Ukuhlushwa Yisisu (Irritable Bowel Syndrome): Izimpawu, Izimbangela, Nokwelashwa

Ukuhlushwa yisisu (IBS) kuyisimo esivamile sokuphazamiseka kokugaya ukudla esithinta indlela okusebenza ngayo amabele akho, kubangele izimpawu ezinjengokuzwa ubuhlungu esiswini, ukukhukhula, nokushintsha kwemikhuba yakho yokuthi uya endlini yokuphumula. Nakuba kungase kuzwakale kukukhathaza lapho izimpawu ziqala, i-IBS ayilimazi amabele akho noma iholele ezinkingeni ezinkulu zempilo.

Awuwedwa uma ubhekene naleli simo. I-IBS ithonya abantu abafika ku-15% emhlabeni jikelele, okwenza kube yisimo esivamile sokuphazamiseka kokugaya ukudla. Izindaba ezinhle ukuthi ngendlela efanele, abantu abaningi bangalawula izimpawu zabo ngokuphumelelayo futhi baphile ngokunethezeka.

Iyini i-Irritable Bowel Syndrome?

I-IBS yisimo esisebenza, okusho ukuthi isistimu yakho yokugaya ukudla ibukeka inhle kodwa ayisebenzi ngendlela okufanele. Cabanga ngemoto ebukeka ilungile ngaphandle kodwa inenkinga yinjini. Amabele akho aphilile ngokwakhe, kodwa imisipha nezinzwa eziqondisa ukugaya ukudla azixhumani kahle.

Lokhu kungabi khona kokuxhumana kubangela amabele akho ukuba asebenze kakhulu noma angasebenzi ngokwanele. Uma esebenza kakhulu, ungase ube nodlame nokugabha. Uma engasebenzi ngokwanele, ukuvimbela kuyoba yinkinga enkulu.

Lesi simo sihlala njalo, okusho ukuthi sivela isikhathi esithile kunokuba kube yinkinga eyodwa. Kodwa-ke, ukuhlala njalo akusho ukuthi akukho themba. Abantu abaningi bafunda ukuphatha izimpawu zabo kangangokuthi i-IBS ayithinti impilo yabo yansuku zonke.

Ziyini izimpawu ze-Irritable Bowel Syndrome?

Izimpawu ze-IBS zingase zihluke kakhulu kumuntu nomuntu, kodwa ngokuvamile zigxile esiswini sakho futhi zivele ngezindlela ezithile noma zikhuphuke. Izimpawu eziyinhloko ongaziqaphela zihlanganisa ubuhlungu esiswini, ukushintsha kwemisipha, nokukhukhula.

Nawa izimpawu ezivamile abantu abazibonayo:

• Ubuhlungu noma ukubamba esiswini, ngokuvamile ngezansi kwesisu
• Ukukhukhula nokubukeka sengathi isisu sakho siqandwe
• Igesi nokuqhuma okukhulu kwesisu
• Ukubila, ukuvimbela, noma ukuhlangana kokubili
• Ukhuni olukhona emathunjini akho
• Ukuzizwa sengathi awukaqedi ukuchitha izisu zakho
• Isidingo esiphuthumayo sokuya esikhumulweni

Abantu abaningi baphawula ukuthi izimpawu zabo ziba zimbi kakhulu ngezikhathi ezinomsindo noma ngemuva kokudla ukudla okuthile. Ubuhlungu buvame ukuthuthuka ngemuva kokuba uhambe esikhumulweni, okuyisibonakaliso esiyinhloko esisiza odokotela ukuthi bazwe i-IBS.

Abanye abantu baba nezimpawu ezengeziwe ezingahlobene ngokuqondile nokugaya, njengokukhathala, ukuphazamiseka kokulala, noma ukuzizwa bexakekile ngezimpawu zabo. Lezi yizimpendulo eziqondakalayo zokubhekana nesimo esingalindelekile.

Imikhakha ye-Irritable Bowel Syndrome yini?

Odokotela ngokuvamile bahlukanisa i-IBS ngezinhlobo ezahlukene ngokuya ngezindlela zakho ezivamile zokuchitha izisu. Lokhu kuhlukaniswa kusiza umhlinzeki wakho wezempilo ukuba akhethe indlela yokwelapha ephumelelayo yesimo sakho esithile.

Izinhlobo eziyinhloko zihlanganisa:

• I-IBS enokuvimbela (IBS-C): Izisu zakho ngokuvamile ziqine, ziyizicucu, noma kunzima ukuzichisha
• I-IBS enobila (IBS-D): Izisu zakho ngokuvamile zibuthakathaka, zimanzi, noma zivame kakhulu
• I-IBS enezindlela ezihlangene zokuchitha izisu (IBS-M): Uhlangana phakathi kokuvimbela nokuchitha izisu
• I-IBS engachazwe (IBS-U): Izimpawu zakho azifani ngokucacile kwezinye izigaba

Uhlobo lwakho lwe-IBS lungashintsha ngokuhamba kwesikhathi, futhi lokho kuyinto evamile. Abanye abantu bathola ukuthi izimpawu zabo zishintsha ngokucindezeleka, ukushintsha kokudla, noma ngisho nezimo zesizini. Udokotela wakho angalungisa uhlelo lwakho lokwelapha njengoba izimpawu zakho zithuthuka.

Yini ebangela i-Irritable Bowel Syndrome?

Imbangela eqondile ye-IBS ayiqondakali ngokuphelele, kodwa abacwaningi baye baqaphela izinto eziningi ezisenzeka ndawonye ezingabangela le simo. Kunokuba kube nombangela munye, i-IBS ibonakala ivela ekuhlanganiseni kwezinto eziphathekayo nezemvelo.

Nazi izinto eziyinhloko ezingase zifake isandla ekuthuthukiseni i-IBS:

• Ukuphazamiseka kokusabela kwemisipha esibindini sakho okungamandla kakhulu noma obuthakathaka kakhulu
• Izinkinga zesimiso sezinzwa esilawula isisu sakho
• Ukuvuvukala esibindini sakho, ngisho nasemazingeni aphansi
• Ukushintsha kwabakthriya besisu (i-microbiome yakho)
• Ukungabekezeleli kokudla noma ukuzwela
• Ukushintsha kwamahomoni, ikakhulukazi kwabesifazane
• Izinto ezivela ezifuyweni ezidlulela emindenini
• I-gastroenteritis ebuhlungu noma ukudla okunokuvimbela okudlule

Ukuqina nokuphila kwengqondo kuphinde kudlale indima ebalulekile, yize kungcono ukubiza lezi zinto ngokuthi yizimbangela kunokuba yizimbangela eziyinhloko. Isisu sakho nobuchopho bakho buxhumene eduze ngalokho osayensi abakubiza ngokuthi “i-gut-brain axis,” ngakho-ke ukucindezeleka kwengqondo kungathinta ngokuqondile indlela isisu sakho esisebenza ngayo.

Kweminye imicimbi, i-IBS ivela ngemva kokugula okukhulu kwe-gastroenteritis (isisu esiqabukile) noma ukudla okunokuvimbela. Lokhu kubizwa nge-IBS ngemva kokutheleleka, futhi kwenzeka lapho ukutheleleka okuqala kuphazamisa ibhalansi evamile esibindini sakho.

Nini kufanele ubheke udokotela nge-Irritable Bowel Syndrome?

Kufanele ucabange ukuya kudokotela uma izimpawu zesisu zithinta impilo yakho yansuku zonke noma zikubangele ukukhathazeka. Nakuba izimpawu ze-IBS zingase zibe buhlungu, izimpawu ezithile ezixwayisayo zidinga ukunakekelwa ngokushesha kwezokwelapha ukuze kuvinjwe izimo ezingathi sína.

Hlela i-aphoyintimenti nodokotela wakho uma uhlushwa yilezi zinto:

• Ubuhlungu obuhlala njalo esiswini oluphazamisa imisebenzi yakho
• Ukushintsha okukhulu kwemikhuba yokuya esihlalweni okuphela amasonto amaningana
• Ukukhukhula noma igesi elingaphucuki ngokushintsha ukudla
• Izimpawu ezikuvusa ebusuku
• Ubunzima bokulawula izimpawu ngokwakho

Funani ukunakekelwa okusheshayo kwezokwelapha uma uqaphela noma yiziphi lezi zibonakaliso ezinobukhulu:

• Igazi emathunjini akho noma izitho ezimnyama, ezinamanyala
• Ukulahlekelwa isisindo okungahloseki
• Ubuhlungu obukhulu, obukhulu esiswini
• Ukugabha okuqhubekayo
• Ukuqanduka kanye nezimpawu zokugaya ukudla
• Izimpawu ezaqala ngemva kweminyaka engama-50

Lezi zimpawu zingabonisa izimo ezingaphandle kwe-IBS ezidinga izindlela zokwelapha ezihlukile. Ukubhekwa ngokushesha kungakusiza ukuthi uthole ukuxilongwa okulungile futhi uqale ukuzizwa kangcono ngokushesha.

Iyini imikhakha yokusongela i-Irritable Bowel Syndrome?

Izici ezithile zingakwenza kube lula ukuthuthukisa i-IBS, yize ukuba nemikhakha yokusongela akusho ukuthi uzoyithola ngokuqinisekile le simo. Ukuqonda lezi zici kungakusiza wena nodokotela wakho ukuthi nibone izici ezingaba yizimbangela futhi nithuthukise amasu okuvimbela.

Imikhakha yokusongela evamile kakhulu ihlanganisa:

• Ukuba owesifazane (abesifazane banethuba elingaphezulu kabili lokuba ne-IBS)
• Ukuba oneminyaka engaphansi kwengu-50 (izimpawu zivame ukuqala ebuntwaneni noma ekuqaleni kobudala)
• Ukuba namalungu omndeni ane-IBS
• Umlando wokukhathazeka, ukucindezeleka, noma ezinye izimo zempilo yengqondo
• Ukutheleleka okukhulu kwesisu noma ukudla okunokuvimbela
• Amazinga aphezulu okucindezeleka okuqhubekayo
• Ukuthatha ama-antibiotic njalo

Abesifazane bavame ukuqaphela izimpawu ze-IBS zabo zishintsha ngesikhathi somjikelezo wabo wokuya esikhathini, okubonisa ukuthi ukuguquguquka kwamahomoni kudlala indima. Izimpawu zingaba zimbi ngaphambi noma ngesikhathi sezikhathi ngenxa yokushintsha amazinga e-estrogen ne-progesterone.

Ukuba nomlando wokulimalala noma okuhlangenwe nakho okubi ebuntwaneni kubonakala futhi kukhuphula ingozi ye-IBS, mhlawumbe ngenxa yoxhumano oluqinile phakathi kokucindezeleka kwengqondo kanye nokusebenza kwesisu. Noma kunjalo, lokhu akusho ukuthi izimpawu zakho “ziphakathi kwekhanda lakho” – izimpawu zokwenyama ziyasebenza kakhulu.

Ziyini izinhlanganisela ezingaba khona ze-Irritable Bowel Syndrome?

Nakuba i-IBS ingayilimazi unaphakade amabele akho noma ihole ezifweni ezinzima njengomdlavuza, isaqinisekile ukuthi ithonya ikhwalithi yokuphila kwakho ngezindlela ezibalulekile. Ukuqonda izinhlanganisela ezingaba khona kukusiza ukuthi uthathe izinyathelo zokuzivimbela bese ufuna usizo uma kudingeka.

Izinhlanganisela ezivame kakhulu abantu ababhekana nazo zihlanganisa:

• Ukuntuleka kokudla okuvela ekugwemeni ukudla okuthile
• Ukuzihlukanisa komphakathi ngenxa yezimpawu ezingaqondakali
• Ukungabikho emsebenzini noma esikoleni phakathi kokukhanya kwezimpawu
• Ukuyaluza noma ukucindezeleka okuhlobene nokuphathwa kwezimpawu
• Ukuphazamiseka kokulala okuvela ezimpawu zobusuku
• Ukungqubuzana kobuhlobo okuvela ekulinganiselweni lokuphila

Abanye abantu bathuthukisa lokho okuthiwa “ukwesaba ukudla,” lapho baba nomkhawulo omkhulu ngokudla kwabo ukuze bagweme ukuphakamisa izimpawu. Nakuba ukushintsha kokudla kungaba usizo, ukulinganiselwa okukhulu kungadala izinkinga zokudla futhi kwenze ukudla komphakathi kube nzima.

Ukuqondakali okungaqondakali kwe-IBS kungadala ukukhathazeka ngokuba kude ne-bathroom noma ukuba nezimpawu emphakathini. Lokhu kukhathazeka empeleni kungenza izimpawu zibe zimbi kakhulu, kudale umjikelezo okubalulekile ukuwaphula ngokusekelwa okuhle kanye namasu okubhekana nazo.

I-Irritable Bowel Syndrome ingavikeleka kanjani?

Nakuba ungakwazi ukuvimbela ngokuphelele i-IBS, ikakhulukazi uma unamandla okugula avela ezintweni zakho, ungathatha izinyathelo zokunciphisa amathuba akho okukhula kwezimpawu noma ukwenza izimpawu ezikhona zibe zingekho kakhulu. Ukuvimbela kugxila ekugcineni impilo enhle yesisu nokuphatha ukucindezeleka ngokuphumelelayo.

Nazi izindlela ezingasiza ekuvimbeleni i-IBS noma ekuthambiseni ukukhanya kwezimpawu:

• Dla ukudla okulinganisekile, okunempilo njalo, ugweme ukwehlisa ukudla
• Hlala uthambile ngamanzi usuku lonke
• Faka ukudla okunokwehlisa ukudla okuningi kancane kancane ekudleni kwakho
• Zama amakhono okulawula ukucindezeleka njengokucamngca noma ukuphefumula okujulile
• Thola umsebenzi womzimba ojwayelekile, ngisho nokuphaphama okukhanyayo
• Khawulela ukudla okunamafutha amaningi, i-caffeine, noma izimonyo ezingokwenziwa
• Gwema ukubhema nokusebenzisa utshwala ngokweqile
• Thola ubuthongo obanele ngesikhathi esifanayo

Uma uke waba ne-gastroenteritis eqinile noma ukudla okudakayo, ukulandela imiyalo yokutakula yodokotela wakho ngokucophelela kungasiza ukuvimbela i-IBS ngemuva kokutheleleka. Lokhu kuhlanganisa ukuhlala uthambile, ukubuyela kancane kancane ekudleni okujwayelekile, nokusebenzisa ama-probiotics uma kunconywe.

Ukuklama amasu okuqondisa impilo enempilo ngokucindezeleka kubaluleke kakhulu ngoba ukucindezeleka ngokomzwelo kuyimbangela enkulu kubantu abaningi. Lokhu kungafaka umsebenzi womzimba ojwayelekile, ukukhuluma nabangane, ukuzivocavoca ingqondo, noma ukusebenza nomxhumanisi.

I-Irritable Bowel Syndrome ihlonishwa kanjani?

Ukuhlola i-IBS kuhilela ukususa ezinye izimo ezingabangela izimpawu ezifanayo, njengoba kungekho ukuhlolwa olulodwa oluqinisekisa i-IBS. Udokotela wakho uzosebenzisa iphethini yempawu yakho, umlando wezokwelapha, nezivivinyo eziyisisekelo ngezinye izikhathi ukwenza ukuxilongwa.

Inqubo yokuxilongwa ngokuvamile ihlanganisa:

• Ingxoxo eningiliziwe yempawu zakho kanye neziphetho zazo
• Ukuhlolwa komzimba, kuhlanganise nokucindezela isisu ngobumnene
• Ukuhlaziywa komlando wakho wezokwelapha nowomndeni
• Izivivinyo zegazi eziyisisekelo ukuhlola ukuvuvukala noma ezinye izinkinga
• Ukuhlaziywa kwesampula yesisu uma kudingeka

Udokotela wakho cishe uzosebenzisa izindinganiso ebizwa ngokuthi izindinganiso zeRome IV, ezidinga ubuhlungu besisu obuphindaphindayo okungenani usuku olulodwa ngesonto ezinyangeni ezintathu ezedlule, kanye nezinye izici ezimbili noma ngaphezulu: ubuhlungu obuhambisana nokuhamba kwesisu, ushintsho kwinkani yokudla, noma ushintsho kumodel weziswini.

Ezinye izikhathi, udokotela wakho angase akukhuthazele ukuthi wenze ezinye izivivinyo uma izimpawu zakho zikhombisa ezinye izimo. Lokhu kungafaka i-colonoscopy, i-CT scans, noma izivivinyo ze-celiac disease noma isifo se-inflammatory bowel disease. Noma kunjalo, abantu abaningi abanezimpawu ezivamile ze-IBS abadingi ukuhlolwa okuningi.

Inkqubo yokuxilonga ingathatha isikhathi, futhi kulungile. Udokotela wakho ufuna ukuqinisekisa ukuthi uyayiqonda indlela ethile yezimpawu zakho ukuze akwazi ukukhuthaza indlela yokwelapha ephumelelayo kuwe.

Iyini impilo ye-Irritable Bowel Syndrome?

Ukuphathwa kwe-IBS kugxile ekuphathweni kwezimpawu zakho nokuthuthukisweni kokuphila kwakho kunokwelapha isimo. Izindaba ezinhle ukuthi abantu abaningi bangathola impumuzo enkulu ngokuhlanganiswa okulungile kokushintsha indlela yokuphila, ukuguqulwa kokudla, futhi ngezinye izikhathi imithi.

Ukuphathwa kuvame ukuqala ngezindlela ezigcinwe kahle:

• Ukushintsha kokudla, njengokulandela ukudla okune-FODMAP ephansi
• Amathuluzi okuphatha ukucindezeleka kanye nokuzivocavoca kokupumula
• Ukuzivocavoca okuvamile okufanele amazinga akho okufaneleka
• Ukulala okwanele nesheduli yokulala eqondile
• Ama-probiotics ukusekela amabhaktheriya aphilile esibindini

Uma ukushintsha indlela yokuphila kunganelisi, udokotela wakho angase akukhuthazele imithi ngokuya ngezimpawu zakho eziyinhloko. Nge-IBS enokuxuba, izithasiselo zefayibha noma imithi yokwelapha eqinisekisa ukunyakaza kwesisu ingasiza. Nge-IBS enokweluka, imithi yokulwa nokweluka noma ama-bile acid sequestrants angaba usizo.

Abanye abantu bazuza emithini ehlose ukuxhumana kwesisu-ubuhloko, njengabanye abalwelaphi abancane. Lokhu kungasiza ngebuhlungu nokulinganisa umsebenzi wesisu, ngisho noma ungenayo ukucindezeleka.

Imithi emisha eqinisekisiwe ngokukhethekile ye-IBS ihlanganisa imithi ethonya ama-receptor e-serotonin esibindini noma ehlose izici ezithile zomsebenzi wesisu. Udokotela wakho angaxoxa uma lokhu kungafaneleka isimo sakho.

Ukulawula I-Irritable Bowel Syndrome Ekhaya?

Ukwelapha ekhaya kuvame ukuba yisisekelo sokwelapha i-IBS, futhi abantu abaningi bathola ukuthi bangalawula izimpawu zabo ngokuphumelelayo ngezindlela zokunakekela kwabo. Ikhona into ebalulekile yokuthola ukuthi yini esebenza ngendlela yakho ethile yezimpawu nendlela yokuphila.

Izindlela zokuphatha ukudla zihlanganisa:

• Ukugcina idayari yokudla ukuze ubone ukudla okuvusa izimpawu zakho
• Ukudla ukudla okuncane, okuvamile esikhundleni sokudla okukhulu
• Ukukhinya ukudla kahle nokudla ngokuthula
• Ukunciphisa ukudla okukhiqiza igesi njengebhinini, ikhabeji, neziphuzo ezinogesi
• Ukuzama ukudla okuqediwe ngaphansi kokunakekelwa kwesiphephelo sezokunakekelwa kwezempilo
• Ukugcina umzimba uthambile kodwa ugwema ukuphuza amanzi amaningi ngesikhathi sokudla

Amathuluzi okulawula ukucindezeleka abantu abaningi abawuthola awusizo ahlanganisa ukuzivocavoca kokuphefumula okujulile, ukuphumula kwemisipha okuqhubekayo, i-yoga, ukucamngca, noma ukubhala okuvamile. Ngisho nemizuzu engu-10-15 yomsebenzi wokunciphisa ukucindezeleka nsuku zonke ingenza umehluko obonakalayo.

Ukwenza uhlelo lwansuku zonke oluzinzile kungasiza futhi kulawule uhlelo lwakho lokugaya. Lokhu kuhlanganisa ukudla ngezikhathi ezifanayo, ukuya ekuphumuleni nokuphakama ngesikhathi esibekiwe, nokukhetha isikhathi sokuya esigodini ngaphandle kokuphithizelwa.

Ukwelapha ngobushushu, njengokubeka iphadi lokushisa esiswini sakho, kungakulethela induduzo ngesikhathi sezimo ezibuhlungu. Ukumomotheka okumnene kwesisu ngezinhlangothi kungasiza futhi ekukhuleni nasegesi.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela i-aphoyintimenti yakho kusiza uqinisekise ukuthi uthola okuningi ngesikhathi sakho nesiphephelo sezokunakekelwa kwezempilo futhi kusiza ukuthi siqonde isimo sakho ngokucacile. Ukulungiselela okuhle kungabangela ukuxilongwa okuchane kakhulu nezincomo zokwelapha ezingcono.

Ngaphambi kwe-aphoyintimenti yakho, buza le mininingwane:

• Iphephabhuku lemininingwane yezimpawu okungenani amasonto amabili, uqaphele isikhathi, izimbangela, kanye nobunzima bayo
• Uhlu lwawo wonke amayeza, izithasiselo, kanye nezinye izinto oziphishekelayo ozilayo
• Umbukiso womndeni wezimo zokugaya ukudla noma ezinye izinkinga zempilo ezifanele
• Imicimbi yakamuva ebangela ukucindezeleka noma ukushintsha ekuphileni kwakho
• Imibuzo ofuna ukuyibuza mayelana nokuxilongwa, izinketho zokwelashwa, noma ukushintsha kwendlela yokuphila

Phakathi nokubonisana, qiniseka ngemininingwane mayelana nezimpawu zakho. Esikhundleni sokuthi "nginamahloni esiswini," chaza ngokuqondile ukuthi uzizwa kuphi ubuhlungu, ukuthi kuzwakala kanjani, nini kwenzeka, nokuthi yini eyenza kube ngcono noma kubi.

Unganqabi ukuxoxa ngemininingwane ngokukhishwa kwesisu. Udokotela wakho udinga lolu lwazi ukuze akusize, futhi banethemba elikhulu lokuxoxa ngezimpawu zokugaya ukudla. Faka imininingwane mayelana nokuvamile, ubuthakathaka, umbala, nanoma yikuphi ukushintsha oqaphele.

Letha uhlu lokudla noma izimo ezibukeka sengathi ziqalisa izimpawu zakho, kanye nanoma yini enikeza impumuzo. Lolu lwazi lusiza udokotela wakho ukuqonda iphethini yakho ethile futhi ancome ukwelashwa okuqondiswe.

Iyini into ebalulekile mayelana ne-Irritable Bowel Syndrome?

I-IBS iyimo elinganekwa elithinta izigidi zabantu, futhi ungaphila impilo egcwele, esebenzayo ngenkathi ubhekene nayo. Nakuba izimpawu zingadumaza futhi zingabikeleki, abantu abaningi bathola impumuzo enkulu ngokusetshenziswa kwendlela yokudla, ukuphathwa kokucindezeleka, kanye ngezinye izikhathi amayeza.

Into ebaluleke kakhulu okumele uyikhumbule ukuthi i-IBS ayibangeli ukulimala okungapheli esiswini sakho noma ukwandisa ingozi yamagciwane amakhulu. Liyisifo esisebenza elinganekwa kahle ngendlela efanele nesekeli.

Ukusebenzisana eduze nodokotela wakho ukuze wenze uhlelo lokwelapha oluqondene nawe kuzokunika ithuba elihle kakhulu lokulawula izimpawu zakho. Bekezela nenqubo, njengoba kuvame ukuthatha isikhathi ukuthola izinto ezibangela izimpawu zakho bese uthola amasu aphambili okulawula.

Ungangabazi ukufuna ukwesekwa kwabanye abaqonda ukuthi uhamba ngani, kungaba ngamaqembu wokusekela, imiphakathi eku-inthanethi, noma ukwelulekwa. Ukulawula isimo esingapheli kulula uma ungazizwa wedwa kulolu hlelo.

Imibuzo evame ukubuzwa mayelana ne-Irritable Bowel Syndrome

Ingabe i-IBS ingaguquka ibe yinto ebucayi njengomdlavuza noma isifo sokuvuvukala kwamathumbu?

Cha, i-IBS ayikhuphuli ingozi yakho yokuthola umdlavuza wesisu, isifo sokuvuvukala kwamathumbu, noma ezinye izimo ezinkulu zesisu. I-IBS iwukuphazamiseka kokusebenza okungabangeli ukuvuvukala noma ukonakala kwezicubu zamathumbu akho. Noma kunjalo, kubalulekile ukubona udokotela wakho uma izimpawu zakho zishintsha kakhulu noma uma uthola izimpawu zexwayiso ezifana negazi emathunjini noma ukulahlekelwa isisindo okungahloseki.

Kuphephile yini ukuthatha ama-probiotics e-IBS, futhi nawo ayasiza ngempela?

Ama-probiotics avame ukuphepha kubantu abaningi futhi angasiza kwabanye abantu abane-IBS. Ucwaningo lubonisa ukuthi izinhlobo ezithile zebhaktheriya ezilusizo zingasiza ekunciphiseni ukukhukhumeka, igesi, nokuthuthukisa ukulawulwa kwesimpawu jikelele. Noma kunjalo, akuwona wonke ama-probiotics asebenza ngendlela efanayo, futhi lokho okusiza omunye umuntu kungase kungasizi omunye. Kungcono ukuxoxa ngezinhlobo ezithile zama-probiotics kanye nezinga lemithi nodokotela wakho.

Ingabe ukucindezeleka kudala i-IBS, noma nje kwenza izimpawu zibe zimbi?

Ngokuvamile ukucindezeleka akuyona into ebangela i-IBS ngokwayo, kodwa kuyinto ebangela ukwanda kwezinkinga kulabo abasenesimo. Ukuthinta komzimba nomqondo kunamandla kakhulu, ngakho-ke ukucindezeleka ngokomzwelo kuchaphazela ngokuqondile ukusebenza kokugaya. Ukuphatha ukucindezeleka ngezindlela zokuphumula, ukuzivocavoca, noma ukwelulekwa kungathuthukisa kakhulu izimpawu ze-IBS, kodwa ukulungisa ukucindezeleka kudwa ngokuvamile akwanele ukulawula ngokuphelele izimpawu.

Kuthatha isikhathi esingakanani ukubona ukuthuthuka ngokwelashwa kwe-IBS?

Isikhathi sokuthuthuka sihluka kakhulu kumuntu ngamunye futhi kuncike ezindleleni zokwelapha ozisebenzisayo. Ukushintsha kokudla kungabonisa imiphumela phakathi kwamasonto ambalwa, kuyilapho imithi ingathatha amasonto ambalwa kuya ezinyangeni ukuze isebenze ngokugcwele. Izindlela zokuphatha ukucindezeleka zivame ukunikeza impumuzo ethile ngokushesha kodwa zisebenza kangcono ngokuhamba kwesikhathi ngokuzivocavoca okuqhubekayo. Abantu abaningi baphawula ukuthuthuka okuqondakalayo phakathi nezinyanga ezingu-2-3 zokuqala uhlelo lokwelapha oluphelele.

Ingabe kukhona ukudla okubi ngokuphelele kwe-IBS, noma kuyahlukahluka kumuntu ngamunye?

Nakuba ukudla okubangela izinkinga kuhluka kakhulu phakathi kwabantu, ukudla okuthile kuvame ukubangela izinkinga kubantu abaningi abane-IBS. Lokhu kufaka phakathi ukudla okuphezulu kwe-FODMAP njengokuthi izithelo ezithile, imifino, imikhiqizo yobisi, kanye nezitholeli ezimbi. Noma kunjalo, ukubekezelela kuyahlukahluka kakhulu kumuntu ngamunye, ngakho-ke ukudla okuphazamisa umuntu oyedwa kungase kube kuhle ngokuphelele komunye. Kungakho kubaluleke kakhulu ukugcina idayari yokudla futhi mhlawumbe ukusebenza nodokotela wezondlo ukuze uthole izinto ezibangela izinkinga zakho.