Kwixesha elingekho kude kangaka, oogqirha bexesha elide babecinga ukuba ukubhula kunye nokujikeleza ngokuphindaphindiweyo kuboniswe zizigulane zabo ze- IBS ziyimveliso nje yeengcamango ezinamandla. Ukuba uye wafumana ithuba lokuba ukhulule ibhanti yakho njengoko usuku lwakho luhamba, uyazi ukuba ngaba oogqirha baxhomekeke kangakanani.
Ukukhula
Ukuqhaqhaqhaqhaqhako kuyinto ebonakalayo yendalo yonke, njengoko kuqikelelwa ukuba i-16% ukuya kwi-30% yoluntu jikelele iingxelo ezixhamla ukubetha.
La manani aphezulu xa uthetha ngezilwanyana ze-IBS, nge-80% ukuya kwi-90% yezigulana ezibika ukubhubhisa. Ukunikezelwa kwala manani, kuyamangalisa ukuba ukubetha kungabonakali nje njengenxalenye ye- Rome III imigaqo yokuhlola i-IBS.
Ukuqhawula
Ukuqhaqhaza kuboniswa njengombono woxinzelelo olusiswini esiswini. Ukubetha kubhengezwa ngokuphindaphindiweyo ngabasetyhini kunamadoda, kodwa oku kungakho ngenxa yokungafani kwindlela uphawu olubonwa ngayo ngabafana abahlukeneyo. Ukubhubhisa kunokwenzeka nokuba kunokuchaphazela izigulane ezinokuqhawulwa kwe-IBS (IBS-C) kunye nohlobo lwe-IBS oluxubene nalabo abane- diarrhea-ebalulekileyo kwi-IBS (IBS-D). Oku akuthethi ukuba ukubhubhisa akuchaphazeli izigulane ze-IBS-D, eqinisweni, ukubetha kuyinkathazo malunga nesiqingatha sabo bonke abagulayo be-IBS-D.
UkuBheka
Ukungafani kuyahlukana nokubhubhisa kuba kubandakanya utshintsho olulinganiswayo kwinqanaba lesisu. Ukuphazamiseka kuya kufana nokugqithisa njengoko usuku lugqoke.
Unokufumanisa ukuba isisu sakho sagxininiswa ngakumbi emva kokuba udlile. Kulinganiselwa ukuba malunga nesiqingatha sazo zonke izigulane ze-IBS zifumana ukudibanisa. Ukubaluleka kunye nokubhubhisa ngokukhawuleza kuhlangenwe kwangexesha elifanayo, kodwa kucingelwa ukuba zibangelwa kwiinkqubo ezahlukeneyo zomzimba.
Izizathu
Ngokuchasene noko unokucinga ukuba, i-gas excessively isona sizathu sokubangela ukucima kunye nokuhamba.
Iinkqubo ezininzi ezicatshungulwayo kunokwenzeka ukuba bancedise ukubhubhisa kunye nokujikeleza:
- I gesi e gxi
- Ukugqithiswa kweembonakalo
- Dysmotility
- Ukuphazamiseka kwodonga lwesisu ekuphenduleni uxinzelelo
Kukho ubungqina bokuthi ukucima ingabangela ingxaki kumaqela angaphantsi kwezigulane ze-IBS ezichaphazelekayo:
- Ukunyanzeliswa kwe-carbohydrate
- Ukungalingani kwamabhakede
- I-intestine ye-intestine overgrowth (SIBO)
Impembelelo kuMgangatho woBomi
Iimpawu zokubetha ngokuthe tye zichaphazela umgangatho wobomi bomntu. Kuhlolisiso, ukubetha kwintamo nentamo kunye neentlungu zesisu njengesifo esibalulekileyo kakhulu izigulane ze-IBS kufuneka zijongane nazo . Ukubhubhisa kubonakala kubonakaliswe ukuba impawu ezincinci zokuphendula unyango . Iimpawu zokubhenca kubonakala zihamba ngaphaya kobuhlungu; Uphando olwodwa lufumanise ukuba ukugubha kwezigulane ze-IBS kwakuxhomekeke ekunciphiseni amandla, ukunciphisa izinga lomsebenzi wokwenyama, kunye nokunciphisa ukutya kokutya.
Imithombo:
Agrawal, A. & Whorwell, P. "Isihloko sokubuyiselwa: ukubhubha esiswini kunye nokuphambana nokuphazamiseka kwesisu - isifo se-epidemiology kunye nokuhlola iindlela ezinokwenzeka" I- Pharmacology & Therapeutics eYimfuneko yoMsebenzi 2008 27: 2-10.
Chang, L., Lee, O., Naliboff, B., Schmulson, M. & Mayer, E. "Ukuvunywa kwesibindi kunye nokubonakala kwesisu esisemzimbeni kwizigulane ezineengxaki zesifo sengqondo." I-American Journal yeGastroenterology 2001 96: 3341-3347.
Quigley, E. "Impembelelo yeBloating and Distention in Irritable Bowel Syndrome: Ngaba siye saxhamla kude neNkcubeko yeManning? "I- Clinical Gastroenterology neHepatology 2009 7: 7-8.
I-Ringel, Y., Williams, R., Kalilani, L. & Cook, S. Ubuninzi, iimpawu kunye neempembelelo zempawu zokuqhayisa izigulane ezinezifo zesifo segazi. I-Clinical Gastroenterology kunye neHepatology 2009 7: 68-72.