Kodi N'chiyani Chokhalitsa Idiopathic Constipation (CIC)?
Kudziletsa kwachilendo (CIC) ndi matenda omwe munthu amakhala ndi zizindikiro zosadziwika za kudzimbidwa, komatu palibe chifukwa chodziwikiratu chomwe chingadziŵike kupyolera mu kuyesedwa koyezetsa magazi. Mawu akuti idiopathic amagwiritsidwa ntchito chifukwa amatanthauza kuti palibe chifukwa chodziwika. CIC imatchulidwanso kuti kugwira ntchito , monga momwe CIC imatchulidwira kuti ndi imodzi mwa mavuto okhudza m'mimba (FGDs), kutanthauza kuti ngakhale kuyesa sikuwonetsa zosaoneka zosaoneka, pali vuto momwe dongosolo lakumagwirira ntchito, kapena Nkhaniyi, matumbo aakulu, ikugwira ntchito.
Zikuoneka kuti pafupifupi 14% mwa anthu omwe ali ndi vuto lachibwibwi chachikulu. Anthu omwe ali pachiopsezo chachikulu amaphatikizapo amayi, anthu achikulire a misinkhu yonse ndi amuna okhaokha, komanso omwe ali ndi chikhalidwe chochepa cha chikhalidwe cha anthu.
Kodi Zizindikiro Za CIC Ndi Ziti?
Zizindikiro zoyambirira za CIC zikuphatikizapo:
- Zosasuntha zamatumbo
- Kuponda
- Malo ovuta kapena lumpy
- Kukumverera kuti sikumatha kusamuka
- Kukumva kuti chinachake chikulepheretsa sitimayo kutuluka
- Ayenera kugwiritsa ntchito zala kuti ayesere kutuluka ( kujambula kwa digito ndi kugonana kwakazi )
Anthu ambiri omwe ali ndi CIC amanenanso kuti ali ndi zizindikiro zotsatirazi pambali pa kuvomereza:
- Kupweteka m'mimba kapena kusokonezeka
- Kutseka
- Kupweteka kwa gasi
Kodi CIC Amadziwika Bwanji?
Ngati mukuganiza kuti muli ndi CIC, dokotala wanu akhoza kukayezetsa thupi ndikugwira ntchito zina zamagazi kuti athetse matenda ena. Mayesero ena opatsirana angapangidwe malinga ndi zizindikiro zanu ndi mbiri yachipatala.
FGS amapezeka malinga ndi njira ya III III . Zizindikiro za Roma zimatanthauzira matendawa monga kuvomereza kugwira ntchito. Kuti mudziwe kuti munthu akugwira ntchito yodzimbidwa, sikuyenera kukhala chizindikiro chosaoneka bwino chodziwika ndi kupyolera mthupi. Izi zimayesa kufotokoza zizindikiro za CIC, mwachitsanzo, kunena kuti payenera kukhala osachepera katatu masentimita pa sabata ndipo zizindikiro zina zimachitika pafupifupi 25 peresenti ya nthawiyo.
Zithunzi zosafunika ziyenera kukhala zosawerengeka popanda kugwiritsa ntchito mankhwala osokoneza bongo. Zizindikiro siziyenera kutsatizana ndi zizindikiro zoyambitsa matenda a m'mimba (IBS) ndipo ziyenera kukhalapo kwa miyezi itatu, ndikuyamba miyezi isanu ndi umodzi musanayambe kudziwa.
Kodi CIC Imasankhidwa Bwanji?
Palibe mankhwala enieni a CIC. Koma pali njira zosiyanasiyana zochiritsira zomwe dokotala angakambirane nanu:
Matenda a Zakudya : Dokotala wanu angakulimbikitseni kuti mupitirize kudya zakudya zamagetsi, monga fiber ingathandize kuchepetsa zitsulo, kuti zikhale zosavuta kudutsa. Onetsetsani kuti muwonjezere thupi lanu pang'onopang'ono kuti mulole thupi lanu lisinthe. Zambiri zozizira kwambiri posachedwa zingayambitse zizindikiro za mpweya ndi kuphulika. Mutha kupeza kuti fiber yosungunuka bwino imalekerera. Mukhoza kuwonjezera kudya kwa zakudya zomwe mumadya kapena pogwiritsira ntchito fiber.
Mankhwalawa : Pali mitundu yambiri ya mankhwala omwe amatha kupereka mpumulo wafupikitsa wa kudzimbidwa poonjezera m'madzi otentha mumatumbo akuluakulu ( osmotic laxatives ) kapena kayendedwe kotsitsimutsa.
Mankhwala : Mankhwala ambili amapezeka kuti apangidwe mankhwala osokoneza bongo:
Biofeedback : Ngati dokotala wanu atsimikiza kuti dyssynergic defecation (kutayika kwa pelvic) ikugwira ntchito mu CIC yanu, akhoza kukulimbikitsani kuyesa biofeedback . Mankhwalawa asonyezedwa kuti ndi othandiza pakuwongolera mgwirizano wa minofu ya phulusa yomwe ikuphatikizidwa pokhala ndi matumbo.
Kodi Kusiyanasiyana pakati pa CIC ndi Irritable Bowel Syndrome ndi chiyani?
Matenda omwe amachititsa kuti thupi likhale lopweteka kwambiri (IBS-C) limakhala ndi zizindikiro zambiri monga CIC. Ndipotu, mwa kutanthawuza, CIC imangotengedwa ngati zizindikiro za IBS sizinachitike. Kusiyanitsa kwakukulu pakati pa matenda awiriwa ndikuti zizindikiro za matenda a IBS-C zimafuna kuti pakhale chidziwitso chakumva kosalekeza komwe kumayenderana ndi kayendedwe ka m'mimba.
M'dziko lenileni, madokotala ambiri amauza odwala awo kuti ali ndi IBS ngati akudwala matenda osadziwika popanda chifukwa chodziwikiratu, mosasamala kanthu kuti zopweteka zimaphatikizapo kuyenda.
Akatswiri ena amakhulupirira kuti mavuto awiriwa ndi osiyana kwambiri. Anthu ambiri omwe amadziwika ndi CIC amamva kupweteka m'mimba ndipo samakhala bwino ndipo pali anthu ambiri omwe amapezeka kuti akusintha kuchokera ku matenda ena mpaka nthawi ina. N'zotheka kuti mavuto awiriwa akugwera pazomwezo. Kusiyanitsa kwakukulu pakati pa awiriwo kungakhale kofanana ndi mankhwala, popeza anthu omwe ali ndi IBS-C amawoneka kuti ndi ovuta kuposa omwe ali ndi CIC kuti athe kuchitapo kanthu pazochita zothandizira kuti athe kupweteka, pamene iwo omwe ali ndi CIC akuwoneka kuti akhoza kuwayankha mankhwala ena kapena mankhwala omwe amathandiza kugwiritsidwa ntchito kwa minofu ya m'mimba yaikulu.
> Zotsatira:
> Bassotti, G., et. al. "Ma maselo ndi maselo osakanizidwa: Kulemba chizindikiro cha ntchito / idiopathic kunja kwa" World Journal of Gastroenterology 2013 19: 4099-4105.
> Ford, A., etal. " American College of Gastroenterology Monograph pa Ulamuliro wa Irritable Bowel Syndrome ndi Chronic Idiopathic Constipation " American Journal of Gastroenterology 2014 109: S2-S26.
> Heidelbaugh, J. "The Spectrum of Constipation-Systrome Yachilendo Yambiri Yopweteka ndi Matenda Ovuta Kwambiri: US Survey Symptoms Symptoms, Seeking Care, and Disease Burden" American Journal of Gastroenterology 2015 110: 580-587.
Siah KTH, Wong RK, Whitehead WE. "Kusamalidwa ndi Kutaya Kwambiri-IBS Zambiri: Matenda Osiyana Kapena Osiyana Kapena Matenda a Matenda?" Gastroenterology & Hepatology 2016; 12 (3): 171-178.