I-Too Fast noma i-Too Slow, i-Gut Motility ingahle ibe yinkinga ku-IBS
I-motility noma ijubane lezinhlangothi zomzimba ezisemathunjini emathumbu kungaba yinkinga ekuguliseni isifo sofuba (IBS). Ngokuphathelene nokungasebenzi kwe-motility ku-IBS, okubonakala kubonakala kuyinto eningi esekelwe ucwaningo. Ama-colon contractions ayashesha kakhulu kubantu abanesifo sohudo-kakhulu i-IBS (IBS-D) futhi ephuza kakhulu kubantu abane- constipation-ebaluleke kakhulu ye-IBS (IBS-C).
Ngaphandle kokusobala, lokhu kukhishwa kwamandla omzimba kubonakala sengathi kuqala nje emathunjini amancane . Nakhu okudingeka ukwazi mayelana nokuhamba, IBS, nokuthi yini engase ihambe kahle.
Abahlakaniphi be-Motility
Izinto ezihlukahlukene ezivame ukudala ushintsho ku-motility, kungakhathaliseki ukuthi unayo i-IBS noma cha. Lokho okubonakalayo ukusheshisa noma ukunciphisa ukuvimbela emathunjini akho emathunjini yilokhu:
- Ukudla
- Ukucindezeleka
- Ukuphendula ngokomzwelo
- Izinguquko ze-Hormon (abesifazane)
Izimpawu zokukhubazeka kwe-Motility
Ngokuvamile, izindawo eziningana zokukhubazeka zibonakala uma kuqhathaniswa neziguli ze-IBS kubantu abaphilile. Nansi okuye kwaphawula:
Ukuqokwa
- Kukhona ukwehla kwenani lezinqamulelo zamathumbu
- Kukhona isikhathi eside sokudla esidlula emathunjini amancane nekoloni, eyaziwa ngokuthi yisikhathi sokuhamba
- Ayikho umehluko ngesikhathi kuthatha isisu ukuba singenalutho, esaziwa njengezinga lokususa isisu
- Kukhona ukwanda kwe-sigmoid (ukuphela okuphansi kwekhaloni) ukuphambana, mhlawumbe kuphazamisa ukugeleza kwesitokisi
- Ukulibaziseka esikhathini sokuhamba kuyasiza ekuthuthukiseni okuncane, okunzima ukudlula, izitebe
- Isikhathi sokubambezeleka esiphuthumayo sinomthelela ebuhlungu besisu
Uhudo
- Kungaba nokuphambana kwamathumbu omzimba okusheshayo
- Kukhona isikhathi esincane sokuthutha sokudla nge-intestine encane ne-colon
- Ayikho umehluko esilinganisweni sokukhipha isisu, ngakho ukudla akushiyi isisu ngokushesha kunanjwayelekile.
- Akukho umehluko kwisisindo se-stool
- Isikhathi esisheshayo sokuthutha sithinta ubuhlungu besisu
I-Motility njengeThuluzi lokuThola
Manje ngenxa yezindaba ezimbi: Akukho ne-IBS ebonakala ibonakala ngokucacile. Nanobe ucwaningo luye lwasekela izinkambiso ezingenhla, ikakhulukazi, kuye kwaba khona ukungahambisani. Njengoba lezi zingxabano ze-motility zibonakala zisekelwe ekuhlakanipheni, kungenzeka ukuthi ukungalingani okubonwe ekucwaningweni kwe-motility kubangelwa ubunzima bokulinganisa ngokunembile ukuphambana kwamathumbu. Ngeshwa, lobunzima bokulinganisa kanye nokutholakala kwalezi ziphumo ezingavumelani kuvimbela ukulinganisa kwe-motility njengethuluzi elicacile (i-biological marker) ye- IBS ukuxilongwa .
Ucwaningo lwesikhathi esizayo
Izindaba ezinhle ukuthi ngenkathi ubunzima bokuhamba beyingxenye enkulu yocwaningo lokuqala ku-IBS, ucwaningo luye lwanda lwaba ezindaweni eziyinkimbinkimbi. Manje sekucatshangwa ukuthi ukukhubazeka kwe-motility ku-IBS kuhlanganiswe nezinkinga ze- visceral sensivity , zombili zazo ezithinteka ukungasebenzi kulezi zinkimbinkimbi phakathi kobuchopho (isimiso somphakathi central) kanye nesisindo (isimiso sezinzwa se-enteric).
Njengoba izincazelo ezintsha mayelana nezizathu ezibangelwa ukukhubazeka kwe-motility ezitholakala ku-IBS zivela, lokhu kuvulwa amathuba okuthola ukwelashwa okuphumelelayo kakhudlwana.
Imithombo
- Kellow, J. Gut Motility: KuMpilo ne-Irritable Bowel Syndrome. I-International Foundation yeSingqinamba Sezinsizakalo Zokuhlukunyezwa Kwamathumbu Esebenzayo.
- > Izimpawu Nezizathu Ze-Irritable Bowel Syndrome | I-NIDDK. Izikhungo zezempilo zikazwelonke.