Pakati pe20% yevagari vepasi pano, kushungurudzika kwechirwere chirwere chinoratidzwa - zviratidzo uye kurapwa kwechirwere chakadaro zvakakosha. Ichi chirwere chinoratidzirwa nekushaya kushanda kweshoko rematumbo. Muboka rakanyanya ngozi kune vanhu vane makore 20-45. IBS kuvakadzi inowanikwa kaviri seyavarume. Inenge 2/3 yevaya vanotambura nechirwere ichi haishandi kubatsira.
Irritable Bowel Syndrome - Zvinokonzera
Kune marudzi mazhinji emararamiro aya. Dambudziko racho rinogona kuendeswa ne:
- diarrhea;
- kuzvidzora;
- flatulence uye zvinorwadza mukati me epigastrium.
Zvose izvi zvirwere zvehutano zvinokonzerwa nezvikonzero zvakasiyana-siyana. Zvimwe zvinokonzera IBS kusvika nhasi hazvina kuonekwa neasayendisiti. Zvisinei, nyanzvi dzinobvumirana kuti iyi chirwere chinonzi biopsychosocial. Rimwe boka rezvikonzero rinobatsira pakuumbwa kwayo. Pakati pavo mune zvemagariro evanhu, zvepfungwa uye zvehupenyu "vanokurudzira". Zvikonzero zvinotevera zvinofungidzirwa zvakakosha:
- Psychological disorders. Izvi zvinosanganisira kunyanya kuora mwoyo, kuora mwoyo, kutya kunetseka. Zvinetso izvi zvose zvinokonzera kunyanya kuwanda kwehutano hwemagetsi. Somugumisiro, hutumbu hunova hukuru.
- Kunzvimbo yakagadziriswa. Kana vabereki vacho vaine chirwere ichi, pane mikana yakawanda iyo inokanganisa bowel syndrome (zviratidzo uye kurapa zvakafanana) zvichava muvana.
- Hormonal kusalingana. Madzimai akawanda, zvinopesana nehuwandu hwekuwedzera kwe prostaglandin E mumazuva ekutanga ekuenda kumwedzi, chirwere uye marwadzo emukumbo zvinowanikwa. Uyezve, mumadzimai ane pamuviri, kushungurudzwa kwemafupa echirwere kunogona kuonekwa (zviratidzo uye kurapwa zvinofungidzirwa zvichifunga nezvemamiriro ezvinhu chaiwo omurwere).
- Kushungurudzika muzvokudya. Avo vanosarudzawo zvinonhuwira, mafuta uye yepamusoro-calorie zvokudya vanogona kusangana neBS. Dambudziko rakafanana rinowanikwa muvanoda kofi uye tea yakasimba, uyewo avo vanoshandisa doro zvisina kufanira. Mukuwedzera, mupiro wavo unogadzirwa nokudya zvinotapira pakufamba uye kudya kusingagumi.
- Bacterial gastroenteritis. Zvirwere zvinowanikwa mumugwagwa wezvokudya zvinogona kukonzera kukanganisa mubasa rake.
- Kubvuma mamwe mishonga. Izvi zvinosanganisira, semuenzaniso, ma antibiotic.
Irritable bowel syndrome ine chirwere
Pamusoro pezvinhu zvinowanzokonzera kukanganisa mumagadziro ekudya, rudzi urwu rwehutano rune ma "provocateurs" avo pachawo. Muchiitiko ichi, IBS inokonzera kuitika kwezvinotevera:
- matumbo zvirwere;
- kushungurudzika muhutano hwetachiona;
- chikafu chekudya;
- kukurumidza kwemahombe makuru emitambo.
Inoratidzirwa bowel syndrome ine kuvhiringidzika
Ichi chirwere chekurwara chinogona kutsamwiswa nezvinhu zvakasiyana-siyana. IBS nekudzivirira kunoitika nekuda kwezvikonzero zvinotevera:
- Kudya zvokudya kunoshayiwa mufiber;
- mararamiro ehupenyu;
- kunonoka kwemitambo yekutenderera, kunokonzerwa nekuderera kwechiwandu chezvinyorwa zvepamusoro-amplitude zvinyorwa;
- kuwedzera mumwero wehomoni progesterone.
Inoratidzirwa chirwere chendumbu ne flatulence
Ichi chirwere chekurwara, kufanana nezvakaitika, zvine zvikonzero zvaro zvinokurudzira. IBS ne flatulence inowanikwa mumamiriro ezvinhu akadaro:
- mushure mekushungurudzwa kwe "zvokudya zvinorema", kudyiwa kunokonzera kuwedzera gadziriro yakagadzirwa;
- kana munhu aine kusagadzikana kwegwenga;
- mushure mekutyisidzika kukuru kwekutya, semugumisiro weiyo hormone yekushungurudzika "yakamuka";
- kana muviri uine kusaenzana kwehomoni.
Irritable Bowel Syndrome Zviratidzo
Kutonga hutano huno huchabatsira hutachiona hwezviratidzo. Inoratidzirwa chirwere chinokonzera chirwere chinosanganisira zviratidzo zvinotevera:
- manzwiro ekurwadziwa mudumbu, inowedzera mushure mekudya;
- kuvapo kwehupfumi muzvipfeko;
- kucheka kunopinza, kurwadza kunorwadza (izvo zvinogona kuitika nekudya chepfu);
- simba rinokurudzira kukanganisa pashure pekunyengera kwepfungwa;
- neBS nehutachiona, chigaro chechigaro chinosvika kanomwe ka6 pazuva, asi hachina kumboitika usiku;
- mushure mokunge mumwe nomumwe achinyengera pane manzwiro okusakwana kukwana;
- nekudzivirirwa, kunatswa kwemukati kunogona kuitika mazuva ose matatu, "mhuka dzemakwai" dzinobuda.
Mukuwedzera, kushungurudza chirwere chemawere chinogona kuva nezviratidzo zvisingaiti (uye kurapa munyaya ino inopiwa zvakakodzera). Izvi zvinosanganisira chipatara zviratidzo:
- kuzvidya mwoyo uye kuora mwoyo;
- matambudziko nehope;
- Kuonekwa kweshoko rinoshamisa mumuromo;
- kushungurudzika kwekuzora;
- kuchinja mumoyo wezinga.
Nzira yekurapa shungu dzechirwere chirwere chei?
Kuchengeta zvimwe zvirwere zvegomba rekudya, murwere anotaura kuna chiremba achagoverwa ruongorori rwezvidzidzo. Kuongororwa kwakadaro kunosanganisira:
- irrigoscopy ;
- kubhadhara kwekuongorora ropa;
- kudzidza zvechigaro;
- shanduro yeropa kune chirwere chechiliac;
- MRI yedumbu.
Kana urombo huri kutsamwa hutachiona hwehutano kuitira kuti usarudze kurapa kwakakodzera, unoda mamwe mazano kubva kune vanyori vanotevera:
- HIV;
- mupfungwa wepfungwa;
- nutritionist;
- psychotherapist;
- physiotherapist.
Nzira yekurapa IBS neropa here?
Basa guru mukurapa kwechimiro chechirwere ichi ndechokuderedza kuisa uye kugadzirisa zvirongwa zvinowanikwa mumugwagwa wezvokudya uye kuomesa basa rayo. Syndrome yekurapa kwemafupa inosuruvarisa inosanganisira yakaoma (pamwe chete mune dzimwe nzira dzakasiyana):
- kururamisa kwesimba;
- psychotherapy;
- kununurwa kwekutambudzika uye kururamiswa kweropa rekudya.
Sezvo chikonzero chikuru chechirwere ichi chiri mupfungwa, basa guru reyanyanzvi nderokudzora murwere wekutambudzika kwekutya. Relaxation therapy inogona kufambidzana nekushandiswa kwevanhu vanorwara nehana uye anxiolytics. Kunonoka kunetseka kunobatsira nekufamba mumhepo yakachena, kurara zvakakwana, kushambira uye kuita basa.
Mukuwedzera, kurapwa kwechirwere chekudzivirira chirwere chinosanganisira kusarudzwa kwemapoka aya emishonga:
- antispasmodics - dzinoderedza marwadzo;
- anti-diarrheal remedies;
- mishonga inobatsira kudzivirira kupera simba;
- probiotics, iyo inozadza chirwere chekudya nemabhakitiriya anorarama.
Nzira yekurapa IBS nekudzivirira sei?
Therapy inotarisirwa kuita kuti chirongwa che defecation chivepo. Kutanga, murwere anobvunzwa kuti achinje kudya. Kana kudya chirwere chisina kupa chidiro chaidiwa, osmotic laxatives inorayirwa. Izvi zvinoitika kuti mishonga iyi hainawo kubatsira. Zvadaro chiremba anokwanisa kuraira prokinetics. Asati aporesa IBS, achaita kuti murwere asarwadziwa. Kana iripo, iwe unofanira kusiya kushandiswa kwezvinokonzera anxiolytics uye tricyclic zvinodzvinyirira.
Nzira yekurapa IBS sei nekunyarara?
Nechirwere ichi pamwe chete nekuwedzera kwekugadzirwa kwegesi, kurapwa kunotarirwa kuderedza kuputika. Apo kutsamwiswa kwemafupa echirwere kunorapwa, mushonga unofanirwa kusarudzwa chete nachiremba. Kuzvipodza kuchaita kuti zvinhu zviwedzere, saka hazvibvumirwi. Hezvino kuti chii chekubata IBS yemukumbo:
- zvinodhaka zvinosunungura mishonga yemakumbo ekudya;
- spasmolytics (kazhinji chirwere chinosangana nekunzwa kunorwadza);
- probiotics.
Irritable Bowel Syndrome Treatment - Zvinodhaka
Mishonga inorayirwa kuongorora kubata kwechirwere chacho. Heano mishonga inonzi yakanyorerwa IBS neropa:
- Imodium;
- Loperamide ;
- Polysorb;
- Smecta;
- Enterosgel;
- Diar.
Kana chirwere chacho chiri pamwe chete nekuvharwa, kurapwa kweBS - zvinodhaka:
- Goodluck;
- Laxigal;
- Transit;
- Cisapride;
- Portalac;
- Macrogol.
Kubvisa mararamiro uye kuderedza kushungurudzika kunorwadza kuchabatsira mishonga yakadaro:
- Polysilane;
- Asi-shpa ;
- Mebeverin;
- Sparex;
- Espumizan ;
- Zeolate.
Kazhinji paBibS inoratidzira vakadaro vanodzvinyirira:
- Imipramine;
- Fluoxetine;
- Phenelzine;
- Bethol;
- Amitriptyline.
Irritable bowel syndrome - kurapwa nemishonga yevanhu
Nyaya dzisiri dzetsika dzinoitirwa kugadzirisa zviratidzo zvechirwere. Kana chirwere chinosuruvarisa chirwere chinorapwa, mishonga yevanhu inofanira kushandiswa nokuchenjera. Usati washandisa iwo, iwe unoda kuonana nachiremba, uye nokuda kwekuti pane zvikonzero zviviri:
- Izvo zvakaoma kuita chirwere chakarurama chayo pachavo, uye kliniki yemufananidzo wehosha iyi yakafanana neyeye dzimwe zvirwere.
- Mimwe mishonga yevanhu haigone kushandiswa pamatambudziko nematumbo.
Nzira yekuita sei mishonga yemishonga?
Zvisungo:
- mvura - 200 ml;
- Mushonga wakaoma wemishonga - 1 tbsp. spoon.
Kugadzirira, shandisa:
- Zvinhu zvakasvibirira zvinodururwa nemvura inopisa uye zvinomirira kwemaminitsi makumi maviri.
- Futa uye utore mune sips duku. Izvi zvinodhaka zvinofanira kudhakwa katatu.
- Mint infusion inoderedza kushungurudzika kunorwadza, inogadzirisa chigaro uye inobatsira kurarama ne flatulence.
Kudya mukutsamwisa bhood syndrome
Chikafu chezvakakonzerwa nechirwere ichi, chinofanira kuva chakakosha, chakasiyana uye chakazara. Zvakakosha kutevedzera mitemo inotevera:
- Zvikamu zvinoshandiswa zvinofanira kunge zviduku.
- Idya zvokudya nguva dzose.
- Zvokudya zvinofanira kuva zvitsva, asi kwete kupisa kana kutonhora.
- Zvokudya zvinofanira kutorwa zvakakwana.
- Kudya kudya kunorambidzwa!
Zvokudya zvinovhiringidzika muhutachiona hwemawere nehurwere zvinofanira kunge zvakakosha. Usadya miriwo nemichero neaxative effect. Murwere anofanira kusiya mukaka, doro uye kvass. Iwe unogona kunwa zvinopfuura 1.5 litita emvura pazuva. Izvo neBibS nekudzivirira, mafuta ekudya uye zvokudya zvakabikwa zvinofanira kuiswa kunze. Mukuwedzera, murwere achazosiya sandwiches uye tiyi yakasimba. Zvokudya zvinotyisa zvinokonzerwa nehowel syndrome ne flatulence zvinopa kuregererwa kwemiti inokonzera kuwedzera gesi. Izvi zvinosanganisira magirasi, machena kabichi, mazambiringa, mazambiringa, marimu nezvimwe zvakadaro.