IBS-D: Nā koho hōʻoia a me nā koho lapaʻau

Anter

• Nā ʻōuli
• Kānāwai
• Nā Kuki
• Nā mālama ola
• Nā Lapaʻau
• Lawe aku

ʻAʻole like ka Irritable bowel Syndrome (IBS) no nā mea āpau. ʻOiai ʻeha kekahi me ka constipation, hana kekahi i ka palahī.

E hoʻomau i ka heluhelu ʻana e aʻo e pili ana i ka maʻi huhū huhū me ka maʻi diarrhea (IBS-D), me kāna mau ʻōuli, ʻike, a me nā ʻano hana hoʻomalu.

Nā ʻōuli

Māhele ʻo IBS-D i nā ʻōuli he nui me nā ʻano ʻē aʻe o IBS (IBS-C a me IBS-M). ʻO kēia mau ʻōuli like pū kekahi me ke kinoea, ʻeha o ka ʻōpū, a me ka momona. ʻO nā ʻōuli mua i kū hoʻokahi i ka IBS-D he maʻi diarrhea, nā noho hakahaka, a me nā koi wikiwiki e loaʻa i nā ʻōpū o ke ʻōpū. Ma kahi o 1 o kēlā me kēia 3 poʻe me IBS-D i nalowale ka ʻōpū a me ka lepo. He hopena ikaika a maikaʻi ʻole kēia i ka nohona o kēlā me kēia lā.

Kānāwai

ʻOiai inā manaʻo ʻoe he IBS-D kou, he mea nui ʻaʻole e hōʻike pono iā ʻoe iho. E kūkākūkā me kahi loea e like me ka gastroenterologist. E hana paha lākou i kahi hoʻokolohua kino a loaʻa i kahi moʻolelo kikoʻī o kou olakino. E nīnau pū lākou e pili ana i nā moʻolelo ʻohana o nā maʻi e like me ka maʻi ʻaʻai kolone, maʻi Celiac, a i ʻole maʻi Crohn.

Hiki i nā kauka ke kauoha i ke kaukā a me nā hoʻowalewale hoʻokolohua Pono paha ʻoe i kahi kolona, ​​sigmoidoscopy maʻalahi, a me nā kukuna x. Kōkua kēia mau hoʻāʻo i nā maʻi ʻē aʻe. No kahi ʻike kūhelu IBS-D, pono ʻoe e loaʻa i ka maʻi pākī ʻo ia ka hōʻailona mua ma mua o 25 pākēneka o ka manawa. Pono pū ʻoe i ka constipation ma lalo o 25 pakeneka o ka manawa.

Nā Kuki

Loaʻa nā ʻano like like ʻole i nā ʻano IBS āpau, me IBS-D. ʻO ke koʻikoʻi ka mea e hoʻomaka pinepine ai, ʻoiai ʻaʻole nā ​​psychological i ke ʻano. ʻO kekahi mau meaʻai, e like me ka waiū, ka palaoa, a me ka waina ʻulaʻula, ʻoi aku paha ka hopena o ka hopena. Hiki paha i ka puhihihi a me ka ʻai ʻana i ka caffeine ke hoʻomaka i nā ʻōuli o IBS.

Nā mālama ola

Pono ka mālama ʻana i kekahi ʻano IBS i nā ʻano nohona olakino. Hoʻopili kēia i ka hōʻemi ʻana i ke koʻikoʻi, ka loaʻa ʻana o ka hoʻoikaika kino maʻamau, ka inu ʻana i ka wai lawa, a me ka hiamoe kūpono.

No ka poʻe me IBS-D, kōkua nui paha nā loli dietary. Eia kekahi mau ʻōlelo aʻoaʻoʻai:

• Hoʻopau i nā meaʻai hana kinoea. ʻO kekahi mau meaʻai i kiʻekiʻe i nā mea hana kinoea. Hoʻopili kēia mau meaʻai i nā pīni, nā mea inu carbonated, nā hua maka, a me nā mea kanu e like me kāpī a me broccoli. Hiki ke pale aku i kēia mau meaʻai i ka hōʻemi i ke kinoea ʻeha a me ka momona.
• Hoʻopau i ka gluten. ʻO Gluten kahi protein i loaʻa i ka palaoa, ka rai, a me ka bale. A i ka puke pai Gastroenterology ua ʻike he maikaʻi ka papaʻai gluten-ʻole i ka hōʻemi ʻana i nā hōʻailona IBS. Hoʻokumu ʻo Gluten i nā ʻōuli o ka "leaky gut" a i ʻole ka liʻiliʻi liʻiliʻi o ka ʻōpū. Ua hoʻonui ʻo Gluten i nā māka o ka pehu.
• E hoʻāʻo i kahi Diet Low-FODMAP. ʻO FODMAP kekahi ʻano o nā haʻihaʻi i loaʻa i kekahi mau meaʻai. ʻO ka FODMAP acronym e kū nei no Fermentable Oligo-Di-Monosaccharides a me Polyols. Loaʻa nā kumuwaiwai FODMAP:
  • Fructose (nā huaʻai, ka meli, syrup kōkō kiʻekiʻe-fructose)
  • Lactose (ka waiū a me nā huahana waiū)
  • Fructans (palaoa, ʻaka, kālika, a me inulin)
  • Galactans (legume e like me nā pī, soybeans, a me nā lihi)
  • Nā Pololika (nā hua pōhaku e like me nā avocados, nā cherry, a me nā peach; nā wai ʻākela e like me sorbitol a me xylitol)

ʻO ka hōʻemi ʻana i kāu lawe ʻana o FODMAP e hoʻomaha ai i nā hōʻailona IBS maʻamau. Hoʻopili kēia mau ʻōuli me ka ʻeha o ka ʻōpū a me ka cramping, gas, a me ka bloating. Eia nō naʻe, nui nā meaʻai i loaʻa nā FODMAP i kumu maikaʻi o ka fiber. Pono ʻoe e mālama no ka lawa ʻana o ka fiber mai nā meaʻai ʻē aʻe.

Nā Lapaʻau

Inā hōʻoluʻolu ka nohona a me nā loliʻai ʻole i kāu mau hōʻailona IBS, makemake paha ʻoe e hoʻohui i ka lāʻau i kāu lālani lapaʻau. Eia kekahi mau manaʻo:

• Nā lāʻau lapaʻau Antidiarrheal. ʻO nā lāʻau e kāohi ai i ka maʻi palahū me kahi lāʻau lapaʻau over-the-counter i kapa ʻia ʻo loperamide (Imodium). Hiki ke kōkua i nā lāʻau i kuhikuhi ʻia i ka papa i kapa ʻia he bile acid binders. Hoʻopili kēia i ka colestipol (Colestid), cholestyramine (Prevalite), a me ka colesevelam (Welchol). Eia nō naʻe, hiki ke hoʻohui i kēia mau lāʻau i ka ʻōpū i loaʻa i IBS.
• ʻO nā lāʻau Anticholinergenic a me antispasmodic. Hoʻoemi kēia mau lāʻau i ka spasms bowel a me ka ʻeha pili. ʻO nā laʻana me ka dicyclomine (Bentyl) a me ka hyosycamine (Levsin). Eia naʻe, hiki i kēia mau mea ke alakaʻi i ka paʻa paʻa a me ka paʻakikī i ka mimiki.
• ʻO nā stabilizers cell mast a me 5-aminosalicylic acid (5-ASA). Ma kahi o 25 pākēneka o nā hihia IBS-D i kū ma hope o ka hakakā me ka gastroenteritis. ʻO kēia mau lāʻau lapaʻau he agena anti-inflammatory paha i kūpono i ka mālama ʻana i kēia māhele o nā hihia IBS-D.
• ʻAmeletona (Lotronex). ʻO kēia wale nō ka lāʻau i ʻae ʻia no IBS-D. ʻAe wale ʻia no nā wahine. Hiki ke koʻikoʻi nā hopena ʻaoʻao mai kēia lāʻau, no laila loaʻa wale ia e ke kauka mai nā kauka i hoʻopaʻa inoa ʻia i kahi papahana kūikawā. E hoʻohana wale ʻia ia ma ke ʻano he hopena hope loa ma hope o ke kūleʻa ʻole ʻana o nā lāʻau ʻē aʻe.

Lawe aku

ʻOiai ʻo IBS-D hiki ke lilo i mea hoʻonāwaliwali a hilahila hoʻi, aia kekahi mau ala e hoʻokele ai. E kamaʻilio me kāu kauka a i ʻole gastroenterologist e pili ana i kāu mau ʻōuli e hōʻoia iā ʻoe e loaʻa i ka lāʻau e pono ai.