Maʻi maʻi huhū huhū

ʻO Irritable bowel Syndrome (IBS) kahi maʻi e alakaʻi ai i ka ʻeha o ka ʻōpū a me nā ʻōpū.

ʻAʻole like ka IBS me ka maʻi ʻōpū o ka maʻi (IBD).

ʻAʻole maopopo nā kumu o ka hoʻomohala ʻana o IBS. Hiki iā ia ke hana ma hope o ka maʻi bacteria a i ʻole ka maʻi parasitic (giardiasis) o nā ʻōpū. Kāhea ʻia kēia ʻo IBS postinfectious. Aia paha kekahi mau mea hoʻonāukiuki, e like me ke koʻikoʻi.

Pili ka ʻōpū i ka lolo e hoʻohana ana i ka hōmona a me nā hōʻailona nerve e hoʻi a hoʻi i waena o ka ʻōpū a me ka lolo. Hoʻopili kēia mau hōʻailona i ka ʻōpū a me nā ʻōuli. Hiki i nā aʻalolo ke lilo i mea hana i ka wā o ke koʻikoʻi. Hiki i kēia ke hana i nā ʻōpū e lilo i mea maʻalahi a me ka ʻaelike hou aku.

Hiki i ka IBS ke hana i kēlā me kēia makahiki. ʻO ka manawa pinepine, hoʻomaka ia i ka makahiki ʻōpio a i ʻole ke oʻo makua. He pālua ia ma mua o ka wahine ma mua o nā kāne.

Hoʻomaka iki ʻia ka hoʻomaka ʻana i ka poʻe kahiko ma mua o 50 mau makahiki.

Ma kahi o 10% a 15% o ka poʻe maʻAmelika Hui Pū ʻIa i loaʻa nā ʻōuli o IBS. ʻO ia ka pilikia o ka ʻōpū maʻa mau e kuhikuhi ʻia ka poʻe i kahi loea bowel (gastroenterologist).

Hoʻololi nā ʻōuli IBS mai kekahi kanaka a i kekahi kanaka, a mai ke akahai a i ʻole koʻikoʻi. Loaʻa ka hapanui o nā kānaka i nā ʻōuli mālie. ʻLelo ʻia iā ʻoe he IBS ke loaʻa nā ʻōuli ma ka liʻiliʻi he 3 mau lā o ka mahina no kahi manawa o 3 mau mahina a ʻoi paha.

ʻO nā ʻōuli nui pū kekahi:

• Abdominal eha
• Gasekine
• Hoʻopiha
• Puʻupuʻu
• Hoʻololi i nā ʻano ʻōpū. Hiki i kekahi diarrhea (IBS-D), a i ʻole constipation (IBS-C).

E hoʻoliʻiliʻi pinepine ʻia ka ʻeha a me nā hōʻailona ʻē aʻe ma hope o ka neʻe ʻana o ka ʻōpū. Hiki ke lele i luna nā ʻōuli ke hoʻololi ʻia ke alapine o kāu ʻōpū.

Hiki i nā poʻe me IBS ke hoʻi i hope ma waena o ka paʻa ʻana o ka constipation a me ka diarrhea a i ʻole loaʻa paha i ka hapanui a i ʻole kekahi.

• Inā loaʻa iā ʻoe ka IBS me ka maʻi pākī, loaʻa pinepine i nā pahu wai, wai ʻole. Loaʻa paha iā ʻoe kahi makemake nui e loaʻa i kahi ʻōpū, kahi e paʻakikī e kaohi.
• Inā loaʻa iā ʻoe ka IBS me ka paʻa paʻa, e paʻakikī ʻoe i ka hele ʻana i ka pahu, a me nā neʻe ʻana o ka ʻōpū. Pono ʻoe e kānana me kahi ʻōpū o ka ʻōpū a loaʻa i ka cramp. ʻO ka manawa pinepine, he wahi liʻiliʻi wale nō a ʻaʻohe noho paha e hala.

Eʻoi aʻe paha ka maikaʻi o nā ʻōuli no kekahi mau pule a i hoʻokahi mahina paha, a laila e emi ai no kekahi manawa. I nā hihia ʻē aʻe, aia nā ʻōuli i ka hapanui o ka manawa.

Hiki iā ʻoe ke lilo i kou makemake inā he IBS kāu. Eia nō naʻe, ʻaʻole ke koko i nā pahu a me ka pohō kaumaha ʻole i ʻāpana o IBS.

ʻAʻohe hōʻike e hōʻoia iā IBS. ʻO ka hapanui o ka manawa, hiki i kāu mea mālama ola ke ʻike pono i ka IBS e pili ana i kāu mau ʻōuli. ʻO ka ʻai ʻana i ka papaʻai lactose-ʻole no 2 mau pule e kōkua i ka mea hoʻolako e ʻike i ka hemahema o ka lactase (a i ʻole ka hoʻomanawanui ʻole o ka lactose).

E hana ʻia paha nā hoʻokolohua aʻe e kāpae ai i nā pilikia ʻē aʻe:

• Nā ho'āʻo koko e ʻike inā loaʻa ʻoe i ka maʻi celiac a i ʻole helu helu haʻahaʻa (anemia)
• ʻO ka hoʻāʻo Stool no ke koko kilokilo
• Nā moʻomeheu Stool e nānā i kahi maʻi
• ʻO ka hoʻokolohua microscopic o kahi laulau no ka parasite
• ʻO ka hoʻāʻo Stool no kahi mea i kapa ʻia fecal calprotectin

Koi paha kāu mea hāʻawi i kahi kolone. I loko o kēia hoʻāʻo, hoʻokomo ʻia kahi paipu maʻalahi ma o ka anus e nānā i ke kolona. Pono ʻoe i kēia hōʻoia inā:

• Ua hoʻomaka nā ʻōuli ma hope i ke ola (ma luna o 50 mau makahiki)
• Loaʻa iā ʻoe nā ʻōuli e like me ka pohō kaumaha a i ʻole nā ​​noho koko
• Loaʻa iā ʻoe nā hoʻokolohua koko ʻole (e like me ka helu o ke koko haʻahaʻa)

ʻO nā maʻi ʻē aʻe i hiki ke kumu i nā ʻōuli like e like me:

• Maʻi Celiac
• ʻO ke kanulau maʻi kolona (ʻaʻa ʻole ke kanesa i nā hōʻailona IBS maʻamau, ke ʻole nā ​​ʻōuli e like me ka pohō kaumaha, ke koko i loko o nā noho, a i ʻole nā ​​hōʻike koko kūpono ʻole i loaʻa)
• ʻO ka maʻi Crohn a i ʻole colitis ulcerative

ʻO ka pahuhopu o ka mālama ʻana e hōʻoluʻolu i nā ʻōuli.

I kekahi mau hihia o IBS, hiki i nā loli nohona ke kōkua. ʻO kahi laʻana, ʻo ka hoʻoikaika mau a me ka hoʻomaikaʻi ʻana i nā ʻano hiamoe e hōʻemi ai i ka hopohopo a kōkua i ka hōʻoluʻolu i nā ʻōpū o ka ʻōpū.

Hiki ke kōkua i nā loliʻai. Eia nō naʻe, ʻaʻole hiki ke koi ʻia kahi papaʻai kikoʻī no IBS no ka mea ʻokoʻa ke ʻano mai kekahi kanaka i kekahi.

Hiki ke kōkua i nā hoʻololi aʻe:

• Ke pale nei i nā meaʻai a me nā mea inu e hoʻonāukiuki i nā ʻōpū (e like me ka caffeine, tī, a i ʻole colas)
• Ke ʻai nei i nā pāʻina liʻiliʻi
• Hoʻonui i ka fiber i ka papaʻai (hiki i kēia ke hoʻomaikaʻi i ka paʻa paʻa a i ʻole ka diarrhea, akā e ʻoi aku ka maikaʻi o ka ʻōpū)

E kamaʻilio me kāu mea hāʻawi ma mua o ka lawe ʻana i nā lāʻau i kūʻai nui ʻia.

ʻAʻohe mea lapaʻau e hana no nā mea āpau. E ʻōlelo paha kekahi o kāu mea hāʻawi:

• ʻO nā lāʻau Anticholinergic (dicyclomine, propantheline, belladonna, a me hyoscyamine) i lawe ʻia ma kahi o ka hapalua hola ma mua o ka ʻai ʻana e kaohi ai i nā spasms muscle
• Loperamide e mālama iā IBS-D
• Alosetron (Lotronex) no IBS-D
• Eluxadoline (Viberzi) no IBS-D
• Nā Probiotics
• ʻO nā lāʻau liʻiliʻi o nā tricyclic antidepressants e kōkua ai e hōʻoluʻolu i ka ʻeha o ka ʻōpū
• Lubiprostone (amitiza) no IBS-C
• Mālama ʻo Bisacodyl iā IBS-C
• ʻO Rifaximin, kahi lāʻau antibiotic
• Linaclotide (Linzess) no IBS-C

Hiki ke kōkua i ka lāʻau Psychological a i ʻole nā ​​lāʻau no ka hopohopo a me ke kaumaha i ka pilikia.

ʻO IBS paha kahi ola lōʻihi. No kekahi poʻe, hoʻopau ʻole nā ​​ʻōuli a hoʻopilikia i ka hana, ka huakaʻi, a me nā hana kaiaulu.

ʻOi aku ka maikaʻi o nā ʻōuli me ka lāʻau.

ʻAʻole hiki i ka IBS ke hōʻeha mau i nā ʻōpū. Eia kekahi, ʻaʻole ia e alakaʻi i kahi maʻi koʻikoʻi, e like me ka maʻi ʻaʻai.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o IBS a i ʻole ʻike ʻoe i nā loli i kāu ʻōpū e hele ʻole.

IBS; ʻŌpū huhū; Kolonā spastic; Kolona huhū; Mucous colitis; Spastic colitis; Paʻi ʻōpū - IBS; Pohā - IBS; Constipation - IBS; IBS-C; IBS-D

• Constipation - he aha e nīnau aku ai i kāu kauka

• ʻŌnaehana Digestive

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