Uhlobo olushintshayo lwamathumba e-irritable (IBS-A) luyisigcawu se- syndrome esithukuthelayo (IBS) . Uma unayo i-IBS-A, uhlangabezana nazo zonke izimpawu ezijwayelekile ze-IBS , kodwa ngaphandle komkhuba wesiguli. Uzothola usebenzisana nazo zombili iziqephu zokuhuda nokuqothulwa. Ukushintsha kwezimpawu zamathumbu kungenza kube nzima ukuthola amasu aveza ukukhululeka kwesifo.
Imikhawulo yaseRoma: IBS With Mixed Bowel Habit (IBS-M)
I-IBS iyinkimbinkimbi esebenzayo yamathumbu etholakala ngokusebenzisa izindinganiso ezaziwa njenge- criteria ye-Rome . Esikhundleni se-IBS-A, izimiso zamanje zaseRoma IV zashintsha ukusebenzisa igama elithi "IBS ngemikhuba ehlanganisiwe yezidumbu" (IBS-M). Cishe uzoqhubeka uzwa abanye abantu bebiza IBS-A. Enye i-IBS subtypes i- constipation-eyinhloko ye-IBS (IBS-C) ne- diarrhea-eyinhloko ye-IBS (IBS-D) ne-IBS-engaxhunyiwe.
Imithetho ye-Rome IV yashintsha izincazelo ze-subtypes ze-IBS kusuka kumaphesenti azo zonke izinambuzane ezihamba ngamaphesenti kuya kumaphesenti okuhamba kwamathumbu ezinsukwini zempawu kuphela. Lolu shintsho lwaluvumele abantu abaningi kakhulu abawela esigabeni esingenakulinganiswa ukuthi babe nokugula kwabo ngaphansi kwesinye sezigaba ezintathu. I-IBS ibhekwa njengengqikithi kunezigaba ezibonisa ukuphazamiseka okuhlukile.
Izimpawu ze-IBS-A
I-IV ye-IV ivumela i-IBS-M (IBS-A) njengoba ibhekene nezinkinga ezinzima, ama-lumpy esitokisini ngesikhathi okungenani amaphesenti angama-25 okunyakaza kwamathumbu ezinsukwini zesifo, futhi ehlushwa ama-mushy izikhathi ezithile okungenani amaphesenti angu-25 okunyakaza kwamathumbu ezinsukwini zempawu.
Lezi zinguquko ze-stool zingenzeka ngezikhathi zamahora noma izinsuku. Abanye abantu bathola ukuthi inkinga yabo yesifo sofuba ishintsha phakathi kwamasonto noma izinyanga zokuqotshwa namaviki noma izinyanga zokuhuda. I-criteria ayisekho izinyathelo zokunyakaza kwezibungu ezinsukwini lapho ungenayo izimpawu.
Abantu abane-IBS-A nabo banakho konke noma ezinye izimpawu ezihlobene ne-IBS:
Qaphela: Uma ubhekene neziqephu ezingapheli zokuqothulwa, isifo sohudo, noma enye yezinye izimpawu okukhulunywe ngenhla, kubalulekile ukuthi ubone udokotela wakho ukuze uthole ukuxilongwa okunembile. Izinkinga eziningi zempilo ezimbi kakhulu zihlanganyela ezinye izimpawu ezifana ne-IBS ne-IBS-A. Uma une-diagnostic efanele, ungasebenza nodokotela wakho ngokuhlela uhlelo lwezokwelapha.
Ukuvama kwe-IBS-A
Ayikho idatha eminingi ekhomba kuphela inani labantu abane-IBS-A. Ucwaningo oluthile lubonisa ukuthi cishe ingxenye yesithathu yazo zonke iziguli ze-IBS zine-subtype yesifo. Umbiko owodwa wathola ukuthi iningi leziguli ze-IBS zithola isiphakamiso esilandelayo mayelana nokuqothulwa nesifo sohudo, kodwa azichazi ngokwabo ukuthi bane-IBS-A. Imithethonqubo ye-Rome IV yahlonyiswa ngakho iziguli eziningi zizowela kwezinye zezigaba ezintathu kunokuba isigaba esingenakulinganiswa.
Yini ebangela IBS-A?
Futhi, akukho okungaziwa ukuthi kungani umuntu onayo i-IBS angathola izimpawu ezihlobene nenye noma enye yalezi zinhlobo ezintathu. Futhi nge-IBS-A, kudidekile ngempela ukuthi izinkinga eziyinhloko zizozibonakalisa ngokwazo ngesibonakaliso sokubili ukuqotshwa nokuhuda.
Yize kungase kungabi nokugxila okuqondile ku-IBS-A, abacwaningi bebebuke izici ezingase zibe ngemuva kwe-IBS ngokujwayelekile. Lezi zici zihlanganisa:
- Izinkinga nge- gut motility
- I-hypersensitivity engcindezini ngaphakathi emathunjini amakhulu
- Izinkinga ngaphakathi koxhumano phakathi kobuchopho kanye namanzi
- Ukuvuvukala okungabonakali ngesikhathi sokuhlolwa okujwayelekile kokuhlola.
- Ukungalingani kwama- bacterial gut
Ukwelashwa kwe-IBS-A
Inselele ngokuphathwa kwe-IBS ukuthi ufuna ukuqinisekisa ukuthi imizamo yokunciphisa inkinga yenkambiso eyodwa yesiguli ayiphumeleli ngokungaqondile enkingeni ehlukile. Ukusebenza eduze nodokotela wakho kungasiza.
Udokotela wakho angase ancoma ezinye noma zonke izindlela ezivame ukwenziwa ukwelashwa kwe-IBS:
> Imithombo:
> Saha, L. "I-syndrome eyathukuthela: i-Pathogenesis, ukuxilongwa, ukwelashwa, kanye nomuthi osekelwe ebufakazini" World Journal of Gastroenterology 2014 20: 6759-6773.
> Schmulson MJ, uDrossman DA. Yini Entsha eRoma IV? I-Journal ye-Neurogastroenterology ne-Motility . 2017; 23 (2): 151-163. doi: 10.5056 / jnm16214.