I-IBS ihlolwe kanjani?
Uma ucabanga ukuthi ungase ube nesifo sofuba esiswini (i-IBS), ukufunda ukuthi odokotela abaza nokuxilongwa kwe-IBS kuzokusiza kanjani ukukuqinisekisa ukuthi udokotela wakho uholele enkambweni efanele.
Uhlobo Luni Lomdokotela Okufanele Ngiwubone?
Uma uhlangabezana nezimpawu eziphindaphindiwe zobuhlungu besisu , isifo sohudo kanye / noma ukuqothulwa , kuhle kakhulu ukuthi wenze i-aphoyintimenti nodokotela wakho wokunakekela oyinhloko.
Ngesikhathi ulindele ukuqokwa kwakho, kungaba usizo ukuqala ukugcina idayari elula yesifo .
Udokotela wakho kungenzeka asebenze umsebenzi wegazi kanye nokuhlolwa kwegazi esitokisini. Kufanele futhi avivinye igazi lakho ukuze ubone ukuthi unesifo se-celiac . Uma kungekho izimpawu ezibomvu-flag (isib. Ukuphuma kwamagciwane, umkhuhlane, i-anemia), udokotela wakho wokunakekela oyinhloko angase akhombe ukuthi une-IBS ngaphandle kokuhlolwa okungeziwe.
Uma udokotela wakho ekholelwa ukuthi kudingeke uphenyo olunzulu, ungathunyelwa ku- gastroenterologist . I-gastroenterologist, evame ukubizwa ngokuthi i-GI, ngokukhethekile ekuxilongweni nasekwelapheni izinkinga zokugaya ukudla. I-Gastroenterologists isebenzisa ulwazi lwabo mayelana nokusebenza kwayo yonke isimiso sokugaya umzimba kanye nokuhlangenwe nakho kwabo ezinkingeni ezihlukahlukene zesimiso sesisu ukuze kutholakale uhlelo olubanzi lokuxilongwa kanye nokwelapha.
Yiziphi izivivinyo okungenzeka ngingaba nazo?
Ezimweni eziningi, i-IBS ingatholakala ukuthi inenani lenqubo yokuxilonga:
- umsebenzi wokusebenzisa igazi
- ukuhlola ukuphuma kwamagciwane okwenyama (ukuhlolwa kwegazi esitokisini)
Ingabe Zikhona Ezinye Izivivinyo?
Uma kufanele isithombe sakho sesimpawu siqiniseke, udokotela wakho angase ancoma enye yalezi ezinye izinqubo ezivamile ze-GI (izinsikazi):
- I-Colonoscopy: Ubuningi bomathumbu wakho wonke. Lokhu kuhlolwa kuvunyelwe njalo kubo bonke abantu abangaphezu kweminyaka engama-50.
- I-Sigmoidoscopy: Ukuhlolwa kwe-rectum nengxenye ephansi kakhulu yekoloni, okuthiwa i-sigmoid colon.
- I-Endoscopy Ephezulu: Ububanzi bendlela yakho yokugaya engaphezulu, kuhlanganise nesifo sakho, isisu, ne-duodenum.
- I-Barium Enema: I- X-ray yomathumbu amakhulu ne-barium esetshenziselwa ukuphambene.
- Uchungechunge oluphezulu lwe-GI : I- X-ray yesistimu yokugaya engenhla ne-barium esetshenziselwa ukuphambene.
- Ukuhlolwa kokungaboni ngaso linye
- Ukuhlolwa kwesitoreji ukulawula ama- parasite emathunjini
UDokotela wami angaba kanjani ukuthi yi-IBS?
Ngenxa yokuthi i-IBS ibhekwa njengesiyaluyalu somsebenzi , ngenxa yokuthi ayikho inqubo ebonakalayo yesifo, odokotela basebenzisa indinganiso ebizwa ngokuthi i- Rome III Criteria yokuthola i-IBS. Ngokwalezi zindlela, i-IBS ingatholwa kuphela uma izimpawu zikhona okungenani izinyanga eziyisithupha. Izimpawu kumele zibe nakho okungenani izinsuku ezintathu okungenani izinyanga ezintathu. Ngokuqondile, izimpawu kumele ziqukethe ubuhlungu besisu esisemuva noma zingathandeki kokubili noma ngaphezulu kwalokhu okulandelayo:
- Ubuhlungu bukhululeka ngokunyakaza kwamathumba
- Ukuqaliswa kobuhlungu kuhlobene nokushintsha emvamisa yesitokisi
- Ukuqala kobuhlungu kuhlobene nokushintsha ekubukeni kwesitokisi
Uma zonke ezinye izimo zikhishiwe futhi izimo ze-Rome III criteria zihlangene, udokotela wakho angakuxilonga ngokuqiniseka ukuthi unayo i-IBS.
Ingabe Ngidinga Ukuhlinzwa?
Ngaphandle kokuba ukuhlolwa kokuhlola kuveza isimo sezempilo esingathí sina, iziguli ezine-IBS azidingi ukuba zenze izinqubo zokuhlinza. Ukucwaninga kusikisela ukuthi iziguli ze-IBS zisengozini enkulu yokuthola ukususwa kwe- gallbladder , appendectomy , hysterectomy nokuhlinzwa kwamakholoni , ngaphandle kokuthola usizo olukhulu emabhalweni abo e-IBS. Ngenxa yengozi yokuhlinzwa, kuphakanyiswa kakhulu ukuthi isiguli se-IBS sifune umbono wesibili ngaphambi kokuba sithole noma yiluphi uhlobo lokuhlinzwa.
Imithombo:
Ukuphazamiseka Kwezinhlungu Zokusebenza (2006) Longstreth, GF, et.al. I-Gastroenterology, 130: 1480-1491.
Izindleko zezinqubo zezokwelapha kanye nezibalo zokuhlinzeka ezigulini ezine-Irritable Bowel Syndrome. (2007) Gamen, A. Digestive Health Matters , 16: 3-6.