I-Nervous colitis: izizathu, iimpawu, ukuxilongwa, kunye nonyango olusebenzayo lokuyilawula

  • I-Nervous colitis sisifo samathumbu esibangelwa kukungasebenzi kakuhle (i-irritable bowel syndrome) apho uxinzelelo, ukutya, kunye nezinto zengqondo zitshintsha indlela esebenza ngayo ingqondo kunye namathumbu kwaye zivelise iintlungu, urhudo, ukuqhina, kunye nokudumba.
  • Ukuxilongwa kusekelwe kwimbali yezonyango, uvavanyo lomzimba kunye novavanyo lokuthintela enye i-colitis enzulu ngakumbi; kubalulekile ukuchonga uhlobo oluthile (olune-diarrhea, olunokuqhinwa okanye oluxutyiweyo) ukuze ukhethe unyango olufanelekileyo.
  • Unyango olusebenzayo ludibanisa ukutya okulungiselelwe wena, ulawulo loxinzelelo (ukucinga, unyango lwengqondo) kunye namayeza akhethiweyo ngokweempawu, ukuphepha ukuzinyanga ngokwakho kunye nokuhlolwa rhoqo yingcali.
  • Imikhwa emihle yokuphila (ukutya okuncinci, rhoqo, ukwenza umthambo, ukulala ngokwaneleyo, kunye nokunciphisa izinto ezicaphukisayo ezifana notywala, i-caffeine, nokutya okucutshungulwe kakhulu) kunceda ukuthintela ukudumba komzimba kwaye kuphucule kakhulu umgangatho wobomi.
ManuelIhlaziywe

Imizuzu ye30

I-irritable bowel syndrome: izizathu, iimpawu kunye nonyango

Sihlala sibona abantu abanengxaki yamathumbu; kubonakala ngathi kuqhelekile phakathi kwabemi behlabathi ukuba babe nolu hlobo lwesifo. Le nto inokubangelwa imikhwa emibi yokutyaOku kungenxa yoxinzelelo olukhulayo lwemihla ngemihla, ukungazilolongi umzimba, kunye nendlela abantu abaninzi abaya ngayo kugqirha xa kuvela iimpawu zokuqala zokugaya ukutya.

La i-nervous colitisKwelinye icala, isifo segazi emathunjini sisifo samathumbu esichaphazela ngqo ikholoni kunye namathumbu. Le meko, eyaziwa ngokuba yi i-irritable bowel syndrome okanye i-irritable colon syndromeIngaphazamisa kakhulu umgangatho wobomi kwaye ibe nzima kakhulu ukuba ayinyangwa ngononophelo olufunekayo kunye nengqalelo, ingakumbi xa ididaniswa nezinye iintlobo eziyingozi ze-colitis (ezifana ne-ulcerative colitis okanye i-infectious colitis) kwaye ukuxilongwa ngokuchanekileyo kuyalibaziseka.

Ngoko ke, sinikela eli nqaku nzulu kwi-irritable bowel syndrome: yintoni kanye kanye, zithini iimpawu zayo, kwaye zithini iimpawu zayo. oonobangela bayo, Intoni iimpawu Yenziwe, indlela eveliswa ngayo ukuxilonga, Intoni unyango Zikhona, zeziphi ukutya ezilungileyo ekufuneka zityiwe nezo kufuneka ziphetshwe, kwaye zeziphi utshintsho kwindlela yokuphila ezinceda kakhulu ekulawuleni le meko.

Yintoni i-nervous colitis?

i-neva colitis kwikholoni

I-irritable bowel syndrome (IBS) yingxaki ebangelwa isifo samathumbu esisebenzayo echaphazela ngqo ikholoni kunye namathumbu. Yaziwa kwicandelo lezonyango njenge i-irritable bowel syndrome (IBS) o i-irritable bowel syndromeIgama elithi “uvalo” libhekisa kulwalamano olusondeleyo phakathi kwalo uxinzeleloixhala kunye nezinye izinto ezichaphazela iimvakalelo.

Yinto eqhelekileyo ukudumba, ubuhlungu, kunye nokuphindaphinda apho kukho utshintsho ekusebenzeni okuqhelekileyo kwamathumbu. Izilonda ezinzulu azisoloko zibonwa kwiimvavanyo, kodwa amathumbu aba uvakalelo oluphezulu kwaye utshintsho luyenzeka kwindlela ezishukuma ngayo. Ukuqala kwesi sifo kunokukhatshwa zizinto ezinzima iintlungu zesisu, ukuziva unamahlwili, isiyezi, ukuziva unzima okanye ukutshisa emqolo ongezantsi, kwaye ke, utshintsho olukhulu kwindlela yokuzilungisa kwamathumbu yomguli, olubonisa urhudo, ukuqhina, okanye ukutshintshana phakathi kwezi zimbini.

Esi sifo sinokuchaphazela kakhulu yokuphila yomntu kunye neyakhe ukuzithembaKukho amanqanaba apho isigulane sidlula kwiimeko zobunzima bokwenene kunye nokuphelelwa lithemba, singazi ukuba singayimisa njani intlungu kunye neempawu zesifo se-colitis, esichaphazela umsebenzi waso, usapho, iqabane kunye nobomi bentlalo.

Kuzo zonke iimeko, kucetyiswa ukuba isigulana siye kugqirha rhoqo. ingcali kwi-gastroenterology okanye kwi-internal medicineNokuba iimpawu ziyaphucuka okanye zinyamalale kangangexesha elithile, ukubekwa esweni rhoqo kubalulekile ukuba kukho imbali yomntu okanye yosapho yezinye izifo zenkqubo yokugaya ukutya ukuze kuthintelwe iingxaki nokuthintela izifo ezinzulu ngakumbi.

Kwelinye icala, isigulana esine-irritable bowel syndrome kufuneka senze uvavanyo oluthile. utshintsho olukhulu kwindlela abatya ngayo nendlela abaphila ngayoAmava ezonyango kunye nezifundo ezininzi ziyavumelana ukuba ukutya okungekho mgangathweni, ukutya okuninzi okunamafutha ezilwanyana, izinto ezibangela ukucaphuka kunye nokutya okucutshungulwe kakhulu, kunye nendlela yokuphila yokuhlala phantsi, zezona zinto ziphambili ezibangela ukuba umntu onesifo samathumbu ahlupheke.

Ezinye izifundo zibonisa ukuba abantu abanesifo sokungakhathali kwamathumbu badla ngokuba neempawu ezithile. iarhente yengqondo ezichaphazela ngqo inkqubo yokwetyisa, ezifana ukuxinezelekaUloyiko, ixhala, uloyiko olungapheliyo, okanye uxinzelelo olusemva kwesiganeko esibuhlungu zonke ziimeko zeemvakalelo ezibandakanyeka ngokuthe ngqo ekuqaleni, ubunzulu, kunye nobude bokuqhambuka kwesifo.

Ezi zigulana zihlala zizibiza ngokuba iimpawu ezingalunganga kwaye bazibeke ityala. Oku kungenxa, ngokuyinxenye, yoxinzelelo olubangelwa kukubandezeleka ziintlungu ezingapheliyo nezingapheliyo, kunye nokungaqondi kakuhle isifo esidla ngokungabonakali kuvavanyo lwegazi okanye kwi-X-ray. Basenokuvakalelwa kukuba ngabona babangela ngqo esi sifo, ngelixa enyanisweni, uninzi lwexesha luyindibaniselwano iimpawu zabo zebhayoloji (ezifana nokunganyamezelani kwamathumbu) kunye neemeko zokusingqongileyo, zengqondo kunye nokutya.

Ukuqala kwesi sifo kuyahluka ngokuxhomekeke kwi ubudala besigulane ze ImfuzaUmzekelo, kubantu abadala abaphakathi kweminyaka engama-50 nama-60 ubudala, oku kwenzeka rhoqo. ezingapheliyorhoqo ngentlungu engamandla kangako kodwa eneempawu ezingapheliyo zokudumba, igesi, okanye utshintsho kwindlela yokuzilungisa. Ngokwahlukileyo koko, umntu omdala osemtsha unokufumana iziqendu zentlungu enzulu kakhulu ezinxulunyaniswa nokuqaqamba kwamathumbu amakhulu kunye nokuveliswa kweejusi zesisu ezitshintsha inkqubo eqhelekileyo yokugaya ukutya.

I-Colitis inokwenzeka nakwi- abantwana nabafikisayoEbantwaneni, umlinganiselo weentlungu uphantsi, kwaye kulula nokuwuphambanisa nosulelo okanye ukunganyamezelani nokutya. Nangona iimeko ezinzima nezisongela ubomi zinqabile, ukuxilongwa okulibazisekileyo okanye unyango olungaphelelanga kunokukhokelela ukuphelelwa ngamanzi emzimbeni, ukwehla kobunzima bomzimba, kunye nokungondleki kakuhleKungoko ke, kubalulekile ukubonana nogqirha wabantwana okanye ingcali yezifo zesisu zabantwana ukuba iimpawu ziyaqhubeka. Amatyala aqatha ebantwaneni aqhelekanga, kodwa afuna ingqalelo ekhawulezileyo.

Ziziphi iintlobo ze-colitis?

Igama elithi “colitis” libhekisa kwisifo sofuba ukudumba koloniKukho iintlobo ezahlukeneyo ze-colitis ezinezizathu ezahlukeneyo, ukuqhubela phambili, kunye nonyango, ngoko ke kubalulekile ukwahlula ngokuchanekileyo. Ngokubanzi, singakhankanya oku kulandelayo:

  • Uvalo okanye ukusebenza kakuhle (isifo samathumbu esirhawuzelelwayo): inxulunyaniswa ngokuthe ngqo neemeko uxinzelelo kunye nokungalingani kwi-axis yobuchopho-esiswiniLe meko yenzeka xa iindonga zamathumbu zifinyela ngokungacwangciswanga, nto leyo ebangela ukungakhululeki ngexesha lokuphuma kwegesi kunye nokuhamba rhoqo kwamathumbu. Ayivelisi izilonda ezibonakalayo, kodwa ibangela iintlungu, ukudumba, kunye notshintsho kwindlela yokuzilungisa kwamathumbu.
  • Isilonda: Esi sifo siluhlobo ezingapheliyo kunye nokudumba. Ibonakala ngokubonakala kwe izilonda kulwelo lwamathumbu amakhulu kunye ne-rectumUkuvuvukala kudla ngokuqala kwi-rectum kwaye kuqhubeke kusasazeka ukuya eludongeni lwe-colon. Sisifo esihlasela amasosha omzimba esinokubangela ukopha kwe-rectal, i-anemia, kunye nomngcipheko ophezulu womhlaza we-colorectal ukuba awunyangwanga ngokufanelekileyo.
  • Ukopha okanye ukosuleleka: Olu hlobo lwe-colitis lubangelwa ziibhaktheriya ezifana Escherichia coli okanye ngezinye iintsholongwane (iintsholongwane, iiparasites). Ihlala izibonakalisa Urhudo olukhulu, ngamanye amaxesha oluhambisana negazi, umkhuhlane, kunye nesifo sengqondo esingapheliyoIfuna ukuxilongwa ngokukhawuleza ukuze kuboniswe i-antibiotic okanye unyango oluthile, kwaye yahlukile kwi-nevational colitis kuba idla ngokuba yimeko ebukhali nehlala ixesha elifutshane.
  • Ityhefu: Kwenzeka njenge ingxaki enkulu ye-ulcerative colitis (I-megacolon enetyhefu). Kwimeko enjalo, ukudumba kwekholoni kukhulu kangangokuba kunokwandisa ingozi, kubeke emngciphekweni ukuhamba kwegazi kwaye kukhokelela ekuqhekekeni, usulelo lwenkqubo yomzimba, kunye neemeko ezisongela ubomi. Yingxamiseko yezonyango efuna unyango olukhawulezileyo esibhedlele.
  • Granulomatous: Le yimeko ethile, enxulumene Isifo sikaCrohnapho inkqubo yomzimba yokuzikhusela ihlasela izicubu zamathumbu kunye nekholoni, ize yenze iigranulomas (ukuqokelelwa kwezifo ezibangelwa kukudumba). Ingachaphazela yonke indlela yokugaya ukutya, ukusuka emlonyeni ukuya kwi-anus, kwaye ibonakaliswa lurhudo, iintlungu, ukwehla kobunzima, kunye neengxaki ezifana ne-fistula kunye ne-stenosis.
  • Inxulumene nokusetyenziswa kwamayeza: ukusetyenziswa ixesha elide okanye ngokungafanelekanga kwezinto ezithile ezifana nezinye non-steroidal anti-inflammatoriesIi-antibiotics ezibanzi, izongezo zesinyithi, okanye iidosi eziphezulu zevithamini C zingonakalisa i-mucosa yamathumbu kwaye zibangele i-colitis ebukhali okanye engapheliyo, ebonakaliswa lurhudo, iintlungu zesisu, kwaye ngamanye amaxesha ukopha.

Ukongeza kolu hlobo lweklasikhi, kwindlela yokusebenza yeklinikhi a ulwahlulo olusebenzayo lwe-nervous colitis kuxhomekeke kuhlobo lokuhamba kwamathumbu, kuba oku kukhokela unyango lwezonyango:

  • I-Colitis enokuqunjelwa okugqithisileyo: isigulana sinendle nzima, kunqabile kwaye komile. Iintshukumo zamathumbu zifuna umgudu, zinokuba buhlungu, kwaye ukuphindaphindeka kweentshukumo zamathumbu kuncipha kakhulu.
  • Urhudo-isifo esixhaphakileyo se-colitis: Ibonakaliswa kukuphuma kwabantu rhoqo, ekhululekileyo okanye enamanzi, idla ngokuhamba nongxamiseko kunye nokuziva ungafiki ngexesha lokungena kwigumbi lokuhlambela.
  • I-colitis exutyiweyo: isigulana sitshintsha amaxesha ukomelela yeentsuku ezininzi kunye neziqephu ze urhudo olukhawulezileyoOlu hlobo lubangela ingxaki ngakumbi kwisigulana kwaye lufuna indlela yonyango ekhethwe ngumntu ngamnye.
  • Ayinakuhlulwahlulwa: Xa iimpawu zentlungu, ukudumba, kunye nokungonwabi zicacile, kodwa iintshukumo zamathumbu azibonisi tshintsho rhoqo kwimo okanye rhoqo, kusekho ingxaki yamathumbu esebenza kakuhle efuna ingqalelo.

Chonga ngokuchanekileyo i uhlobo lwe-colitis Kwaye, ngaphakathi kwimeko ye-irritable bowel syndrome, uhlobo oluphambiliOku kubalulekile ekukhetheni unyango olusebenzayo nokuthintela amayeza orhudo ukuba angaqhubeki nokuqhina okukhulu (okanye ngokuchaseneyo).

Kutheni i-nervous colitis ikhula?

Izizathu ze-irritable bowel syndrome

I-irritable bowel syndrome (IBS) ayinayo imbangela enye. Ibangelwa kukunxibelelana phakathi izinto zebhayoloji, zengqondo, kunye neemeko zokusingqongileyoIdla ngokubizwa ngokuba yingxaki yesifo i-axis yengqondo-amathumbuInkqubo yokwetyisa inenethiwekhi yayo yee-neurons (inkqubo yemithambo-luvo yangaphakathi) enxibelelana rhoqo nengqondo. Xa olu lungelelwano luphazamisekile, amathumbu aba buthathaka ngakumbi aze aphendule ngokugqithisileyo kwizinto ezingabonakaliyo kwabanye abantu.

Phakathi kwezinto ezibangela ukuphuhliswa kwesi sifo, ezi zilandelayo ziyabonakala: amaxesha oxinzelelo olunzulu (umsebenzi, usapho, ezoqoqosho okanye ezemfundo), amava abuhlungu kwangethuba, ubukho be ukuphazamiseka ngokweemvakalelo kunye ubunjani bendaloUkuba ilungu losapho liye lahlaselwa sesi sifo okanye ezinye izifo zamathumbu, amathuba okuba elinye ilungu losapho libe naso ayanda.

Izigulane ezine-irritable bowel syndrome (IBS) zihlala zine- inkqubo yomzimba yokuzikhusela etshintshileyoAyisoloko iyinkqubo ebuthathaka, kodwa yinkqubo enokusabela ngendlela engafanelekanga kutshintsho kwi-microbiota yamathumbu, usulelo lwangaphambili, okanye uxinzelelo olungapheliyo. Akukaziwa ngokuqinisekileyo ukuba olu tshintsho lubangelwa okanye lubangelwe sisifo, kodwa kuye kwabonwa ukuba kukho ukudumba okungapheliyo kwe-mucosa yamathumbu kunye notshintsho kwindlela eyakhiwe ngayo. iintsholongwane zamathumbu (i-microbiota).

El umba wokusingqongileyo Yenye yezona zinto zibalulekileyo ekuphuhlisweni kwesi sifo, kwaye ngokumangalisayo, yenye yezona zinto zingajongwanga kakuhle ekuxilongweni kwaso: ngcoliseko lwendaloukusetyenziswa rhoqo kwe icuba kunye notywalaUkungacoceki kokutya, umsebenzi wokuhlala phantsi, iiyure ezimbalwa zokulala kunye nokuvezwa rhoqo kwiimeko ezixinzelelekileyo zezinye zezinto ezinegalelo ekuphuhlisweni nasekugcinweni kwe-neva colitis.

Ukongeza, i-irritable bowel syndrome (IBS) inokuvela emva kwesiganeko somhlaza. isifo sesisu esisulelayo (iintsholongwane, iibhaktheriya, okanye iiparasite) ezitshintsha ngequbuliso izityalo zamathumbu. Oku ngamanye amaxesha kubizwa ngokuba i-IBS emva kokosulelekaInganxulunyaniswa ne ukukhula kakhulu kwebhaktheriya emathunjini amancinciOku kuchaza ubunzulu begesi, ukudumba, kunye nokuvuvukala kwesisu kubantu abaninzi.

Uxilongo

Ukuxilongwa kwe-irritable bowel syndrome (IBS) kufuneka kusekelwe kwizinto ezininzi. iimpawu eziqhelekileyo kwaye ngaphandle kwezinye izifo ezinzulu zendalo. Kukho izinto ezininzi ezichaphazela ngokuthe ngqo ukuqala kwe-colitis, ngoko ke iikhrayitheriya zeklinikhi eziguquguqukayo kwaye, kwangaxeshanye, ngobuchule ekuqinisekiseni ukuxilongwa ngokuchanekileyo.

Ngexesha lokubonisana, ugqirha wenza i-a imbali yezonyango eneenkcukacha Le mibuzo ibuza malunga nokuphindaphindeka, ubude, kunye nobukhali bentlungu yesisu, utshintsho kwimikhwa yamathumbu, ubukho be-mucus okanye igazi, ubukho bezinto ezibangela ukuba umntu alale (ukutya okuthile, iimeko ezixinzelelekileyo), kunye nempembelelo ebuthongweni nakwimpilo yemihla ngemihla. Ikwaphanda imbali yezonyango zomntu kunye neyosapho. isifo sokukrala kwamathumbuumhlaza wamathumbu amakhulu, ukunganyamezelani nokutya, kunye nosulelo lwangaphambili.

Ukongeza kuphando, uvavanyo olucokisekileyo lomzimbaukuchukumisa isisu ukuze ubone iingongoma zentlungu, ubunzima okanye ukudumba, ukuphulaphula izandi zamathumbu (ezivumela ukuvavanywa kokuhamba kwamathumbu) kunye nokujonga iimpawu zokuphelelwa ngamanzi emzimbeni, ukwehla kobunzima, ukuphaphatheka okanye umkhuhlane.

Kwiimeko ezininzi, izicelo zenziwa izifundo zelebhu kunye nemifanekiso ukuthintela ezinye izizathu ze-colitis:

  • Uvavanyo lwegazi (ukuvavanya i-anemia, ukudumba, usulelo, kunye nomsebenzi wezinye izitho).
  • Izifundo zomchamo kunye nendle ukuthintela usulelo lweentsholongwane okanye iintsholongwane okanye ukubakho kwegazi elingaqhelekanga.
  • iimvavanyo zomfanekiso njenge-ultrasound kunye ne-x-ray yesisu, ezinceda ukuqinisekisa ukuba amalungu akwindawo efanelekileyo kunye nobukhulu obuqhelekileyo kwaye akukho zimpawu zokuthinteleka.
  • Colonoscopy Kwiimeko ezithile, ivumela ukubona ngqo ikholoni ukuze kuthintelwe i-ulcerative colitis, isifo sikaCrohn, ii-polyps, okanye iithumba; ikwavumela ukuba kuthathwe ii-biopsies ukuba kuyimfuneko.
  • I-CT okanye i-MRI yesisu xa kukho amathandabuzo okanye iingxaki zokuxilonga.

Iimpawu zesifo zinokubonwa, ezinje intlungu xa ukhupha indleIntlungu yesisu, ukuqaqamba okukhulu kunye ne-colic, ukudumba kwesisu, ukuqunjelwa, igesi, ukuziva ungaphumi ngokupheleleyo, i-mucus kwi-stool, kunye nokuhamba kwamathumbu ngokukhawuleza. Ezi mpawu, zivela rhoqo ubuncinane iinyanga ezintathuZixhasa ukuchongwa kwesifo samathumbu esirhawuzelelwayo xa ezinye izifo zisusiwe.

Amadoda nabafazi banokubonakala benazo iimpawu ezahlukeneyo. umhluzi ongasemva Ingahluka ngokuxhomekeke kwisini, kwaye isisu esiswini Kwaye imvakalelo yokungapheleli kakuhle kwesisu inokuba qatha kakhulu kwabasetyhini kunakwamadoda. Kuye kwaphawulwa ukuba i-irritable bowel syndrome (IBS) iyinto eqhelekileyo. ixhaphake kakhulu kwabasetyhini kwaye ngokuqhelekileyo iqala kubantu abangaphantsi kweminyaka engama-50 ubudala, nangona inokuvela nakweyiphi na iminyaka.

Kwelinye icala, isitayile kunye mgangatho wobomi Ezi zinto zichaphazela ngokuthe ngqo indlela esiqhubeka ngayo esi sifo. Ulwaneliseko lomntu, ukuzinza ngokweemvakalelo, amanqanaba oxinzelelo ekhaya nasemsebenzini, kunye nenethiwekhi yenkxaso yoluntu zimisela uphuhliso, ukuphindaphindeka, kunye nobukhulu bokuqhambuka kwesi sifo.

Olu hlobo lwesifo luthintela ubomi besigulana kwinqanaba elithile ngokweemvakalelo, ngokwesondo, ngokwengqondo nangokwentlaloAbanye abantu balahlekelwa zizakhono zentlalo ngenxa yemeko yabo, nto leyo ngamanye amaxesha ethintela amandla abo okuya kwiindawo ezithile ngenxa yokoyika ukungayifumani indlu yangasese, okanye inokubangela ukuba babe nexesha elingathandekiyo esidlangalaleni ngenxa yongxamiseko lokukhupha indle okanye ingxolo yamathumbu.

Izizathu eziphambili kunye nezinto ezibangela oku

Njengoko sele kutshiwo, i-irritable bowel syndrome (IBS) inokubangelwa zizinto ezininzi. Ezinye zibangela ukuba umntu angakwazi ukuzikhusela (oko kwandisa amathuba okuba ahlaselwe sisifo), kwaye ezinye zisebenza njengezinto ezibangela eso sifo. izinto ezibangela ngqo ubhubhane. Phakathi kwezona zibalulekileyo zezi amanqanaba aphezulu oxinzelelo, i iimeko zokusingqongileyo, i iimeko zengqondo kunye nemiba ethile ye ukondla.

Phakathi kwezinto ezibangela ukuba iingcali ziqalise ukukugxeka oku:

  • Utshintsho olukhulu kwimikhwa yesigulana (ukufuduka, ukutshintsha imisebenzi, iishifti zasebusuku, ukuqhawuka kobudlelwane) okudala uxinzelelo olukhulu.
  • Iingxabano amalungu osapho iingxabano ezinde, ezihlala zisenzeka, okanye iimeko zasekhaya ezinobutshaba.
  • Iingxabano Umsebenziumsebenzi omninzi, abaphathi abangqongqo, uxinzelelo lweziphumo, okanye uloyiko lokulahlekelwa ngumsebenzi.
  • Iingxabano iimvakalelo kunye nemiba yobudlelwane, ukwahlukana, umona, okanye ukungaqiniseki okuphakamisa inqanaba lokuxhalaba.
  • Ubukho be ubunzima bezoqoqosho okanye amatyala abangela ixhala rhoqo.
  • Ukusetyenziswa kakubi kwe amayeza angagunyaziswanga ngugqirhaingakumbi amayeza okuhambisa isisu, amayeza okulwa nokudumba, amayeza okubulala iintsholongwane, okanye izongezo ezithathwa ngaphandle kolwalathiso.
  • Iimeko zengqondo ezingazinzanga ezifana ukuxinezeleka, la uxhalaba, uloyiko, ukukhungatheka, ukuzijongela phantsi, uloyiko kunye nembali ukuxhatshazwa ngokwasemzimbeni, ngokwesondo, okanye ngokweemvakalelo.

Visceral hypersensitivity

Izifundo ezininzi zibonisa ukuba izigulane ezine-irritable bowel syndrome zine- ukungabi namandla kwe-visceralOko kukuthi, basabela ngentlungu enzulu kwizinto ezivuselelayo zangaphakathi (ezifana nokuphuma kwegesi okanye ilindle) ezingaqondakaliyo ngabanye abantu. Olu vakalelo luphezulu lunxulumene nokusebenza okukhulu kweendawo ezithile zenkqubo yemithambo-luvo ephakathi.

Intlungu ebangelwa kukuqunjelwa, ukudumba, kunye nokutsha kwesisu inokubonwa ngumqolo kwaye iboniswe kumaziko engqondo afana i-amygdalae yobuchopho kunye hypothalamusiindawo ezibandakanyeka ekucutshungulweni kwentlungu kunye nokusabela ngokweemvakalelo. Oku kwenza amava abe qatha kwaye abe buhlungu ngakumbi kumntu.

Ngoko ke, i-axis yobuchopho-amathumbu iyachaphazeleka yile ndlela isigulane esivakalelwa ngayo ziimpawu ezithile eziyinxalenye yeempawu zesifo. Umjikelo ombi uyadalwa: Intlungu yonyusa ixhalaUkuxhalaba kwandisa uvakalelo kwiintlungu kwaye oku kuqhubela phambili iziganeko ze-colitis.

Imiba yengqondo kunye neemvakalelo

Ngaphezulu Ama-50% ezigulane Abo banesifo sokungakhathali kwamathumbu badla ngokuba neengxaki zengqondo, kwaye kwiimeko ezininzi ezi ngxaki zeemvakalelo ziba unobangela okanye into ephambili egcina umfanekiso weklinikhiUxinzelelo, iingxaki zokuxhalaba, uxinzelelo olungapheliyo, ukungalali, kunye neengcinga ezimbi ezingapheliyo zitshintsha indlela ingqondo esebenza ngayo imiqondiso evela emathunjini.

Kuyabonakala ukuba abantwana babantu abane-irritable bowel syndrome (IBS) baneempawu ezifanayo. Oku kungenxa yokuba ubunjani bendalo malunga ne ukuvezwa ngokweemvakalelo kumzekelo wabazali. Umntwana ukhulela kwindawo apho iintlungu zesisu, ixhala malunga nokugaya ukutya, kunye nexhala zixhaphake kakhulu, nto leyo enokubangela ukuba ingqondo yakhe ivakalelwe yi-axis yakhe.

Kwelinye icala, ezo zinto zengqondo zinokuthintela isigulana ukuba sibone ingcali, nokuba kungenxa yokuba iintloniUloyiko lokufunyaniswa kwesi sifo okanye amava amabi angaphambili kwinkqubo yezempilo lunokulibazisa ukuqala konyango olufanelekileyo kwaye lunegalelo ekuphuhlisweni kwezifo ezingapheliyo.

Kwelinye icala, ukudumba kodonga lwamathumbu Ukukhula kweentsholongwane ezikumgangatho ophantsi, okunxulunyaniswa notshintsho kwi-gut microbiota, kukwabandakanyeka kwizizathu ze-irritable bowel syndrome (IBS). Olu tshintsho lweentsholongwane lunokubangelwa zizifo, ukutya ukutya okune-fiber encinci okanye ukutya okucutshungulwe kakhulu, okanye ukusetyenziswa kwee-antibiotics ngokuphindaphindiweyo, kwaye kunxulunyaniswa nokuveliswa kwegesi okwandisiweyo, iityhefu zasekuhlaleni, kunye nokungonwabi esiswini.

Iimpawu ze-Irritable Bowel Syndrome (IBS)

Iimpawu zesi sifo zininzi kwaye ziyahluka ngokuxhomekeke kuhlobo lwe-colitis kunye nohlobo oluphambili lomsebenzi. Nangona kunjalo, kukho ezinye iimpawu eziqhelekileyo ezibonwa kwizigulane ezininzi:

  • isisu (indle ekhululekileyo okanye engamanzi, ukuhamba kwamathumbu rhoqo, okuhlala kungxamisekile).
  • Intlungu yesisu Uhlobo lwe-colicky okanye olucinezelayo, olufumaneka ikakhulu kwisisu esisezantsi. Ludla ngokukhululeka emva kokukhupha igesi okanye ukuphuma kwegesi.
  • Ukopha ngokufihlakeleyo Ithambile kwezinye iintlobo ze-colitis (ingakumbi ezingengowengqondo); kwi-IBS yakudala ayiqhelekanga, ngoko ke ukuba khona kwayo kufanele kubangele ukurhanelwa kwezinye izifo kwaye kufuna uvavanyo lwezonyango ngokukhawuleza.
  • Imifinya efihlakeleyoOko kukuthi, ukukhupha umhluzi ocacileyo okanye omhlophe oxutywe nendle okanye wodwa.
  • nzulu Colic kunye nokuqaqamba ngaphambi okanye ngexesha lokuhamba kwamathumbu.
  • Ukuqunjelwa (indle eqinileyo, ukuhamba kwamathumbu rhoqo, ukuxinana kakhulu, ukuziva uvalekile).
  • Irhasi kunye nokuqunjelwa kakhulu, okunokuhambisana nokubhodla rhoqo kunye nokuziva unzima.
  • Imvakalelo ye ukuvutha kweendonga zekholoni kunye namathumbu, kunye nokutsha kwi-rectum, ingakumbi emva kweziganeko zorhudo olunzima.
  • Imvakalelo ye ukuxinwa okanye i-tenesmusOko kukuthi, kufuneka rhoqo ukuya kwigumbi lokuhlambela nokuba ukuthutha isisu kuncinci okanye akuphelelanga.
  • Unamandla intloko ebuhlungu ezinxulunyaniswa nokungonwabi kwesisu kunye noxinzelelo oluqhubekayo.
  • Umkhuhlane Ithambile kwezinye iintlobo ze-colitis (ingakumbi eyosulelayo okanye evuvukisayo); kwi-IBS eqhelekileyo ayilulo uphawu oluhlala luhleli, kwaye ubukho bayo kufuneka buhlolwe ngononophelo.
  • Ukwehla kobunzima kwiimeko apho isigulane siphepha ukutya ngenxa yokoyika iintlungu okanye iziqendu ezinde zorhudo okanye ukungafunxwa kakuhle.
  • Ukuphelelwa ngumdla wokutya, ukuhlutha kwangoko kunye nokuziva ugcwele ukutya okuncinci.
  • Ukudinwa kunye fatiga crónica ngenxa yokudibana kwentlungu, umgangatho wokungalali kakuhle, ixhala, kunye nokufunxwa kakuhle kwezondlo.
  • IAnemia Kwezinye iintlobo ze-colitis ezibandakanya ukopha okanye ukungafunxwa kakuhle, kubangela ukuphazima, ubuthathaka, kunye nobunzima bokugxila.
  • Ukuphelisa amandla emzimbeni ukuba urhudo luxhaphake kakhulu kwaye ulwelo kunye nee-electrolytes azitshintshwa ngokwaneleyo.
  • Ukucaphuka kwaye ngamanye amaxesha ukuhlanza, ingakumbi ngexesha lokuqhuma okukhulu okanye emva kokutya ukutya okucaphukisayo kakhulu.
  • Izilonda kwi Boca kunye notshintsho lolusu (amaqhuma, ukudumba) xa kufikwa kwi-systemic inflammatory colitis, efana ne-ulcerative colitis okanye isifo sikaCrohn.

Kwi-irritable bowel syndrome (IBS), iintlungu zesisu zihlala zibangelwa isasazeka okanye ifumaneka kwisisu esisezantsiIntlungu ayidli ngokusasazeka kwezinye iindawo, incinci ukuya kwephakathi ngobukhulu, kwaye ihlala ngaphantsi kweeyure ezimbini, iyancipha emva kokuphuma kwendle. Ayidli ngokuvusa isigulane ebusuku, ngoko ke ukuba intlungu okanye urhudo Bahlala bephazamisa ubuthongoUfanele udibane ngokukhawuleza ukuze ugweme ezinye izifo ezinzulu.

Ufanele udibane nogqirha ngokukhawuleza nini?

Kubalulekile ukwazi indlela yokuchonga oko kuthiwa idatha ye-alamuUkuba, ukongeza ekudumbeni nasentlungu, ubona naziphi na kwezi mpawu zilandelayo, kuya kufuneka ubone ugqirha ngokukhawuleza:

  • Ukuthoba umzimba ngaphandle kwesizathu esicacileyo.
  • isisu ubusuku okukuvusa ebuthongweni ngesidingo esingxamisekileyo sokuya kwigumbi lokuhlambela.
  • Ukopha ngokufihlakeleyo ibonakala kwindle, ephepheni okanye kwindlu yangasese.
  • I-anemia yokungabikho kwesinyithi okanye ezinye iintlobo ze-anemia ezifunyenwe kuvavanyo lwegazi.
  • Ukuhlanza okungachazwanga nokungapheliyo.
  • Intlungu yesisu Ayibi ngcono xa kukhutshwa iigesi okanye xa kukhutshwa, kwaye oko kuyanda ngokuthe ngcembe.
  • Umkhuhlane ophezulu kunye nesifo esingapheliyo esingapheliyo.

Ezi mpawu zinokubonisa a imeko enzulu ngakumbi, njenge-ulcerative colitis, isifo sikaCrohn, usulelo olukhulu lwamathumbu, okanye umhlaza womqolo, izifo ezifuna indlela eyahlukileyo kune-irritable bowel syndrome.

Iziphumo ze-irritable bowel syndrome

Iziphumo ze-irritable bowel syndrome (IBS) zixhomekeke kwi- ixesha lokuzivelela, la ubunzulu beempawu kunye nenqanaba le ukubambelela kunyangoNangona i-irritable bowel syndrome ingaqhelekanga ukubangela umonakalo omkhulu njengezilonda ezinzulu okanye yonyuse umngcipheko womhlaza we-colorectal, impembelelo yayo kubomi bemihla ngemihla inokuba negalelo elikhulu kakhulu.

Kwinqanaba leemvakalelo, izigulane ezininzi ziyakhula uloyiko lokuphuma ekhaya...ukuhambahamba okanye ukuthatha inxaxheba kwimisebenzi yoluntu ngenxa yokoyika ukungayifumani indlu yangasese ekufutshane okanye ukufumana isiqendu sorhudo okanye iintlungu esidlangalaleni. Oku kunokukhokelela ekubeni wedwa ngokuthe ngcembe kwaye kube mandundu iimeko ezikhoyo. ukuxinezeleka o uxhalaba kwaye zichaphazela ubudlelwane besibini kunye nosapho.

Emsebenzini, iimpawu eziphindaphindiweyo zentlungu nokungonwabi zikhokelela ukungabikho rhoqo kunye nokwehla kokusebenza. Izifundo zabantu zibonise ukuba abantu abane-IBS (i-IBS) abakhathali kakhulu okanye banengxaki yokungatyi kakuhle kwesisu, nto leyo echaphazela zombini imali yabo kunye nemveliso iyonke.

Kwimeko apho i-colitis idibene nezifo zokudumba kwamathumbu, iziphumo zinokuba nzima ngakumbi: ukugqobhoka kweendonga zamathumbu, ukopha okukhuluUsulelo oluqhelekileyo (i-sepsis) kunye nokufa kunokwenzeka ukuba unyango alufumaneki ngexesha elifanelekileyo. Yiyo loo nto kubalulekile. musa ukuzinyanga ngokwakho okanye ungazinciphisi iimpawu xa zitshintsha indlela ezibonakala ngayo okanye xa zisiba mandundu ngequbuliso.

Kuzo zonke iimeko, kubaluleke kakhulu ukuba isigulana siphephe ukusebenzisa amayeza asekhaya ixesha elide ngaphandle kolwalathiso lukagqirha kwaye siye kwintlanganiso yovavanyo olupheleleyo. Yingcali kuphela enokuthi ifumanise ukuba yi-irritable bowel syndrome (IBS), i-ulcerative colitis, usulelo, okanye enye imeko enokufuna unyango olongezelelekileyo. ungenelelo lokuhlinzwa okanye unyango lwe-immunomodulatory.

Unyango lwe-irritable bowel syndrome

Unyango lwe-irritable bowel syndrome (IBS), ngokwemvelo yalo, luxhomekeke kakhulu kwindlela olusetyenziswa ngayo. epheleleyo neyobuquUkuza kuthi ga ngoku, akukho nyango linye eliphilisa ngokuqinisekileyo i-irritable bowel syndrome, kodwa kukho iindlela ezininzi ezivumela ukulawula iimpawuukuphucula umgangatho wobomi kunye nokunciphisa ukuxhaphaka kunye nobukhulu bokuqhambuka kwezifo.

Ngokubanzi, iintsika zonyango zezi:

  • Utshintsho kwi ukondla nangexesha lokutya.
  • Ulawulo lwe uxinzelelo kunye neemeko zeemvakalelo ngokusebenzisa iindlela ezithile.
  • Ukusetyenziswa kwe mayeza zikhethwe ngokwe-subtype ye-colitis (ngokuqhinwa, ngorhudo okanye ngokuxutywayo).
  • umsebenzi physics rhoqo yenzelwe umntu ngamnye.

Kukho iindlela ezahlukeneyo zonyango zokujongana namanqanaba ahlukeneyo obunzima be-irritable bowel syndrome (IBS) kwaye zilungele uhlobo lwesigulana:

  • Iindlela zokuphumla: Olu hlobo lonyango luquka ukuphumla kwemisipha okuqhubekayo, ukuphefumla okungapheliyo, i-yoga ethambileyo, kunye ngqondweniLa mayeza abonakalise ukuba aluncedo kakhulu kubantu abanesifo sokungakhathali kwamathumbu (IBS). Anciphisa ukusebenza kwenkqubo yemithambo-luvo, anciphise ukuziva uxinezelekile kwamathumbu, kwaye aphucula ukuqonda iintlungu.
  • Unyango lokuziphatha kunye nolwengqondo: la unyango lokuziphathaUnyango lokwamkela nokuzinikela kunye nezinye iindlela zokungenelela kwengqondo zisebenza kwiimvakalelo zomntu malunga nesifo, zinceda ekulawuleni amanqanaba oxinzelelo, iingcinga ezimbi kunye nokuziphatha kokuphepha, zinciphisa ngokuthe ngcembe impembelelo yesifo se-colitis kubomi bemihla ngemihla.

unyango lwe-irritable bowel syndrome

Amayeza ukunyanga isifo sokudumba kolusu

Akukho mayeza aphilisa ngokupheleleyo i-irritable bowel syndrome (IBS), kodwa kukho amayeza anceda ekunciphiseni iimpawu. ukudumba, lungisa i ukuhamba kwamathumbu kwaye unciphise i iimpawu zokugaya ukutya kunye nezinye iimpawu zamathumbuKulawulo lwe-colitis (uvalo kunye nokudumba), amaqela amathathu aphambili amayeza asetyenziswa rhoqo:

  • Ii-amino salicylates: Zineempawu ezinamandla anti-ukudumba kwinqanaba le-mucosa yamathumbu kwaye zisetyenziswa kakhulu kwi-ulcerative colitis kunye nesifo samathumbu esivuthayo. Amayeza ahlulwe ngolu hlobo ngala: i-mesalamina, la imasalazina kunye i-sulfasalazine/i-sulfasalazineIsiphumo sala mayeza sixhomekeke kakhulu kwi-intanethi kwaye kufuneka asetyenziswe phantsi komyalelo kagqirha. Afumaneka kwimarike phantsi kwamagama eempawu ezifana neCanasar, iPentasar, okanye iColazar, kuxhomekeke kwilizwe.
  • IiCorticosteroids: Olu luhlu lwamayeza lusetyenziswa ukunyanga izifo ezibangelwa ukudumba kwamathumbu okukhawulezileyo Okwethutyana elifutshane. Zinciphisa iintlungu, ukopha, kunye norhudo ngokufanelekileyo, kodwa ukusetyenziswa kwazo kufuneka ilawulwa ngokungqongqo yingcalikuba zinokuvelisa iziphumo ebezingalindelekanga ezibalulekileyo (ukugcinwa kolwelo, ukutyeba, i-osteoporosis, ukuphazamiseka kweglucose, njl.njl.) kwaye ayizizo zonke izigulana ezizinyamezela kakuhle.
  • Ii-immunoregulators kunye nee-immunomodulators: Zinikwa ngomlomo okanye ngenaliti, kwaye zinikwa xa kungekho nanye kwezi zingentla esebenzayo okanye xa kulawulwa impendulo yomzimba kwixesha eliphakathi nelide.

Ukongeza kwezi, amanye amayeza asetyenziswa rhoqo kunyango lwe-irritable bowel syndrome, njengala:

  • I-Antispasmodics, ngenxa ukunciphisa ukuqaqamba kwamathumbu amakhulu kwaye kunciphise iintlungu ezifana ne-colic.
  • Iipilisi zokuhambisa isisu okanye izongezo ezithambileyo ifayibha Kwimeko apho ukuqhina kuxhaphakile, soloko uphantsi kweliso ukuze uphephe ukuba mandundu kwegesi nokudumba.
  • Amayeza athile e- isifo sohudo Kwiqela elinesitulo esinolwelo ikakhulu, kuphephe ukusetyenziswa kwaso ngokungakhethiyo ukuze singayibeki mandundu imeko kubantu abaqunjelweyo.
  • Iiprobiotics kunye neeprebiotics ezikhethiweyo, ngenjongo ukuphucula intestinal microbiota kwaye kunciphisa ukudumba kunye nokwanda koxinzelelo lwegazi.

Kwezinye izigulana ezine-irritable bowel syndrome (IBS), ugqirha angakunika amayeza engqondo aphantsi, afana nalawo asetyenziswa kwi-IBS. antidepressants o ixhala, njengoko zibonakalisiwe ukuba ziphucula umda weentlungu, umgangatho wokulala kunye nokuqonda ngokwengqondo iimpawu zokugaya ukutya, nakubantu abangenalo uxinezeleko olunzulu.

Ukutya iivithamini Izongezo ezisemgangathweni ophezulu, phantsi kwengcebiso kagqirha, zinokunceda ukuphucula imeko yesigulane kunye nokulungisa ukunqongophala kwesondlo okunokwenzeka okubangelwa kukungafunxwa kakuhle okanye ukutya okuncinci kakhulu okusetyenziswa ngenxa yokoyika iimpawu.

Luhlobo luni lokutya endifanele ndilutye?

Ukuba ungumguli onesifo sokungakhathali kwamathumbu (i-IBS), kufuneka ukhethe ukutya ukutya okuthile. kulula ukwetyisa, iphantsi kumafutha agcweleyo kwaye iphezulu kumafutha amanzi, ifayibha enyibilikayo kunye nezondlo. I Iziqhamo, imifuno, imifuno ephekiweyo, iinkozo ezithambileyo, kunye neenkozo ezilungisiweyo kakuhle Zilungele ukunciphisa iintlungu zamathumbu nokuphucula ukuhamba kwazo, zihlala zilungelelanisa ubungakanani bezinto ezibangela ukuba umntu angakwazi ukuzinyamezela.

Kufuneka unciphise okanye uphephe ukusebenzisa inyama ebomvu enamafuthaeziba nzima kwinkqubo yokugaya ukutya kwaye zinokubangela ukuqunjelwa kunye negesi enamandla. Endaweni yoko, ungazibeka phambili izinto ezibalulekileyo Iprotheni engacacanga njengenkukhu engenalusu, i-turkey, intlanzi emhlophe kunye nezinye iimbotyi ngomlinganiselo ophakathi, ngokokunyamezela komntu ngamnye.

Ungakhetha ukutya iiproteni zeentlanzi kunye neentlanzi zaselwandleItyebile kwi-omega-3 fatty acids eneempawu zokulwa nokuvuvukala, ukuba nje akukho allergy okanye ukunganyamezelani kwaye emva kokubonisana nengcali ukuze uphephe nayiphi na intlungu ebangelwa kukutya. Kwakhona kucetyiswa ukuba... amafutha aphilileyo njengeoyile yomnquma, iavokhado, okanye imbewu yeflakisi egayiweyo.

Kukuphi ukutya okuthintela ukubola?

Ukuba ungumntu ofuna ukuthintela izifo zokugaya ukutya kwixesha elizayo okanye ukunciphisa ukuvela kwe-irritable bowel syndrome (IBS), ungaquka rhoqo oku kutya kulandelayo ekutyeni kwakho:

  • IiPrunes: Zingumthombo olungileyo kakhulu we iintsinga kunye ne-sorbitol, ezinceda ekulawuleni ukuhamba kwamathumbu. Ukusela iglasi enye okanye ezimbini zamanzi kunye ne-prunes ezimanzi kunokunceda ekuthinteleni ukuqhina, ukuba nje kuvumelekile kwaye akugqithisi, ukuze kuthintelwe urhudo.
  • I-apile: Inomxholo ophezulu we ii-antioxidants kunye ne-soluble fiber (i-pectin)ezinceda ekukhuseleni i-mucosa yamathumbu nokulawula ukuqina kwendle, zithintela ukuqhina kunye norhudo oluncinci.
  • I-Prebiotics: Eli gama libhekisa kwi iicarbohydrate ezingenakufunxwa (ezifana ne-inulin okanye i-fructooligosaccharides), ezondla iintsholongwane eziluncedo emathunjini kwaye zikhuthaze ukusebenza kwe iprobioticukunceda ukugcina i-microbiota elungeleleneyo kunye nokuthintela ukuqhina kunye nokudumba.
  • Omega 3: Yitya ioyile yentlanzi, imbewu yeflakisi, ioyile yomnquma, ioyile yecanola, okanye ioyile yesoya, ezine iipropathi ezichasene nokuvuvukala kwaye inokunceda ukuphucula imeko ye-mucosa yamathumbu kunye nokunciphisa iintlungu.
  • Ialoe vera: Inceda ekunciphiseni amathuba okuba neempawu eziqatha ze-irritable bowel syndrome. Ukuba unokusela ii-aloe vera softgels okanye iijusi zendalo, yenza oko ngokulinganisela kwaye uphephe iimveliso ezipakishiweyo, njengoko zihlala ziqulathe umxholo ophezulu [ongacacanga - mhlawumbi "utywala" okanye "ivithamini C"]. iswekile eyongeziweyo kunye nezinye izongezo.
Zeziphi iintlobo zokutya endifanele ndiziphephe?

Umntu onesifo se-colitis kufuneka akuphephe, kangangoko kunokwenzeka, ukutya okunokubangela ukucaphukisa i-mucosa yamathumbu okanye ukuvelisa igesi eninzi. Phakathi kwezona zinto zinzima kakhulu kukutya okunamafutha amaninzi enongwe, isityebi kwi izinto zokufaka imibala kunye nezongezo zeekhemikhaliUkutya okucutshungulwe kakhulu, iimveliso zobisi ngobuninzi (ingakumbi ukuba akukho kumelana ne-lactose), inyama ebomvu enamafutha, iziqhamo ezithile ze-citrus, kwaye ngokubanzi, naluphi na uhlobo lokutya oluthintela ikholoni ukuba ingaphumli kwaye ibuyisele ibhalansi yayo.

Kucetyiswa ukuba kususwe okanye kuncitshiswe kakhulu ukutya okulandelayo ekutyeni:

  • Utywala, ngenxa yesiphumo sayo esithe ngqo sokucaphuka kunye nokukwazi kwayo ukutshintsha i-microbiota yamathumbu.
  • ICafé kunye nezinye iziselo ezine-caffeine eninzi, ezinyusa ukuhamba kwamathumbu kwaye zinokubangela urhudo kunye nexhala.
  • Iti eluhlaza kunye iti emnyama zixinene kakhulu, ngenxa yokuba zine-caffeine kunye ne-tannin.
  • Iimbotyi, iilentili, kunye nezinye iimbotyi ngobuninzi okanye zingaphekwanga kakuhle, kuba zivelisa iigesi kunye nokwandanangona abanye abantu bezinyamezela kakuhle xa zincinci.
  • Imifuno njenge ibroccoli, ikholifulawa, iBrussels sprouts, ikhaphetshu, igalikhi kunye netswele, ingakumbi ukutya okuluhlaza, kuba kunokunyusa kakhulu ukuqunjelwa kwesisu kubantu abanobuthathaka.
  • Iisoseji ezinamafutha, ukutya okukhawulezayo, ukutya okuqhotsiweyo, itshokolethi, iipopcorn, amantongomane, kunye neemveliso ezine ushukela ococekileyo ikwenyusa.

Isigulana ngasinye sahlukile, ngoko ke kuyanceda ukuba isigodo sokutya kunye neempawu zokuchonga ukuba zeziphi ukutya ezithile ezibangela ukuba umntu atyeke kakhulu kwisifo samathumbu esingathandekiyo kwimeko nganye kwaye ulungise ukutya ngoncedo lwengcali yesondlo.

Yeyiphi imikhwa ekufuneka ndiyiphumeze?

Ukulawula i-irritable bowel syndrome (IBS), akwanelanga ukuthatha amayeza athile nje kuphela; kubalulekile ukwenza uthotho lwamanyathelo. indlela yokuphila esempilweni rhoqo.

Okokuqala, kufuneka uzame tyelela ugqirha rhoqoingakumbi xa iimpawu zitshintsha, zisiba mandundu, okanye kuvela iimpawu ezoyikisayo. Oku kuvumela uhlengahlengiso kunyango, uphononongo lokutya, kunye nokuthintela iingxaki.

Okwesibini, kubalulekile ukunyamekela imikhwa yokusebenzaUkuba umsebenzi wakho ubandakanya uxinzelelo olugqithisileyo, iiyure ezinde kakhulu, okanye ukutshintshatshintsha okuchaphazela ubuthongo, xoxa nogqirha wakho malunga nokuba kunokwenzeka [ukulungisa isicwangciso sakho sokulala]. ukunciphisa umthwalo womsebenzi Okanye lungisa ishedyuli yakho ngokwenqanaba lakho lokunyamezela uxinzelelo kunye neemfuno zonyango. Khumbula ukuba impilo yakho yeyona nto ibalulekileyo, kwaye isisu esiphantsi koxinzelelo oluqhubekayo siya kusabela ngokunyuka kwesifo se-colitis.

Kukwacetyiswa ukuba kwenziwe umkhwa wokuphumla imihla ngemihla Kangangemizuzu embalwa, ungaziqhelanisa nemisebenzi efana nokucamngca, ukuphefumla nzulu, i-yoga ethambileyo, okanye ukuhambahamba kancinci. Le misebenzi inceda ekunciphiseni ukusebenza kwenkqubo yemithambo-luvo, ukuphucula ubuthongo, kunye nokulawula amanqanaba entlungu. Kubantu abaninzi, ukucwangcisa imizuzu eli-10-20 yale misebenzi imihla ngemihla kwenza umahluko obonakalayo kwinani le-colitis abayifumanayo.

Ngokuphathelele iindlela zokutya, isigulane kufuneka sitye ukutya kwaso 5 ukuya ku-6 amaxesha ngosuku, kwi iinxalenye ezincinciUkuhlafuna kakuhle nokuphepha ukutya ngokungxama okanye xa unexhala kakhulu kubalulekile. Ukutya kancinci, ukuhlala phantsi, kwaye ngaphandle kokuphazamiseka okugqithisileyo (ezifana nezikrini okanye iingxoxo) kulungile ekugcineni inkqubo yokugaya ukutya isempilweni kwaye kuthintele ukuba inganyanzelwa ukuba yenze imisebenzi engakulungelanga ngexesha loxinzelelo.

Gcina a ubunzima obufanelekileyoUkwenza umthambo rhoqo, ukulala ngokwaneleyo, kunye nenkxaso enamandla ngokweemvakalelo, kunye nokulandelelana kakuhle kwezonyango, kuvumela abantu abaninzi abane-irritable bowel syndrome (IBS) ukuba babuyele kubomi obuqhelekileyo. Eyona nto ibalulekileyo kukuqonda imeko, ukumamela imiqondiso yomzimba, kunye nokuthatha amanyathelo okuthintela, endaweni yokusabela nje ekuvukeni.

Ukwamkela isimo sengqondo esisebenzayo nesinoxanduva malunga ne-irritable bowel syndrome (IBS), ukudibanisa unyango kunye nokutya okunengqiqo kunye nolawulo olufanelekileyo loxinzelelo, kuguqula esi sifo ekubeni sitshaba olungalindelekanga sibe yimeko, nangona icaphukisa, enokulawulwa kwaye ivumele ubomi obupheleleyo nobanelisayo.