Qhov Txuas Nyob Ntawm Kev Tiv Thaiv Kev Ntshai, Kev Ntxhov Siab, thiab IBS
Kev chim siab plob tsis so tswj, los yog tsuas yog IBS, yog hom mob plab hnyuv ntxwm uas cuam tshuam rau txoj hnyuv thiab ua rau muaj teeb meem hauv plab zom mov. IBS yog kwv yees li ntawm qhov ze ntawm 20% ntawm cov neeg laus hauv US. Cov tsos mob ntawm IBS yuav txawv rau cov neeg sib txawv. Qee cov kev mob tshwm sim ntawm IBS muaj xws li:
- Mob plab
- Nquag plab
- Cramping
- Bloating thiab ntau cov roj
- Cem quav, raws plab
- Cov kev hloov hauv kev plob tsis so tswj, nrog rau kev sib haum xeeb ntawm cem quav thiab zawv plab
Txawm hais tias IBS tsis yog ib yam kabmob uas ua rau mob hnyav, nws feem ntau mob mus rau ib qho kev mob ntev ntev uas tuaj yeem cuam tshuam ntau yam hauv lub neej.
IBS thiab Panic Disorder
Kev tshawb fawb tau qhia tias cov nqi ntawm IBS muaj siab ntawm cov neeg mob paub tias muaj kev ntxhov siab thiab / los yog mob siab tsis meej. Kev mob tshwm sim hauv IBS muaj tau pom tshwj xeeb tshaj yog rau cov tib neeg kuaj pom muaj kev puas tsuaj. Ntau yam xws li tsis pom kev ntshai, IBS poses ntau cov kev mob nyuab siab uas yuav txaj muag thiab tsis yooj yim rau kev tswj xyuas.
Cov kabmob ceebtoom pheej rov thuam thiab feem ntau yog qhov tseem ceeb ntawm kev ntshai. Zoo sib xws li IBS, ceeb tawm tsam yog ua los ntawm ntau yam tsis xis nyob lub cev. Qee cov kev mob tshwm sim ntau tshaj ntawm kev tawm tsam muaj xws li tawm hws, tshee, mob hauv siab , mob plawv dhia ceev ceev, thiab ua tsis taus pa.
Ob qho tib si kuj tseem muaj ntau cov kev mob tib yam, xws li kev cia siab rau kev xav thiab kev tiv thaiv tus cwj pwm. Cov tsos mob ntawm IBS thiab ceeb tsis pom kev muaj peev xwm ua rau kev chim, txaj muag, thiab nyuaj tswj.
Nws yog tam sim no tsis meej vim li cas ib feem pua ntawm kev tsis sib haum xeeb cuam tshuam kuj tawm tsam nrog cov tsos mob ntawm IBS.
Nws tau raug hypothesized tias ob qho tib si rau kev mob los ntawm kev sib ntaus lossis sib ntaus cov lus teb . Kev sib ntaus sib tua los yog davhlau teb tuaj yeem tshwm sim los ntawm lub siab khov kho , ua rau muaj kev hloov hauv lub cev los npaj los tua los yog khiav tawm ntawm qhov kev hem thawj. Kev sib kis ntawm lub cev muaj xws li tawm hws, lub plawv dhia ceev ceev, thiab qeeb ntawm lub plab zom mov. Cov neeg uas muaj kev ntxhov siab thiab IBS muaj peev xwm muaj kev sib ntaus tsis sib haum los yog davhlau teb, ua rau muaj kev sib daj sib deev txawm tias tsis muaj kev txaus ntshai.
Cov xwm txheej ntawm IBS yog ib qho yooj yim dua rau cov neeg paub tias muaj kev ceeb ntshai nrog agoraphobia. Cov neeg uas muaj agoraphobia pom ntau yam kev tiv thaiv tawm uas lawv tswj hwm qhov chaw thiab cov xwm txheej uas lawv ntshai yuav ua rau muaj kev ntshai ntawm kev tawm tsam. Nws tau raug speculated tias cov feem ntau ntawm IBS rau agoraphobia sufferers yuav nyob rau ib feem yuav vim overlapping avoidance tus cwj pwm, xws li worrying txog qhov twg yuav nrhiav tau ib chav dej, txaj txuam nrog cov tsos mob ntawm IBS, thiab coj los tswj cov mob plab nyhav.
Tseem muaj qee cov pov thawj tias qee yam zaub mov, cov khoom siv thiab txoj kev ua neej xaiv yeem tswm sim ceeb thiab kev mob IBS. Hom kev noj haus ua rau ob qho tib si muaj xws li caffeine, cawv, thiab qab zib.
Cov tsos mob IBS thiab cov tsos mob tsis yooj yim kuj tuaj yeem cuam tshuam vim muaj kev ntxhov siab thiab kev xav tsis zoo.
Cov Kev Kho Mob Rau Ob Txoj Cai
Ntau yam li tsis pom kev ntshai, tam sim no tsis muaj kev kho rau IBS. Txawm li cas los xij, ob leeg tsis sib haum xeeb thiab IBS yog kev kho mob. Muaj ntau txoj kev kho mob rau kev tsis pom kev muaj kev puas siab ntsws kuj tau qhia kom muaj kev nyab xeeb thiab kho tau IBS. Piv txwv li, qee cov tshuaj xiav serotonin reuptake inhibitors ( SSRIs ) feem ntau hais rau kev ceeb ntshai tsis pom tau los txo cov tshuaj IBS. Tiam sis, qee cov tshuaj rau kev ceeb ntshai yuav ua rau cov kev mob IBS tsis zoo, yog li nws tseem ceeb uas koj yuav tau tham txog koj tus mob thiab kev kho mob nrog koj tus kws kho mob.
Psychotherapy kuj yog ib qho kev kho mob uas yuav pab tau nrog ob leeg ntshai thiab IBS. Psychotherapy tuaj yeem pab nrog kev tswj kev ntxhov siab, vim tias muaj kev ntxhov siab feem ntau ua rau ntau tus neeg mob. Kev mus rau kev kho yuav pab tau koj ua nrog rau lub cev thiab lub siab ntsig txog kev mob nkeeg. Ntxiv thiab, kev kho tus mob hlwb tuaj yeem pab txo cov tsos mob ntawm cov kev mob tshwm sim, xws li kev nyuaj siab.
Kev tshawb nrhiav pom tau hais tias kev coj tus cwj pwm kev coj cwj pwm , tshwj xeeb tshaj yog, yuav ua tau ib qho zoo ntawm cov kws kho mob rau cov tib neeg uas muaj kev nyuab siab nrog IBS thiab ceeb ntshai. CBT feem ntau yog kawm txog kev kawm ntawv, kev ua kom haum, kev ua homework, thiab kev ua kom lub cev zoo los pab tswj koj tus mob. CBT cov tswv yim tuaj yeem pab txo cov tsos mob ntawm tus kabmob thuam thiab qhov teebmeem digestive nrog IBS.
Cov tsos mob ntawm IBS tuaj yeem cuam tshuam tau ib qho zoo ntawm lub neej. Muaj ob qho tib si IBS thiab ceeb teeb meem tuaj yeem yuav nyuaj rau nrog. Txawm li cas los xij, thaum tau txais kev pabcuam thiab tswjfwm koj txoj kev ntxhov siab, koj tuaj yeem kawm txog kev daws cov teebmeem no.
Qhov chaw:
Mental Association Association. "Diagnostic and Statistical Manual of Mental Disorders, 4th ed., Kho lus lus" 2000 Washington, DC: Sau.
Gros, DF, Antony, MM, McCabe, RE, Lydiard, RB "Kev Xeem Ua Ntej Teeb Meem ntawm Kev Coj Tus Cwj Pwm Kev Kho Mob Rau Kev Tiv Thaiv Kev Nyuaj Siab rau Cov Neeg Mob Nrog Comorbid Panic Disorder thiab Siab Ntsws Kev Nyuaj Siab" Kev Nyuaj Siab thiab Kev Ntxhov Siab, 2011, 28 , 1027-1033.
Gros, DF, Antony, MM, McCabe, RE, & Swinson RP. "Lub caij nyoog thiab qhov tseem ceeb ntawm cov tsos mob ntawm kev chim siab plob tsis so tswj thoob cov kev ntxhov siab thiab kev nyuaj siab" Phau Ntawv Qhia Txog Kev Ntxhov Siab, 2009, 23, 290-296.
Sugaya, N., Kaiya, H. Kumano, H., & Nomura, S. "Kev Txheeb Ze Ntawm Cov Subtypes ntawm Kev Sib Haum Ntshav Siab Cuav thiab Cov Tsos Hwm Cuam Tshuam Txog Kev Ntshai" Panic Disorder "Scandinavian Journal of Gastroenterology, 2008, 43, 675-681.