Har'a maemo ohle a fapaneng a bophelo a hlohlelletsang batho, ho ne ho sa bonahale eka ho na le phapang pakeng tsa kelello le 'mele ho feta kamoo lefu la malapa le halefisang kateng (IBS). Sena ha se bakoe ke hore IBS ke "tsohle tse hloohong," empa ho e-na le hoo ka lebaka la ho kopana ho hoholo ha boko ba rona le tsamaiso ea rona ea lijo.
Tšebelisano ena ea boko ba boko bo entse hore ho sebelisoe mekhoa e fapaneng ea kelello ea 'mele le ea' mele e le mekhoa ea phekolo ea IBS.
Puisano e latelang ea likamano tsa kelello / 'mele ho IBS le mefuta e fapa-fapaneng ea kelello / mekhoa ea phekolo ea' mele e tla u thusa ho etsa qeto ea hore na khetho e joalo e ka ba ea nepahetseng ho uena.
Kelello / 'Mele o arohane
Ka tšimoloho e tloaelehileng e boleloa ke rafilosofi Rene Descartes, phekolo ea morao-rao e sebelisitse leano la "arola-le-hlōla" 'me ka tsela eo le thehiloe karohano pakeng tsa kelello le' mele. Le hoja mokhoa ona o le oa bohlokoa ho seo bafuputsi le lingaka ba ka tsepamisisang boits'ebetsong ho 'mele oa bona, ho sitoa ho hopola hore' mele o sebetsa ka kakaretso. Matšoao a meriana a ho imeloa kelellong, a kang IBS, a fokolang moeli pakeng tsa kelello le 'mele ha a utloisisehe habonolo kapa ha a phekoloe habonolo. Ka hona, ba atisa ho oela pakeng tsa litlhoko tsa bongaka.
Kopano ea Kelello / Mmele ho IBS
Ka lehlohonolo, boiteko ba morao tjena ba lipatlisiso bo lekile ho utloisisa hantle mafu a amanang le khatello ea kelello.
Tabeng ea IBS, bafuputsi ba tsepamisitse mohopolo oa boko ba 'mele, mokhoa oa ho buisana ka morao-rao pakeng tsa boko ba rona le mala a rōna. Ka hare ho sena, puisano e hlaha ka li-neurotransmitters, lik'hemik'hale tse fumanoang tsamaisong eohle ea methapo ea methapo le tsamaiso ea methapo ea enteric, e leng karolo ea tsamaiso ea methapo ea boithati e sebetsanang le ho tsuba.
Mathata a ho sebetsa ha mekhoa ena e nahanoa hore e tlatsetsa mathateng a motility le tšebetsong ea hypersensitike ea visceral e fumanoang ke bakuli ba IBS.
Le hoja ho na le mabaka a mangata, a tsejoang le a sa tsejoeng, a nahanngoa hore a hlahisa matšoao a IBS , motho e mong ea hlakileng ka ho hlaka ke khatello ea maikutlo. Ha re hatelletsehile, liphetoho tsa methapo ea pelo li bonoa hohle tsamaisong ea methapo ea methapo le ea enteric, e le karolo ea likarabo tsa 'mele ea rona ea khatello ea kelello . Bo-rasaense ba ntse ba ithuta hore na ke hobane'ng ha liphetoho tsena tsa kankere ea mali li tlatsetsa ho IBS.
Ho tsoela pele ho rarolla bothata, ba bangata ba bakuli ba IBS ba tla u bolella, ho na le tšobotsi ea "khoho le lehe" ho IBS. Ho imeloa kelellong ho ka eketsa matšoao a IBS, empa IBS ka boeona e ka ba e sithabetsang haholo! Mokhoa oa kelello / mekhoa ea phekolo ea 'mele e ba khetho e ntle ha ba thusa ho eketsa bokhoni ba' mele ba ho sebetsana le khatello ea kelello ea kelello.
Psychotherapy bakeng sa IBS
Psychotherapy ke mofuta oa kelello / phekolo ea 'mele e fumaneng tlhokomelo ea lipatlisiso ka ho fetisisa. Ka kakaretso, lipatlisiso li bontšitse hore mefuta e latelang ea psychotherapy e phahametse tlhokomelo ea meriana e tloaelehileng ho fokotsa matšoao a IBS ka kakaretso. Ho ntlafatsa matšoao ka tšebeliso ea kelello ea kelello ha hoa etsahala feela ka nako e khutšoanyane empa ho bonahala ho phehella ka nako.
- Tlhahlobo ea ho itšoara ka mokhoa o nahanang (CBT)
- Hypnotherapy
- Psychodynamic psychotherapy
Le hoja ho le molemo ho fumana setsebi se nang le phihlelo ea ho phekola IBS, sena hase kamehla se ka khonehang. Ka maikutlo a mongoli le phihlelo ea hae, setsebi se ikemiselitseng ho tšoenyeha se ntse se ka thusa hafeela se ntse se bulehile ho utloisisa mathata a itseng a sebetsanang le IBS. Leha ho le joalo, etsa bonnete ba hore ngaka ea hau e lumelloa ka molao.
Mekhoa e meng ea phekolo
Litlhare tse latelang li sebelisitsoe ka katleho ho phekola maloetse a mangata a batho 'me li ithutile bakeng sa IBS. Ho fihlela joale, patlisiso ha e e-s'o bontše melemo e tsitsitseng ea ho thibela acupuncture bakeng sa IBS.
Ka lehlakoreng le leng, biofeedback e bontšitse ts'ehetso ea lipatlisiso e le phekolo ea ho patoa , haholo-holo e bakoang ke boemo bo bitsoang dyssynergic defecation .
Ho Thuisa ka Kelello
Ho thuisa ka kelello, karolo e kholo ea kelello-e thehiloeng khatellong ea kelello (MBSR), e ne e tla bonahala e le khopolo ea tlhaho e le tsela ea ho fokotsa matšoao a IBS. Liphuputso tsa meriana ea tšebelisano ea meriana ea tšebeliso ea MBSR bakeng sa IBS li bontšitse hore e ka thusa ho fokotsa matšoao, haholo-holo bohloko le ho ntlafatsa boleng ba bophelo.
Mantsoe a thehiloeng Movement
Mesebetsi e latelang e 'nile ea etsoa e le tsela ea ho fokotsa khatello ea maikutlo le ho ntlafatsa bophelo bo botle. Liphuputso tsa pele li bontšitse liphello tse ntle tsa yoga liphatsong tsa IBS, empa ho hlakile hore lipatlisiso tsa setjhaba ka melemo ea tai e bakeng sa IBS li bonahala eka ha li teng.
- Yoga
- Tai chi
Lisebelisoa:
Ford, A., et.al. " American College of Gastroenterology Monograph ka Tsamaiso ea Irritable Bowel Syndrome le Chronic Chronic Idiopathic Constipation " American Journal of Gastroenterology 2014 109: S2-S26.
Lakhan, S. & Schofield, K. "Mokhoa oa ho ba le kelello o hlokang tlhokomelo ho Phekoloang ha Matšoenyeho a ho Sithafatsa: Tlhahlobo e Hlophisitsoeng le Tlhahlobo ea Meta" PLoS One 2013 8: e71834.
Laird, K., et. al. "Tlhahlobo ea nakoana le ea nako e telele ea Phekolo ea Meriana ea Irritable Bowel Syndrome: Tlhahlobo e Hlophisitsoeng le Meta-analysis" Clinical Gastroenterology le Hepatology 2015 Epub pele ho khatiso.
Tanaka, Y., et.al. "Mohlala oa Biopsychosocial of Irritable Bowel Syndrome" Journal ea Neurogastroenterology le Motility 2011 17: 131-139.