I-irritable bowel syndrome (alternate type type) (IBS-A) yincinci yesifo sengqondo sesifo esilumkileyo (IBS) . Xa unayo i-IBS-A, ufumana zonke iimpawu ze-IBS , kodwa ngaphandle komkhwa wokuhlala. Uza kufumana usebenzisana nazo zombini iziqulatho zorhudo kunye nokuqhawulwa. Ukutshintsha kweempawu zeembilini kunokukwenza kube nzima ukufumana izicwangciso ezizisa ukukhululeka kwempawu.
Iingqinamba zaseRoma: IBS ne Mixed Bowel Habits (IBS-M)
I-IBS iyisifo sokuxhamla esiswini esifumene ngokusetyenziswa kwemigangatho eyaziwayo njenge- criteria yeRoma . Esikhundleni se-IBS-A, iikhompyutheni zaseRoma zaseRoma zangoku zatshintshile ukusebenzisa igama elithi "IBS kunye nemikhwa yokuxhamla" (IBS-M). Unokuqhubeka uva abantu abathile yi-IBS-A. Ezinye i-IBS subtypes ziyi- constipation-ebaluleke kakhulu kwi-IBS (IBS-C) kunye ne- diarrhea-ebaluleke kakhulu kwi-IBS (IBS-D) kunye ne-IBS-engaxhaswanga.
Iimpawu zeRoma zase-IV zatshintshile iinkcazo ze-subtitles ze-IBS kwipesenti yazo zonke iintshukumo ezihambayo ukuya kwipesenti yeentshukumo ezihambayo kwiintsuku ezibonakalisa kuphela. Olu tshintsho lwaye lwavumela abantu abaninzi abawela kwisigaba esingenakuncediswa ukuba babe neengxaki zabo bawela phantsi kweyodwa yeentlobo ezintathu. I-IBS ithathwa njengengqungquthela kunokuba iindidi ezibonisa ukuphazamiseka okucacileyo.
Iimpawu ze-IBS-A
Imilinganiselo ye-Rome IV ichaza i-IBS-M (IBS-A) njengoko ihlangabezana nezibonda ezinzima, i-lumpy kwisithuba esingama-25 ekhulwini lweentshukumo ezihambayo kwiintsuku ezibonakalisa iimpawu, kunye neentlungu ezihambayo, i-mushy izithuba zingaphantsi kweepesenti ezingama-25 zeentshukumo zokuhamba kwimihla ngemihla.
Ezi zinguqu zenzeke zingenzeka kwiiyure zeeyure okanye iintsuku. Abanye abantu bafumanisa ukuba ingxaki yabo yesibindi ihamba phakathi kweiveki okanye iinyanga zokubanjwa kunye neveki okanye iinyanga zokurhudo. Imigaqo engasayi kubalwa ukuhamba kwimizimba kwiintsuku xa ungenayo impawu.
Abantu abane-IBS-A banayo yonke into okanye ezinye iimpawu ezihambelana ne-IBS:
Qaphela: Ukuba ufumana iziqulatho ezingapheliyo zokuqhawulwa, isifo sohudo, okanye nayiphina impawu ekhankanywe ngasentla, kubalulekile ukuba ubone ugqirha wakho ukuze ufumane ukuxilongwa ngokuchanekileyo. Ezinye iingxaki zempilo ezinzulu zikwabelana ngezinye iimpawu ezifana ne-IBS kunye ne-IBS-A. Xa unesifo esilungileyo, unokusebenza kunye nodokotela wakho ekuqulunqweni isicwangciso sonyango.
Ubuninzi be-IBS-A
Akukho ninzi yedatha echaza kuphela kwinani labantu abane-IBS-A. Ezinye iingxelo zibonisa ukuba malunga nesithathu sezigulane ze-IBS zine-subtype yesifo. Ingxelo enye yabona ukuba uninzi lwezigulane ze-IBS zenza umzekelo wokutshintshwa ngokubambisana kunye nehudo, kodwa abazichazi ngokwabo ukuba bane-IBS-A. Iimfuno zeRoma i-IV zahlengahlengiswa ngoko izigulane ziza kuwela kwenye yezinye iindidi zintathu kunezigaba ezingaqhelekanga.
Yintoni ebangela i-IBS-A?
Kwakhona, akukho nto eyaziwayo ukuba kutheni umntu onayo i-IBS afumana iimpawu ezinxulumene nenye okanye enye yeentlobo ezintathu. Kwaye kunye ne-IBS-A, kudideka ukuba iingxaki ezisemgangathweni ziya kubonakalisa ngokwazo iimpawu zokubambisana kunye nehudo.
Nangona kungabikho kugxininiso oluthe ngqo kwi-IBS-A, abaphandi baye bajonga izinto ezinokuthi zilandele i-IBS ngokubanzi. Ezi zinto ziquka:
- Iingxaki nge- gut motility
- I-hypersensitivity ukuya kwingcinezelo ngaphakathi emathunjini amakhulu
- Iingxaki phakathi kokuqhagamshelana phakathi kwengqondo kunye namathambo
- Ukuvuvukala okungabonakali ngexesha lovavanyo lokuhlola.
- Ukungalingani kwamathambo e - gut
Unyango lwe-IBS-A
Umngeni ngonyango lwe-IBS kukuba ufuna ukuqinisekisa ukuba iinzame zokunciphisa ingxaki yesimilo esisodwa ingabangela ukuba ingxaki echasene nayo ingabonakali. Ukusebenza ngokusondeleyo kunye nogqirha kunokunceda.
Ugqirha wakho unokuncoma ezinye okanye zonke iindlela ezicetyiswayo kunyango lwe-IBS:
> Imithombo:
> Saha, L. "Isifo sengqondo sesifo esilumkileyo: I-Pathogenesis, ukuxilongwa, unyango, kunye nonyango olusisiseko-mfundiso" I- World Journal yeGastroenterology 2014 20: 6759-6773.
> Schmulson MJ, uDrossman DA. Yintoni Entsha eRoma IV? I-Journal ye-Neurogastroenterology kunye ne-Motility . 2017; 23 (2): 151-163. i-doi: 10.5056 / jnm16214.