Gulu Lotsogolera Limeneli Lingathandize Kuthandizira Kufufuza IBS
Matenda owopsa a matumbo (IBS) amagawidwa kwambiri ngati momwe angathere. Mwa kuyankhula kwina, IBS kawirikawiri imapezeka kuti zizindikiro zina, monga matenda kapena matenda, zimachotsedwa. Izi ndi zamtengo wapatali, zogwiritsira ntchito nthawi, komanso zovuta kwambiri kwa odwala komanso kwa madokotala. Chakumapeto kwa zaka za m'ma 70s komanso oyambirira a "80s" ofufuza anayamba kuyang'ana kwambiri ku IBS ngati vuto lalikulu osati vuto la maganizo .
Pa 13th International Congress of Gastroenterology ku Rome, Italy mu 1988, gulu la madokotala linatanthauzira njira zodziwira molondola za IBS. Zodziŵika kuti "Zotsatira za Roma," izi zotsatizana zomwe zikufotokozera zizindikiro ndipo zimagwiritsira ntchito magawo monga nthawi ndi nthawi zimapangitsa kuti muzindikire bwino IBS.
Zolinga za Roma zakhala zikuwongosoledwa ndi zolemba zambiri kuchokera pachiyambi chake. Izi zachititsa kuti zikhale zothandiza kwambiri kuwona IBS. Kuwonjezeka kwaposachedwa kunali pansi pa chitukuko kwazaka zisanu ndi chimodzi ndipo zidapindula ndi akatswiri 117.
Zotsatira za Roma IV
Zolinga za IV IV za IBS ndi izi:
Mavuto am'mimba amodzi, pafupifupi, tsiku limodzi / sabata mu miyezi itatu yapitayi, yogwirizana ndi zifukwa ziwiri kapena zingapo zotsatirazi:
Zokhudzana ndi defecation
Yogwirizana ndi kusintha kwafupipafupi pachitetezo
Yogwirizana ndi kusintha kwa mawonekedwe (mawonekedwe) a chitseko.
* Criterion inakwaniritsidwa kwa miyezi itatu yapitayi ndi zizindikiro zimayamba miyezi isanu ndi umodzi isanatuluke
M'chinenero chenicheni, izi zikutanthauza kuti kuti adziwe kuti ali ndi IBS, munthu ayenera kukhala ndi zizindikiro zosachepera tsiku limodzi pa sabata kwa miyezi itatu yapitayo. Zizindikiro zikhonza kukhala zogwirizana ndi kufotokozera (kupititsa chotupa kapena kupopera), kumaphatikizapo kusintha komwe munthu amapita ku bafa, ndipo zimachitika ndi kusintha kwa momwe malo amawonetsera (monga ovuta kapena otsegula).
Payenera kukhala zizindikiro ziwiri izi zikuchitika ndi zizindikiro.
Nthawi ndi chinthu china chofunika kwambiri pa zofunikira za Roma: osati zizindikiro zomwe ziyenera kukhalapo kwa miyezi itatu yapitayi, ayenera kuti ayamba pafupifupi miyezi isanu ndi umodzi yapitayo. Izi zikutanthauza kuti IBS sichitha kupezekapo kale kuposa miyezi isanu ndi umodzi chiyambireni zizindikiro.
Pali zambiri zomwe zimayendera ku Roma ndipo pali zambiri zambiri zomwe zimapezeka kwa madokotala momwe angagwiritsire ntchito kuti apeze ndi kuchiza odwala. Ndi mfundo zonse, zofunikira za Roma zikukonzanso momwe IBS ndi zinthu zina zimayendera. Zachokera ku mizere ingapo kuti zikhale zowonjezereka kwambiri, zomwe zimathandiza kutsogolera madokotala kuyesa zizindikiro za IBS. M'malo mosiyana, IBS ndizosiyana siyana ndipo anthu amatha kukhala ndi mitundu yosiyana siyana, kuphatikizapo kutsekula m'mimba, makamaka kutsekula pakati pa kudzimbidwa ndi kutsekula m'mimba. Zowonjezera, pangakhale kusiyana pakati pa momwe abambo ndi amai amafotokozera chikhalidwe ndi kuchitapo kanthu, ndipo kotero zifukwa za Roma amayesa kulanda zomwezo.
Zizindikiro Zina za IBS
Zizindikiro zomwe tazitchula pamwambapa mu ndondomeko yochepa ya zofunikira za Roma sizomwe zizindikiro zokha za IBS.
Zizindikiro zosavomerezeka za IBS zingaphatikizepo:
- Nausea
- Kutopa
- Kumverera kwathunthu pambuyo ngakhale chakudya chaching'ono
- Kuthamanga
Mbiri ya Zotsatira za Roma
Zolinga za Roma sizinali zovomerezeka kwambiri pamene poyamba zinkaperekedwa koma zinalandira bwino pambuyo poyambanso kukonzanso. Baibulo lachiwirili, lomwe linakhazikitsidwa mu 1992 ndipo limadziwika kuti Rome II, linaphatikizapo nthawi yaitali kuti zizindikiro zikhalepo komanso kupweteka ngati chizindikiro. Rome III ikuwonjezeranso pa zomwe ziribe ndi zomwe sizingaganizidwe ndi IBS ndipo zinavomerezedwa mu 2006.
Kuyesera koyambirira kusonyeza zizindikiro za IBS kunkadziwika kuti Malamulo a Manning. Pambuyo pake anapeza kuti izi sizolondola komanso zosakhulupirika kuti zigwiritsidwe ntchito ndi amuna omwe ali ndi IBS.
Ngakhale zofooka izi, Maphunziro a Manning anali chinthu chofunikira kwambiri pofotokozera zizindikiro za IBS.
Malingaliro Othandiza ndi awa:
- Kupweteka koyamba komwe kumayenderana ndi kayendedwe kafupipafupi kamodzi
- Zitsulo zotsegula zomwe zimayambitsanso ululu
- Ululu umatonthozedwa podutsa pamsasa
- Kuzindikiritsidwa kwa m'mimba kupyolera
- Kutha kwatha kusamukira kupitirira 25 peresenti ya nthawiyo
- Matenda otsekula m'mimba ndi oposa 25% a nthawiyo
Chitsime:
> Schmulson MJ, Drossman DA. "Chomwe Chiri Chatsopano ku Roma IV." J Neurogastroenterol Motil 2017 Apr; 23 (2): 151-163.