Ƙunƙarar Ƙwararrun Ƙwara da Ƙarƙashin Ƙwayar cuta
Dysfunction a cikin haɗin tsakanin kwakwalwa da gut zai iya kasancewa da gudummawar factor a cikin m jinji ciwo (IBS).
Wasu matsalolin kiwon lafiyar suna da sauƙin fahimta. Idan kuna da ciwon makogwaro , likitanku zai dauki samfurin nama daga bakin ku kuma ya gwada gwaji don ganin idan kuna da kamuwa da cutar. Ana iya gwada wani abu mai ban mamaki akan fata naka don gwada idan yana da rauni.
Abin takaici, IBS ba ta da sauki. Ba kamar cututtuka da suke bayyane ba, don gane abin da ke faruwa a IBS, masu bincike sun gano cewa suna buƙatar kallon bayan kullun kuma zuwa hanyoyin sadarwa masu kwakwalwa wanda ke haɗa jutuwa zuwa kwakwalwa.
Don godiya sosai ga aikin da ake yi a wannan yanki, kuna buƙatar samun digiri a cikin neuroscience. Ko da ba tare da irin wannan digiri ba, yana da amfani don samun fahimtar fahimtar haɗuwa tsakanin kwakwalwa da ƙutsa kuma yadda wannan ya shafi IBS.
Biology Basics
Dubi idan wasu daga cikin tattaunawar da suka biyowa suna taɗa kararrawa daga lokacin da kuka yi a kundin nazarin ilimin kimiyya. Sadarwa tsakanin dukkan sassan jikinmu yana faruwa ta wurin barin bayanai daga jijiyar jijiyar jiki. A nan ne bayanin da aka sauƙaƙa a kan hanyoyin da hanyoyi daban-daban da wannan sadarwa ke gudana:
- Tsarin tsakiya mai juyayi (CNS): kwakwalwa da kuma igiya
- Tsarin halitta mai juyayi (PNS): hanyoyin hanyoyi waɗanda ke fadada kwakwalwa da kashin baya.
Tsarin halitta na jiki ya rabu biyu zuwa kashi biyu:
- Tsarin damuwa mai dadi: alhakin kula da tsokoki da karfin jiki ga jin dadin jiki.
- Tsarin jiki mai juyayi : da alhakin motar da motsa jiki na sassan jikinmu (zane-zane).
Shirin Intanit mai shiga
Shirin tsarin jin dadin jiki (ENS) wani ɓangare ne na tsarin kulawa mai zaman kanta wanda ke da alhakin sarrafa tsarin narkewa. ENS tana kula da motility (motsi da tsokoki), shayarwa na ruwa da jini. ENS tana ɗaukar nauyin nauyin da kansa akan cewa an ba shi sunan "ƙananan ƙwaƙwalwa." Bisa ga wannan bayanin, yana da sauƙi ganin yadda fahimtar yadda tsarin salula yake aiki yana da muhimmanci ga fahimtar abin da zai iya faruwa ba daidai ba. jiki tare da IBS.
Hawan Ƙasa Bas
Sadarwar ita ce hanyar hanya guda biyu lokacin da ta zo kwakwalwa (tsarin kulawa na tsakiya) da kuma tsarin narkewa (tsarin mai juyayi). Hanyoyin hanyoyi suna danganta kwakwalwa da kuma hanji tare da bayanan da ke gudanawa da baya a kan kowane lokaci. Wannan haɗin zumunci ne mafi kyau a gani a cikin amsawar da muke da shi ga damuwa (barazanar da aka sani), wanda ya nuna cewa wannan cibiyar sadarwar sadarwa ta da muhimmanci ƙwarai don rayuwar mu a matsayin jinsin.
Masu bincike sun gano shaidar da bazuwa tare da wadannan hanyoyi da kuma ƙananan hanyoyi na iya taimakawa ga ciwo na ciki , da maƙarƙashiya da / ko zawo wanda shine alamun na IBS. Magunguna a cikin gut da ke fuskantar matsananciyar hankali zasu iya jawo canje-canje a cikin kwakwalwa.
Hanyoyin tunani, ji, da kuma kunna sassa na kwakwalwa da ke da damuwa ko jin dadi zai iya haifar da martani ga ƙwararru. Za'a iya samo wani aiki tare da hanyoyi daban-daban da ke haɗa kwakwalwa da gut. Alal misali, akwai tabbacin cewa aiki mai mahimmanci tare da hanyoyi guda biyu a cikin tsarin kulawa mai kwakwalwa yana hade da bayyanar cututtukan vs. bayyanar cututtuka. Gaba ɗaya, ana nuna cewa rashin aiki a cikin ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ta ƙetare tare da ƙarfin jiki na kula da homeostasis, jihar da dukkanin tsarin ke aiki lafiya.
Matsayi na Serotonin
Ƙarin nazarin halittu: Hanyar da kwayar halitta ta kebanta da ta gaba ita ce ta hanyar sinadaran da ake kira neurotransmitters . Wani mahimmanci mai amfani da kwayar halitta don aikin narkewa shine serotonin (5-HT). An kiyasta cewa kashi 95 cikin dari na din din din din a cikin jikin mutum yana samuwa a cikin sashin kwayar halitta. Serotonin an dauke shi wani ɓangare na sashen sadarwa tsakanin kwakwalwa da ƙuƙwalwa. Serotonin yana da alama ya taka rawar jiki , rashin fahimta , da ɓoyewar ruwa. Ra'ayin motsa jiki, jin daɗin jin zafi da yawan ruwan a cikin tarin - za ka ga dalilin da yasa serotonin ya kasance mai mayar da hankali ga masu bincike na IBS.
An sami bambanci a cikin matakan serotonin tsakanin marasa lafiya da ke fama da zawo vs. wadanda suke da maƙarƙashiya. Magunguna da ciwo sun fi yadda al'amuran al'ada na serotonin a cikin jini bayan cin abinci, yayin da marasa lafiya da suka sha wahala daga maƙarƙashiya suna da ƙasa da al'amuran al'ada na serotonin. Wannan bambanci yana biye da ƙoƙari don samar da magani wanda ya kara ƙaruwa ko ya rage matakan serotonin ta hanyar ƙaddamar da wasu shafuka masu karɓa ( 5-HT3 da 5-HT4) don bi da IBS. Akwai magunguna guda biyu, amma dukansu suna da ƙuntatawa akan amfani da su don hana haɓakar tasiri mai tsanani:
- Lotronex : Blocker na 5-HT3 don kula da zawo
- Zelnorm: L 5-HT4 ne mai tasowa don maganin maƙarƙashiya
Wani sabon tsarin IBS jagorancin bincike shine mayar da hankali kan nau'i na sunadarai da ake kira sigonin transporters (SERTs). SERTs suna da alhakin cire serotonin bayan an sake shi. Akwai wasu alamun cewa akwai bambance-bambance a cikin aikin SERT lokacin da IBS ko ƙumburi yake. Ɗaya daga cikin makaranta shine cewa wuce haddi na serotonin ya shafe tare da tsarin tsarin gida, don haka ya hana tsarin narkewa daga aiki a hanya ta al'ada.
Ilimi shi ne Power
Yaya za ku iya fassara sabon iliminku don taimaka muku wajen sarrafa IBS? Babu shakka, ba ku da ikon yin tasiri a kan matakan kuɗin din dinrotonin. Duk da haka, akwai wurare biyu inda ayyukanka ke da tasiri a kan tsarin sadarwa tsakanin kwakwalwa da ƙuƙwalwa.
Ta hanyar yin amfani da shakatawa , za ka iya yin aiki na yau da kullum don kawar da mahimmancin amsawa, wanda yasa canje-canjen ya faru don amsawa da tunani. Hakanan zaka iya la'akari da gwanin gastrocolic wanda ake haɓaka haɗin gwiwar ta hanyar cin abinci mai yawa ko abinci maras nauyi lokacin da za a yanke shawarar abincin da zasu ci. Don zawo, zai fi kyau cin abincin ƙananan abinci, amma don ƙinƙwasawa, babban abinci zai fi dacewa don haifar da motsi.
Ganin cewa matsalolin da ke cikin IBS sun wuce hanyar samun "m ciki" zai iya taimaka maka wajen samar da hanyoyin da za a magance wadannan matsala.
> Sources
> Fukudo S. Dama da kuma ciwo na visceral: Yana mai da hankali ga ciwo mai jiji. Pain . 2013; 154. Doi: 10.1016 / j.pain.2013.09.008.
> Megald BG-V, Johnson AC, Grundy D. Gastrointestinal Physiology, da kuma Function. Littafin Jagora na Pharmacology gwaji . 2017. Doi: 10.1007 / 164_2016_118.
> Norton, W. & Drossman, D. "Rahotan Bayanan Labarai" (2007) Matsalar Kiwon Lafiyar Halitta 16: 4 -7.
> Oświęcimska J, Szymlak A, Roczniak W, Girczys-Połedniok K, Kwiecień J. Sabon fahimtar maganin cutar da jiyya na rashin jijiyar ciwo. Ci gaba a Kimiyyar Kimiyya . 2017; 62 (1): 17-30. Doi: 10.1016 / j.advms.2016.11.001.