Mob plab hnyuv

Mob plab hnyuv (IBS) yog qhov tsis zoo uas ua rau mob plab thiab hloov plab.

IBS tsis zoo ib yam li kev mob plab hnyuv (IBD).

Cov laj thawj uas IBS tsim kho tsis paub meej. Nws tuaj yeem tshwm sim tom qab kis kab mob los yog kis tus kab mob (giardiasis) ntawm txoj hnyuv. Qhov no hu ua kev nthuav dav IBS. Kuj tseem yuav muaj lwm yam kev kub ntxhov, nrog rau kev ntxhov siab.

Txoj hnyuv txuas nrog rau lub hlwb siv cov tshuaj hormone thiab cov leeg ntshav uas rov qab mus thiab nruab nrab ntawm cov hnyuv thiab lub hlwb. Cov phiajcim no ua rau mob plab hnyuv thiab cov tsos mob. Cov leeg hauv plab tuaj yeem nquag dhau thaum ua kev ntxhov siab. Qhov no tuaj yeem ua rau cov hnyuv ntau rhiab thiab tau cog lus ntau dua.

IBS tuaj yeem tshwm sim thaum muaj hnub nyoog li cas. Feem ntau, nws pib nyob rau hauv tus tub hluas xyoo los yog thaum tiav hluas. Nws yog ob zaug ntawm tus poj niam ib yam li hauv tus txiv neej.

Nws yog tsawg dua yuav pib rau cov neeg laus dua 50 xyoo.

Li ntawm 10% rau 15% ntawm cov neeg hauv Tebchaws Meskas muaj cov tsos mob ntawm IBS. Nws yog cov teeb meem hnyuv feem ntau uas ua rau tib neeg raug xa mus rau tus kws kho plab hnyuv (kws kho mob plab zom mov).

Cov tsos mob IBS sib txawv ntawm ib tug neeg mus rau lwm tus, thiab ntau yam sib txawv los ntawm qhov hnyav. Cov neeg feem ntau muaj mob me me. Koj tau hais kom muaj IBS thaum cov tsos mob tshwm sim tsawg kawg 3 hnub hauv ib hlis rau 3 lub hlis lossis ntau dua.

Cov tsos mob tseem ceeb muaj xws li:

• Mob plab
• Roj
• Yuav Tas
• Los ntshav
• Hloov quav ua haujlwm. Yuav muaj mob raws plab (IBS-D), lossis cem quav (IBS-C).

Mob thiab lwm yam tsos mob yuav feem ntau txo los yog ploj mus tom qab tso quav. Cov tsos mob yuav kub dhau thaum muaj qhov hloov pauv ntawm qhov zaus ntawm koj txoj hnyuv.

Cov neeg uas muaj IBS yuav rov qab mus los ntawm sib cem quav thiab zawv plab los yog muaj lossis feem ntau muaj ib lossis lwm yam.

• Yog tias koj muaj IBS nrog mob raws plab, koj yuav muaj kev tso quav ntau, xoob, tso quav dej. Tej zaum koj yuav tsum muaj qhov ua haujlwm nrawm kom sai, uas yuav nyuaj rau koj tswj hwm.
• Yog tias koj muaj IBS nrog cem quav, koj yuav nyuaj rau tso quav, nrog rau kev tso quav me ntsis. Tej zaum koj yuav tsum muaj txoj hlab ua tej plab thiab pob ntseg. Feem ntau, tsuas yog tsawg me me lossis tsis tso quav txhua qhov yuav dhau.

Cov tsos mob yuav mob heev ntxiv rau ob peb lub lis piam lossis ib hlis, thiab tom qab ntawd nws txo qis ib pliag. Hauv lwm qhov xwm txheej, cov tsos mob tshwm sim feem ntau.

Koj kuj tseem tuaj yeem tsis qab los yog tias koj muaj IBS. Txawm li cas los xij, cov ntshav hauv cov quav thiab qhov ua kom yuag poob yog qhov tsis yog IBS.

Nws tsis muaj qhov sim rau kev kuaj mob ntawm IBS. Feem ntau, koj tus kws kho mob tuaj yeem kuaj mob IBS raws li koj cov tsos mob. Kev noj zaub mov pub mis tsis muaj lactose rau 2 lub lim tiam tej zaum yuav pab tus kws kho mob txheeb xyuas qhov tsis muaj lactase (lossis lactose tsis haum).

Cov kev ntsuam xyuas hauv qab no tuaj yeem ua kom tswj tau lwm cov teeb meem:

• Kev kuaj ntshav seb koj puas muaj kab mob celiac lossis ntshav tsis tshua muaj ntshav (kuaj ntshav liab)
• Kuaj cov quav rau cov ntshav khov
• Tso quav mus kuaj xyuas seb puas kis tau
• Kev kuaj me me ntawm cov quav ua qauv rau cov cab
• Kev soj ntsuam quav rau cov tshuaj hu ua fecal calprotectin

Koj tus kws kho mob yuav pom zoo kom xoos hnyuv laus. Thaum lub sijhawm kuaj no, ib lub raj uas siv tau yooj yim yog tso los ntawm lub qhov quav los kuaj cov nyuv. Koj tuaj yeem xav tau qhov kev ntsuas no yog tias:

• Cov tsos mob pib tshwm sim tom qab lub neej (dhau 50 xyoo)
• Koj muaj cov tsos mob xws li ua rog poob lossis tso ntshav tawm ntawm cov ntshav
• Koj muaj kev kuaj ntshav txawv (xws li tsis suav cov ntshav)

Lwm qhov kev ntshawv siab uas tuaj yeem ua rau cov tsos mob zoo sib xws:

• Celiac mob
• Khees Xaws (mob qog ntshav yuav tsis tshua mob IBS, tshwj tsis yog cov tsos mob xws li poob phaus, ntshav hauv cov quav, lossis kuaj ntshav tsis txaus)
• Crohn kab mob los yog mob ua paug plab

Lub hom phiaj ntawm txoj kev kho mob yog los daws cov tsos mob.

Muaj qee kis ntawm IBS, kev hloov pauv ntawm kev ua neej yuav pab tau. Piv txwv li, kev tawm dag zog thiab kev tawm dag zog zoo yuav txo qis kev ntxhov siab thiab pab daws cov tsos mob hauv plab.

Kev noj haus hloov pauv tuaj yeem pab tau. Txawm li cas los xij, tsis muaj kev qhia noj zaub mov tshwj xeeb tuaj yeem pom zoo rau IBS vim tias kev mob no txawv ntawm ib tug neeg mus rau lwm tus.

Cov kev pauv hauv qab no tej zaum yuav pab tau:

• Tsis txhob noj zaub mov thiab dej qab zib uas ua rau txoj hnyuv (xws li caffeine, tshuaj yej, lossis dej qab zib)
• Noj zaub mov me me
• Ua kom muaj fiber ntau hauv cov zaub mov (qhov no yuav ua rau cem quav lossis raws plab, tab sis ua kom tsam plab mob heev dua)

Tham nrog koj tus kws kho mob ua ntej noj cov tshuaj yuav tom khw.

Tsis muaj ib qho tshuaj ua haujlwm rau txhua tus. Qee yam uas koj tus kws khomob yuav suav nrog:

• Cov tshuaj Anticholinergic (dicyclomine, propantheline, belladonna, thiab hyoscyamine) tau noj sijhawm txog ib nrab teev ua ntej noj mov los tswj cov leeg nqaij hauv plab.
• Loperamide kho IBS-D
• Alosetron (Lotronex) rau IBS-D
• Eluxadoline (Viberzi) rau IBS-D
• Neeg lawb dab
• Kev txhaj tshuaj tsawg ntawm tricyclic cov tshuaj tiv thaiv kab mob kom pab txo qhov mob plab
• Lubiprostone (amitiza) rau IBS-C
• Bisacodyl kho IBS-C
• Rifaximin, tshuaj tua kab mob
• Linaclotide (Linzess) rau IBS-C

Kho mob hlwb lossis tshuaj rau qhov ntxhov siab lossis ntxhov siab tuaj yeem pab daws qhov teeb meem no.

IBS tuaj yeem yog lub neej ntev. Txog qee tus neeg, cov tsos mob ua tsis taus thiab cuam tshuam nrog kev ua haujlwm, mus ncig, thiab kev sib raug zoo.

Cov tsos mob feem ntau tau zoo dua nrog kev kho mob.

IBS tsis ua rau kev mob mus tas li rau txoj hnyuv. Tsis tas li, nws tsis ua rau muaj mob txaus ntshai, xws li mob qog noj ntshav.

Hu rau koj tus kws kho mob yog tias koj muaj cov tsos mob ntawm IBS lossis yog tias koj pom muaj qhov hloov pauv hauv koj txoj hnyuv uas tsis ploj.

IBS; Chim siab plob tsis so tswj; Mob plab hnyuv tws; Cov mob hnyuv; Cov mob raws caj dab; Mob rwj; Mob plab - IBS; Raws plab - IBS; Cem quav - IBS; IBS-C; IBS-D

• Cem quav - yam yuav nug koj tus kws kho mob

• Lub plab zom mov

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Canavan C, West J, Daim Npav T. Kev mob caj dab mob tsis txaus noj haus. Clin EpidemiolCov. Xyoo 2014; 6: 71-80. PMID: 24523597 www.ncbi.nlm.nih.gov/pubmed/24523597.

Ferri FF. Mob plab hnyuv. Hauv: Ferri FF, ed. Ferri Tus Kws Pab Tswv Yim Rau Xyoo 2019Cov. Philadelphia, PA: Elsevier; 2019: 798-801.

Ford AC, Talley NJ. Mob plab hnyuv. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 10 tus ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 122.

Mayer EA. Lub plab zom mov txawv txav: mob plab plob tsis so tswj syndrome, dyspepsia, mob hauv siab ntawm pres es txoj hlab pas, thiab kub siab. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: tshooj 137.

Wolfe HLI. Cov kev soj ntsuam kuaj pom tshwm sim ntawm kev mob plab zom mov. Hauv: Benjamin IJ, Griggs RC, Wing EJ, Fitz JG, eds. Andreoli thiab Carpenter's Cecil Cov Lus Tseem Ceeb ntawm Cov TshuajCov. 9le ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 33.