ʻO ka maʻi huhū huhū - ma hope o ka mālama ʻana

ʻO Irritable bowel Syndrome (IBS) kahi maʻi e alakaʻi i ka ʻeha o ka ʻōpū a me nā hoʻololi o ka ʻōpū. E kamaʻilio kāu mea mālama ola e pili ana i nā mea hiki iā ʻoe ke hana ma ka home e hoʻokele i kou ʻano.

ʻO ka maʻi huhū huhū (IBS) kahi ola āpau. Ke ʻehaʻeha nei paha ʻoe i ka cramping a me nā noho humuhumu, diarrhea, constipation, a i ʻole kekahi mau hui pū ʻana o kēia mau ʻōuli.

No kekahi poʻe, hoʻopilikia paha nā hōʻailona IBS i ka hana, ka huakaʻi, a me ka hele ʻana i nā hanana kaiāulu. Akā ʻo ka lawe ʻana i nā lāʻau a me ka hoʻololi ʻana i ka nohona hiki ke kōkua iā ʻoe e hoʻokele i kāu mau ʻōuli.

Hiki ke kōkua i nā loli i kāu papaʻai. Eia nō naʻe, ʻokoʻa ka IBS mai kēlā me kēia kanaka. No laila ʻaʻole holo pono nā hoʻololi like no nā mea āpau.

• E mālama i kāu mau hōʻailona a me nā meaʻai āu e ʻai nei. E kōkua kēia iā ʻoe e nānā i kahi ʻano o nā meaʻai e hōʻino ai i kāu mau ʻōuli.
• Pale i nā meaʻai ke kumu o nā ʻōuli. Hiki i kēia mau mea ke komo i nā meaʻai momona a palai paha, nā huahana waiū, caffeine, soda, ʻalekole, kokoleka, a me nā hua e like me ka palaoa, rai, a me ka bale.
• ʻAi i nā pāʻina liʻiliʻi he 4 a 5 paha i ka lā, ma mua o 3 nui aʻe.

E hoʻonui i ka fiber i kāu papaʻai e hōʻoluʻolu i nā ʻōuli o ka paʻa paʻa.Loaʻa ka puluniu i nā palaoa a me nā palaoa, nā pī, nā hua, a me nā mea kanu. Ma muli o ka fiber ke kumu no ke kinoea, ʻoi aku ka maikaʻi o ka hoʻohui mālie ʻana i kēia mau meaʻai i kāu papaʻai.

ʻAʻohe lāʻau e holo pono no nā mea āpau. Kau pololei ʻia kekahi mau lāʻau no IBS me ka maʻi diarrhea (IBS-D) a i ʻole IBS me ka paʻa paʻa (IBS-C). Hoʻāʻo paha kāu mau mea hoʻolako iā ʻoe e hoʻāʻo:

• Nā lāʻau Antispasmodic āu e lawe ai ma mua o ka ʻai ʻana e kaohi ai i nā spasms o nā kolona a me ka ʻōpū o ka ʻōpū
• ʻO nā lāʻau Antidiarrheal e like me loperamide, eluxadoline a me alosetron no IBS-D
• ʻO nā Laxatives, e like me ka lubiprostone, linaclotide, plecanatide, bisacodyl, a me nā mea ʻē aʻe i kūʻai ʻia me ka ʻole o ka palapala no IBS-C
• ʻO nā Antidepressants e kōkua i ka hōʻoluʻolu i ka ʻeha a i ʻole ka hōʻoluʻolu ʻole
• ʻO Rifaximin, kahi antibiotic i komo ʻole i loko o kou ʻōpū
• Nā Probiotics

He mea nui loa e hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi ke hoʻohana ʻana i nā lāʻau no IBS. ʻO ka lawe ʻana i nā lāʻau like ʻole a i ʻole lawe ʻana i nā lāʻau i ke ala i aʻoaʻo ʻia ai hiki ke alakaʻi i nā pilikia hou aʻe.

ʻO ke koʻikoʻi ke kumu o kou ʻōpū e ʻoi aku ka maʻalahi a me ka ʻaelike hou aku. Hiki i nā mea he nui ke hoʻonāukiuki, e like me:

• ʻAʻole hiki ke hana i nā hana no kou ʻeha
• Nā hoʻololi a pilikia paha ma ka hana a ma ka home paha
• ʻO kahi papahana hana
• Hoʻolilo i ka manawa wale nō
• Loaʻa i nā pilikia olakino ʻē aʻe

ʻO kahi hana mua i ka hōʻemi ʻana i kou koʻikoʻi ka ʻike ʻana i ka mea e kaumaha ai ʻoe.

• E nānā i nā mea i kou ola e hopohopo nui ai ʻoe.
• E mālama i kahi diary o nā ʻike a me nā manaʻo e pili ana i kou hopohopo a ʻike inā hiki iā ʻoe ke hoʻololi i kēia mau hanana.
• E kiʻi i nā poʻe ʻē aʻe.
• E ʻike i kahi mea āu e hilinaʻi ai (e like me kahi hoaaloha, ʻohana ʻohana, hoanoho, a i ʻole lālā lālā o ke kahunapule) e hoʻolohe iā ʻoe. ʻO ka pinepine, ke kamaʻilio wale ʻana me kekahi e kōkua i ka hōʻoluʻolu a me ke koʻikoʻi.

Kāhea i kāu mea hāʻawi inā:

• Hoʻokumu ʻoe i kahi kuni
• Loaʻa iā ʻoe ke kahe o ka gastrointestinal
• He ʻeha ʻehaʻeha kou ke hele ʻole aku
• Lilo ʻoe ma mua o 5 a 10 mau paona (2 a 4,5 kilokilo) ke hoʻāʻo ʻole ʻoe e lilo i ka paona

IBS; Mucus colitis; IBS-D; IBS-C

ʻO Ford AC, ʻo Talley NJ. Maʻi maʻi huhū huhū. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 122.

Mayer EA. Nā maʻi gastrointestinal e holo nei: maʻi hanu huhū, dyspepsia, ʻeha o ka umauma o ke kumu esophageal i manaʻo ʻia, a me ka ʻeha puʻuwai. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 137.

Waller DG, Sampson AP. Constipation, diarrhea a me ka maʻi hanu huhū. I: Waller DG, Sampson AP, eds. Lapaʻau ʻo Pharmacology a me Therapeutics. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 35.