Abin da Masaninka ya san game da magance rikicewar lokaci
Cibiyar Kwalejin Gastroenterology ta Amurka ta bukaci jagorancin wallafe-wallafe akai-akai, bisa la'akari da bincike mai zurfi, don magance matsaloli daban-daban. Wannan labarin ya taƙaita binciken binciken da aka yi kwanan nan game da maganin rikice-rikice masu rikice-rikice marasa ƙarfi na duniya (CIC), wanda ke ba da alamun kamuwa da kamuwa da ƙwayoyin cuta (IBS-C) , amma ba tare da alamar jin zafi wanda yake da alamar IBS ba.
Ana buƙatar jagororin ACG don zama "mafi kyawun ayyuka" ga likitoci a aiki tare da marasa lafiya. Samun ilmi game da abin da likitanku ya san zai taimaka wajen bunkasa dangantakar likita da haƙuri mai mahimmanci.
Wadannan su ne manyan kayan aikin da likitan ka ke a cikin kayan aiki don taimaka maka ka gudanar da maƙarƙashiya na yau da kullum:
Fiber
Ko da yake gaba ɗaya, masu lura da ACG sun bayar da shawara cewa fiber a matsayin mai gudanarwa na CIC, sun sanya shi alama don bambanta tsakanin nau'i biyu na fiber. Sun yanke shawarar cewa fiber mai soluble zai iya zama mafi taimako fiye da fiber wanda ba za a iya zazzage shi ba , saboda karuwa a cikin bayyanar cututtuka da suka shafi gas da bloating lokacin da aka yi amfani da fiber mai ƙyama a cikin sauri. Psyllium wani nau'i ne na fiber mai sauƙi, yayin da bran shine nau'i mai fizuwa.
Laxatives
1. Laxatives masu alaƙa : Masu dubawa na ACG sun bada shawarar yin amfani da Miralax (PEG) da lactulose. Binciken bincike a kwanan wata yana nuna cewa haɗarin illa mai lalacewa na dabmotic yana da ƙasa ƙwarai.
2. Masu ladabi masu mahimmanci : Masu dubawa sun bada shawara ga laxative stimulant, sodium picosulfate, da bisacodyl. Saboda rashin bincike, ba su bayar da shawarar yin amfani da wasu nau'ikan da ke da matsala ba.
Magunguna
1. 5-HT 4 Magunguna: An tsara waɗannan magunguna don ta da siginar nerotransmitter serotonin, wanda ake tsammani yana ƙara yawan ruwa a cikin hanji, inganta haɓaka da kuma rage lokaci na wucewa , duk abin da zai taimaka wajen ƙarfafa maƙarƙashiya.
Masu binciken sun kammala cewa magunguna 5-HT 4 na da amfani ga CIC - prucalopride da velusetrag. Duk da haka, babu magani a Amurka. Prucalopride yana samuwa a Kanada a karkashin sunan "Resotran" da kuma a Turai a ƙarƙashin sunan "Resolar." Masu dubawa sun lura cewa wadannan magunguna ba su bayyana cewa suna dauke da hadarin mummunan matsalolin zuciya na zuciya ba wanda ya haifar da zubar da Zelnorm daga kasuwa.
2. Magunguna masu magani: Magunguna a wannan aji sun haɗa da Linzess, wanda aka sani da Constella , (linaclotide) da Amitiza (lubiprostone). ACG tana bada shawarar yin amfani da Linzess, yana lura da goyon bayan bincike mai zurfi don tasirinta da kuma bayanan lafiyarsa. Babban sakamako na karshe ya ruwaito shi ne cututtuka. Har ila yau, masu nazarin sun kasance da tabbacin game da Amitiza, kuma suna fa] a] a rubuce-rubuce game da goyon bayan bincike. Rigara da tashin hankali an lasafta su azaman sakamako masu illa. Duk da haka, suna nuna cewa ba magani ba ne idan aka kwatanta da yin amfani da laxatives ko fiber, sabili da haka babu wani ra'ayi da za a iya fassarawa game da wajibi ne a bada shawarar farko.
Biofeedback
Masu dubawa sun ce biofeedback zai iya zama tasiri a wajen magance maƙarƙashiya na kullum a cikin marasa lafiya wanda aka gano cewa suna da lalacewa na kasuwa .
Suna lura cewa marasa lafiya suna da wuya su sami masu tursasawa wadanda suke da masaniya a cikin wannan yanki.
Na bayanin kula, masu binciken sunyi cewa ba su da isasshen goyon baya na bincike don nuna cewa maganin masu amfani da kwayoyin cutar suna da tasiri ga maƙarƙashiya na kullum.
Source:
Ford, A., et.al. " Cibiyar Kasuwancin Gastroenterology na Amirka na Gudanar da Harkokin Ciwon Buka da Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙasa " Jaridar American Journal of Gastroenterology 2014 109: S2-S26.