I-conservative-predominant irritable bowel syndrome (i-IBS-C) i-subtype ye- bowel syndrome (i-IBS) ehlukumezekayo lapho isiguli sibhekene nokuqwashana okungapheli okuhambisana nokuhlupheka kwesisu esisodwa. I-IBS-C ibhekwa njengesiyaluyalu somzimba esisemsebenzini (FGD) ngokuthi akukho sibonakaliso esibonakalayo sokugula esitholiwe ngesikhathi sokuhlola okujwayelekile, kodwa kunalokho izimpawu zibonisa ukungasebenzi ngendlela indlela uhlelo lokugaya lusebenza ngayo.
IBS-C ibonakalisa cishe ingxenye eyodwa kwezintathu zazo zonke iziguli ze-IBS. Abantu asebekhulile nalabo abanesimo esiphansi sezenhlalakahle basengozini enkulu ye-IBS-C. Uma kuqhathaniswa nezinye ze- IBS subtypes , abantu abane-IBS-C cishe banokukhathazeka, ukucindezeleka kanye nekhwalithi ephansi yokuphila.
I-IBS-C Versus Idiopathic Constipation (CIC)
I-IBS-C kanye nokuqothulwa okungapheli kwe-idiopathic (eyaziwa nangokuqanjwa komsebenzi) babelana eziningi zezimpawu ezifanayo. Ngokusho kwe- III III ye-FGDs , lezi zimo zihluke ngokuthi iziguli ze-IBS-C zithola ubuhlungu besisu kanye nokungahambi kahle ngaphandle kokuqothulwa. Kodwa-ke, iningi le-gastroenterologists kanye nabanye abacwaningi bakholelwa ukuthi lezi zinkinga ezimbili ziyingxenye efanayo.
Izimpawu ze-IBS-C
Izimpawu ze-IBS-C zihlanganisa ezinye noma zonke ezilandelayo:
- Ukunyakaza okuhamba phambili kwamathumbu
- Izithambile noma izigqoko ezinzima
- Ubuhlungu besisu
- Igesi nokuqhafaza
- Umzwelo wokuthutha okungaphelele
- I-Mucus noma ku-esitokisini
- Inzwa yokuvinjelwa ku-anus kanye / noma i-rectum
- Ukuhlunga
- Ukusetshenziswa kweminwe ukususa isitolol ( ukukhishwa kwedijithali )
Ukuqokwa kubhekwa ngokujwayelekile njengokungena kwezintathu zokuhamba kwamathumbu ngesonto. Njengoba i-IBS-C, izihlalo ezixekethile azivame ukutholakala ngaphandle kokusebenzisa i-laxative.
I-III III criteria ichaza ukuthi izimpawu kumele zihlangane nezinsuku ezingu-3 ngenyanga kulezi zinyanga ezintathu ezedlule, izinguquko zesitembu zenzeka okungenani ama-25% ezitsheni.
Ukuxilongwa kwe-IBS-C
I-IBS-C ikhonjwa ngemuva kokunye ukuphazamiseka okuye kwaqedwa. Udokotela wakho kungenzeka ukuba ahlolwe ngokomzimba, asebenze umsebenzi othile wegazi futhi ahlaziye isampula sokuhlaziywa kwesampula. Ezinye izivivinyo zizonconywa kuye ngezibonakaliso zakho nomlando wakho wezokwelapha. Uma izimpawu zakho zihambisana ne-diagnostic criteria ye-IBS-C, futhi abukho ubufakazi bobufakazi obomvu obomvu noma olunye ukugula, i-IBS-C izotholakala.
Ukwelashwa kwe-IBS-C
Ayikho inqubo yokwelapha eyodwa ye-IBS-C. Udokotela wakho angancoma ukuthi ukwandise kancane kancane inani le-fiber ekudleni kwakho. Bangase batusa ukusetshenziswa kwe-laxative ye- osmotic , njenge-Miralax noma i-lactulose.
Kukhona nemithi eminingana etholakalayo eklanyelwe ukukhomba izimbangela eziyinhloko zokuqunywa okungapheli, kuhlanganise:
- Amitiza
- I-Prucalopride (eCanada neYurophu kuphela)
- Linzess (Constella)
- I-Zelnorm (indlela eqinile yokusetshenziswa)
Uma udokotela wakho ekholelwa ukuthi i- dyssynergic defecation ibangele izimpawu zakho ze-IBS-C, zingase zincome ukuthi uzame biofeedback .
Imithombo:
Bellini, M., et. al. "I-irritable bowel syndrome nokuqokwa okungapheli: Iqiniso neqiniso" World Journal of Gastroenterology 2015 28: 11362-11370.
U-Heidelbaugh, J. "I-Spectrum Yokuqothulwa-I-Greatest Irritable Bowel Syndrome ne-Chronic Idiopathic Constipation: US Survey Ukuhlola Izimpawu, Ukufuna Ukunakekelwa, Nezifo Ukunyatheliswa" I- American Journal of Gastroenterology 2015 110: 580-587.
" Ithebula 2. I-Rome III Imigomo Yokuhlonza: Ukuqashwa Komsebenzi kanye ne-IBS-C " Kufinyelelekile kuJanuwari 27, 2016.