Matenda osokoneza ubongo (IBS-A) ndi kachilombo ka matenda a m'mimba (IBS) . Mukakhala ndi IBS-A, mumakhala ndi zizindikiro zonse za IBS , koma mulibe chizoloŵezi chokhazikika. Mudzapeza kuti mukuchita ndi zigawo ziwiri za kutsekula m'mimba ndi kudzimbidwa. Kusintha kwa zizindikiro za m'mimba kungachititse kuti zikhale zovuta kupeza njira zomwe zimabweretsa chithandizo cha matenda.
Zolinga za Roma: IBS ndi Mixed Bowel Habits (IBS-M)
IBS ndi matenda ogwira ntchito m'mimba omwe amapezeka chifukwa chogwiritsa ntchito malamulo omwe amadziwika kuti Aroma . M'malo mwa IBS-A, machitidwe omwe alipo tsopano a Rome ayamba kugwiritsa ntchito mawu akuti "IBS ndi zizoloŵezi zosiyana" (IBS-M). Inu mwinamwake mupitiliza kumva anthu ena akuitcha IBS-A. Zina mwa IBS subtypes ndi kudzimbidwa-kwakukulu kwambiri IBS (IBS-C) ndi kutsekula m'mimba-makamaka IBS (IBS-D) ndi IBS-unclassified.
Milandu ya Rome IV inasintha malingaliro a subtypes a IBS kuchokera ku chiwerengero cha zonse zomwe zimatuluka m'mimba mpaka peresenti ya matumbo pa masiku amadzimadzi okha. Kusintha kumeneku kunathandiza anthu ambiri omwe adagwera m'gulu losadziwika kuti matenda awo adzigwera m'modzi mwa magulu atatuwa. IBS imaonedwa kuti ndi yosiyana kwambiri ndi magawo omwe akuonetsa zovuta zosiyana.
Zizindikiro za IBS-A
Bungwe la Rome IV limatanthauza IBS-M (IBS-A) ngati ili ndi zovuta, zovuta pazigawo makumi asanu ndi limodzi (25%) za matumbo pa masiku amadzimadzi, ndipo nthawi zina zimakhala zochepa kwambiri pazinthu zina zozizwitsa.
Kusintha kumeneku kumatha kuchitika maola ambiri kapena masiku. Anthu ena amapeza kuti vuto lawo la m'mimba limasintha pakati pa milungu kapena miyezi ya kutsekedwa ndi masabata kapena miyezi yotsekula m'mimba. Zomwe simungathe kuziwerengera m'masiku omwe mulibe zizindikiro.
Anthu omwe ali ndi IBS-A amakhalanso ndi zizindikiro zina kapena zina zomwe zikugwirizana ndi IBS:
Zindikirani: Ngati muli ndi zizindikiro zowonongeka, kutsegula m'mimba, kapena zizindikiro zina zomwe tatchula pamwambapa, nkofunika kuti muwone dokotala wanu kuti mudziwe bwinobwino. Matenda ambiri aakulu a thanzi amagawana zizindikiro zofanana ndi IBS ndi IBS-A. Mukakhala ndi matenda oyenerera, mukhoza kugwira ntchito ndi dokotala mukakonza dongosolo la mankhwala.
Kukula kwa IBS-A
Palibe deta zambiri zomwe zimangotchula chiwerengero cha anthu omwe ali ndi IBS-A. Kafukufuku wina amasonyeza kuti pafupifupi theka la odwala onse a IBS ali ndi kachilombo ka matendawa. Lipoti lina linapeza kuti ochuluka a odwala a IBS amatha kusintha njira yowonjezera ndi kutsegula m'mimba, koma samadzifotokozera okha kuti ali ndi IBS-A. Milandu ya Rome IV inalembedwanso kuti odwala ambiri agwere mu umodzi mwa magulu atatu ena osati gulu losadziwika.
Kodi Zimayambitsa IBS-A?
Apanso, palibe chomwe chimadziwika chifukwa chake munthu yemwe ali ndi IBS angakhale ndi zizindikiro zokhudzana ndi chimodzi kapena china mwa mitundu itatuyi. Ndipo ndi IBS-A, zimasokoneza kwambiri kuti vuto lalikulu lidziwonetse okha ndi chizindikiro cha kudzimbidwa ndi kutsekula m'mimba.
Ngakhale kuti sipangakhale cholinga chenicheni pa IBS-A, ofufuza akhala akuyang'ana zinthu zomwe zingakhale zikuyambitsa IBS ambiri. Zinthu izi zikuphatikizapo:
- Mavuto ndi matumbo motility
- Kugwiritsira ntchito hypersensitivity kukakamiza mkatikati mwa matumbo akuluakulu
- Mavuto omwe ali pakati pa ubongo ndi matumbo
- Kutupa komwe sikuwoneka pakayesedwa koyezetsa magazi.
- Kusayenerera kwa mabakiteriya
Kuchiza kwa IBS-A
Chovuta ndi chithandizo cha IBS ndi chakuti mukufuna kuonetsetsa kuti kuyesetsa kuthetsa vuto limodzi la chizoloŵezi cha m'mimba sikungabweretse vuto linalake. Kugwira ntchito limodzi ndi dokotala kungathandize.
Dokotala wanu angakulimbikitseni njira kapena njira zonse zomwe zimalangizidwa kuti zichiritsidwe ndi IBS:
> Zotsatira:
> Saha, L. "Matenda owopsa a m'mimba: Pathogenesis, diagnosis, mankhwala, ndi mankhwala ofotokoza umboni" World Journal of Gastroenterology 2014 20: 6759-6773.
> Schmulson MJ, Drossman DA. Kodi N'chiyani Chatsopano ku Roma IV? Journal of Neurogastroenterology ndi Motility . 2017; 23 (2): 151-163. do: 10.5056 / jnm16214.