Uhlelo lwe-III III lwe-criteria lwentuthuko lwasungulwa ukuze luhlukanise ukuphazamiseka kwezinsizi okusebenzayo (i-FGDs) ngokusekelwe ezimpawu zabo zomtholampilo. Njengoba ngokucacile, ubufakazi be-FGDs abubonakali ngokuhlolwa okujwayelekile kokuhlola, i-Rome criteria iklanyelwe ukusiza odokotela ukuba bahlolisise ama-FGD ngokuzethemba. I-criteria ye-Rome iphinde ivumele izindlela zokuhlola zokuqinisekisa ukuthi zizosetshenziselwa ukuhlolwa kocwaningo.
I-criteria ye-Rome ithuthukiswa ngokusebenzisana kwabacwaningi, odokotela kanye nabanye ochwepheshe bezempilo emhlabeni wonke. I-criteria III ye-Rome ibonisa ukubuyekezwa kwesithathu kwe-FGD criteria yokuhlonza futhi yanyatheliswa ngo-2006. Okunye ukubuyekezwa, i-Rome IV, kufanele kushicilelwe ku-Spring ka-2016.
Izinhlobo Zenkinga Yokusebenza Kwamathumbu
Isifo ngasinye se-FGD sinesethi yezinqubo zayo. Lokhu okulandelayo yizigaba ezinkulu ze-FGD ngokusho kwe-Rome III:
- Ukuphazamiseka Kwezinkinga Zokusebenza
- Ukuphazamiseka kwe-Gastroduodenal esebenzayo
- Ukuphazamiseka Kwezinhlungu Zokusebenza
- I-Functional Abdominal Pain Syndrome
- I-Gallbladder esebenzayo ne- Sphincter ye-Oddi Disorders
- Ukuphazamiseka Kwezintambo Zokusebenza
- Ukukhathazeka kwe-GI ebuntwaneni: Izingane ezisana nezingane
- Ukukhathazeka kwe-GI ebuntwaneni: Ingane / intsha
I-Rome III Imigomo ye-IBS
I-criteria yokuthola ukuxilongwa kwe- bowel syndrome (irstable bowel syndrome) (i-IBS} idinga ukuthi umuntu abe nokuhlupheka okungapheli kwesisu noma ukunganaki okungenani izinsuku ezintathu esikhathini esiyizinyanga ezintathu ezedlule, ngokuqala kwezimpawu okungenani izinyanga eziyisithupha ngaphambi.
Lezi zimpawu kumele zibonise:
- Izimpawu zesisu ziyancipha ngokunyakaza kwamathumbu
- Ukuqala kwesimanga kuhlobene nokushintsha emvamisa yesitokisi
- Ukuqala kwesimanga kuhlobene nokushintsha ekubukeni kwesitokisi
Nakuba izimiso ze-Rome III zilandelwa ngokuqinile ekuvivinyweni kocwaningo lwezokwelapha, ezweni langempela, odokotela bavame ukuxilongwa yi-IBS kunoma ubani ohlangabezana nezimpawu zesibilini ngaphandle kokuvuvukala okubonakalayo noma ezinye izibonakaliso zezifo ezibonisa ukuhlolwa kokugaya okujwayelekile.
Okunye ukuphazamiseka kwamathumbu okusebenza
Lokhu okulandelayo yizinye izinhlobo zezinkinga zokusebenza kwamathumbu. Umuntu uzotholakala ukuthi unenye yalezi ezinye izifo lapho engahambisani ne-diagnostic criteria ye-IBS (noma esinye isifo noma i-FGD). Ngokuvamile lezi ezinye iziphazamiso zihlukaniswa ne-IBS ngenxa yokuntuleka kobuhlungu njengesibonakaliso.
Ukuvimbela ukusebenza: Imizwa engapheli yokubhula kanye / noma ukubonakala okubonakalayo. Isimpawu kumele senzeke okungenani kwezinsuku ezintathu ezinyangeni ezintathu zokugcina futhi okungenani izinyanga eziyisithupha ngaphambi kokuxilongwa.
I-Diarrhea esebenzayo : Okuhlangenwe nakho kwezigqoko ezidakayo noma zamanzi ngaphandle kokuba ubuhlungu buvele okungenani u-75% wezinyathelo zokuhamba kwamathumbu okungenani izinyanga ezintathu kulezi zinyanga eziyisithupha zokugcina.
Ukuqashwa okusebenzayo : Izimpawu kumele zihlanganise okungenani ezimbili ezilandelayo futhi zenzeke okungenani izinyanga ezintathu ezinyangeni eziyisithupha ezedlule.
- Ukuhlunga (okungenani u-25% wesikhathi)
- Izitembu ezinzima okungenani ama-25% wesikhathi
- Ukuzwa kokuthuthwa okungaphelele (okungenani okungu-25% wesikhathi)
- Inzwa yokuvimba noma ukuvinjelwa endaweni ye-anus noma i-rectum
- Imizamo yemibhalo yokuvumela ukuhamba kwesitoreji okungenani u-25% wesikhathi (isib. Ukukhishwa kwedijithali )
- Ngaphansi kwezintathu zokunyakaza ezihamba ngeviki
- Isikhathi esiningi sezihlalo ezixekethile ngaphandle kokusebenzisa i-laxative
I-Rome III ezweni eliyiqiniso
Njengoba lenzelwe, i-Rome III criteria inikeza isisekelo esinamandla sokuhlonza iziguli zocwaningo lwezocwaningo. Kodwa-ke, odokotela emisebenzini yabo yomtholampilo abagcini ngokugxila ekuhloleni okunjalo lapho behlinzeka ngezifo zokusebenza ezigulini zabo. Ngakho-ke, asikho isidingo sokukhathazeka ngokweqile uma uthola ukuxilongwa okungaqinisekisi ngokuphelele kuleso simo. Kodwa uma usenemibuzo mayelana nokuxilongwa kwakho, cela udokotela wakho ukucacisa.
Imithombo:
Drossman, D. "Ukuphazamiseka Kwemisebenzi Okusebenzayo kanye ne-Rome III Process" I- Gastroenterology 2006 130: 1377-1390.
"I-Rome III Imigomo Yokuthola Izinkinga Zokusebenza Kwamathumbu" I-PDF ifinyelelwe kuMeyi 22, 2016.