Ungaziphatha kanjani ngokuphepha izimpawu ze-IBS ngesikhathi sokukhulelwa

Imfundo Yezempilo Izindaba Zomama

Ukukhulelwa kunikeza zonke izinhlobo zokuhlangenwe nakho okusha nokungakhululeki okungajwayelekile—Ukuqwasha kobusuku bonke, ukugula kwasekuseni nokucanuzela kwenhliziyo, isilungulela nokugaya ukudla - kodwa kuthiwani uma esinye sezikhalazo zakho zokukhulelwa uhudo, ukuqunjelwa, noma okunye okunye ushintsho emikhubeni yakho yamathumbu ? Irritable Bowel Syndrome (IBS) yisimo esivamile esiziveza ngezimpawu ezahlukahlukene zokugaya ukudla, kufaka phakathi ubuhlungu besisu, igesi nokuqunjelwa, uhudo nokuqunjelwa. Kungenzeka ukuphatha i-IBS nokukhulelwa, kodwa futhi kubalulekile ukuthi unakekele kakhulu futhi uqaphele lapho ukukhomba izimpawu zakho uma ukhulelwe .

Nginayo i-IBS?

Kungenzeka ukuthi ungathuthukisa i-IBS ngesikhathi sokukhulelwa; kodwa-ke, kubalulekile ukuthi ubheke zonke izimpawu zakho kuqala bese ubona ukuthi ngabe ikhona yini enye inkinga eyisisekelo.Kungenzeka ukuthi iziguli ezikhulelwe zithuthukise i-IBS, kepha kubalulekile ukuqaphela ukuthi izimpawu zokugula kwasekuseni nokushiswa yinhliziyo azihlobene futhi kufanele kubhekwane nazo ngokwehlukana, kushoUSimranjit Bedi, DO, umfundi wasePhiladelphia owenza ubudlelwane kwi-gastroenterology.UDkt. Bedi uphinde athi izithako zamavithamini angaphambi kokubeletha, njenge-iron ne-calcium, zingadala ukuqunjelwa. Isiguli esiba nohudo ngokungazelelwe akufanele sicabange ukuthi yi-IBS futhi kufanele siqale sihlolwe ngezinye izimo.

Ingabe i-IBS yimbi kakhulu ngesikhathi sokukhulelwa?

Isiguli esivele sitholakale sine-IBS ngaphambi kokukhulelwa singakhathazeka ngokuthi ukukhulelwa kwabo kungadala noma kubhebhethekise izimpawu zabo zesisu-futhi ngesizathu esihle. UCecilia Minano , MD, MPH, ungudokotela wamathumbu eSummit Medical Group eNew Jersey uthi, i-IBS ingaba yimbi kakhulu ekukhulelweni ngenxa yezinguquko zamahomoni, ukukhathazeka kanye nengcindezi.

Ingabe i-IBS ingadala izinkinga zokukhulelwa?

Iningi labesifazane abakhulelwe bafuna ukwazi ukuthi imiphumela yabo emibi yokukhulelwa noma izimpawu ngeke kuthinte ingane yabo engakazalwa. Isifo sohudo esingahlolisiswa ngokuhamba kwesikhathi singaholela ekuphelelweni ngamanzi emzimbeni futhi sibeke ingcindezi embungwini, kusho uDkt.

Kube nemibono ehlukahlukene yokuthi ngabe kunezinye yini izingozi zokukhulelwa lapho umama okhulelwe ene-IBS, kusho uDkt Minano. Eyodwa Ucwaningo lwase-UK bathole ukuthi abesifazane abane-Irritable Bowel Syndrome basengozini enkulu yokukhulelwa isisu noma ukukhulelwa kwe-ectopic. Esinye isifundo uthi ucwaningo lukhawulelwe kumthelela we-IBS ekukhulelweni.

UDkt.Minano uthi isifundo sase-UK esixhumanise i-IBS nokwanda kokukhulelwa kwesisu kungenzeka ukuthi asisho ukuthi ubungozi buhlobene nezimpawu ze-IBS. Ababhali bayavuma ukuthi ezinye izinto bezingabamba iqhaza kule miphumela kubandakanya ukucindezeleka, ukubhema, noma ezinye izimo zezokwelapha, kuchaza uDkt. Minano. Kubalulekile ukugcina ukunakekelwa okuhle ngaphambi kokubeletha, ukuze udokotela wakho akwazi ukuqapha futhi aphathe noma yiziphi izimpawu eziyisisekelo noma izimpawu ezintsha zamathumbu.

Yiziphi ezinye izindlela zokwelashwa ze-IBS ngesikhathi sokukhulelwa?

Owesifazane okhulelwe obhekene nezimpawu ze-IBS uzothola isisombululo kanye nohlelo lokwelashwa ukunciphisa izimpawu zakhe nokumenza akhululeke. Uma engenawo umlando we-IBS, isinyathelo sokuqala ukuxhumana nodokotela wakhe ukuze aqhubeke nokuhlolwa nokuphathwa.

Uma une-IBS futhi kakade emithini , kufanele ukhulume nodokotela wakho ukuze abone ukuthi kungakuhle yini ukuqhubeka nokuthatha umuthi, kusho uDkt Bedi.

Ngaphambi kokushintsha indlela odla ngayo, gcina iphephabhuku lokudla ukuze urekhode ukuthi yikuphi ukudla okubonakala kubanga ziphi izimpawu, bese ukhuluma nodokotela wakho ngalokho okutholayo. Iziguli kungenzeka zicelwe ukuthi zethule izinguquko zokuphila ukuze zizame ukuphatha izimpawu ze-IBS. Ezinye izinguquko zendlela yokuphila ezingathuthukisa izimpawu ze-IBS ekukhulelweni zifaka:

• Ukudla ukudla okuncane, okulinganiselayo
• Yiba nokubonisana nodokotela wezokudla ukukhomba okubangela ukudla nezindlela zokuthuthukisa umsoco wakho
• Ukwandisa i-fiber (njengokusanhlamvu okuphelele, ibhali, i-broccoli)
• Ukuzama i-psyllium husk powder , ukufaka i-fiber
• Ukuphuza amanzi amaningi
• Ukugcina umsebenzi womzimba, njengokuhamba
• Ukunciphisa ubisi
• Ukuthatha izithambisi zendle (uma uqunjelwe)
• Ukuthatha ama-laxatives, njenge I-Miralax (uma uqunjelwe)
• Ukuthatha i-probiotic
• Ukuthola izindlela zokuphumula ukuze phatha ukucindezeleka
• Uma kubhekwa i- Ukudla okuphansi kwe-FODMAP

Ungase futhi ukwazi ukuthatha i-stool softener noma i-laxative, efana I-Miralax , uma uqunjelwe — kodwa kufanele uhlale ukhuluma nodokotela wakho ngaphambi kokuqala noma imaphi amavithamini, imishanguzo yokuthenga, izithasiselo noma izindlela zokwelapha.

UDkt Bedi noDkt.Minano bathi kunezinhlobonhlobo zemithi ezinikezwe iziguli ezine-IBS ezingaba khona iphephile ngesikhathi sokukhulelwa ; kodwa-ke, kubalulekile ukuxoxa ngemithi yakho nodokotela wakho. Le mithi ejwayelekile ye-IBS kungenzeka hhayi uvikeleke ekukhulelweni:

• Amitiza (ukuqunjelwa)
• Linzess (ye-IBS engapheli nokuqunjelwa)
• Rifaximin (yesifo sohudo)
• Dicclomine (kwe-IBS)

Iziguli zidinga ukunakekelwa okuhle ngaphambi kokubeletha kanye nekhono lokukhuluma ngokukhululekile ngazo zonke izimpawu noma ngabe zingabonakala zinamahloni noma cha, kusho uDkt Minano.