Zaɓuɓɓukan magani don IBS
Labaran rashin jijiyar jiji (IBS) ba shi da saurin shiga cikin tsarin "girman daya". Yin aiki tare da likitanka, kuma tare da ƙananan gwaji da kuskure, za ka sami hanyarka don kula da IBS naka. Wannan hanya zata iya buƙatar tsarin kulawa da yawa, amma kamar yadda za ka gani a cikin wannan bayyani, akwai wadatar da za a bi don biyan kuɗi.
Mataki na farko
Idan ba ku riga ya aikata haka ba, yana da muhimmanci ku ga likita don tattauna duk wani alamar da ke ci gaba da narkewa wanda za ku iya samun.
Kodayake bayyanar cututtuka na IBS sun hada da ciwo na ciki tare da cikewar maƙarƙashiya, cututtuka, ko duka biyu, irin wannan bayyanar cututtuka na iya haifar da wasu mawuyacin yanayin kiwon lafiya. Da zarar likitanku ya tabbatar da ganewar asali na IBS, to sai kuyi aiki tare da su don kafa tsarin kulawa mafi kyau don magance alamominku.
Magunguna don IBS
A al'ada, zaɓuɓɓukan magani ga IBS sun iyakance.
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Dukkan Magungunan da ke Akwai don Bi da IBS
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Shin bambamcin Iberogast ne kawai Abin da kuke buƙata don IBS?
Abin takaici, halin da ake ciki yana canzawa sosai kamar yadda ake ci gaba da sababbin magunguna. Ga wasu takamaiman zaɓin da aka samo a yanzu:
Antispasmodics: Antispasmodics sune mafi magungunan likita don IBS kamar yadda suke taimaka wajen magance cututtukan cututtuka na ciki da damuwa, musamman ga mutanen da suke da ciwon sukari-IBS (IBS-D). Ayyukan Antispasmodics mafi kyau idan an dauki minti 30 zuwa 60 kafin cin abinci kuma zai iya zama mafi alhẽri a samar da gajeren lokaci, kamar yadda tsayayya da dogon lokaci, taimako daga bayyanar cututtuka.
IBS-Specific Medicines: Kamfanonin ƙwayoyi suna da wuya a aikin samar da magunguna domin magance IBS, tare da sababbin sababbin zaɓuɓɓuka da ke zuwa kasuwa a cikin 'yan shekarun nan.
Wadannan magunguna suna aiki ne a kan masu karɓa a cikin babban hanji don kawo taimako na IBS. Zaɓuɓɓuka don kula da maƙarƙashiya-mafi girma IBS (IBS-C) sun hada da:
Kuma don kula da IBS-D:
Magungunan maganin rigakafi: Mutane suna mamakin mamaki idan sun ji cewa maganin rigakafi na iya zama wajabta ga IBS , kamar yadda sau da yawa na maganin maganin rigakafi na iya haifar da bayyanar IBS. Duk da haka, maganin rigakafi da ake amfani dashi ga IBS na daga cikin kwayoyin maganin maganin rigakafin da ba a tunawa a cikin ciki, amma za su ci gaba da maganin kwayoyin cutar cikin ƙananan ku da babba. Daga wannan kundin, kawai Xifaxan yana da amincewa da FDA kuma yana kula da rashin karuwar IBS.
Magungunan antidepressants: likitanku na iya zabar yin rubutun magani na antidepressant saboda sakamakon su a kan aiki na tsarin kwayar halittarku kuma saboda ana iya daukar su a cikin kwanciyar hankali lokaci-lokaci don ciwon rashin lafiya kamar IBS. Doctors sun fi dacewa su bayar da shawara ga antidepressant zuwa gare ku idan ba a magance alamar cututtuka ta hanyar salon rayuwa da gyare-gyaren abincin ba kuma idan kuna jin dadin ciki da / ko damuwa tare da IBS.
Magunguna masu amfani da IBS sun hada da SSRIs da magungunan antidpress. Dukkanin magungunan magunguna suna zaton suna da halayyar rage cututtuka. Kwararka zai iya zabar wane nau'in antidepressant ya dogara ne akan matsalar jinjin ku, misali maƙarƙashiya ko zawo, yayin da daban-daban na antidepressants suna da tasiri daban-daban a kan gyaran kafa da kuma karfin motsi.
Mahimman maganin da ake yi wa IBS (OTCs)
Akwai hanyoyi masu yawa na OTC da ake amfani dasu wajen magance cututtuka. Waɗannan samfurori suna samuwa ba tare da takardar sayan magani ba kuma yana da wuya akwai bincike da yawa game da tasirin su na gaske a sauƙaƙe IBS. Ka tuna cewa yana da muhimmanci mahimmanci don bincika likitanka kafin amfani da duk wani samfurin OTC. Ga wasu daga cikin mafi amfani da OTCs na IBS:
- Imodium : Amfani da cututtukan saukowa, amma ba dole ba ne jin zafi na IBS.
- Mawallai kamar Miralax, Metamucil, Benefiber, da Citrucel.
- Abubuwa na kwayoyin : Waɗannan sun ƙunshi nau'o'in "kwayoyin kwayoyin".
- Peppermint man : Nazarin ya nuna cewa mai kwakwalwa mai rufi mai kwakwalwa yana da magungunan antispasmodic mai karfi kuma ta haka yana da tasiri a saukin jin zafi na IBS.
- Abubuwan da ke cike da ita : Akwai nau'o'in kayan lambu da dama da ake zaton su zama masu kyau ga lafiyar kwayar cuta da kuma magance duk wani cututtukan kwayoyi.
> Duba hotunan IBS da bayyanar cututtuka.
Ciyar Canje-canje
Ɗaya daga cikin hanyoyin da mutane da yawa ke kokarin magance IBS shine ta hanyar rage cin abinci. Idan aka fuskanci irin wannan cututtuka, yana da sauki a nuna abinci a matsayin mai laifi. Abu mai mahimmanci shine muyi tunani shi ne cewa sauƙin cin abinci, musamman cin abinci mai yawa ko kayan abinci mai mahimmanci, zai iya zuga motsa jiki. Canje-canje da damuwa na hormonal zasu taimaka wajen bayyanar cututtuka na IBS, don haka abincin da aka dakatar da shi a wani lokaci zai iya jin dadi ba tare da sakamako akan wani ba.
Tsayawa dukan waɗannan abubuwa, akwai wasu abubuwan da za a iya taimakawa game da cin abin da zai iya taimakawa wajen sauke bayyanar cututtuka (ko a kalla, ba sa su da muni!). Ga wasu zaɓuɓɓuka:
1. Dama abincin abinci . Yanayin abinci shine kawai abin da ke ci gaba da abin da kuke ci da yadda kuka ji. Ana bada shawarar cewa idan ka gano wani abinci kamar yadda ake iya zama mai laifi, ka kawar da abincin nan na tsawon watanni uku don ganin ko wannan yana da tasiri a kan alamun bayyanarka.
In bahaka ba, gwada cin abinci kuma sake maimaita tsari tare da abinci na gaba akan jerin ku. Masu laifi na al'ada su ne abinci mai kyau, kayan lambu mai gas, ruwan sha, da kayan alkama, caffeine da barasa. Hakanan zaka iya la'akari da kawar da cin abinci don yin watsi da lactose rashin haƙuri ko fructose malabsorption .
2. Ku ci karami, karin abinci mai yawa . Wani banda ga wannan shi ne cewa ga maƙarƙashiya babban karin kumallo zai iya taimakawa wajen karfafa jituwa ta hanzari da kuma buƙatar samun motsi.
3. Ƙara fiber . Ana ba da shawarar yin amfani da fiber saboda yawancin kiwon lafiya da kuma iyawarsa don taimakawa wajen farfadowa da tsagewa. Duk da haka, yana da kyau don ƙara fiber sannu a hankali don ba da damar lokacin jiki don daidaitawa. Akwai kuma wasu shaidun cewa fiber zafin jiki zai fi dacewa da mutanen da ke da IBS.
4. Dubi cikin abincin low-FODMAP . Kodayake rage cin abinci na FODMAP zai iya zama ƙalubale, yana da wasu sabbin bincike don taimakawa. Abinci ya shafi kawar da wasu carbohydrates daga abincinka na tsawon makonni shida zuwa takwas sannan kuma a hankali ka sanya su cikin abincinka don tantance haƙuri.
Psychotherapy na IBS
Anyi amfani da hanyoyin maganin ƙwaƙwalwar muhalli don tasiri a rage ragewa, ƙarfin da tsawon lokacin bayyanar cututtuka na IBS, ciki har da farfadowa na halayyar halayyar kwaskwarima (CBT), maganin ƙwaƙwalwar ƙwayar cuta, hanyoyin gudanarwa ta jituwa da kuma motsa jiki, tare da sakamako mai kyau.
CBT da gut-directed hypnotherapy suna da mafi m bincike da goyon baya ga tasiri a rage na IBS bayyanar cututtuka. CBT wani nau'i ne na ƙwararren tunani wanda za a koya maka hanyoyin da za a iya canza tsarin tunanin tunanin bala'i da kuma sababbin halaye na kula da damuwa da kuma magance matsalolin damuwa. Hypnotherapy ya haɗa da haifar da sanannen sanarwa da kuma jin dadi wanda aka bayar da shawarwari masu dacewa don kaiwa ga canji na har abada.
Magungunan ilimin kimiyya suna ba da gudummawa don taimaka maka ka koyi hanyoyin da za a iya amfani da su na tsawon lokaci don magance IBS ba tare da hadarin yiwuwar cutarwa masu illa da hade da magani ba.
Yin hukuncin da ke daidai a gare ka
Bincike ya nuna cewa tare da IBS, da karin bayani game da kai a matsayin mai haƙuri, mafi mahimmancin sakamako na lafiyarka zai kasance. Bincike ya nuna cewa an bunkasa sakamako na lafiyar ku idan kuna da dangantaka mai kyau tare da likitanku. Za ku sami bayanai da yawa a nan a game da zaɓuɓɓukan maganinku. Ku ciyar da lokaci don ku koyi yadda kuka iya kuma kuyi aiki tare da likitanku don ku zo tare da tsari na gudanar da alamar alama wadda ta fi kyau ga jikinku na musamman.
Sources:
Foxx-Orenstein, AE. Sabbin sababbin hanyoyin maganin cututtukan ciwon zuciya: sabuntawa ga masu gastroenterologists. Ci gaba da lafiya a Gastroenterology . 2016; 9: 354-375.
Tack J, Vanuytsel T, Corsetti M. Gudanar da Gwaninta na Yanayin Ƙarƙashin Ƙunƙara: Ƙari Fiye da Motsawa. Cututtuka da cututtuka . 2016; 34: 566-573.