Udikwa wamathumbu Syndrome: Iimpawu, Treatment

yesisu udikwa syndrome (IBS) - a ezingaqhelekanga, functional, nto leyo engapheliyo ngokwendalo. ukunyhashwa isici kuba iimpawu zayo nezolo ngokwendalo kubonakala ukusuka kumaxesha ngamaxesha, kuxhomekeke ezintweni yangaphandle.

Ubuhlungu kuhlolwe kwindawo esiswini, imfuneko ukuya ngasese rhoqo, urhudo kunye ukuqhina - zonke iimpawu zibonisa ukuba ogulayo nochuku kwamathumbu syndrome. Unyango lwe sifo kufuneka zenziwe enyanzelekileyo. Kungenjalo, le meko ingakhokelela zinganeziphumo ezibi kakhulu eziphilayo.

Overview

Udikwa wamathumbu syndrome, oonobangela apho ukusetyenziswa kumxholo wawakhoakulula ezahlukeneyo, banesifo kuphela xa picture zayo lwezonyango Nibonile iinyanga ezili-12.

Eyona engundoqo iimpawu zokugula:

• ubunzima uqongqotha (kuvele imfuneko ilindle ngaphantsi kwe amaxesha 3 ngalinye iintsuku ezisi-7);
• ulwelo kunye isitulo rhoqo (isigulane kufuneka ukuya kwindlu yangasese izihlandlo ezithathu okanye ngaphezulu ngosuku);
• ombane izihlunu sphincter kunye kwisisu ngethuba bekutyelelo yangasese;
• wokuphuthuma, efuna bakhutshwe ngobungxamo abaviwa engxamisekileyo;
• uziva yokutyiwa kwaloo endleni kwi ikholoni;
• ubukho yencindi kwi esitulweni.

Ezi nje isikhalazo lixhaphakileyo izigulane banesifo nochuku kwamathumbu syndrome. Iimpawu ezibonakala etsolo xa umntu uba ntshikilelo.

Njengoko kukhankanyiwe ngasentla, esi sifo ongumzali kwaye zisebenza. Ukuxhasa le ngxelo ezi zibakala zilandelayo ezihamba udikwa kwesisu syndrome kunye kwesisu okanye sorhudo:

• uhlobo ezahlukeneyo izikhalazo ezigulane;
• kuphindwa unyango kwiziko lonyango;
• Pathogenesis non-progressive;
• ukugcinwa ubunzima bomzimba.

ulwazi olongezelelweyo

Nokuxilonga udikwa wamathumbu syndrome kunzima kuba iimpawu zayo ziyafana ezinye izifo ezivelayo iphecana zesisu yabantu. Ukwahlula iimeko ezichazwe eziyimfuneko ukuze iinketho ukuphelisa esi sifo, iinkqubo ezininzi zokuxilonga isicelo:

• ultrasound (US) zoviwo amalungu kunye neenkqubo esiswini;
• gastroduodenoscopy;
• Study biopatov system emathunjini;
• barium enema.

Kwakhona kuthathelwa ingqalelo iziphumo zophando kwilebhu iisampuli ngokobugcisa endleni, igazi nomchamo uvavanyo kunye neengcebiso ezifunyenwe emva colonoscopy kunye sigmoidoscopy.

Yonke le imbaxa ivumela ngokuchanileyo ngokwaneleyo imiqondiso ekhaphe nochuku kwamathumbu syndrome. Indlela yokuphatha i-pathology echazwe?

Ukukhetha ngeenkqubo komzimba kunye zonyango kuxhomekeke iimpawu ukuphazamiseka. Oku esisetyenziswa ngokubanzi iintlobo ngeentlobo yokutya kunye neendlela ngokwasengqondweni. Imfuno izixhobo amayeza indawo tiyimisele ngamnye isekelwe phezu ezibonisa lwangaphandle sifo. Ikakhulu kusetyenziswa:

• iziyobisi antispasmodic;
• antidiarrheals;
• tablet isisu;
• lakhula.

iintlobo zokuphula

Udikwa wamathumbu syndrome kwabasetyhini kunye namadoda zohlulwa ngokwendidi ezimbini eziphambili.

1. Pathology, ekhatshwa kwesisu. Yena na ezi mpawu zilandelayo:

• nzima movement yangasese;
• ndle alahlwa evela ezimpundu, kukho uzinzo eqinileyo;
• ukulibala intsalela lweemveliso inkunkuma isikali.

2. kumaLungelo oQoqosho, zidibene ne sorhudo. Lubonakala ngu:

• indle okubi;
• sphincter ombane xa utyelela yangasese;
• nokugxothwa yencindi ukusuka empundwini.

Ukunwenwa kwesi sifo

Kuchaziwe kulo mbandela udikwa kwesisu syndrome abadala kunye nabantwana kwenzeka ngowama-7-10% yabemi iplanethi yethu. Njengoko ngokuba amazwe World eNdala, kukho leengxaki yenzeka nammi wesihlanu ngamnye.

Ngaphezulu, kufuneka kuqatshelwe ukuba ngesondo wamhle lumalunga kabini njengoko kusenokwenzeka ukuba le ngezifo.

I-avareji yobudala izigulane abafuna unyango - iminyaka 25-40.

Neemeko eziphembelela zisenzeka kwephulwa

Kwezinye iimeko, udikwa ngokukhawuleza kwesisu syndrome, ezo zichazwe ngasentla iimpawu kuvela rhoqo. Oku banazo izizathu ezithile luluvo kunye nenjongo zidweliswe ngezantsi.

1. yofuzo. Iqela risk ibandakanya abantu izalamane zakhe lufike sele ngaphambili unesifo nale ngezifo. Ukongeza, kukuvela zokuphula idla olufunyanwa amawele iphuhlisa a iqanda elinye. Konke oku kukhokelela kwisigqibo malunga nohlobo genetic zesi sifo.
2. ukuphazamiseka kwengqondo. Depression ndoda, rhoqo ukusukela ixhala wakhe, ukuphazamiseka ebuthongweni, Ityhwatyhwa nokuphazamiseka engqondweni engabangela ukuba nochuku kwamathumbu syndrome. Uphando kule ndawo lubonisa ukuba isifo ikhula kubantu ngaphambili ubunzima kubundlobongela ngokwasemzimbeni okanye ngokwasengqondweni, ukuxhaphaza ngesondo kunye like.
3. Ukophulwa umsebenzi kwezihlunu ye isikali. Loo imeko, nto leyo ekhokelela ekuveleni ezi mpawu zixelwe kwenzeka emva uhlafune imvelaphi imeko ntshikilelo ngenxa kwezithandani komsebenzi myoelectric ye imicu colon.
4. hyperalgesia Visceral. Xa eli gama kwakuthetha ukuhla inqanaba intlungu Ungeno ngezantsi eziphilayo zinqwenelekayo okanye amelioration okuqonda intlungu. Ngenxa yoko - nochuku kwamathumbu syndrome. Unyango kule meko ngandlel 'ithile, ukuba ufuna ukuphelisa le ngezifo yabangela izinto.
5. imiphumela ebuhlungu kwi iphecana zesisu okanye wonditshitshisela iintlobo zosulelo. Ngenxa yezi iimpembelelo yangaphandle kufuneka imeko apho kukho ukungaphatheki kunye neentlungu ikholoni. Basimisela uphawu leengxaki ingqalelo ngasentla. Nochuku wamathumbu syndrome kunye nokuphazamiseka le sphincter ka Oddi olufunyanwa malunga nama-30% yabantu abathe ngaphambili bafumana ukuphathwa isisu.
6. Impembelelo hormone. Iimpawu ukuphazamiseka akholisa ukubakho abafazi ngethuba lomjikelo sexesheni, xa umzimba litshintsha ulungelelwaniso hormone njengesiqhelo.

ekuxilongweni

Njengoko kukhankanyiwe ngasentla, ezi mpawu ezihamba udikwa kwesisu syndrome, ifana kakhulu ezininzi esiswini kunye nezifo emathunjini amancinci. Ngenxa yokuba kunzima engundoqo uxilongo - ukuze ukwahlula phakathi kwezi States mabini.

Xa uphethwe kufuneka ithathele ingqalelo yonke oluntsonkothileyo iimpawu zangaphandle enza umfanekiso kwezonyango IBS: iintlungu esiswini, rhoqo bomsebenzi isisu, njalo-njalo. Hi ndlela leyi, ubukho olu hlobo leengxaki zibonisa ezinye iimpawu ezibonakala ezingahambelaniyo kwisistim wokugaya:

• intloko;
• iqhuma emqaleni;
• ukungabikho okanye ukuphazamiseka kokulala;
• yokunqongophala kwe-oksijini;
• Ukuchama rhoqo;
• uza ukuduma;
• ubuthathaka jikelele umzimba;
• kome em- ngomlomo.

Iindlela yokuseka iimpawu zesifo

Uxilongo lwe IBS iqulathe amanyathelo ezimbini eziphambili:

1. Ukuseka imbali yezonyango (iimpawu ngaphambi ukuvela iintlungu ethunjini).
2. loviwo ngqo (kuquka ezininzi iinkqubo zonyango ezahlukeneyo).

Iinkcukacha ezingeniselwe kwinqanaba lokuqala ziqokelelwe ngexa incoko kunye isigulane. Kufuneka ukufumana phandle i ubuzaza namatyeli iintlungu kwingingqi ikholoni, igama kunye nobungakanani ukutya bagqitywe, isimo sengqondo, kwakunye amayeza wayethathe.

Xa igazi yomguli ifumaneka endleni ukufakwa, ubushushu bomzimba ukwanda, kukho ukuncipha mass ngomzimba - mhlawumbi iza kuhamba ngale okanye isifo phecana emathunjini, kunokuba IBS.

Ngethuba loviwo ngqo yi Ngokucofa esiswini kutyhilwa kwezihlunu nangakumbi eludongeni ngaphambili.

Iindlela umahluko lweendidi ezimbi

Nochuku syndrome wamathumbu kunye neengxaki ezinxulumene iphecana zesisu angohlulwa ngokwezinye ebizwa ngokuba yi-iimpawu ingozi. Ukuba akukho mfuneko yokuba ukuthetha IBS.

Makhe sihlolisise izinto eziphambili:

• ukubonakala iimeko zokuqala kabi kunye neentlungu izigulane abangaphezu kweminyaka engama-50;
• ngumkhuhlane rhoqo;
• phambi ebulalayo (umhlaza) yamathumba emizalwaneni ekupheleni yesigulana;
• igazi kule isitulo;
• ukuphazamiseka iphecana zesisu ebusuku;
• Ukucutheka ubunzima yesigulane, ngaphandle kwesizathu;
• utshintsho zafunyanwa ngexesha uhlalutyo phando igazi labantu;
• polifekaliya (kukhuthaza ilindle ezinkulu ngendlela engaqhelekanga ukusuka emzimbeni).

Kuba ukuxilongwa ngakumbi ikhutshwa phandle inani iinkqubo zonyango olongezelelweyo: Iimvavanyo kwegazi, ukufunda ilindle, colonoscopy. Le yokugqibela kolu suku kufaneleke ngokukodwa abadala, njengoko ikuvumela ukuba ukuchonga ukususa ukuyilwa eziluhlobo ezahlukeneyo ikholoni.

Ngexesha yesaveyi wabafazi Kucetyiswa uthethwano olungaphezulu kunye ugqirha.

IBS kunye zoxilongo akazalani iphecana zesisu

Ukongeza, ngexesha loxilongo ye sigulo echaphazelekayo kufuneka zingahlukaniswa kwezinye izifo ezinxulumene ne kwekhono lo phecana zesisu. Ezi ziquka:

1. Izigulo ezondeleyo uhlobo ukudumba kunye esosulelayo. Ngokomzekelo, isifo Crohn kaThixo, giardiasis, sisilonda sikabhobhosi, umhlaza, okwenziwa sisilonda kobuchopho, pancreatitis kunye nohlobo ezigulo ezondeleyo.

2. ezimbi ezinxulumene kwindlela eqhelekileyo yokusebenza kwinkqubo yonyango lomzimba. Ukuphazamiseka kwamadlala ezidalwe kubangela seswekile ezahlukahlukeneyo elihlabayo, ezinye iintlobo banayo iimpawu ezifanayo zangaphandle njengoko IBS.

3. izifo ezondeleyo ezibangwa kukungakhuseleki rhoqo ukuba iimeko zangaphandle yokutya: ukusetyenziswa rhoqo ukutya okunamafutha, ukusetyenziswa kakubi kotywala, kunye nekofu, iziselo nezihlwahlwazayo, utshintsho elibukhali kwi ekutyeni obuqhelekileyo.

4. Ifuthe arhente imithi. Iimpawu IBS badla efanayo yeziphumo ebezingalindelekanga evela kulawulo okondeleyo antimicrobials, laxatives, kunye neeminerali equlethe potassium, intsimbi, calcium, kunye nezinye izinto.

unyango

Kukho iindawo ezininzi ezahlukeneyo unyango osetyenziswayo ukuphelisa nochuku kwamathumbu syndrome. Unyango amayeza intsomi, isondlo, unyango ngamachiza - kukho indlela ethile yemisebenzi uzimisele ngamnye, kuthathelwa ingqalelo Pathogenesis ukuphazamiseka.

Enoba ubuchule, unyango kufuneka ijoliswe ekufezekiseni le njongo zilandelayo:

• bunjani imo ethole ukutya;
• ukubuyisela nokwakheka esisigxina ezincinane, yona yemvelo colon kwabantu;
• bunjani inkqubo yokwetyiswa nokufunxwa elements izimbiwa eludongeni kwamathumbu;
• ukulungisa imeko yengqondo-ngokweemvakalelo yomntu;
• ukuqinisekisa ukuthathwa ngokwaneleyo iivithamini kunye neeminerali ezifunekayo umzimba;
• bunjani inkqubo movement kwamathumbu.

Impact ngaphandle kwemithi

Cinga nonyango ezithile ezikuvumela ukuphelisa nochuku kwamathumbu syndrome. Yokudla kulo mzekelo umele enye yeendlela ezininzi elithandayo.

Xa IBS ekuxilongweni kufuneka kululahla ukusetyenziswa ayi ezahlukeneyo, utywala, itshokolethi, ikofu kunye neemveliso ezibangela isixa esikhulu zegesi. Umusa yethumbu kulo mzekelo kuchaphazela iziqhamo, imifuno kunye neemveliso zobisi. Kukwacetyiswa kwakhona ukuba badle inyama nentlanzi, okuphekiweyo kwibhoyila kabini.

iingcebiso ezithile ukutya osetyenzisiweyo iyohluka, ngokuxhomekeke kwiindidi IBS: isifo sorhudo okanye nokuqunjelwa.

Xa ilindle kuyimfuneko ukuba ukongeza ijeli ukutya, ukudla okuziinkozo yeendidi ezahlukeneyo okuziinkozo, ipasta, iitapile. Ngokupheleleyo contraindicated imifuno, eliquka imicu erhabaxa zezityalo, iziqhamo, ertyisi neembotyi, eshushu nobulawu, ehla fresh, ubisi ekrwada, iwayini, kvass, ibhiya kunye iziselo nezihlwahlwazayo ethambileyo.

Ngexesha iingxaki yoko kucetyiswa ukuba asele buckwheat, nezo ziqwayitiweyo, uyawathena, ama-apile wapheka. Kubhetele ukuba indawo iswekile nayiphi analogue. Well inceda Ingca yolwandle, bran, oli yemifuno.

Ngokuqhelekileyo, ayikhuthazwa tu into yokuba ukutya ezisetyenziselwa ukuba silwe urhudo.

Ukongeza ukutya, ukubuyisela ikholoni inceda umthambo alungise, ehamba kunye nezinye umsebenzi emzimbeni.

imithi

Kwiimeko kakhulu, okanye xa ukuhlukunyezwa uba umlinganiswa ukubaleka ukumelana iimpawu IBS ungasebenzisa kuphela ezo okanye nezinye iziyobisi. Kulo mzekelo, unyango yahlulahlulwe ngokwezigaba eziliqela.

1. ukuhlukana intlungu ethunjini. Ukulungiselela le njongo iindidi ezahlukeneyo zamachiza antispasmodic ( "No-Spa," "Meverin" njalo njalo.).

2. Le ukulwa urhudo. Kungcono ukunceda iyeza equlethe loperamide ( "Imodium", "Lopedium" njalo njalo.). Oku kwehlisa izenzo isitulo evakalala ngenxa ifuthe into esebenzayo kwi peristalsis emathunjini. Oku kwenza kube lula ukwandisa sicatshulwa ukutya ngokusebenzisa amathumbu, kuphucula nokufunxwa iziselo kunye electrolytes. Ukongeza, umsebenzi bhetele indlela sphincter, nto leyo inceda ukugcina amathumbu esitulweni. Ithamo kweemveliso eziqulathe loperamide, ekhethiweyo ngamnye ngugqirha wakho.

3. Ukuphelisa kwesisu. Kulo mzekelo, uyacebiswa opt amayeza imvelaphi zezityalo. Kulungile ukunceda amalungiselelo equlathe uhlobo oluthile imbewu psyllium. Kukho ezininzi amabhunga zabantu.

4. Kwelinye wenza unyango ukuphazamiseka kwizigulane abaphethwe IBS okubangelwa ukuphazamiseka kwengqondo. Unyango wenziwa kuphela phantsi kweliso oyingcali, anti-depressants okanye inhibitors yeentlobo ezahlukeneyo ezisetyenziswayo.

isiphelo

Iimpawu ngentla ehamba udikwa kwesisu syndrome iye yachazwa, unyango, ukutya, kucetyiswa phambi kwakhe, kunye nezinye iindlela ukubatshabalalisa sifo.

Kufuneka kuqatshelwe ke, ukuba njengaye nawuphi na disorder ngokuyimfuneko IBS ifuna efuna ingcebiso oyingcali, oya ukuxilonga zibeka nokusebenzisa ezithile. Kuphela kulo mzekelo, umzabalazo kunye sifo iya kuba nempumelelo kwaye akayi kakubi umzimba.