Enye yezinto eziphazamisayo kunazo zonke mayelana nokuhlupheka kwesifo sofuba esiswini (IBS) ukungabi nobufakazi obubonakalayo obangela imbangela yalesi sifo, okwenza kubonakale sengathi "konke kusekhanda lakho". Ngenkathi ihlushwa izimpawu ezikhubaza futhi ngemva kokubhekana nezivivinyo ezihlukahlukene, iziguli zivame ukutshelwa ukuthi "Akukho lutho olubi" noma "Kuwukucindezeleka nje." Eqinisweni, i-IBS ibhekwa njengesifo sokusebenza kwamathumbu ngoba akukho ukuvuvukala okubonakalayo noma ukungajwayelekile kwamathambo kubonakala ngokuhlolwa kokujwayelekile kokuhlola .
Noma kunjalo, lokhu akusho ukuthi akukho lutho olubi ngokomzimba nomuntu obhekene ne-IBS. Abacwaningi baphishekela izindawo ezinhlanu lapho kungase kube khona umehluko emzimbeni wabantu abahluphekayo yi-IBS nalabo abangenalo.
Motility
I-motility ibhekisela ekuhambeni kwemisipha ebushelelezi yegciwane lokugaya . Nakuba ucwaningo lungabonisi imiphumela ehambisanayo, kunobunye ubufakazi bokuthi ijubane le ntshukumo lishintshwa kokubili koloni kanye namathumbu amancane abantu abane-IBS. Ukuqhathaniswa okusheshayo kunokujwayelekile kubonakala kwabanye abantu abahlukunyezwa yi -IBS (IBS-D), kanti ukunyakaza kwemisipha kuphuza kakhulu kubantu abathile abahlukunyezwa yi -IBS (IBS-C).
I-Visceral Hypersensitivity
I-hypersensitivity ye-Visceral ingumqondo ozwakalayo wobuhlungu ezingxenyeni zangaphakathi zomzimba. Ucwaningo luye lwabonisa ukuthi iziguli eziningi ezine-IBS zizwa ubuhlungu emkhakheni wezinga elihlukile kunabantu abangenayo isifo.
Kucatshangwa ukuthi lo mthelela ekuboneni ubuhlungu kuwumphumela wenqubo lapho izinzwa zomgudu zithinteka kakhulu ekuvuseleleni.
I-Brain-Gut Connection
Uhlelo lokugaya luhlobo lobuchopho lwalo, isimiso sezinzwa se-enteric. Le nethiwekhi yezinzwa iqondisa izinqubo zokugaya futhi isondelene ngokuseduze nobuchopho.
Lokhu kuhlangana kubonakala ngokucacile phakathi nokucindezeleka kokuphendula . Kukhona ubufakazi bokuthi ukungasebenzi kahle ekusebenzisaneni phakathi kwegulane nobuchopho kungase kube ngaphansi kokuphazanyiswa kwe-motility ne-visceral hypersensitivity eyenza izimpawu ze-IBS. Lokhu kubangelwa kuhloswe ukuthi kuhlobene nokungalingani emazingeni alabo abasebenzisa i- neurotransmitters , yingakho abagulayo be-IBS bavame ukuthola ukukhululeka kwezibonakaliso lapho bephethe izidakamizwa ezivimbela izifo ze-neurotransmitters.
Ukuvuvukala
Ngencazelo, i-IBS ayitholakali nokuvuvukala okubonakalayo. Lokhu akusho ukuthi ukuvuvukala akubandakanyi neze; kusho nje ukuthi ukuvuvukala akubonakali ngesikhathi sokuhlola okujwayelekile. Ubufakazi buqala ukubonwa ukuthi kungenzeka ukuvuvukala okungapheli kwesibalo ezingeni lamaselula kwabanye abantu abahlukunyezwa yi-IBS. Lokhu kucatshangelwa kucatshangwa ukuthi kungenzeka kuhlotshaniswe namacala lapho i-IBS eyandulela khona ubuhlungu besisu , isimo esiboniswe njenge -IBS (IBS-PI) esandulelayo.
I-Gut bacteria
Nakuba kungabonakali njengokucacile, kunzima ukuqondakala kalula ukuthi uhlobo oluyinkimbinkimbi lwamagciwane okugulisa ama-bacteria (uma kuthiwa ama-probiotics ), namabhaktheriya amabi (lawo ahlobene nokutheleleka nokuvuvukala).
Ucwaningo olugxile ekuguleni amabhaktheriya seluqale ukunikeza ubufakazi bokuthi kukhona umehluko phakathi kokuzenzela amabhaktheriya kwezinye iziguli ze-IBS nalabo abangenayo isifo. Kunakekelwa ngokukhethekile indima yebhaktheriya emathunjini amancane njengomthelela ku-IBS, okungukuthi, inqwaba ye-intestine ye-bacterial (SIBO).