Esikhathini esingekho kude kakhulu, ochwepheshe bezokwelapha babevame ukucabanga ukuthi ukuvinjelwa nokuvaluka okuvame ukubikwa yiziguli zabo ze- IBS kwakungumkhiqizo wecabanga elikhuthele kakhulu. Uma usuhlangenwe nakho kokukhulula ibhande lakho njengoba usuku lwakho ludlula, uyazi ukuthi laba odokotela basebenzise kangakanani.
Ukuvama
Ukuvimbela kuyinto ebonakalayo yonke indawo, njengoba kulinganiselwa ukuthi u-16% kuya ku-30% wemibiko yabantu jikelele abahlukunyezwayo.
Lezi zinombolo ziphazamiseka uma zikhuluma ngeziguli ze-IBS, zine-80% kuya ku-90% weziguli ezibika ukubhuka. Njengoba kunikezwe lezi zinombolo, kuyamangalisa ukuthi ukubhuqa akubalwanga ngisho njengengxenye ye- Rome III criteria yokuhlola i-IBS.
Ukuvimbela
Ukuvimbela kubhekwa njengombono wokucindezela okwenyuka esiswini. Ukuvimbela ukubikwa kubikwa njalo ngabesifazane kunamadoda, kodwa lokhu kungenxa yokuthi umehluko wokuthi uphawu luqondwa kanjani nababantu abahlukene. Ukuvimbela kungenzeka futhi kuthinte iziguli ezine- conservative-IBS (IBS-C) kakhulu kanye nohlobo oluxubile lwe-IBS kunelabo abane- diarrhea-ebaluleke kakhulu ye-IBS (IBS-D). Lokhu akusho ukuthi ukuvimbela akuthinti iziguli ze-IBS-D, eqinisweni, ukubhuqa kuyinkinga cishe isigamu sabo bonke abagulayo be-IBS-D.
Ukuhlukana
Ukuhlukana kuhluke ekubhujisweni ngoba kuhilela ukuguqulwa okulinganisako kwesikhala esiswini. Ukuhlukumezeka kuvame kakhulu njengoba usuku luqhubeka.
Ungase uthole nokuthi isisu sakho sithandwa kakhulu emva kokudla. Kulinganiselwa ukuthi cishe isigamu sazo zonke iziguli ze-IBS zithola ukuhlukaniswa. Ukujula nokubhula kuvame ukuhlangenwe nakho ngesikhathi esifanayo, kodwa kucatshangwa ukuthi kubangelwa izinqubo ezahlukene zomzimba.
Izimbangela
Ngokuphambene nalokho ongase ucabange, i-gesi ngokweqile akuyona isizathu esivusa ukubhuqa nokusabalalisa.
Izindlela eziningana ezihloliswe ngangokunokwenzeka ezenza ukuvimbela nokuhlukanisa yizi:
- Igazi eliboshwe
- I-hypersensitivity ye-Visceral
- I-Dysmotility
- Ukukhubazeka kwesodonga sesisu ekuphenduleni ukucindezelwa
Kukhona nobufakazi bokuthi ukuvimbela kungaba yinkinga kumaqembu angaphansi kwamagciwane e-IBS ahlukunyezwa yi:
- Ukunganaki kwe-carbohydrate
- Ukungalingani kwamabhaktheriya
- Ukukhukhulwa kwamagciwane amancane emathunjini (SIBO)
Umphumela Emkhakheni Wokuphila
Isibonakaliso sokuvuvukala sithinta ngokucacile izinga lempilo yomuntu. Ezinhlolovo, ukuqhuma kuqhuma intamo nentamo ngezinhlungu zesisu njengesifo esibi kunazo zonke iziguli ze-IBS okumelwe zibhekane nazo . Ukuvimbela kubonakala sengathi yisifo okungenzeka ukuthi siphendule ukwelashwa . Isibonakaliso sokuqhafaza kubonakala sihamba ngaphezu kokungahambi kahle; Ucwaningo olulodwa lwathola ukuthi ukugwedla kweziguli ze-IBS kwakuhlobene nokunciphisa amandla, ukwehla izinga lomsebenzi wokuzivocavoca, nokunciphisa ukudla okudliwayo.
Imithombo:
Agrawal, A. & Whorwell, P. "Isihloko sokubukeza: ukuvimbela kwesisu nokuhlukumeza kokuphazamiseka kwesisu - i-epidemiology kanye nokuhlola izindlela ezikhona" I-Pharmaceutical and Pharmacy Alimentary 2008 27: 2-10.
Chang, L., Lee, O., Naliboff, B., Schmulson, M. & Mayer, E. "Inzwa yokuvuvukala nokubonakala kwesisu esiswini kweziguli ezine-syndrome ezicasulayo." I-American Journal of Gastroenterology 2001 96: 3341-3347.
U-Quigley, E. "Impembelelo Yokuvimbela Nokubanjwa Ku-Irritable Bowel Syndrome: Ingabe Siphambuke Kakhulu Emthonjeni Wezinkomba? " Gastroenterology Clinic and Hepatology 2009 7: 7-8.
Ringel, Y., Williams, R., Kalilani, L. & Cook, S. Ukubaluleka, izici, kanye nomthelela wokuqeda izimpawu ezigulini ezinezifo zesifo sofuba. Gastroenterology Clinic and Hepatology 2009 7: 68-72.