Pa anthu 20 peresenti ya padziko lapansi, matenda opwetekedwa m'mimba amapezeka - zizindikiro ndi chithandizo cha matenda oterowo ndi apadera. Matendawa amawonetseredwa ndi katemera wa m'mimba. Mu gulu loopsa kwambiri ndi anthu a zaka zapakati pa 20 ndi 45 zaka. IBS mwa akazi ndiwiri kaŵirikaŵiri monga mwa amuna. Pafupifupi 2/3 mwa iwo omwe akudwala matendawa samagwiritsa ntchito chithandizo chamankhwala.
Mankhwala Osautsa Amadzimadzi - Amayambitsa
Pali mitundu yambiri ya matendawa. Matendawa angaperekedwe ndi:
- kutsekula m'mimba;
- kudzimbidwa;
- Kuwongolera komanso kupweteka kwa epigastrium.
Matenda onsewa amatsutsidwa ndi zinthu zosiyanasiyana. Zomwe zimayambitsa IBS mpaka lero sizidziwika ndi asayansi. Komabe, akatswiri amavomereza kuti matendawa ndi a biopsychosocial. Gulu lina la zifukwa limapangitsa kuti apangidwe. Zina mwazo ndizo "chikhalidwe", "maganizo". Zifukwa zotsatirazi ndizofunikira:
- Matenda a maganizo. Izi zikuphatikizapo kupanikizika kwambiri, kupanikizika, matenda oopsa. Matenda onsewa amachititsa kuti pakhale dongosolo la mantha. Chotsatira chake, matumbo amakhala operewera.
- Chikhalidwe chokhazikika. Ngati makolowo anali ndi matendawa, pamakhala nthenda yaikulu kuti matenda opweteka a m'mimba (zizindikiro ndi mankhwala ali ofanana) zidzakhala mwa ana.
- Kusiyanitsa kwa mahomoni. Amayi ambiri, poyambira kuwonjezeka kwa prostaglandin E kumayambiriro kwa masiku amwezi, kutsegula m'mimba ndi kupweteka kwa m'mimba zimayang'anitsitsa. Kuonjezera apo, m'mayi oyembekezera, matenda opweteka a m'mimba amatha kupezeka (zizindikiro ndi mankhwala akuganiziridwa kuganizira momwe mthupi wodwala amachitira).
- Kusokonezeka mu zakudya. Anthu omwe amakonda zokometsera zonunkhira, mafuta ndi zakudya zamtundu wapamwamba akhoza kuthandizidwa ndi IBS. Vuto lofanana ndilo limapezeka kwa okonda khofi komanso tiyi wamphamvu, komanso omwe amamwa mowa mopitirira muyeso. Kuonjezera apo, zopereka zawo zimapangidwa ndi zokonzera zokwanira pa kupita ndi zakudya zopanda pake.
- Bakiteriya gastroenteritis. Matendawa amapezeka m'magazi amatha kusokoneza ntchito yake.
- Kulandira mankhwala ena. Izi zikuphatikizapo, mwachitsanzo, antibiotics.
Matenda owopsa a m'mimba ndi kutsekula m'mimba
Kuwonjezera pa zomwe zimachitika zomwe zimayambitsa kusokonezeka kwa kapangidwe ka zakudya, mtundu uwu wa matenda uli ndi "otsutsa" omwewo. Pankhani imeneyi, IBS imachititsa kuti izi zichitike:
- matenda opatsirana m'mimba;
- kusokonezeka kwa chithokomiro;
- zakudya;
- Kufulumizitsa kwamtundu waukulu wamatumbo.
Matenda owopsa a m'mimba ndi kudzimbidwa
Mtundu uwu wa matenda ukhoza kukwiyidwa ndi zinthu zosiyanasiyana. IBS ndi kuvomereza kumachitika pazifukwa izi:
- chakudya chodya chimakhala chosakwanira;
- moyo wokhala pansi;
- kuchepetsa kuthamanga kwa mtundu wa colostrans, chifukwa cha kuchepa kwa chiwerengero cha zilembo zapamwamba zamakono;
- kuwonjezeka kwa mlingo wa progesterone ya hormone.
Matenda owopsa a matumbo ndi flatulence
Mtundu uwu wa matenda, monga kale, uli ndi zifukwa zake zokhazikitsira. IBS ndi kukhumudwa kumachitika pazochitika zoterezi:
- Pambuyo pozunzidwa ndi "chakudya cholemera", chimbudzi chomwe chimayambitsa mpweya wopanga;
- pamene munthu ali ndi kusalana kwa gluten;
- atakhala ndi mantha aakulu, chifukwa cha "hormone" yachisokonezo "inadzuka";
- ngati thupi liri ndi kusamvana kwa mahomoni.
Zizindikiro Zowonongeka za M'thupi
Kuweruza zizindikiro za matendawa kumathandiza mawonetseredwe ake a chipatala. Matenda owopsa a m'mimba amatsatiridwa ndi zizindikiro zotsatirazi:
- kumverera kwa kupweteka m'mimba, komwe kumawonjezeka atatha kudya;
- Kukhalapo kwa mankhwala a mucous mu nyansi;
- kudula kwakukulu, kupweteka kwapweteka (zomwezo zikhoza kuchitika ndi poizoni chakudya);
- Kulimbikitsana kwakukulu kwa kutetezedwa pambuyo pokhudzika kwambiri;
- ndi IBS ndi kutsekula m'mimba, nthawi ya maulendo amafika maulendo asanu ndi limodzi mphambu zisanu ndi imodzi patsiku, koma sizimachitika usiku;
- Pambuyo pa kutuluka kuli kumverera kwa kutetezedwa kosakwanira;
- ndi kuvomereza, kuyeretsa kwa matumbo kungathe kuchitika masiku atatu, "zoweta za nkhosa" zimatulukamo.
Kuonjezerapo, matenda opweteka a m'mimba akhoza kukhala ndi zizindikiro zosasamala (ndipo chithandizochi chili choyenera). Izi zikuphatikizapo mawonetseredwe achipatala:
- nkhawa ndi kupsinjika maganizo;
- mavuto ndi kugona;
- maonekedwe a chisomo chachilendo pakamwa;
- kusokonezeka kwa kukodza;
- Sinthani kusintha kwa mtima.
Kodi mungatani kuti muchepetse matenda a m'mimba?
Kuti athetse matenda ena a chigawo cha m'mimba, wodwalayo atatchula dokotala adzapatsidwa maphunziro angapo. Izi zikuphatikizapo:
- mphunzitsi ;
- kubweretsa kuyesa magazi;
- phunziro;
- sampuli ya magazi kwa matenda a chilili;
- MRI ya mimba.
Ngati ululu wa matenda opwetekedwa ndi matumbo kuti asankhe chithandizo choyenera, mukufuna malangizo ena kuchokera kwa akatswiri otsatirawa:
- chithandizo;
- katswiri wamaganizo;
- wokondweretsa;
- katswiri wa maganizo;
- physiotherapist.
Kodi mungatani kuti muchepetse IBS ndi kutsegula m'mimba?
Ntchito yaikulu pochiza matendawa ndi kuchepetsanso njira zowonongeka ndi zofukiza zomwe zimachitika m'magazi ndi kuimiritsa ntchito yake. Matenda a mankhwala opweteka amatha kukhala ovuta (panthawi imodzimodzi):
- kukonza mphamvu;
- chithandizo;
- kupumula kwa ululu ndi kukonza kapangidwe ka zakudya.
Popeza chifukwa chachikulu cha matendawa ndi maganizo, ntchito yaikulu ya katswiri ndikutonthoza wodwala wamantha. Thandizo lokhazika mtima pansi lingaperekedwe ndi kugwiritsa ntchito mankhwala opatsirana pogonana komanso nkhawa. Kutsitsimula kumanjenjemera kumathandizidwa pakuyenda mu mpweya watsopano, kugona kwathunthu, kusambira ndi kuchita masewera olimbitsa thupi.
Kuonjezera apo, chithandizo cha matenda opweteka a m'mimba chimaphatikizapo kukhazikitsidwa kwa magulu oterewa:
- Antispasmodics - amachepetsa ululu;
- zotsutsa-kutsekula m'mimba;
- mankhwala omwe amathandiza kuchepetsa kutaya madzi m'thupi;
- ma probiotics, omwe amachititsa kuti tizirombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
Kodi mungatani kuti muyambe kugwiritsira ntchito IBS ndi kudzimbidwa?
Thandizo limapangitsa kuti pakhale njira yothetsera vutoli. Choyamba, wodwalayo akufunsidwa kuti asinthe zakudya. Ngati mankhwala akumwa sakupatsani zotsatira zoyenera, osakaniza mankhwala osokoneza bongo amalembedwa. Izi zimachitika kuti mankhwalawa sagwiranso ntchito. Ndiye dokotala akhoza kulemba prokinetics. Asanayambe kuchiritsa IBS, adzaonetsetsa kuti wodwalayo alibe ululu. Ngati zilipo, muyenera kusiya kugwiritsira ntchito anxiolytics ndi tricyclic zowonongeka.
Kodi mungatani kuti mukhale ndi maganizo abwino kwa IBS?
Ndi nthendayi yophatikizapo kuchulukitsidwa kwa gasi, mankhwalawa akuthandizira kuchepetsa kuphulika. Ngati matenda opatsirana amatha kupatsidwa mankhwala, mankhwalawa ayenera kusankhidwa ndi dokotala yekha. Kudzipangitsa kudzapangitsa kuti zinthu zikhale zovuta, choncho sizingakhale zovomerezeka. Izi ndi zomwe muyenera kuchita ndi IBS ya m'matumbo:
- mankhwala omwe amatulutsa minofu ya kapangidwe ka zakudya;
- spasmolytics (nthawi zambiri matendawa amakhala ndi zowawa);
- ma probiotics.
Kuchiza Mankhwala Opweteka - Mankhwala Osokoneza Bongo
Mankhwala akulamulidwa kuganizira momwe matendawa alili. Nazi mankhwala omwe amalembedwa ku IBS ndi kutsekula m'mimba:
- Imodium;
- Loperamide ;
- Polysorb;
- Wosachedwa;
- Enterosgel;
- Sewani.
Ngati matendawa akuphatikizidwa ndi kudzimbidwa, mankhwala a IBS - mankhwala:
- Chabwino;
- Laxigal;
- Kutuluka;
- Cisapride;
- Portalac;
- Macrogol.
Kuchotsa mpweya ndi kuchepetsa zowawa zomwe zimapweteka zimathandiza mankhwala awa:
- Polysilane;
- Koma-shpa ;
- Mebeverin;
- Sparex;
- Mzimu ;
- Pewani.
Kaŵirikaŵiri ku IBS imapereka mankhwala oterewa:
- Imipramine;
- Fluoxetine;
- Phenelzine;
- Bwenzi;
- Amitriptyline.
Matenda owopsa a matumbo - mankhwala ndi mankhwala ochiritsira
Mankhwala osakhala achikhalidwe amayesetsa kuchepetsa zizindikiro za matendawa. Ngati matenda opweteka a m'mimba amachiritsidwa, mankhwala ochizira ayenera kugwiritsidwa ntchito mwanzeru. Musanawagwiritse ntchito, muyenera kukaonana ndi dokotala, ndipo chifukwa chake pali zifukwa ziwiri:
- Ziri zovuta kudzipiritsa nokha, komanso chithunzi cha matendawa n'chofanana ndi cha matenda ena.
- Mankhwala ena amtunduwu sangagwiritsidwe ntchito pa mavuto a m'matumbo.
Kodi mungapange bwanji mankhwala osungirako mankhwala?
Zosakaniza:
- madzi - 200 ml;
- youma mankhwala chomera - 1 tbsp. supuni.
Kukonzekera, gwiritsani ntchito:
- Zipangizo zamakono zimatsanulidwa ndi madzi otentha ndikuumirira kwa mphindi 20.
- Sakanizani ndi kutenga sips zing'onozing'ono. Mankhwalawa ayenera kumwa mobwerezabwereza katatu.
- Kutsekemera kwachitsulo kumachepetsa kuchepetsa ululu, kumayimitsa chitsime ndikuthandizira kuthana ndi kukhumudwa.
Kudya mu matenda osokoneza ubongo
Zakudya zabwino zomwe zimayambitsa matendawa, ziyenera kukhala zogwirizana, zosiyana ndi zodzaza. Ndikofunika kutsatira malamulo awa:
- Zigwiritsidwe ntchito zikhale zochepa.
- Idya chakudya nthawi zonse.
- Chakudya chiyenera kukhala chofunda, koma osati kutentha kapena kuzizira.
- Chakudyacho chiyenera kufufuzidwa bwino.
- Kudya kwambiri sikuletsedwa!
Zakudya zabwino m'matenda omwe amatha kutsegula m'mimba ndi zotsekula m'mimba ziyenera kukhala zapadera. Musadye masamba ndi zipatso ndi mankhwala ofewa. Wodwala ayenera kusiya mkaka, mowa ndi kvass. Simungamwe madzi oposa 1.5 malita patsiku. Ndi IBS ndi kudzimbidwa, zakudya zamtengo wapatali ndi zakudya zokazinga ziyenera kuchotsedwa. Komanso, wodwala ayenera kusiya masangweji ndi tiyi wamphamvu. Kudya m'matumbo osakanizika ndi chifuwa kumapangitsa kuti pakhale mankhwala osokoneza bongo. Izi zimaphatikizapo nyemba, kabichi woyera, mphesa, zokolola, mtedza ndi zina zotero.