Ukuhlakanipha okuvamile kuhlale kugcizelela ukuthi ukuvuvukala akubonwanga ezigulini ezine- syndrome ezicasulayo (IBS). Yebo, izikhathi ezingase ziguquke.
Ukucwaninga okweqenqemeni sekuqale ukuthola ubufakazi bokuvuvukala kwezinga eliphansi emzimbeni wesisu sokugaya kwezinye iziguli ze-IBS. Njengoba kucatshangelwa kakhulu, le miphumela ingase ivule indlela yokukhetha ukwelashwa okusha nokuthuthukiswa.
Ngenxa yalokhu, kunezinto ezimbalwa ongathanda ukwazi ngendima ukuvuvukala okungadlala ekuthuthukiseni nasekugcinweni kwe-IBS.
Ukuchaza izinto ezibalulekile ezimbili
Amaseli amancane. Amangqamuzana amancane atholakala ezicubu kuwo wonke umzimba. Bakholelwa ukuthi badlala indima ebalulekile ekuvikeleni umzimba kusuka ezigulweni - amagciwane angaphandle, njengegciwane noma amagciwane, okuba yingozi empilweni yakho. Kucatshangwa ukuthi amangqamuzana amancane enza ukuphendula okusheshayo okuvuvukala ku-pathogen. Ngakho-ke, akumangalisi ukuthi ama-mast cells abonakala ehileleke kakhulu kulokho esikujwayele ukukwazi ukuthi yi-allergies.
Ama-Cytokines. Ama-Cytokines ama-proteins akhululwa ngamasipha omzimba namanye amangqamuzana ahlobene nokuphendula kwamagciwane. Kucatshangwa ukuthi ngemva kokusabela okusheshayo okuvuvukala okubangelwa ngamaseli amancane, inqubo eqhubekayo yokuvuvukala kwenzeka ngenxa yokukhululwa kwezinhlobo ezithile ze-cytokines. Ama-cytokines angaba yi-pro-inflammatory noma anti-inflammatory.
Inkinga Ebonakalayo
Ukuze ubone ngeso lengqondo impendulo yokuvuvukala, cabanga ukuthi umzimba wakho uthola igciwane lesifo esiswini esibi ( gastroenteritis ). Amaseli amancane asabela ngokushesha, alandelwa ama-cytokines, ukulwa nokutheleleka. Ukukhululwa kwalezi zinto kubangela ubuhlungu besisu , ukuphazamiseka, nesifo sohudo .
Ezimweni eziningi, le mpendulo yokuvuvukala yesikhashana. Uma umzimba uzwa ukuthi umhlaseli unqotshwe, inqubo yokuvuvukala ivaliwe.
Olunye ucwaningo lubonakala lubonisa ukuthi kungenzeka ukuthi, ngesethi encane yeziguli ze-IBS, le nqubo yokuvuvukala iyaqhubeka ngemva kokutheleleka okuyinhloko sekuphelile. Izinto azivamile ukuthi zilula nge-IBS. Kungenzeka futhi ukuthi kunabantu abathile abathola lokhu ukuvuvukala okuphansi okungapheli ngaphandle kokuthola icala elicacile lokunqunywa kwe-gastroenteritis.
Kunoma yikuphi, ukuqhutshwa okuqhubekayo kwamaseli omzimba, ngisho nangesisekelo esibucayi, kungabangela ukukhubazeka kwe - motility okuveza u-IBS, ikakhulukazi ngokulandela iziqephu zokuhuda. Ngaphezu kwalokho, amangqamuzana amancane atholakala esondelene kakhulu namangqamuzana omzimba emathunjini. Lokhu kungabangela ubuhlungu obuqhubekayo kanye ne- visceral hypersensitivity ejwayelekile ye-IBS.
Izingozi ezingase zibe khona
Akucaci ukuthi kungani lokhu kuqhubeka inqubo yokuvuvukala kungathinta abanye abantu hhayi abanye. Ucwaningo olwengeziwe luyadingeka ukuze uphenye okulandelayo:
- I-Genetic predisposition
- Isimo esiphezulu segciwane lamagciwane
- Ukwelashwa kokudla
- Izifo ezivamile
Okubalulekile
Uphenyo olwendima yokuvuvukala okuqhubekayo ekuthuthukiseni nasekugcinweni kwe-IBS kusencane kakhulu.
Yini eyaziwa yukuthi, kwinani elithile elincane leziguli ze-IBS, ukwanda kwamaseli okuvuvukala kutholakale emgodini wezinambuzane ezinkulu kanye nengxenye yeleum yamathumbu amancane. Lokhu ukuvuvukala akunakubonwa nge-microscope njengengxenye yenqubo evamile ye-biopsy kodwa kudinga ukuhlolwa okujulile okujulile. Iziguli ezinezicubu eziqukethe izinto ezivuthayo zivame ukuhlupheka nge -IBS (IBS-PI) noma i- diarrhea-ebaluleke kakhulu ye-IBS (IBS-D).
Ngokusobala, ucwaningo olwengeziwe luzodinga ukuqhutshwa ukuze kuthuthukiswe isithombe esibukhali sendima yokuvuvukala ku-IBS.
Ithemba ukuthi lokhu kuqonda okuthuthukile kuyoholela ekwakhiweni kwezinketho ezintsha zokwelashwa futhi kulethe ukukhululeka kokuhlupheka.
> Imithombo:
> Chira A, Chira RI, uDumitrascu DL. Ukuvuvukala njengenjongo yokuThola yokwelashwa engenzeka ku-IBS. Ku: Irritable Bowel Syndrome - Imiqondo Yobuningi Yokucwaninga Nezokwelapha. InTech, DOI; 2016; 10.5772 / 66193.
> Liebregts T, uBirgit A, uBredack C, et al. Ukuvuselela Umzimba Emagulini Nge-Irritable Bowel Syndrome. I-Gastroenterology. 2007; 132: 913-920. doi: http: //dx.doi.org/10.1053/j.gastro.2007.01.046
> Norton W, Drossman D. Imibiko Yombiko Wokufingqa. I-Health Matters Matters. 2007; 16: 4-7.