Kodi IBS Imadziwika Bwanji?
Ngati mukuganiza kuti mungathe kukhala ndi matenda a m'mimba (IBS), kuphunzira momwe madokotala amabwera ndi matenda a IBS adzakuthandizani kuti mutsimikizire kuti dokotala akutsogolerani mu njira yoyenera.
Kodi Ndi Dokotala Wotani Amene Ndiyenera Kuwona?
Ngati mukukumana ndi zizindikiro zowononga m'mimba , kutsegula m'mimba komanso / kapena kudzimbidwa , ndi bwino kuti mupange msonkhano ndi dokotala wanu wamkulu.
Pamene mukuyembekezera kusankhidwa kwanu, zingakhale zothandiza kuyamba kusunga zolemba zosavuta.
Dokotala wanu akhoza kuyendetsa ntchito yambiri ya magazi ndi kuyesa magazi mu mpando. Ayeneranso kuyesa magazi anu kuti awone ngati muli ndi matendawa . Popanda zizindikiro zofiira (monga mwazi wamadzimadzi, malungo, kuchepa kwa magazi), dokotala wanu wamkulu amadziwa kuti muli ndi IBS popanda kuyesedwa kwina.
Ngati adokotala akukhulupirira kuti kufufuzidwa kwakukulu ndikofunikira, mukhoza kutumizidwa ku gastroenterologist . Gastroenterologist, yomwe imatchedwa GI, imaphatikizapo kupenda ndi kuchiza matenda opatsirana. Gastroenterologists amagwiritsa ntchito chidziwitso chawo pa ntchito yonse ya m'mimba komanso zomwe zimawachitikira m'mabvuto osiyanasiyana a m'mimba kuti akhale ndi dongosolo lodziŵika bwino ndi mankhwala.
Ndi mayesero ati omwe ndikutheka kuti ndiri nawo?
Nthaŵi zambiri, IBS ikhoza kupezeka kuti ili ndi njira zochepetsera:
- ntchito yamagazi yachizolowezi
- Kuyezetsa magazi kumatsenga (kuyesa magazi mu chopondapo)
Kodi Pali Mayesero Ena?
Kodi chizindikiro chanu chiyenera kuwonetsetsa kuti dokotala wanu angakulimbikitseni njira imodzi yowonjezera ya GI (m'mimba):
- Colonoscopy: Kukula kwa matumbo anu onse aakulu. Mayeserowa amatchulidwa nthawi zonse kwa anthu omwe ali ndi zaka zoposa 50.
- Sigmoidoscopy: Kufufuza kwa kachilomboka ndi gawo laling'ono kwambiri la coloni, lotchedwa sigmoid colon.
- Kutsika Kwambiri Kwambiri: Kukula kwa gawo lanu lakum'mimba, kuphatikizapo mimba, m'mimba, ndi duodenum.
- Barium Enema: X-ray ya m'matumbo akuluakulu ndi barium amagwiritsidwa ntchito mosiyana.
- Pamwamba GI Series : X-ray ya digestive digestive system ndi barium ntchito mosiyana.
- Kuyesedwa kwachisokonezo cha Lactose
- Yesetsani kuyesa kuti mutulutse matumbo a m'mimba
Kodi Dokotala Wanga angakhale bwanji wotsimikiza kuti ndi IBS?
Chifukwa IBS imatengedwa kuti ndi matenda opatsirana , kuti palibe matenda owonetsetsa, madokotala amagwiritsa ntchito muyezo wotchedwa Rome III Criteria kuti azindikire IBS. Malingana ndi izi, IBS ikhoza kupezeka ngati zizindikiro zakhalapo kwa miyezi isanu ndi umodzi. Zizindikiro ziyenera kuti zinakhalapo masiku atatu osachepera miyezi itatu. Mwachidziwitso, zizindikiro ziyenera kukhala ndi zowawa za m'mimba zobwereza kapena zosaphatikizapo ziwiri kapena zingapo zotsatirazi:
- Ululu umamasulidwa ndi gulu la matumbo
- Kupweteka koyamba kumagwirizana ndi kusintha kwa nthawi zambiri
- Kupweteka koyamba kumagwirizana ndi kusintha kwa maonekedwe a chitseko
Ngati zinthu zina zonse zakhala zikutsatiridwa ndi momwe zikhalidwe za Rome III zimakhalira, dokotala wanu akhoza kudziwa kuti muli ndi IBS.
Kodi Ndikufunika Kuchita Opaleshoni?
Pokhapokha ngati kuyezetsa magazi kukuwonetsa vuto lalikulu lachipatala, odwala omwe ali ndi IBS sayenera kuchita opaleshoni iliyonse. Kafukufuku akusonyeza kuti odwala a IBS ali pachiopsezo chachikulu chotsatira ndondomeko yakutha , appendectomy , hysterectomy ndi opaleshoni yam'kati , popanda kwenikweni kupeza mpumulo waukulu ku zizindikiro zawo za IBS. Chifukwa cha zoopsa za opaleshoni, zimalimbikitsidwa kuti wodwala wa IBS azipeza lingaliro lachiwiri asanayambe opaleshoni iliyonse.
Zotsatira:
Matenda Opatsa Matenda (2006) Longstreth, GF, et.al. Gastroenterology, 130: 1480-1491.
Ndalama Zamankhwala Zamankhwala ndi Maphunziro Opaleshoni Odwala Odwala ndi Irritable Bowel Syndrome. (2007) Gamen, A. Digestive Health Matters , 16: 3-6.