Tsamwa Bowel Syndrome: Zviratidzo, Treatment

Tsamwa bowel syndrome (IBS) - kushanda abnormality, iyo chirwere zvakasikwa. Feature kutyorwa pakuti zviratidzo ayo idzokororo zvakasikwa uye kuonekwa nguva nenguva, zvichienderana kwokunze zvikonzero pamusoro.

Kurwadziwa uye kusagadzikana mune abdominal nzvimbo, tinofanira kuenda chimbuzi kakawanda, manyoka uye kupatira - zvose nezviratidzo anoratidza kuti murwere ane kusagadzikana bowel syndrome. Pakurapa chirwere dzinofanira fanira. Zvikasadaro, ichi chirwere kungaita kuti mutsekwende nhengo.

tsananguro

Tsamwa bowel chirwere, zvinokonzera zvinogona kuva zvakasiyana-siyana, iri akaonekwa chete kana kwayo kuri kunotoda mufananidzo kuonekwa kwemwedzi dzinenge 12.

The chikuru Zviratidzo zvokurwara:

• dzikatadza nokuisa (kudikanwa defecating mu asingasviki ka3 por mazuva 7);
• mvura uye kakawanda chetsoka (murwere ane kuenda chimbuzi matatu kana kupfuura nguva pazuva);
• voltage sphincter Tsandanyama uye abdominal mhango pakashanya kuti chimbuzi;
• nguva yapera, rinoda kukurumidza kubvisa;
• kunzwa vakasara mutsvina yadzo iri muura;
• kuvapo madzihwa ari pachituru.

Iyi inongova vakawanda chichemo wevarwere nechirwere tsamwa bowel syndrome. Zviratidzo chenjera zvinoratidzwa kana munhu pavanorwadziwa mupfungwa.

Sezvataurwa pamusoro apa, hosha ine zvipenyu uye dzichipfekeka. Kutsigira mashoko aya anotevera mashoko kufamba tsamwa bowel chirwere pamwe kupatirwa kana manyoka:

• dzakasiyana hunhu zvichemo dzevarwere;
• akadzokorora kurapwa mune sangano kuchipatara;
• non-mberi pathogenesis;
• ndichengetedze uremu muviri.

mamwe mashoko

Rokuongorora tsamwa bowel chirwere kwakaoma nokuti Zviratidzo ayo kufanana nevamwe zvirwere kuti kuchimuka gastrointestinal dzevanhu turakiti. Kusiyanisa zvinorondedzerwa ezvinhu zvinodiwa nzira yavangabata chirwere, zhinji chirwere maitirwo ezvinhu akashandisa:

• Ultrasound (US) kuongorora nhengo uye abdominal nehurongwa;
• gastroduodenoscopy;
• Kudzidza biopatov intestinal hurongwa;
• barium enema.

Also kufungwa migumisiro Murabhoritari zvidzidzo zviri zvipenyu mimwe mutsvina yadzo, ropa uye weti nemiedzo uye vanorumbidza vakagamuchira pashure colonoscopy uye sigmoidoscopy.

Zvose izvi zvakaoma kunoita pamwe yakakwana zvakarurama zviratidzo pamberi pematanho tsamwa bowel syndrome. Sei kubata zvokurwara anotsanangurwa?

Kusarudza vasiri uye kurapwa kunoenderana zviratidzo zvirwere. Rinoshandiswa chaizvo siyana zvataidya uye psychotherapeutic nzira. Kudiwa pharmacological zvishandiso rwendo akatsunga nomumwe kwakavakirwa kwokunze zvinoratidza chirwere. Ainyanya kushandiswa:

• antispasmodic zvinodhaka;
• antidiarrheals;
• laxative piritsi;
• antidepressants.

marudzi kutyorwa

Tsamwa bowel chirwere vakadzi nevarume rakakamurwa mhando mbiri huru.

1. zvokurwara, achiperekedzwa kupatira. Iye ane anotevera zvinhu:

• kunetseka bowel mafambiro;
• mutsvina yadzo asunungurwa kubva horo, chine kusachinja-chinja;
• kunonotsa residues tsvina zvigadzirwa vari mugaranhoko.

2. kukanganisa, pamwe manyoka. It kunoratidzwa:

• anongoremberera zvituru;
• voltage sphincter kana kushanyira chimbuzi;
• okuyerera madzihwa kubva horo.

Kupararira chirwere

Zvinorondedzerwa ichi zvinhu tsamwa bowel chirwere mune vakuru nevana kunoitika muna anenge 7-10% chavagari redu. Kana nyika yose Old World, pane zvokurwara kunoitika muna ose wechishanu vanogaramo.

Uyezve, zvinofanira kucherechedzwa kuti naka pabonde vanenge kaviri vangangoora zvokurwara ichi.

Avhareji yezera wevarwere kutsvaka kurapwa - makore 25-40.

Zvinhu kufurira panowanikwa kutyorwa

Mune zvimwe zviitiko, kutsamwa bowel chirwere, izvo zvinorondedzerwa pamusoro zviratidzo kuonekwa kakawanda. Izvi sei nevamwe kuzviitira uye chinangwa zvikonzero pasi apa.

1. Genetic kubatwa. Boka pangozi rinosanganisira vanhu vane hama dzepedyo zvakanga zvamboshandiswa nechirwere zvokurwara ichi. Mukuwedzera, panowanikwa kutyorwa rinowanzoshandiswa chirwere mu mapatya kuva kubva chete ovum. izvi zvose zvinotungamirira kwemamiriro pamusoro majini yezvakaita chirwere.
2. Psychological zvirwere. Depression murume, nguva dzose kutevera mwoyo wake, kusagadzikana hope, hysterical uye zvirwere zvepfungwa kungamutsawo tsamwa bowel syndrome. Research munzvimbo iyi kunoratidza kuti chirwere kazhinji ikabuda vanhu vakambotadza aitambura mumuviri kana pfungwa mhirizhonga, kushungurudzwa uye zvakafanana.
3. Zvaipesana tsandanyama kushanda mugaranhoko. Mumugariro, iyo inosvitsa pakuonekwa zvinorondedzerwa zviratidzo kuitika mushure kudya pamusoro pakanyorwa mamiriro kunetseka nokuda kudzvinyirira pakati myoelectric basa muura fibers.
4. Visceral hyperalgesia. By ichi izwi iri raireva vasanyanye kurwadziwa vomukova pamwero riri pazasi zvandinenge muviri kana amelioration kurwadziwa maonero. Somugumisiro - kutsamwa bowel syndrome. Treatment hazvisi siyanei, zvinoda kubviswa pakati zvokurwara kunokonzerwa zvinhu.
5. Yaizoitika migumisiro pamusoro nemudumbu kana kukunda zvakasiyana siyana zvirwere. Somugumisiro izvi Kufurirwa nevamwe zvinogona kuva zvinhu apo pane kusagadzikana uye kurwadziwa muura. Ndivo chiratidzo zvokurwara kukurukurwa pamusoro. Tsamwa bowel chirwere uye dysfunction pamusoro sphincter pakati oddi chirwere munenge 30% yevanhu vakambotadza aiva intestinal chirwere.
6. Kufurirwa mahormone. Zviratidzo zvinetso zvinowanzoitika vakadzi panguva kuenda kumwedzi, kana muviri anochinja dzinongoitika hormone Chiyero dzose.

Diagnostics

Sezvataurwa pamusoro apa, zviratidzo nechati tsamwa bowel chirwere, zvakafanana zvikuru vazhinji mudumbu uye nezvirwere diki ura. Nokuti chikuru kuoma nechirwere - kusiyanisa izvi zviviri inoti.

Apo chirwere anofanira kufunga rose rakaoma nechitarisiko zviratidzo kuti vanoumba chiremba mufananidzo IBS: abdominal marwadzo, kakawanda uye kwemashoko bowel kufamba uye zvichingodaro. Nenzira, kuvapo kwakadai zvokurwara kuratidza zvimwe zviratidzo raiita chokuita kuti zvomudumbu hurongwa:

• nomusoro;
• bundu iri huro;
• Kusavapo kana hope chainetsa;
• kushaya okisijeni;
• kuita weti kakawanda;
• manzwiro pamusoro tinnitus;
• mukuru novutera muviri;
• kuoma iri nemumuromo mhango.

Nzira pave zviratidzo chirwere

Chirwere pamusoro IBS ine matanho makuru maviri:

1. Nokuvumba nhoroondo zvokurapa (Zviratidzo asati chidzoke kurwadziwa ari dumbu).
2. Direct kuongororwa (kusanganisira muzvizhinji dzakasiyana kurapwa).

Mashoko wokutanga Danho aunganidzwa mukufamba kurukurirano murwere. Kuziva kuti kukuvadza uye kakawanda marwadzo munharaunda yacho muura, zita uye uwandu zvokudya vaparadzwa, mamiriro mupfungwa, uyewo mishonga akatorwa kwokutanga.

Kana ropa murwere unowanikwa mutsvina yadzo unyorwe, yakawedzera muviri tembiricha, pane kuderera body mass - Ungangove, ruchapinda pamusoro ichi kana kuti chirwere ari nemudumbu, pane IBS.

Munguva zvakananga kuongorora kubudikidza palpation ari mudumbu yakaratidza rakawedzera tsandanyama mataurire rusvingo mberi.

Nzira Kusiyanisa kuti marudzi pathologies

Tsamwa bowel chirwere uye anoenderana nepfungwa yacho nemudumbu inogona kupatsanurwa maererano vamwe vainzi zviratidzo ngozi. Kana usina kutaura IBS.

Ngatikurukurei huru:

• pakuonekwa yokutanga nyaya kusanzwa uye marwadzo pavarwere pamusoro makore 50;
• Kugara fivhiri;
• kuvapo nyanyisa (kenza) mapundu pedyo nehama murwere;
• ropa iri pachituru;
• nyonganyonga yacho nemudumbu usiku;
• zvinoderedza uremu murwere, pasina chikonzero;
• kuchinja dzakaonekwa pataidzidza kuongorora ropa romunhu;
• polifekaliya (zvisinganzwisisiki guru fecal excretion kubva muviri).

Kuti uwane yakarurama chirwere rinoitwa dzinoverengeka dzokuwedzera kurapwa: miedzo ropa, kudzidza fecal nyaya, colonoscopy. The yokupedzisira kunonyanya kushanda mune vakwegura, sezvo rinobvumira here kuziva uye kubvisa paumbwe zvakasiyana hunhu ari muura.

Mumakore vakadzi kuongorora yakarumbidza mberi kubvunza ane gayinakorojisiti.

IBS uye zvokurwara haana chokuita nemudumbu

Mukuwedzera, nenguva nechirwere iri chirwere muna mubvunzo anofanira kusiyaniswa nezvimwe zvirwere kwete chokuita dysfunction pamusoro nemudumbu. Idzi dzinosanganisira:

1. Chirwere zvirwere anogumbura uye rwarisa hunhu. Somuenzaniso, Crohn, chirwere giardiasis, maronda colitis, kenza, ischemic colitis, pfungwa nomuviri zvemwana asati uye chisingaperi hunhu.

2. pathologies chokuita chakaipa nokushanda kwenhengo dzomuviri kwemakemikari anobudiswa hurongwa. Zvirwere zviri kwemakemikari anobudiswa mumasero kukonzera chirwere cheshuga kusiyanisa zvakaoma kwazvo, dzimwe nzira iyo zvakafanana kwokunze zviri sezvo IBS.

3. Chirwere zvirwere zvinokonzerwa kuramba uchinzwa zvokunze Mishonga zvinhu: dzose kushandiswa mafuta zvokudya, doro, uye kofi, carbonated zvinwiwa, rakapinza kuchinja vanongogara kudya.

4. Igaroziva pharmacological nevamiririri. IBS zviratidzo kakawanda akafanana kurutivi anokonzerwa kunobva chisingaperi kwokubatsira tupukanana, laxatives, chicherwa zvokuwedzera rine potassium, simbi, calcium, uye zvimwe zvinhu.

mabatiro

Pane zvakawanda munzvimbo dzakasiyana yokurapa inoshandiswa kubvisa kutsamwa bowel syndrome. Mabatirwo chevarwere mishonga, zvokudya zvinovaka muviri, zvinodhaka kurapa - chaiyo kwadzinoita zvinoitwa akatsunga nomumwe, kufungisisa pathogenesis kuti zvirwere.

Pasinei Nzira yaishandiswa, kurapwa zvinofanira zvainanga kuwana zvinotevera zvinangwa:

• normalize zvokudya anogamuchira muoti;
• nokudzosa zvachose anoumba zvigare, inova nzvimbo kuti muura kwevanhu;
• normalize chirongwa kugaya uye Absorção de Água kuti chicherwa zvinhu kuburikidza bowel rusvingo;
• kudzikamisa psycho-kunetsa munhu;
• nechokwadi yakakwana yaunodya mavhitamini uye zvicherwa zvinodiwa pachitunha;
• kuti normalize kuti bowel kufamba kwacho.

Impact pasina zvinodhaka

Funga chaiwo dzokurapa kuti kubvumira kubvisa kutsamwa bowel syndrome. Diet muchiitiko ichi rinomirira kumwe vaifarira nzira.

Kana diagnosing IBS vanofanira kusiya kushandiswa Sausages siyana, doro, chocolate, kofi uye zvinogadzirwa kuti kunokonzera yakawanda magasi. Nyasha nokuda ura iyi kukanganisa michero, miriwo nezvinogadzirwa nomukaka. Zvinonzi Dzakamukurudzirawo kudya nyama uye hove, yakabikwa miviri bhaira.

Dzinenge kurumbidza nokuti ukaparadza zvokudya zvinosiyana zvichienderana mhando IBS: manyoka kana kupatira.

Apo zvituru zvakakodzera kutsivira zvokudya mondo, bota akasiyana-siyana ezviyo, Pasta, mbatatisi. Zvachose contraindicated miriwo, zvinosanganisira zvinonyadzisa chirimwa fibers, michero, pizi nenyimo, inopisa inonhuhwira, matsva pastries, mukaka mbishi, waini, kvass, doro uye carbonated zvinwiwa.

Panguva nematambudziko nokuisa Zvinokurudzirwa kuti upise Buckwheat, apricots yakaomeswa, vanorichekerera, zvakabikwa maapuro. Zviri nani kuti kutsiva shuga iri chero analogues. Zvakanaka zvinobatsira matope, bran, mafuta muriwo.

Sezvingatarisirwa, hazvina varumbidzwa kudya zvokudya zvinoshandiswa kurwisa manyoka.

Kuwedzera chikafu, kuti normalize ari muura kunobatsira mwero yokurovedza muviri, achifamba uye zvimwe kurovedza muviri.

Pharmaceuticals

In Muzviitiko zvakaipisisa, kana apo kutyora rinova kumhanya hunhu kutsungirira zviratidzo IBS anogona chete kushandisa avo kana zvimwe zvinodhaka. Muchiitiko chino, kurapwa rakakamurwa maitikiro akawanda.

1. Maitiro kubvisa kurwadziwa dumbu. Nokuti chinangwa ichi-siyana antispasmodic zvinodhaka ( "No-Spa," "Meverin" uye nezvakadaro.).

2. pakurwisa manyoka. Zvakanaka kubatsira mushonga une loperamide ( "Imodium", "Lopedium" uye nezvakadaro.). It saasipo, kuratidzwa nzenza chetsoka nokuda kwechirwere yezviri fuma iri intestinal peristalsis. Izvi zvinoita kuti vawedzere ndima zvokudya kuburikidza paura, kunonatsiridza Absorção de Água kuti zvinwiwa uye electrolytes. Uyewo, kuwedzera basa iri sphincter, izvo zvinobatsira kuchengeta ura pachituru. The dose mishonga ine loperamide, vakasarudzwa nomumwe chiremba wako.

3. kubviswa kupatira. Muchiitiko chino, zvinokurudzirwa kuti vasarudze mishonga kuti vari chirimwa mavambo. Zvakanaka kubatsira gadziriro ane chimiro mbeu psyllium ose. Pane vanhu vakawanda kuti matare.

4. oga akaita pakurapa zvirwere Varwere vanotambura IBS anokonzerwa mafungiro vachivavhiringidza. Treatment rinoitwa chete pasi pokudzora nyanzvi, Anti-kuora mwoyo kana FIs kuti siyana dzinoshandiswa.

mhedziso

Above zviratidzo muchiridzira tsamwa bowel chirwere kunge kurondedzerwa, kurapwa, zvokudya, rakarumbidzwa pamberi pake, uye dzimwe nzira ndichiva kubvisa chirwere.

Zvinofanira, tinofanira kucherechedzwa Zvisinei, kuti somumwe nyonganyonga IBS hazvo zvinoda kutsvaka mazano kune nyanzvi, ndiani rokuongorora uye taurira chaizvo kurapa. Chete iyi, kurwisana nechirwere vachabudirira uye haangazvidembi kukuvadza muviri.