{"id":445,"date":"2026-02-27T19:30:40","date_gmt":"2026-02-27T19:30:40","guid":{"rendered":"https:\/\/thuoc115.com\/suckhoe\/?p=445"},"modified":"2026-02-28T00:48:48","modified_gmt":"2026-02-28T00:48:48","slug":"thao-duoc-cho-hoi-chung-ruot-kich-thich-chu-yeu-la-tao-bon-thu-nghiem","status":"publish","type":"post","link":"https:\/\/thuoc115.com\/suckhoe\/thao-duoc-cho-hoi-chung-ruot-kich-thich-chu-yeu-la-tao-bon-thu-nghiem\/","title":{"rendered":"Th\u1ea3o d\u01b0\u1ee3c cho h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch ch\u1ee7 y\u1ebfu l\u00e0 t\u00e1o b\u00f3n th\u1eed nghi\u1ec7m"},"content":{"rendered":"\n<p>B\u1ec7nh nh\u00e2n <strong>IBS-C<\/strong> (h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch th\u1ec3 t\u00e1o b\u00f3n) \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng <strong>Y h\u1ecdc c\u1ed5 truy\u1ec1n (TCM)<\/strong> cho th\u1ea5y m\u1ee9c c\u1ea3i thi\u1ec7n <strong>t\u1ed1t h\u01a1n<\/strong> so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng <strong>cisapride<\/strong> ho\u1eb7c <strong>mosapride<\/strong>. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5734785\/<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>C\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch th\u1ec3 t\u00e1o b\u00f3n: M\u1ed9t t\u1ed5ng quan h\u1ec7 th\u1ed1ng v\u1ec1 c\u00e1c th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng<\/p>\n\n\n\n<p><strong>H\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch th\u1ec3 t\u00e1o b\u00f3n (IBS-C)<\/strong> l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c tr\u01b0ng b\u1edfi \u0111au b\u1ee5ng v\u00e0 thay \u0111\u1ed5i th\u00f3i quen \u0111\u1ea1i ti\u1ec7n. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi IBS-C th\u01b0\u1eddng cho hi\u1ec7u qu\u1ea3 h\u1ea1n ch\u1ebf, d\u1eabn \u0111\u1ebfn s\u1ef1 quan t\u00e2m ng\u00e0y c\u00e0ng t\u0103ng \u0111\u1ed1i v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c. T\u1ed5ng quan h\u1ec7 th\u1ed1ng n\u00e0y nh\u1eb1m \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n c\u1ee7a c\u00e1c ph\u01b0\u01a1ng thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c trong qu\u1ea3n l\u00fd IBS-C.<\/p>\n\n\n\n<p><strong>K\u1ebft qu\u1ea3:<\/strong> Nh\u00ecn chung, c\u00e1c nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o cho th\u1ea5y m\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng v\u1ec1 l\u1ee3i \u00edch c\u1ee7a c\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi tri\u1ec7u ch\u1ee9ng IBS-C, bao g\u1ed3m c\u1ea3i thi\u1ec7n t\u1ea7n su\u1ea5t \u0111\u1ea1i ti\u1ec7n, \u0111\u1ed9 \u0111\u1eb7c c\u1ee7a ph\u00e2n, \u0111au b\u1ee5ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. Tuy nhi\u00ean, s\u1ef1 kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t gi\u1eefa c\u00e1c can thi\u1ec7p v\u00e0 c\u00e1c th\u01b0\u1edbc \u0111o k\u1ebft c\u1ee5c \u0111\u00e3 h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n ph\u00e2n t\u00edch g\u1ed9p (meta-analysis).<\/p>\n\n\n\n<p><strong>K\u1ebft lu\u1eadn:<\/strong> T\u1ed5ng quan h\u1ec7 th\u1ed1ng n\u00e0y cho th\u1ea5y c\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c c\u00f3 th\u1ec3 mang l\u1ea1i l\u1ee3i \u00edch ti\u1ec1m n\u0103ng trong qu\u1ea3n l\u00fd IBS-C.<\/p>\n\n\n\n<p>H\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch IBS l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a ch\u1ee9c n\u0103ng ph\u1ed5 bi\u1ebfn, \u0111\u1eb7c tr\u01b0ng b\u1edfi \u0111au b\u1ee5ng, ch\u01b0\u1edbng b\u1ee5ng v\u00e0 thay \u0111\u1ed5i th\u00f3i quen \u0111\u1ea1i ti\u1ec7n. Trong c\u00e1c ph\u00e2n nh\u00f3m c\u1ee7a b\u1ec7nh, h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch th\u1ec3 t\u00e1o b\u00f3n IBS-C l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 l\u00e2m s\u00e0ng \u0111\u00e1ng quan t\u00e2m do \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng. Nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, vi\u1ec7c t\u00ecm ki\u1ebfm c\u00e1c li\u1ec7u ph\u00e1p b\u1ed5 sung v\u00e0 thay th\u1ebf ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c ch\u00fa \u00fd, trong \u0111\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c n\u1ed5i l\u00ean nh\u01b0 nh\u1eefng \u1ee9ng vi\u00ean ti\u1ec1m n\u0103ng trong ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng IBS-C.<\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n b\u1ecb t\u00e1o b\u00f3n c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p do t\u00ednh ch\u1ea5t \u0111a y\u1ebfu t\u1ed1 c\u1ee7a tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a n\u00e0y c\u0169ng nh\u01b0 kh\u1ea3 n\u0103ng t\u1ed3n t\u1ea1i nhi\u1ec1u nguy\u00ean nh\u00e2n ch\u1ed3ng l\u1ea5p. S\u1ef1 ph\u1ee9c t\u1ea1p xu\u1ea5t ph\u00e1t t\u1eeb c\u00e1c nguy\u00ean nh\u00e2n n\u1ec1n \u0111a d\u1ea1ng c\u1ee7a t\u00e1o b\u00f3n, bao g\u1ed3m r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng, b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac, b\u1ec7nh l\u00fd to\u00e0n th\u00e2n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn thu\u1ed1c, d\u1ec5 d\u1eabn \u0111\u1ebfn hi\u1ec3u sai tri\u1ec7u ch\u1ee9ng v\u00e0 x\u1eed tr\u00ed kh\u00f4ng ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n<p>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a t\u00e1o b\u00f3n mang t\u00ednh ch\u1ee7 quan v\u00e0 c\u00f3 th\u1ec3 kh\u00e1c nhau \u0111\u00e1ng k\u1ec3 gi\u1eefa c\u00e1c c\u00e1 nh\u00e2n. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u00e1o c\u00e1o c\u00e1c m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau c\u1ee7a kh\u00f3 ch\u1ecbu v\u00f9ng b\u1ee5ng, ch\u01b0\u1edbng b\u1ee5ng v\u00e0 thay \u0111\u1ed5i th\u00f3i quen \u0111\u1ea1i ti\u1ec7n, khi\u1ebfn vi\u1ec7c ph\u00e2n bi\u1ec7t t\u00e1o b\u00f3n do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng nguy\u00ean ph\u00e1t nh\u01b0 t\u00e1o b\u00f3n do ch\u1eadm nhu \u0111\u1ed9ng \u0111\u1ea1i tr\u00e0ng ho\u1eb7c r\u1ed1i lo\u1ea1n ph\u1ed1i h\u1ee3p \u0111\u1ea1i ti\u1ec7n v\u1edbi t\u00e1o b\u00f3n th\u1ee9 ph\u00e1t do u \u0111\u1ea1i tr\u1ef1c tr\u00e0ng, r\u1ed1i lo\u1ea1n th\u1ea7n kinh ho\u1eb7c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a tr\u1edf n\u00ean kh\u00f3 kh\u0103n. Do \u0111\u00f3, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb ch\u1ea9n \u0111o\u00e1n sai ho\u1eb7c ch\u1eadm ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng ti\u1ec1m \u1ea9n.<\/p>\n\n\n\n<p>Ngo\u00e0i ra, vi\u1ec7c \u0111\u00e1nh gi\u00e1 t\u00e1o b\u00f3n th\u01b0\u1eddng d\u1ef1a tr\u00ean c\u00e1c ti\u00eau ch\u00ed mang t\u00ednh ch\u1ee7 quan nh\u01b0 t\u1ea7n su\u1ea5t \u0111i ti\u00eau v\u00e0 \u0111\u1ed9 \u0111\u1eb7c c\u1ee7a ph\u00e2n, nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 l\u1ed1i s\u1ed1ng. T\u00ednh ch\u1ee7 quan n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 kh\u00f4ng nh\u1ea5t qu\u00e1n trong \u0111\u1ecbnh ngh\u0129a t\u00e1o b\u00f3n, l\u00e0m ph\u1ee9c t\u1ea1p th\u00eam qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n nh\u1ea7m. Nguy c\u01a1 \u0111i\u1ec1u tr\u1ecb sai c\u00e0ng t\u0103ng khi thu\u1ed1c nhu\u1eadn tr\u00e0ng \u0111\u01b0\u1ee3c b\u00e1n kh\u00f4ng c\u1ea7n k\u00ea \u0111\u01a1n v\u00e0 t\u00ecnh tr\u1ea1ng t\u1ef1 d\u00f9ng thu\u1ed1c ph\u1ed5 bi\u1ebfn. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 t\u1ef1 s\u1eed d\u1ee5ng thu\u1ed1c nhu\u1eadn tr\u00e0ng d\u1ec5 mua m\u00e0 kh\u00f4ng \u0111i kh\u00e1m, d\u1eabn \u0111\u1ebfn gi\u1ea3m tri\u1ec7u ch\u1ee9ng t\u1ea1m th\u1eddi nh\u01b0ng b\u1ecf s\u00f3t nguy\u00ean nh\u00e2n n\u1ec1n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 che l\u1ea5p c\u0103n nguy\u00ean th\u1ef1c s\u1ef1 c\u1ee7a t\u00e1o b\u00f3n v\u00e0 c\u1ea3n tr\u1edf \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/p>\n\n\n\n<p>H\u01a1n n\u1eefa, t\u00e1o b\u00f3n c\u00f3 th\u1ec3 \u0111\u1ed3ng th\u1eddi xu\u1ea5t hi\u1ec7n c\u00f9ng c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a kh\u00e1c nh\u01b0 \u0111au b\u1ee5ng, ch\u01b0\u1edbng b\u1ee5ng ho\u1eb7c ti\u00eau ch\u1ea3y, l\u00e0m t\u0103ng th\u00eam t\u00ednh ph\u1ee9c t\u1ea1p trong ch\u1ea9n \u0111o\u00e1n. S\u1ef1 ch\u1ed3ng l\u1ea5p tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 che khu\u1ea5t nguy\u00ean nh\u00e2n th\u1ef1c s\u1ef1, d\u1eabn \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n kh\u00f4ng ch\u00ednh x\u00e1c ho\u1eb7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ph\u00f9 h\u1ee3p khi ch\u1ec9 t\u1eadp trung v\u00e0o tri\u1ec7u ch\u1ee9ng ri\u00eang l\u1ebb m\u00e0 kh\u00f4ng x\u1eed l\u00fd nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5.<\/p>\n\n\n\n<p>Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u00e1o b\u00f3n m\u1ea1n t\u00ednh, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ch\u1ecbu g\u00e1nh n\u1eb7ng tri\u1ec7u ch\u1ee9ng \u0111\u00e1ng k\u1ec3, \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. G\u00e1nh n\u1eb7ng n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u0103ng th\u1eb3ng t\u00e2m l\u00fd ho\u1eb7c xu h\u01b0\u1edbng c\u01a1 th\u1ec3 h\u00f3a tri\u1ec7u ch\u1ee9ng, l\u00e0m ph\u1ee9c t\u1ea1p th\u00eam qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c x\u00e9t nghi\u1ec7m ho\u1eb7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n\n\n\n<p>\u0110\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb sai, c\u1ea7n \u00e1p d\u1ee5ng m\u1ed9t c\u00e1ch ti\u1ebfp c\u1eadn l\u00e2m s\u00e0ng to\u00e0n di\u1ec7n v\u00e0 c\u00f3 h\u1ec7 th\u1ed1ng trong \u0111\u00e1nh gi\u00e1 t\u00e1o b\u00f3n. C\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y bao g\u1ed3m khai th\u00e1c k\u1ef9 ti\u1ec1n s\u1eed b\u1ec7nh, kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u00e2n nh\u1eafc c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng, n\u1ed9i soi v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u1ea7n thi\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c nguy\u00ean nh\u00e2n th\u1ee9 ph\u00e1t ti\u1ec1m \u1ea9n. Ngo\u00e0i ra, vi\u1ec7c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n v\u00e0 thang \u0111i\u1ec3m \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea9m \u0111\u1ecbnh c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n lo\u1ea1i ch\u00ednh x\u00e1c c\u00e1c th\u1ec3 t\u00e1o b\u00f3n ch\u1ee9c n\u0103ng. S\u1ef1 h\u1ee3p t\u00e1c gi\u1eefa nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 b\u1ec7nh nh\u00e2n l\u00e0 y\u1ebfu t\u1ed1 thi\u1ebft y\u1ebfu trong vi\u1ec7c khai th\u00e1c tri\u1ec7u ch\u1ee9ng, l\u1ed1i s\u1ed1ng v\u00e0 ti\u1ec1n s\u1eed d\u00f9ng thu\u1ed1c nh\u1eb1m x\u00e1c \u0111\u1ecbnh c\u00e1c y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n<p>T\u00ednh ph\u1ee9c t\u1ea1p v\u00e0 \u0111a y\u1ebfu t\u1ed1 c\u1ee7a t\u00e1o b\u00f3n \u0111\u1eb7t ra nhi\u1ec1u th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. S\u1ef1 ch\u1ed3ng l\u1ea5p tri\u1ec7u ch\u1ee9ng, c\u00e1c ti\u00eau ch\u00ed mang t\u00ednh ch\u1ee7 quan, t\u00ecnh tr\u1ea1ng t\u1ef1 d\u00f9ng thu\u1ed1c v\u00e0 t\u00ednh m\u1ea1n t\u00ednh c\u1ee7a tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn x\u1eed tr\u00ed sai v\u00e0 ch\u1eadm ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd n\u1ec1n. Vi\u1ec7c \u00e1p d\u1ee5ng chi\u1ebfn l\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n, c\u00f3 h\u1ec7 th\u1ed1ng, k\u1ebft h\u1ee3p c\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 kh\u00e1ch quan v\u00e0 t\u0103ng c\u01b0\u1eddng giao ti\u1ebfp c\u1edfi m\u1edf v\u1edbi b\u1ec7nh nh\u00e2n l\u00e0 \u0111i\u1ec1u thi\u1ebft y\u1ebfu \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1 th\u1ec3 h\u00f3a cho ng\u01b0\u1eddi b\u1ec7nh t\u00e1o b\u00f3n.<\/p>\n\n\n\n<p>C\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c, c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u00e2y thu\u1ed1c, \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng h\u00e0ng th\u1ebf k\u1ef7 trong c\u00e1c h\u1ec7 th\u1ed1ng y h\u1ecdc c\u1ed5 truy\u1ec1n, th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 trong c\u00e1c r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a. C\u00e1c h\u1ee3p ch\u1ea5t th\u1ef1c v\u1eadt n\u00e0y s\u1edf h\u1eefu nhi\u1ec1u \u0111\u1eb7c t\u00ednh d\u01b0\u1ee3c l\u00fd \u0111a d\u1ea1ng nh\u01b0 t\u00e1c d\u1ee5ng nhu\u1eadn tr\u00e0ng, ch\u1ed1ng vi\u00eam, ch\u1ed1ng co th\u1eaft v\u00e0 \u0111i\u1ec1u h\u00f2a nhu \u0111\u1ed9ng ru\u1ed9t, khi\u1ebfn ch\u00fang tr\u1edf th\u00e0nh nh\u1eefng \u1ee9ng vi\u00ean h\u1ea5p d\u1eabn trong \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng IBS-C. Tuy nhi\u00ean, m\u1eb7c d\u00f9 ph\u1ed5 bi\u1ebfn, vi\u1ec7c s\u1eed d\u1ee5ng th\u1ea3o d\u01b0\u1ee3c trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec1m \u1ea9n nhi\u1ec1u nguy c\u01a1 do thi\u1ebfu qu\u1ea3n l\u00fd ch\u1eb7t ch\u1ebd, ki\u1ec3m so\u00e1t ch\u1ea5t l\u01b0\u1ee3ng kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, t\u00ednh ph\u1ee9c t\u1ea1p d\u01b0\u1ee3c l\u00fd v\u00e0 kh\u1ea3 n\u0103ng x\u1ea3y ra t\u01b0\u01a1ng t\u00e1c b\u1ea5t l\u1ee3i.<\/p>\n\n\n\n<p>M\u1ed9t trong nh\u1eefng m\u1ed1i quan ng\u1ea1i c\u01a1 b\u1ea3n l\u00e0 thi\u1ebfu c\u00e1c quy \u0111\u1ecbnh nghi\u00eam ng\u1eb7t v\u00e0 quy tr\u00ecnh s\u1ea3n xu\u1ea5t chu\u1ea9n h\u00f3a, d\u1eabn \u0111\u1ebfn s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng, h\u00e0m l\u01b0\u1ee3ng v\u00e0 \u0111\u1ed9 tinh khi\u1ebft c\u1ee7a s\u1ea3n ph\u1ea9m th\u1ea3o d\u01b0\u1ee3c tr\u00ean th\u1ecb tr\u01b0\u1eddng. N\u1ed3ng \u0111\u1ed9 c\u00e1c ho\u1ea1t ch\u1ea5t c\u00f3 th\u1ec3 dao \u0111\u1ed9ng \u0111\u00e1ng k\u1ec3 gi\u1eefa c\u00e1c l\u00f4 ho\u1eb7c c\u00e1c nh\u00e3n hi\u1ec7u, d\u1eabn \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f3 d\u1ef1 \u0111o\u00e1n k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<p>Th\u00e0nh ph\u1ea7n h\u00f3a h\u1ecdc ph\u1ee9c t\u1ea1p c\u1ee7a th\u1ea3o d\u01b0\u1ee3c c\u0169ng \u0111\u1eb7t ra th\u00e1ch th\u1ee9c \u0111\u00e1ng k\u1ec3. Nhi\u1ec1u s\u1ea3n ph\u1ea9m ch\u1ee9a nhi\u1ec1u ho\u1ea1t ch\u1ea5t v\u1edbi \u0111\u1eb7c t\u00ednh d\u01b0\u1ee3c l\u00fd kh\u00e1c nhau, g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh th\u00e0nh ph\u1ea7n n\u00e0o ch\u1ecbu tr\u00e1ch nhi\u1ec7m ch\u00ednh cho t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i. S\u1ef1 t\u01b0\u01a1ng t\u00e1c gi\u1eefa c\u00e1c th\u00e0nh ph\u1ea7n c\u00f3 th\u1ec3 t\u1ea1o ra hi\u1ec7u \u1ee9ng hi\u1ec7p \u0111\u1ed3ng ho\u1eb7c \u0111\u1ed1i kh\u00e1ng kh\u00f3 l\u01b0\u1eddng, l\u00e0m ph\u1ee9c t\u1ea1p vi\u1ec7c \u1ee9ng d\u1ee5ng l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<p>H\u1ed3 s\u01a1 an to\u00e0n c\u1ee7a th\u1ea3o d\u01b0\u1ee3c c\u00f2n b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi nguy c\u01a1 t\u01b0\u01a1ng t\u00e1c v\u1edbi thu\u1ed1c t\u00e2y. S\u1ea3n ph\u1ea9m th\u1ea3o d\u01b0\u1ee3c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn chuy\u1ec3n h\u00f3a, ph\u00e2n b\u1ed1 ho\u1eb7c th\u1ea3i tr\u1eeb c\u1ee7a thu\u1ed1c k\u00ea \u0111\u01a1n, l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c t\u0103ng nguy c\u01a1 \u0111\u1ed9c t\u00ednh. Vi\u1ec7c thi\u1ebfu trao \u0111\u1ed5i th\u00f4ng tin gi\u1eefa b\u1ec7nh nh\u00e2n v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 s\u1eed d\u1ee5ng th\u1ef1c ph\u1ea9m b\u1ed5 sung th\u1ea3o d\u01b0\u1ee3c c\u00f3 th\u1ec3 l\u00e0m gia t\u0103ng r\u1ee7i ro n\u00e0y.<\/p>\n\n\n\n<p>Ngo\u00e0i ra, m\u1ed9t s\u1ed1 th\u1ea3o d\u01b0\u1ee3c c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ed9c tr\u1ef1c ti\u1ebfp l\u00ean c\u01a1 quan ho\u1eb7c h\u1ec7 c\u01a1 quan. Nh\u1eefng s\u1ea3n ph\u1ea9m ch\u1ee9a c\u00e1c h\u1ee3p ch\u1ea5t m\u1ea1nh nh\u01b0 alcaloid, glycosid ho\u1eb7c tinh d\u1ea7u c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ed9c gan, \u0111\u1ed9c th\u1eadn ho\u1eb7c \u0111\u1ed9c tim. Nguy c\u01a1 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi m\u1ed9t s\u1ed1 th\u00e0nh ph\u1ea7n th\u1ea3o d\u01b0\u1ee3c c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c l\u01b0u \u00fd, v\u00ec c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn nghi\u00eam tr\u1ecdng \u1edf ng\u01b0\u1eddi nh\u1ea1y c\u1ea3m. H\u01a1n n\u1eefa, vi\u1ec7c nh\u1ea7m l\u1eabn d\u01b0\u1ee3c li\u1ec7u ho\u1eb7c pha tr\u1ed9n v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i, c\u00f9ng v\u1edbi nguy c\u01a1 nhi\u1ec5m kim lo\u1ea1i n\u1eb7ng, thu\u1ed1c b\u1ea3o v\u1ec7 th\u1ef1c v\u1eadt ho\u1eb7c vi sinh v\u1eadt trong qu\u00e1 tr\u00ecnh tr\u1ed3ng tr\u1ecdt, thu h\u00e1i v\u00e0 s\u1ea3n xu\u1ea5t, \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m suy gi\u1ea3m t\u00ednh an to\u00e0n v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng s\u1ea3n ph\u1ea9m. Nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y g\u00f3p ph\u1ea7n t\u1ea1o n\u00ean c\u00e1c nguy c\u01a1 ti\u1ec1m \u1ea9n khi s\u1eed d\u1ee5ng th\u1ea3o d\u01b0\u1ee3c trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh. Do \u0111\u00f3, nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n th\u1eadn tr\u1ecdng, nh\u1eadn th\u1ee9c r\u00f5 r\u1ee7i ro v\u00e0 trao \u0111\u1ed5i c\u1edfi m\u1edf khi s\u1eed d\u1ee5ng th\u1ea3o d\u01b0\u1ee3c nh\u01b0 m\u1ed9t ph\u1ea7n c\u1ee7a chi\u1ebfn l\u01b0\u1ee3c ch\u0103m s\u00f3c to\u00e0n di\u1ec7n.<\/p>\n\n\n\n<p>M\u1eb7c d\u00f9 s\u1ef1 quan t\u00e2m \u0111\u1ed1i v\u1edbi th\u1ea3o d\u01b0\u1ee3c trong \u0111i\u1ec1u tr\u1ecb IBS-C ng\u00e0y c\u00e0ng t\u0103ng, b\u1eb1ng ch\u1ee9ng hi\u1ec7n c\u00f3 v\u1eabn r\u1eddi r\u1ea1c v\u00e0 kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t v\u1ec1 thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u c\u0169ng nh\u01b0 k\u1ebft c\u1ee5c \u0111\u00e1nh gi\u00e1. \u0110\u1ec3 gi\u1ea3i quy\u1ebft kho\u1ea3ng tr\u1ed1ng ki\u1ebfn th\u1ee9c n\u00e0y, ch\u00fang t\u00f4i th\u1ef1c hi\u1ec7n m\u1ed9t t\u1ed5ng quan h\u1ec7 th\u1ed1ng nh\u1eb1m \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n c\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng th\u1ea3o d\u01b0\u1ee3c trong IBS-C.<\/p>\n\n\n\n<p>T\u1ed5ng quan n\u00e0y tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ph\u01b0\u01a1ng ph\u00e1p lu\u1eadn nghi\u00eam ng\u1eb7t, bao g\u1ed3m t\u00ecm ki\u1ebfm t\u00e0i li\u1ec7u to\u00e0n di\u1ec7n theo ti\u00eau ch\u00ed x\u00e1c \u0111\u1ecbnh r\u00f5 r\u00e0ng v\u00e0 tr\u00edch xu\u1ea5t d\u1eef li\u1ec7u t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n. Th\u00f4ng qua vi\u1ec7c \u0111\u00e1nh gi\u00e1 ph\u00ea b\u00ecnh b\u1eb1ng ch\u1ee9ng hi\u1ec7n c\u00f3, ch\u00fang t\u00f4i mong mu\u1ed1n cung c\u1ea5p c\u00e1i nh\u00ecn kh\u00e1ch quan v\u1ec1 hi\u1ec7u qu\u1ea3 v\u00e0 h\u1ed3 s\u01a1 an to\u00e0n c\u1ee7a c\u00e1c can thi\u1ec7p th\u1ea3o d\u01b0\u1ee3c trong qu\u1ea3n l\u00fd IBS-C.<\/p>\n\n\n\n<p>B\u1eb1ng c\u00e1ch t\u1ed5ng h\u1ee3p c\u00e1c b\u1eb1ng ch\u1ee9ng hi\u1ec7n c\u00f3, t\u1ed5ng quan n\u00e0y nh\u1eb1m cung c\u1ea5p \u0111\u1ecbnh h\u01b0\u1edbng h\u1eefu \u00edch cho nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 b\u1ec7nh nh\u00e2n \u0111ang t\u00ecm ki\u1ebfm c\u00e1c ph\u01b0\u01a1ng ph\u00e1p d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng trong \u0111i\u1ec1u tr\u1ecb IBS-C. \u0110\u1ed3ng th\u1eddi, ch\u00fang t\u00f4i x\u00e1c \u0111\u1ecbnh c\u00e1c h\u01b0\u1edbng nghi\u00ean c\u1ee9u ti\u1ec1m n\u0103ng nh\u1eb1m kh\u1eafc ph\u1ee5c nh\u1eefng h\u1ea1n ch\u1ebf c\u1ee7a t\u00e0i li\u1ec7u hi\u1ec7n t\u1ea1i, n\u00e2ng cao hi\u1ec3u bi\u1ebft v\u00e0 \u1ee9ng d\u1ee5ng th\u1ea3o d\u01b0\u1ee3c trong b\u1ed1i c\u1ea3nh IBS-C, qua \u0111\u00f3 g\u00f3p ph\u1ea7n c\u1ea3i thi\u1ec7n ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong t\u01b0\u01a1ng lai cho r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a \u0111\u1ea7y th\u00e1ch th\u1ee9c n\u00e0y.<\/p>\n\n\n\n<p><strong>2. V\u1eadt li\u1ec7u v\u00e0 Ph\u01b0\u01a1ng ph\u00e1p<\/strong><\/p>\n\n\n\n<p><strong>2.1. Chi\u1ebfn l\u01b0\u1ee3c t\u00ecm ki\u1ebfm<\/strong><\/p>\n\n\n\n<p>M\u1ed9t t\u00ecm ki\u1ebfm t\u00e0i li\u1ec7u to\u00e0n di\u1ec7n \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u1eb1m x\u00e1c \u0111\u1ecbnh c\u00e1c nghi\u00ean c\u1ee9u li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng th\u1ea3o d\u01b0\u1ee3c trong \u0111i\u1ec1u tr\u1ecb IBS-C. C\u00e1c c\u01a1 s\u1edf d\u1eef li\u1ec7u \u0111i\u1ec7n t\u1eed bao g\u1ed3m PubMed, MEDLINE, Embase, Scopus v\u00e0 Th\u01b0 vi\u1ec7n Cochrane \u0111\u01b0\u1ee3c t\u00ecm ki\u1ebfm t\u1eeb th\u1eddi \u0111i\u1ec3m kh\u1edfi \u0111\u1ea7u c\u1ee7a m\u1ed7i c\u01a1 s\u1edf d\u1eef li\u1ec7u \u0111\u1ebfn th\u00e1ng 7 n\u0103m 2023.<\/p>\n\n\n\n<p>C\u00e1c thu\u1eadt ng\u1eef t\u00ecm ki\u1ebfm \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng d\u1ef1a tr\u00ean h\u1ec7 th\u1ed1ng Medical Subject Headings MeSH v\u00e0 c\u00e1c t\u1eeb kh\u00f3a li\u00ean quan \u0111\u1ebfn herbal remedies, constipation-predominant irritable bowel syndrome v\u00e0 IBS-C.<\/p>\n\n\n\n<p><strong>2.2. L\u1ef1a ch\u1ecdn nghi\u00ean c\u1ee9u<\/strong><\/p>\n\n\n\n<p>Qu\u00e1 tr\u00ecnh l\u1ef1a ch\u1ecdn nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ed9c l\u1eadp b\u1edfi hai nh\u00e0 \u0111\u00e1nh gi\u00e1 S.L.P. v\u00e0 A.I. Hai nh\u00e0 nghi\u00ean c\u1ee9u n\u00e0y s\u00e0ng l\u1ecdc k\u1ebft qu\u1ea3 t\u00ecm ki\u1ebfm d\u1ef1a tr\u00ean ti\u00eau \u0111\u1ec1 v\u00e0 t\u00f3m t\u1eaft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c nghi\u00ean c\u1ee9u c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n. C\u00e1c b\u00e0i b\u00e1o to\u00e0n v\u0103n c\u1ee7a nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c ch\u1ecdn s\u1ebd \u0111\u01b0\u1ee3c thu th\u1eadp \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 chi ti\u1ebft h\u01a1n.<\/p>\n\n\n\n<p>C\u00e1c nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o n\u1ebfu \u0111\u00e1p \u1ee9ng c\u00e1c ti\u00eau ch\u00ed sau:<\/p>\n\n\n\n<p>a) <strong>Thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u:<\/strong> Bao g\u1ed3m c\u00e1c th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng RCT, nghi\u00ean c\u1ee9u quan s\u00e1t (\u0111o\u00e0n h\u1ec7, b\u1ec7nh\u2013ch\u1ee9ng, c\u1eaft ngang) v\u00e0 c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u00e1nh gi\u00e1 vi\u1ec7c s\u1eed d\u1ee5ng th\u1ea3o d\u01b0\u1ee3c trong qu\u1ea3n l\u00fd IBS-C.<\/p>\n\n\n\n<p>b) <strong>\u0110\u1ed1i t\u01b0\u1ee3ng nghi\u00ean c\u1ee9u:<\/strong> Bao g\u1ed3m b\u1ec7nh nh\u00e2n tr\u01b0\u1edfng th\u00e0nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n IBS-C theo c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u00e3 \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp, ch\u1eb3ng h\u1ea1n nh\u01b0 ti\u00eau chu\u1ea9n Rome.<\/p>\n\n\n\n<p>c) <strong>Can thi\u1ec7p:<\/strong> C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 th\u1ea3o d\u01b0\u1ee3c nh\u01b0 bi\u1ec7n ph\u00e1p can thi\u1ec7p ch\u00ednh trong qu\u1ea3n l\u00fd IBS-C \u0111\u01b0\u1ee3c xem l\u00e0 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n. Th\u1ea3o d\u01b0\u1ee3c bao g\u1ed3m c\u00e1c ch\u1ebf ph\u1ea9m c\u00f3 ngu\u1ed3n g\u1ed1c th\u1ef1c v\u1eadt v\u1edbi ti\u1ec1m n\u0103ng t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb l\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng IBS-C.<\/p>\n\n\n\n<p>d) <strong>K\u1ebft c\u1ee5c:<\/strong> Bao g\u1ed3m c\u00e1c nghi\u00ean c\u1ee9u b\u00e1o c\u00e1o c\u00e1c k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng li\u00ean quan \u0111\u1ebfn c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng IBS-C, nh\u01b0 thay \u0111\u1ed5i th\u00f3i quen \u0111\u1ea1i ti\u1ec7n, kh\u00f3 ch\u1ecbu v\u00f9ng b\u1ee5ng, ch\u01b0\u1edbng b\u1ee5ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed5ng th\u1ec3.<\/p>\n\n\n\n<p>C\u00e1c nghi\u00ean c\u1ee9u b\u1ecb lo\u1ea1i tr\u1eeb n\u1ebfu \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean qu\u1ea7n th\u1ec3 nhi khoa, s\u1eed d\u1ee5ng can thi\u1ec7p k\u1ebft h\u1ee3p (v\u00ed d\u1ee5 th\u1ea3o d\u01b0\u1ee3c ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c t\u00e2n d\u01b0\u1ee3c), ho\u1eb7c t\u1eadp trung v\u00e0o c\u00e1c th\u1ec3 IBS kh\u00e1c nh\u01b0 th\u1ec3 ti\u00eau ch\u1ea3y ho\u1eb7c th\u1ec3 h\u1ed7n h\u1ee3p. B\u00e1o c\u00e1o ca b\u1ec7nh, b\u00e0i t\u1ed5ng quan v\u00e0 c\u00e1c nghi\u00ean c\u1ee9u kh\u00f4ng c\u00f3 th\u01b0\u1edbc \u0111o k\u1ebft c\u1ee5c r\u00f5 r\u00e0ng c\u0169ng b\u1ecb lo\u1ea1i kh\u1ecfi ph\u00e2n t\u00edch.<\/p>\n\n\n\n<p><strong>2.3. Tr\u00edch xu\u1ea5t d\u1eef li\u1ec7u<\/strong><\/p>\n\n\n\n<p>Vi\u1ec7c tr\u00edch xu\u1ea5t d\u1eef li\u1ec7u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ed9c l\u1eadp b\u1edfi c\u00f9ng hai nh\u00e0 \u0111\u00e1nh gi\u00e1, s\u1eed d\u1ee5ng m\u1ed9t bi\u1ec3u m\u1eabu tr\u00edch xu\u1ea5t d\u1eef li\u1ec7u chu\u1ea9n h\u00f3a. C\u00e1c th\u00f4ng tin sau \u0111\u01b0\u1ee3c thu th\u1eadp t\u1eeb m\u1ed7i nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o: \u0111\u1eb7c \u0111i\u1ec3m nghi\u00ean c\u1ee9u (t\u00e1c gi\u1ea3, n\u0103m c\u00f4ng b\u1ed1, qu\u1ed1c gia), thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u, c\u1ee1 m\u1eabu, \u0111\u1eb7c \u0111i\u1ec3m nh\u00e2n kh\u1ea9u h\u1ecdc c\u1ee7a \u0111\u1ed1i t\u01b0\u1ee3ng, chi ti\u1ebft can thi\u1ec7p th\u1ea3o d\u01b0\u1ee3c (t\u00ean v\u1ecb thu\u1ed1c, d\u1ea1ng b\u00e0o ch\u1ebf, li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng), th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, c\u00e1c k\u1ebft c\u1ee5c \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 c\u00e1c ph\u00e1t hi\u1ec7n ch\u00ednh li\u00ean quan \u0111\u1ebfn c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng IBS-C.<\/p>\n\n\n\n<p><strong>2.4. \u0110\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng<\/strong><\/p>\n\n\n\n<p>Ch\u1ea5t l\u01b0\u1ee3ng ph\u01b0\u01a1ng ph\u00e1p lu\u1eadn c\u1ee7a c\u00e1c RCT \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng c\u00f4ng c\u1ee5 Risk of Bias Tool c\u1ee7a Cochrane Collaboration, bao g\u1ed3m c\u00e1c ti\u00eau ch\u00ed: t\u1ea1o tr\u00ecnh t\u1ef1 ng\u1eabu nhi\u00ean, che gi\u1ea5u ph\u00e2n b\u1ed5, l\u00e0m m\u00f9 ng\u01b0\u1eddi tham gia v\u00e0 nh\u00e2n vi\u00ean nghi\u00ean c\u1ee9u, l\u00e0m m\u00f9 \u0111\u00e1nh gi\u00e1 k\u1ebft c\u1ee5c, d\u1eef li\u1ec7u k\u1ebft c\u1ee5c kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7, b\u00e1o c\u00e1o ch\u1ecdn l\u1ecdc v\u00e0 c\u00e1c ngu\u1ed3n sai l\u1ec7ch kh\u00e1c.<\/p>\n\n\n\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c nghi\u00ean c\u1ee9u quan s\u00e1t, thang \u0111i\u1ec3m Newcastle-Ottawa Scale NOS \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 sai l\u1ec7ch. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 ch\u1ea5t l\u01b0\u1ee3ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ed9c l\u1eadp b\u1edfi hai nh\u00e0 \u0111\u00e1nh gi\u00e1 n\u00eau tr\u00ean v\u00e0 m\u1ecdi b\u1ea5t \u0111\u1ed3ng \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft th\u00f4ng qua th\u1ea3o lu\u1eadn \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 \u0111\u1ed3ng thu\u1eadn.<\/p>\n\n\n\n<p><strong>2.5. T\u1ed5ng h\u1ee3p v\u00e0 ph\u00e2n t\u00edch d\u1eef li\u1ec7u<\/strong><\/p>\n\n\n\n<p>Do d\u1ef1 ki\u1ebfn c\u00f3 s\u1ef1 kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t gi\u1eefa c\u00e1c nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o, vi\u1ec7c th\u1ef1c hi\u1ec7n ph\u00e2n t\u00edch g\u1ed9p kh\u00f4ng \u0111\u01b0\u1ee3c xem l\u00e0 ph\u00f9 h\u1ee3p. V\u00ec v\u1eady, ph\u01b0\u01a1ng ph\u00e1p t\u1ed5ng h\u1ee3p t\u01b0\u1eddng thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u00f3m t\u1eaft c\u00e1c k\u1ebft qu\u1ea3, v\u00e0 c\u00e1c d\u1eef li\u1ec7u li\u00ean quan \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y d\u01b0\u1edbi d\u1ea1ng b\u1ea3ng.<\/p>\n\n\n\n<p><strong>2.6. V\u1ea5n \u0111\u1ec1 \u0111\u1ea1o \u0111\u1ee9c<\/strong><\/p>\n\n\n\n<p>Do \u0111\u00e2y l\u00e0 m\u1ed9t t\u1ed5ng quan h\u1ec7 th\u1ed1ng d\u1ef1a tr\u00ean c\u00e1c t\u00e0i li\u1ec7u \u0111\u00e3 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1, n\u00ean kh\u00f4ng c\u1ea7n ph\u00ea duy\u1ec7t \u0111\u1ea1o \u0111\u1ee9c.<\/p>\n\n\n\n<p><strong>2.7. B\u00e1o c\u00e1o<\/strong><\/p>\n\n\n\n<p>T\u1ed5ng quan h\u1ec7 th\u1ed1ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo h\u01b0\u1edbng d\u1eabn Preferred Reporting Items for Systematic Reviews and Meta-Analyses PRISMA nh\u1eb1m \u0111\u1ea3m b\u1ea3o t\u00ednh minh b\u1ea1ch v\u00e0 \u0111\u1ea7y \u0111\u1ee7 trong qu\u00e1 tr\u00ecnh b\u00e1o c\u00e1o.<\/p>\n\n\n\n<p><strong>3. K\u1ebft qu\u1ea3<\/strong><\/p>\n\n\n\n<p>Ch\u00fang t\u00f4i x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c 48 b\u00e0i b\u00e1o li\u00ean quan \u0111\u1ebfn t\u00e1c d\u1ee5ng c\u1ee7a th\u1ea3o d\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi IBS-C. Sau khi lo\u1ea1i b\u1ecf c\u00e1c b\u00e0i tr\u00f9ng l\u1eb7p, 30 b\u00e0i b\u00e1o \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o s\u00e0ng l\u1ecdc v\u00e0 10 b\u00e0i b\u1ecb lo\u1ea1i do kh\u00f4ng li\u00ean quan \u0111\u1ebfn ch\u1ee7 \u0111\u1ec1 \u0111\u00e3 ch\u1ecdn ho\u1eb7c l\u00e0 b\u00e0i x\u00e3 lu\u1eadn.<\/p>\n\n\n\n<p>Hai m\u01b0\u01a1i b\u00e0i b\u00e1o \u0111\u01b0\u1ee3c \u0111\u1ecdc to\u00e0n v\u0103n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 chi ti\u1ebft v\u00e0 ti\u1ebfp t\u1ee5c lo\u1ea1i th\u00eam 11 b\u00e0i. Cu\u1ed1i c\u00f9ng, 9 b\u00e0i b\u00e1o \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o t\u1ed5ng quan h\u1ec7 th\u1ed1ng n\u00e0y, nh\u01b0 tr\u00ecnh b\u00e0y trong H\u00ecnh 1.<\/p>\n\n\n\n<p>T\u00ean t\u00e1c gi\u1ea3, c\u1ee1 m\u1eabu, thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u, ph\u01b0\u01a1ng ph\u00e1p th\u1ed1ng k\u00ea, m\u1ee5c ti\u00eau v\u00e0 t\u00f3m t\u1eaft k\u1ebft qu\u1ea3 c\u1ee7a t\u1eebng b\u00e0i \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea trong B\u1ea3ng 1.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/mdpi-res.com\/nutrients\/nutrients-15-04216\/article_deploy\/html\/images\/nutrients-15-04216-g001-550.jpg\" alt=\"\"\/><\/figure>\n\n\n\n<p><strong>Table 1. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 c\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c kh\u00e1c nhau trong IBS-C<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>T\u00e1c gi\u1ea3<\/th><th>Thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u<\/th><th>\u0110\u1ed1i t\u01b0\u1ee3ng<\/th><th>Can thi\u1ec7p<\/th><th>K\u1ebft qu\u1ea3 ch\u00ednh<\/th><\/tr><\/thead><tbody><tr><td><strong>Sallon et al. (2002)<\/strong><\/td><td>Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u00f4i, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c<\/td><td>61 b\u1ec7nh nh\u00e2n IBS-C<\/td><td>Padma Lax so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c trong 12 tu\u1ea7n. 2 vi\u00ean\/ng\u00e0y ho\u1eb7c 1 vi\u00ean\/ng\u00e0y n\u1ebfu xu\u1ea5t hi\u1ec7n ti\u00eau ch\u1ea3y ho\u1eb7c ph\u00e2n l\u1ecfng. 1 vi\u00ean (482 mg) ch\u1ee9a: Chi\u1ebft xu\u1ea5t l\u00f4 h\u1ed9i chu\u1ea9n h\u00f3a (12 mg); R\u1ec5 Calumba (10 mg); V\u1ecf Condurango (10 mg); V\u1ecf Frangula (52,5 mg); R\u1ec5 Gentian (35 mg); Th\u00e2n r\u1ec5 Elecampane (35 mg); Qu\u1ea3 h\u1ea1nh nhi\u1ec7t \u0111\u1edbi (35 mg); H\u1ed3 ti\u00eau d\u00e0i (3,5 mg); V\u1ecf Cascara (52,5 mg); R\u1ec5 \u0111\u1ea1i ho\u00e0ng Trung Qu\u1ed1c (70 mg); H\u1ea1t m\u00e3 ti\u1ec1n (1,75 mg); G\u1eebng (70 mg). Ngo\u00e0i ra c\u00f3 3 th\u00e0nh ph\u1ea7n kh\u00f4ng ph\u1ea3i th\u1ea3o d\u01b0\u1ee3c: Kaolin n\u1eb7ng (25 mg); Natri bicarbonat (15 mg); Natri sulfat (35 mg). T\u00e1 d\u01b0\u1ee3c: Silicium dioxide (2,4 mg); Magnesi stearat (4,6 mg).<\/td><td>C\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea: m\u1ee9c \u0111\u1ed9 t\u00e1o b\u00f3n; s\u1ed1 l\u1ea7n \u0111i ti\u00eau\/ng\u00e0y; \u0111au b\u1ee5ng \u1ea3nh h\u01b0\u1edfng sinh ho\u1ea1t; \u0111au m\u1ee9c trung b\u00ecnh\/n\u1eb7ng; m\u1ee9c \u0111\u1ed9 ch\u01b0\u1edbng b\u1ee5ng; c\u1ea3m gi\u00e1c \u0111i ti\u00eau kh\u00f4ng h\u1ebft; \u0111\u1ea7y h\u01a1i. Kh\u00f4ng c\u1ea3i thi\u1ec7n: t\u1ef7 l\u1ec7 ch\u01b0\u1edbng b\u1ee5ng; m\u1ee9c \u0111\u1ed9 \u0111au b\u1ee5ng. 10 b\u1ec7nh nh\u00e2n c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9: \u0111au \u0111\u1ea7u nh\u1eb9 (1), bu\u1ed3n n\u00f4n (1), kh\u00e0n ti\u1ebfng (1), ti\u00eau ch\u1ea3y\/ph\u00e2n l\u1ecfng (7) c\u1ea3i thi\u1ec7n khi gi\u1ea3m li\u1ec1u.<\/td><\/tr><tr><td><strong>Bensoussan et al. (2015)<\/strong><\/td><td>Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng hai nh\u00e1nh, ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u00f4i, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c<\/td><td>125 b\u1ec7nh nh\u00e2n IBS-C<\/td><td>CHM so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c trong 8 tu\u1ea7n. 10 vi\u00ean nang (4,2 g)\/ng\u00e0y, 5 s\u00e1ng v\u00e0 5 t\u1ed1i, ch\u1ee9a: B\u1ea1ch th\u01b0\u1ee3c (23%); Ch\u1ec9 th\u1ef1c (20%); H\u1eadu ph\u00e1c (14,5%); Tr\u1ea7n b\u00ec (14,5%); Cam th\u1ea3o (11%); \u0110\u1ea1i ho\u00e0ng (10%); Th\u01b0\u01a1ng tru\u1eadt (7%).<\/td><td>C\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a sau 8 tu\u1ea7n: \u0111\u00e1p \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 (PP); th\u00f3i quen \u0111\u1ea1i ti\u1ec7n; t\u1ea7n su\u1ea5t ph\u00e2n c\u1ee9ng; m\u1ee9c kh\u00f3 ch\u1ecbu do ph\u00e2n c\u1ee9ng; r\u1eb7n khi \u0111i ti\u00eau; h\u00ecnh d\u1ea1ng ph\u00e2n; ch\u1ee9c n\u0103ng th\u1ec3 ch\u1ea5t. Sau 16 tu\u1ea7n: c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng th\u1ec3 ch\u1ea5t. Kh\u00f4ng c\u1ea3i thi\u1ec7n: \u0111\u00e1p \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 (ITT); \u0111au b\u1ee5ng; ch\u01b0\u1edbng b\u1ee5ng; ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng; lo \u00e2u; tr\u1ea7m c\u1ea3m; stress; n\u0103ng su\u1ea5t lao \u0111\u1ed9ng. 6 b\u1ec7nh nh\u00e2n c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 trung b\u00ecnh: ti\u00eau ch\u1ea3y (3); ti\u1ec3u m\u00e1u (1); t\u0103ng ch\u01b0\u1edbng b\u1ee5ng (1); ch\u00f3ng m\u1eb7t v\u00e0 \u0111au \u0111\u1ea7u (1).<\/td><\/tr><tr><td><strong>Pazhouh et al. (2020)<\/strong><\/td><td>Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean theo kh\u1ed1i, m\u00f9 \u0111\u00f4i, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c<\/td><td>70 b\u1ec7nh nh\u00e2n IBS-C<\/td><td>PHS so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c trong 6 tu\u1ea7n. 5 mL m\u1ed7i 8 gi\u1edd, g\u1ed3m: Ng\u1ea3i c\u1ee9u (100 mg); T\u01a1 h\u1ed3ng (100 mg); Mu\u1ed3ng ho\u00e0ng y\u1ebfn (230 mg); Echium amoenium (270 mg); T\u00eda t\u00f4 \u0111\u1ea5t (190 mg); siro theo D\u01b0\u1ee3c \u0111i\u1ec3n Anh \u0111\u1ee7 100 mL.<\/td><td>C\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a: t\u1ef7 l\u1ec7 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb; \u0111i\u1ec3m m\u1ee9c \u0111\u1ed9 n\u1eb7ng; thang \u0111i\u1ec3m Bristol. Kh\u00f4ng c\u1ea3i thi\u1ec7n: lo \u00e2u; tr\u1ea7m c\u1ea3m. 4 b\u1ec7nh nh\u00e2n c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9: \u0111au \u0111\u1ea7u (2); bu\u1ed3n ng\u1ee7 (1); t\u0103ng kinh nguy\u1ec7t (1).<\/td><\/tr><tr><td><strong>Pourmasoumi et al. (2019)<\/strong><\/td><td>Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u01a1n, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c<\/td><td>142 b\u1ec7nh nh\u00e2n IBS-C<\/td><td>H\u1ea1t flixweed so v\u1edbi qu\u1ea3 sung so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c trong 4 th\u00e1ng. 60 g flixweed v\u00e0 90 g sung\/ng\u00e0y, chia 2 l\u1ea7n tr\u01b0\u1edbc s\u00e1ng v\u00e0 tr\u01b0a.<\/td><td>C\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a: \u0111i\u1ec3m m\u1ee9c \u0111\u1ed9 n\u1eb7ng IBS; ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng; t\u1ea7n su\u1ea5t \u0111au b\u1ee5ng; \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t; kh\u00f4ng h\u00e0i l\u00f2ng v\u1edbi th\u00f3i quen \u0111\u1ea1i ti\u1ec7n. Kh\u00f4ng kh\u00e1c bi\u1ec7t: m\u1ee9c \u0111\u1ed9 \u0111au b\u1ee5ng; CRP. Kh\u00f4ng kh\u00e1c bi\u1ec7t gi\u1eefa flixweed v\u00e0 sung. Kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ph\u1ee5.<\/td><\/tr><tr><td><strong>Brown et al. (2015)<\/strong><\/td><td>Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng m\u1ed9t trung t\u00e2m, ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u00f4i, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c<\/td><td>16 b\u1ec7nh nh\u00e2n IBS-C<\/td><td>Chi\u1ebft xu\u1ea5t ph\u1ed1i h\u1ee3p Quebracho (150 mg), Conker Tree (470 mg), tinh d\u1ea7u M. balsamea Willd (0,2 mL) so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c trong 2 tu\u1ea7n<\/td><td>C\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a: t\u00e1o b\u00f3n; ch\u01b0\u1edbng b\u1ee5ng. Kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ph\u1ee5.<\/td><\/tr><tr><td><strong>Chang et al. (2010)<\/strong><\/td><td>Ph\u00e2n ng\u1eabu nhi\u00ean h\u1ea1n ch\u1ebf (3:1), \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c<\/td><td>76 ng\u01b0\u1eddi (60 IBS-C, 16 kh\u1ecfe m\u1ea1nh)<\/td><td>Kiwi xanh Hayward 2 qu\u1ea3\/ng\u00e0y so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c trong 4 tu\u1ea7n<\/td><td>C\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a: t\u1ea7n su\u1ea5t \u0111\u1ea1i ti\u1ec7n; th\u1eddi gian v\u1eadn chuy\u1ec3n \u0111\u1ea1i tr\u00e0ng. Kh\u00f4ng c\u1ea3i thi\u1ec7n: th\u1ec3 t\u00edch ph\u00e2n; stress cu\u1ed9c s\u1ed1ng; c\u1ea3m gi\u00e1c sau \u0111i ti\u00eau. Kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ph\u1ee5.<\/td><\/tr><tr><td><strong>Yu et al. (2005)<\/strong><\/td><td>Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c<\/td><td>47 b\u1ec7nh nh\u00e2n IBS-C<\/td><td>B\u00e0i T\u1ee9 Ngh\u1ecbch T\u00e1n gia gi\u1ea3m so v\u1edbi Cisapride trong 8 tu\u1ea7n. 1 thang chia 2 l\u1ea7n g\u1ed3m: S\u00e0i h\u1ed3 (10 g); Ch\u1ec9 th\u1ef1c (10 g); M\u1ed9c h\u01b0\u01a1ng (10 g); \u00d4 d\u01b0\u1ee3c (10 g); B\u1ea1ch tru\u1eadt (20 g); B\u1ea1ch th\u01b0\u1ee3c (10 g); Xuy\u00ean khung (10 g); \u0110\u01b0\u01a1ng quy (10 g); Cam th\u1ea3o (5 g); s\u1eafc n\u01b0\u1edbc u\u1ed1ng.<\/td><td>C\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a: hi\u1ec7u qu\u1ea3 chung; \u0111i\u1ec3m tri\u1ec7u ch\u1ee9ng; t\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t; ng\u01b0\u1ee1ng c\u1ea3m gi\u00e1c tr\u1ef1c tr\u00e0ng; th\u1ec3 t\u00edch dung n\u1ea1p t\u1ed1i \u0111a; \u0111\u1ed9 gi\u00e3n tr\u1ef1c tr\u00e0ng. Kh\u00f4ng kh\u00e1c bi\u1ec7t: \u00e1p l\u1ef1c h\u1eadu m\u00f4n l\u00fac ngh\u1ec9, t\u00e2m thu, t\u00e2m tr\u01b0\u01a1ng. Kh\u00f4ng \u0111\u1ec1 c\u1eadp t\u00e1c d\u1ee5ng ph\u1ee5.<\/td><\/tr><tr><td><strong>Ricci et al. (2022)<\/strong><\/td><td>Th\u1eed nghi\u1ec7m can thi\u1ec7p, ti\u1ebfn c\u1ee9u, \u0111a trung t\u00e2m, ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u00f4i, \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c<\/td><td>56 b\u1ec7nh nh\u00e2n IBS<\/td><td>Geraniol so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c trong 4 tu\u1ea7n. 1 vi\u00ean (470 mg)\/ng\u00e0y g\u1ed3m: Tinh d\u1ea7u Palmrose gi\u00e0u geraniol (90 mg); g\u1eebng b\u1ed9t (360 mg). T\u00e1 d\u01b0\u1ee3c: Magnesi stearat th\u1ef1c v\u1eadt (10 mg); Silicon dioxide (10 mg).<\/td><td>C\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a: \u0111au b\u1ee5ng; s\u1ed1 ng\u00e0y \u0111au b\u1ee5ng; ch\u01b0\u1edbng b\u1ee5ng; h\u00e0i l\u00f2ng th\u00f3i quen \u0111\u1ea1i ti\u1ec7n; \u0111i\u1ec3m IBS-SSS; s\u1ed1 ng\u01b0\u1eddi \u0111\u00e1p \u1ee9ng (gi\u1ea3m \u226550 \u0111i\u1ec3m). Kh\u00f4ng kh\u00e1c bi\u1ec7t: \u1ea3nh h\u01b0\u1edfng sinh ho\u1ea1t; marker vi\u00eam. T\u0103ng Ruminococcaceae v\u00e0 Oscillospira; gi\u1ea3m Erysipelotrichaceae v\u00e0 Clostridiaceae. 2 b\u1ec7nh nh\u00e2n c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p><strong>Ch\u00fa th\u00edch:<\/strong><br>CHM: Thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c Trung Qu\u1ed1c<br>IBS-SSS: Thang \u0111i\u1ec3m m\u1ee9c \u0111\u1ed9 n\u1eb7ng tri\u1ec7u ch\u1ee9ng IBS<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.1. Padma Lax v\u00e0 IBS-C<\/h3>\n\n\n\n<p>D\u1ef1a tr\u00ean m\u1ed9t b\u00e0i thu\u1ed1c T\u00e2y T\u1ea1ng, Padma Lax l\u00e0 m\u1ed9t h\u1ed7n h\u1ee3p ph\u1ee9c t\u1ea1p g\u1ed3m 15 d\u01b0\u1ee3c li\u1ec7u v\u00e0 kho\u00e1ng ch\u1ea5t, theo truy\u1ec1n th\u1ed1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n v\u00e0 h\u1ed7 tr\u1ee3 ti\u00eau h\u00f3a. Trong nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o, m\u1ed7i vi\u00ean (482 mg) ch\u1ee9a c\u00e1c th\u00e0nh ph\u1ea7n sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>L\u00f4 h\u1ed9i<\/strong> (Aloe barbadensis Miller, Aloe ferox Miller \u2013 cao chu\u1ea9n h\u00f3a; 12,5 mg)<\/li>\n\n\n\n<li><strong>R\u1ec5 Calumba<\/strong> (Jateorhiza palmata \u2013 10 mg)<\/li>\n\n\n\n<li><strong>V\u1ecf Condurango<\/strong> (Marsdenia condurango \u2013 10 mg)<\/li>\n\n\n\n<li><strong>V\u1ecf Th\u1eed l\u00fd<\/strong> (Rhamnus frangula \u2013 52,5 mg)<\/li>\n\n\n\n<li><strong>R\u1ec5 Long \u0111\u1edfm v\u00e0ng<\/strong> (Gentiana lutea \u2013 35 mg)<\/li>\n\n\n\n<li><strong>Th\u00e2n r\u1ec5 M\u1ed9c h\u01b0\u01a1ng \u0111\u1ea5t \/ C\u00fac t\u1ea7n \u1ea4n \u0110\u1ed9<\/strong> (Inula helenium \u2013 35 mg)<\/li>\n\n\n\n<li><strong>Qu\u1ea3 Chi\u00eau li\u00eau<\/strong> (Terminalia chebula \u2013 35 mg)<\/li>\n\n\n\n<li><strong>H\u1ed3 ti\u00eau d\u00e0i<\/strong> (Piper longum \u2013 3,5 mg)<\/li>\n\n\n\n<li><strong>V\u1ecf Cascara<\/strong> (Rhamnus purshiana \u2013 52,5 mg)<\/li>\n\n\n\n<li><strong>R\u1ec5 \u0110\u1ea1i ho\u00e0ng<\/strong> (Rheum palmatum \u2013 70 mg)<\/li>\n\n\n\n<li><strong>H\u1ea1t M\u00e3 ti\u1ec1n<\/strong> (Strychnos nux-vomica \u2013 1,75 mg)<\/li>\n\n\n\n<li><strong>G\u1eebng<\/strong> (Zingiber officinale \u2013 70 mg)<\/li>\n<\/ul>\n\n\n\n<p>Ngo\u00e0i ra, c\u00f4ng th\u1ee9c c\u00f2n ch\u1ee9a ba th\u00e0nh ph\u1ea7n kh\u00f4ng ph\u1ea3i d\u01b0\u1ee3c li\u1ec7u:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cao lanh n\u1eb7ng<\/strong> (25 mg)<\/li>\n\n\n\n<li><strong>Natri bicarbonat<\/strong> (15 mg)<\/li>\n\n\n\n<li><strong>Natri sulfat<\/strong> (35 mg)<\/li>\n<\/ul>\n\n\n\n<p>T\u00e1 d\u01b0\u1ee3c g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Silic dioxyd<\/strong> (2,4 mg)<\/li>\n\n\n\n<li><strong>Magnesi stearat<\/strong> (4,6 mg)<\/li>\n<\/ul>\n\n\n\n<p>C\u00f4ng th\u1ee9c n\u00e0y ph\u1ed1i h\u1ee3p nhi\u1ec1u d\u01b0\u1ee3c li\u1ec7u v\u1edbi h\u00e0m l\u01b0\u1ee3ng nh\u1ecf, trong \u0111\u00f3 c\u00f3 nh\u1eefng th\u00e0nh ph\u1ea7n c\u00f3 ho\u1ea1t t\u00ednh sinh h\u1ecdc \u0111\u1ed1i l\u1eadp nhau.<\/p>\n\n\n\n<p>C\u00e1c d\u01b0\u1ee3c li\u1ec7u c\u00f3 t\u00e1c d\u1ee5ng nhu\u1eadn tr\u00e0ng \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>L\u00f4 h\u1ed9i<\/strong> (ch\u1ee9a aloin, aloe-emodin)<\/li>\n\n\n\n<li><strong>V\u1ecf Th\u1eed l\u00fd<\/strong> (ch\u1ee9a frangulin)<\/li>\n\n\n\n<li><strong>V\u1ecf Cascara<\/strong><\/li>\n\n\n\n<li><strong>\u0110\u1ea1i ho\u00e0ng<\/strong> (t\u00e1c d\u1ee5ng th\u00f4ng qua c\u00e1c glycosid anthranoid)<\/li>\n<\/ul>\n\n\n\n<p>C\u00e1c d\u01b0\u1ee3c li\u1ec7u v\u00e0 kho\u00e1ng ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng ng\u01b0\u1ee3c l\u1ea1i \u2013 c\u1ea7m ti\u00eau ch\u1ea3y \u2013 g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Inula helenium<\/strong> (ch\u1ee9a inulin)<\/li>\n\n\n\n<li><strong>Long \u0111\u1edfm v\u00e0ng<\/strong> (ch\u1ee9a gentiopicrosid, xanthone, alcaloid monoterpen, polyphenol v\u00e0 flavonoid)<\/li>\n\n\n\n<li><strong>Cao lanh<\/strong><\/li>\n<\/ul>\n\n\n\n<p>T\u00e1c d\u1ee5ng ch\u1ed1ng co th\u1eaft \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf <strong>Condurango<\/strong>, trong khi <strong>gingerol<\/strong> t\u1eeb G\u1eebng c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng serotonin, g\u00f3p ph\u1ea7n th\u00fac \u0111\u1ea9y nhu \u0111\u1ed9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. <strong>Calumba<\/strong>, v\u1ed1n \u0111\u01b0\u1ee3c d\u00f9ng nh\u01b0 m\u1ed9t v\u1ecb thu\u1ed1c \u0111\u1eafng ki\u1ec7n v\u1ecb v\u00e0 k\u00edch th\u00edch \u0103n ngon, ch\u1ee9a jatrorrhizin \u2013 m\u1ed9t alcaloid isoquinolin li\u00ean quan \u0111\u1ebfn t\u00e1c d\u1ee5ng an th\u1ea7n v\u00e0 gi\u1ea3m lo \u00e2u.<\/p>\n\n\n\n<p>M\u1ed9t nghi\u00ean c\u1ee9u th\u00ed \u0111i\u1ec3m k\u00e9o d\u00e0i 12 tu\u1ea7n, ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u00f4i, c\u00f3 \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c \u0111\u00e3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n c\u1ee7a Padma Lax tr\u00ean 61 b\u1ec7nh nh\u00e2n (34 d\u00f9ng Padma Lax, 27 d\u00f9ng gi\u1ea3 d\u01b0\u1ee3c) \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n IBS-C theo ti\u00eau chu\u1ea9n Rome I.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y nh\u00f3m Padma Lax c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u1ee9c \u0111\u1ed9 t\u00e1o b\u00f3n<\/li>\n\n\n\n<li>S\u1ed1 l\u1ea7n \u0111\u1ea1i ti\u1ec7n m\u1ed7i ng\u00e0y<\/li>\n\n\n\n<li>\u0110au b\u1ee5ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t<\/li>\n\n\n\n<li>S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u0111au m\u1ee9c \u0111\u1ed9 trung b\u00ecnh ho\u1eb7c n\u1eb7ng<\/li>\n\n\n\n<li>M\u1ee9c \u0111\u1ed9 ch\u01b0\u1edbng b\u1ee5ng<\/li>\n\n\n\n<li>C\u1ea3m gi\u00e1c \u0111\u1ea1i ti\u1ec7n kh\u00f4ng h\u1ebft<\/li>\n\n\n\n<li>\u0110\u1ea7y h\u01a1i<\/li>\n<\/ul>\n\n\n\n<p>Kh\u00f4ng ghi nh\u1eadn c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ef7 l\u1ec7 ch\u01b0\u1edbng b\u1ee5ng<\/li>\n\n\n\n<li>M\u1ee9c \u0111\u1ed9 \u0111au b\u1ee5ng<\/li>\n<\/ul>\n\n\n\n<p>Ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n d\u00f9ng Padma Lax v\u1eabn than phi\u1ec1n \u0111au b\u1ee5ng nh\u1eb9 k\u00e9o d\u00e0i.<\/p>\n\n\n\n<p>C\u00f3 10\/34 b\u1ec7nh nh\u00e2n trong nh\u00f3m Padma Lax xu\u1ea5t hi\u1ec7n t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9, so v\u1edbi 5\/27 b\u1ec7nh nh\u00e2n \u1edf nh\u00f3m gi\u1ea3 d\u01b0\u1ee3c. Kh\u00f4ng ghi nh\u1eadn thay \u0111\u1ed5i c\u00f3 \u00fd ngh\u0129a l\u00e2m s\u00e0ng v\u1ec1 c\u00e1c ch\u1ec9 s\u1ed1 huy\u1ebft h\u1ecdc ho\u1eb7c x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan, th\u1eadn.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.2. Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c v\u00e0 IBS-C<\/h3>\n\n\n\n<p>M\u1ed9t li\u1ec7u ph\u00e1p th\u1ea3o d\u01b0\u1ee3c kh\u00e1c \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u1ec1 l\u1ee3i \u00edch \u0111\u1ed1i v\u1edbi IBS-C l\u00e0 <strong>Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c (Chinese Herbal Medicine \u2013 CHM)<\/strong>. Trong nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o, c\u00f4ng th\u1ee9c CHM \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a g\u1ed3m 7 d\u01b0\u1ee3c li\u1ec7u c\u00f3 ngu\u1ed3n g\u1ed1c th\u1ef1c v\u1eadt, x\u00e2y d\u1ef1ng d\u1ef1a tr\u00ean kinh nghi\u1ec7m l\u00e2m s\u00e0ng k\u1ebft h\u1ee3p v\u1edbi nghi\u00ean c\u1ee9u khoa h\u1ecdc. Th\u00e0nh ph\u1ea7n bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>R\u1ec5 B\u1ea1ch th\u01b0\u1ee3c<\/strong> (<em>Paeonia lactiflora<\/em>) \u2013 23%<\/li>\n\n\n\n<li><strong>Ch\u1ec9 th\u1ef1c<\/strong> (<em>Citrus aurantium<\/em>, Fructus immaturus) \u2013 20%, d\u00f9ng ch\u1ec9 x\u00e1c<\/li>\n\n\n\n<li><strong>V\u1ecf H\u1eadu ph\u00e1c<\/strong> (<em>Magnolia officinalis<\/em>) \u2013 14,5%<\/li>\n\n\n\n<li><strong>V\u1ecf Qu\u00fdt (Tr\u1ea7n b\u00ec)<\/strong> (<em>Citrus reticulata<\/em>, Pericarpium) \u2013 14,5%<\/li>\n\n\n\n<li><strong>R\u1ec5 Cam th\u1ea3o<\/strong> (<em>Glycyrrhiza uralensis<\/em>) \u2013 11%<\/li>\n\n\n\n<li><strong>R\u1ec5 \u0110\u1ea1i ho\u00e0ng<\/strong> (<em>Rheum palmatum<\/em>) \u2013 10%<\/li>\n\n\n\n<li><strong>Th\u00e2n r\u1ec5 Th\u01b0\u01a1ng tru\u1eadt<\/strong> (<em>Atractylodes lancea<\/em>) \u2013 7% (thay b\u1eb1ng b\u1ea1ch tru\u1eadt, ph\u00f2ng phong cho gi\u1ed1ng b\u00e0i Th\u1ed1ng t\u1ea3 y\u1ebfu ph\u01b0\u01a1ng &#8211; B\u1ea1ch tru\u1eadt, b\u1ea1ch th\u01b0\u1ee3c, ph\u00f2ng phong, tr\u1ea7n b\u00ec \u00e0 nh\u01b0ng t\u00e1o b\u00f3n th\u00ec b\u1ea1ch tru\u1eadt l\u00e0m t\u00e1o th\u00eam))<\/li>\n\n\n\n<li>H\u1ecfa ma nh\u00e2n (v\u1eebng \u0111en)<\/li>\n<\/ul>\n\n\n\n<p>Th\u00eam h\u00f2e hoa ch\u1ed1ng ch\u1ea3y m\u00e1u nh\u1ec9, ho\u00e0ng b\u00e1 ch\u1eefa \u0111\u1ea1i tr\u01b0\u1eddng t\u00e1o nhi\u1ec7t li\u1ec1u th\u1ea5p \u0111\u01b0\u1ee3c kh\u00f4ng<\/p>\n\n\n\n<p>C\u00e1c t\u00e1c d\u1ee5ng li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb IBS-C c\u1ee7a c\u00f4ng th\u1ee9c n\u00e0y bao g\u1ed3m: gi\u1ea3m \u0111au, ch\u1ed1ng co th\u1eaft, \u1ee9c ch\u1ebf th\u1ea7n kinh trung \u01b0\u01a1ng, gi\u00e3n c\u01a1, gi\u00e3n c\u01a1 ru\u1ed9t v\u00e0 k\u00edch th\u00edch nhu \u0111\u1ed9ng, gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au, gi\u00e3n c\u01a1 tr\u01a1n, h\u1ed7 tr\u1ee3 l\u00e0m r\u1ed7ng \u0111\u1ea1i tr\u00e0ng, an th\u1ea7n, gi\u1ea3i lo \u00e2u, gi\u1ea3m ch\u01b0\u1edbng b\u1ee5ng v\u00e0 \u0111\u1ea7y h\u01a1i, kh\u00e1ng vi\u00eam nh\u1eb9 t\u1ea1i ru\u1ed9t, ch\u1ed1ng ti\u00eau ch\u1ea3y v\u00e0 nhu\u1eadn tr\u00e0ng.<\/p>\n\n\n\n<p>M\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng k\u00e9o d\u00e0i 16 tu\u1ea7n, hai nh\u00e1nh, ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u00f4i, c\u00f3 \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c \u0111\u00e3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n c\u1ee7a CHM tr\u00ean 125 b\u1ec7nh nh\u00e2n (61 d\u00f9ng CHM, 64 d\u00f9ng gi\u1ea3 d\u01b0\u1ee3c) \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n IBS-C theo ti\u00eau chu\u1ea9n Rome III.<\/p>\n\n\n\n<p>Ph\u00e2n t\u00edch theo nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u (Intention-to-Treat \u2013 ITT) \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean to\u00e0n b\u1ed9 125 b\u1ec7nh nh\u00e2n, trong khi ph\u00e2n t\u00edch theo ph\u00e1c \u0111\u1ed3 ho\u00e0n ch\u1ec9nh (Per Protocol \u2013 PP) \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh tr\u00ean 108 b\u1ec7nh nh\u00e2n (50 CHM, 58 gi\u1ea3 d\u01b0\u1ee3c) ho\u00e0n th\u00e0nh \u0111\u1ee7 8 tu\u1ea7n can thi\u1ec7p.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u1ede tu\u1ea7n th\u1ee9 8, nh\u00f3m CHM \u0111\u1ea1t c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea v\u1ec1 m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 khi ph\u00e2n t\u00edch theo PP so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c.<\/li>\n\n\n\n<li>Tuy nhi\u00ean, kh\u00f4ng ghi nh\u1eadn c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a khi ph\u00e2n t\u00edch theo ITT, c\u0169ng nh\u01b0 kh\u00f4ng c\u00f3 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a \u1edf th\u1eddi \u0111i\u1ec3m theo d\u00f5i tu\u1ea7n th\u1ee9 16 (c\u1ea3 ITT v\u00e0 PP).<\/li>\n<\/ul>\n\n\n\n<p>Ngo\u00e0i ra, sau 8 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb, nh\u00f3m CHM c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u00f3i quen \u0111\u1ea1i ti\u1ec7n<\/li>\n\n\n\n<li>T\u1ea7n su\u1ea5t v\u00e0 m\u1ee9c \u0111\u1ed9 kh\u00f3 ch\u1ecbu c\u1ee7a ph\u00e2n c\u1ee9ng, v\u00f3n c\u1ee5c<\/li>\n\n\n\n<li>R\u1eb7n khi \u0111\u1ea1i ti\u1ec7n<\/li>\n\n\n\n<li>H\u00ecnh d\u1ea1ng ph\u00e2n theo thang \u0111i\u1ec3m Bristol<\/li>\n\n\n\n<li>Ch\u1ee9c n\u0103ng th\u1ec3 ch\u1ea5t<\/li>\n<\/ul>\n\n\n\n<p>T\u1ea1i th\u1eddi \u0111i\u1ec3m theo d\u00f5i 16 tu\u1ea7n, l\u1ee3i \u00edch duy tr\u00ec duy nh\u1ea5t l\u00e0 v\u1ec1 ch\u1ee9c n\u0103ng th\u1ec3 ch\u1ea5t.<\/p>\n\n\n\n<p><strong>Kh\u00f4ng ghi nh\u1eadn c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a v\u1ec1:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110au b\u1ee5ng<\/li>\n\n\n\n<li>Ch\u01b0\u1edbng b\u1ee5ng<\/li>\n\n\n\n<li>\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t<\/li>\n\n\n\n<li>Ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed5ng th\u1ec3<\/li>\n\n\n\n<li>Tr\u1ea7m c\u1ea3m<\/li>\n\n\n\n<li>Lo \u00e2u<\/li>\n\n\n\n<li>C\u0103ng th\u1eb3ng<\/li>\n\n\n\n<li>N\u0103ng su\u1ea5t lao \u0111\u1ed9ng<\/li>\n<\/ul>\n\n\n\n<p>C\u1ea3 nh\u00f3m CHM v\u00e0 nh\u00f3m \u0111\u1ed1i ch\u1ee9ng \u0111\u1ec1u ghi nh\u1eadn c\u00e1c t\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i m\u1ee9c \u0111\u1ed9 trung b\u00ecnh.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.3. Siro th\u1ea3o d\u01b0\u1ee3c Ba T\u01b0 v\u00e0 IBS-C<\/h3>\n\n\n\n<p>Siro th\u1ea3o d\u01b0\u1ee3c Ba T\u01b0 (Persian Herbal Syrup \u2013 PHS) c\u0169ng \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u trong \u0111i\u1ec1u tr\u1ecb IBS-C. Trong nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp, siro \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf t\u1eeb c\u00e1c th\u00e0nh ph\u1ea7n sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ng\u1ea3i \u0111\u1eafng<\/strong> (<em>Artemisia absinthium<\/em>) \u2013 100 mg<\/li>\n\n\n\n<li><strong>T\u01a1 h\u1ed3ng<\/strong> (<em>Cuscuta campestris<\/em>) \u2013 100 mg<\/li>\n\n\n\n<li><strong>Mu\u1ed3ng ho\u00e0ng y\u1ebfn<\/strong> (<em>Cassia fistula<\/em>) \u2013 230 mg<\/li>\n\n\n\n<li><strong>Echium amoenum<\/strong> (d\u01b0\u1ee3c li\u1ec7u hoa t\u00edm Iran) \u2013 270 mg<\/li>\n\n\n\n<li><strong>T\u00eda t\u00f4 \u0111\u1ea5t \/ Kinh gi\u1edbi chanh<\/strong> (<em>Melissa officinalis<\/em>) \u2013 190 mg<\/li>\n\n\n\n<li>Siro theo D\u01b0\u1ee3c \u0111i\u1ec3n Anh v\u1eeba \u0111\u1ee7 100 mL<\/li>\n<\/ul>\n\n\n\n<p>C\u00e1c d\u01b0\u1ee3c li\u1ec7u n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn v\u1edbi t\u00e1c d\u1ee5ng kh\u00e1ng khu\u1ea9n, kh\u00e1ng vi\u00eam, ch\u1ed1ng oxy h\u00f3a, gi\u1ea3i lo \u00e2u v\u00e0 an th\u1ea7n.<\/p>\n\n\n\n<p><strong>Ng\u1ea3i \u0111\u1eafng<\/strong> t\u00e1c d\u1ee5ng th\u00f4ng qua nhi\u1ec1u ho\u1ea1t ch\u1ea5t th\u1ef1c v\u1eadt nh\u01b0 lacton, terpenoid, tinh d\u1ea7u, acid h\u1eefu c\u01a1, nh\u1ef1a, tanin v\u00e0 phenol.<br><strong>T\u01a1 h\u1ed3ng<\/strong> ch\u1ee9a nhi\u1ec1u flavonoid, lignan, acid quinic v\u00e0 polysaccharid.<br><strong>Mu\u1ed3ng ho\u00e0ng y\u1ebfn<\/strong> ch\u1ee9a nhi\u1ec1u ho\u1ea1t ch\u1ea5t sinh h\u1ecdc nh\u01b0 anthraquinon, flavonoid, d\u1eabn ch\u1ea5t flavon-3-ol, alcaloid, glycosid, tanin, saponin v\u00e0 terpenoid.<br>C\u00e1c ho\u1ea1t ch\u1ea5t ch\u00ednh ph\u00e2n l\u1eadp t\u1eeb <strong>Echium amoenum<\/strong> g\u1ed3m polyphenol (\u0111\u1eb7c bi\u1ec7t l\u00e0 acid rosmarinic), anthocyanidin, flavonoid, sterol, saponin, terpenoid kh\u00f4ng b\u00e3o h\u00f2a, acid b\u00e9o kh\u00f4ng b\u00e3o h\u00f2a v\u00e0 m\u1ed9t l\u01b0\u1ee3ng r\u1ea5t nh\u1ecf alcaloid pyrrolizidin.<br><strong>T\u00eda t\u00f4 \u0111\u1ea5t<\/strong> ch\u1ee9a c\u00e1c h\u1ee3p ch\u1ea5t bay h\u01a1i nh\u01b0 geranial, neral, citronellal v\u00e0 geraniol; triterpen (acid ursolic v\u00e0 acid oleanolic); acid phenolic (acid rosmarinic, acid caffeic v\u00e0 acid chlorogenic); c\u00f9ng c\u00e1c flavonoid nh\u01b0 quercetin, rhamnocitrin v\u00e0 luteolin.<\/p>\n\n\n\n<p>Hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n c\u1ee7a siro th\u1ea3o d\u01b0\u1ee3c Ba T\u01b0 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng k\u00e9o d\u00e0i 10 tu\u1ea7n, ng\u1eabu nhi\u00ean theo kh\u1ed1i, m\u00f9 \u0111\u00f4i, c\u00f3 \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c tr\u00ean 70 b\u1ec7nh nh\u00e2n (35 d\u00f9ng PHS, 35 d\u00f9ng gi\u1ea3 d\u01b0\u1ee3c) \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n IBS-C theo ti\u00eau chu\u1ea9n Rome IV.<\/p>\n\n\n\n<p>C\u00f3 60 b\u1ec7nh nh\u00e2n (32 PHS, 28 gi\u1ea3 d\u01b0\u1ee3c) \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch t\u1ea1i tu\u1ea7n th\u1ee9 6 v\u00e0 52 b\u1ec7nh nh\u00e2n (28 PHS, 24 gi\u1ea3 d\u01b0\u1ee3c) \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 \u1edf th\u1eddi \u0111i\u1ec3m theo d\u00f5i tu\u1ea7n th\u1ee9 10.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea v\u1ec1 t\u1ef7 l\u1ec7 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c gi\u1eefa nh\u00f3m d\u00f9ng siro v\u00e0 nh\u00f3m gi\u1ea3 d\u01b0\u1ee3c. \u0110\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 gi\u1ea3m \u00edt nh\u1ea5t 50 \u0111i\u1ec3m m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a IBS-C theo thang \u0111i\u1ec3m IBS Symptom Severity Score (t\u1ed1i \u0111a 500 \u0111i\u1ec3m).<\/p>\n\n\n\n<p>Ngo\u00e0i ra, c\u00f3 s\u1ef1 c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a gi\u1eefa hai nh\u00f3m v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110i\u1ec3m m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a tri\u1ec7u ch\u1ee9ng<\/li>\n\n\n\n<li>\u0110i\u1ec3m h\u00ecnh d\u1ea1ng ph\u00e2n theo thang Bristol<\/li>\n<\/ul>\n\n\n\n<p>Kh\u00f4ng ghi nh\u1eadn s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a v\u1ec1 \u0111i\u1ec3m lo \u00e2u v\u00e0 tr\u1ea7m c\u1ea3m.<\/p>\n\n\n\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 \u1edf m\u1ee9c nh\u1eb9 v\u00e0 kh\u00f4ng \u0111\u00e1ng k\u1ec3: 4\/35 b\u1ec7nh nh\u00e2n d\u00f9ng PHS b\u00e1o c\u00e1o t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9, so v\u1edbi 1\/35 b\u1ec7nh nh\u00e2n \u1edf nh\u00f3m gi\u1ea3 d\u01b0\u1ee3c.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.4. H\u1ea1t kh\u1ed5 c\u1ea3i (Flixweed) v\u00e0 Qu\u1ea3 sung trong \u0111i\u1ec1u tr\u1ecb IBS-C<\/h3>\n\n\n\n<p><strong>Descurainia sophia<\/strong> (h\u1ea1t kh\u1ed5 c\u1ea3i, c\u00f2n g\u1ecdi l\u00e0 flixweed) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong y h\u1ecdc c\u1ed5 truy\u1ec1n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u r\u1ed1i lo\u1ea1n kh\u00e1c nhau. H\u1ea1t ch\u1ee9a nhi\u1ec1u th\u00e0nh ph\u1ea7n h\u00f3a h\u1ecdc nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lipid (acid oleic, acid erucic, acid linolenic, acid linoleic, acid palmitic v\u00e0 acid stearic)<\/li>\n\n\n\n<li>Flavonoid (quercetin, kaempferol v\u00e0 isorhamnetin)<\/li>\n\n\n\n<li>Lignin<\/li>\n\n\n\n<li>Phytosterol<\/li>\n\n\n\n<li>Glycosid tim<\/li>\n<\/ul>\n\n\n\n<p>Ngo\u00e0i ra, h\u1ea1t kh\u1ed5 c\u1ea3i c\u00f2n ch\u1ee9a <strong>ch\u1ea5t nh\u1ea7y (mucilage)<\/strong>, t\u1ea1o t\u00e1c d\u1ee5ng nhu\u1eadn tr\u00e0ng v\u00e0 do \u0111\u00f3 c\u00f3 th\u1ec3 h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n.<\/p>\n\n\n\n<p><strong>Ficus carica<\/strong> (qu\u1ea3 sung) \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao nh\u01b0 m\u1ed9t th\u1ef1c ph\u1ea9m gi\u00e0u dinh d\u01b0\u1ee1ng v\u00e0 c\u00f3 l\u1ee3i \u00edch \u0111i\u1ec1u tr\u1ecb. Qu\u1ea3 sung l\u00e0 ngu\u1ed3n cung c\u1ea5p d\u1ed3i d\u00e0o c\u00e1c ho\u1ea1t ch\u1ea5t sinh h\u1ecdc nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Polyphenol<\/li>\n\n\n\n<li>Carotenoid<\/li>\n\n\n\n<li>Vitamin<\/li>\n\n\n\n<li>Acid h\u1eefu c\u01a1<\/li>\n\n\n\n<li>Triterpenoid<\/li>\n\n\n\n<li>Phytosterol<\/li>\n\n\n\n<li>Acid b\u00e9o<\/li>\n\n\n\n<li>Flavonoid (anthocyanin, flavonol, flavanol v\u00e0 flavon)<\/li>\n\n\n\n<li>Acid phenolic<\/li>\n\n\n\n<li>Coumarin<\/li>\n<\/ul>\n\n\n\n<p>C\u00e1c th\u00e0nh ph\u1ea7n n\u00e0y c\u00f3 \u0111\u1eb7c t\u00ednh kh\u00e1ng vi\u00eam, ch\u1ed1ng oxy h\u00f3a v\u00e0 kh\u00e1ng khu\u1ea9n. Ngo\u00e0i ra, qu\u1ea3 sung ch\u1ee9a h\u00e0m l\u01b0\u1ee3ng ch\u1ea5t x\u01a1 \u0111\u00e1ng k\u1ec3, ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t thu\u1ed1c nhu\u1eadn tr\u00e0ng t\u1ef1 nhi\u00ean. T\u00e1c d\u1ee5ng t\u00edch c\u1ef1c c\u1ee7a <strong>ch\u1ea5t x\u01a1 h\u00f2a tan<\/strong> \u0111\u1ed1i v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng chung c\u1ee7a IBS-C \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn.<\/p>\n\n\n\n<p>Trong nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o, t\u1ed5ng l\u01b0\u1ee3ng s\u1eed d\u1ee5ng m\u1ed7i ng\u00e0y l\u00e0 60 g h\u1ea1t kh\u1ed5 c\u1ea3i v\u00e0 90 g qu\u1ea3 sung.<\/p>\n\n\n\n<p>Pourmasoumi v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ea1t kh\u1ed5 c\u1ea3i v\u00e0 qu\u1ea3 sung tr\u00ean 142 b\u1ec7nh nh\u00e2n (48 d\u00f9ng h\u1ea1t kh\u1ed5 c\u1ea3i, 46 d\u00f9ng qu\u1ea3 sung, 48 nh\u00f3m ch\u1ee9ng) \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n IBS-C theo ti\u00eau chu\u1ea9n Rome III trong m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean, c\u00f3 \u0111\u1ed1i ch\u1ee9ng, m\u00f9 \u0111\u01a1n k\u00e9o d\u00e0i 4 th\u00e1ng.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y c\u1ea3 hai nh\u00f3m h\u1ea1t kh\u1ed5 c\u1ea3i v\u00e0 qu\u1ea3 sung \u0111\u1ec1u c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea so v\u1edbi nh\u00f3m ch\u1ee9ng v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u1ec7 th\u1ed1ng \u0111i\u1ec3m m\u1ee9c \u0111\u1ed9 n\u1eb7ng IBS<\/li>\n\n\n\n<li>Ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng<\/li>\n\n\n\n<li>T\u1ea7n su\u1ea5t \u0111au b\u1ee5ng<\/li>\n\n\n\n<li>M\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t<\/li>\n\n\n\n<li>S\u1ef1 kh\u00f4ng h\u00e0i l\u00f2ng v\u1ec1 th\u00f3i quen \u0111\u1ea1i ti\u1ec7n<\/li>\n<\/ul>\n\n\n\n<p>Kh\u00f4ng ghi nh\u1eadn l\u1ee3i \u00edch c\u00f3 \u00fd ngh\u0129a v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u1ee9c \u0111\u1ed9 \u0111au b\u1ee5ng<\/li>\n\n\n\n<li>N\u1ed3ng \u0111\u1ed9 protein ph\u1ea3n \u1ee9ng C (CRP)<\/li>\n<\/ul>\n\n\n\n<p>Kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a gi\u1eefa nh\u00f3m h\u1ea1t kh\u1ed5 c\u1ea3i v\u00e0 nh\u00f3m qu\u1ea3 sung, do \u0111\u00f3 kh\u00f4ng th\u1ec3 \u01b0u ti\u00ean l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p n\u00e0o trong hai bi\u1ec7n ph\u00e1p n\u00e0y.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.5. Ph\u1ed1i h\u1ee3p chi\u1ebft xu\u1ea5t Quebracho, D\u1ebb ng\u1ef1a v\u00e0 <em>M. balsamea<\/em> Willd trong \u0111i\u1ec1u tr\u1ecb IBS-C<\/h3>\n\n\n\n<p>Chi\u1ebft xu\u1ea5t <strong>Quebracho<\/strong> ch\u1ee9a c\u00e1c <strong>tannin<\/strong> l\u00e0 ho\u1ea1t ch\u1ea5t ch\u00ednh. \u0110\u00e2y l\u00e0 nh\u1eefng c\u1ea5u tr\u00fac flavonoid l\u1edbn c\u00f3 kh\u1ea3 n\u0103ng li\u00ean h\u1ee3p r\u1ed9ng, c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 k\u00e9p: h\u1ea5p ph\u1ee5 ph\u00e2n t\u1eed \u0111\u1ed1i v\u1edbi l\u01b0\u1ee3ng hydro v\u00e0 methane d\u01b0 th\u1eeba trong ru\u1ed9t, \u0111\u1ed3ng th\u1eddi ph\u00e1 v\u1ee1 v\u00e0 l\u00e0m t\u1ed5n th\u01b0\u01a1ng l\u1edbp lipid c\u1ee7a vi khu\u1ea9n.<\/p>\n\n\n\n<p>Chi\u1ebft xu\u1ea5t <strong>D\u1ebb ng\u1ef1a (Conker Tree \u2013 <em>Aesculus hippocastanum<\/em>)<\/strong> ch\u1ee9a <strong>escin<\/strong> (thu\u1ed9c nh\u00f3m saponin). C\u00e1c ho\u1ea1t ch\u1ea5t n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng khu\u1ea9n v\u00e0 th\u00fac \u0111\u1ea9y nhu \u0111\u1ed9ng ru\u1ed9t, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n l\u00e0m gi\u1ea3m tr\u1ef1c ti\u1ebfp s\u1ef1 t\u1ea1o th\u00e0nh ho\u1eb7c ph\u00e1t th\u1ea3i methane.<\/p>\n\n\n\n<p>Chi\u1ebft xu\u1ea5t <em>M. balsamea<\/em> Willd ch\u1ee9a <strong>tinh d\u1ea7u b\u1ea1c h\u00e0<\/strong>, c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu v\u00e0 \u0111au b\u1ee5ng.<\/p>\n\n\n\n<p>C\u00f4ng th\u1ee9c nghi\u00ean c\u1ee9u bao g\u1ed3m h\u1ed7n h\u1ee3p chi\u1ebft xu\u1ea5t:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Quebracho 150 mg<\/li>\n\n\n\n<li>D\u1ebb ng\u1ef1a 470 mg<\/li>\n\n\n\n<li>D\u1ea7u <em>M. balsamea<\/em> Willd 0,2 mL<\/li>\n<\/ul>\n\n\n\n<p>Brown K v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a h\u1ed7n h\u1ee3p chi\u1ebft xu\u1ea5t n\u00e0y trong m\u1ed9t nghi\u00ean c\u1ee9u k\u00e9o d\u00e0i 2 tu\u1ea7n, t\u1ea1i m\u1ed9t trung t\u00e2m, ng\u1eabu nhi\u00ean, m\u00f9 \u0111\u00f4i, c\u00f3 \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c tr\u00ean 16 b\u1ec7nh nh\u00e2n (8 d\u00f9ng h\u1ed7n h\u1ee3p chi\u1ebft xu\u1ea5t, 8 d\u00f9ng gi\u1ea3 d\u01b0\u1ee3c) \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n IBS-C theo ti\u00eau chu\u1ea9n Rome III.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y sau 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u00f3 s\u1ef1 c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u00e1o b\u00f3n<\/li>\n\n\n\n<li>Ch\u01b0\u1edbng b\u1ee5ng<\/li>\n<\/ul>\n\n\n\n<p>Kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i.<\/p>\n\n\n\n<p>Tuy nhi\u00ean, m\u1eb7c d\u00f9 ghi nh\u1eadn c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a, nghi\u00ean c\u1ee9u b\u1ecb h\u1ea1n ch\u1ebf do s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi tham gia nh\u1ecf.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.6. Kiwi v\u00e0 IBS-C<\/h3>\n\n\n\n<p><strong>Kiwi<\/strong> ch\u1ee9a kho\u1ea3ng 2\u20133% ch\u1ea5t x\u01a1 th\u1ef1c ph\u1ea9m v\u00e0 \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng nhu\u1eadn tr\u00e0ng, c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 \u0111\u1ed9 \u0111\u1eb7c c\u1ee7a ph\u00e2n \u1edf ng\u01b0\u1eddi cao tu\u1ed5i kh\u1ecfe m\u1ea1nh v\u00e0 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh b\u1ecb t\u00e1o b\u00f3n m\u1ea1n t\u00ednh. Nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o s\u1eed d\u1ee5ng li\u1ec1u <strong>hai qu\u1ea3 kiwi xanh gi\u1ed1ng Hayward (<em>Actinidia deliciosa<\/em>) m\u1ed7i ng\u00e0y<\/strong>.<\/p>\n\n\n\n<p>Hi\u1ec7u qu\u1ea3 c\u1ee7a kiwi \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong m\u1ed9t th\u1eed nghi\u1ec7m k\u00e9o d\u00e0i 6 tu\u1ea7n, ph\u00e2n nh\u00f3m ng\u1eabu nhi\u00ean h\u1ea1n ch\u1ebf theo t\u1ef7 l\u1ec7 3:1, c\u00f3 \u0111\u1ed1i ch\u1ee9ng gi\u1ea3 d\u01b0\u1ee3c tr\u00ean 60 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n IBS-C theo ti\u00eau chu\u1ea9n Rome III (45 d\u00f9ng kiwi, 15 d\u00f9ng gi\u1ea3 d\u01b0\u1ee3c) v\u00e0 16 ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh l\u00e0m nh\u00f3m ch\u1ee9ng d\u01b0\u01a1ng t\u00ednh. Trong s\u1ed1 70 ng\u01b0\u1eddi ho\u00e0n th\u00e0nh nghi\u00ean c\u1ee9u, 65 l\u00e0 n\u1eef.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y nh\u00f3m d\u00f9ng kiwi c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ea7n su\u1ea5t \u0111\u1ea1i ti\u1ec7n<\/li>\n\n\n\n<li>Th\u1eddi gian v\u1eadn chuy\u1ec3n \u0111\u1ea1i tr\u00e0ng<\/li>\n<\/ul>\n\n\n\n<p>Kh\u00f4ng ghi nh\u1eadn thay \u0111\u1ed5i c\u00f3 \u00fd ngh\u0129a v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u1ec3 t\u00edch ph\u00e2n<\/li>\n\n\n\n<li>M\u1ee9c \u0111\u1ed9 c\u0103ng th\u1eb3ng trong cu\u1ed9c s\u1ed1ng<\/li>\n\n\n\n<li>C\u1ea3m gi\u00e1c sau \u0111\u1ea1i ti\u1ec7n<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h3 class=\"wp-block-heading\">3.7. B\u00e0i thu\u1ed1c T\u1ee9 ngh\u1ecbch t\u00e1n gia gi\u1ea3m trong \u0111i\u1ec1u tr\u1ecb IBS-C<\/h3>\n\n\n\n<p><strong>T\u1ee9 ngh\u1ecbch t\u00e1n (Sinisan)<\/strong> l\u00e0 m\u1ed9t b\u00e0i thu\u1ed1c y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nhi\u1ec1u r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a. Nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o s\u1eed d\u1ee5ng phi\u00ean b\u1ea3n gia gi\u1ea3m c\u1ee7a b\u00e0i thu\u1ed1c, g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u00e0i h\u1ed3<\/strong> (Thorowax root) \u2013 10 g<\/li>\n\n\n\n<li><strong>Ch\u1ec9 th\u1ef1c<\/strong> (Immature bitter orange) \u2013 10 g<\/li>\n\n\n\n<li><strong>M\u1ed9c h\u01b0\u01a1ng<\/strong> (Aucklandia root) \u2013 10 g<\/li>\n\n\n\n<li><strong>\u00d4 d\u01b0\u1ee3c<\/strong> (Spice-bush root) \u2013 10 g<\/li>\n\n\n\n<li><strong>Th\u01b0\u01a1ng tru\u1eadt<\/strong> (Bighead atractylodes rhizome) \u2013 20 g<\/li>\n\n\n\n<li><strong>B\u1ea1ch th\u01b0\u1ee3c<\/strong> (White peony root) \u2013 10 g<\/li>\n\n\n\n<li><strong>Xuy\u00ean khung<\/strong> (Ligusticum chuanxiong rhizome) \u2013 10 g<\/li>\n\n\n\n<li><strong>\u0110\u01b0\u01a1ng quy<\/strong> (Chinese angelica root) \u2013 10 g<\/li>\n\n\n\n<li><strong>Cam th\u1ea3o<\/strong> \u2013 5 g<\/li>\n<\/ul>\n\n\n\n<p>C\u00e1c v\u1ecb thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eafc v\u1edbi n\u01b0\u1edbc \u0111\u1ec3 u\u1ed1ng.<\/p>\n\n\n\n<p>C\u00f4ng th\u1ee9c th\u1ea3o d\u01b0\u1ee3c n\u00e0y gi\u00fap t\u0103ng l\u00e0m r\u1ed7ng d\u1ea1 d\u00e0y v\u00e0 nhu \u0111\u1ed9ng ru\u1ed9t, th\u00fac \u0111\u1ea9y th\u1ea3i kh\u00ed \u0111\u01b0\u1eddng ru\u1ed9t v\u00e0 \u0111i\u1ec1u h\u00f2a s\u1ef1 gi\u00e3n \u2013 co c\u1ee7a ru\u1ed9t.<\/p>\n\n\n\n<p>Th\u00e0nh ph\u1ea7n ho\u1ea1t ch\u1ea5t ch\u00ednh c\u1ee7a t\u1eebng v\u1ecb g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u00e0i h\u1ed3<\/strong>: tinh d\u1ea7u, saponin triterpenoid, polyacetylene, flavonoid, lignan, acid b\u00e9o v\u00e0 sterol.<\/li>\n\n\n\n<li><strong>Ch\u1ec9 th\u1ef1c<\/strong>: t\u00e1c d\u1ee5ng ch\u1ee7 y\u1ebfu qua p-synephrine.<\/li>\n\n\n\n<li><strong>M\u1ed9c h\u01b0\u01a1ng<\/strong>: ch\u1ee9a costunolide, dehydrocostus lactone, dihydrocostunolide v\u00e0 c\u00e1c lacton sesquiterpen kh\u00e1c.<\/li>\n\n\n\n<li><strong>Th\u01b0\u01a1ng tru\u1eadt<\/strong>: th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 c\u00e1c sesquiterpen.<\/li>\n\n\n\n<li><strong>B\u1ea1ch th\u01b0\u1ee3c<\/strong>: ch\u1ee9a monoterpen, flavonoid, phenol v\u00e0 tanin.<\/li>\n\n\n\n<li><strong>Xuy\u00ean khung<\/strong>: ch\u1ee9a phenol, acid h\u1eefu c\u01a1, phthalide, alcaloid, polysaccharid, ceramid v\u00e0 cerebrosid.<\/li>\n\n\n\n<li><strong>\u0110\u01b0\u01a1ng quy<\/strong>: ch\u1ee9a tinh d\u1ea7u nh\u01b0 ligustilide, butylphthalide, senkyunolide A, dimer phthalide, acid h\u1eefu c\u01a1 (\u0111\u1eb7c bi\u1ec7t acid ferulic), polyacetylene, vitamin v\u00e0 acid amin.<\/li>\n\n\n\n<li><strong>Cam th\u1ea3o<\/strong>: ch\u1ee9a flavonoid (flavanon, chalcon, isoflavan, isoflavon\u2026), saponin (acid glycyrrhizic), phenol (liquiritin, isoliquiritin\u2026), coumarin, c\u00f9ng c\u00e1c acid b\u00e9o, polysaccharid v\u00e0 sterol (\u03b2-sitosterol\u2026).<\/li>\n<\/ul>\n\n\n\n<p>M\u1ed9t nghi\u00ean c\u1ee9u ng\u1eabu nhi\u00ean, c\u00f3 \u0111\u1ed1i ch\u1ee9ng k\u00e9o d\u00e0i 8 tu\u1ea7n \u0111\u00e3 so s\u00e1nh b\u00e0i T\u1ee9 ngh\u1ecbch t\u00e1n gia gi\u1ea3m v\u1edbi <strong>Cisapride<\/strong> tr\u00ean 47 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n IBS-C theo ti\u00eau chu\u1ea9n Rome (24 d\u00f9ng T\u1ee9 ngh\u1ecbch t\u00e1n, 23 d\u00f9ng Cisapride) v\u00e0 22 ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y nh\u00f3m d\u00f9ng T\u1ee9 ngh\u1ecbch t\u00e1n c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea so v\u1edbi nh\u00f3m Cisapride v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/li>\n\n\n\n<li>\u0110i\u1ec3m s\u1ed1 tri\u1ec7u ch\u1ee9ng<\/li>\n\n\n\n<li>T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t<\/li>\n<\/ul>\n\n\n\n<p>Ngo\u00e0i ra, nh\u00f3m \u0111i\u1ec1u tr\u1ecb c\u00f2n c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a v\u1ec1:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ng\u01b0\u1ee1ng c\u1ea3m gi\u00e1c tr\u1ef1c tr\u00e0ng<\/li>\n\n\n\n<li>Th\u1ec3 t\u00edch dung n\u1ea1p t\u1ed1i \u0111a<\/li>\n\n\n\n<li>\u0110\u1ed9 gi\u00e3n n\u1edf tr\u1ef1c tr\u00e0ng<\/li>\n<\/ul>\n\n\n\n<p>Kh\u00f4ng ghi nh\u1eadn kh\u00e1c bi\u1ec7t v\u1ec1 \u00e1p l\u1ef1c h\u1eadu m\u00f4n l\u00fac ngh\u1ec9, \u00e1p l\u1ef1c t\u00e2m thu ho\u1eb7c t\u00e2m tr\u01b0\u01a1ng.<\/p>\n\n\n\n<p>Tuy nhi\u00ean, c\u1ea7n l\u01b0u \u00fd r\u1eb1ng c\u00e1c b\u1eb1ng ch\u1ee9ng v\u1ec1 t\u00e1c d\u1ee5ng b\u1ea5t l\u1ee3i c\u1ee7a <strong>Cisapride<\/strong>, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed9c t\u00ednh tr\u00ean tim, \u0111\u00e3 khi\u1ebfn C\u01a1 quan Qu\u1ea3n l\u00fd Th\u1ef1c ph\u1ea9m v\u00e0 D\u01b0\u1ee3c ph\u1ea9m Hoa K\u1ef3 (FDA) r\u00fat thu\u1ed1c n\u00e0y kh\u1ecfi th\u1ecb tr\u01b0\u1eddng.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3.8. Geraniol trong \u0111i\u1ec1u tr\u1ecb IBS-C<\/h3>\n\n\n\n<p>Geraniol \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 l\u1ee3i \u1edf b\u1ec7nh nh\u00e2n IBS nh\u1edd t\u00e1c d\u1ee5ng \u0111i\u1ec1u h\u00f2a h\u1ec7 vi sinh \u0111\u01b0\u1eddng ru\u1ed9t (gut microbiota \u2013 GM). Geraniol l\u00e0 m\u1ed9t alcol monoterpen th\u01b0\u1eddng c\u00f3 trong tinh d\u1ea7u, c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng sinh h\u1ecdc nh\u01b0 kh\u00e1ng khu\u1ea9n v\u00e0 ch\u1ed1ng u.<\/p>\n\n\n\n<p>Ricci v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ti\u1ebfn h\u00e0nh m\u1ed9t th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng (RCT) nh\u1eb1m \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a geraniol \u0111\u1ed1i v\u1edbi m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a tri\u1ec7u ch\u1ee9ng, th\u00e0nh ph\u1ea7n h\u1ec7 vi sinh \u0111\u01b0\u1eddng ru\u1ed9t v\u00e0 c\u00e1c d\u1ea5u \u1ea5n vi\u00eam \u1edf b\u1ec7nh nh\u00e2n IBS.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 cho th\u1ea5y nh\u00f3m d\u00f9ng geraniol gi\u1ea3m \u0111\u00e1ng k\u1ec3 \u0111i\u1ec3m IBS-SSS v\u00e0o cu\u1ed1i nghi\u00ean c\u1ee9u, \u0111\u1ed3ng th\u1eddi ghi nh\u1eadn:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u0103ng c\u00e1c ph\u00e2n nh\u00f3m vi khu\u1ea9n Ruminococcaceae v\u00e0 Oscillospira<\/li>\n\n\n\n<li>Gi\u1ea3m c\u00e1c h\u1ecd Erysipelotrichaceae v\u00e0 Clostridiaceae trong h\u1ec7 vi sinh \u0111\u01b0\u1eddng ru\u1ed9t<\/li>\n<\/ul>\n\n\n\n<p>Tuy nhi\u00ean, kh\u00f4ng ghi nh\u1eadn thay \u0111\u1ed5i c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea v\u1ec1 c\u00e1c d\u1ea5u \u1ea5n sinh h\u1ecdc vi\u00eam.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">4. B\u00e0n lu\u1eadn<\/h2>\n\n\n\n<p>M\u1eb7c d\u00f9 l\u00e0 m\u1ed9t trong nh\u1eefng r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng ti\u00eau h\u00f3a ph\u1ed5 bi\u1ebfn nh\u1ea5t, IBS v\u1eabn \u0111\u1eb7t ra nhi\u1ec1u th\u00e1ch th\u1ee9c trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. V\u1edbi nhi\u1ec1u th\u1ec3 l\u00e2m s\u00e0ng kh\u00e1c nhau, \u0111\u1eb7c bi\u1ec7t l\u00e0 th\u1ec3 t\u00e1o b\u00f3n (IBS-C), b\u1ec7nh \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 \u0111\u00f2i h\u1ecfi ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00e1 th\u1ec3 h\u00f3a.<\/p>\n\n\n\n<p>\u0110i\u1ec1u n\u00e0y \u0111\u00e3 th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng v\u00e0 gia t\u0103ng ph\u1ed5 bi\u1ebfn c\u1ee7a c\u00e1c li\u1ec7u ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c nh\u1eb1m c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng IBS. Ng\u00e0y c\u00e0ng nhi\u1ec1u b\u1ec7nh nh\u00e2n t\u00ecm \u0111\u1ebfn c\u00e1c bi\u1ec7n ph\u00e1p thay th\u1ebf nh\u01b0 th\u1ea3o d\u01b0\u1ee3c nh\u1edd \u0111\u1eb7c t\u00ednh nhu\u1eadn tr\u00e0ng, kh\u00e1ng vi\u00eam v\u00e0 ch\u1ed1ng co th\u1eaft.<\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 li\u1ec7u ph\u00e1p thay th\u1ebf nh\u01b0 tinh d\u1ea7u b\u1ea1c h\u00e0 v\u00e0 men vi sinh \u0111\u00e3 \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb trong m\u1ed9t s\u1ed1 h\u01b0\u1edbng d\u1eabn, trong khi nhi\u1ec1u th\u1ea3o d\u01b0\u1ee3c kh\u00e1c v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o ch\u00ednh th\u1ee9c do thi\u1ebfu b\u1eb1ng ch\u1ee9ng m\u1ea1nh. Do IBS l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t, bi\u1ec3u hi\u1ec7n \u0111a d\u1ea1ng v\u00e0 \u1ea3nh h\u01b0\u1edfng s\u00e2u s\u1eafc \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng, nhi\u1ec1u n\u1ed7 l\u1ef1c \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u1eb1m t\u00ecm ra ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n<p>V\u00ed d\u1ee5,<strong> Ried v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ph\u00e1t tri\u1ec3n m\u1ed9t c\u00f4ng th\u1ee9c th\u1ea3o d\u01b0\u1ee3c d\u00f9ng trong 16 tu\u1ea7n cho b\u1ec7nh nh\u00e2n IBS,<\/strong> cho th\u1ea5y c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a tr\u00ean v\u00e0 d\u01b0\u1edbi nh\u01b0 \u0111au b\u1ee5ng, kh\u00f3 ti\u00eau, \u1ee3 n\u00f3ng, t\u00e1o b\u00f3n v\u00e0 ti\u00eau ch\u1ea3y.<\/p>\n\n\n\n<p>Y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c (CHM) c\u0169ng ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c quan t\u00e2m, song h\u00e0nh v\u1edbi s\u1ef1 gia t\u0103ng nghi\u00ean c\u1ee9u khoa h\u1ecdc. M\u1ed9t s\u1ed1 c\u00f4ng th\u1ee9c \u0111\u00e3 cho th\u1ea5y hi\u1ec7u qu\u1ea3 trong IBS th\u1ec3 ti\u00eau ch\u1ea3y (IBS-D) v\u1edbi c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 \u00edt t\u00e1c d\u1ee5ng ph\u1ee5. \u0110\u1ed1i v\u1edbi IBS-C, nhi\u1ec1u c\u00f4ng th\u1ee9c CHM \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u1edbi k\u1ebft qu\u1ea3 kh\u00e1c nhau. M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ghi nh\u1eadn c\u1ea3i thi\u1ec7n th\u00f3i quen \u0111\u1ea1i ti\u1ec7n v\u00e0 t\u1ea7n su\u1ea5t \u0111i ti\u00eau, ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 \u00edt cho th\u1ea5y c\u1ea3i thi\u1ec7n \u0111au b\u1ee5ng v\u00e0 ch\u01b0\u1edbng b\u1ee5ng.<\/p>\n\n\n\n<p>C\u00e1c d\u01b0\u1ee3c li\u1ec7u ph\u01b0\u01a1ng T\u00e2y c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb IBS. \u0110\u00e1ng ch\u00fa \u00fd l\u00e0<strong> tinh d\u1ea7u b\u1ea1c h\u00e0 v\u00e0 c\u00e1c ch\u1ebf ph\u1ea9m l\u00f4 h\u1ed9i <\/strong>\u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 l\u1ee3i trong vi\u1ec7c gi\u1ea3m \u0111au b\u1ee5ng, t\u00e1o b\u00f3n v\u00e0 ch\u01b0\u1edbng b\u1ee5ng. M\u1ed9t s\u1ed1 c\u00f4ng th\u1ee9c th\u1ea3o d\u01b0\u1ee3c kh\u00e1c c\u0169ng cho k\u1ebft qu\u1ea3 kh\u1ea3 quan trong c\u00e1c th\u1eed nghi\u1ec7m nh\u1ecf, tuy nhi\u00ean c\u1ea7n nghi\u00ean c\u1ee9u quy m\u00f4 l\u1edbn h\u01a1n \u0111\u1ec3 c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i.<\/p>\n\n\n\n<p>Thu\u1ed1c kh\u00f4ng k\u00ea \u0111\u01a1n (OTC) c\u0169ng r\u1ea5t ph\u1ed5 bi\u1ebfn trong \u0111i\u1ec1u tr\u1ecb t\u00e1o b\u00f3n. Polyethylene glycol (PEG) v\u00e0 senna \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i. B\u1eb1ng ch\u1ee9ng v\u1ec1 psyllium, mu\u1ed1i magnesi ho\u1eb7c c\u00e1c thu\u1ed1c nhu\u1eadn tr\u00e0ng t\u1eeb tr\u00e1i c\u00e2y nh\u01b0 kiwi, xo\u00e0i ho\u1eb7c m\u1eadn kh\u00f4 c\u00f2n h\u1ea1n ch\u1ebf h\u01a1n.<\/p>\n\n\n\n<p>Ngo\u00e0i ra, m\u1ed9t s\u1ed1 c\u00f4ng th\u1ee9c th\u1ea3o d\u01b0\u1ee3c kh\u00e1c v\u1eabn \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u trong c\u00e1c th\u1eed nghi\u1ec7m th\u00ed \u0111i\u1ec3m. V\u00ed d\u1ee5, Enterofytol\u00ae \u2013 chi\u1ebft xu\u1ea5t sinh h\u1ecdc t\u1ed1i \u01b0u h\u00f3a ch\u1ee9a<strong> 42 mg curcumin v\u00e0 25 mg tinh d\u1ea7u th\u00ec l\u00e0<\/strong> \u2013 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong nghi\u00ean c\u1ee9u quan s\u00e1t k\u00e9o d\u00e0i 60 ng\u00e0y tr\u00ean 211 b\u1ec7nh nh\u00e2n IBS (50 b\u1ec7nh nh\u00e2n IBS-C). K\u1ebft qu\u1ea3 cho th\u1ea5y gi\u1ea3m \u0111\u00e1ng k\u1ec3 ch\u1ec9 s\u1ed1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng \u1edf t\u1ea5t c\u1ea3 c\u00e1c th\u1ec3 IBS, kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n\n\n\n<p>M\u1ed9t nghi\u00ean c\u1ee9u th\u00ed \u0111i\u1ec3m kh\u00e1c k\u00e9o d\u00e0i 3 tu\u1ea7n tr\u00ean 8 b\u1ec7nh nh\u00e2n n\u1eef IBS-C s\u1eed d\u1ee5ng c\u00f4ng th\u1ee9c g\u1ed3m <strong>lactulose 6 g, v\u1ecf c\u00e2y du tr\u01a1n 14 g, cam th\u1ea3o 3 g v\u00e0 c\u00e1m y\u1ebfn m\u1ea1ch 4 g m\u1ed7i ng\u00e0y.<\/strong> K\u1ebft qu\u1ea3 cho th\u1ea5y c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 s\u1ed1 l\u1ea7n \u0111\u1ea1i ti\u1ec7n, \u0111\u1ed9 \u0111\u1eb7c c\u1ee7a ph\u00e2n, c\u1ea3m gi\u00e1c r\u1eb7n, m\u1ee9c \u0111\u1ed9 \u0111au b\u1ee5ng, ch\u01b0\u1edbng b\u1ee5ng v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng chung c\u1ee7a tri\u1ec7u ch\u1ee9ng. Kh\u00f4ng ghi nh\u1eadn t\u00e1c d\u1ee5ng ph\u1ee5 ho\u1eb7c thay \u0111\u1ed5i x\u00e9t nghi\u1ec7m \u0111\u00e1ng k\u1ec3. Tuy nhi\u00ean, nghi\u00ean c\u1ee9u b\u1ecb h\u1ea1n ch\u1ebf do c\u1ee1 m\u1eabu nh\u1ecf v\u00e0 kh\u00f4ng c\u00f3 nh\u00f3m \u0111\u1ed1i ch\u1ee9ng.<\/p>\n\n\n\n<p>Do \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 c\u1ee7a IBS \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng v\u00e0 hi\u1ec7u qu\u1ea3 h\u1ea1n ch\u1ebf c\u1ee7a nhi\u1ec1u thu\u1ed1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3, nhi\u1ec1u b\u1ec7nh nh\u00e2n t\u00ecm ki\u1ebfm c\u00e1c li\u1ec7u ph\u00e1p thay th\u1ebf. Mong mu\u1ed1n ti\u1ebfp c\u1eadn to\u00e0n di\u1ec7n, c\u00e1 th\u1ec3 h\u00f3a \u0111\u00e3 th\u00fac \u0111\u1ea9y s\u1ef1 quan t\u00e2m \u0111\u1ebfn c\u00e1c gi\u1ea3i ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c. Nh\u00e2n vi\u00ean y t\u1ebf c\u1ea7n nh\u00ecn nh\u1eadn ti\u1ec1m n\u0103ng t\u00edch c\u1ef1c c\u1ee7a c\u00e1c li\u1ec7u ph\u00e1p n\u00e0y, \u0111\u1ed3ng th\u1eddi th\u1eadn tr\u1ecdng do b\u1eb1ng ch\u1ee9ng c\u00f2n h\u1ea1n ch\u1ebf.<\/p>\n\n\n\n<p>Tuy nhi\u00ean, v\u1eabn c\u00f2n nhi\u1ec1u v\u1ea5n \u0111\u1ec1 t\u1ed3n t\u1ea1i li\u00ean quan \u0111\u1ebfn th\u1ea3o d\u01b0\u1ee3c nh\u01b0 thi\u1ebfu quy \u0111\u1ecbnh qu\u1ea3n l\u00fd ch\u1eb7t ch\u1ebd, thi\u1ebfu quy tr\u00ecnh s\u1ea3n xu\u1ea5t chu\u1ea9n h\u00f3a v\u00e0 thi\u1ebfu nghi\u00ean c\u1ee9u v\u1ec1 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc v\u00e0 d\u01b0\u1ee3c l\u1ef1c h\u1ecdc. Do \u0111\u00f3, c\u1ea7n th\u00eam nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ea7y \u0111\u1ee7 hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n tr\u01b0\u1edbc khi tri\u1ec3n khai r\u1ed9ng r\u00e3i trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<p>Trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n t\u1ed5ng quan h\u1ec7 th\u1ed1ng n\u00e0y, ch\u00fang t\u00f4i nh\u1eadn th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng nghi\u00ean c\u1ee9u t\u1eadp trung ri\u00eang v\u00e0o IBS-C c\u00f2n r\u1ea5t h\u1ea1n ch\u1ebf. M\u1eb7c d\u00f9 c\u00f3 m\u1ed9t s\u1ed1 t\u1ed5ng quan h\u1ec7 th\u1ed1ng v\u1ec1 th\u1ea3o d\u01b0\u1ee3c trong IBS n\u00f3i chung, r\u1ea5t \u00edt nghi\u00ean c\u1ee9u chuy\u00ean bi\u1ec7t cho IBS-C. \u0110i\u1ec1u n\u00e0y cho th\u1ea5y m\u1ed9t kho\u1ea3ng tr\u1ed1ng nghi\u00ean c\u1ee9u \u0111\u00e1ng k\u1ec3.<\/p>\n\n\n\n<p>Ngo\u00e0i ra, h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u hi\u1ec7n c\u00f3 \u0111\u1ec1u c\u00f3 c\u1ee1 m\u1eabu nh\u1ecf, l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng kh\u00e1i qu\u00e1t h\u00f3a k\u1ebft qu\u1ea3. V\u00ec v\u1eady, c\u1ea7n ti\u1ebfn h\u00e0nh c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng quy m\u00f4 l\u1edbn, thi\u1ebft k\u1ebf ch\u1eb7t ch\u1ebd v\u00e0 \u0111\u1ee7 m\u1ea1nh \u0111\u1ec3 cung c\u1ea5p b\u1eb1ng ch\u1ee9ng tin c\u1eady h\u01a1n v\u1ec1 hi\u1ec7u qu\u1ea3, \u0111\u1ed9 an to\u00e0n v\u00e0 c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c th\u1ea3o d\u01b0\u1ee3c trong \u0111i\u1ec1u tr\u1ecb IBS-C.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">5. K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p>T\u1ed5ng quan h\u1ec7 th\u1ed1ng n\u00e0y cho th\u1ea5y c\u00e1c li\u1ec7u ph\u00e1p th\u1ea3o d\u01b0\u1ee3c c\u00f3 th\u1ec3 mang l\u1ea1i l\u1ee3i \u00edch ti\u1ec1m n\u0103ng trong \u0111i\u1ec1u tr\u1ecb IBS-C. Tuy nhi\u00ean, do ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 s\u1ed1 l\u01b0\u1ee3ng b\u1eb1ng ch\u1ee9ng hi\u1ec7n c\u00f3 c\u00f2n h\u1ea1n ch\u1ebf, c\u1ea7n ti\u1ebfn h\u00e0nh th\u00eam c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng (RCT) nh\u1eb1m x\u00e1c nh\u1eadn hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n c\u1ee7a t\u1eebng c\u00f4ng th\u1ee9c th\u1ea3o d\u01b0\u1ee3c c\u1ee5 th\u1ec3.<\/p>\n\n\n\n<p>B\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u1ea7n th\u1eadn tr\u1ecdng khi khuy\u1ebfn ngh\u1ecb c\u00e1c li\u1ec7u ph\u00e1p th\u1ea3o d\u01b0\u1ee3c v\u00e0 n\u00ean c\u00e2n nh\u1eafc \u0111\u1eb7c \u0111i\u1ec3m c\u0169ng nh\u01b0 mong mu\u1ed1n c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<p>https:\/\/www.mdpi.com\/2072-6643\/15\/19\/4216<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>Nghi\u00ean c\u1ee9u c\u1ee7a Ried<\/p>\n\n\n\n<p>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (GI) \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t n\u1eeda d\u00e2n s\u1ed1 ph\u01b0\u01a1ng T\u00e2y. Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 dao \u0111\u1ed9ng t\u1eeb tr\u00e0o ng\u01b0\u1ee3c th\u01b0\u1eddng xuy\u00ean \u0111\u1ebfn h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch. C\u00f4ng th\u1ee9c Nutrition Care (NC) Gut Relief Formula ch\u1ee9a s\u1ef1 k\u1ebft h\u1ee3p c\u00e1c d\u01b0\u1ee3c li\u1ec7u v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t, bao g\u1ed3m curcumin (t\u1eeb <strong>Ngh\u1ec7<\/strong>), <strong>L\u00f4 h\u1ed9i<\/strong>, <strong>Du tr\u01a1n<\/strong> (slippery elm), <strong>G\u00f4m guar<\/strong>, <strong>Pectin<\/strong>, <strong>Tinh d\u1ea7u B\u1ea1c h\u00e0<\/strong> v\u00e0 <strong>Glutamin<\/strong>, \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 l\u1ee3i cho h\u1ec7 ti\u00eau h\u00f3a.<\/p>\n\n\n\n<p>Nghi\u00ean c\u1ee9u ti\u1ec1n \u2013 h\u1eadu can thi\u1ec7p k\u00e9o d\u00e0i 16 tu\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u1eb1m ki\u1ec3m \u0111\u1ecbnh gi\u1ea3 thuy\u1ebft r\u1eb1ng NC Gut Relief Formula dung n\u1ea1p t\u1ed1t v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 trong c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a v\u00e0 s\u1ee9c kh\u1ecfe \u0111\u01b0\u1eddng ru\u1ed9t \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh m\u1eafc r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a. T\u1ed5ng c\u1ed9ng c\u00f3 43 ng\u01b0\u1eddi tham gia ho\u00e0n th\u00e0nh nghi\u00ean c\u1ee9u. Sau giai \u0111o\u1ea1n \u0111\u1ed1i ch\u1ee9ng, ng\u01b0\u1eddi tham gia s\u1eed d\u1ee5ng 5 g\/ng\u00e0y, sau \u0111\u00f3 t\u0103ng l\u00ean 10 g\/ng\u00e0y trong 4 tu\u1ea7n.<\/p>\n\n\n\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng nhi\u1ec1u b\u1ea3ng c\u00e2u h\u1ecfi \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea9m \u0111\u1ecbnh, nh\u01b0 thang \u0111i\u1ec3m kh\u00f3 ti\u00eau Leeds, thang ph\u00e2n Bristol, b\u1ea3ng c\u00e2u h\u1ecfi tri\u1ec7u ch\u1ee9ng IBS Birmingham, c\u00f9ng v\u1edbi \u0111\u00e1nh gi\u00e1 t\u00ednh th\u1ea5m ru\u1ed9t v\u00e0 h\u1ed3 s\u01a1 h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t.<\/p>\n\n\n\n<p>NC Gut Relief Formula gi\u00fap c\u1ea3i thi\u1ec7n c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea t\u1ea7n su\u1ea5t v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng GI tr\u00ean v\u00e0 d\u01b0\u1edbi t\u1eeb 60\u201380%, bao g\u1ed3m kh\u00f3 ti\u00eau, \u1ee3 n\u00f3ng, bu\u1ed3n n\u00f4n, t\u00e1o b\u00f3n ho\u1eb7c ti\u00eau ch\u1ea3y, \u0111au b\u1ee5ng v\u00e0 \u0111\u1ea7y h\u01a1i kh\u00f3 ch\u1ecbu; \u0111\u1ed3ng th\u1eddi c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng th\u1ec3 ch\u1ea5t, m\u1ee9c n\u0103ng l\u01b0\u1ee3ng, t\u00e2m tr\u1ea1ng v\u00e0 gi\u1ea5c ng\u1ee7 t\u1eeb 60\u201380%.<\/p>\n\n\n\n<p>T\u1ea5t c\u1ea3 ng\u01b0\u1eddi tham gia c\u00f3 ph\u00e2n b\u00ecnh th\u01b0\u1eddng, 90% ng\u01b0\u1eddi c\u00f3 ph\u00e2n c\u1ee9ng v\u00e0 66% ng\u01b0\u1eddi c\u00f3 ph\u00e2n m\u1ec1m \u0111\u00e3 h\u1ed3i ph\u1ee5c t\u00ecnh tr\u1ea1ng t\u0103ng t\u00ednh th\u1ea5m ru\u1ed9t, th\u1ec3 hi\u1ec7n qua t\u1ef7 l\u1ec7 lactulose\/mannitol tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng. C\u00f4ng th\u1ee9c n\u00e0y nh\u00ecn chung c\u1ea3i thi\u1ec7n h\u1ec7 vi sinh \u0111\u01b0\u1eddng ru\u1ed9t, v\u1edbi s\u1ef1 gia t\u0103ng r\u00f5 r\u1ec7t c\u1ee7a c\u00e1c chi Lactobacillus, Clostridium v\u00e0 Faecalibacterium prausnitzii.<\/p>\n\n\n\n<p>G\u1ea7n m\u1ed9t n\u1eeda s\u1ed1 ng\u01b0\u1eddi c\u00f3 tri\u1ec7u ch\u1ee9ng GI tr\u00ean \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton \u0111i\u1ec1u tr\u1ecb \u1ee3 n\u00f3ng kh\u00f4ng c\u00f2n c\u1ea7n d\u00f9ng thu\u1ed1c n\u00e0y khi k\u1ebft th\u00fac nghi\u00ean c\u1ee9u. Kho\u1ea3ng m\u1ed9t ph\u1ea7n ba ng\u01b0\u1eddi tham gia c\u00f3 th\u1ec3 \u0111\u01b0a tr\u1edf l\u1ea1i ch\u1ebf \u0111\u1ed9 \u0103n c\u00e1c th\u1ef1c ph\u1ea9m t\u1eebng g\u00e2y tri\u1ec7u ch\u1ee9ng, nh\u01b0 nh\u00f3m FODMAP (oligosaccharid, disaccharid, monosaccharid v\u00e0 polyol l\u00ean men) g\u1ed3m t\u1ecfi, h\u00e0nh, \u0111\u1eadu; ho\u1eb7c th\u1ef1c ph\u1ea9m c\u00f3 t\u00ednh acid\/cay g\u00e2y tr\u00e0o ng\u01b0\u1ee3c nh\u01b0 cam qu\u00fdt, c\u00e0 chua v\u00e0 caffeine, sau 3 th\u00e1ng m\u00e0 kh\u00f4ng l\u00e0m n\u1eb7ng th\u00eam tri\u1ec7u ch\u1ee9ng.<\/p>\n\n\n\n<p>NC Gut Relief Formula \u0111\u00e3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng li\u00ean quan trong 3 th\u00e1ng, \u0111\u1ed3ng th\u1eddi l\u00e0m gi\u1ea3m t\u00ednh th\u1ea5m ru\u1ed9t, c\u1ea3i thi\u1ec7n h\u1ec7 vi sinh \u0111\u01b0\u1eddng ru\u1ed9t, gi\u1ea3m nhu c\u1ea7u d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c v\u00e0 cho ph\u00e9p ng\u01b0\u1eddi b\u1ec7nh dung n\u1ea1p l\u1ea1i c\u00e1c th\u1ef1c ph\u1ea9m tr\u01b0\u1edbc \u0111\u00e2y g\u00e2y tri\u1ec7u ch\u1ee9ng.<\/p>\n\n\n\n<p>https:\/\/www.sciencedirect.com\/science\/article\/pii\/S027153171931187X<\/p>\n\n\n\n<p><\/p>\n<!-- relpost-thumb-wrapper --><div class=\"relpost-thumb-wrapper\"><!-- filter-class --><div class=\"relpost-thumb-container\"><style>.relpost-block-single-image, .relpost-post-image { margin-bottom: 10px; }<\/style><h3>Related posts:<\/h3><div style=\"clear: both\"><\/div><div style=\"clear: both\"><\/div><!-- relpost-block-container --><div class=\"relpost-block-container relpost-block-column-layout\" style=\"--relposth-columns: 3;--relposth-columns_t: 2; --relposth-columns_m: 2\"><a href=\"https:\/\/thuoc115.com\/suckhoe\/cac-cay-thuoc-duoc-nguoi-mulam-su-dung-o-quang-tay-trung-quoc\/\"class=\"relpost-block-single\" ><div 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150px; aspect-ratio: 1\/1;\"><\/div><div class=\"relpost-block-single-text\"  style=\"height: 75px;font-family: Arial;  font-size: 12px;  color: #333333;\"><h2 class=\"relpost_card_title\">N\u00e2ng cao hi\u1ec7u qu\u1ea3 ph\u01b0\u01a1ng ph\u00e1p b\u00e0o ch\u1ebf vi\u00ean ho\u00e0n c\u1ee9ng trong y h\u1ecdc c\u1ed5 truy\u1ec1n<\/h2><\/div><\/div><\/a><\/div><!-- close relpost-block-container --><div style=\"clear: both\"><\/div><\/div><!-- close filter class --><\/div><!-- close relpost-thumb-wrapper -->","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh nh\u00e2n IBS-C (h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch th\u1ec3 t\u00e1o b\u00f3n) \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Y h\u1ecdc c\u1ed5 truy\u1ec1n (TCM) cho th\u1ea5y m\u1ee9c c\u1ea3i thi\u1ec7n t\u1ed1t h\u01a1n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng cisapride ho\u1eb7c mosapride. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5734785\/ C\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch th\u1ec3 t\u00e1o b\u00f3n: M\u1ed9t t\u1ed5ng quan &#8230; <a title=\"Th\u1ea3o d\u01b0\u1ee3c cho h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch ch\u1ee7 y\u1ebfu l\u00e0 t\u00e1o b\u00f3n th\u1eed nghi\u1ec7m\" class=\"read-more\" href=\"https:\/\/thuoc115.com\/suckhoe\/thao-duoc-cho-hoi-chung-ruot-kich-thich-chu-yeu-la-tao-bon-thu-nghiem\/\" aria-label=\"\u0110\u1ecdc th\u00eam v\u1ec1 Th\u1ea3o d\u01b0\u1ee3c cho h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch ch\u1ee7 y\u1ebfu l\u00e0 t\u00e1o b\u00f3n th\u1eed nghi\u1ec7m\">\u0110\u1ecdc ti\u1ebfp<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-445","post","type-post","status-publish","format-standard","hentry","category-duoc-lieu"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Th\u1ea3o d\u01b0\u1ee3c cho h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch ch\u1ee7 y\u1ebfu l\u00e0 t\u00e1o b\u00f3n th\u1eed nghi\u1ec7m - Th\u00f4ng tin s\u1ee9c kh\u1ecfe<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/thuoc115.com\/suckhoe\/thao-duoc-cho-hoi-chung-ruot-kich-thich-chu-yeu-la-tao-bon-thu-nghiem\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Th\u1ea3o d\u01b0\u1ee3c cho h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch ch\u1ee7 y\u1ebfu l\u00e0 t\u00e1o b\u00f3n th\u1eed nghi\u1ec7m - Th\u00f4ng tin s\u1ee9c kh\u1ecfe\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh nh\u00e2n IBS-C (h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch th\u1ec3 t\u00e1o b\u00f3n) \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Y h\u1ecdc c\u1ed5 truy\u1ec1n (TCM) cho th\u1ea5y m\u1ee9c c\u1ea3i thi\u1ec7n t\u1ed1t h\u01a1n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng cisapride ho\u1eb7c mosapride. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5734785\/ C\u00e1c bi\u1ec7n ph\u00e1p th\u1ea3o d\u01b0\u1ee3c \u0111\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch th\u1ec3 t\u00e1o b\u00f3n: M\u1ed9t t\u1ed5ng quan ... \u0110\u1ecdc ti\u1ebfp\" \/>\n<meta property=\"og:url\" content=\"https:\/\/thuoc115.com\/suckhoe\/thao-duoc-cho-hoi-chung-ruot-kich-thich-chu-yeu-la-tao-bon-thu-nghiem\/\" \/>\n<meta property=\"og:site_name\" content=\"Th\u00f4ng tin s\u1ee9c kh\u1ecfe\" \/>\n<meta property=\"article:published_time\" content=\"2026-02-27T19:30:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-28T00:48:48+00:00\" \/>\n<meta property=\"og:image\" 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