Ubuhlungu bezitho zangaphakathi ne-IBS
Uma ubhekana ne-hypcerensitivity ye-visceral, kusho ukuthi unesihluthulelo esinciphisa ubuhlungu besisu nangenhlanhla ekuphenduleni ukucindezelwa, ukugqugquzela, noma ukuphazamiseka ngaphakathi kwesisu. I-hypcerensitivity ye-Visceral (hyperalgesia ye-visceral) igama elisetshenziselwa ukuchaza okuhlangenwe nakho kobuhlungu ngaphakathi kwezitho zangaphakathi (i-viscera) ezingeni elikhudlwana kunalesijwayelekile.
I-hypersensitivity ye-Visceral iyimpawu ephawulekayo yezidumbu zesifo sofuba (IBS). Noma kunjalo, i-visceral hypersensitivity ingase ibe khona kubantu abanokuthi:
- Ubuhlungu obungenayo isifo senhliziyo
- I-dyspepsia esebenzayo
- Ubuhlungu besisu esiswini
Ukulinganisa i-Visceral Hypersensitivity
Abacwaningi bacwaninga ukuhlolwa kwe-visceral ukuzama ukuqonda ukuthi kungani abantu bane-IBS. Ngenhloso yokucwaninga, i-visceral hypersensitivity ivame ukulinganisa ngokusebenzisa ukuhlolwa kwe-balloon distension. Lokhu kuhlola impendulo yesiguli ukucindezela ngaphakathi kwe-rectum.
Inqubo ye-balloon distension, ibhaluni e-rectum futhi kancane kancane igcwele umoya. Abantu babonakala sengathi bane-hypcerensitivity ye-visceral uma bebika ubuhlungu emazingeni aphansi okucindezelayo kunabanye abangakwazi ukumelana nokukhuphuka kwamandla emoyeni okuphawulekayo ngaphandle kokubika kabi. Kulezi zifundo zocwaningo, abantu abane-IBS babhekana nesibalo esiphansi sobuhlungu.
I-Visceral Hypersensitivity ne-IBS
Nakuba i-visceral hypersensitivity ibonakala iyingxenye ye-IBS, cishe amaphesenti angaba ngu-30 kuya kwangu-40 abantu abane-IBS atholwe ukuthi banokuzwela okwedlulele ekudeleleni ngaphakathi kwekoloni. Futhi, ngokuthakazelisayo, akukhona ngempela ukuhlanganiswa okuqondile phakathi kwalokhu kuzwela okuthuthukisiwe nokuqina kwezimpawu ze-IBS zomuntu.
Kubonakala sengathi i-hypcerensitivity ye-visceral ibonakala kwezinye iziguli ze-IBS ngenxa yezinguquko esimisweni sezinzwa esisebenza kokubili emathunjini nasebuchosheni. Izindlela zesisindo ezinxenyeni zomzimba ziyakhuthazwa ekuvuseleleni, okuholela ekusebenziseni kabusha futhi kuholele ekuthuthukiseni ubuhlungu. Kubantu abangenawo i-IBS, ukuhlukaniswa kwe-rectal kubangela impendulo kwezinye izingxenye zobuchopho ezihlobene nobuhlungu bokumisa. Ezigulini ze-IBS, lokhu kuvuselela okwenziwe ngama-rectal kushukumisa impendulo ezingxenyeni zobuchopho ezihlobene nokuqapha nokukhathazeka-izingxenye zobuchopho ezisebenzela ukukhulisa ubuhlungu besifo.
Izimbangela ze-Visceral Hypersensitivity
Uma i-visceral hypersensitivity isungulwe njengengxenye eyinhloko ku-IBS, abacwaningi baye baqaphela ukuthi kungani lokhu kungase kube njengendlela yokuqonda kangcono uhlobo lokudideka lwe-IBS.
Kukhona imibono ehlukahlukene ngemuva kokuhlangenwe nakho kwe-visceral hypersensitivity ku-IBS. Kunezinto eziningi eziphenywayo, kuhlanganise:
- Ubuhlungu buvela emithambo yamangqamuzana ahlanganisa ubisi olukhulu
- Izinguquko kuma-molecule amancane we-RNA alawa maseli
- Izinguquko kwi-neurotransmitter kanye nezinye izinto zokuthola ngaphakathi kulawa maseli
- Izinguquko ekusebenzisaneni phakathi kwesimiso sezinzwa zomphakathi (ubuchopho nentambo yomgogodla) kanye nesistimu yesifo sezinzwa (indlela eya ezivela nasesithombeni nasemisipha)
- Ukwandiswa kwamathumbu emathunjini
- Ukuvuvukala (ezingeni elingezansi lokho okungabonwa ngokusebenzisa ukuhlolwa kokuxilongwa)
Ukuqonda kangcono ukuthi lezi zinhlelo eziyinkimbinkimbi zizoxhumana kanjani zizovumela ukuthuthukiswa kwemithi ezogxila ezindaweni zokungasebenzi futhi idale ukukhululeka emabonakalweni e-IBS.
> Imithombo:
> Akbar A, Walters J, Ghosh S. Ukuxilonga kwe-visceral in-irritable bowel syndrome: izinqubo zamangqamuzana nama-agent zokwelapha. I- Pharmaceutical Pharmacy & Therapeutics 2009 30: 423-435.
> Zhou C, Verne N. Okusha okuqondakalayo ekungeneni kwe-visceral hypressensitivity - impendulo yomtholampilo ku-IBS. Ukubuyekezwa Kwemvelo Gastroenterology & Hepatology 2011 8: 349-355.