ImpiloIzifo nemibandela

Engaphathekile wamathumbu syndrome: Izimpawu, Ukwelashwa

wamathumbu engaphathekile syndrome (IBS) - a angahlangani ukusebenza, okuyinto okungalapheki nemvelo. ukwephulwa Isici ngalolo izimpawu zaso yansukuzonke endalweni bese avele ngezikhathi ezithile, kuye ngokuthi yizici zangaphandle.

Izinhlungu nokuphatheka kabi endaweni besisu, isidingo ukuya ethoyilethi kaningi, uhudo kanye ukuqunjelwa - zonke izimpawu zibonisa ukuthi isiguli engaphathekile wamathumbu syndrome. Ukwelashwa lesi sifo kufanele kwenziwe saziso. Uma kungenjalo, lokhu isimo kungaholela emiphumeleni engathí sina ngoba umzimba.

Uhlolojikelele

Engaphathekile wamathumbu syndrome, izimbangela zezinkumbulo okungaba ngezindlela ezihlukahlukene, sitholakale kuphela uma isithombe akhona nomphela emitholampilo ukubonwa izinyanga okungenani 12.

Izibonakaliso eyinhloko zokugula:

  • nobunzima bethulula (kuphakama isidingo kokuzikhulula esikhathini esingaphansi izikhathi 3 per izinsuku ezingu-7);
  • liquid sezinyawo njalo (isiguli ukuya ethoyilethi izikhathi ezintathu noma ngaphezulu ngosuku);
  • voltage imisipha sphincter futhi ngaphakathi komgodi ongaphakathi kwamathumbu ngesikhathi ehambele ethoyilethi;
  • wokuphuthuma, ezidinga abantu baphume esiphuthumayo;
  • uzizwa izinsalela indle ku colon;
  • khona isikhwehlela e kwesihlalo.

Lezi kumane nje kuyizibonelo isikhalazo ezivamile iziguli ukuthi nginesifo engaphathekile wamathumbu syndrome. Izimpawu manifest acute lapho umuntu ebhekana ukucindezeleka.

Njengoba kushiwo ngenhla, lesi sifo has a yemvelo futhi zisebenza kahle. Ukweseka lokhu isitatimende la maqiniso alandelayo ohambisana engaphathekile wamathumbu syndrome ne ukuqunjelwa noma isifo sohudo:

  • uhlobo ezahlukene izikhalazo zeziguli;
  • okuphindaphindiwe ukwelashwa isikhungo sezokwelapha;
  • pathogenesis okungezona okuqhubekayo;
  • ukulondolozwa esisindo.

ulwazi olwengeziwe

Xilonga engaphathekile wamathumbu syndrome kunzima ngoba izimpawu zaso zifana ezinye izifo eziba khona leli pheshana womuntu emathunjini. Ukuhlukanisa izimo ezichazwe ezidingekayo ukuze ongakhetha ukuqeda lesi sifo, izinqubo eziningi zokuxilonga isicelo:

  • ultrasound (US) luhlolo kwezitho izinhlelo besisu;
  • gastroduodenoscopy;
  • Isifundo biopatov uhlelo emathunjini;
  • barium yombala enema.

Futhi kubhekelwe imiphumela izifundo laboratory amasampuli begazi endleni, ukuhlolwa kwegazi ne umchamo kanye nezincomo wathola emva colonoscopy futhi sigmoidoscopy.

Konke lokhu eziyinkimbinkimbi ivumela ngokunemba eyanele izimpawu ahambisana engaphathekile wamathumbu syndrome. Indlela aphathe zokugula echazwe?

Kukhethwa izinqubo bokuphila yezokwelapha incike izimpawu kuphazamiseka. It is kabanzi zezinhlobo ezahlukene Ukudla nezindlela psychotherapeutic. Isidingo amathuluzi kwemithi uya khona kunqunywa ngamunye esekelwe ukubonakaliswa kwangaphandle lesi sifo. Ikakhulu esetshenziswa:

  • izidakamizwa antispasmodic;
  • antidiarrheals;
  • ithebhulethi laxative;
  • antidepressant.

nohlobo lodlame

Engaphathekile wamathumbu syndrome e abesifazane futhi amadoda ihlukaniswe izinhlobo ezimbili eziyinhloko.

1. Pathology, ephelezelwa ukuqunjelwa. Uneziqu izici ezilandelayo:

  • nobunzima wamathumbu ukunyakaza;
  • indle akhishwe ingquza, has a ukungaguquguquki okuqinile;
  • alibale izinsalela imikhiqizo udoti ingemuva.

2. Ukwephulwa, kuhlangene sohudo. It libhekene:

  • izigqiki okuxekethile;
  • voltage sphincter lapho sivakashele yangasese;
  • ukudedelwa isikhwehlela kusukela ingquza.

Ukusabalala kwesifo

Kuchazwe le nto engaphathekile wamathumbu syndrome e abadala nezingane kwenzeka cishe 7-10% labantu kule planethi yethu. Ngokuqondene amazwe Izwe Elidala, kukhona zokugula kwenzeka zonke izakhamuzi yesihlanu.

Ngaphezu kwalokho, kufanele kuphawulwe ukuthi ubulili bubuhle imayelana ephindwe kabili yokubhidlika kunalapho lokhu egunjini lokuhlolwa kwezifo.

Isilinganiso sobudala iziguli ukufuna ukwelashwa - iminyaka 25-40.

Ingabe Zikhona Izimo Ezenza ezinomthelela nesenzakalo ukwephulwa

Kwezinye izimo, ukuhluthuka wamathumbu syndrome, ezichazwe ngenhla izimpawu zibonakala kaningi. Lokhu kuthintwa izizathu ezithile subjective futhi umgomo ezibalwe ngezansi.

  1. yofuzo. Iqembu ingozi kuhlanganisa abantu izihlobo zabo eduze wayeke kwatholakala nalesi egunjini lokuhlolwa kwezifo. Ngaphezu kwalokho, nesenzakalo ukwephulwa ngokuvamile kutholakala twins ukuthuthukisa kusuka esibelethweni olulodwa. Konke lokhu kuholela esiphethweni mayelana nemvelo zofuzo zesifo.
  2. iziyaluyalu ezingokwengqondo. Ukucindezeleka indoda, ukuphishekela njalo ukukhathazeka kwakhe, iziyaluyalu ubuthongo, akahlanye nokuphazamiseka engqondweni kungase kubangele engaphathekile wamathumbu syndrome. Ucwaningo kule ndawo kusikisela ukuthi isifo ngokuvamile eba abantu abake wahlushwa ubudlova ngokomzimba namkha ngokwengqondo, ukuhlukunyezwa ngokobulili kanye nokunye okufana nalokho.
  3. Ukwephula imisipha umsebenzi we ingemuva. isimo esinjalo, okuholela ukubonakala izimpawu ezichazwa zenzeka ngemuva kokudla ku isizinda isimo ukucindezeleka ngenxa nokucindezela umsebenzi myoelectric ka kwezintambo zesivikelo sesifuba ikholoni.
  4. hyperalgesia Visceral. Ngalokhu gama lalibhekisela Ukwehla ezingeni ubuhlungu embundwini ingezansi umzimba efiselekayo noma amelioration zobuhlungu bezibona. Ngenxa yalokho - engaphathekile wamathumbu syndrome. Ukwelashwa kulokhu kuyiwa, kudinga ukuqedwa zokugula kubangelwa izici.
  5. imiphumela ebuhlungu ku pheshana emathunjini noma ukunqoba ezihlukahlukene nezifo. Ngenxa yalokho kula mathonya zangaphandle ungaba nesimo lapho kukhona ukungakhululeki kanye nobuhlungu ikholoni. Ziyakwazi uphawu zokugula ngazo ngenhla. Engaphathekile wamathumbu syndrome nokuphazamiseka okuhambisana we sphincter ka Oddi kutholakala-30% wabantu abake kwadingeka isifo emathunjini.
  6. Ithonya lama-hormone. Izimpawu iziyaluyalu ngokuvamile kwenzeka kwabesifazane ngesikhathi umjikelezo wokuya esikhathini, lapho umzimba eshintsha ibhalansi yemvelo hormone evamile.

ukuhlola

Njengoba kushiwo ngenhla, izimpawu ohambisana engaphathekile wamathumbu syndrome, ifana ncamashí eziningi isisu izifo ezincane emathunjini. Ngoba ubunzima eyinhloko uphethwe - kokubili ukuze nikwazi ukwahlukanisa lezi ezimbili uthi.

Lapho yaloku kuhlola okungenhla kumele inake wonke eziyinkimbinkimbi izimpawu zangaphandle ezakha isithombe basemtholampilo IBS: Ubuhlungu obukhulu besisu, imvamisa bomsebenzi wamathumbu ukunyakaza nokunye. By the way, khona lolu hlobo zokugula ukubonisa omunye izimpawu abonakala engahlobene ukuze isimiso sokugaya ukudla bungene:

  • ukuphathwa ikhanda;
  • yinhlama emphinjeni;
  • ukungabi noma ukuphazamiseka kokulala;
  • yokushodelwa umoya;
  • ukuchama kaningi;
  • lokujabulela tinnitus;
  • ubuthakathaka jikelele zomzimba;
  • ukoma ku ngalo ingaphakathi ngomlomo.

Izindlela wokusungula izimpawu zezifo

Ukuxilongwa IBS siqukethe izinyathelo ezimbili eziyinhloko:

  1. Ukusungula nemlandvo wetekwelashwa kwakhe (izimpawu ngaphambi ukuvela ubuhlungu esiswini).
  2. luhlolo Direct (kuhlanganise sebuningini izinqubo ezahlukene zokwelapha).

Ulwazi olunikiwe esigabeni sokuqala ziqoqwa ngokuhamba ingxoxo isiguli. Udinga ukuthola kobukhulu kanye nokuvama ubuhlungu endaweni ye ikholoni, igama kanye nobungako ukudla washisa, esimweni sengqondo, kanye imithi kuthathwe ngaphambili.

Lapho umthamo wegazi lesiguli itholakala indle ukufakwa, kukhuphuke izinga lokushisa komzimba, kukhona ukwehla mass umzimba - cishe, kuyokuhambela ngalokhu noma isifo se-pheshana emathunjini, kunokuba IBS.

Phakathi luhlolo ngqo palpation esiswini wembula okhushuliwe imisipha ithoni phambi udonga.

Izindlela yokuzihlukanisa kwamangqamuzana ngokwemisebenzi yawo zezinhlobonhlobo pathologies

Engaphathekile wamathumbu syndrome neziyaluyalu ahlobene yokusetshenziswa pheshana emathunjini ingahlukaniswa ngokuvumelana ezinye zezimpawu lokho okubizwa ngomlobokazi ingozi. Uma kukhona akudingeki ukhulume IBS.

Ake sicabangele main:

  • ukubukeka amacala kuqala ukunganethezeki ubuhlungu ezigulini phezu kweminyaka eyi-50;
  • imfiva njalo;
  • khona abulalayo (umdlavuza) izimila e eziseduze esigulini;
  • igazi sezinyawo;
  • ukuphazamiseka pheshana emathunjini ebusuku;
  • nokuncipha isisindo isiguli, ngaphandle kwesizathu;
  • izinguquko ezitholakele ngesikhathi ukuhlaziywa cwaningo igazi labantu;
  • polifekaliya (nesibalo esikhulu excretion fecal emzimbeni).

Ukuze uthole ukuxilongwa esinembile Kwenziwa eziningi izinqubo ezengeziwe wezokwelapha: ukuhlolwa kwegazi, ukutadisha indle colonoscopy. Lesi sakamuva efanele ikakhulukazi kwasebekhulile, njengoba ikuvumela ukuba sikhombe futhi sisuse kumiswa yinto ehlukile kule ikholoni.

Phakathi inhlolovo labesifazane Kunconywa kokubonisana phambili udokotela wezifo zabesifazane.

IBS pathology akuhlobene pheshana emathunjini

Ngaphezu kwalokho, ngesikhathi uphethwe ngalesi sifo okukhulunywa kufanele zihlukaniswa esivela nezinye izifo ongakaphathelani ukungasebenzi kwekhono pheshana emathunjini. Lezi zihlanganisa:

1. izifo ezingelapheki imvelo ukuvuvukala futhi ezithathelwanayo. Njengoba isibonelo, isifo Crohn, giardiasis, izilonda emathunjini, umdlavuza, nesifo ischemic, pancreatitis nemvelo ezingamahlalakhona.

2. pathologies ezihambisana ne ukusebenza evamile uhlelo endocrine zomzimba. Ukungasebenzi kahle we nezindlala endocrine kubangele isifo sikashukela kobukhulu obuhlukahlukene, ezinye izinhlobo okuyinto babe izici ezifanayo zangaphandle njengoba IBS.

3. iziyaluyalu Okungalapheki kubangelwa ukuchayeka njalo yangaphandle izici wezokudla: ukusetshenziswa njalo ukudla okunamafutha, ukusebenzisa kabi utshwala kanye nekhofi, iziphuzo carbonated, ushintsho abukhali ekudleni umkhuba.

4. Umthelela ejenti kwemithi. ngokuvamile IBS izimpawu zifana yemiphumela emibi ezisuka kusukela ekuphathweni ezingamahlalakhona antimicrobial, laxatives, Izithako amaminerali equkethe potassium, insimbi, i-calcium nezinye izakhi.

ukwelashwa

Kunezindawo eziningi ezahlukahlukene yokwelapha ukuze kuqedwe engaphathekile wamathumbu syndrome. Ukwelashwa nokuvikelwa amakhambi abantu, ukudla, ukwelashwa - imodi ezithile senzo kunqunywa ngamunye, ikhumbula pathogenesis kuphazamiseka.

Kungakhathaliseki inqubo, ukwelashwa kufanele enqophe le migomo elandelayo:

  • kujwayeleke ukudla eyamukelayo imodi;
  • ukubuyisela Ukwakheka unomphela ezincane, okuyinto indawo yemvelo ikholoni womuntu;
  • kujwayeleke inqubo ukugaya kanye ukumuncwa izakhi yezimbiwa ogangeni wamathumbu;
  • usimamise isimo psycho-ngokomzwelo umuntu;
  • ukuqinisekisa eyanele amavithamini namaminerali adingwa umzimba;
  • kulesetayelekile wamathumbu ukunyakaza inqubo.

Umthelela ngaphandle izidakamizwa

Cabanga zokwelapha eqondile evumela ukuqeda engaphathekile wamathumbu syndrome. Ukudla kulokhu limelela eyodwa yezindlela kunazo ayethanda.

Lapho IBS ekuxilongweni kufanele uhlukane nale ukusetshenziswa ayi ahlukahlukene, utshwala, ushokoledi, ikhofi kanye nemikhiqizo ezibangela semali amagesi. Eyayithandwa emathunjini kulokhu kuthinte izithelo, imifino kanye nemikhiqizo yobisi. It is ibuye Kunconywa ukuba adle inyama kanye nenhlanzi, kuphekelwa kubhayela double.

izincomo oluthize ukudla washisa iyashiyana izinhlobo IBS: uhudo noma ukuqunjelwa.

Lapho izigqiki ezidingekayo ukuze anezele jelly Ukudla, okusanhlamvu, izinhlobo ezihlukahlukene zezindwangu okusanhlamvu, i-pasta, amazambane. Kasibili contraindicated imifino, ehlanganisa isitshalo Imicu yotshani indawo, izithelo, uphizi nobhontshisi, izinongo hot, ehla fresh, ubisi eluhlaza, iwayini, kvass, ubhiya neziphuzo ezibandayo carbonated.

Phakathi nezinkinga nge bethulula kunconywa ukudla nokunye okufana nokolweni, amabhilikosi omisiwe, asithena, apula Baked. Kungcono esikhundleni ushukela kunoma iyiphi analogue. Nokho kuyasiza izimila zasolwandle, bran, amafutha zemifino.

Ngokwemvelo, it is hhayi Kunconywa ukudla ukudla okwakungenzeka ukuthi zisetshenziselwa ulwe nesifo sohudo.

Ngaphezu kokudla, kulesetayelekile le colon kusiza umzimba ngokulinganisela, ukuhamba nomunye umsebenzi ngokomzimba.

imithi

Ezimweni ezimbi kakhulu, noma lapho ukwephulwa iba uhlamvu ukugijima ukuze ubhekane ngokuphumelelayo izimpawu IBS angasebenzisa kuphela labo noma ezinye izidakamizwa. Kulokhu, ukwelashwa ihlukaniswe izigaba eziningana.

1. ukuhlukana ubuhlungu esiswini. Ngenxa yale njongo izinhlobo ezahlukene izidakamizwa antispasmodic ( "Cha-spa," "Meverin" kanjalonjalo.).

2. Ukulwa nesifo sohudo. Kungcono ukusiza imithi aqukethe loperamide ( "Imodium", "Lopedium" kanjalonjalo.). Kunciphisa kuwukubonakaliswa sezinyawo okuxekethile ngenxa umthelela we ketshezi asebenzayo in the peristalsis emathunjini. Lokhu kwenza kube nokwenzeka ukwandisa ukudlula ukudla ngokusebenzisa amathumbu, kuthuthukisa ukumuncwa ukutshezi kanye electrolyte. Ngaphezu kwalokho, umsebenzi kakhudlwana sphincter, esiza ukugcina amathumbu kuso. Umthamo imikhiqizo equkethe loperamide, kukhethwe ngamunye ngudokotela wakho.

3. Ukuqedwa ukuqunjelwa. Kulokhu, kungcono ukuphuma emithi enomsuka isitshalo. Awu ukusiza amalungiselelo anesimo esithile imbewu psyllium. Kunezindlela eziningi imikhandlu zabantu.

4. Eceleni wenza ukwelapha izifo ezigulini uhlushwa IBS kubangelwa yokuphazamiseka kwengqondo. Ukwelashwa Kwenziwa kuphela ngaphansi kokuqondisa onguchwepheshe, anti-depressants noma inhibitor ezinhlobo ezehlukene ezisetshenziswa.

isiphetho

izimpawu Ngenhla ohambisana engaphathekile wamathumbu syndrome iye yachazwa, ukwelashwa, ukudla, Kunconywa phambi kwakhe, futhi nezinye izindlela ukususa lesi sifo.

Kufanele kuphawulwe nokho, ukuthi njengomntwana esinye isifo ngempela IBS zidinga efuna iseluleko kuchwepheshe, abayoba ukuxilonga futhi zibeka zokwelapha ezithile. Kuphela kuleli cala, umzabalazo nalesi sifo ngokuqinisekile ibe nempumelelo futhi ngeke ukulimaza umzimba.

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