Pukukino whēkau Syndrome: tohu, Treatment

syndrome whēkau pukukino (IBS) - he pīari mahi, i te mea tena i te natura. He recurrent i roto i te āhua maumaui āhuatanga i roto i taua ona tohu, me te puta atu i te wa ki te wa, i runga i ngā āhuatanga o waho rānei.

Mamae me te hūhi i roto i te rohe puku, ki te hiahia haere ki te whare paku pinepine, korere me te kōroke - tohu nga tohu katoa i te manawanui he syndrome whēkau pukukino. kia hanga whakahauanga Treatment o te mate. Kore, ka taea e tenei huru arahi ki ngaahi nunua mamafa mo te rauropi.

Overview

syndrome whēkau pukukino, te take o e taea e tino rerekē, kua pāngia anake, ki te tona pikitia haumanu tūturu kite hoki i te iti rawa 12 marama.

Ko te tohu matua o te māuiuitanga:

• uaua i roto i te putu i (whakatika te hiahia defecating i roto i iti iho i te 3 ngā wā ia 7 ra);
• wai me te nohoanga auau (manawanui kua ki te haere ki te wharepaku e toru neke atu rānei ngā wā ia ra);
• ngaohiko uaua sphincter me te kōhao puku i roto i te haerenga ki te wharepaku;
• rūraa, tono hōneatanga akiaki;
• ongo'i nga toenga o feces i te kopirua;
• te aroaro o hūpē i te kumete.

Ko tika te amuamu tino noa o te tūroro pāngia ki te syndrome whēkau pukukino enei. Tohu o te whakakitea whakapeka ina wheako te tangata te ahotea.

Ka rite ki whakahuatia i runga ake, te mate he koiora, me te mahi. I roto i te tautoko o tenei tauākī nga meka e whai ake nei tahi syndrome whēkau pukukino ki kōroke korere ranei:

• te āhua rerekē o amuamu tūroro ';
• faahiti maimoatanga i roto i te whare hauora;
• pathogenesis kore-ahu whakamua;
• tiaki o te taimaha tinana.

mōhiohio atu

Tātari he uaua syndrome whēkau pukukino no te mea he rite ki etahi atu mate e ara ake i roto i te wahi gastrointestinal tangata ona tohu. Ki te wehewehe i te tikanga whakaahuatia e te hunga e tika ana mō te kōwhiringa ki te pehea e o te mate, tono maha ngā tukanga tātaritanga:

• ultrasound (US) whakamātautau o whēkau me ngā pūnaha puku;
• gastroduodenoscopy;
• Ako biopatov pūnaha intestinal;
• werowero pārana.

tangohia ano hoki ki te pūkete nga hua o te rangahau taiwhanga o ngā tauira koiora o feces, toto me te mimi whakamātautau me tūtohutanga riro i muri colonoscopy me sigmoidoscopy.

tenei matatini katoa taea ki rawaka tika nga tohu e haere tahi i te syndrome whēkau pukukino. Me pēhea te ki te hamani i te māuiuitanga whakaahuatia?

Ko te kōwhiringa o te ngā tukanga whaiaroaro, me te hauora tei runga i te tohu o disorders. Kei te whānui whakamahia te reira mo ngā momo o te kai, me te tikanga psychotherapeutic. takoto te hiahia mō ngā taputapu pharmacological ūnga te takitahi e hāngai ana i runga i nga faaiteraa waho o te mate. Te nuinga whakamahia:

• raau taero antispasmodic;
• antidiarrheals;
• papa wāhine;
• pōuritanga.

momo o maumaui

Riri syndrome whēkau i roto i nga wahine, me te tangata wehea ki e rua ngā momo matua.

1. Pathology, haere tahi i te kōroke. He nga āhuatanga e whai ake nei ia:

• uaua i roto i te kaupapa whēkau;
• feces tukua i te nono, kua he ōritetanga totoka;
• whakaroa toenga o ngā hua ururua i roto i te tōu.

2. Tūkinotanga, ngā ki korere. Kei te āhuatanga i te reira e:

• kumete, wewete;
• ngaohiko sphincter ka haere ki te whare paku;
• rere o te hūpē i te nono.

Horapa o te mate

Whakaahuatia i roto i tenei rauemi syndrome whēkau pukukino i roto i ngā pakeke me ngā tamariki puta i roto i āhua 7-10% o te taupori o to tatou paraneta. Ko nga whenua o te Ao Tahito, i reira he puta he māuiuitanga i roto i te rima o nga tangata noho.

I tua atu, kia tuhia te reira e te sex ataahua ko e pā ana ki rua rite pea ki tenei māuiuitanga.

Ko te tau toharite o tūroro rapu maimoatanga - 25-40 tau.

Ngā āhuatanga e awe te takanga o maumaui

I roto i ētahi wā, puta atu pinepine syndrome whēkau pukukino, e kua whakaahuatia i runga tohumate. pāngia ana tēnei e etahi take tuakiri me te whāinga i tabulahia i raro nei.

1. predisposition ira. Ko te rōpū mōrearea ngā tangata nei tata whanaunga i mua i pāngia ki tenei māuiuitanga. I tua atu, kei te maha pāngia te takanga o maumaui i roto i mahanga whakawhanake i te ovum kotahi. arata'i tenei katoa ki te mutunga e pā ana ki te āhua iranga o te mate.
2. disorders Psychological. Depression tangata, whai tonu tona manukanuka, disorders o moe, hysterical me disorders hinengaro taea tīmata syndrome whēkau pukukino. Rangahau i roto i tenei rohe kōrero e maha whakawhanake te mate i roto i te iwi nei i tukua i mua i te tutu tinana ranei hinengaro, mahi tūkino, me te rite.
3. Tūkinotanga o uaua mahi o te tōu. he huru taua, e arata'i ki te ahua o nga tohu whakaahuatia puta i muri i te kai i runga i te whakamārama o te āhua o te ahotea tika ki te pehanga o te mahi myoelectric o te muka kopirua.
4. hyperalgesia visceral. Na roto i te tikanga o tenei wā ko te hekenga o te taumata mamae paepae ko raro te rauropi e hiahiatia ranei hāpai o te mamae perception. Ka rite ki te putanga - riri syndrome whēkau. Ko ahua rerekē Treatment i roto i tenei take, e titau te reira i te whakakorenga o te māuiuitanga meinga āhuatanga.
5. pānga ngaukino i runga i te wahi gastrointestinal ranei hinga i te momo o te mate. Ka rite ki te hua o enei awenga waho taea whai i te āhuatanga i reira i reira he hūhi me te mamae i roto i te kopirua. Ko ratou he tohu o te māuiuitanga whakaaro i runga ake. Riri syndrome whēkau me te pōrearea o te sphincter o oddi pāngia i pā ana ki te 30% o te iwi nei i mua i te mate intestinal.
6. Ko te mana o hormones. te tupu pinepine tohu disorders i roto i nga wahine i roto i te huringa paheketanga, ina e taui te tinana mua toenga hormonal tūturu.

tātaringa

Ka rite ki whakahuatia i runga ake, te tohu tahi syndrome whēkau pukukino, he tino rite ki he tokomaha o te puku me mate whēkau iti. No te mea te fifi matua o te tātaritanga - ko ki te wehewehe i waenganui i enei āhua e rua.

A, no te me tango te tātaritanga ki pūkete te matatini katoa o tohu waho e hanga ake he pikitia haumanu o IBS: mamae puku, auau, me te ōrite o ngā nekehanga whēkau, me te pera i runga i. E te ara, te aroaro o tenei momo o te māuiuitanga whakaatu atu tohu o ngali auauhia ki te pūnaha kūnatu:

• pāhoahoa;
• he papa i roto i te korokoro i te;
• ngaro moe ranei ngangau;
• kore o te hāora;
• urination auau;
• sensation o tinnitus;
• ngoikore whānui o te tinana;
• maroke i roto i te kōhao-waha.

Methods o te haamauraa i tohu o te mate

Tātaritanga o IBS ngā o rua kaupae matua:

1. Te haamauraa i hītori hauora (tohu mua ki te putanga o te mamae i roto i te punuatuna).
2. whakamātautau tika (tae atu i te plurality o ngā tukanga rerekē rata).

Kua kohia te mōhiohio e whakaratohia ana mō te wāhanga tuatahi i roto i te akoranga o te whakahaere ki te manawanui. Me ki te kitea i roto i te pakeke me te auautanga o te mamae i roto i te rohe o te kopirua, te ingoa me te nui o te kai pau, āhua hinengaro, me te rongoā tangohia mua.

A, no te kitea toto o te manawanui kei roto i te feces o te whakauru, nui haere te pāmahana tinana, i reira he he heke i roto i te papatipu tinana - te nuinga pea, ka haere i te reira e pā ana ki tenei e mate o te wahi gastrointestinal ranei, kaua ki te IBS.

I roto i te whakamātautau tika i palpation o te puku whakakitea nui ake āhua uaua o te taiepa mua.

Methods o pārōnaki o ngā momo o pathologies

Ka taea te wehea riri syndrome whēkau me disorders e pā ana o te wahi gastrointestinal rite ki te tahi mau tohu pera-ka karanga o te ati. Ki te tetahi kahore e whai ki te kōrero e pā ana ki IBS.

Kia whakaaro tatou te matua:

• te ahua o nga take tuatahi o te hūhi me te mamae i roto i te tūroro i runga i te tau o te 50 tau;
• tamau kirika;
• aroaro o mārere (pukupuku) pukupuku i roto i whanaunga tata o te manawanui;
• toto i roto i te kumete;
• whakararuraru, o te wahi gastrointestinal i roto i te po;
• whakaiti i roto i te taimaha o te manawanui, kahore take kitea;
• huringa kitea i roto i te tātari ako o toto tangata;
• polifekaliya (excretion fecal tomuri nui i te tinana).

kawea hoki te tātaritanga tika atu i roto i te maha o ngā tukanga atu rata: whakamātautau toto, te ako o te mea fecal, colonoscopy. Ko te tino hāngai i roto i te paari i te whakamutunga, rite taea reira ki a koutou te tautuhi me te tango i te hanganga o te āhua rerekē i roto i te kopirua.

I roto i rangahau o te wahine kōrero anō tūtohutia ki te rata mātai.

e kore IBS me māuiuitanga e pā ana ki te wahi gastrointestinal

I tua atu, i te wa o te tātaritanga o te mate i roto i te pātai kia kitea i ētahi atu mate e kore e pā ana ki pōrearea o te wahi gastrointestinal. Ko ētahi o ēnei:

1. mate mau āhua inflammatory me hopuhopu. Ka rite ki te tauira, te mate o Crohn, giardiasis, colitis ulcerative, mate pukupuku, colitis rere pūroto, pancreatitis me te āhua tonu.

2. pathologies e pā ana ki te mahi noa o te pūnaha endocrine o te tinana. meinga disorders o te repe endocrine huka rerekē te pakeke, te tahi mau huru o e whai nga āhuatanga waho taua rite te IBS.

3. disorders ti'a'tu te meinga e te rongo tonu ki ngā āhuatanga kai waho: ko te whakamahi tamau o kai fatty, tūkino waipiro, me te kawhe, inu pākawa, he huringa koi i roto i te kai ritenga.

4. Ko te pānga o āpiha pharmacological. He rite ki nga pānga taha i puta ake i whakahaere ma'i o antimicrobials, laxatives, tāpiringa kohuke kei roto pāhare pāporo, rino, te konupūmā, me ētahi atu āhuatanga maha IBS tohumate.

maimoatanga

He maha ngā wāhanga rerekē o te therapy whakamahia ki te whakakore i syndrome whēkau pukukino. Maimoatanga o rongoā iwi, kai tōtika, tarukino therapy - whakaritea he aratau motuhake o te mahi te takitahi, tango ki pūkete te pathogenesis o disorders.

Ahakoa o te tikanga i whakamahia, kia hāngai maimoatanga i te whakatutuki i te whāinga e whai ake nei:

• haerenga aratau tangohanga kai;
• whakahokia hanganga tūturu o microorganisms, i te mea te noho o te kopirua tangata;
• haerenga i te tukanga o te nakunaku me te absorption o ngā huānga kohuke i roto i te taiepa whēkau;
• ū te kāwanatanga psycho-aronganui o te tangata;
• whakarite e tika rōpū o huaora me ngā ōpapa e hiahiatia ana e te tinana;
• ki te haerenga i te tukanga kaupapa whēkau.

Pānga kahore taero

A feruri i tīkina motuhake e tukua ki te whakakore i syndrome whēkau pukukino. Kai i roto i tenei take tohu tetahi o nga tikanga tino meinga.

A, no te e whakarere Tātarihia te IBS te whakamahi o ngā hōtiti, waipiro, tiakarete, kawhe me ngā hua e meinga he nui nui o hau. Te titiro atu e te whēkau i roto i tenei take pā hua, huawhenua me ngā hua miraka. Kei te tūtohutia hoki te reira ki te kai kai, me te ika, tunua i roto i te kōhua rua.

tūtohutanga Motuhake mo te kai pau tēnā i runga i te momo o IBS: korere kōroke ranei.

A, no te ki te kumete e tika ana fakalahi te tiēre kai, pata o ngā momo o pata, rimurapa, rīwai. Tino contraindicated huawhenua, arā, o muka makaka tipu, hua, pī me te pīni, kakara wera, pōhā hou, waiu raw, waina, kvass, pia me inu maeneene koropupū.

I roto i ngā raruraru ki te putu i e tūtohu ana ki te pau Buckwheat, āperekoti maroke, maha, aporo tunua. He pai ki te whakakapi huka i runga i tetahi analogues. Well e tauturu te reira rimurimu, parani, te hinu huawhenua.

Noatia, e kore e tūtohu ana ki te kai kai e kua whakamahia ki te aro korere.

I tua atu ki te kai, ki te haerenga tauturu te kopirua mahi tinana āhua, e haere ana, me te tahi atu mahi tinana.

pharmaceuticals

I roto i ngā take kino, ina riro te ofatiraa i te pūāhua rere ki te akakoromaki i te tohu o IBS taea te whakamahi i te hunga atu taero ranei anake ranei. I roto i tenei take, kua wehea maimoatanga ki te maha ngā wāhanga.

1. Hei whakakahoretia o te mamae i roto i te punuatuna. Hoki tenei whakaaro ngā momo o taero antispasmodic ( "No-kaukau," "Meverin" me pera atu.).

2. Ko te whawhai ki korere. Ko reira pai ki te āwhina i te rongoā kei roto loperamide ( "Imodium", "Lopedium" me pera atu.). whakaiti te reira i te mau faaiteraa o te kumete wewete e tika ana ki te pānga o te taonga kaha i roto i te ioio intestinal. hanga tenei reira taea ki te whakapiki ake i te wahi o te kai i roto i nga whekau, whakapiki i absorption o fluids me electrolytes. I tua atu, ki te mahi nui ake o te sphincter, e tauturu te pupuri i te kumete paru. Ko te horopeta o ngā hua kei roto loperamide, tīpakohia takitahi i tō tākuta.

3. Whakakore o kōroke. I roto i tenei take, he mea tika ki te whakaputa hoki rongoa e te hunga o te tipu takenga. Well te āwhina ngaahi teuteu kei roto etahi ahua o te psyllium purapura. He he rota o ngā kaunihera o iwi.

hanga 4. Motuhaketia te maimoatanga o disorders i roto i tūroro e mamae i IBS meinga e raruraru hinengaro. kawea maimoatanga i roto i anake i raro i te mātakitaki o te mātanga, e whakamahia anti-depressants inhibitors o ngā momo ranei.

mutunga

tohu i runga ake tahi syndrome whēkau pukukino kua whakaahuatia, maimoatanga, kai, tūtohutia i roto i tona aroaro, a te tahi atu ara o te pae whakakahoretia o te mate.

Me kï hoki, Heoi, e rite ki tetahi atu te whakararuraru, tika rapu IBS rapu tohutohu ki te mātanga, ko wai e tātari me te whakahau tīkina motuhake. Anake i roto i tenei take, te pakanga ki te mate, ka e angitu, me te kore e kino te tinana.