Isifo esibuhlungu sesisu

Irritable bowel syndrome (IBS) sisifo esikhokelela kwintlungu esiswini nakwinguqu yamathumbu.

I-IBS ayifani nesifo sesibindi sokuvuvukala (IBD).

Izizathu zokuba kutheni i-IBS ikhula ingacacanga. Inokwenzeka emva kosulelo lwebhaktiriya okanye usulelo lwe-parasitic (giardiasis) lwamathumbu. Oku kubizwa ngokuba yi-IBS eyosulelayo. Kukho nezinye izinto ezibangela, kuquka uxinzelelo.

Amathumbu adityaniswe nengqondo kusetyenziswa iihomoni kunye neempawu zemithambo-luvo ezihamba zibuye zibuye phakathi kwamathumbu nengqondo. Le miqondiso ichaphazela ukusebenza kwamathumbu kunye neempawu. Iimbilini zinokusebenza ngakumbi ngexesha loxinzelelo. Oku kunokubangela ukuba amathumbu abe novakalelo ngakumbi kwaye enze isivumelwano ngakumbi.

I-IBS inokwenzeka nakweyiphi na iminyaka. Rhoqo, iqala kwiminyaka yeshumi elivisayo okanye ebudaleni. Iphindwe kabini kunabafazi kunamadoda.

Kunqabile ukuba iqale kubantu abadala ngaphezulu kweminyaka engama-50 ubudala.

Phantse i-10% ukuya kwi-15% yabantu baseMelika baneempawu ze-IBS. Yeyona ngxaki ixhaphakileyo yamathumbu ebangela ukuba abantu bathunyelwe kwingcali yamathumbu (gastroenterologist).

Iimpawu ze-IBS ziyahluka ukusuka komnye umntu ukuya komnye, kwaye zisusela kobuhlungu ukuya kobunzima. Uninzi lwabantu luneempawu ezibuthathaka. Kuthiwa une-IBS xa iimpawu zikhona ubuncinci iintsuku ezi-3 ngenyanga kangangexesha leenyanga ezintathu okanye nangaphezulu.

Iimpawu eziphambili zibandakanya:

• Intlungu zesisu
• Irhasi
• Ukugcwala
• Ukuqhawula
• Guqula imikhwa yamathumbu. Ngaba unorhudo (IBS-D), okanye ukuqhina (IBS-C).

Ubuhlungu kunye nezinye iimpawu zihlala zincitshiswa okanye zihambe emva kokuhamba kwamathumbu. Iimpawu zinokuphakama xa kukho utshintsho kubuninzi beentshukumo zakho zamathumbu.

Abantu abane-IBS banokubuyela emva naphambili phakathi kokuqunjelwa kunye norhudo okanye banayo okanye ikakhulu banenye okanye enye.

• Ukuba unayo i-IBS ngesifo sohudo, uya kuba nezihlalo eziqhelekileyo, ezivulekileyo, ezinamanzi. Unokuba nesidingo esingxamisekileyo sokuhamba kwamathumbu, ekunokuba nzima ukuwalawula.
• Ukuba une-IBS ngokuqunjelwa, uya kuba nexesha elinzima lokudlula kwisitulo, kunye nokuhamba kwamathumbu okumbalwa. Kuya kufuneka ukuba uxineke ngokuhamba kwamathumbu kwaye ube neekram. Rhoqo, kuphela sisixa esincinci okanye akukho situlo konke konke esiya kudlula.

Iimpawu zinokuya zisiba mbi kwiiveki ezimbalwa okanye inyanga, kwaye zehle okwexeshana. Ngamanye amaxesha, iimpawu zikhona amaxesha amaninzi.

Ungaphulukana nokutya kwakho ukuba une-IBS. Nangona kunjalo, igazi kwizitulo kunye nokwehla kobunzima obungenanjongo ayisiyonxalenye ye-IBS.

Akukho vavanyo lokufumanisa i-IBS. Uninzi lwexesha, umboneleli wakho wezempilo unokuchonga i-IBS esekwe kwiimpawu zakho. Ukutya ukutya okungenayo i-lactose kwiiveki ezi-2 kunokunceda umboneleli abone ukusilela kwe-lactase (okanye ukunganyamezelani kwe-lactose).

Olu vavanyo lulandelayo lunokwenziwa ukukhupha ezinye iingxaki:

• Uvavanyo lwegazi ukubona ukuba unesifo se-celiac okanye inani eliphantsi legazi (i-anemia)
• Uvavanyo lwe-Stool lwegazi lobugqi
• Iinkcubeko zesitulo ukujonga usulelo
• Uvavanyo lweMicroscopic lwesampulu yestool yeeparasites
• Uvavanyo lwe-Stool lwento ebizwa ngokuba yi-fecal calprotectin

Umboneleli wakho unokucebisa ikholonoscopy. Ngexesha lovavanyo, kufakwa ityhubhu eguqukayo nge-anus yokuvavanya ikholoni. Unokulufuna olu vavanyo ukuba:

• Iimpawu zaqala kamva ebomini (ngaphezulu kweminyaka engama-50)
• Unempawu ezifana nokulahleka kwesisindo okanye izitulo ezinegazi
• Uneemvavanyo zegazi ezingaqhelekanga (ezinjengexabiso eliphantsi legazi)

Ezinye iingxaki ezinokubangela iimpawu ezifanayo zibandakanya:

• Isifo seCeliac
• Umhlaza wekolon (umhlaza kunqabile ukuba ubangele iimpawu ze-IBS, ngaphandle kokuba iimpawu ezinje ngokulahleka kwesisindo, igazi kwizitulo, okanye uvavanyo lwegazi olungaqhelekanga lukhona)
• Isifo seCrohn okanye isifo sezilonda

Injongo yonyango kukhulula iimpawu.

Kwezinye iimeko ze-IBS, utshintsho kwindlela yokuphila lunokunceda. Umzekelo, ukuzilolonga rhoqo kunye nokuphucula imikhwa yokulala kunokunciphisa ukuxhalaba kwaye kuncede ukukhulula iimpawu zesisu.

Utshintsho kwindlela yokutya lunokuba luncedo. Nangona kunjalo, akukho ndlela yokutya inokucetyiswa kwi-IBS kuba imeko yahlukile komnye umntu.

Olu tshintsho lulandelayo lunokunceda:

• Ukuphepha ukutya kunye neziselo ezikhuthaza amathumbu (afana ne-caffeine, iti, okanye ii-colas)
• Ukutya ukutya okuncinci
• Ukwandisa i-fiber ekudleni (oku kunokuphucula ukuqunjelwa okanye isifo sohudo, kodwa kubangele ukuqhuma ngakumbi)

Thetha nomboneleli wakho ngaphambi kokuba uthathe amayeza.

Akukho yeza lisebenza kumntu wonke. Ezinye ezinokuthi zibonelelwe ngumboneleli wakho zibandakanya:

• Amayeza e-Anticholinergic (i-dicyclomine, i-propantheline, i-belladonna, kunye ne-hyoscyamine) ethathwe malunga nesiqingatha seyure ngaphambi kokutya ukulawula ukuphazamiseka kwemisipha yamathumbu
• I-Loperamide ukunyanga i-IBS-D
• I-Alosetron (iLotronex) ye-IBS-D
• I-Eluxadoline (Viberzi) ye-IBS-D
• Iiprobiotic
• Amanani aphantsi e-tricyclic antidepressants ukunceda ukunciphisa iintlungu zamathumbu
• ILubiprostone (amitiza) ye-IBS-C
• Bisacodyl ukunyanga i-IBS-C
• Rifaximin, isibulala-zintsholongwane
• I-Linaclotide (iLinzess) ye-IBS-C

Unyango lweengqondo okanye amayeza oxinzelelo okanye uxinzelelo kunokunceda kwingxaki.

I-IBS inokuba yimeko yexesha elide. Abanye abantu, iimpawu ziyakhubaza kwaye ziphazamise umsebenzi, uhambo, kunye noluntu.

Iimpawu zihlala zibangcono kunyango.

I-IBS ayibangeli ingozi esisigxina emathunjini. Kwakhona, ayikhokeleli kwisifo esibi, njengomhlaza.

Tsalela umnikezeli wakho ukuba unempawu ze-IBS okanye ukuba ubona utshintsho kwimikhwa yakho engapheliyo.

IBS; Ithumbu elicaphukisayo; Ikholoni ejikelezayo; Ikholoni ecatshukisayo; Isifo semiphunga; Isifo sokudumba; Intlungu yesisu - IBS; Urhudo - IBS; Ukuqunjelwa - IBS; IBS-C; IBS-D

• Ukuqunjelwa-yintoni oza kuyibuza ugqirha wakho

• Inkqubo yokwetyisa

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