Iziphazamiso zeGastrointestinal ezisebenzayo: Yintoni ekufuneka uyazi

Abantu abaneengxaki zokwetyisa ezingenakufunyaniswa banokuba nengxaki yokusebenza kwesisu sesisu. Ngaba ukuqonda iintlobo kunokunceda ekwenzeni izicwangciso zonyango ezisebenzayo?

Iziphazamiso zeGastrointestinal ezisebenzayo

Ukuphazamiseka kokusebenza kwesisu, okanye iiFGDs, kukuphazamiseka kwenkqubo yokwetyisa apho ubukho besakhiwo okanye ukungahambi kakuhle kwezicubu kungakwazi ukuchaza iimpawu. Iziphazamiso zesisu ezisebenzayo azinazo iimpawu ezibonakalayo kwaye zifunyaniswa ngokusekwe kwiimpawu. (UChristopher J. Black, et al., 2020)

Iikhrayitheriya zaseRoma

Ii-FGDs zisebenzise ukuxilongwa kokungabandakanywa, oku kuthetha ukuba banokufunyaniswa kuphela emva kokuba isifo esiphilayo / esichongwayo sikhutshwe. Nangona kunjalo, kwi-1988, iqela labaphandi kunye nababoneleli bezempilo badibana ukuze baqulunqe imigaqo engqongqo yokuxilongwa kweentlobo ezahlukeneyo ze-FGDs. Iikhrayitheriya zaziwa ngokuba yi-Roman Criteria. (UMax J. Schmulson, uDouglas A. Drossman. 2017)

IiFGDs

Uluhlu olubanzi njengoko luchazwe yinkqubo yeRoma III (U-Ami D. Sperber et al., 2021)

Iziphazamiso ze-Esophageal ezisebenzayo

• Isitshisa esisebenzayo
• Iintlungu zesifuba ezisebenzayo kukholelwa ukuba zinemvelaphi yommizo
• I-dysphagia esebenzayo
• wonke

Iziphazamiso zeGastroduodenal ezisebenzayo

• Ukubhinca ngokugqithisileyo okungachazwanga
• I-dyspepsia esebenzayo - ibandakanya i-postprandial distress syndrome kunye ne-epigastric pain syndrome.
• I-idiopathic nausea engapheliyo
• IAerophagia
• Ukugabha okusebenzayo
• Cyclic vomiting syndrome
• I-Rumination syndrome kubantu abadala

Ukuphazamiseka kwamathumbu okuSebenza

• I-Irritable bowel syndrome - IBS
• Ukuqunjelwa okusebenzayo
• Urhudo olusebenzayo
• Ukuphazamiseka kwamathumbu okusebenzayo okungachazwanga

I-Functional Abdominal Pain Syndrome

• Iintlungu zesisu ezisebenzayo-FAP

I-Gallbladder esebenzayo kunye ne-Sphincter ye-Oddi Disorders

• Ukuphazamiseka kwe-gallbladder esebenzayo
• Ukusebenza kwebiliary Sphincter ye-Oddi disorder
• I-pancreatic Sphincter esebenzayo ye-Oddi disorder

Iziphazamiso ze-Anorectal ezisebenzayo

• Ukungasebenzi kakuhle kwe-fecal
• I-Functional Anorectal Pain - ibandakanya i-proctalgia engapheliyo, i-Levator ani syndrome, intlungu ye-anorectal engachazwanga, kunye ne-proctalgia fugax.
• I-Functional Defecation Disorders - ibandakanya ukukhutshwa kwe-dyssynergic kunye nokungahambi kakuhle kwe-defecatory propulsion.

Iziphazamiso zeGI eziSebenzayo ebuntwaneni

Usana/Umntwana (UJeffrey S. Hyams et al., 2016)

• I-colic yomntwana
• Ukuqunjelwa okusebenzayo
• Urhudo olusebenzayo
• Cyclic vomiting syndrome
• Ukubuyiselwa kweentsana
• I-Infant Rumination syndrome
• I-dyschezia yomntwana

Iziphazamiso zeGI eziSebenzayo ebuntwaneni:

Umntwana / Ofikisayo

• Ukugabha kunye ne-Aerophagia-i-cyclic vomiting syndrome, i-adolescent rumination syndrome, kunye ne-aerophagia
• I-Assistant-Related Pain-Related Functional GI Disorders ziquka:

1. i-dyspepsia esebenzayo
2. IBS
3. I-migraine yesisu
4. Intlungu esebenzayo yobuntwana yesisu
5. I-syndrome yeentlungu zesisu ezisebenzayo ebuntwaneni

• Ukuqunjelwa - ukuqunjelwa okusebenzayo
• I-Incontinence - ukungahambi kakuhle kwe-fecal incontinence

Ukuqondwa

Nangona iindlela zaseRoma zivumela ukuxilongwa kwee-FGDs ukuba zisekelwe kwiimpawu, umboneleli wezempilo usenokwenza iimvavanyo eziqhelekileyo zokuxilonga ukuze akhuphe ezinye izifo okanye ajonge iingxaki zesakhiwo ezibangela iimpawu.

impatho

Nangona kungekho zimpawu zibonakalayo zesifo okanye iingxaki zesakhiwo ezinokuchongwa njengezibangela iimpawu, oko akuthethi ukuba azikho. iyanyangeka kwaye iyalawuleka. Kubantu abakrokrela ukuba banokuba okanye bafunyenwe benesifo esisebenzayo sesisu, kuya kuba yimfuneko ukusebenzisana nomboneleli wezempilo kwisicwangciso esisebenzayo sonyango. Iinketho zonyango zinokubandakanya: (UAsma Fikree, uPeter Byrne. 2021)

• Ulungiso lwenyama
• Ulungelelwaniso lwezondlo kunye nokutya
• Uxinzelelo lweengxaki
• Unyango lweengqondo
• Amachiza
• Biofeedback

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Ukutya ngokufanelekileyo ukuze uzive ungcono

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Ucaphulo

Mnyama, CJ, Drossman, DA, Talley, NJ, Ruddy, J., & Ford, AC (2020). Ukuphazamiseka kwesisu esisebenzayo: inkqubela phambili ekuqondeni nasekulawuleni. Lancet (eLondon, eNgilani), 396(10263), 1664–1674. doi.org/10.1016/S0140-6736(20)32115-2

Schmulson, MJ, & Drossman, DA (2017). Yintoni Entsha eRoma IV. Ijenali ye-neurogastroenterology kunye ne-motility, i-23 (2), i-151-163. doi.org/10.5056/jnm16214

Sperber, AD, Bangdiwala, SI, Drossman, DA, Ghoshal, UC, Simren, M., Tack, J., Whitehead, WE, Dumitrascu, DL, Fang, X., Fukudo, S., Kellow, J., Okeke , E., Quigley, EMM, Schmulson, M., Whorwell, P., Archampong, T., Adibi, P., Andresen, V., Benninga, MA, Bonaz, B., … Palsson, OS (2021). Ukuxhaphaka kwehlabathi jikelele kunye nomthwalo wokuSebenza kweGastrointestinal Disorders, Iziphumo zeRome Foundation yeSifundo seGlobal. I-Gastroenterology, i-160 (1), i-99-114.e3. doi.org/10.1053/j.gastro.2020.04.014

Hyams, JS, Di Lorenzo, C., Saps, M., Shulman, RJ, Staiano, A., & van Tilburg, M. (2016). Iziphazamiso eziSebenzayo: Abantwana kunye nabafikisayo. I-Gastroenterology, i-S0016-5085 (16) 00181-5. Ukupapashwa kwangaphambili kwi-intanethi. doi.org/10.1053/j.gastro.2016.02.015

Fikree, A., & Byrne, P. (2021). Ulawulo lweengxaki ezisebenzayo zesisu. Iyeza leklinikhi (eLondon, eNgilani), i-21 (1), i-44-52. doi.org/10.7861/clinmed.2020-0980