Irritable bowel syndrome - kamora tlhokomelo

Irritable bowel syndrome (IBS) ke boloetse bo lebisang ho bohloko ba mpeng le ho fetoha ha mala. Mofani oa hao oa tlhokomelo ea bophelo o tla bua ka lintho tseo u ka li etsang lapeng ho laola boemo ba hau.

Irritable bowel syndrome (IBS) e ka ba boemo ba bophelo bohle. E kanna eaba u na le bothata ba ho khehla le ho its'ila, litšollo, ho sokela kapa ho kopana ha matšoao ana.

Bakeng sa batho ba bang, matšoao a IBS a ka kena-kenana le mosebetsi, maeto le ho ea meketjaneng ea boithabiso. Empa ho noa meriana le ho etsa liphetoho bophelong ho ka u thusa ho laola matšoao a hau.

Liphetoho lijong tsa hau li ka thusa. Leha ho le joalo, IBS e fapana ho ea ka batho. Kahoo liphetoho tse tšoanang li kanna tsa se sebetse ho bohle.

• Boloka tlaleho ea matšoao a hau le lijo tseo u li jang. Sena se tla u thusa ho batla mohlala oa lijo tse ka mpefatsang matšoao a hau.
• Qoba lijo tse bakang matšoao. Tsena li ka kenyelletsa lijo tse mafura kapa tse halikiloeng, lihlahisoa tsa lebese, caffeine, soda, joala, chokolete le lijo-thollo tse kang koro, rye le harese.
• Ja lijo tse nyane ho isa ho tse 5 ka letsatsi, ho fapana le tse 3 tse kholo.

Eketsa faeba lijong tsa hau ho imolla matšoao a ho sokela.Faeba e fumaneha ka mahobe a lijo-thollo le lithollo, linaoa, litholoana le meroho. Kaha fiber e ka baka khase, ho molemo ho eketsa lijo tsena lijong tsa hau butle.

Ha ho sethethefatsi se le seng se tla sebetsa bakeng sa bohle. Meriana e meng e laeloa ka ho khetheha bakeng sa IBS e nang le letshollo (IBS-D) kapa IBS e nang le ho sokela (IBS-C). Meriana eo mofani oa hau a ka u lekang ho e kenyelletsa:

• Meriana ea li-antispasmodic eo u e nkang pele u e ja ho laola mesifa ea mesifa ea kolone le ho pepesoa ke mpa
• Meriana e thibelang letšollo joaloka loperamide, eluxadoline le alosetron bakeng sa IBS-D
• Li-laxative tse kang lubiprostone, linaclotide, plecanatide, bisacodyl le tse ling tse rekiloeng ntle le lengolo la ngaka la IBS-C
• Ho imeloa kelellong ho thusa ho kokobetsa bohloko kapa ho se utloise bohloko
• Rifaximin, lithibela-mafu tse sa kenngoeng mala
• Li-probiotics

Ho bohlokoa haholo ho latela litaelo tsa mofani oa hau ha u sebelisa meriana ea IBS. Ho noa meriana e fapaneng kapa ho se noe meriana ka tsela eo u elelitsoeng ho ka baka mathata a mang.

Ho imeloa kelellong ho ka etsa hore mala a hao a be bonolo haholoanyane 'me a hane haholoanyane. Lintho tse ngata li ka baka khatello ea maikutlo, ho kenyelletsa:

• Ho se khone ho etsa mesebetsi ka lebaka la bohloko ba hau
• Liphetoho kapa mathata mosebetsing kapa lapeng
• Kemiso e phathahaneng
• Ho qeta nako e ngata u le mong
• Ho ba le mathata a mang a bongaka

Mohato oa pele oa ho fokotsa khatello ea maikutlo ke ho fumana hore na ke eng e etsang hore u imeloe kelellong.

• Sheba lintho tse u tšoenyang haholo bophelong ba hau.
• Boloka tlaleho ea liphihlelo le menahano e bonahalang e amana le matšoenyeho a hau mme o bone hore na o ka etsa liphetoho maemong ana.
• Finyella batho ba bang.
• Fumana motho eo u mo tšepang (joalo ka motsoalle, setho sa lelapa, moahisani, kapa setho sa moruti) ea tla u mamela. Hangata, ho bua le motho e mong ho thusa ho imolla matšoenyeho le khatello ea maikutlo.

Bitsa mofani oa hau haeba:

• U ba le feberu
• U tsoa mali ka mpeng
• U na le bohloko bo bohloko bo sa foleng
• U theola boima ba lik'hilograma tse fetang tse 5 ho isa ho tse 10 ha u sa leke ho theola boima ba 'mele

IBS; Ho ruruha ha mucus; Litlhaku tsa IBS-D; EA-118-IBS

Ford AC, Talley NJ. Lefu le bohloko la mala. Ka: Feldman M, Friedman LS, Brandt LJ, bahlophisi. Sleisenger le Fordtran's Mafu a ka Mpeng le a Sebete: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 122.

Motsamaisi EA. Mathata a sebetsang a mala: lefu le halefisang la mala, dyspepsia, bohloko ba sefuba ba ho nahanoang hore bo tsoa 'meleng, le ho opeloa ke pelo. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: khaolo ea 137.

Mohlokomeli DG, Sampson AP. Ho patoa, letšollo le bohloko ba mala. Ka: Waller DG, Sampson AP, eds. Medical Pharmacology le Therapeutics. La 5th. Philadelphia, PA: Elsevier; 2018: khaolo ea 35.