Izimpawu zesifo sofuba esiswini (IBS) -kubandakanya ubuhlungu besisu, igesi, isifo sohudo, nokuqothulwa-kubonakala sengathi kuvela ezimbangela eziningi. Izimbangela ezimbili eziyinhloko yizinguquko ku-motility (ukunyakaza) kwepheshana lakho lemathunjini (GI) kanye nezinguquko ekuboneni izinzwa.
Iningi labantu ngaphandle kwe-IBS alinaki ukuhamba kokudla okuvela emzimbeni wabo nasesisu nasezintweni zabo.
Kodwa abantu abane-IBS bavame ukuqonda kahle futhi banokukhathazeka kakhulu ngesikhathi senqubo.
Lapho IBS ihlupha khona
Ngenkathi emathunjini, noma isifuba, izinkinga uphawu lokuthengisa lwe-IBS, izimpawu zingenzeka kunoma iyiphi ingxenye ye-GI ipheshana lakho. Ungase uzizwe IBS yakho:
- I-Esophagus. I-spasms engxenyeni yakho ingenza kube nzima ukugwinya noma uzizwe sengathi unomunwe emqaleni wakho.
- Isisu. Ukuzikhukhumeza ngenxa ye-motility empofu kungabangela ubuhlungu besisu, ukubhubhisa, isisindo senhliziyo, ukuzwa kwenhliziyo, ukugubha noma ukuphindaphinda.
- Uhlelo lwesibiliyoni. Isistimu yakho yebhilidi yenza ibhilidi ukusiza amathumbu akho aphe ukudla. Uma izinkinga ze-motility zithinta uhlelo lwakho lwezinto eziphilayo-kuhlanganise ne-gallbladder yakho ne-bile-ducts-kungase kuzwe njengokuhlasela kwe-gallbladder. Ungase ube nokuvinjelwa, isicanucanu, ukuhlanza, nobuhlungu besisu.
- Amathumbu amancane. I-spasms emathunjini akho amancane nawo angabangela igesi nokuqeda.
- Amathumbu amakhulu (ikholoni). Izimpawu ze-IBS ku-colon yakho ziyahlukahluka kuye ngokuthi isimo se-motility sithinteka kanjani. Uma ukudla kuhamba ngokushesha emathunjini akho amakhulu, ungaba nesifo sohudo. Lokhu kungenxa yokuthi izinsalela zokudla azihlali isikhathi eside ngokwanele emathunjini akho ukuze amanzi akhombise emzimbeni wakho. Uma ukudla kuhamba kancane kancane emathunjini akho amakhulu, inkinga ehlukile ingase ivele: ukuqotshwa.
Ukuxilongwa kokuKhipha
Izimpawu ze-IBS zilinganisa izifo ezihlukahlukene zokugaya. Lokhu kungenza ukuxilongwa kunzima. Ngakho-ke, ukukhomba i-IBS kuvame ukubhekwa ngokuthi "ukuxilongwa kokukhipha," okusho ukuthi kuboniswe njenge-IBS kuphela ngemva kokuba ezinye izifo zikhishiwe.
Uma othile evakashela i- gastroenterologist , ngokuvamile baye babona okungenani omunye udokotela ngezinkinga zabo kusengaphambili.
Basesimweni lapho bafuna ukuxilongwa okucacile. Ngakho-ke, uma i-IBS icatshangwa ngemuva kokubukeza izimpawu zesiguli nomlando wezokwelapha, ukuhlolwa okuphelele ezindaweni ezine kufanele kwenziwe, kubandakanya:
- Isisu nesisu. I-endoscopy engenhla isebenzisa ubude obude, obuncane, futhi obuguquguqukayo bokubona ngaphakathi kwipheshana eliphezulu le-GI.
- Amathumbu amancane. A Uchungechunge lwe-CT, noma uchungechunge oluthile lwesilwane, luyisethi yama-x-ray angasiza ekutholeni izimo emathunjini amancane.
- Amathumbu amakhulu. I-colonoscopy ingabonisa ukubukeka okuningiliziwe ngaphakathi ngaphakathi kwamathumbu amakhulu ukuthola noma ukukhipha izimo.
- Konke ngaphandle kwepheshana le-GI. Ukuhlolwa kwe-CT kanye nokuhlolwa kwegazi kungathola noma kugweme ezinye izifo ezingase zithinte ukugaya.
Ukuba nalezi zivivinyo kungasiza ukwenza i-IBS ecacile ukuxilongwa. Ngenkathi i-IBS ixilongwa ngokuxoshwa, qiniseka ukuthi yisifo sangempela esinemithi yangempela engathuthukisa kakhulu izinga lakho lokuphila.
Lapho Izimpawu Ezintsha Zivuka
Uma une-IBS, ungalokothi ucabange ukuthi izimpawu ezintsha ze-GI ziyingxenye yesimo sakho esingapheli. Njalo ube nezimpawu ezintsha, njengokulahlekelwa isisindo noma ukulahlekelwa ukudla, ukuhlolwa.
Isibonakaliso esisodwa ukuthi i-IBS ayibangeli ingozi. Uma unama-rectal egazini noma izitsha zamanzi, akusiyo i-IBS.
Yiya kudokotela.
UDkt. Baggott uyisiguli se-gastroenterologist ku-Wooster Milltown Specialty and Surgery Centre eCleveland Clinic.
> Imithombo:
> Omkhulu G, uPritchard S, Murray K, et al. I-Colon hypersensitivity kuya kwe-distension, esikhundleni sokukhiqizwa kwegesi ngokweqile, ikhiqiza izimpawu ezihlobene ne-carbohydrate kubantu abane-syndrome ecasulayo. I-Gastroenterology . 2017 Jan; 152 (1): 124-133.e2.
> Paulsen SR, Huprich JE, Fletcher JG, et al. I-CT inthanethi njengethuluzi lokuxilonga ekuhloleni izifo ezincane zesisu: ukubuyekezwa kokuhlangenwe nakho kwemitholampilo ngamacala angaphezu kwangu-700. Radiographics 2006; 26: 641-62.