Diarrhea ciwon ciwo mai jiji (IBS-D) da kuma alamun bayyanar cututtuka na ciki mai tsanani da damuwa, kuma sau da yawa, ƙwaƙwalwa da gaggawa, ƙuƙasasshen ruwa, ya zama matsalar rashin lafiya. Kodayake iyakance, akwai wasu magunguna waɗanda za'a iya tsara su a cikin ƙoƙari don taimakawa bayyanar cututtuka. Wasu daga cikin wadannan magunguna an tsara musamman don IBS-D, yayin da wasu ana amfani da su don magance wasu alamun bayyanar, kuma ana amfani da wasu a cikin lakabi-lakabi.
A nan za ku sami wani bayyani na magunguna na farko da likitanku zai iya zaɓar ku.
Over-the-Counter Medication
Ga mutane da yawa waɗanda ke da IBS-D, Imodium , magani mai maganin antidiarrheal kan-da-counter wani abu ne wanda aka saba kusa da shi a kusa. An dauki adodium a hankali kuma yawanci ana yi masa haƙuri. Yana aiki akan zawo ta hanyar rage yawan hawan ƙwayar na hanji da kuma yawan ruwan cikin babban hanji. Wannan yana haifar da rashin gaggawa da kwanciyar hankali. Abin takaici, imodium ba ze da yawa daga tasiri akan rage rage ciwon ciki.
Dokokin Magunguna
Wadannan magunguna sun karbi iznin FDA don maganin IBS-D:
Xifaxan: Xifaxan (rifaximin) kwayar halitta ce da ke aiki da bambanci fiye da maganin rigakafin da za ku iya sani. Xifaxan ba a tunawa a cikin ciki ba saboda haka ana tunanin abinda ake aikatawa a gida a cikin ƙananan hanji.
Yin amfani da Xifaxan a matsayin magani ga IBS-D ya tashi ne daga bincike wanda ya nuna cewa kwayar cutar kwayar cutar ta jiki (SIBO) na iya zama abin da zai taimaka wajen bayyanar IBS-D. Saboda magani yana aiki a gida, an saba da shi sosai kuma ba shi da tasiri akan kwayoyin cuta a cikin babban hanji cewa wasu maganin rigakafi suna da.
A cikin nazarin bincike, Xifaxan ya takaitaccen tasiri a rage rage ciwon ciki, cututtukan zazzabin jini da kuma bloating.
Viberzi, Truberzi (Turai): Viberzi (highxadoline) yana aiki a kan masu karuwa na opioid a cikin tsarin kwayoyin halitta. Wadannan masu karɓa suna tsara gudun ƙwayar hanyoyi na intestinal, shaye-shaye na jiki da kuma jin dadi. Viberzi aiki a gida kuma sabili da haka sakamako daga gefen yawanci kadan. An kira Viberzi a "sarrafa abu" saboda akwai hadarin cewa zai iya zama al'ada. A cikin nazarin bincike, an nuna cewa Viberzi ya rage cututtukan cututtuka da ciwo na ciki.
Antispasmodics / Anticholinergics
Ana amfani da magungunan antispasmodic (anticholinergic) don sauƙin jin zafi na ciki da damuwa a cikin mutanen da ke da IBS-D. Wadannan magungunan sunyi niyya da kuma rage neurotransmitter acetylcholine a cikin mummunan tsarin. Amfani da waɗannan magunguna don IBS = D ya zo ne daga ragewa a cikin ƙwayoyin ƙwayoyin cuta da kuma ragewa a cikin spasms na hanji. Akwai wasu takaddama na binciken bincike don abubuwan da ke taimakawa jin zafi na antispasmodics na IBS. Ananan abubuwa da aka tsara don IBS sun hada da:
- Buscopan (Hyoscine butylbromide)
Antidepressants
Kodayake an umurce su don magance matsalolin da damuwa, an hana wasu antidepressants a wasu lokutan saboda sakamakon amfani da su a kan bayyanar IBS. Ba a san ainihin abin da ya sa wannan sakamako mai kyau ya faru. Zai yiwu ne saboda maganin da yake da tasiri a kan ƙananan kwakwalwa da aka samu a kwakwalwa da ƙuƙwalwa , yana iya samun wani abu da ya shafi tashar sadarwa a tsakanin gut da kwakwalwa dangane da mahimmancin martani , ko kuma yana iya yi tare da sakamakon waɗannan magunguna a kan ɓangarorin kwakwalwa da ke cikin damuwa da / ko amsa mai zafi.
A kowane hali, antidepressants zasu iya taimakawa wajen rage zafi da jinkirin raunin hanji, musamman lokacin da aka zaɓa mai amfani da antidepressant. Ana kiran mai maganin antidepressant na IBS "lakabi-lakabin," amma shawarar da Kwalejin Amirka ta Gastroenterology ta bada shawara.
Bile Acid Binders
Binciken da aka gano ya nuna cewa kimanin kashi ɗaya bisa uku na dukkan lokuta na IBS-D zai iya yiwuwa a iya haifar da wani yanayin da aka sani da zazzabin bile acid (BAD). Alamar wannan zai iya zama wannan zafin jiki ya faru nan da nan bayan cin abinci. Wannan yanayin zai iya amfana daga alamar amfani da magunguna da ake kira bile acid binders. Wadannan magunguna sun hada da:
- Cholestyramine (Questran)
- Colesevelam (WelChol)
- Colestipol (Colestid)
> Sources:
> Cibiyar Kasuwancin Gastroenterology na Amirka "IBS Task Force" Wani Bayanin Jagoran Bayanai game da Gudanar da Ciwo na Ciwon Biki " Jaridar Amirka na Gastroenterology 2009: S1-S35.
> Lazaraki, G., Chatzimavroudis, G. & Katsinelos, P. "Ci gaba na cigaba a cikin maganin maganin maganin maganin ciwo na jijiyoyin jini" World Journal of Gastroenterology 2014; 20: 8867-8885.
> Tack J, Vanuytsel T, Corsetti M. "Gudanar da zamanin da ba shi da kullun cutar ciwon bugun jini: Fiye da Motility." Cututtukan Cututtuka 2016; 34: 566-573.