Ciwon hanji mai ciwo - bayan kulawa

Ciwon hanji mara ciwo (IBS) cuta ce da ke haifar da ciwon ciki da sauyewar hanji. Mai ba da lafiyarku zai yi magana game da abubuwan da za ku iya yi a gida don kula da yanayinku.

Ciwon hanji mai ban haushi (IBS) na iya zama yanayin rayuwa. Wataƙila kuna fama da ƙyallen ciki da zaren mara, zawo, maƙarƙashiya, ko wasu haɗuwa da waɗannan alamun.

Ga wasu mutane, alamun IBS na iya tsoma baki tare da aiki, tafiya, da halartar al'amuran zamantakewa. Amma shan magunguna da yin canje-canje na rayuwa na iya taimaka maka gudanar da alamomin ka.

Canje-canje a cikin abincinku na iya taimaka. Koyaya, IBS ya bambanta daga mutum zuwa mutum. Don haka canje-canje iri ɗaya bazai yi aiki ga kowa ba.

• Kula da alamomin ku da irin abincin da kuke ci. Wannan zai taimaka muku neman samfurin abinci wanda zai iya haifar da alamunku mafi muni.
• Guji abincin da ke haifar da bayyanar cututtuka. Waɗannan na iya haɗawa da mai mai ko soyayyen abinci, kayayyakin kiwo, maganin kafeyin, sodas, barasa, cakulan, da hatsi kamar alkama, hatsin rai, da sha'ir.
• Ku ci ƙananan abinci 4 zuwa 5 a rana, maimakon waɗanda suka fi girma girma 3.

Theara fiber a cikin abincinku don taimakawa bayyanar cututtukan maƙarƙashiya.Ana samun fiber a cikin gurasar hatsi da hatsi, wake, 'ya'yan itatuwa, da kayan marmari. Tunda fiber na iya haifar da gas, zai fi kyau a ƙara waɗannan abinci a abincinku a hankali.

Babu wani magani da zai yi aiki ga kowa. An tsara wasu magunguna musamman don IBS tare da gudawa (IBS-D) ko IBS tare da maƙarƙashiya (IBS-C). Magungunan da mai ba ku damar gwadawa sun haɗa da:

• Magungunan antispasmodic waɗanda kuke sha kafin cin abinci don sarrafa cututtukan tsoka da hanji na ciki
• Magungunan cututtukan ciki kamar loperamide, eluxadoline da alosetron na IBS-D
• Laxatives, kamar lubiprostone, linaclotide, plecanatide, bisacodyl, da sauran waɗanda aka siya ba tare da takardar magani na IBS-C ba
• Magungunan rigakafi don taimakawa rage zafi ko rashin jin daɗi
• Rifaximin, maganin rigakafi ne wanda ba zai sha daga hanjinka ba
• Magungunan rigakafi

Yana da matukar mahimmanci ku bi umarnin mai bada lokacin amfani da magunguna don IBS. Shan magunguna daban daban ko rashin shan magunguna kamar yadda aka baka shawara na iya haifar da karin matsaloli.

Damuwa na iya haifar da hanjin cikinka su zama masu taushi da kwangila. Yawancin abubuwa na iya haifar da damuwa, gami da:

• Rashin samun damar yin ayyuka saboda zafinku
• Canje-canje ko matsaloli a wurin aiki ko a gida
• Tsarin aiki
• Kashe lokaci da yawa shi kadai
• Samun wasu matsalolin likita

Mataki na farko don rage damuwar ku shine gano abin da ke sa ku cikin damuwa.

• Dubi abubuwan da ke damun ka wadanda suka fi baka damuwa.
• Riƙe littafin abubuwan da suka faru da tunani waɗanda suke da alaƙa da damuwar ku kuma ku gani ko za ku iya yin canje-canje ga waɗannan yanayin.
• Yi kusanci da sauran mutane.
• Nemi wani wanda ka yarda da shi (kamar aboki, dan gida, maƙwabta, ko memba na malanta) wanda zai saurare ka. Sau da yawa, kawai yin magana da wani yana taimakawa rage damuwa da damuwa.

Kira mai ba da sabis idan:

• Kuna ci gaba da zazzabi
• Kuna da jinin ciki
• Kuna da mummunan ciwo wanda ba zai tafi ba
• Ka rasa sama da fam 5 zuwa 10 (kilogram 2 zuwa 4.5) lokacin da baka kokarin rage kiba

IBS; Ciwon ciki; IBS-D; IBS-C

Ford AC, Talley NJ. Ciwon hanji. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da cututtukan hanta da cutar Fordtran: Pathophysiology / Diagnosis / Management. 10 ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 122.

Mayer EA. Cutar cututtukan ciki na aiki: cututtukan hanji, dyspepsia, ciwon kirji na asalin esophageal, da ƙwannafi. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: babi na 137.

Waller DG, Sampson AP. Maƙarƙashiya, gudawa da cututtukan hanji. A cikin: Waller DG, Sampson AP, eds. Magungunan Kiwon Lafiya da Magunguna. 5th ed. Philadelphia, PA: Elsevier; 2018: babi na 35.