Eli qela leZikhokelo linokukunceda ukuxilongwa kwe-IBS
I-irritable bowel syndrome (i-IBS) ikwahlula ngokubanzi njengemeko yokungabikho. Ngamanye amagama, i-IBS idla ngokufunyanwa emva kokuba zonke ezinye izizathu zeempawu, ezifana nokusuleleka okanye izifo, zilawulwa ngaphandle. Oku kuyindleko, ukuchitha ixesha, kwaye kunzima ukugulisa izigulane kunye noogqirha. Ngasekupheleni kwee-70s kunye nabaphenyi bokuqala be-80s baqala ukujonga ngakumbi kwi-IBS njengesifo esiyingozi kwaye kungekhona ingxaki yengqondo .
Kwi-13 ye-International Congress ye-Gastroenterology e-Roma, e-Italy ngo-1988, iqela lamagqirha lachaza iinkqubo zokuqonda ngokuchanekileyo i-IBS. Eyaziwa ngokuba yi "Criteria Criteria," le setethi yezikhokelo ezibonisa iimpawu kwaye isebenzise iiparitha ezifana nobukhulu kunye nobude bangela ukuba uvavanyo lwe-IBS luchaneke ngakumbi.
Iimpawu zeRoma ziye zahlaziywa ezininzi kunye nokuhlaziywa ukususela ekuqaleni kwayo. Oku kuye kwabangela ukuba ibe luncedo ngakumbi ekufumaneni i-IBS. Ukutshatyalaliswa kwangoko kwaphantsi kokuphuhliswa kweminyaka engama-6 kwaye kuthathe ingqalelo iingcali ezili-117.
IRoma IV Imigaqo
I-Rome IV Criteria ye-IBS yile:
Iintlungu zesisu zomzimba, ngokuqhelekileyo, ubuncinane ngosuku 1 / ngeveki kwiinyanga ezi-3 zokugqibela, ezibandakanya ezimbini okanye ngaphezulu kwezi zilandelayo:
Ngokuphathelele ukuchasana
Udibene neenguqu kwixesha eliqhelekileyo
Udibaniswe notshintsho kwifom (ukubukeka) kwe-stool.
* I-Criterion yazaliseka kwiinyanga ezi-3 zokugqibela kunye nesifo saqala ubuncinane ubuncinane kwiinyanga ezili-6 ngaphambi kokuxilongwa
Ngolwimi lwangempela, oku kuthetha ukuba ukuze ufumane i-IBS, umntu kufuneka abe nempawu ubuncinane ngosuku lokuqala ngeveki kwiinyanga ezi-3 zokugqibela. Iimpawu zingaphinde zihambelane nokuxhatshazwa (ukudlula isitoli okanye ukukhwaza), kufuneka kuhambisane notshintsho kwindlela umntu angena ngayo kwigumbi lokuhlambela rhoqo, kwaye kuvela kunye nokutshintsha kwindlela i- stools ekhangeleka ngayo (njengokuba nzima okanye ikhululeke).
Kufuneka kubekho ezimbini kwezi zibonakaliso ezintathu ezivela kwiimpawu.
Ixesha linye into ebalulekileyo kwimigqaliselo yaseRoma: kungekhona kuphela impawu kunye neempawu ezikhoyo kwiinyanga ezi-3 ezedlulileyo, kufuneka ziqale ubuncinane ubuncinane ezintandathu kwiinyanga ezidlulileyo. Oku kuthetha ukuba i-IBS ayikwazi ukufunyaniswa nayiphi na ingaphaya kweenyanga ezintandathu emva kokuba iimpawu ziqale.
Kukho ngaphezulu kweenkcukacha zeRoma kwaye kukho inkoliso yolwazi olukhoyo kumayeza ngendlela yokulusebenzisa ukuxilonga nokuphatha izigulane. Ngalo lonke uhlaziyo, imigaqo yeRoma ihlaziya ngakumbi indlela i-IBS kunye nezinye izimo zokusebenza ezifunyanwa ngayo. Kuye ukusuka emigqeni embalwa ukuba ibe yinkcazelo engaphezulu kwaye ichanekile, inceda ekukhokela oogqirha ukuba bahlole iimpawu neempawu ze-IBS. Ngaphandle kokuba yimeko efanayo, i-IBS iyimbonakalo kwaye abantu banokufumana iintlobo ezahlukahlukeneyo, kubandakanywa urhudo-obuninzi kunye nokuqhaqha-okubaluleke kakhulu, kunye nokutshintshana phakathi kokuqhawulwa kunye nohudo. Ngaphezu koko, kunokuthi kubekho ukungafani kwindlela amadoda nabesifazane abachazela ngayo imeko kwaye baphendule kuyo, kwaye ngoko iCrase Criteria izama ukuthatha loo nto.
Ezinye izibonakaliso ze-IBS
Iimpawu ezibhalwe apha ngasentla kwinqanaba elifutshane elivela kwi-Criteria yaseRoma, akunjalo kuphela izibonakaliso ze-IBS.
Izimpawu ezingapheliyo ze-IBS zingaquka:
- I sizathu
- Ukukhathala
- Uvakalelo olupheleleyo emva kwesidlo esincinci
- Ukuvutha
Imbali yeCrase Criteria
Iimpawu zoLimo zaseRoma azizange zamukelwe ngokubanzi xa zenziwe kwangaphambili kodwa zanikwa ngcono emva kokuhlaziywa kwazo kokuqala. Le ngqungquthela yesibini, eyadalwa ngo-1992 kwaye yaziwa ngokuba yiRoma II, yongezelela ubude bexesha lokuba iimpawu zibe khona kwaye intlungu ibe ngumqondiso. I-Rome III yandisa ngakumbi kwaye ingaqwalaselwa yi-IBS kwaye yavunywa ngo-2006.
Umzamo wokuqala wokuhlaziya iimpawu ze-IBS kwaziwa ngokuba yiMigqaliselo yeManning. Kamva kwafumanisa ukuba le miqathango ayithethi ngokwaneleyo kwaye ayithembekiyo ekusebenziseni kunye namadoda anama-IBS.
Nangona ezi mpazamo, iMigqaliselo yeManqaku yayiyinyathelo elibalulekileyo ekuchazeni iimpawu ze-IBS.
Iimpawu zoLuntu zi:
- Ukusetyenziswa kweentlungu ezinxulumene nokunyuka kwamathumbu amaninzi
- Izitulo ezihlaziyekileyo ezinxulumene nokuqala kwentlungu
- Ubuhlungu buxhaswe ngokuhamba kwesitulo
- Ukuqhawula esiswini esiswini
- Ukuvalelwa kokungapheleli okungeyiyo yonke i-25% yexesha
- I-diarrhea ene-mucous ngaphezu kwe-25% yexesha
Umthombo:
> Schmulson MJ, uDrossman DA. "Yintoni Entsha eRoma IV." I- Neurogastroenterol Motil . 2017 kuMatshi; 23 (2): 151-163.