Le Matenda opweteka a m'mimba (IBS) amatchulidwanso azitsegula. Ku France, mawu akuti " ntchito ya colopathy “. Ndi vuto la m'mimba lomwe limadziwika ndi kusapeza bwino kapena kumva kuwawa m'mimba.

Zonsezi kusokoneza zimayenderana ndi kusintha kwa liwiro la chakudya kudzera m'matumbo, omwe amatchedwanso matumbo akulu (onani chithunzi). Kuthamanga kwa magiya komwe kumathamanga kwambiri kapena, mosiyana, kocheperako kumayambitsa zizindikiro zosiyanasiyana. Choncho, pamene magawo a kukomoka ndi kumasuka kwa minofu ya m'mimba imakhala yothamanga kapena yamphamvu kuposa yachibadwa, m'matumbo mulibe nthawi yoti mutenge madzi omwe ali mu chakudya. Izi zimayambitsa kutsekula.

Kukokerako kukakhala pang'onopang'ono komanso kocheperako kuposa momwe zimakhalira, m'matumbo mwake mumamwa madzi ochulukirapo, zomwe zimapangitsa kupanikizika. kudzimbidwa. Kenako chimbudzicho chimakhala cholimba komanso chouma.

Nthawi zambiri, timasiyanitsa 3 magulu syndrome kutengera mtundu wa zizindikiro zazikulu.

• Syndrome ndi ululu ndi kutsekula m'mimba.
• Syndrome ndi ululu ndi kudzimbidwa.
• Syndrome ndi ululu, kutsegula m'mimba ndi kudzimbidwa.

Ndani akukhudzidwa?

Le azitsegula ndi matenda pafupipafupi: ndi chifukwa cha 30% mpaka 50% ya kukambirana ndi gastroenterologist.

Syndrome iyi ingakhudze 10% kuti 20% chiwerengero cha anthu a mayiko a Kumadzulo; zambiri ndi za akazi. Komabe, ziyenera kuzindikirika kuti uku ndikungoyerekeza chifukwa ndizovuta kupeza ziwerengero zodalirika. Kumbali ina, zikuwoneka kuti 15% yokha ya anthu omwe ali ndi matendawa amakawonana ndi dokotala za izi.²⁸. Kumbali inayi, pali magulu awiri ozindikira matenda (Manning ndi Rome III), omwe amakhudza chiwerengero cha anthu omwe amawaona kuti akudwala matenda opweteka a m'mimba.

Evolution

Vutoli limawonekera pang'onopang'ono Achinyamata ndi achikulire. Nthawi zambiri, irritable bowel syndrome ndi osatha. Komabe, omwe akukhudzidwa akhoza kukhala ndi nthawi chikhululukiro mochuluka kapena mocheperapo. Kusapeza kwawo kumatha kuwoneka tsiku lililonse kwa sabata limodzi kapena mwezi umodzi, kenako kutha, kapena ngakhale moyo wonse. Ochepa okha ndi odwala omwe ali ndi zizindikiro zovutitsa kwambiri.

Zovuta zotheka

Mosiyana ndi matenda aakulu a m'matumbo, monga ulcerative colitis ndi Crohn's disease, matenda opweteka a m'mimba samayambitsa kutupa, kusintha matumbo a m'mimba, kapena kuonjezera kuthamanga kwa magazi. chiopsezo chokhala ndi khansa ya colorectal. Ichi ndichifukwa chake irritable bowel syndrome imatengedwa ngati a kusokonezeka kwa magwiridwe antchito osati monga matenda.

Mbali inayi, ululu, kutsegula m'mimba ndi kudzimbidwa kumene kumayambitsa kumakhala kovutitsa kwambiri.

Le azitsegula Zingathenso kusokoneza kwambiri ntchito zaukatswiri ndi chikhalidwe cha anthu omwe akuvutika ndi izi, kusauka kwawo khalidwe la moyo ndipo zimayambitsa nkhawa ndi kupsinjika maganizo.

Potsirizira pake, zapezeka kuti matenda ena amayamba kugwirizana ndi matendawa, monga nthawi zowawa, matenda otopa kwambiri ndi fibromyalgia. Pakali pano, sitikudziwa chifukwa chake.

Nthawi yofunsira?

Ngati matendawo ndi atsopano, ovutitsa kwambiri kapena odetsa nkhawa, zingakhale zothandiza kukaonana ndi dokotala. Zoonadi, matenda ena angayambitse zizindikiro zofanana.

A kufunsira kwachipatala ndikofunikira ngati magazi mu chopondapo, kutentha thupi, kuwonda kwambiri kapena kutsekula m'mimba kosalamulirika, makamaka ngati kumachitikanso usiku.

Zimayambitsa

Zomwe zimayambitsa matendawa sizikudziwikabe ndipo ndi nkhani yomwe akufufuza kwambiri. Za iwo maganizo amaperekedwa: mwina odwalawo amavutika ndi kugunda kwa matumbo kwachilendo kapena kowawa, kapena amamva kusuntha kwamatumbo am'matumbo ndi rectum, nthawi zambiri osawoneka.

Pamene amayi amakhudzidwa kwambiri kuposa amuna ndipo kusamva bwino kwawo kumakulirakulira m'nthawi yawo, ofufuza ena amakhulupirira zimenezo kusintha kwa mahomoni sewera mbali.

Malinga ndi kafukufuku wina, mpaka 25% ya matenda opweteka a m'mimba amapezeka pambuyo pake matenda m'mimba^1,2. Lingaliro la kusalinganika kwa zomera za m'mimba likufufuzidwanso³.

Kuphatikiza apo, ofufuza ena amakhulupirira kuti kuchuluka kwa serotonin m'matumbo am'mimba kumatha kukhala chifukwa cha matendawa. Izi zikhoza kufotokoza chifukwa chake odwala ambiri omwe ali ndi vutoli amakhala ndi nkhawa komanso kuvutika maganizo. Muyenera kudziwa kuti serotonin imakhudza kwambiri mayendedwe ndi matumbo^4,5.

N'zothekanso kuti pali mgwirizano pakati pa matenda opweteka a m'mimba ndi nkhanza zogonana kapena zakuthupi zomwe zimachitika paubwana.

Poyamba anthu ankaganiza kuti kupsinjika maganizo n’kumene kunayambitsa vutoli, koma si choncho. Kumbali inayi, nthawi zambiri kumawonjezera zizindikiro (makamaka ululu).