M hanji ciwo: Bayyanar cututtuka, Jiyya

M hanji ciwo (IBS) - wani aikin abnormality, wanda shi ne na kullum a yanayi. Feature keta a cewa, da cututtuka su ne maimaita cikin yanayi da ya bayyana daga lokaci zuwa lokaci, dangane da waje dalilai.

Zafi da rashin jin daɗi a cikin ciki yanki, bukatar je bayan gida akai-akai, zawo da maƙarƙashiya - duk alamu sun nuna cewa haƙuri yana da m hanji ciwo. Jiyya da cutar ya kamata a yi m. In ba haka ba, wannan yanayin zai iya kai ga tsanani sakamakon for kwayoyin.

Overview

M hanji ciwo, cikin Sanadin wanda zai iya zama quite bambance bambancen, an gano cutar ne kawai idan ta muhimmi na asibiti hoto gani ga akalla 12 months.

Babban ãyõyin Pathology:

• wahala a emptying (da bukatar taso defecating a kasa da sau 3 da 7 kwanaki).
• ruwa da kuma m stool (haƙuri yana je bayan gida uku ko fiye da sau per day).
• irin ƙarfin lantarki sphincter tsokoki da kuma kogon ciki a lokacin ziyarar bayan gida;
• gaggawa, bukata da gaggawa fitarwa.
• jin da saurã daga tumbi a cikin ciwon.
• gaban gamsai a cikin stool.

Waɗannan su ne kawai ya fi na kowa kuka da marasa lafiya bincikar lafiya tare da m hanji ciwo. Bayyanar cututtuka na m bayyananna a lokacin da wani mutum abubuwan da danniya.

Kamar yadda aka ambata a sama, da cuta yana da wani nazarin halittu da aikin. A goyon bayan wannan sanarwa da wadannan facts rakiyar m hanji ciwo da maƙarƙashiya ko zawo:

• da daban-daban yanayi na marasa lafiya 'gunaguni.
• maimaita jiyya a wani likita ma'aikata.
• ba-m pathogenesis.
• adana jiki nauyi.

ƙarin bayanai

Gane asali m hanji ciwo ne da wuya saboda ta bayyanar cututtuka masu kama da wasu sauran cututtuka da cewa bayyana a cikin mutum gastrointestinal fili. Don rarrabe bayyana yanayin da ake bukata, don zaɓuɓɓuka don rabu da cutar, da yawa bincike hanyoyin amfani da:

• duban dan tayi (US) jarrabawa na gabobin da kuma na ciki tsarin.
• gastroduodenoscopy.
• Nazarin biopatov hanji tsarin.
• barium enema.

Har ila yau a dauki la'akari da sakamakon da dakin gwaje-gwaje nazarin halittu samfurori da tumbi da jini da fitsari gwaje-gwaje da kuma shawarwari samu bayan colonoscopy da sigmoidoscopy.

Duk wannan hadaddun damar da isa daidaito alamu da bi da m hanji ciwo. Yadda za mu bi da Pathology bayyana?

A zabi na physiological kuma likita hanyoyin dogara da cututtuka da cuta. An yadu amfani for iri daban-daban da abinci da kuma psychotherapeutic hanyoyin. Da bukatar pharmacological kayan aikin manufa aka ƙaddara akayi daban-daban dangane da waje manifestations da cutar. Yafi amfani:

• antispasmodic kwayoyi.
• antidiarrheals.
• laxative kwamfutar hannu.
• antidepressants.

daban na take hakki

M hanji ciwo a mata da maza kasu kashi biyu main iri.

1. Pathology, tare da maƙarƙashiya. Ta yana da wadannan siffofin:

• wahala a hanji motsi.
• tumbi dakatar daga dubura, yana da wani m daidaito;
• jinkirta sharan na sharar gida kayayyakin a cikin dubura.

2. take hakkin, a hade tare da zawo. An halin:

• sako-sako da stools.
• irin ƙarfin lantarki sphincter lokacin da ziyartar bayan gida;
• fitarwa na gamsai daga dubura.

Yaduwar cutar

Aka bayyana a cikin wannan abu m hanji ciwo a manya da yara ta auku a cikin kimanin 7-10% na yawan na duniya tamu. Amma ga kasashen na Old World, akwai wani Pathology faruwa a kowane biyar mazauni.

Bugu da kari, ya kamata a lura da cewa mafi kyau jima'i ne game da sau biyu, kamar yadda iya wannan Pathology.

A talakawan shekaru da marasa lafiya neman magani - 25-40 shekaru.

Dalilai influencing da ya faru na take hakki

A wasu lokuta, m hanji ciwo, wanda aka bayyana a sama bayyanar cututtuka bayyana more akai-akai. Wannan aka shafi wasu kayadadden da haƙiƙa dalilai da aka jera a kasa.

1. Kwayoyin predisposition. A hadarin kungiyar hada mutane wanda kusantar dangi ya rigaya an kamu da wannan Pathology. Bugu da kari, da ya faru na take hakki ne sau da yawa bincikar lafiya a tagwaye ci gaba daga rai guda ovum. Duk da wannan take kaiwa zuwa ƙarshe game da kwayoyin halitta da cutar.
2. M cuta. Mawuyacin mutumin, kullum bi da tashin hankali, cuta na barci, hysterical da hankulansu cuta iya fararwa m hanji ciwo. Bincike a cikin wannan yanki da shawara cewa, cutar sau da yawa tasowa a cikin mutane wanda a baya ya sha wahala daga jiki ko shafi tunanin mutum da tashin hankali, da cin mutuncin mata da kuma kama.
3. Take hakkin tsoka aiki na cikin dubura. Irin wannan yanayin, wadda take kaiwa zuwa bayyanar da aka bayyana bayyanar cututtuka faruwa bayan cin abinci a kan bango na jihar danniya saboda da danniya na myoelectric aiki na ciwon zaruruwa.
4. Visceral hyperalgesia. By wannan lokaci da ake nufi wani karu da zafi bakin kofa matakin ne a kasa da ake so kwayoyin ko amelioration na zafi ji. A matsayin sakamako - m hanji ciwo. Jiyya a cikin wannan yanayin ne da ɗan daban-daban, shi bukatar da kawar da Pathology sa dalilai.
5. Traumatic effects a kan gastrointestinal fili ko kayar da dama cututtuka. A sakamakon wadannan waje tsoma iya samun halin da ake ciki inda akwai rashin jin daɗi da kuma zafi a cikin ciwon. Su ne wata ãyã daga Pathology dauke sama. M hanji ciwo da kuma tabarbarewa na sphincter na Oddi kamu a game da 30% na mutanen da wanda a baya da wani hanji kamuwa da cuta.
6. Tasirin ji ba gani. Alamun cuta sau da yawa faruwa a mata a lokacin hailar sake zagayowar, lokacin da jiki ya canjãwa halitta hormonal auna saba.

bincikowa da

Kamar yadda aka ambata a sama, da cututtuka rakiyar m hanji ciwo, ya yi kama da yawa daga ciki da kuma kananan hanji cututtuka. Saboda babban wahala da ganewar asali - shi ne ya bambanta tsakanin wadannan jihohi biyu.

Lokacin da ganewar asali dole ne ya yi la'akari da dukan hadaddun na waje cututtuka da cewa yin up wani asibiti hoto na IBS: ciwon mara, mita da kuma daidaito na hanji ƙungiyoyi da kuma sauransu. Af, gaban irin wannan Pathology nuna wasu alamu na ga alama da alaqa da narkewa kamar tsarin:

• ciwon kai.
• a dunƙule a cikin makogwaro.
• rashi ko barci tashin hankali.
• rashin oxygen.
• m urination.
• abin mamaki na tinnitus.
• janar wani rauni na jiki;
• rashin ruwa a cikin baka rami.

Hanyoyin da kafa alamun cuta

Ganewar asali IBS kunshi biyu main matakai:

1. Tabbatar likita tarihi (bayyanar cututtuka kafin fitowan da zafi a cikin Gut).
2. Direct jarrabawa (ciki har da wani jam'i na daban-daban likita hanyoyin).

The bayanai azurta mataki na farko ne da aka tattara a cikin shakka daga tattaunawar tãre da mãsu haƙuri. Bukatar gano da tsanani kuma mita na jin zafi a yankin na ciwon, da sunan da yawa abinci cinye, shafi tunanin mutum jihar, kazalika da magunguna dauka a baya.

Lokacin da haƙuri da jini da aka samu a cikin tumbi na hada, ta ƙara jiki zafin jiki, akwai wani karu a jikin taro - mafi m, shi zai je game da wannan, ko da cuta daga cikin gastrointestinal fili, maimakon IBS.

A lokacin kai tsaye jarrabawa ta palpation na ciki saukar da karin tsoka sautin na gaba bango.

Hanyoyin da bambantawa na daban na pathologies

M hanji ciwo da kuma related cuta daga cikin gastrointestinal fili za a iya raba bisa ga wasu da ake kira alamun hatsari. Idan wani ba dole magana game da IBS.

Bari mu bincika babban:

• bayyanar da farko lokuta na rashin jin daɗi da kuma zafi a cikin marasa lafiya a kan shekaru 50 da shekaru.
• m zazzabi.
• gaban m (ciwon daji) marurai a kusa da dangi na haƙuri.
• jini a cikin stool.
• cuta daga cikin gastrointestinal fili a lokacin dare;
• raguwa a nauyi na haƙuri, ba tare da bayyana dalilin.
• canje-canje gano a lokacin da nazari da bincike na mutum jini.
• polifekaliya (abnormally manyan fecal tukar tumbi daga jiki).

Domin a more m ganewar asali ne da za'ayi a yawan ƙarin likita hanyoyin: jini gwaje-gwaje, da bincike da fecal al'amari, colonoscopy. A karshen ne musamman dacewa a cikin tsofaffi, kamar yadda ba ka damar gano da kuma cire samuwar wani daban-daban yanayi a cikin ciwon.

A lokacin da mata ta duba shawarar kara shawara tare da wani likitan mata.

IBS da Pathology ba alaka da gastrointestinal fili

Bugu da kari, a lokacin da ganewar asali na cuta a cikin tambaya ya kamata a bambanta daga sauran cututtuka ba a hade tare da tabarbarewa na gastrointestinal fili. Wadannan sun hada da:

1. kullum cututtuka mai kumburi da cututtuka yanayi. A matsayin misali, Crohn ta cuta, giardiasis, ulcerative colitis, da ciwon daji, ischemic colitis, pancreatitis da kullum yanayi.

2. pathologies hade da al'ada aiki na jiki ta endocrine tsarin. Cuta da endocrine gland sa ciwon sukari sãɓãwar launukansa mai tsanani, wasu siffofin da samun wannan waje siffofin matsayin IBS.

3. kullum cuta lalacewa ta hanyar m daukan hotuna zuwa waje ake ci dalilai: da akai amfani da m abinci, shaye-shaye da kuma kofi, Carbonated drinks, mai kaifi canji a cikin yawan rage cin abinci.

4. A tasiri na pharmacological jamiái. IBS cututtuka su ne sau da yawa kama da illa tasowa daga kullum gwamnati na antimicrobials, laxatives, ma'adinai kari dauke da potassium, da baƙin ƙarfe, alli, da kuma sauran abubuwa.

magani

Akwai da dama daban-daban yankunan far amfani da su kawar da m hanji ciwo. Jiyya na jama'a magunguna, abinci mai gina jiki, da miyagun ƙwayoyi far - wani takamaiman yanayin na mataki ne m akayi daban-daban, shan la'akari da pathogenesis na cuta.

Ko da kuwa da dabara amfani, magani ya kamata a da nufin cimma wadannan manufofin:

• normalize abinci mai karɓa yanayin.
• mayar da m abun da ke ciki na kwayoyin, wanda shi ne mazauninsu na mutum ciwon.
• normalize aiwatar da narkewa da sha na ma'adinai abubuwa ta cikin hanji bango.
• dattako da Psycho-wani tunanin Jihar wani mutum.
• tabbatar da isasshen ci na bitamin da kuma ma'adanai bukata ta jiki;
• to normalize da hanji motsi tsari.

Impact ba tare da kwayoyi

La'akari da takamaiman hanyoyin kwantar da hankali da cewa ba da damar kawar da m hanji ciwo. Rage cin abinci a cikin wannan harka wakiltar daya daga cikin mafi fĩfĩta hanyoyin.

Lokacin da diagnosing IBS kamata watsi da amfani da daban-daban sausages, barasa, cakulan, kofi da kuma kayayyakin da zai haddasa babban adadin gas. Falala a kansu da hanji a cikin wannan harka shafi 'ya'yan itatuwa, da kayan lambu da kuma kiwo kayayyakin. Haka kuma an bada shawarar ci nama da kifi, a dafa shi a cikin tukunyar jirgi na biyu.

Specific shawarwari ga cinye abinci bambanta dangane da iri IBS: zawo ko maƙarƙashiya.

Lokacin da stools zama dole don kari da rage cin abinci jelly, hatsi da iri daban-daban hatsi, taliya, dankali. Babu shakka contraindicated kayan lambu, wanda ya kunshi m shuka zaruruwa, 'ya'yan itãcen marmari, Peas da wake, zafi da kayan yaji, sabo pastries, raw madara, ruwan inabi, kvass, giya da Carbonated drinks taushi.

A lokacin da matsaloli tare da emptying shi ne shawarar zuwa cinye buckwheat, bushe apricots, prunes, gasa apples. Shi ne mafi alhẽri maye gurbin sugar a kan wani analogues. To yana taimaka tsiren ruwan teku, bran, kayan lambu mai.

Babu shakka, shi ba da shawarar ci abinci da ake amfani da su wajen magance cutar gudawa.

Bugu da kari ga abinci, don normalize da ciwon taimaka matsakaici wasan motsa jiki, yana tafe da sauran jiki aiki.

magunguna

A tsanani lokuta, ko a lokacin da take hakkin zama Gudun hali mu jimre wa da cututtuka na IBS iya kawai amfani da waɗanda ko wasu kwayoyi. A wannan yanayin, magani ne zuwa kashi da dama bulan.

1. Farawa kawar da zafi a cikin Gut. A saboda wannan dalili daban-daban iri antispasmodic kwayoyi ( "Babu-dima jiki," "Meverin" da sauransu.).

2. The yaki da cutar gudawa. Shi ne mafi kyau don taimakon magani dauke da loperamide ( "Imodium", "Lopedium" da sauransu.). Ya rage manifestations na sako-sako da stool saboda da tasiri na aiki dũkiyõyinsu a cikin hanji hanginsu. Wannan ya sa ya yiwu don kara da nassi daga abinci ta hanyar da hanjinsu, inganta sha na ruwaye da kuma Wutan. Bugu da kari, da karin ayyuka na sphincter, wanda taimaka wajen ci gaba da hanjinsu stool. A kashi na kayayyakin dauke da loperamide, zabi akayi daban-daban ta hanyar your likita.

3. kawar da maƙarƙashiya. A wannan yanayin, shi ne bu mai kyau zuwa ficewa ga magunguna da suke da shuka asalin. To taimaka shirye-shirye dauke da wasu nau'i na psyllium tsaba. Akwai mai yawa da mutane ke jihar.

4. dabam sanya lura da cuta a cikin marasa lafiya da suke sha daga IBS lalacewa ta hanyar m disturbances. Jiyya ne da za'ayi kawai a karkashin kulawa da wani gwani, anti-depressants ko hanawa iri-iri suna amfani.

ƙarshe

Sama da bayyanar cututtuka rakiyar m hanji ciwo da aka bayyana, magani, rage cin abinci, shawarar a gabansa, da kuma sauran hanyoyi na yin kawar da cutar.

Ya kamata a lura, duk da haka, da cewa kamar wani cuta IBS dole bukatar neman shawara ga wani gwani, wanda zai gane asali da kuma rubũta takamaiman hanyoyin kwantar da hankali. Kawai a cikin wannan harka, da gwagwarmaya tare da cutar zai zama nasara da kuma ba zai cutar da jiki.