Diarrhea ciwon rashin ciwon jiji na jiji (IBS-D) wani sashi ne na IBS wanda mutum yakan fuskanci ciwo na zazzaɓi tare da raunin ciwo na ciki. Kamar IBS, IBS-D shine ƙwayar gastrointestinal aiki (FGD) a cikin cewa babu wani abin da ke gani, cututtuka, ko rauni don kulawa da alamunta. An kiyasta cewa kimanin kashi ɗaya cikin uku na mutanen da ke da IBS suna fama da cutar tare da zawo a matsayin al'ada.
Cutar cututtuka
Yayinda yake adawa da sauran sassan na IBS, mutanen da ke da IBS-D suna da masaniya:
- Hanyoyin kwanciyar hankali
- Sako-sako
- Jiyar gaggawa
Bugu da ƙari, mutanen da ke da IBS-D kuma sun sami wasu ko duk wadannan alamun bayyanar IBS:
Bisa ga ka'idodin Roma III na FGD , wasu nakasoshin lafiyar jiki dole ne a kare su kuma alamun bayyanar dole ne a shawo kan akalla kwana uku a cikin wata a cikin watanni uku da suka wuce don gano asalin IBS-D.
Wasu mutanen da ke da IBS na iya ganin cewa sun sauya daga lokutan samun IBS-D zuwa lokuta na fama da ƙwayar cuta - mafi yawan IBS (IBS-C). Sauran sun canza tsakanin maƙarƙashiya da kuma zawo akai-akai, yanayin da ake kira Irritable bowel syndrome - type alternating (IBS-A).
Dalilin
Kodayake dalilin da ya sa mutum zai ci gaba da IBS-D bazai zama dole ne a yi masa ba, masu binciken suna binciken wurare daban-daban na bincike.
Wadannan sun haɗa da:
- Dusfunction a cikin kwakwalwa-gut connection , tare da yiwu neurotransmitter hannu
- Abincin abinci
- Gut dysbiosis
- Idiopathic bile acid malabsorption (I-BAM)
- Ƙananan ƙananan ƙananan ƙumburi na gut
- Ƙananan kwayoyin cutar kanjamau (SIBO)
Jiyya
Idan kuna tunanin cewa za ku iya samun IBS-D, don Allah ku yi ganawa da likitan ku.
Akwai wasu yanayin lafiya mai kyau waɗanda ke raba yawancin cututtukan guda daya tare da IBS-D. Yana da mahimmanci cewa wadannan za su fita daga waje.
Idan likita ya ƙaddara cewa kana da IBS-D, za su yi aiki tare da ku a kan shirin kulawa. Suna iya bayar da shawarar ko sun rubuto ku magani. Zabuka sun haɗa da:
- Wani maganin anti-diarrheal, kamar Imodium
- Wani antidepressant - don rage motility da kuma sauƙi da zafi
- Wani antispasmodic don rage gut cramping da zafi
- Xifaxan - kwayoyin da ake nufi
- A bile acid binder kamar cholestyramine
- A magani cike da opioid magani kamar Viberzi
Hanyoyin cututtukan IBS-D na iya amfana daga canje-canje na abincin. Cin abinci mafi yawan abinci da kaucewa manyan abinci mai yawa na iya taimakawa. Kula da abincin abinci zai iya gano yiwuwar abincin da zai yiwu. Bugu da ƙari, ƙwayar low-FODMAP tana da goyan bayan binciken don sauke alamun bayyanar IBS-D.
A ƙarshe, bayyanar IBS-D za a iya ragewa ta hanyan tunani / jiki, tare da maganin halayyar halayyar zuciya (CBT) da kuma hypnotherapy yana da mafi yawan bincike da ke goyan bayan IBS.
Source:
Saha, L. "Ciwo mai cututtuka marasa lafiya: Tsarin ilimin likitanci, ganewar asali, magani, da kuma maganin shaida" Jaridar Duniya na Gastroenterology 2014 20: 6759-6773.