John Myers
I-Irritable bowel syndrome (IBS) yingxaki esebenzayo phakathi kwenkqubo ye-nervous autonomic kunye nezihlunu zamathumbu. Ngokutsho kweengcali, nangona kunjalo, ukuxilongwa kwe "irritable bowel syndrome" ngokuqhelekileyo kwenziwa ngaphambi kwexesha.
"I-Irritable bowel syndrome" sesona sifo sifunyenwe rhoqo. Abasetyhini bachaphazeleka ngokuphindwe kabini kunamadoda. Iimpawu ziqala ukusuka kwisicaphucaphu, iintlungu zesisu, ukuqunjelwa, kunye nokuziva ucinezelekile, kunye nokugcwala ukuya kurhudo okanye ukuqhina. I-trigger ethile yeengxaki zokugaya ayifumaneki kwiimeko ezininzi. Nangona kunjalo, akuqhelekanga ukuba abo bachaphazelekayo bangahlolisiswa ngokucwangcisiweyo kwezinye izifo kwaye, ngokutsho kweengcali, ukuba bajongane nokuxilongwa kwesifo se-bowel syndrome kwaye bashiywe bodwa. Enyanisweni, abantu abaninzi abaneempawu ezinjalo banesizathu esinyangekayo, esinjengokwaliwa.
Iimbangela ze-IBS
Ukuba i-irritable bowel syndrome ikhona, oku kunokunciphisa kakhulu umgangatho wobomi. Kwabanye abantu, uxinzelelo lubetha izisu zabo kunye namathumbu. I-intestinal nerves ingena kuhlobo lwemeko esisigxina yolonwabo, idideke kunye nokulawulwa kweentshukumo zamathumbu, kwaye ibike kwingqondo: "Intlungu!"
I-intestinal flora ephazamisayo inokuba netyala: i-antibiotics okanye izifo ezinzima zesisu ziphazamisa umxube wendalo webhaktheriya enenzuzo emathunjini. Emva kosulelo lwe-salmonella, umzekelo, umngcipheko we-IBS uphindwe kasibhozo ngaphezulu. Ukuba i-intestinal flora yonakaliswe ixesha elide (ebizwa ngokuba yi-dysbiosis), i-intestinal mucosa inokutshintsha. Ifumana "imingxuma", ngoko kuthetha, ngoko iyakwazi ukungena kwi-toxins kunye ne-pathogens. Ngenxa yoko, abanye abantu abane-IBS banamaseli omzimba amaninzi kunye ne-pro-inflammatory messenger substances emathunjini-nto leyo ecaphukisa imithambo-luvo yamathumbu.
Ukukhutshwa kwezinye izifo ezineempawu ezifanayo
Ngokuqhelekileyo kukude ngaphambi kokuba ukuxilongwa kwe-IBS kwenziwe. Okokuqala, ezinye izifo ezineempawu ezifanayo kufuneka zikhutshwe - ezifana nokusuleleka ngokuphindaphindiweyo, ukunganyamezeli kokutya (njengokunganyamezeli kwe-fructose, ezinye okanye ukunganyamezeli okuninzi), ukutya okutyayo, i-colonization yibhaktheriya, i-virus, okanye i-fungi, izifo ezingapheliyo ezivuthayo ezifana Isifo sikaCrohn kunye ne-ulcerative colitis okanye i-tumor emathunjini okanye kuma-ovari.
Iimvavanyo ezininzi kufuneka zenziwe: i-gastroscopy kunye ne-colonoscopy, i-ultrasound yesisu, uvavanyo lwegazi kunye nenani legazi, i-enzymes yesibindi, i-salts, i-thyroid kunye nemilinganiselo yezintso. I-parasite infestation inokukhutshwa ngokuhlolwa kwesitulo. Iimvavanyo zokuphefumula zingasetyenziselwa ukufumanisa ukunganyamezeli kwiintlobo ezithile zeswekile.
Kuphononongo malunga ne-irritable bowel syndrome, abaphandi baseLübeck basebenzisa inkqubo ye-endoscopic (CLE) ukuphanda indlela i-intestinal mucosa esabela ngayo ekutyeni. Jonga iiseli zamathumbu kwi-1000x magnification. Ukuba izithuba phakathi kweeseli zijika zibe mhlophe, kukho ukungahambi kakuhle - umzekelo kwisoya.
Ukuba akukho ziphumo eziphilayo kuyo nayiphi na iimviwo kwaye ukuba ukuphazamiseka kwamathumbu kunye neempawu ezichazwe kwenzeka ubuncinane kwiiveki ezilishumi elinambini kunyaka, ngoko ukuxilongwa kukucaphuka kwamathumbu.
Unyango lwamathumbu olucaphukisayo kunye nokutya kweFODMAP
Ngokwezifundo zaseOstreliya, ukutya okukhethekileyo kunokusebenza kakhulu ekuthomalaliseni amathumbu. Ekubeni uxinezeleko noxinezeleko lungenakufane lupheliswe kwixesha elifutshane, imiqathango yokutya yeyona ndlela ithembisayo. Ukutya okubizwa ngokuba yi-low-FODMAP yokutya kuza kunye nezithintelo ezinzima: abo bachaphazelekayo baphephe ngokupheleleyo zonke i-carbohydrates ezinokucaphukisa kunye neentlobo ezikhethekileyo zeswekile kwiiveki ezimbalwa. Kodwa ukuba ukwenza oku ngokuqhubekayo, unokufumana iingxaki zakho zamathumbu phantsi kolawulo. Nangona kunjalo, ukutya okuncitshisiweyo kwe-FODMAP akufanele kuzanywe ngaphandle kweengcebiso zonyango kunye nokuxilongwa okucacileyo, kuba kunokunyusa iimpawu, umzekelo kunye nokungabikho komzimba.
Ngexesha lokutya okuphantsi kwe-FODMAP, iimpawu ngamanye amaxesha ziyancipha ngokukhawuleza okanye ziphele ngokupheleleyo. Emva kweeveki ezine ukuya kwezisibhozo, ukutya okune-FODMAP kufuneka kuzanywe kwakhona ngesinyathelo ngesinyathelo, ngaphandle koko, iimpawu zokusilela zingenzeka. Kubalulekile ukurekhoda kwidayari yokutya kanye ukuba zeziphi iimpawu ezenzeka emva kokutya kokuphi ukutya. Ngale ndlela, unokufumanisa umntu ngamnye ukuba amathumbu anokunyamezela ntoni.
Amayeza okuthomalalisa kwi-irritable bowel syndrome
Ezinye izithako ezisebenzayo zamayeza ezifana neoyile yepeppermint okanye i-lemon balm leaf extract zingqineke zisebenza ukuthomalalisa amathumbu. I-roughage enyibilikayo emanzini, umzekelo ukusuka kwi-psyllium husks, inokuba luncedo, yongezwa ngeprobiotics ukuba kuyimfuneko.
Ngokubanzi, kuyavakala ukuba abantu abane-IBS batye kancinci, ngokukhululeka, nangoluntu - kwaye bazise ukuzola kunye nokwakheka kubomi bemihla ngemihla ngokubanzi.
