Izifo zesisu zomzimba (i-FGDs) ziyi-disorder ye- digestive system apho iimpawu ezingenakucaciswa ngobukho bezinto ezingaqhelekanga. I-FGD ayinalo i-biomarker ebonakalayo, kwaye ngenxa yoko, njengazo zonke iziphazamiso zokusebenza, i-FGD iyaxilongwa ngokusekelwe kumfanekiso wesifo.
Iimpawu zeRoma
Kwixesha elidlulileyo, ii-FGD zacatshangelwa ukuba zifumanisa ukukhutshwa, oku kuthetha ukuba ziyafumaneka kuphela emva kokuba isifo (esingabonakaliyo) sifumanekile.
Nangona kunjalo, emva kowe-1988, iqela labaphandi kunye noogqirha badibana nabo ukuze baqulunqe iindlela ezichanekileyo zokuxilongwa kwee-FGD ezahlukeneyo. Le meko yaziwa ngokuba yi "Criteria Rome". Okwangoku, le miqathango ibuyiselwa kwakhona kwisithathu, kunye nohlaziyo lwesine oluhlelelwe ixesha elithile ngo-2016. Ukuze ufunde kabanzi malunga neempendulo zeRoma, nqakraza ngezantsi:
Izifo zentlungu ezisemsebenzini
Nolu uluhlu olubanzi lwee-FGD njengoko kuchazwe yi-criteria III ye-Rome:
Ukuphazamiseka Kwemisebenzi Yokwenziwa Kwemvavanyo
- Ukuguquka kwentsebenzo
- Iintlungu zesifuba ezisetyenziswayo zivela kwimvelaphi ye-esophageal
- Dysphagia esebenzayo
- Globus
Iingxaki zeGastroduodenal Disorders
- I-dyspepsia esebenzayo (iquka i-postprandial affliction syndrome kunye ne-epigastric pain syndrome
- Aerophagia
- Ukungabonakali ngokugqithiseleyo ukubetha
- Isifo sokusasazeka kwesifo esingapheliyo
- Ukuhlanza okusebenzayo
- Isihlunu sokuhlanza
- Ukuhluthwa kwesifo kubantu abadala
Izifo zoBomi eziSebenzayo
- I-irritable bowel syndrome (IBS)
- Ukuqanjwa komsebenzi
- Isifo sohudo
- Isifo esingenakuchazwa sisifo
Syndrome eSebenzayo yeMathumbu
- Intlungu yomzimba (FAP)
I-Functional Gallbladder kunye neSphincter ye-Oddi Disorders
- Ingxaki yokusebenza ye gallbladder
- I-biliary esebenzayo yeSphincter ye-Oddi disorder
- I-pancreatic esebenzayo ye-pancreatic Sphincter ye-Oddi disorder
Ukuphazamiseka Kweempawu Zokusebenza
- Ukungasebenzi komzimba
- Ubunzima bokusebenza obunzima bokusebenza (kubandakanya i-proctalgia engapheliyo , i- Levator ani syndrome ), intlungu engacacisiwe ye-anorectal, kunye ne- proctalgia fugax )
- Iziphazamiso zokuSebenza ngokuSetyenziswayo (kubandakanya ukuchithwa kwe-dyssynergic kunye nokungafuneki ukuxhatshazwa kwe-defecatory propulsion)
Ukukhubazeka kwe-GI yabantwana: Iintsana / iintsana
- Ukubuyisela umntwana
- Iintsholongwane zokurhoxisa iintsana
- Isihlunu sokuhlanza
- Colic yaseNtwaneni
- Isifo sohudo
- Iintsana zeDyschezia
- Ukuqanjwa komsebenzi
Ukukhathazeka kwe-GI yabantwana: Umntwana / umntwana oselula
- Ukutshabalalisa kunye neAerophagia: i-rumination syndrome, i-cyclic vomiting syndrome, kunye ne-aerophagia
- Izifo zengxakatho-ezihlobene ne-GI Disorders: i-dyspepsia esebenzayo, i-IBS, isisu esiswini, isisu esisisigxina esiswini, kunye nolwasemva lwesifo esiswini esiswini
- Ukutyunjwa kunye ne-Incontinence: ukuzitywa komsebenzi kunye nokungahambisani nokungabikho komzimba
Ukuxilongwa kweengxaki zoMzimba ezisisigxina
Nangona i-criteria yeRoma ivumela ukuxilongwa kwe-FGD ukuba ibe yi-symptom-based, ugqirha wakho usenokufuna ukuqhuba iimvavanyo ezithile zokuxilonga ukulawula ezinye izifo okanye ukujonga iingxaki zesakhiwo ezibangele iimpawu zakho.
Unyango lweeNtsholongwane ezisisigxina seNtlungu
Nangona kungekho zibonakaliso ezibonakalayo zezifo okanye iingxaki zengqungquthela zibonakaliswa njengobangela iimpawu ze-FGD, oku akuthethi ukuba ezi ngxaki azikhoyo, kwaye ayithethi ukuba ayinakho unyango. Ukuba uyakrokrela ukuba uye wafumanisa ukuba unayo i-FGD, kuya kubakho ukusebenzisana nogqirha wakho kwisicwangciso sokonyango. Izinketho zokwelapha zingaquka:
- Amachiza
- Utshintsho lwezondlo
- Biofeedback
- Ulungiso lwenyama
- Uxinzelelo lweengxaki
- Psychotherapy
Imithombo:
Drossman, D. "Iintlupheko zesisu zokuSebenza kunye ne-Rome III Process" I- Gastroenterology 2006 130: 1377-1390.
"I-III III Inkcazo yokuxilongwa kweengxaki zoMzimba"