IBS ichongwa njani?
Ukuba ucinga ukuba unesifo esilumkileyo esiswini (IBS), ukufunda indlela oogqirha abaza ngayo nokuxilongwa kwe-IBS kuya kunceda ukukuqinisekisa ukuba ugqirha wakho ukukhokela kwikhondo elifanelekileyo.
Luhlobo luni logqirha Ngaba Ndiyayibona?
Ukuba ufumana iimpawu eziphindaphindiweyo zentlungu esiswini , isifo sohudo kunye / okanye ukuqhenyiswa , kucetyiswa kakhulu ukuba wenze idibaniso kunye nodokotela wakho oyintloko.
Nangona ulindele ukutyunjwa kwakho, kuya kuba luncedo ukuqala ukugcina i- diary yesibonakaliso esilula.
Ugqirha wakho unokwenza umsebenzi othile wegazi kunye nokuvavanya igazi kwi-stool. Kufuneka bavavanye igazi lakho ukuze babone ukuba unayo isifo seliliac . Ukungabikho kweempawu zebhanki ezibomvu (umz. Ukuphuma kwegazi, umkhuhlane, i-anemia), ugqirha wakho oyintloko unokukufumanisa ukuba unayo i-IBS ngaphandle kovavanyo olongezelelweyo.
Ukuba ugqirha wakho ukholelwa ukuba uphando olunzulu luyimfuneko, ungathunyelwa kwi- gastroenterologist . I-gastroenterologist, ebizwa ngokuqhelekileyo njengeGI, igxininise ekuxilongweni nasekunyangeni kweengxaki zokugaya ukutya. I-Gastroenterologists isebenzisa ulwazi lwabo ngokusebenza kwenkqubo yonke yokugaya kunye namava abo kwiinkalo ezahlukeneyo zesisisu sokunyangwa kwamathambo ukuza kunye nokucwangciswa okubanzi kunye nokucwangcisa.
Ziziphi iimvavanyo Ndiyayenza ukuba na?
Kwiimeko ezininzi, i-IBS inokuthi ifunyaniswe neyona ncinane ubuninzi beenkqubo zokuxilonga:
- umsebenzi wegazi rhoqo
- uvavanyo lwegazi olusuka kumzimba (uvavanyo lwegazi kwisitulo)
Ngaba zikhona ezinye iimvavanyo?
Ukuba isigqirha sakho sempawu siyakuqinisekisa, ugqirha wakho unokuncoma enye yalezi zixhobo eziqhelekileyo ze-GI (esisisu):
- I-Colonoscopy: Ubunzima bomathumbu wakho wonke. Olu vavanyo lukhuthazwa rhoqo kubo bonke abantu abangaphezu kweminyaka engama-50.
- I-Sigmoidoscopy: Uvavanyo lwe-rectum kunye nenxalenye ephantsi yekholoni, ebizwa ngokuba yi-sigmoid colon.
- I-Endoscopy ephezulu: Ubume bephepha lakho lokutya lokutya, kuquka nesisu sakho, isisu, kunye ne-duodenum.
- I-Barium Enema: I- X-ray yomathumbu amakhulu kunye ne-barium esetyenziselwa ukungafani.
- Uchungechunge oluphezulu lwe-GI : I- X-ray ye-digestive system ephezulu kunye ne-barium esetyenzisiweyo.
- Uvavanyo lokungabandezeli kweLotto
- Ukuhlolwa kweStool ukulawula ukuphuma kwamathambo emathumbu
I-Doctor yam ingaqiniseka njani ukuba yi-IBS?
Ngenxa yokuba i-IBS ithathwa njengengxaki yokusebenza , kuba akukho nqubo yesifo esibonakalayo, oogqirha basebenzisa umgangatho obizwa ngokuba yi- Rome III Criteria yokufumanisa i-IBS. Ngokwale miqathango, i-IBS iyafumaneka kuphela ukuba impawu zikhona ubuncinane kwiinyanga ezintandathu. Iimpawu kufuneka zibe namava ubuncinane iintsuku ezintathu kwiinyanga ezintathu. Ngokukodwa, iimpawu kufuneka ziququzelele iintlungu zesisu okanye ziphazamise ezimbini okanye ngaphezulu kwezi zinto zilandelayo:
- Ubuhlungu bukhululeka ngentshukumo yokuhamba
- Ukusetyenziswa kwentlungu kuhambelana nokutshintsha kwimizuzu yesigxina
- Ukuqhawulwa kwentlungu kuhambelana nokutshintshwa kwindlela yokubonakala kwe-stool
Ukuba zonke ezinye iimeko zigqityiwe kwaye iimeko ze-Rome III zichazwe, ugqirha wakho unokufumana uxhomekeke ngokuqinisekileyo ukuba unayo i-IBS.
Ngaba Ndiya Kufuna Ukuhlinzwa?
Ngaphandle kokuba ukuvavanya uvavanyo kutyhila imeko enzulu yonyango, izigulane ezine-IBS azidingeki ukuba zisebenze naluphi na uphando. Uphando lubonisa ukuba izigulane ze-IBS zisemngciphekweni ophezulu wokungeniswa kwe- gallbladder removal , appendectomy , hysterectomy kunye ne- colon operation , ngaphandle kokufumana ukukhululeka okukhulu kwiimpawu zabo ze-IBS. Ngenxa yemingcipheko yokuhlinzwa, kukhuthazwa kakhulu ukuba isiguli se-IBS sifune umbono wesibini phambi kokuba siphumelele nayiphi na uhlobo lotyando.
Imithombo:
Ukuphazamiseka kwezibilini zokusebenza (2006) Longstreth, GF, et.al. I-Gastroenterology, 130: 1480-1491.
Iindleko zoNyango lwezoNyango kunye neeRhafu zokuPhepha kwizigulane nge-Irritable Bowel Syndrome. (2007) I-Gamen, A. Iimpawu zezeMpilo zeMigca , 16: 3-6.