Zizindikiro za matenda opweteka a m'mimba (IBS)-kuphatikizapo ululu wa m'mimba, mpweya, kutsekula m'mimba, ndi kudzimbidwa-zimalingalira kuti zimachokera ku zifukwa zambiri. Zifukwa ziwiri zikuluzikuluzi zimasintha mu kayendetsedwe kake ka m'mimba komanso kusintha kwa maganizo.
Anthu ambiri omwe alibe IBS samadziwa kutuluka kwa chakudya kuchokera m'mimba mwawo mpaka m'mimba mwawo.
Koma anthu omwe ali ndi IBS amadziwa bwino kwambiri ndipo amakhala omasuka kwambiri panthawiyi.
Kumene IBS Imapweteka
Pamene matumbo, kapena matumbo, mavuto ndi chizindikiro cha IBS, zizindikiro zimapezeka m'mbali iliyonse ya kapepala ka GI. Mutha kumva IBS mwa inu:
- Esophagus. Mafupa m'mimba mwanu akhoza kulemetsa kapena kumverera ngati muli ndi mtanda pammero.
- Mimba. Kudzikuza chifukwa chosowa motility kungayambitse kupweteka kwa mimba, kupweteka, kupweteketsa mtima, kupweteka kwa mtima, kubwezera, kapena kubwezeretsa.
- Biliary system. Ndondomeko yanu ya biliary imapanga bile kuti muthandize matumbo kukudya chakudya. Ngati mavuto a motility amakhudza dongosolo lanu la biliyali-kuphatikizapo ndulu yanu ndi ndulu za bile-zikhoza kumverera ngati nkhanza. Mutha kukhala ndi kupweteka, kunyoza, kusanza, ndi kupweteka m'mimba.
- Matumbo aang'ono. Mafinya mumatumbo anu ang'onoang'ono amachititsanso kuti mpweya ugwe.
- Matumbo aakulu (coloni). Zizindikiro za IBS mumtundu wanu zimasiyana malinga ndi momwe umoyo umakhudzira. Ngati chakudya chikufulumira kwambiri m'matumbo anu akuluakulu, mukhoza kutsekula m'mimba. Ndichifukwa chakuti zotsalira zakudya sizikhala nthawi yaitali m'matumbo anu kuti madzi asakanike m'thupi lanu. Ngati chakudya chikuyenda pang'onopang'ono kudzera m'matumbo anu aakulu, vuto lina likhoza kuchitika: kudzimbidwa.
Kuzindikira Kutowa
Zizindikiro za IBS zimatsanzira matenda osiyanasiyana odyetsa. Izi zingapangitse kuti matendawa akhale ovuta. Choncho, kudziwitsa IBS kaŵirikaŵiri kumatchedwa "matenda a kusalidwa," kutanthawuza kuti amatchulidwa ngati IBS pokhapokha matenda ena atachotsedwa.
Munthu akamachezera gastroenterologist , nthawi zambiri amamuwona dokotala wina pafupi ndi zizindikiro zawo zisanachitike.
Iwo ali panthawi yomwe akufuna kungodziwa bwinobwino. Choncho, ngati IBS ikudandaula pambuyo poyang'ana zizindikiro za wodwalayo ndi mbiri yake yachipatala, kuyesedwa kozama pa malo anayi kuyenera kuchitidwa, kuphatikizapo:
- Esophagus ndi m'mimba. Kumapeto kwa endoscopy kumagwiritsa ntchito mbali yaitali, yoonda, ndi yosavuta kuti muwone mkati mwa tsamba lakumwamba la GI.
- Matumbo aang'ono. A CT enterography, kapena mndandanda wazing'ono, ndidongosolo la x-ray limene lingathandize kuzindikira zinthu zomwe zili m'kati mwake.
- Matumbo aakulu. Colonoscopy ikhoza kuyang'ana mwatsatanetsatane mkatikati mwa matumbo akulu kuti azindikire kapena kutulutsa zinthu.
- Zonse ziri kunja kwa kapepala ka GI. Kuyeza kwa CT ndi kuyezetsa magazi kungathe kuzindikira kapena kutulutsa matenda ena omwe angakhudze chimbudzi.
Kukhala ndi mayeserowa kungakuthandizeni kupanga chitsimikizo cha IBS. Ngakhale kuti IBS ikudziwika kuti yanyalanyazidwa, yitsimikizirani kuti ndi matenda enieni omwe ali ndi mankhwala enieni omwe angathe kusintha kwambiri moyo wanu.
Pamene Zizindikiro Zatsopano Zimadzuka
Ngati muli ndi IBS, musaganize kuti zizindikiro zatsopano za GI ndi mbali chabe ya matenda anu. Nthawi zonse mukhale ndi zizindikiro zatsopano, monga kutaya thupi kapena kusowa kwa njala, kuyesedwa.
Chizindikiro chimodzi chimene IBS siichi chimayambitsa magazi. Ngati muli ndi ziwalo zamagazi kapena zamagazi, si IBS.
Pitani kwa dokotala.
Dr. Baggott ndi gastroenterologist ku Wooster Milltown Specialty ndi Surgery Center ku Cleveland Clinic.
> Zotsatira:
> Mkulu G, Pritchard S, Murray K, et al. Colon hypensensitivity kwa distension, m'malo mopitirira mafuta, imatulutsa zizindikiro zokhudzana ndi zimagawidwe kwa anthu omwe ali ndi matenda opweteka. Gastroenterology . 2017 Jan; 152 (1): 124-133.e2.
> Paulsen SR, Huprich JE, Fletcher JG, et al. CT enterography monga chida chogwiritsira ntchito pofufuza zochepa za m'mimba: kubwereza zochitika zachipatala ndi milandu yoposa 700. Radiographics 2006; 26: 641-62.