Inkqubo ye-III ye-criteria ye-Rome yasungulwa ukuze ihlelwe izifo ezixhamlayo zesisu (FGDs) ngokusekelwe kwiimpawu zabo zeklinikhi. Ekubeni ngeenkcazo, ubungqina bee-FGD azibonakalisi ngokuvavanya ukuhlola okuqhelekileyo, i-criteria ye-Rome yenzelwe ukunceda oogqirha ukuba bafumane uvavanyo lwe-FGD ngokuzithemba. Imilinganiselo yeRoma nayo ivumela ukuba imigaqo-nkqubo yokuxilongwa ifumaneke ukusetyenziswa kwiinkqubo zophando.
Imilinganiselo yeRoma iphuhliswa ngokusebenzisana kwabaphandi, oogqirha kunye nabanye abaqeqeshi bezempilo abasuka kwihlabathi. Imilinganiselo ye-Rome III ibonisa ukuhlaziywa kwesithathu kwendlela yokuhlola ye-FGD kwaye yanyatheliswa ngo-2006. Olunye uhlaziyo, iRoma IV, luya kupapashwa kwi-Spring ka-2016.
Iintlobo zeeNgxaki zoMzimba eziSebenzayo
Isifo ngasinye se-FGD sinemilinganiselo yaso. Ezi zilandelayo ziindidi eziphambili ze-FGD ngokulandela imigaqo ye-Rome III:
- Ukuphazamiseka Kwemisebenzi Yokwenziwa Kwemvavanyo
- Iingxaki zeGastroduodenal Disorders
- Izifo zoBomi eziSebenzayo
- Syndrome eSebenzayo yeMathumbu
- I-Functional Gallbladder kunye neSphincter ye-Oddi Disorders
- Ukuphazamiseka Kweempawu Zokusebenza
- Ukukhubazeka kwe-GI yabantwana: Iintsana / iintsana
- Ukukhathazeka kwe-GI yabantwana: Umntwana / umntwana oselula
I-III III Iimfuno ze-IBS
Inkqubo yokuxilongwa kwesifo se- bowel syndrome (i-IBS} esicasulayo ifuna ukuba umntu abe neentlungu zesisu ezingapheliyo okanye angahambi kakuhle ubuncinane iintsuku ezintathu kwiinyanga ezintathu zokugqibela, kunye nokuqala kweempawu ubuncinane kwiinyanga ezintandathu zangaphambili.
Ezi mpawu mazibonise kwakhona:
- Izimpawu zesisu ziyancipha ngokunyakaza
- Ukuqala kwesimpawu kuhambelana notshintsho kwixesha le-stool
- Ukuqala kwesimpawu kuhambelana nokutshintsha kwindlela yokubonakala kwesigxina
Nangona i-Rome III imigaqo ilandelwa ngokukhawuleza kwizilingo zophando lwelilini, ehlabathini lenene, oogqirha bahlala bexilonga i-IBS kunoma ubani ofumana iimpawu zeembilini ngaphandle kokuvuvukala okubonakalayo okanye ezinye izibonakaliso zezifo ezibonisa ukuhlolwa kokugaya ukutya.
Ezinye izifo zoMzimba eziSebenzayo
Ezi zilandelayo ezinye iintlobo zeengxaki zesilonda esisetyenziswayo. Umntu uza kufumaneka ukuba enye yezinye iziphazamiso xa engafanelanga i-criteria ye-IBS (okanye nayiphi na isifo okanye i-FGD). Ngokuqhelekileyo ezi ngxaki zihluke kwi-IBS ngenxa yokungabi nantlungu njengempawu.
Ukukhusela okusebenzayo: Imizwa engapheliyo yokuqhaqha kunye / okanye ukubonakala kwebala. Iimpawu kufuneka zenzeke ubuncinane iintsuku ezintathu kwiinyanga ezintathu zokugqibela kunye ubuncinane neenyanga ezintandathu ngaphambi kokuxilongwa.
I-Diarrhea esebenzayo : Amava okukhupha okanye amanzi ngaphandle kweentlungu ezenzeka kwi-75% yeentshukumo zokuhamba kweentsuku okungenani ezintathu kwiinyanga ezintandathu zokugqibela.
Ukuqashwa komsebenzi : Iimpawu kufuneka zibandakanye ubuncinane ezimbini kwezi zinto zilandelayo kwaye zenzeke ubuncinane kwiinyanga ezintathu kwiinyanga ezintandathu ezedlulileyo.
- Ukucocwa (ubuncinane ama-25% exesha)
- Izitishi ezinzima ezingama-25% zexesha
- Ukuvakalelwa kokungabikho okuphelelweyo (ubuncinane ama-25% exesha)
- Ukuvalelwa kokukhutshwa okanye ukukhutshwa kwendawo ye-anus okanye i-rectum
- Imizamo yamanyathelo ukwenzela ukuba ukuhamba kwesigxina kube ngu-25% wexesha ( isib. Ukukhutshwa kwe-digital )
- Ngaphantsi kweentsuku ezintathu zokuhamba ngeveki
- Ixesha eliqhelekileyo lezitulo ezivulekileyo ngaphandle kokusetyenziswa kwe-laxative
IRoma III kwiLizwe leNene
Njengoko yenziwe, i-criteria III ye-Rome inikeza isiseko esinamandla sokufumanisa izigulane zophando zophando. Nangona kunjalo, oogqirha kwizonyango zabo zonyango abasoloko bagxininisa kwimigqaliselo enokumisela xa behambisa izifo ezigulane zabo kwizigulane zabo. Ngaloo ndlela, akukho mfuneko yokuxhalabisa ngokugqithiseleyo xa ufumana ukuxilongwa okungaqinisekanga ngokupheleleyo kwiinkqubo. Kodwa ukuba unemibuzo malunga nokuxilongwa kwakho, cela udokotela wakho ukuba acaciswe.
Imithombo:
Drossman, D. "Iintlupheko zesisu zokuSebenza kunye ne-Rome III Process" I- Gastroenterology 2006 130: 1377-1390.
"I-III III Inkcazo yokuxilongwa kweeNgxaki zokuSebenza komzimba" I-PDF ifumaneke ngoMeyi 22, 2016.