuta kapena zokazinga, zopangidwa ndi mkaka, tiyi kapena khofi, masoda, mowa, chokoleti, ndi mbewu monga tirigu, rye, ndi balere.
• Idyani zakudya zazing'ono 4 kapena 5 patsiku, m'malo mwazikulu zitatu.

Wonjezerani fiber mu zakudya zanu kuti muchepetse zizindikiritso.CHIKWANGWANI chimapezeka mu mikate yonse yambewu ndi chimanga, nyemba, zipatso, ndi ndiwo zamasamba. Popeza kuti fiber ingayambitse mpweya, ndibwino kuti muwonjezere zakudya izi pang'onopang'ono.

Palibe mankhwala amodzi omwe angagwire ntchito kwa aliyense. Mankhwala ena amaperekedwa makamaka kwa IBS ndi kutsekula m'mimba (IBS-D) kapena IBS ndikudzimbidwa (IBS-C). Mankhwala omwe amakupatsirani omwe mungayese nawo ndi awa:

• Mankhwala a Antispasmodic omwe mumamwa musanadye kuti muchepetse mitsempha ya m'matumbo komanso kupunduka m'mimba
• Mankhwala oletsa kutsegula m'mimba monga loperamide, eluxadoline ndi alosetron a IBS-D
• Laxatives, monga lubiprostone, linaclotide, plecanatide, bisacodyl, ndi ena omwe amagulidwa popanda mankhwala a IBS-C
• Mankhwala opatsirana pogonana amathandiza kuthetsa ululu kapena kusapeza bwino
• Rifaximin, mankhwala omwe sanatengeke m'matumbo mwanu
• Mapuloteni

Ndikofunika kutsatira malangizo a omwe akukuthandizani mukamagwiritsa ntchito mankhwala a IBS. Kumwa mankhwala osiyanasiyana kapena kusamwa mankhwala momwe mwalangizidwira kumatha kubweretsa mavuto ena.

Kupsinjika mtima kumatha kupangitsa kuti matumbo anu azikhala achisoni komanso kugwiranagwirana. Zinthu zambiri zimatha kubweretsa nkhawa, kuphatikiza:

• Kulephera kuchita zinthu chifukwa chakumva kuwawa kwanu
• Zosintha kapena zovuta kuntchito kapena kunyumba
• Ndandanda yotanganidwa
• Kutha nthawi yochuluka muli nokha
• Kukhala ndi mavuto ena azachipatala

Njira yoyamba yochepetsera kupsinjika kwanu ndi kudziwa chomwe chimakupangitsani kuti mukhale opanikizika.

• Onani zinthu zomwe zimakukhumudwitsani kwambiri pamoyo wanu.
• Sungani zolemba za zokumana nazo ndi malingaliro omwe akuwoneka kuti akukhudzana ndi nkhawa yanu ndikuwona ngati mungasinthe pazinthu izi.
• Fikirani kwa anthu ena.
• Pezani munthu amene mumamukhulupirira (monga mnzanu, wachibale, mnansi, kapena m'busa wachipembedzo) yemwe angakumvereni. Nthawi zambiri, kungolankhula ndi munthu kumathandiza kuti muchepetse nkhawa komanso kupsinjika.

Itanani omwe akukuthandizani ngati:

• Mumakhala ndi malungo
• Mumakhala ndi magazi m'mimba
• Muli ndi zowawa zoyipa zomwe sizimatha
• Mumachepetsa mapaundi oposa 5 mpaka 10 (2 mpaka 4.5 kilograms) pomwe simukuyesera kuti muchepetse kunenepa

IBS; Ntchofu; Zamgululi Kufotokozera: IBS-C

Ford AC, Talley NJ. Matenda okhumudwitsa. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 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.

Waller DG, Sampson AP. Kudzimbidwa, kutsegula m'mimba komanso matenda am'mimba. Mu: Waller DG, Sampson AP, eds. Medical Pharmacology ndi Therapeutics. 5th ed. Philadelphia, PA: Elsevier; 2018: mutu 35.