Uthole ukuthi i-IBS yakho ihluke kakhulu ku-IBS yomngane wakho? Noma ukuthi izindaba ozifundayo nge-intanethi azizwanga njalo njengokuphila kwakho? Lokhu kungenxa yokuthi i-IBS ingaveza ngezindlela eziningi kakhulu - kubangela izimpawu ezihlukahlukene kakhulu kusuka komunye umuntu komunye.
Yiziphi izinhlobo ze-IBS ezihlangane ngazo nesezimpikiswano zezinkinga zokunyakaza ezingapheli.
Imikhombandlela esemthethweni yokuxilonga idinga isibonakaliso sezinhlungu ezingavamile zesisu, kodwa ezweni langempela, odokotela bavame ukunikeza ukuxilongwa kwe-IBS kunoma ubani ohlangabezana nezinkinga ezihambisana namathumbu abo ezingenakulinganiswa nenqubo ebonakalayo yesifo, njengeyodwa izifo ezivuthayo zezifo .
Qaphela: Uma ubhekene nezinhlungu ezingapheli noma izinkinga zokunyakaza kwamathumbu, kubalulekile ukuthi ubone udokotela ukuthola ukuhlolwa okuqondile. Izimpawu eziningi ozolifunda ngazo kulesi sihloko nazo zihlobene nezinye, izinkinga zempilo ezimbi kakhulu.
Izinhlobo ze-IBS Sub-Types ezisemthethweni
Ngenxa yokuthi i-IBS inezimpawu ezinjalo eziguquguqukayo, ochwepheshe bezokwelapha bahlukanisa iziguli ze-IBS ngokusho kwezinhlobo ezimbalwa ezihlukene. Nakuba zonke iziguli kufanele zihlangabezane ne- III III criteria yokuxilongwa, uhlobo lwazo oluncane luzokwenziwa yizinkinga zabo zokunyakaza ezihamba phambili.
I-diarrhea-i-IBS ejwayelekile
Abantu abanesifo sohudo-kakhulu (IBS-D) bahlangabezana nalezi zimpawu ezilandelayo njalo:
- Ukunyakaza okuhamba njalo emathunjini
- Izihlalo ezikhululekile
- Imizwa yokuphuthuma
Isimo se-Rome III se-IBS-D sisho ukuthi izimpawu kumele zithole okungenani izinsuku ezintathu ngenyanga.
I-IBS yokubamba iqhaza
Abantu abane -IBS (IBS-C) yokuqothulwa kwezidakamizwa banamabonakaliso alandelayo okubhekana nawo njalo:
- Ukunyakaza okuhamba phambili kwamathumbu
- Izithambile noma izigqoko ezinzima
- Inzwa yokuvinjelwa ku-anus kanye / noma i-rectum
- Ukuhlunga
- Ukusetshenziswa kweminwe ukususa isitolol ( ukukhishwa kwedijithali )
Njengoba nge-IBS-D, i-criteria ye-Rome idinga ukuthi izimpawu ezingenhla kufanele zibe khona okungenani izinsuku ezintathu ngenyanga kulezi zinyanga ezintathu ezedlule ukuxilongwa kwe-IBS-C.
Uhlobo oluthile lwe-IBS
Abantu abanezinhlobo ezihlukile ze-IBS (IBS-A) bazitholela ngaphandle komkhuba wesiguli. Lolu hlobo lwe-IBS luhilela ukusebenzisana kokubili ukuqotshwa kanye nesifo sohudo. I-Roma criteria ichaza ukuthi isitoli ngasinye sishintsha (isb. Kanzima futhi sinamahloni noma sivulekile futhi si-mushy) sinokuhlangenwe nakho okungenani ngama-25% kuwo wonke amazinyo. Abantu abane-IBS-A bangase bahlangabezane nalezi zinguquko yonke inyanga, isonto, noma ngisho nosuku!
Izimpawu Zenhlobo Zonke
Kungakhathaliseki ukuthi yi-subtype, abantu abaningi abane-IBS bahlangabezana nalezi zimpawu ezilandelayo njalo:
Ukuqhathaniswa kohlobo olulodwa olulodwa
Bangaki abantu abane-sub-type ngayinye? Izifundo eziphathelene namazinga ezandulela ama-sub-izinhlobo ahlukene azange zifinyelele kunoma yiziphi iziphetho eziqinile. Ezinye izifundo zibonisa amanani alinganayo kuwo wonke ama-sub-izinhlobo amathathu, kanti amanye abonisa ukuphakama okuphakeme kwesinye phezu kwamanye amabili.
Lokhu okutholwa okungafaniyo kungabangelwa ukubonakaliswa okungafani kwalesi sifo ezindaweni ezihlukahlukene, noma umehluko ubonisa ukuthi ubani ofuna usizo lwezokwelapha ngezibonakaliso zabo, noma angabonakalisa ubunzima obukhona ekulinganiseni izimpawu ze-IBS ngokujwayelekile.
Ingabe Abantu Bangashintsha Kunye Uhlobo Oluthile Oluya Kwelinye?
Yebo, bayakwazi. Lokhu kuhlangenwe nakho okuhlukile okuvela ku-IBS-A, okubandakanya ukuguqulwa emuva nangaphandle kokuhlangenwe nakho kokuhuda nokuqothulwa njalo. Ngenxa yokuthi i-IBS iyinkinga yezempilo engapheli, eqhubekayo, akuyona into engavamile ukuba abantu bathole ushintsho oluvela kwelinye uhlobo olulodwa kuya kwamanye amaphuzu ahlukahlukene empilweni yabo.
Imithombo:
I-Ford, A., etal. "I- American College of Gastroenterology Monograph ekuphathweni kwe-Irritable Bowel Syndrome ne-Chronic Idiopathic Constipation " I- American Journal of Gastroenterology 2014 109: S2-S26.
Saha, L. "I-syndrome eyathukuthela: i-Pathogenesis, i-diagnostic, ukwelashwa, kanye nomuthi osekelwe ebufakazini" World Journal of Gastroenterology 2014 20: 6759-6773.
" Ithebula 2. I-Rome III Imigomo Yokuhlola: Ukuqashwa Komsebenzi kanye ne-IBS-C "