Ukuqotshwa Okungapheli Ngesimo Esingaqondile
Ukuqothulwa komsebenzi, owaziwa ngokuthi ukuqothulwa kwe-idiopathic okungapheli , kutholakala ukuthi uma umuntu ehlangabezana nezimpawu zokuqothulwa, kodwa asikho isizathu esithile senkinga esingabonakala. Kungenxa yokuthi ngenxa yenyama ingatholakala ukuchaza izimpawu, ukuqotshwa okusebenzayo kungenye yezinkinga zomzimba ezisemsebenzini (FGDs).
Izimpawu Zokuqokwa Komsebenzi
Abantu abathola ukuqotshwa okusebenzayo babika ezinye noma zonke izimpawu ezilandelayo:
- Ukunyakaza kwezintathu noma ezimbalwa ngesonto
- Ama-hard, lumpy
- Ukuzwa kokuphuma okuphelele
- Ukuzwa ukuvinjelwa noma ukuvinjelwa ku-anus kanye / noma ukukhipha
- Ukuhlanza ngesikhathi sokuhamba kwamathumbu
- Ukusetshenziswa kweminwe ukusiza ekudlukeni kwesitoreji ( ukukhishwa kwedijithali )
- Izitshalo ezilahlayo azivamile ngaphandle kokusetshenziswa kwezidakamizwa
Ngokusho kwe- III III ye-FGDs , izimpawu zokuqothulwa kumele zitholwe okungenani ngamaphesenti angama-25 azo zonke izinhlobo zokuhamba. Izimpawu nazo zidinga ukuba khona okungenani izinsuku ezimbili ngesonto, okungenani izinyanga ezintathu kulezi zinyanga eziyisithupha ezedlule, ukuze kutholakale ukuxilongwa kokuqokwa komsebenzi.
Ukubambisana okusebenzayo kanye ne-IBS
Ukuxilongwa kokuqokwa komsebenzi kudinga ukuthi izimpawu zakho azihlangabezane nemigomo yesifo sofuba (IBS). Ngokujwayelekile ukungabikho kobuhlungu obuhambisana nokunyakaza kwesibilini okuholela ekuxilongweni kokuqokwa komsebenzi ngokuphambene ne-IBS.
Nakuba lezi zinkinga ezimbili zinemibandela ehlukile yokuxilonga, abanye abacwaningi bakholelwa ukuthi akukho ukuhlukaniswa okucacile phakathi kwalaba ababili. Odokotela abaningi bazohlinzeka ngokuxilongwa kwe-IBS, noma ngabe izinqubo eziqinile azihlangatshezwanga, kunoma ubani ohlangabezana nezinkinga ezingasetshenziswayo ezingenasifo esingenaso isizathu esibonakalayo.
Iziguli eziningi zibika ukuthi isithombe sabo sesiguquko sishintsha kusuka kwesifo esisodwa kuya kwesinye futhi siphindela emuva ngokuhamba kwesikhathi.
Ukuqokwa Kwemisebenzi Ezinganeni
I-IV ye-diagnostic criteria yokuqashwa komzimba ezinsana, ezincane, nasezinganeni zihlukile kulabo abadala:
- Ukuqokwa kubhekwa njengokunyakaza kokubili kwamathumba ngesonto.
- Okungenani isiqephu esisodwa sokuthungula ngeviki (kulabo abanesitokisi abaqeqeshwe)
- Umlando wokubamba isitoreji ku
- Ukuhamba okubuhlungu, ukuqina kwamathumbu
- Isitokisi esithintekile ku-rectum
- Okuhlangenwe nakho kwezitshalo ezinkulu kakhulu kungase kugqoke indlu yangasese
Ingane yakho ingabonisa ukucasula nokunciphisa ukudla, kepha ukukhathazeka kwemizwa kanye nesidlo senyuka uma bekwazi ukudlula isikhulu esikhulu. Njengokuqashwa komsebenzi kubantu abadala, ukuxilongwa kwenziwa kuphela ezinganeni ezingahlangabezananga ne-IBS.
Ukuqothulwa kwansuku zonke kungenye yezinkinga eziyishumi eziphezulu eziletha izingane ekuboneni izingane zabo. Kulinganiselwa ukuthi amaphesenti angama-90 kuya kwangu-95 yesikhathi lapho inkinga itholakale isebenzayo, nephesenti encane kakhulu yezingane ezinenkinga ebonakalayo yokubika izimpawu zabo zokuqothulwa. Inkinga kungenzeka ukuthi ibonisane phakathi kweminyaka emibili neyine futhi ngokuvamile ihlobene nokuqala kokuqeqesha yangasese.
Iphesenti enkulu yezingane ezinokuqokwa komsebenzi nazo zithola ukungathandwa kwabathengi nge-fecal , njengoba isikhumba esivulekile siphambuka esungeze ubunzima obunzima. Cishe ingxenye eyodwa kwezintathu zezingane ezinokuqokwa komsebenzi zizoveza ubunzima bokuziphatha ezihlobene nezimpawu zabo.
Ukwelashwa kokuqokwa komsebenzi
Ukwelashwa kokuqokwa okusebenzayo kuhlukile kubantu abadala kanye nezingane. Uma wena, noma ingane yakho, ubhekene nezimpawu zokuqotshwa okungapheli, kubalulekile ukuthi ubone udokotela ukuze uthole isikhalazo esifanele sokuhlonza. Uma udokotela wakho efika ngokuthola ukuxilongwa, bazosebenza nawe ukuthuthukisa uhlelo lokwelapha.
Nazi ezinye izihloko ezingase zibe usizo:
- Umhlahlandlela wokuPhepha wokuPhepha oPhezulu
- Ukwelapha Ukuqashwa Kwezingane Nezingane
Imithombo:
> Bellini, M., et. al. "I-irritable bowel syndrome nokuqokwa okungapheli: Iqiniso neqiniso" World Journal of Gastroenterology 2015 28: 11362-11370.
> I-Rome Foundation. "I-Rome III Imigomo Yokuthola Izinkinga Zokusebenza Kwezinsizakalo Zokusebenza" J Gastrointestin Isifo Sezingulube. 2006 Sep; 15 (3): 307-12.
> Drossman DA, Chang L. Rome IV izifo zokuhlonza izifo ezivamile izimpawu . I-Raleigh: I-Rome Foundation; 2016.
> Xinias, I. & Mavroudi, A. "Ukubambisana ebuntwaneni. Ukubuyekezwa kokuhlolwa nokuphathwa" Hippokratia 2015 19: 11-19.