IBS-D: Kev kuaj mob thiab kho mob xaiv

Zoo Siab

• Cov tsos mob
• Kev kuaj mob
• Ua rau sawv
• Txoj kev kho mob ntawm kev ua neej
• Cov Tshuaj Kho Mob
• Nqa Nyiaj

Chim siab plob tsis so tswj (IBS) tsis zoo ib yam rau txhua tus. Qee tus kuj raug cem quav, lwm tus muaj mob raws plab.

Khaum nyeem kom paub txog kev mob plab hnyuv nrog lub plab zom mov (IBS-D), suav nrog nws cov tsos mob, kuaj mob, thiab cov hau kev kho.

Cov tsos mob

IBS-D faib ntau cov tsos mob nrog rau lwm hom IBS (IBS-C thiab IBS-M). Cov tsos mob no suav nrog roj, mob plab, thiab tsam plab. Cov tsos mob tseem ceeb rau IBS-D yog zawv plab, tso quav tawm, thiab yaum kom ceev kom tso quav. Li ntawm 1 tug ntawm 3 txhua tus neeg uas mob IBS-D muaj plob tsis so tswj lossis tso quav. Qhov no muaj qhov ua tau zoo, tsis zoo rau kev nyob hauv lub neej.

Kev kuaj mob

Txawm hais tias koj xav tias koj muaj IBS-D, nws tseem ceeb uas yuav tsis kuaj koj tus kheej. Sab laj nrog tus kws tshaj lij xws li tus kws kho mob plab zom mov. Tej zaum lawv yuav kuaj lub cev thiab tau txais kev paub zoo txog koj kev noj qab haus huv. Lawv tseem yuav nug txog tsev neeg li keeb kwm kab mob xws li mob hnyuv, mob Celiac, lossis Crohn's mob.

Cov kws kho mob tuaj yeem xaj kuaj ntshav thiab kuaj quav. Koj kuj tseem xav tau txoj hnyuv laus, sigmoidoscopy, thiab duab xoo hluav taws xob. Cov kev kuaj no pab txiav txim txog lwm yam kabmob. Rau kev kuaj mob IBS-D raug mob, koj yuav tsum muaj mob raws plab yog thawj qhov kev mob tshwm sim ntau tshaj 25 feem pua ​​ntawm lub sijhawm. Koj yuav tsum tau cem quav tsawg dua 25 feem pua ​​ntawm lub sijhawm.

Ua rau sawv

Txhua hom ntawm IBS, suav nrog IBS-D, muaj qhov zoo sib xws. Kev ntxhov siab yog hom tshwm sim, txawm hais tias cov tsos mob tsis yog siab ntsws. Qee yam zaub mov, xws li mis, nplej thiab cawv txiv hmab liab, muaj feem yuav ua rau muaj kev tsis haum. Kev haus luam yeeb thiab haus dej cawv muaj peev xwm tseem ua rau muaj tsos mob IBS.

Txoj kev kho mob ntawm kev ua neej

Tswj hwm txhua yam ntawm IBS yuav tsum muaj kev coj ua noj qab haus huv zoo. Qhov no suav nrog txo kev ntxhov siab, ua kom ib ce muaj zog tas li, haus dej kom txaus, thiab pw kom txaus.

Rau cov neeg uas muaj IBS-D, kev hloov kev noj haus tej zaum yuav pab tau tshwj xeeb. Nov yog qee qhov lus qhia noj zaub mov:

• Tshem tawm cov khoom noj muaj roj. Qee cov khoom noj muaj roj ntau hauv cov roj sib tov. Cov zaub mov no suav nrog taum pauv, haus dej hauv cov pa, txiv hmab txiv ntoo nyoo, thiab zaub zoo li zaub qhwv thiab zaub cob pob. Tsis txhob noj cov zaub mov no tuaj yeem pab txo qis roj thiab tsam plab.
• Tshem tawm cov gluten. Gluten yog cov protein nyob hauv cov nplej, txhuv, thiab pob kws. A Hauv phau ntawv ceev xwm txheej Lub plab zom mov pom tias gluten-noj tsis tau zoo muaj txiaj ntsig ntawm kev txo IBS cov tsos mob. Gluten ua rau cov tsos mob ntawm "plab hnyuv plab" lossis lub plab xoos me me. Gluten tseem nce thaj tsam ntawm cov o.
• Sim Qes-FODMAP Kev Noj Haus Huv. FODMAPs yog ib hom carbohydrate nyob hauv qee cov zaub mov. Lub FODMAP acronym sawv ntsug rau Fermentable Oligo-Di-Monosaccharides thiab Polyols. FODMAP cov ntaub ntawv suav nrog:
  • Fructose (txiv hmab txiv ntoo, zib ntab, siab-fructose pob kws phoov)
  • Lactose (mis nyuj thiab khoom noj siv mis)
  • Fructans (nplej, dos, qij, thiab inulin)
  • Galactans (legumes xws li noob taum, taum pauv, thiab lentils)
  • Polyols (pob zeb txiv hmab txiv ntoo xws li avocados, txiv ntoo qab zib, thiab txiv duaj; cov cawv suab thaj xws li sorbitol thiab xylitol)

Txo koj txoj kev tau txais ntawm FODMAPs tuaj yeem daws cov tsos mob IBS ntau. Cov tsos mob no suav nrog mob plab thiab cramping, roj, thiab tsam plab. Txawm li cas los xij, ntau ntawm cov zaub mov uas muaj FODMAP yog qhov zoo ntawm cov khoom siv fiber. Koj yuav tsum tau saib xyuas kom tau txais cov fiber ntau los ntawm lwm cov zaub mov.

Cov Tshuaj Kho Mob

Yog tias txoj kev pauv hloov hauv lub neej lossis kev noj zaub mov tsis daws koj lub IBS cov tsos mob, koj yuav xav ntxiv tshuaj rau koj txoj kev kho. Nov yog qee qhov lus pom:

• Antidiarrheal cov tshuaj. Cov tshuaj uas tswj kev mob plab zawv suav nrog cov tshuaj yuav tom khw uas hu ua loperamide (Imodium). Cov tshuaj muab tshuaj rau hauv chav kawm hu ua bile acid binders tseem tuaj yeem pab tau. Cov no suav nrog colestipol (Colestid), cholestyramine (Prevalite), thiab colesevelam (Welchol). Txawm li cas los xij, cov tshuaj no yuav ntxiv rau qhov kev tsam plab uas twb muaj nyob hauv IBS.
• Anticholinergenic thiab antispasmodic tshuaj. Cov tshuaj no txo ​​cov plab hnyuv thiab ua rau mob mob. Piv txwv muaj xws li dicyclomine (Bentyl) thiab hyosycamine (Levsin). Txawm li cas los xij, cov no tuaj yeem ua rau cem quav thiab nyuaj tso zis.
• Mast cell stabilizers thiab 5-aminosalicylic acid (5-ASA). Kwv yees li ntawm 25 feem pua ​​ntawm IBS-D cov neeg mob tshwm sim tom qab kev sib tw nrog lub plab zom mov. Cov tshuaj no yog cov sau los tiv thaiv cov kab mob uas yuav muaj txiaj ntsig zoo rau kev kho mob no ntawm IBS-D mob.
• Alosetron (Lotronex). Nov yog cov tshuaj nkaus xwb tam sim no tau tso cai rau IBS-D. Nws tsuas yog pom zoo rau cov poj niam. Cov kev mob tshwm sim los ntawm cov tshuaj no tuaj yeem mob hnyav, yog li nws tsuas yog muaj ntawv sau los ntawm cov kws kho mob tau sau npe rau hauv cov kev kawm tshwj xeeb. Nws yuav tsum tau siv tsuas yog thaum kawg mus tom qab lwm qhov kev kho tsis tau ua tiav.

Nqa Nyiaj

Txawm hais tias IBS-D tuaj yeem ua qhov cuam tshuam thiab txaj muag, muaj ntau txoj hauv kev los tswj nws. Tham nrog koj tus kws kho mob lossis kws kho mob plab txog koj cov tsos mob kom ntseeg tau tias koj tau txais kev kho mob uas koj xav tau.