LeliQembu Lemihlahlandlela Lingasiza Ukuxilonga IBS
I-irritable bowel syndrome (i-IBS) ihlukaniswa ngokuyinhloko njengesimo sokukhishwa. Ngamanye amazwi, i-IBS ivame ukutholakala ngemva kokuba zonke ezinye izimbangela zezimpawu, njengokutheleleka noma izifo, zikhishwe ngaphandle. Lokhu kuyabiza, kudla isikhathi, futhi kuyinto engathandeki iziguli kanye nodokotela. Ekupheleni kweminyaka engama-70 kanye nabacwaningi bokuqala be-80s baqala ukubheka kakhulu i-IBS njengesiyaluyalu esingathí sina hhayi inkinga ye- psychosomatic .
E-International Congress ye-Gastroenterology yama-13 eRome, e-Italy ngo-1988, iqembu labahlengikazi lachaza indlela yokuhlola ngokucophelela i-IBS. Eyaziwa ngokuthi "i-Rome Criteria," le setha yemihlahlandlela eveza izimpawu futhi isebenzise imingcele njengemvamisa kanye nobude kwenza kube khona ukuxilongwa okunembile kwe-IBS.
Isimiso seRoma senze izinguquko eziningana nezibuyekezo kusukela ekuqaleni kwayo ekuqaleni. Lokhu kuye kwabangela ukuba kube usizo kakhulu ekuhloleni i-IBS. Ukufakelwa komzimba kwakamuva kwakungaphansi kokuthuthukiswa kweminyaka engu-6 futhi kwafaka ochwepheshe abangu-117.
I-Rome IV Imigomo
I-Rome IV Imigomo ye-IBS yilezi:
Izinhlungu zesisu zangasese, ngokwesilinganiso, okungenani usuku olulodwa / isonto ezinyangeni ezingu-3 zokugcina, ezihambisana nezinkomba ezimbili noma ngaphezulu *:
Kuhlobene nokuhlukunyezwa
Ihlanganiswe nokushintsha emvamisa yesitokisi
Ihlanganiswe nokushintsha ifomu (ukubukeka) kwesitokisi.
* I-Criterion yagcwaliseka ezinyangeni ezingu-3 zokugcina ngesifo seqala okungenani izinyanga ezingu-6 ngaphambi kokuxilongwa
Ngolwimi lwangempela, lokhu kusho ukuthi ukuze kutholakale ukuthi une-IBS, umuntu kumele abe nezimpawu okungenani usuku olulodwa ngeviki ezinyangeni ezingu-3 zokugcina. Izimpawu zingase zihlobene nokuhlonza (ukudlula noma ukuqhuma), kuhambisane nokushintsha ukuthi umuntu uhamba kaningi endlini yokugezela, futhi kwenzeke kanye noshintsho lokuthi izihlalo zibukeka kanjani (njengokuthi kunzima noma kukhululekile).
Kumele kube khona lezi zibonakaliso ezimbili kulezi zibonakaliso ezenzekayo.
Isikhathi esinye esinye isici esibalulekile ku-Criteria yaseRoma: akumele nje ukuthi izimpawu nezimpawu zibe khona ezinyangeni ezintathu ezedlule, kumele baqale okungenani izinyanga eziyisithupha ezedlule. Lokhu kusho ukuthi i-IBS ayikwazi ukutholakala noma yimuphi ngaphambi kwezinyanga ezingu-6 ngemuva kokuqala izimpawu.
Kukhona okunye okuningi ku-Criteria yaseRoma futhi kukhona ulwazi oluningi olutholakalayo odokotela ukuthi bangalusebenzisa kanjani ukuze baxilonge futhi baphathe iziguli. Ngaso sonke isikhathi, i-Rome Criteria ibuye ihlise indlela i-IBS kanye neminye imibandela yokusebenza etholakala ngayo. Seye kusuka emigqeni embalwa ukuze ibe yinkimbinkimbi kakhulu futhi eningiliziwe, okusiza ukuqondisa odokotela ekuhloleni izimpawu nezimpawu ze-IBS. Esikhundleni sokuba isimo esifanayo, i-IBS iyinkimbinkimbi futhi abantu bangabhekana nezinhlobo ezahlukene zayo, kuhlanganise nesifo sohudo-esikhulu kakhulu nokuqothulwa-okuyinhloko, nokushintsha phakathi kokuqothulwa nokuhuda. Ngaphezu kwalokho, kungase kube khona umehluko endleleni amadoda nabesifazane abachaza ngayo isimo futhi basabele kuyo, ngakho-ke iMigomo yeRoma izama ukuthatha lokho.
Ezinye izimpawu ze-IBS
Izimpawu ezibalwe ngenhla kule ngcaphuno emfushane evela ku-Rome Criteria akuzona kuphela izinkomba ze-IBS.
Izimpawu ezingasetshenzisiwe ze-IBS zingabandakanya:
- I-nausea
- Ukukhathala
- Ukuzwa okugcwele emva kokudla okuncane
- Ukuvota
Umlando wezinkomba zaseRoma
Izilinganiso zaseRoma azizange zamukelwe kabanzi uma zethulwa ekuqaleni kepha zithole kangcono ngemuva kokubuyekezwa kokuqala. Le nguqulo yesibili, eyakhiwe ngo-1992 futhi eyaziwa ngokuthi iRoma II, yanezela isikhathi eside sokuba izimpawu zibe khona futhi ubuhlungu njengenkomba. I-Rome III yaqhubeka yanda kulokho okungahlosiwe futhi okungabhekwa njenge-IBS futhi yavunywa ngo-2006.
Umzamo wokuqala wokuhlukanisa izimpawu ze-IBS kwaziwa ngokuthi yiMigomo Yomuntu. Kamuva kwatholakala ukuthi lezi zindlela azikho okwanele futhi ezingathembeki ukuze zisebenzise namadoda ane-IBS.
Naphezu kwalezi ziphutha, iMigomo Yokuqapha Yayisinyathelo esibaluleke kakhulu ekuchazeni izimpawu ze-IBS.
Imigomo Yomuntu yilezi:
- Ukuqaliswa kobuhlungu obuxhunyaniswe nokunyakaza okuningi kwezibilini
- Izitulo ezikhululekile ezihlobene nokuqala kobuhlungu
- Ubuhlungu bukhululiwe ngokuhamba kwesitokisi
- Ukuqhaqha kwesisu okuphawulekayo
- Isimo sokukhishwa okungaphelele kuka-25% wesikhathi
- I-diarrhea ene-mucous ngaphezu kwama-25% wesikhathi
Umthombo:
> Schmulson MJ, uDrossman DA. "Yini Entsha eRoma IV." I- Neurogastroenterol Motil . 2017 Apr; 23 (2): 151-163.