Wannan Rukunin Sharuɗɗa na Tambaya Zai iya Taimako Tattaunawa IBS
Sashin ciwo mai jiyya (IBS) wanda aka fi girma shi ne a matsayin yanayin wariya. A wasu kalmomi, ana gano IBS yawancin bayanan sauran cututtuka, irin su kamuwa da cuta ko cuta, an fitar da su. Wannan yana da tsada, cin lokaci, da kuma rashin lafiya ga masu lafiya da likitoci. A cikin ƙarshen '70s da farkon' masu bincike 80s suka fara dubawa sosai a IBS a matsayin mummunar cuta kuma ba matsala ta damuwa ba.
A 13th Congress International of Gastroenterology a Roma, Italiya a 1988, wani rukuni na likitoci sun bayyana ma'auni don gano mafi kuskure IBS. An san shi a matsayin "Ƙarshen Roma," wannan jagoran jagororin da ke nuna alamun bayyanar da ya shafi sigogi irin su mita da tsawon lokacin da zai yiwu a gane asali na IBS.
Ƙungiyar Romawa ta shafe sauƙi da kuma sabuntawa tun lokacin da aka samo asali. Wannan ya haifar da zama mafi taimako wajen bincikar IBS. An fara gina jiki cikin jiki na tsawon shekaru 6 kuma ya dauki nauyin masana 117.
Ƙarshen Roma IV
Matsayi na Roma IV na IBS shine:
Saurin ciwo mai ciwo, a matsakaita, akalla kwana 1 / mako a cikin watanni 3 na ƙarshe, wanda ke hade da biyu ko fiye daga cikin wadannan sharudda *:
Game da raguwa
An haɗa shi da canji a madaidaicin mita
Haɗin tare da canji a cikin nau'i (bayyanar) na ƙarfin hali.
* Mahimmanci ya cika ga watanni 3 na ƙarshe tare da bayyanar bayyanar a kalla 6 watanni kafin ganewar asali
A cikin ainihin harshe, wannan yana nufin cewa don a gano shi tare da IBS, dole mutum ya kasance yana da alamun bayyanar akalla 1 rana a mako domin watanni 3 na ƙarshe. Hakanan zai iya kasancewa da alaka da raguwa (wucewa ko kwakwalwa), tare da canje-canje a sau nawa mutum ya je gidan wanka, kuma ya faru tare da canji a yadda tasirin ke kallo (kamar ƙara wuya ko sutura).
Dole ne akwai guda biyu daga cikin wadannan alamomi uku da ke faruwa tare da alamun bayyanar.
Lokaci wani muhimmin mahimmanci ne a cikin Rom Criteria: ba kawai dole ne alamu da bayyanar cututtuka su kasance ba a cikin watanni 3 da suka wuce, dole ne sun fara a kalla watanni 6 da suka gabata. Wannan yana nufin cewa ba za a iya gano IBS ba a baya fiye da watanni 6 bayan bayyanar cututtuka ta fara.
Akwai matsala da yawa ga ka'idodin Roma kuma akwai bayani mai yawa ga likitoci akan yadda za a yi amfani da ita don tantancewa da kuma kula da marasa lafiya. Tare da kowane sabuntawa, ka'idodin Roma ya sake ƙara yadda aka gano IBS da sauran yanayin aiki. Ya tafi daga wasu 'yan layi don ya zama mafi nuanced da cikakken bayani, wanda ke taimakawa wajen jagorantar likitoci wajen yin la'akari da alamomi da alamu na IBS. Ba ma kasancewa mai kama da juna ba, IBS ne bakan baka kuma mutane zasu iya samun nau'o'in nau'i daban-daban, ciki har da zazzabin-ƙari da maƙarƙashiya-mahimmanci, da kuma canza tsakanin maƙarƙashiya da zawo. Abin da ya fi haka, akwai yiwuwar bambance-bambance game da yadda maza da mata suka bayyana yanayin da kuma amsawa da ita, don haka Romawa na Criteria yayi ƙoƙarin kama shi.
Sauran cututtuka na IBS
Kwayar cututtukan da aka lissafa a sama a cikin gajeren taƙaice daga ka'idar Roma ba dole ba ne kawai alamun IBS.
Ƙarin bayyanar cututtuka na IBS zai iya haɗawa da:
- Jiɗa
- Wulo
- Cikakken jin dadi bayan koda karamin abinci
- Vomiting
Tarihin Tarihin Roma
Ba'a yarda da ka'idojin Roma ba a lokacin da aka gabatar da su amma an sami mafi kyawun karɓar bayanan farko. Wannan fitowar ta biyu, wanda aka kirkiro a 1992 kuma wanda aka sani da Roma II, ya kara tsawon lokaci don bayyanar cututtuka kasancewa da jin zafi a matsayin alamar. Roma III ta ci gaba da fadada akan abin da ke da kuma ba a dauke shi ba ne a shekara ta 2006.
Na farko ƙoƙari na rarraba bayyanar cututtuka na IBS da aka sani da Manning Criteria. Daga bisani an gano cewa wadannan sharudda ba su da cikakkun bayanai kuma basu da amfani don amfani da maza waɗanda ke da IBS.
Duk da wannan rashin kuskuren, Manning Criteria ya kasance muhimmiyar matsala wajen bayyana alamomi na IBS.
Hannun Manning sune:
- Ƙaddamar da ciwo da aka haɗa da ƙungiyoyi masu yawa
- Ajiye ɗakunan da ke hade da farawa na ciwo
- An raunana wahalar ta hanyar shinge
- Gwanin ciki na ciki
- Sanin rashin kwashewa fiye da 25% na lokaci
- Diarrhea tare da mucous fiye da 25% na lokaci
Source:
> Schmulson MJ, Drossman DA. "Mene Ne Sabon A Roma IV" J Neurogastroenterol Motil 2017 Apr 23 (2): 151-163.