Kuyini Ukuqothulwa Kwe-Idiopathic Chronicle (CIC)?
Ukuqashwa kwe-idiopathic okungapheli (CIC) yisimo sempilo lapho umuntu ehlangabezana khona nezimpawu ezingapheli zokuqothulwa, kodwa nokho akukho imbangela ebonakalayo ingabonakala ngokuhlola okujwayelekile okuhlolisisa. Igama elithi idiopathic lisetshenziswe ngoba lisho ukuthi ayikho imbangela eyaziwayo. I-CIC iphinde ibhekiswe njengokuqashwa komsebenzi , njengoba i-CIC ihlukaniswa njengenye yezinkinga zomzimba ezisemsebenzini (FGDs), okusho ukuthi nakuba ukuhlolwa kungabonakali noma yikuphi ukungajwayelekile ngokomzimba, kunenkinga ngendlela uhlelo lokugaya, noma leli cala, intumbu enkulu, isebenza.
Kulinganiselwa ukuthi cishe u-14% wabantu abanobufakazi obuhlala njalo. Abantu abasengozini ephakeme bahlanganisa abesifazane, abantu abadala asebaneminyaka yonke nabesifazane, nalabo abanesimo esiphansi sezenhlalakahle.
Ziyini Izimpawu Ze-CIC?
Izimpawu eziyinhloko ze-CIC zihlanganisa:
- Ukunyakaza okuhamba phambili kwamathumbu
- Ukuhlunga
- Izitobhi ezinzima noma ezinezimpi
- Ukuzwa kokuphuma okuphelele
- Uzwa ukuthi kukhona okuvimbela isitolishi ekuphumeni
- Kudingeka usebenzise iminwe ukuze uzame ukuthola isiteji ( ukuphuma kwe-digital kanye nobukhazikhazi besisu )
Abantu abaningi abaneCIC nabo babika ukuthi babhekene nezimpawu ezilandelayo eceleni kokuqothulwa:
- Ubuhlungu besisu noma ukungakhululeki
- Ukuvimbela
- Ubuhlungu begesi
I-CIC ikhonjiswe kanjani?
Uma usola ukuthi unesi-CIC, udokotela wakho cishe uzohlola ukuhlolwa komzimba futhi asebenze umsebenzi wegazi ukuze akwazi ukulawula ezinye izifo. Ezinye izivivinyo zokuxilonga zingase zinconywe kuye ngezibonakaliso zakho nomlando wezokwelapha.
Ama-FGS atholakala ngokusho kwe- Rome III . I-criteria ye-Rome ibhekisela kulesi sifo njengokuqokwa okusebenzayo. Ukuze uthole ukuxilongwa kokuqashwa okusebenzayo, akumele kube khona uphawu lokungajwayelekile oluboniswa ngokusebenzisa ukuphawula. Lezi zindlela zizama ukulinganisa izimpawu ze-CIC, isibonelo, okusho ukuthi kunesidingo sokungena ngaphansi kwezintathu zokunyakaza ngesonto kanti nezinye izimpawu zenzeka okungenani amaphesenti angu-25 esikhathi.
Izitshalo ezilahlekile kumele zibe yize ngaphandle kokusetshenziswa kwama-laxatives. Izimpawu akumele zihlangabezane nezidingo zesifo sofuba esiswini (IBS) futhi kufanele sibe khona okungenani izinyanga ezintathu, ziqale okungenani izinyanga eziyisithupha ngaphambi kokuxilongwa.
I-CIC iphatheke kanjani?
Ayikho ukwelashwa okuqondile kwe-CIC. Kodwa kunezinhlobo ezihlukahlukene zokwelashwa okungafani nodokotela wakho angaxoxa nawe:
I-Fiber Diet : Udokotela wakho angancoma ukuthi ukwandise ukudla kwakho kwefayibha yokudla, njengoba i-fibre ingasiza ekunciphiseni izihlalo, okwenza kube lula ukudlula. Qinisekisa ukwandisa i-fiber yakho yokudla kancane kancane ukuvumela umzimba wakho ukuba ulungise isikhathi. I-fiber kakhulu kakhulu maduzane ingabangela izimpawu zegesi nokuvuvukala. Ungathola ukuthi le fiber enesisindo ibekezelela kangcono. Ungakwazi ukwandisa ukudla kwakho kwefayibha yokudla ngokudla okudlayo noma ngokusebenzisa i-fiber supplement.
Ama-laxatives : Kunezinhlobonhlobo zamakhemikhali angakwazi ukuhlinzeka ngokukhululeka kwesikhashana sokuqothulwa ngokukhuphula amazinga angoketshezi ngaphakathi emathunjini amakhulu (ama- laxatives osmotic ) noma ukugqugquzela ukunyakaza (ama- laxatives ashukumisayo).
Imithi : Imithi eminingi ekhona eyenzelwe ukuphatha ukuqotshwa okungapheli:
- Amitiza
- Linzess
- Ukuxazulula (i-Europe, i-Canada, i-Israel)
I-Biofeedback : Uma udokotela wakho enqume ukuthi i- dyssynergic defecation (ukungasebenzi komzimba we-pelvic) idlala indima ku-CIC yakho, bangase batuse ukuthi uzame biofeedback . Le ukwelashwa kuboniswe ukuthi iyasiza ekuthuthukiseni ukuhlanganiswa kwemisipha yomgogodla wezintambo ezihilelekile ekusebenzeni kokuhamba komzimba.
Uyini umehluko phakathi kwe-CIC ne-Irritable Bowel Syndrome?
Ukuqothulwa kwamathumba okudabuka kakhulu (IBS-C) kubamba izimpawu eziningi ezifana ne-CIC. Futhi eqinisweni, ngencazelo, i-CIC itholakale kuphela uma ngabe i-IBS isingakapheli. Umehluko omkhulu phakathi kwezimpikiswano ezimbili ukuthi indlela yokuhlola ye-IBS-C idinga ukuba kube nesipiliyoni sobuhlungu obungapheli obuhambisana nokunyakaza kwesisu.
Ezweni langempela, odokotela abaningi bazotshela iziguli zabo ukuthi bane-IBS uma bebhekene nokuqashwa okungapheli ngaphandle kwesizathu esibonakalayo, kungakhathaliseki ukuthi ubuhlungu buhambisana nokuhamba kwamathumba.
Abanye abacwaningi bakholelwa ukuthi lezi zinkinga ezimbili azifani neze. Abantu abaningi abaye baxilongwa nge-CIC bahlangabezana nobuhlungu besisu nokungahambi kahle futhi baningi abantu abazitholela ukuguquka kwesinye isikhathi. Kungenzeka ukuthi lezi zinkinga ezimbili ziwela phezu kokuqhubeka okufanayo. Ukuhlukaniswa okubalulekile phakathi kwalaba ababili kungase kuhlotshwe ekwelapheni, njengoba abantu abane-IBS-C kubonakala sengathi banamathuba amaningi kunalabo abaneCIC ukuze baphendule ekwenzeni ukwelashwa okuphumelelayo ekusizeni ubuhlungu, kuyilapho labo abaneCIC bebonakala bengase baphendule emithi ethile noma imithi eqondisa ukusebenza kwemisipha yomathumbu amakhulu.
> Imithombo:
> Bassotti, G., et. al. "Isisindo nesimiso somzimba wokuqashwa okungapheli: Ukuthatha ilebula esebenzayo / idiopathic ngaphandle kwe- World Journal of Gastroenterology 2013 19: 4099-4105.
> Ford, A., etal. "I- American College of Gastroenterology Monograph ekuphathweni kwe-Irritable Bowel Syndrome ne-Chronic Idiopathic Constipation " I- American Journal of Gastroenterology 2014 109: S2-S26.
> Heidelbaugh, J. "I-Spectrum of Constipation-I-Greatest Irritable Bowel Syndrome ne-Chronic Idiopathic Constipation: US Survey Ukuhlola Izimpawu, Ukufuna Ukunakekelwa, Nokugula Okunyunyiwe" I- American Journal of Gastroenterology 2015 110: 580-587.
> Siah KTH, Wong RK, Whitehead WE. "Ukuqashwa Nokuhlala Okungapheli-IBS Eyinkimbinkimbi: Ukuphazamiseka Okuhlukile Nehlukile noma Isifo Sezifo?" I- Gastroenterology & Hepatology 2016; 12 (3): 171-178.