Okuqukethwe
I-syndrome e-irritable syndrome
Le i-irritable bowel syndrome (IBS) ibizwa futhi ngegama engaphathekile wamathumbu syndrome. EFrance, leli gama ” i-colopathy esebenzayo “. Kuyisifo sokugaya ukudla esibonakala ngokungakhululeki noma imizwa ebuhlungu esiswini.
Konke lokhu ukungakhululeki zihlotshaniswa nezinguquko ekusheshisweni kokudlula kokudla kudlula kukholoni, okubizwa nangokuthi amathumbu amakhulu (bona umdwebo). Isivinini segiya esisheshayo noma, ngakolunye uhlangothi, ukuhamba kancane kakhulu kuzodala izimpawu ezahlukahlukene. Ngakho-ke, lapho izigaba zokuncipha nokuphumula kwemisipha yamathumbu zishesha noma ziqinile kunokujwayelekile, ikholoni alinaso isikhathi sokumunca amanzi aqukethwe ekudleni. Lokhu kubangela isifo sohudo.
Lapho ukusikeka kuhamba kancane futhi kubuthakathaka kunokujwayelekile, ikholoni imunca uketshezi oluningi kakhulu, nalo olubangele ingcindezi. ukuqunjelwa. Izitulo bese zinzima futhi zomile.
Ngokuvamile, siyahlukanisa Izigaba ezi-3 syndrome kuye ngohlobo lwezimpawu eziyinhloko.
- Isifo esibuhlungu nesokuhuda.
- Isifo esibuhlungu nokuqunjelwa.
- Isifo esibuhlungu, isifo sohudo nokuqunjelwa.
Ubani othintekayo?
Le engaphathekile wamathumbu syndrome kuyinkinga ejwayelekile: kuyimbangela yokubonisana ne-gastroenterologist engu-30% kuya ku-50%.
Lesi sifo sizothinta 10% kuya 20% inani lamazwe aseNtshonalanga; ikakhulu imayelana abesifazane. Kodwa-ke, kufanele kuqashelwe ukuthi lesi yisilinganiso ngoba kunzima ukuthola izibalo ezinokwethenjelwa. Ngakolunye uhlangothi, kubonakala sengathi bangu-15% kuphela abantu abanesifo abaya kudokotela waso mayelana naso.28. Ngakolunye uhlangothi, kunezinhlobo ezi-2 ezahlukahlukene zokuxilonga (iManning neRome III), ezinomthelela kwinani labantu ababhekwe njengabahlushwa isifo samathumbu esibuhlungu.
Evolution
Lesi sifo sivela kancane kancane ku Izinsana futhi abadala abasebasha. Ezimweni eziningi, isifo samathumbu esibuhlungu sinjalo okungapheliyo. Kodwa-ke, labo abathintekile bangaba nezikhathi ze- ukuxolelwa ubude obude noma obuncane. Ukungakhululeki kwabo kungavela nsuku zonke isonto elilodwa noma inyanga eyodwa, bese inyamalala, noma ihlale impilo yonke. Zimbalwa kuphela iziguli ezikhona ezinezimpawu ezikhathaza kakhulu.
Izinkinga ezingenzeka
Ngokungafani nesifo samathumbu esibi kakhulu, njenge-ulcerative colitis nesifo sikaCrohn, isifo samathumbu esibuhlungu asibangeli ukuvuvukala, siguqule ukwakheka kolwelwesi lwamathumbu, noma sandise umfutho wegazi. ingozi yokuthola umdlavuza obala. Kungakho isifo samathumbu esibuhlungu sithathwa njenge- ukuphazamiseka kokusebenza kunokuba njengesifo.
Ngokolunye uhlangothi, ubuhlungu, isifo sohudo nokuqunjelwa okubangelwa yilesi sifo kungakhathaza kakhulu.
Le engaphathekile wamathumbu syndrome futhi kungaphazamisa kakhulu ukusebenza kobungcweti nokwenhlalo kwalabo abaphethwe yikho, kubenze babe mpofu ikhwalithi yokuphila futhi kuholele ekukhathazekeni nasekucindezelekeni.
Ekugcineni, kutholakale ukuthi ezinye izinkinga zivame ukuhlotshaniswa nalesi sifo, njengezikhathi ezibuhlungu, ukukhathala okungamahlalakhona kanye ne-fibromyalgia. Okwamanje, asazi isizathu.
Ukubonisana nini?
Uma izifo zisha, zihlupha kakhulu noma zikhathaza, kungasiza ukubona udokotela. Ngempela, ezinye izinkinga zempilo zinganikeza izimpawu ezifanayo.
A ukubonisana nodokotela kuyadingeka uma kwenzeka igazi lisesitokisini, imfiva, ukulahleka kwesisindo okuphawulekayo noma isifo sohudo esingalawuleki, ikakhulukazi uma kwenzeka nasebusuku.
Izimbangela
Izimbangela zalesi sifo azikaziwa futhi kungucwaningo oluningi. Kubo ezizathwini kuyanikelwa: kungaba abaphethwe yilesi sifo bahlushwa ukuqaqamba okungatheni futhi okubuhlungu kwamathumbu, noma bezwela kakhulu kunokujwayelekile ukunyakaza kwethanga kanye nengxenyeni, imvamisa engabonakali.
Njengoba abesifazane bethinteka kakhulu kunamadoda futhi ukungakhululeki kwabo kuya kuba kubi ngesikhathi sabo, abanye abacwaningi bakholelwa lokho izinguquko ze-hormonal dlala indima.
Ngokusho kweminye imininingwane, kuze kufike ku-25% wamacala wesifo samathumbu esivele ngemuva ukutheleleka amathumbu1,2. I-hypothesis yokungalingani kwezimbali zamathumbu nayo iyahlolwa3.
Ngaphezu kwalokho, abanye abacwaningi bakholelwa ukuthi izinga elingajwayelekile le-serotonin emkhakheni wokugaya ukudla lingaba imbangela yesifo. Lokhu kungachaza ukuthi kungani iziguli eziningi ezithintekile zihlushwa ukukhathazeka nokudangala. Kufanele wazi ukuthi i-serotonin inomthelela omkhulu ekunyakazeni kwemizwelo nokuhamba kwamathumbu4,5.
Kungenzeka futhi ukuthi kukhona ukuxhumana phakathi kokucasulwa kwamathumbu nesifo sokuhlukunyezwa ngokocansi noma ngokomzimba ngesikhathi sobuntwana.
Ukucindezeleka kwakucatshangwa ukuthi kuyimbangela yalesi sifo, kodwa akunjalo. Ngakolunye uhlangothi, ngokuvamile kwandisa izimpawu (ikakhulukazi ubuhlungu).