Momwe Maganizo Anu Alili ndi Matumbo Anu

Zamkati

• Kodi Zizindikiro Zam'matumbo Azi Zimayambitsidwa Bwanji?
• Kupsinjika, kuda nkhawa, komanso vuto lanu
• Kodi Mungatani Kuti muchepetse Zizindikiro za Gut?
• Onaninso za

Kungakhale kosavuta kudzudzula vuto lanu lonse m'mimba mwakachetechete. Kutsekula m'mimba? Zachidziwikire kuti ma BBQ atali usiku watha. Kutupa ndi mpweya? Zikomo kapu yowonjezera ya khofi yomwe ili pano Zedi, zomwe mumadya zimatha komanso zimakhudza matumbo anu. Koma (!!) mudayimapo ndikuganiza kuti pakhoza kukhala zochulukira pazovuta zam'mimba zomwe zakhala nazo kanthu kodi ndi mimba yokha?

Zambiri mwazovuta zomwe zimachitika m'mimba zimatha kuchitika m'mutu mwanu. Tangoganizirani: Ndi kangati pomwe mudakhala ndi tsiku losawoneka bwino ndipo m'mimba mwanu mudalipira?

"Maganizo ndi thupi zimagwirizana kwambiri," akutero Paraskevi Noulas, Psy.D., pulofesa wothandizira pachipatala ku Dipatimenti ya Psychiatry ku NYU Grossman School of Medicine. "Ndizoseketsa kuti timalekanitsa awiriwa nthawi zina ndikuganiza kuti nkhani za m'maganizo ndizosiyana kotheratu komanso zodziyimira pawokha komanso mosiyana. Thupi lanu ndi malingaliro anu ndi gawo limodzi; zili ngati ukonde waukulu wa kangaude ndipo chidutswa chilichonse chimagwirizana ndi chimzake. makamaka, ili ndi njira yolunjika ku ubongo wanu. Ndicho chifukwa chake tikakhumudwa, kumverera koyamba kwa thupi kumakhala koyamba m'matumbo athu."

Mukalandira nkhani zoipa kapena mukakhala munyengo yovuta kuntchito, mwawona momwe mulibe njala? Kapena mukamavala chibwenzi, kodi mumamvako bwino, ngati kuti muli ndi agulugufe? Kaya mwamanjenje, wokondwa, wokwiya, kapena wachisoni, chilichonse ndi zotengeka zimatha kuyambitsa zomwe zimachitika m'matumbo mwanu.

Izi ndichifukwa cha kachinthu kakang'ono kamene kamatchedwa gut-brain axis, yomwe ndi "njira yoyendetsedwa ndi mahomoni ndi biochemical pakati pa m'mimba ndi ubongo," akufotokoza Lisa Ganjhu, DO, gastroenterologist komanso pulofesa wothandizira zamankhwala ku NYU Grossman. School of Medicine. Kwenikweni, ndizomwe zimalumikiza dongosolo lamanjenje lamkati -ubongo ndi msana-ndi dongosolo lamanjenje la enteric -mitsempha yolumikizana yokhudzana ndi m'mimba ngati gawo la dongosolo lamanjenje lamanjenje - ndipo, imathandizanso kuti azikhala okhazikika kulumikizana, malinga ndi kuwunikiridwa kofalitsidwa mu Zolengeza za Gastroenterology.

"Pali mankhwala omwe amalumikizana pakati pa malo omwe ali muubongo ndi m'mimba omwe amatha kusintha matumbo, kuyamwa kwa michere, ndi ma microbiome," akutero Dr. Ganjhu. "Ndipo pali mahomoni ochokera m'matumbo omwe amatha kusintha malingaliro, njala, ndi kukhuta." Tanthauzo, mimba yanu imatha kutumiza zizindikiro ku ubongo wanu, kuchititsa kusintha kwamaganizo, ndipo ubongo wanu ukhoza kutumiza zizindikiro m'mimba mwanu, zomwe zimayambitsa zizindikiro za m'mimba monga kukokana, gasi, kutsegula m'mimba, kudzimbidwa, ndi mndandanda umapitirira. (Zogwirizana: Njira Yodabwitsa Yolumikizira Ubongo Wanu ndi M'matumbo Anu)

Chifukwa chake, dzenjelo m'mimba mwako pamene china chake chalakwika? "Siziwonetsedwa," akutero Noulas. "Inu kwenikweni mumakumana ndi kusintha komweko m'mimba mwanu (kuchuluka kwa asidi, ndi zina zotero). Ndi njira ya thupi lanu yokonzekera ndi kuyankha pazochitikazo."

Kodi Zizindikiro Zam'matumbo Azi Zimayambitsidwa Bwanji?

Kuyambira zaka 12, ndakhala ndikulimbana ndi vuto la m'mimba. Ndimakumbukira kuti nthawi zonse ndinkachoka kusukulu msanga chifukwa cha madokotala omwe anali ndi akatswiri, koma ndinapezeka kuti ndili ndi IBS (matumbo opweteka) ndili ndi zaka 14. Kutsogola kwa mliri wa coronavirus, ndipo patatha zaka zambiri ndikulamulira IBS yanga, m'matumbo mwanga mumakhala mavuto ndipo zizindikiro zomvetsa chisoni zinabwerera —ndibwezera chilango. Chifukwa chiyani? Nkhawa, kupsinjika maganizo, kuganiza mopambanitsa, kusadya bwino, ndi kusowa tulo, zonsezi zimabwera chifukwa cha mavuto omwe tawatchulawa padziko lonse. (Zokhudzana: Momwe Nkhawa Zanga Zamoyo Zonse Zandithandizira Kuthana ndi Coronavirus Panic)

"Mukadutsa muzochitika zosintha moyo (kuvulala, kutayika kwa moyo, kutayika kwa ubale kudzera mu imfa, kusweka, kusudzulana) kusintha kumakhala kwamphamvu kwambiri kotero kuti kumapangitsa kuti dongosolo lanu likhale lopanda mphamvu," akufotokoza Noulas. "Zimakupangitsani kupita kwina kapena zina (kudya kwambiri kapena kupewa kudya, kugona mopitirira muyeso kapena kugona tulo, simungathe kukhala chete kapena kumva ngati misozi). Ndipo momwe mungayankhire nthawi imodzi (kugona mopitirira muyeso, kudya mopitirira muyeso, kusuntha pang'ono) kumatha khalani osiyana kotheratu ndi momwe zinthu ziliri (kugona mokwanira, kusowa njala, kugwira ntchito mopitirira muyeso). " Ndipo popeza zizolowezi monga kudya ndi kugona (kapena kusowa kwake, komwe kumatha kubweretsa zovuta m'mimba) zimakhudzanso m'matumbo mwanu, mwina mwatsala ndi vuto lina la GI.

Ndipo ngakhale zopsinjika za quotidian, monga kuwonetsera kuntchito, zimatha kuyambitsa zovuta zambiri za m'mimba, zomwe zimadetsa nkhawa monga mliri wa COVID-19 ukhoza kutengera kupsinjika kwa GI pamlingo wina watsopano. (Popanda kutchula, coronavirus yomwe imatha kuyambitsa kutsekula m'mimba.) Zoyambitsa zilizonse, Dr. Ganjhi wazindikira kuti kupsinjika ndi nkhawa ndizofala kwa odwala a GI. "Anthu omwe ali ndi nkhawa kwambiri amakhala ndi zodandaula zambiri za GI ndipo omwe ali ndi zovuta zambiri za GI amakhala ndi nkhawa," akutero.

Kupsinjika, kuda nkhawa, komanso vuto lanu

Mukakhala kuti mwapanikizika, ubongo wanu umawombera uthenga - china chake "Hei, ndikumangirira pano"- kumatumbo anu, omwe amayankha mwa kupita "kupulumuka," akutero Noulas. "Izi ndichifukwa choti mukakhala ndi nkhawa, thupi lanu limamva kuti silotetezeka, motero dongosololi limakonzekera kumenya nkhondo kapena kuthawa." (Onaninso: Njira 10 Zachilendo Zomwe Thupi Lanu Limamva Kupsinjika)

Ndikofunika kuzindikira kuti kuwonjezera pa matumbo a ubongo, matumbo anu a microbiome amathandizanso momwe malingaliro anu amakhudzira matumbo anu. Monga tafotokozera kale, zizindikiro zomwe zimatumizidwa kuchokera ku ubongo kupita kumatumbo zimatha kusintha mbali zosiyanasiyana za GI, kuphatikizapo matumbo a microbiome. Pakapita nthawi yayitali, kupsinjika kopitilira muyeso (chifukwa, titi, vuto la nkhawa kapena mliri wopitilira) kumatha kufooketsa chotchinga chamatumbo ndikulola mabakiteriya am'matumbo kulowa m'thupi, kuonjezera chiopsezo cha matenda, komanso kusintha ma microbiome onse. pamodzi, malinga ndi American Psychological Association (APA). M'kanthawi kochepa, izi zingaphatikizepo chirichonse kuchokera ku minofu ya minofu ndikuyiyika ku bafa kapena mosiyana, kudzimbidwa. "Zina mwazofala kwambiri zomwe zimakhudzidwa kwambiri ndi m'mimba, nseru, mutu, kupuma mozama komanso / kapena kupuma mwachangu, kugunda kwa mtima, kupsinjika kwa minofu, ndi thukuta," akuwonjezera Noulas.

Kupsinjika maganizo kumakhudza makamaka anthu omwe ali ndi vuto lopweteka m'mimba, monga IBS kapena matenda opatsirana am'mimba (IBD). Izi zitha kukhala chifukwa cha mitsempha yam'mimba kukhala yolimba, kusintha kwa ma microbiota am'matumbo, kusintha momwe chakudya chimayendera m'matumbo, komanso / kapena kusintha mayankho amthupi, malinga ndi APA.

Kodi Mungatani Kuti muchepetse Zizindikiro za Gut?

Kuti muchiritse zisonyezo za GI, muyenera kufikira pazomwe zimayambitsa kapena kuyambitsa. "Mpaka nkhanizo zitathetsedwa, simungathe kukonza zovuta za GI," akutero Dr. Ganjhu. "Mutha kuthana ndi zovuta za GI, koma sizingathetse mpaka zovuta zamisala zitathetsedwa" kapena ngakhale kungogwiridwa. (Zogwirizana: Momwe Mumoyo Wanu Ungakhudzire Kukula Kwanu)

"Chodziwikiratu kwa ine ngati katswiri wokhudzana ndi zowawa ndikuti nthawi zambiri zovuta zathupi zimatha panthawi yonse yamankhwala," akutero Noulas. "Odwala anga ambiri amafotokoza kupsinjika kwakuthupi chifukwa chithandizo chimapitilira, ndimatenda a GI omwe amafala kwambiri. Chizindikiro chachikulu kuti munthuyo akuthetsa nkhawa zawo ndipo thupi silinathenso kupsinjika, kuda nkhawa Ikukonzedwa, kumvetsetsedwa, ndi kumasulidwa kotero kuti thupi likhale lathanzi, lokhazikika, ndipo silikufunikanso kufotokoza maganizo oipawo mwakuthupi."

Dr. Ganijhu akuvomereza, akunena kuti "njira zamankhwala zamankhwala amisala monga kuzindikira zamankhwala, hypnosis, ndi zodetsa nkhawa monga SSRI ndi tricyclic antidepressants zitha kuthandizira madandaulo a GI ngati akukhudzana ndi kukhumudwa kapena nkhawa."

Momwemonso kulowererapo kwamaganizidwe ndikofunikira, monga kukhala ndi chakudya chopatsa thanzi. Koma momwe zakudya zimakhudzira malingaliro anu, motero, kachitidwe kanu ka GI, komanso zomwe zili bwino kwambiri pakulimbana ndi mimba ndizokambirana zinanso. Zina mwazofunikira: Choyamba, muyenera kukhala ndi zakudya zopatsa mphamvu kuti musunge makina anu nthawi zonse, koma fiber yochulukirapo imatha kubweretsa kuphulika-ndichifukwa chake akatswiri amalimbikitsa kuti azisunga magazini yazakudya kuti zithandizire kudziwa momwe zimadyera. Polemba zomwe mumadya komanso momwe mumamvera mwakuthupi ndi mwamaganizidwe tsiku lonse, mumatha kuzindikira zomwe zimayambitsa-mwachitsanzo. kutengeka, zosakaniza, kapena zakudya zina zomwe zitha kuyambitsa matenda a GI. (Zogwirizana: Zizindikiro Zoyipa ndi Zizindikiro za Kuzindikira Chakudya)

Mfundo yofunika: aliyense ali ndi udindo pa matupi awo komanso momwe amawapangira kuti amve. Kwa munthu wonga ine yemwe ali wokonda kutengeka kwambiri yemwe ali ndi nkhawa yochepa, ndiyenera kuchita zonse zomwe ndingathe kuti ndikhale ndi malo osangalala. Sizangochitika mwangozi kuti m'masiku abwino ndikuchepetsa nkhawa, m'mimba mwanga mumakhala bwino. Koma sizowona. Moyo umachitika ndipo ndi izi, malingaliro amakhudzidwa. Zomwe ndimamva m'mutu mwanga, ndimamva m'mimba mwanga komanso mosiyana. Tikazindikira msanga kuti machitidwe awiriwa amagwirira ntchito limodzi, m'njira zabwino komanso zoyipa, mwina titha kupeza njira yoti agwirire ntchito mogwirizana kuti tipindule nawo ... komanso m'mimba mwathu.

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