Izibonakaliso zesifo sofuba esisiswini (IBS) -kubandakanya iintlungu zesisu, i-gas, isifo sohudo kunye nokuqanjwa-zicingelwa ukuba zivela kwizinto ezininzi. Izimbini ezibini zibangelwa utshintsho kwi-motility (ukunyakaza) kwiphepha lakho lesisu (GI) kunye neenguqu kwiimbono zengqondo.
Uninzi lwabantu ngaphandle kwe-IBS aluyikuqonda ukunyuka kokutya kwisisu sabo kwisisu nangentlungu.
Kodwa abantu abane-IBS baqaphela kakhulu kwaye banokukhathazeka kakhulu ngexesha le nkqubo.
Apho i-IBS ibuhlungu
Nangona i-intestinal, okanye isilonda, iingxaki ziphawu lokuthengisa lwe-IBS, iimpawu ziyakwenzeka kuyo nayiphi na inxalenye yephepha lakho le-GI. Unokuziva u-IBS wakho:
- Isophagus. I-spasms kwisifo sakho ingenza kube nzima ukugwinya okanye uzive ngathi unomqolo emqaleni wakho.
- Isisu. Ukunyanzeliswa ngenxa yobuthakathaka obunobunzima kunokubangela intlungu yesisu, ukuqhaqhaqhafaza, isisongela, ukuvuthwa kwintlungu, ukugubha okanye ukubuyiswa kwakhona.
- Inkqubo yeBiliary. I-system yakho yebhiliyali yenza ibhilidi ukunceda amathumbu akho atye ukutya. Ukuba iingxaki ze-motility zichaphazela inkqubo yakho ye-biliary-kuquka i-gallbladder yakho kunye ne-bile-ducts-inokuvakalelwa njenge-gallbladder attack. Unokuba ne-bloating, i-nausea, ukuhlanza kunye nesisu esiswini.
- Ndibonise uthando. I-Spasms kumathumbu akho amancinci nayo ingabangela i-gas kunye nokuqhaqha.
- Inambuzane enkulu (i-colon). Izimpawu ze-IBS kwikholoni yakho ziyahluka ngoxhomekeke kwindlela utywala ngayo. Ukuba ukutya kuhamba ngokukhawuleza emathunjini akho amakhulu, unako ukuhanjiswa. Kungenxa yokuba izidumbu zokutya azihlali ixesha elaneleyo emathunjini akho amanzi ukuba athathwe emzimbeni wakho. Ukuba ukutya kuhamba ngokukhawuleza emathunjini akho amakhulu, ingxaki echasene nayo iyakwenzeka: ukuqhenyiswa.
Ukuxilongwa kwe-Exclusion
Izimpawu ze-IBS zifana nezifo ezahlukeneyo zokugaya. Oku kungenza utyilongwe lube nzima. Ngoko, ukuchonga i-IBS kudla ngokuba kuthiwa "ukuxilongwa kokukhutshwa," oku kuthetha ukuba ichazwa njenge-IBS kuphela emva kokuba ezinye izifo ziye zagqitywa.
Xa umntu e tyelela i- gastroenterologist , ngokuqhelekileyo babone ubuncinane omnye ugqirha malunga neempawu zabo ngaphambili.
Bafika kwindawo apho bafuna ukuxilongwa ngokucacileyo. Ngoko, ukuba i-IBS ikhunjulwe emva kokuphonononga iimpawu zesigulane kunye nembali yonyango, ukuhlolwa okucokisekileyo kwimimandla emine kufuneka kuqhutywe, kuquka:
- I-Esophagus nesisu. I-endoscopy ephezulu isebenzisa umgama omde, omnqongileyo kunye noguquguquko ukuze ubone ngaphakathi kwiphepha le-GI eliphezulu.
- Ndibonise uthando. A I-CT engumfanekiso, okanye iincwadana ezincinci, ziyi-x-rays ezinokukunceda ukufumana imeko kwi-intlanzi encinci.
- Amathumbu amakhulu. I-colonoscopy inokubangela ukujonga okuthe ngqo kwi-intestine enkulu ukufumana okanye ukulawula izimo.
- Yonke into ngaphandle kwephepha leGI. I-CT scan kunye nokuhlolwa kwegazi kunokufumana okanye ukulawula ezinye izifo ezinokuchaphazela ukugaya.
Ukuba nale mvavanyo kunokunceda ukwenza uvavanyo lwe-IBS olucacileyo. Ngelixa i-IBS ixilongwa ekukhutshweni, qiniseka ukuba sisifo esiyinyango esinoko unyango lwangempela olunokuphucula kakhulu umgangatho wobomi.
Xa kuvela Iimpawu ezintsha
Ukuba unayo i-IBS, ungaze ucinge ukuba iimpawu ezintsha ze-GI ziyingxenye yesimo sakho esingapheliyo. Soloko unempawu ezintsha, njengokulahlekelwa kwesisindo okanye ukulahleka kwesidlo, uvavanyo.
Esinye isifo esibonisa ukuba i-IBS ayibangeli ukuphuma. Ukuba unamacangci egazi okanye iigesi ezigazini, akusiyo i-IBS.
Yiya kugqirha.
UDkt. Baggott ungumgastroenterologist kwiCleveland Clinic yeWosterster Milltown Specialty and Surgery Centre.
> Imithombo:
> Omkhulu G, uPritchard S, uMraray K, et al. I-Colon hypersensitivity ukuya kwi-distension, kunokuba ivelise ngokweqile imveliso yegesi, ivelisa iimpawu ezinxulumene ne-carbohydrates kubantu abaneengxaki zesifo somzimba. Gastroenterology . 2017 Jan; 152 (1): 124-133.e2.
> Paulsen SR, Huprich JE, Fletcher JG, et al. I-CT engomfanekiso njengesixhobo sokuxilonga ekuphononongeni izifo ezincinci zesilwanyana: ukuhlaziywa kwamava enkliniki ngamacala angaphezulu kwama-700. I-Radiographics 2006; 26: 641-62.