Ikhonkco Phakathi Kokuphazamiseka Kweengxaki, ukuxhalabisa kunye ne-IBS
I-Irritable Bowel Syndrome, okanye nje i-IBS, uhlobo lomzimba wesisu oluphazamisa ikholoni kwaye lubangela iingxaki kwinkqubo yokutya. I-IBS iqikelelwa ukuba ifuthe kuma-20% abantu abadala base-US. Iimpawu ze-IBS ziyahlukahluka kubantu abahlukeneyo. Ezinye zeempawu eziqhelekileyo ze-IBS ziquka:
- Intlungu zesisu
- Iziqhamo eziqhelekileyo
- Ukuqhawula
- Ukupheka kunye negesi ephezulu
- Ukubanjwa, urhudo
- Utshintsho kwimizimba yesilwanyana, kuquka ukuguquka phakathi kokuqhawulwa kunye nohudo
Nangona i-IBS ayisigulo esisongela ubomi, ihlala ihlala yimeko engapheliyo enokuba negalelo elikhulu kwiinkalo ezininzi zobomi bomntu.
I-IBS ne-Panic Disorder
Uphando luye lwabonisa ukuba amaxabiso e-IBS aphakamileyo phakathi kwabantu abaxilongwa ngeengxaki zokuxhalaba kunye / okanye izifo zengqondo. Ubume beempawu ze-IBS sele zifunyanwe ziphezulu kakhulu kubantu abafumene ingxaki yokuphazamiseka. Ngokufana nokuphazamiseka kwengxaki, i-IBS ibangela iimpawu ezininzi ezinokukhathaza ezinokuba zihlazo kwaye kunzima ukulawula.
Ukuphindaphindiwe kwaye ngokuphindaphindiweyo ukuhlaselwa kwe-panic yiyona nto ibalulekileyo yentsholongwane yesifo. Ngokufanayo ne-IBS, ukuhlaselwa kweentlanzi kubonakaliswa yimvakalelo emininzi engathandekiyo. Ezinye zeziganeko eziqhelekileyo zokuhlaselwa kwesoyiki ziquka ukukrokra, ukuthuthumela, intlungu yesifuba , isantya senhliziyo esheshayo, kunye nokuphefumula okufutshane.
Ezi zombini iimeko zikwabelana ezininzi iimpawu ezifanayo, ezifana nokukhathazeka kwangaphambili kunye nokuziphatha ukuphepha. Iimpawu zombini ze-IBS kunye nokuphazamiseka kweengxaki zingaphazamisa, zihlazo kwaye zinzima ukulawula.
Okwangoku akucaci ukuba kutheni ipesenteji ezibalulekileyo zentsholongwane yezifo ezixhatshazwayo zikwazi ukulwa neempawu ze-IBS.
Kucatshulwa ukuba zombini izimo zibangelwa ukulwa okanye ukuphendula uxinzelelo lwendiza . Ukulwa okanye ukuphendula kwendiza kubangelwa inkqubo yokukhathazeka , okwenza ukuba utshintsho emzimbeni lulungiselele ukulwa okanye ukubalekela esichengeni esichengeni. Ukuphendula ngokuqhelekileyo kubandakanya ukujuluka, ukukhawuleza kwenhliziyo, kunye nokunciphisa inkqubo yokutya. Abantu abaneenkathazo zokuphazamiseka kunye ne-IBS banokulwa kunye nokuphendula okanye ukuphendulwa kwendiza, kubangele ukusabela okunamandla ngaphandle kokungabi nengozi.
Isiganeko se-IBS siphezulu nakakhulu kulabo bafumene ingxaki yokuphazamiseka ne-agoraphobia. Abantu abane-agoraphobia babonisa iimpawu ezininzi zokuziphepha apho baqhawula khona indawo kunye neemeko ezizoyixhalaba ziya kubangela ukuhlaselwa koyika. Kuye kwacatshulwa ukuba amazinga aphezulu e-IBS kubantu abane- agoraphobia abanokuthi bangabakho ngenxa yokuziphatha okuphephekayo, njengokukhathazeka malunga nokufumana indawo yokuphumla, iintloni ezinxulumene neempawu ze-IBS, kunye nokulawulwa kwempawu ezinzima zesisu.
Kukho ubungqina bokuthi ukutya okunye, izinto kunye nokukhetha kwendlela yokuphila kwenza ukuba i-panic disorder kunye neempawu ze-IBS zenzeke. Izidlo eziqhelekileyo zokutya ezi zombini ziquka i-caffeine, utywala kunye noshukela.
Iimpawu ze-IBS kunye neengxaki zokuphazamiseka ziyakhathaza ngakumbi ngenxa yengcinezelo engapheliyo kunye nokucinga okungekho nto.
Izinketho zokwelapha kuzo zombini iimeko
Okufana nokuphazamiseka kwengxaki, akukho okwangoku kuyilwaphulo lwe-IBS. Nangona kunjalo, ukuphazamiseka kwesifo kunye ne-IBS ziimeko eziphathekayo. Uninzi lweziganeko zonyango oluqhelekileyo zengxaki yokuphazamiseka ziye zaboniswa ngokukhuselekileyo kwaye zonyango nge-IBS. Ngokomzekelo, ezinye i-serotonin reuptake inhibitors ( SSRIs ) ezikhethiweyo eziqhelekileyo ziye zafunyaniswa ukuphazamiseka kwentsholongwane ziye zafunyanwa ukunciphisa iimpawu ze-IBS. Ngakolunye uhlangothi, amanye amayeza enokuphazamiseka kwengqondo angadala ngakumbi iimpawu ze-IBS, ngoko kubalulekile ukuba uxoxe ngeempawu zakho kunye nezokwelapha unyango lwakho.
I-Psychotherapy nayo yindlela yokwenza unyango eqhelekileyo enokukunceda ngokuphazamiseka kwesifo kunye ne-IBS. I-Psychotherapy inokukunceda ekusebenziseni iindlela zokulawula uxinzelelo, njengoko amanqanaba aphantsi kokuxininisa avame ukunyusa iimeko zombini. Ukuya kwonyango kunokukunceda ukujongana neemvakalelo zomzimba kunye neemvakalelo ezinxulumene neengxaki zombini. Ukongezelela, i-psychotherapy inokukunceda ekunciphiseni iimpawu zeemeko eziqhelekileyo ezibandakanyekayo, ezifana nokudandatheka.
Uphando luye lwabonisa ukuba unyango oluthile lokuziphatha , ngokukodwa, lunokuba luhlobo oluthile lwe-psychotherapy kubantu abajongene ne-IBS kunye nokuphazamiseka kwengxaki. I-CBT iquka ngokubanzi imfundo, imisebenzi yokukhathazeka, imisebenzi yasekhaya, kunye neendlela zokuphucula ukukunceda ekulawuleni iimeko zakho. Amasu e-CBT anganceda ukunciphisa iimpawu zesifo sokuphazamiseka kunye neengxaki zokugaya ezinxulumene ne-IBS.
Iimpawu ze-IBS zinokuchaphazela kakhulu umgangatho wobomi. Ukuba zombini i-IBS kunye nokuphazamiseka kwengxaki kunokuba nzima kakhulu ukujongana nayo. Nangona kunjalo, ngokufumana uncedo lobuchwepheshe kunye nokulawula uxinzelelo lwakho, unokufunda ukuhlangabezana ngokufanelekileyo kunye nale mibandela.
Imithombo:
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Gros, DF, Antony, MM, McCabe, RE, & Swinson RP. "Ukuphindaphinda kunye nobukhulu beSimpawu ze-Irritable Bowel Syndrome Ngaphandle kweengxaki zokuxhalabisa nokuxinezeleka" I-Journal of Distress Concerns, 2009, 23, 290-296.
I-Sugaya, N., uKaya, H. Kumano, H., no-Nomura, S. "Ulwalamano phakathi kweengxenyana ze-Irritable Bowel Syndrome kunye noBungqina beMpawu eziHlanganiswe neNkathazo yokuPhupha" I-Scandinavia Journal of Gastroenterology, 2008, 43, 675-681.