Ubuhlungu bezitho zangaphakathi kunye ne-IBS
Ukuba ufumana i-visceral hypersensitivity, ithetha ukuba unomlinganiselo ophantsi weentlungu zesisu kunye nokuphazamiseka ekuphenduleni uxinzelelo, ukuvuselela, okanye ukujikeleza ngaphakathi kwesisu. I-hypcerensitivity ye-Visceral (i-visceral hyperalgesia) yegama elisetyenziselwa ukuchaza amava entlungu ngaphakathi (i-viscera) kwinqanaba elinamandla kunokuba liqhelekileyo.
I-hypcerensitivity visceral iyimpawu ephawulekayo yesifo sengqondo se-bladder (IBS). Nangona kunjalo, i-visceral hypersensitivity ingaba khona kubantu:
- Intlungu engeyiyo yomzimba
- Dyspepsia esebenzayo
- Ubuhlungu besisu esiswini
Ukulinganisa i-Visceral Hypersensitive
Abaphandi bafunda i-visceral hypersensitive ukuzama ukuqonda isizathu sokuba abantu babe ne-IBS. Ngenjongo yokuphanda, i-visceral hypersensitivity ivame ukulinganiswa ngokusebenzisa ukuhlolwa kwebhaluni. Olu vavanyo impendulo yesigulane kwingcinezelo ngaphakathi kwirectum.
Kwi-balloon distension inkqubo, ibhaluni kwi-rectum kwaye ngokukhawuleza izaliswe ngomoya. Abantu abathile babonakala njengokuba ne-visceral hypersensitivity xa bexela intlungu ephantsi kweengcinezelo kunokuba abanye banokumelana nokunyuka kwamaxabiso angaphandle ngaphandle kokubika kakubi. Kuloluphando lwezophando, abantu abane-IBS bafumana ubuncipha obuphantsi.
I-Visceral Hypersensvity kunye ne-IBS
Nangona i-visceral hypersensitivity ibonakala ihambelanayo ne-IBS, kuphela ama-30 ekhulwini ukuya kuma-40 ekhulwini abantu abane-IBS baye bafunyanwa ukuba banokuzwela ngokweqile kwi-distension ngaphakathi kwekholoni. Kwaye, ngokuthakazelisayo, akukho mfuneko yokubambisana ngokuthe ngqo phakathi kobuzwe obunokubaluleka kunye nobunzima beempawu ze-IBS zomntu.
Kubonakala ukuba i-visceral hypersensitivity ibonwe kwezinye izigulane ze-IBS ngenxa yeenguqu kwiinkqubo zesantya ezisebenza kwimbini yamathumbu kunye nengqondo. Amanqanaba omnxeba kwisigxininiso sesisu asinakukhuthazwa ekuvuseleleni, okubangele ukugqithiswa kwamandla kwaye kubangele ukukhulisa intlungu. Kubantu abangenayo i-IBS, i-rectal distension ibangela impendulo kwimiba yengqondo edibene neentlungu ezithintekayo. Kwizigulane ze-IBS, le ndlela efanayo yokuvuselela i-rectal ivuselela impendulo kwiindawo zengqondo ehambelana nokulinda nokukhathazeka-iinxalenye zengqondo ekhonza ukukhulisa intlungu.
Iimbangela ze-Visceral Hypersensitive
Emva kokuba i-visceral hypersensitivity yasungulwa njengeyona nto yintloko kwi-IBS, abaphandi baye bajonga ingqalelo ukuba kutheni le nto ingaba yindlela yokuqonda ngokucacileyo uhlobo lokudideka lwe-IBS.
Kukho iingcamango ezahlukahlukeneyo emva kwe-visceral hypersensitivity kwi-IBS. Zininzi izinto ziphandwa, kubandakanywa:
- Ubunzima buvela kwiimbilini zeeseli ezibandakanya intumbu enkulu
- Utshintsho kwii-molecule ze-RNA ezincinci zala maseli
- Utshintsho kwi-neurotransmitter kunye nezinye i-receptors ngaphakathi kwezi seli
- Utshintsho kwiintsebenziswano phakathi kwenkqubo ye-nervous central (ubuchopho kunye nomthambo womthambo) kunye ne-system ye-neerveral system (indlela eya kwi-organ and muscles)
- Ukwandiswa kwamathumbu emathunjini (ukuvuza emanzini)
- Ukuvuvukala (kwinqanaba elingezantsi elinokubonwa ngokuvavanya uvavanyo)
Ukuqonda okungcono malunga nendlela ezi ziinkqubo eziyinkimbinkimbi zonke ezidibeneyo ziya kuvumela ukuphuhliswa kwamachiza azakujolisa kwiindawo zokungasebenzi kwaye ivelise ukukhulula kwiimpawu ze-IBS.
> Imithombo:
> Akbar A, Walters J, Ghosh S. I-visceral hypersensitivity kwisifo sengqondo sesifo esilumkileyo: izixhobo zamathambo kunye nezogulisa zonyango. I-Pharmacology ne-Therapeutics 2009 30: 423-435.
> Zhou C, Verne N. Iinkcukacha ezintsha kwi-visceral hypersensitivity - iziphumo zonyango kwi-IBS. Uhlolo lweNdalo Gastroenterology & Hepatology 2011 8: 349-355.