Ukuphazamiseka kwamathumbu okusebenzayo (FGDs) yiziphazamiso zesimiso sokugaya izimpawu lapho izimpawu ezingenakuchazwa khona lapho kungabonakali okwakhiwa kwesakhiwo noma izicubu. I-FGD ayinayo i-biomarker ebonakalayo, ngakho-ke, njengezo zonke izifo zokusebenza, ama-FGD atholakala esekelwe esithombeni sabo sesibonakaliso.
Izilinganiso zaseRoma
Esikhathini esedlule, ama-FGD ayebhekwa njengophenyo lokuxoshwa, okusho ukuthi bangatholakala kuphela ngemva kokuba isifo esizimele (esaziwayo) sasiqedwe.
Kodwa-ke, emuva ngo-1988, iqembu labacwaningi kanye nodokotela bahlangana ukuze bahlele izindlela eziqinile zokuxilongwa kwe-FGDs ehlukahlukene. Lezi zindlela manje ziyaziwa ngokuthi "I-Rome Criteria." Njengamanje, lezi zindlela zibukezwa ngokubuyiselwa kwesithathu, nokubuyekezwa kwesine okuhleliwe okwesikhashana ngo-2016. Ukuze ufunde kabanzi nge-criteria ye-Rome, chofoza ngezansi:
Ukuphazamiseka Kwamathambo Okusebenzayo
Nasi uhlu olunzulu lwe-FGDs oluchazwe yi-criteria III ye-Rome:
Ukuphazamiseka Kwezinkinga Zokusebenza
- Ukushisa kwenhliziyo okusebenzayo
- Ubuhlungu besifuba obusebenzayo bokuthi kungu-originally esophageal
- I-dysphagia esebenzayo
- Globus
Ukuphazamiseka kwe-Gastroduodenal esebenzayo
- I-dyspepsia esebenzayo (ihlanganisa i-postprandial syndrome kanye nesifo se-epigastric syndrome
- I-Aerophagia
- Ukubhekwa okungavamile okungaziwa
- Isisindo sokuqeda idiopathic
- Ukuhlanza okusebenzayo
- I-Cyclic yokuhlanza isifo
- Ukuhlunga kwesifo kubantu abadala
Ukuphazamiseka Kwezinhlungu Zokusebenza
- I-irritable bowel syndrome (i-IBS)
- Ukuqotshwa okusebenzayo
- Uhudo olusebenzayo
- Ukungaxhunyiwe okusebenzayo kwesifo sofuba
I-Functional Abdominal Pain Syndrome
- Ubuhlungu besisu esiswini (FAP)
I-Gallbladder esebenzayo ne-Sphincter ye-Oddi Disorders
- Ukusebenza kwe-gallbladder disorder
- I-biliary esebenzayo ye-biliary Sphincter ye-Oddi disorder
- I-pancreatic Sphincter ye-Odd disorder esebenzayo
Ukuphazamiseka Kwezintambo Zokusebenza
- Ukungasebenzi kwe-fecal incontinence
- Inhlungu Yokusebenza Yomzimba (ihlanganisa i-proctalgia engapheliyo , i- Levator ani syndrome ), ubuhlungu obungacacisiwe bokusebenza kwamagciwane, kanye ne- proctalgia fugax )
- Izinkinga zokuhlukunyezwa okusebenzayo (kuhlanganisa ukuhlukunyezwa kwe-dyssynergic nokungenwa ngokwanele kwe-defecatory propulsion)
Ukukhathazeka kwe-GI ebuntwaneni: Izingane ezisana nezingane
- Ukubuyisela izingane ezincane
- Isifo sokunduka kwezingane
- I-Cyclic yokuhlanza isifo
- Colic yezingane
- Uhudo olusebenzayo
- I-dyschezia yasezingane
- Ukuqotshwa okusebenzayo
Ukukhathazeka kwe-GI ebuntwaneni: Ingane / intsha
- Ukuvota kanye ne-Aerophagia: i-rumination syndrome ye-adolescent, ukuhlanza kwe-cyclic syndrome, ne-aerophagia
- Ukukhubazeka kwe-GI Okuhlobene Nezinhlungu Ezihlobene Nezinhlungu: i-dyspepsia esebenzayo, i-IBS, i-migraine yesisu, ubuhlungu besisu esisemncane, kanye nesifo sokubeletha kwesisu esiswini
- Ukuqokwa kanye nokungena kwe-Incontinence: ukuqotshwa okusebenzayo nokungaziphathi kahle kwama-fecal incontinence
Ukuthola ukukhathazeka kwezinkinga zokusebenza kwamathumbu
Nakuba i-Rome yokuvumela ivumela ukuxilongwa kwama-FGD ukuba abe isifo-esekelwe, udokotela wakho angase afune ukuhlola ezinye izivivinyo ezijwayelekile zokuhlola ukulawula ezinye izifo noma ukubheka izinkinga zesakhiwo ezibangelwa izimpawu zakho.
Ukwelashwa Kwezinkinga Zokusebenza Kwamathumbu Okusebenzayo
Nakuba kungabonakali izimpawu ezibonakalayo zezifo noma izinkinga zesakhiwo kubonakala sengathi kubangela izimpawu ze-FGDs, lokhu akusho ukuthi lezi zinkinga azizona ezingokoqobo, futhi akusho ukuthi aziphuluki. Uma usola ukuthi utholakale noma une-FGD, kuzodingeka ukuthi usebenze nodokotela wakho ohlelweni lokulashwa. Izinketho zokwelapha zingafaka:
- Imithi
- Izinguquko zokudla
- I-Biofeedback
- Ukwelapha ngokomzimba
- Ukucindezeleka ukuphathwa
- I-Psychotherapy
Imithombo:
Drossman, D. "Ukuphazamiseka Kwemisebenzi Okusebenzayo kanye ne-Rome III Process" I- Gastroenterology 2006 130: 1377-1390.
"I-Rome III Imigomo Yokuthola Izinkinga Zokusebenza Kwamathumbu"