Sashin ciwo mai jiyya (IBS) wani ciwon aiki ne na ciwon (babbar hanji) wanda ke haifar da ciwon ciki na ciki, dagewa, maƙarƙashiya, da / ko zawo. An classified IBS a matsayin cututtukan gastrointestinal aiki saboda babu wani tsari ko kwayoyin halitta da za'a iya gano don bayyana alamun bayyanar. Bayan gwajin gwaji, mazaunin bai nuna alamun cutar irin su ulcers ko ƙonewa ba.
Saboda haka, ana bincikar cutar ta IBS ne kawai bayan da sauran cututtuka masu narkewa da kuma cututtuka sun ƙare.
IBS sau da yawa ana kusantar da shi ko kuma an yi masa suna kamar colitis, ciwon gwiwar ƙuƙwalwa, ciwon daɗaɗɗa, ciwon zuciya, ko spastic bowel (colon). Wadannan mambobi suna ci gaba, duk da cewa IBS yanzu ya zama sanadiyar yanayin da ake iya ganewa. Dangane da tsakanin mutane 25 da 55 a Amurka, IBS ta sami kimanin kimanin 2.5 zuwa miliyan 3.5 a kowace shekara zuwa likitoci. 20 zuwa 40 bisa dari na duk ziyara zuwa gastroenterologists ne saboda bayyanar cututtuka na IBS.
Cutar cututtuka
Hanyoyin cututtuka na IBS na iya hada da:
- Gas
- Pain
- Ruwan jini
- Jiɗa
- Vomiting
- Mucus a cikin stool
- Tabbatarwa
- Diarrhea
Firayi sau da yawa ana sauyawa ta hanyar motsa jiki, amma wasu mutane tare da IBS na iya zama da ƙwarewa kuma sun kasa yin wani abu. Girma na bayyanar cututtuka ya bambanta, kuma yana iya kasancewa ko'ina daga mummunan fushi zuwa debilitating. Jubar da jini a cikin kwakwalwa , zazzabi, asarar nauyi, vomiting bile, da ciwo mai ci gaba ba alamun bayyanar IBS ba ne kuma zai iya haifar da wasu matsala. IBS ba ya kai ga kowace kwayar cuta, irin su cutar Crohn ko ciwon daji, ko kowane irin ciwon daji.
Dalilin
Maɗaurai a cikin haɗin suna yin kwangila a wasu lokuta sau ɗaya, suna motsa jiki tare da kyakkyawan sakamakon haifuwa. An yi imanin cewa a cikin mutumin da ke tare da IBS, waɗannan tsokoki suna da damuwa da wasu matsalolin, ko kuma mawuyacin hali.
Masu bincike basu san ainihin dalilin da yasa tsokoki a mazaunin mutum da IBS sun fi damuwa ba.
Duk da haka, IBS ba ta haifar da damuwa ko matsalolin motsi ba. Wasu mutane suna da alamar kututtukan su na farko na IBS a lokacin da suke damuwa a rayuwarsu kamar mutuwar dangi ko asarar aiki. Duk da haka, wadannan matsalolin ba su haifar da yanayin ba amma ya kara da shi har zuwa inda ya zama sananne ko damuwa.
Dabbobi daban-daban na IBS
Akwai 3 nau'o'i daban-daban na IBS: Diarrhea-predominant (D-IBS), maƙarƙashiya-mahimmanci (C-IBS), da kuma maƙarƙashiya dabam dabam da kuma zawo (A-IBS). Kwayoyin cututtuka na daban-daban siffofin sun haɗa da:
- D-IBS: rashin tausayi na ciki ko zafi, gaggawa, da kuma zawo
- C-IBS: rashin tausayi na ciki ko ciwo, shafewa da maƙarƙashiya
- A-IBS: Harshen maganganu na D-IBS da C-IBS
Sanin asali
IBS ne ganewar asali na cirewa, wanda ke nufin cewa cututtukan kwayoyin cuta, kamuwa da cuta, ko kuma sauran dalilai na alamar cututtuka dole ne a yanke su. A shekara ta 1988 wani rukuni na likitoci sun tsara ma'auni don gano yadda ya kamata IBS. An san shi da matsayin Roma , wannan tsari na jagororin da ke nuna alamun bayyanarwa kuma yana amfani da sigogi irin su mita da tsawon lokacin da zai yiwu a gane asali na IBS.
Cutar cututtuka a cikin Roma Criteria ba sune alamun na IBS ba. Ƙarin bayyanar cututtuka sun haɗa da:
- Jiɗa
- Wulo
- Cikakken jin dadi bayan koda karamin abinci
- Vomiting
Gwaje-gwajen da aka yi amfani da shi don ganewar asali
Bugu da ƙari, yin amfani da ka'idar Roma, likitoci na iya gudanar da gwaje-gwaje da yawa don tabbatar da cewa babu kumburi ko kamuwa da jiki.
Yin gwajin jini. Zaka iya amfani da gwajin jini don ƙayyade ƙwayar jini ko ƙwayar jini . Wani lamarin jini mai tsabta yana ba likitoci alamar cewa ƙonewa yana faruwa a cikin jiki. Kumburi ba alama ce ta IBS ba.
Fecal occult gwajin jini. Wannan gwaji na iya gano jini daga kusan a ko'ina cikin filin narkewa, koda kuwa idan ba ido ba ne a ido.
Jini a cikin karar ba alama ce ta IBS ba.
Tsarin al'ada. Kwararren likita na iya son fitar da wasu cututtuka don zawo, kamar kamuwa da kwayar cuta ko kwayar cutar, tare da al'ada. Idan an gano kwayoyin halitta, masana kimiyya zasu iya jarraba shi don tantance abin da yake jinsin da yadda za a magance shi.
Barium enema. Wani barium enema (ko ƙananan ragowar gastrointestinal) yana amfani da barium sulfate da iska don zayyana layin gwargwadon karfin da kuma mallaka. Abnormal intestinal iya bayyana kamar silhouettes mai duhu ko alamu tare da na hanji na ciki a kan X-ray.
Sigmoidoscopy. Sigmoidoscopy hanya ce ga likita don bincika kashi daya bisa uku na babban hanji. Za'a iya amfani da biopsy a yayin aikin, wanda za'a gwada don taimakawa likita ya ƙayyade dalilin kumburi.
Colonoscopy. Ana amfani da takin kallon ma'auni don bincika ciki cikin mazaunin bayan yankunan da sigmoidoscopy zai iya isa. Ana amfani da kwayoyin halitta a yayin gwajin kuma an yi wa marasa lafiya suturaci ko kuma ba su "barci maraice" don kada su ji wani ciwo.
Sauran gwaje-gwaje na iya amfani da su don likitocin da ake buƙatar ganowa IBS ko kuma fitar da wasu ƙwayoyin da suka dace.
Magunguna don magani
Ana iya amfani da nau'o'in kwayoyi daban-daban don bi da IBS. Makasudin magani shi ne rage yawan bayyanar cututtukan IBS irin su zawo, damuwa, zafi, ko maƙarƙashiya.
Anticholinergics. Wannan nau'i na kwayoyi yana rinjayar kwayoyin jijiyoyin ko ƙwayoyin jijiyoyin jiki kuma ana amfani dasu don kwantar da hanzarin tsoka a cikin hanji kuma taimakawa bayyanar cututtuka na IBS kamar jin zafi ko ciwo.
- Dicyclomine (Bentyl). Dicyclomine yana danganta tsokoki na gut da kuma mafitsara don hana spasms kuma rage adadin yawan ciki na ciki. Dicyclomine za'a iya amfani dashi tsawon lokaci, karkashin jagorancin likita. Abubuwan da suka shafi lalacewa sun hada da ƙinƙwasawa, bushewa baki, hanci, makogwaro, ko fata da rage karfin da za a iya shawo kan (wanda zai iya taimakawa wajen bugun jini).
- Belladonna / Phenobarbital (Donnatal, Antispas, Barbidonna, Donnapine, Hyosophen, Spasmolin). Wannan haɗin da ake amfani da kwayoyi guda biyu ana amfani dasu don shayar da tsokoki a cikin mafitsara da kuma hanyoyi kamar yadda ya rage yawan ciki. Phenobarbital wani m magani ne mai iya zama al'ada-forming. Hanyoyin da ke cikin launi na belladonna / phenobarbital sun hada da ciwon kai, tashin zuciya, maƙarƙashiya, raguwa, da vomiting. Wannan miyagun ƙwayoyi na iya ɗaukar kwanaki 4 ko 5 don zama tasiri, kuma, a karkashin kulawar likita, za'a iya amfani dashi tsawon lokaci.
- Hyoscyamine (Levsin, Anaspaz). Wannan haɗuwa da kwayoyi guda biyu, belladonna alkaloids da barbiturates, ana amfani dasu don shayar da tsokoki a cikin mafitsara da kuma hanji kuma rage yawan ciki. Abubuwan da ke cikin lalacewa sun hada da ciwon kai, tashin zuciya, maƙarƙashiya, raguwa, da vomiting. Za a iya amfani da hyoscyamine na dogon lokaci a karkashin jagorancin likita idan dai yawancin sakamako ba su da shi ko sun cancanci.
- Chlordiazepoxide / Clidinium (Librax) . Chlordiazepoxide / clidinium yana hana spams a cikin gut da kuma mafitsara. Chlordiazepoxide wani abu ne mai kwarewa kuma yana iya kasancewa mai tsabta. Abubuwan da suka shafi al'ada sun hada da jin daɗin zuciya, rage lalacewa, damuwa, damuwa, bushewa, da ciwon kai. Wannan miyagun ƙwayoyi na iya ɗaukar kwanaki 4 ko 5 don zama tasiri, kuma, a karkashin kulawar likita za a iya amfani dashi tsawon lokaci.
Antidiarrheals. Ana amfani da magungunan antidiarrheals don rage rage tasirin. Wadannan kwayoyi zasu iya amfani da su don hana cututtuka da ke faruwa daga IBS.
- Diphenoxylate / Atropine (Lomotil). Ana amfani da sashen diphenoxylate na wannan magani don magance zawo, yayin da atropine ta sauya tsofaffin ƙwayoyin tsoka a cikin gut. Abubuwa masu lahani na yau da kullum sun hada da ciwon kai, damuwa, damuwa, hangen nesa, bakin ciki, da maƙarƙashiya. Kodayake ba labari bane, diphenoxylate yana samuwa daga narcotics kuma yana iya kasancewa mai tsabta. Diphenoxylate / Atropine an umarce su da yawa don sarrafa zafin jiki a cikin gajeren lokaci kuma ba a bada shawara don amfani da dogon lokaci.
- Alosetron hydrochloride (Lotronex). Ana amfani da wannan miyagun ƙwayoyi don magance mata da D-IBS mai tsanani. An yarda da Alosetron hydrochloride sannan FDA ta janye daga kasuwa bayan da dama lokuta da ke fama da mummunar tasiri a cikin mata. An amince da shi kawai don amfani a kan iyaka. Alosetron hydrochloride ya rushe aiki na seratonin, wani sinadarai a jikin da ke da tasiri a kan motsi da kuma ciwo. Jiyya yakan fara ne tare da gwaji na mako hudu kuma za'a iya ci gaba har tsawon makonni 4 karkashin kulawar likita.
Ƙarin don taimakawa tare da cututtuka
Mutane da yawa tare da IBS na iya juyawa zuwa kari don haɓaka ko sauya likita na gargajiya. Akwai ƙarin abin da zai iya taimakawa wajen bayyanar cututtukan IBS, duk da haka yana da muhimmanci a lura cewa suna iya samun sakamako mai lalacewa, kuma a koyaushe ana ba da rahoton su ga likitoci kamar kowane likita.
Acidophilus. Acidophilus shine "kwayoyin kirki" dake zaune a cikin dinku. Ƙarin zai iya taimakawa kwayoyin ƙwayoyin lafiya masu girma su kara girma yayin rage kwayoyin cutarwa. Fructo-oligosaccharides (FOS) za a iya kara zuwa kwayoyin acidophilus. FOS shine carbohydrates wanda ba mutane ba ne wanda zai iya narkewa, amma ya taimaka don taimakawa kwayoyin amfani don yayi girma. Acidophilus ya zo cikin nau'i mai kambura, kuma kwayoyin dole ne su kasance da rai don yin tasiri.
Chamomile . Chamomile shi ne sanannun kwayar cutar da zai iya ƙarfafa tsokoki a cikin fili. Duk da yake ba a gudanar da nazarin ɗan adam a kan wannan ƙarin ba dangane da IBS, an tabbatar da shi don rage rashin jin daɗin ciki da dabba cikin dabbobi. Za a iya amfani da katomile a matsayin shayi, ko kuma a matsayin capsule.
Ginger . Ginger ya dade da yawa don taimakawa tare da motsa jiki, kuma yana iya zama mai taimakawa wajen yin kwakwalwa da kuma rage nau'ikan damuwa. Za a iya ginger a matsayin shayi, capsule, ko ma a abinci.
Peppermint Oil . Kayan shafawa zai iya kwantar da tsokoki a cikin kogin gurasar. Wannan yana taimakawa wajen rage spasms a cikin mallaka, amma kuma yana iya shakatawa da ƙananan kwakwalwa ta jiki da kuma haifar da ƙwannafi ko ƙara tsanani gastroesophageal cuta . Za a iya amfani da man fetur a ko dai tabarba ko shayi. Duk da yake sun fi tasiri, capsules na iya haifar da hangen nesa.
Sauye-sauye da kuma Gudanar da Ƙari
Hypnosis. Wani binciken da aka yi a kasa a shekarar 1984 ya nuna cewa marasa lafiya na IBS da aka yi da hypnotherapy sun nuna ba kawai ƙarfin cigaba a cikin bayyanar cututtuka ba, amma kuma basu sha wahala ba a lokacin nazarin watanni 3. An kafa Cibiyar Harkokin Kiwon Lafiya ta Gut musamman ga marasa lafiya na IBS kuma an tabbatar da rage yawan bayyanar cututtuka a 80% na lokuta.
Sakamakon Ƙarƙashin Ƙarƙwara . Harkokin farfadowa na taimakawa wajen sake kwatanta ƙungiyoyi tsakanin yanayin damuwa da kuma halin mutum a cikin su. Sakamakon bincike yana gwada dangantakar dake tsakanin tunani da bayyanar cututtuka. Tare da wadannan jiyya guda biyu an san su a matsayin halayyar kwakwalwa (CBT). Farfesa zai iya farawa tare da rubuce-rubuce na bayyanar cututtuka na IBS, to sai ku motsa su zuwa biofeedback, maganganun kai tsaye, da kuma rage martani ga maganganu.
Ta yaya Abinci ke shafan IBS?
Yayin da abinci basu haifar da IBS ba, cin abinci, da ake kira "kayan haɗari" na iya sa a kashe alamun bayyanar cututtuka, bugun jini, ko zafi. Abin takaici, babu wani abincin da zai yi aiki ga dukan mutane tare da IBS, amma akwai wasu jagororin da zasu taimaka.
Cin abinci da yawa a cikin rana, maimakon manyan uku zasu iya taimakawa wajen rage bayyanar cututtuka (manyan abinci zai iya haifar da hauka da zawo). Bugu da ƙari, yana iya taimakawa wajen ci abinci mara kyau a cikin mai da kuma yawancin carbohydrates irin su gurasar hatsi, alkama, shinkafa, 'ya'yan itatuwa, kayan lambu, da hatsi. Ƙananan mai, mai gina jiki mai gina jiki mai mahimmanci zai iya taimakawa tare da ciwon da aka samu bayan cin abinci.
Ayyuka masu faɗarwa na yau da kullum sun hada da:
- Barasa
- Artificial sweeteners ko sugar maye gurbin
- Artificial mai (Olestra)
- Abincin da aka ƙera
- Rawan dabara
- Coffee (ko da decaffeinated)
- Dairy
- Yolks
- Abincin Gurasa
- Mai
- Kaji fata da nama mai duhu
- Red nama
- Raguwa
- Cikakken Dama
Fiber mai sauƙi yana da amfani mai yawa wanda zai iya rage cututtuka na IBS. Fiber na iya hana spasms saboda yana riƙe da ci gaba da danguwa. Har ila yau yana sha ruwan, wanda ke taimakawa wajen kiyaye kwalliya daga kasancewa da wuya kuma saboda haka wuya a wuce. Da farko sauyawa zuwa babban abincin fiber zai iya ƙara gas da bloat, amma waɗannan bayyanar cututtuka ya kamata a rage a cikin 'yan makonni kamar yadda jiki ya daidaita.
Ƙarin abubuwa na iya taimakawa wajen ƙara ƙwayar da ake bukata don cin abinci. Akwai nau'ikan nau'ikan nau'ikan nau'ikan fiber guda uku (psyllium, methylcellulose, da polycarbophil) kuma kowannensu yana da amfani iri-iri, sakamakon illa, da kaddarorin.
Rage ci abinci da ke haifar da iskar gas zai iya taimakawa wajen raguwa. Gudun yana ƙara gas a cikin jiki, kamar yadda yake haɗiye iska yayin cin abinci (wanda zai iya faruwa a lokacin da gulping taya ko magana yayin cin abinci). Abincin da aka sanya (kamar soda pop ko ruwa mai banƙyama) zai iya haifar da gashin jini da kuma iskar gas (da belching).
Sensitivities Abincin
Wasu mutane tare da IBS na iya samun abincin abinci. Abincin abincin ya bambanta da rashin lafiya na abinci, don haka baza a gano shi a gwaje-gwajen gargajiya ba. Wasu daga cikin abubuwan da ke tattare da abincin na abinci sun hada da:
- Sorbitol (gurbin sugar)
- Fructose (samu a cikin 'ya'yan itace mai ruwan' ya'yan itace da dried 'ya'yan itace)
- Lactose (samu a madara)
- Ƙungiyar tafa
Rashin jigon kwayar halitta shine yanayin da ya dace wanda shine sakamakon rashin lafiyar jiki don yin lactose, ko madara madara. Hanyoyin cututtuka sun hada da gas, bloating, kuma wani lokacin ma zafi. Idan an yi shakku da rashin haƙuri, kauce wa madara da samfurori don rage yawan bayyanar cututtuka.
Binciko da IBS Trigger Foods
Tsayawa da abinci da alamar hoto shine hanya mai kyau don gano abincin da zai kai ga hare-haren IBS. Abincin abinci ya ƙunshi ba kawai lokaci da abincin da ake ci ba, amma kuma inda aka ci su, da tunani ko yanayi. Yana da muhimmanci a hada da kowane abinci (koda sarkar da kuke ci daga tanda a kan teburin ma'aikacin ku) da kuma yadda aka shirya (watau "soyayyen kaza", ba kawai "kaza") ba. Dole ne a cika labaran sau da yawa a rana don haka ba a manta da kome ba. Bayan makonni da dama, likita ko likita zai iya taimakawa wajen sake nazarin diary don samo kayan abinci mai mahimmanci.