IBS-D: Kusanthula ndi Njira Zothandizira

Zamkati

• Zizindikiro
• Matendawa
• Zoyambitsa
• Chithandizo Cha Moyo
• Mankhwala
• Tengera kwina

Matenda owopsa a m'mimba (IBS) si ofanana ndi aliyense. Pomwe ena amakhala ndi vuto lodzimbidwa, ena amatsekula m'mimba.

Pitirizani kuwerenga kuti mudziwe za matenda opatsirana a m'mimba omwe ali ndi kutsekula m'mimba (IBS-D), kuphatikizapo zizindikiro zake, matenda, ndi njira zothandizira.

Zizindikiro

IBS-D imagawana zizindikiro zambiri ndi mitundu ina ya IBS (IBS-C ndi IBS-M). Zizindikiro zomwe amagawanawa ndi monga mpweya, kupweteka m'mimba, ndi kuphulika. Zizindikiro zoyambirira zomwe zimapezeka ku IBS-D ndi kutsegula m'mimba, zotchinga, ndikulimbikitsidwa mwadzidzidzi kuti mukhale ndi matumbo. Pafupifupi 1 mwa anthu atatu aliwonse omwe ali ndi IBS-D amalephera kuyendetsa matumbo kapena kuwononga dothi. Izi zimakhudza kwambiri, moyo wathu watsiku ndi tsiku.

Matendawa

Ngakhale mukuganiza kuti muli ndi IBS-D, ndikofunikira kuti musadziwike nokha. Funsani kwa katswiri monga gastroenterologist. Atha kuchita mayeso a thupi ndikudziwitsa zambiri zaumoyo wanu. Afunsanso za mbiri yamabanja aliwonse a matenda monga khansa ya m'matumbo, matenda a Celiac, kapena matenda a Crohn.

Madokotala amatha kuyitanitsa mayeso a magazi ndi chopondapo. Mwinanso mungafunike colonoscopy, sigmoidoscopy yosinthasintha, ndi ma x-ray. Kuyesaku kumathandizira kuthana ndi matenda ena. Kuti mudziwe zambiri za IBS-D, muyenera kukhala ndi matenda otsekula m'mimba monga chizindikiro chachikulu kuposa 25% ya nthawiyo. Muyeneranso kukhala ndi kudzimbidwa kosachepera 25% ya nthawiyo.

Zoyambitsa

Mitundu yonse ya IBS, kuphatikiza IBS-D, imayambitsanso chimodzimodzi. Kupsinjika ndi komwe kumayambitsa chizolowezi, ngakhale zizindikilozo sizamalingaliro mwachilengedwe. Zakudya zina, monga mkaka, tirigu, ndi vinyo wofiira, zimatha kuyambitsa kusintha. Kusuta ndi kumwa khofi kungayambitsenso zizindikiro za IBS.

Chithandizo Cha Moyo

Kusamalira mtundu uliwonse wa IBS kumafunikira kukhala ndi moyo wathanzi. Izi zikuphatikizapo kuchepetsa nkhawa, kuchita masewera olimbitsa thupi nthawi zonse, kumwa madzi okwanira, ndi kugona mokwanira.

Kwa iwo omwe ali ndi IBS-D, kusintha kwa zakudya kungakhale kothandiza makamaka. Nawa maupangiri azakudya:

• Chotsani zakudya zopangira mpweya. Zakudya zina zimakhala ndi mankhwala ambiri opangira mpweya. Zakudya izi ndi nyemba, zakumwa za kaboni, zipatso zosaphika, ndi masamba monga kabichi ndi broccoli. Kupewa zakudya izi kungathandize kuchepetsa mpweya wopweteka komanso kuphulika.
• Chotsani gluteni. Gluten ndi mapuloteni omwe amapezeka mu tirigu, rye, ndi barele. A mu nyuzipepala Gastroenterology anapeza kuti zakudya zopanda thanzi zimathandiza kuchepetsa zizindikiro za IBS. Gluten adayambitsa "matumbo otayikira" kapena kutuluka pang'ono. Gluten adakulitsanso chizindikiro cha kutupa.
• Yesani Zakudya Zotsika-FODMAP. FODMAPs ndi mtundu wa chakudya chomwe chimapezeka mu zakudya zina. Chizindikiro cha FODMAP chimayimira Fermentable Oligo-Di-Monosaccharides ndi Polyols. Magwero a FODMAP ndi awa:
  • Fructose (zipatso, uchi, madzi a chimanga a high-fructose)
  • Lactose (mkaka ndi mkaka)
  • Fructans (tirigu, anyezi, adyo, ndi inulin)
  • Galactans (nyemba monga nyemba, soya, ndi mphodza)
  • Polyols (zipatso zamwala monga ma avocado, yamatcheri, ndi mapichesi; zotsekemera monga sorbitol ndi xylitol)

Kuchepetsa kudya kwanu kwa FODMAPs kumatha kuchepetsa zizindikiritso za IBS. Zizindikirozi zimaphatikizapo kupweteka m'mimba ndi kuphwanya, mpweya, ndi kuphulika. Komabe, zakudya zambiri zomwe zili ndi FODMAP ndizochokera ku fiber. Muyenera kusamala kuti mupeze fiber yokwanira kuchokera kuzakudya zina.

Mankhwala

Ngati kusintha kwa moyo kapena zakudya sikumathetsa zizindikiritso za IBS, mungafune kuwonjezera mankhwala pazithandizo zanu. Nawa malingaliro ena:

• Mankhwala oletsa kutsegula m'mimba. Mankhwala omwe amateteza kutsekula m'mimba amaphatikizapo mankhwala owonjezera omwe amatchedwa loperamide (Imodium). Mankhwala omwe amalembedwa m'kalasi otchedwa bile acid binders amathanso kuthandizira. Izi zikuphatikizapo colestipol (Colestid), cholestyramine (Prevalite), ndi colesevelam (Welchol). Komabe, mankhwalawa atha kuwonjezera kuphulika komwe kulipo kale ku IBS.
• Mankhwala a Anticholinergenic ndi antispasmodic. Mankhwalawa amachepetsa kupweteka kwa m'mimba komanso kupweteka komwe kumafanana. Zitsanzo zimaphatikizapo dicyclomine (Bentyl) ndi hyosycamine (Levsin). Komabe, izi zimatha kubweretsa kudzimbidwa komanso kuvuta kukodza.
• Mast cell stabilizers ndi 5-aminosalicylic acid (5-ASA). Pafupifupi 25 peresenti ya milandu ya IBS-D imachitika atadwala gastroenteritis. Mankhwalawa ndi anti-inflammatory agents omwe angakhale othandiza pochiza chigawo ichi cha milandu ya IBS-D.
• Alosetron (Zowonjezera) Awa ndi mankhwala okhawo omwe akuvomerezedwa ndi IBS-D. Zimangovomerezedwa kwa azimayi. Zotsatira zoyipa zamankhwalawa zitha kukhala zazikulu, chifukwa zimangopezeka mwa mankhwala ochokera kwa madokotala omwe adalembetsa nawo pulogalamu yapadera. Iyenera kugwiritsidwa ntchito ngati njira yomaliza pambuyo poti mankhwala ena sanapambane.

Tengera kwina

Ngakhale IBS-D imatha kukhala yofooketsa komanso yochititsa manyazi, pali njira zoyendetsera izi. Lankhulani ndi dokotala kapena gastroenterologist pazizindikiro zanu kuti mutsimikizire kuti mumalandira chithandizo chomwe mukufuna.