Yintoni i-Chronic Idiopathic Constipation (CIC)?
Ukugqithwa kwe-idiopathic engapheliyo (CIC) yimeko yempilo apho umntu efumana iimpawu ezingapheliyo zokubanjwa, kodwa akukho nto ebonakalayo ingabonwa ngovavanyo oluqhelekileyo lokuvavanya. Igama elithi idiopathic lisetyenziswe kuba lithetha ukuba akukho nto eyaziwayo. I-CIC iphinda ibhekiswe njengento yokuqhawula ukusebenza , njengoko iCIC ikwahlulwa njengenye yeengxaki zesisu esisemsebenzini (i-FGDs), oko kuthetha ukuba nangona ukuvavanya kungabonakali nayiphi na into ebonakalayo engafanelekiyo, kukho ingxaki ngendlela inkqubo yokutya, okanye Kule meko, intumbu enkulu, isebenza.
Kuqikelelwa ukuba malunga nama-14% wabantu abanamava angabonakaliyo. Abantu abasemngciphekweni omkhulu baquka abesifazana, abantu abadala kuminyaka yonke kunye nabafazi, kunye nalabo abanesimo sezantsi sentlalo.
Ziziphi iimpawu zeCIC?
Iimpawu eziphambili zeCIC ziquka:
- Ukunyuka kwamathumbu
- Ukuhlenga
- Iimpawu ezikhuni okanye ezilumkileyo
- Ukuvakalelwa kokungaphumeleli
- Uvakalelwa kukuba into ethile ivimbela isitulo ekuphumeni
- Kufuneka usebenzise iminwe ukuze uzame ukufumana isitofu sokuphuma ( ukukhutshwa kwedijithali kunye nokuqhawuka kwesisu )
Abantu abaninzi abaneCIC baxela ukuba bafumana iimpawu ezilandelayo kunye nokuqhaqhazela:
- Intlungu yesisu okanye ukungahambi kakuhle
- Ukuqhawula
- Intlungu ye gesi
I-CIC ichongwa njani?
Ukuba uyakrokraza ukuba unayo i-CIC, ugqirha wakho uya kukwenza uvavanyo lomzimba kwaye asebenze umsebenzi othile wegazi ukwenzela ukulawula ezinye izifo. Ezinye iimvavanyo zokuxilongwa zinokucetyiswa ngokwemiqondiso yakho kunye nembali yonyango.
I-FGS ifunyaniswa ngokulandela imigaqo ye- Rome III . Iimpawu zeRoma zibhekisela kwingxaki njengesidima sokusebenza. Ukufumana isigxina sokuqhawulwa komsebenzi, akufuneki kubekho uphawu lokungaqhelekanga kuboniswe ngophawu lokuxilonga. Le ndlela yokulinganisa izame ukulinganisa iimpawu ze-CIC, umzekelo, ukuchaza ukuba kufuneka kube ngaphantsi kweentshukumo ezintathu ngeveki kwaye ezinye iimpawu zenzeka ubuncinane ngama-25 ekhulwini kweso sikhathi.
Izitulo ezilahlayo kufuneka zibe yintlupheko ngaphandle kokusetyenziswa kweelaxatives. Iimpawu azifanele zihlangabezane neendlela ezichasayo zesifo sengqondo (IBS) kwaye kufuneka zibe khona ubuncinane ubuncinane kweenyanga ezintathu, ziqalise ubuncinane ubuncinane kwiinyanga ezintandathu ngaphambi kokuxilongwa.
I-CIC ithathwa njani?
Akukho mntu unyango oluthile lweCIC. Kodwa kukho iindlela ezahlukeneyo zonyango oza kugqirha nodokotela wakho:
I-Fiber Dietary : Ugqirha wakho unokuncoma ukuba ukwandise ukutya kwakho kwefayibha yokutya, njengoko i-fiber inokukunceda ukunciphisa izitulo, okwenza kube lula ukudlula. Qinisekisa ukwandisa i-fiber yakho intake ngokukhawuleza ukuvumela umzimba wakho ukuba uhlalutye. Ngokukhawuleza kakhulu i-fibre ingakhokelela kwiimpawu zegesi kunye nokubetha. Unokufumana ukuba ifayibhile enqabileyo iyayibekezelela. Unokwandisa ukutya kwakho kwefayibha yokutya ngokutya okutyayo okanye ngokusebenzisa i-fiber supplement.
Izixube : Kukho iintlobo zeelaxatives ezinokunika uncedo lwexesha elifutshane lokuqhawulwa ngokunyusa amanqanaba amanzi emathunjini amakhulu (i- osmotic laxatives ) okanye ukunyakaza okukhuthazayo (i- laxatives eshukumisayo ).
Amachiza : Amachiza amaninzi afumaneka ayenzelwe ukunyanga isigxina esingapheliyo:
- Amitiza
- Linzess
- Ukuqhawula (iYurophu, eKhanada, kwaSirayeli)
I-Biofeedback : Ukuba ugqirha wakho uzimisele ukuba i- dyssynergic defecation (i-pelvic floor disysction function) idlala indima kwi-CIC yakho, banokucebisa ukuba uzame i- biofeedback . Olu unyango luye lwaboniswa luncedo ekuphuculeni ukulungelelaniswa kwemisipha yomgangatho weplavic ochaphazelekayo kwinkqubo yokunyakaza.
Yintoni Umehluko Phakathi kweCIC ne-Irritable Bowel Syndrome?
Ukugqithiswa okukhulu kwesifo se-bowel syndrome (IBS-C) sinokwabelana ngeempawu ezininzi ezifana neCIC. Kwaye, ngokwenene, ngeenkcazo, i-CIC ifunyaniswa kuphela ukuba i-criteria ye-IBS ayizange ifumaneke. Uhlobo oluphambili phakathi kweengxaki ezimbini kukuba i-criteria ye-diagnostic ye-IBS-C idinga ukuba kubekho ubuhlungu obungapheliyo obuhambelana nokunyakaza kwamathumbu.
Ehlabathini lenene, oogqirha abaninzi baya kuxela izigulane zabo ukuba bane-IBS ukuba bafumana isigxina esingapheliyo ngaphandle kwesizathu esibonakalayo, kungakhathaliseki ukuba intlungu ayihambisani nokuhamba.
Abanye abaphandi bakholelwa ukuba iziphazamiso ezimbini azifani. Abantu abaninzi abanokuxilongwa kweCIC bafumana ubuhlungu besisu kunye nokungahambi kakuhle kwaye baninzi abantu abazitshintshayo ukusukela kwisifo esisodwa kwisinye ixesha. Kungenzeka ukuba iziphazamiso zombini ziwa phantsi ngokufanayo. Ulwahlulo olubalulekileyo phakathi kwezi zimbini lunokuthi lunxulumane nophatho, njengoko abantu abane-IBS-C babonakala banakho amathuba kunokuba abo abaneCIC baphendule kwiinketho zonyango eziphumelelayo ukukhululeka kwentlungu, ngelixa kubonakala ngathi abo abaneCIC bayakwazi ukuphendula kumayeza athile okanye unyango olujolise ekusebenzeni kwezihlunu zamathumbu amakhulu.
> Imithombo:
> Bassotti, G., et. al. "Iiselluli kunye neeselomali zesigxina esingapheliyo: Ukuthatha iileyile esebenzayo / idiopathic ngaphandle" I- World Journal ye-Gastroenterology 2013 19: 4099-4105.
> Ford, A., ne.al. "I- American College ye-Gastroenterology Monograph kwi-Management of Irritable Bowel Syndrome kunye ne-Chronic Idiopathic Constipation " I- American Journal ye-Gastroenterology 2014 109: iS2-S26.
> Heidelbaugh, J. "I-Spectrum ye-Constipation-I-Irritable Bowel Syndrome kunye ne-Chronicle Idiopathic Constipation: US Survey Ukuhlola izibonakaliso, Ukufuna Ukunyamekela, kunye Nezifo Ukuxanduva" I- American Journal yeGastroenterology 2015 110: 580-587.
> Siah KTH, Wong RK, Whitehead WE. I-Constipation kunye ne-Constipation-I-IBS epheleleyo: Iintlupheko ezahlukileyo kunye neeNtsholongwane zezifo? "I- Gastroenterology & Hepatology 2016; 12 (3): 171-178.