Awọn rudurudu Ifun inu Iṣiṣẹ: Ohun ti O Nilo lati Mọ

Awọn ẹni-kọọkan ti o ni awọn iṣoro ounjẹ ounjẹ ti a ko le ṣe iwadii le ni iriri awọn rudurudu ikun ti iṣẹ. Njẹ oye awọn oriṣi le ṣe iranlọwọ ni idagbasoke awọn eto itọju to munadoko?

Awọn rudurudu Ifun Ifun Iṣẹ

Awọn rudurudu ikun ti iṣẹ ṣiṣe, tabi awọn FGDs, jẹ awọn rudurudu ti eto ounjẹ ninu eyiti wiwa ti igbekale tabi aiṣedeede ti ara ko le ṣe alaye awọn ami aisan. Awọn rudurudu ikun ti iṣẹ ṣiṣe ko ni awọn ami-ara ti o le ṣe idanimọ ati pe a ṣe ayẹwo ti o da lori awọn ami aisan. (Christopher J. Black, ati al., 2020)

Rome àwárí mu

Awọn FGDs lo awọn iwadii ti imukuro, afipamo pe wọn le ṣe ayẹwo nikan lẹhin ti Organic/aisan ti a ṣe idanimọ ti pase jade. Sibẹsibẹ, ni ọdun 1988, ẹgbẹ kan ti awọn oniwadi ati awọn olupese ilera pade lati ṣe agbekalẹ awọn ibeere to muna fun iwadii aisan ti awọn oriṣi FGD. Awọn idiwon naa ni a mọ bi Awọn ibeere Rome. (Max J. Schmulson, Douglas A. Drossman. 2017)

FGDs

Atokọ okeerẹ gẹgẹbi a ti ṣalaye nipasẹ awọn ilana Rome III (Ami D. Sperber et al., 2021)

Awọn Ẹjẹ Esophageal Iṣẹ

• Heartburn iṣẹ
• Irora àyà iṣẹ ṣiṣe gbagbọ pe o jẹ ti ipilẹṣẹ esophageal
• dysphagia iṣẹ-ṣiṣe
• Globus

Iṣẹ-ṣiṣe Gastroduodenal Ẹjẹ

• Àìsọ pàtó belching nmu
• Dyspepsia ti iṣẹ-ṣiṣe - pẹlu iṣọn-aisan ipọnju postprandial ati iṣọn irora epigastric.
• ríru idiopathic onibaje
• Aerophagia
• Eebi iṣẹ
• Cyclic eebi dídùn
• Rumination dídùn ninu awọn agbalagba

Awọn Ifun Ifun Iṣẹ

• Irritable ifun dídùn – IBS
• àìrígbẹyà iṣẹ
• gbuuru iṣẹ
• Idarudapọ ifun iṣẹ ti ko ni pato

Aisan Irun Inu Iṣẹ-ṣiṣe

• Inu irora iṣẹ-ṣiṣe - FAP

Gallbladder iṣẹ-ṣiṣe ati Shincter ti Awọn rudurudu Oddi

• Iṣoro gallbladder iṣẹ ṣiṣe
• Sfincter biliary iṣẹ-ṣiṣe ti rudurudu Oddi
• Sfincter pancreatic iṣẹ-ṣiṣe ti rudurudu Oddi

Iṣẹ-ṣiṣe Anorectal Ẹjẹ

• Aisedeede fecal iṣẹ
• Irora Anorectal ti iṣẹ-ṣiṣe - pẹlu proctalgia onibaje, iṣọn Levator ani, irora anorectal iṣẹ-ṣiṣe ti a ko sọ pato, ati proctalgia fugax.
• Awọn rudurudu Igbẹhin iṣẹ – pẹlu idọti dyssynergic ati itunnu aipe ti ko pe.

Awọn rudurudu GI iṣẹ ṣiṣe ọmọde

Ìkókó/Ọmọdé (Jeffrey S. Hyams ati al., Ọdun 2016)

• Ọmọ inu oyun
• àìrígbẹyà iṣẹ
• gbuuru iṣẹ
• Cyclic eebi dídùn
• Itọju ọmọde
• Ìkókó rumination dídùn
• dyschezia ọmọ ikoko

Awọn rudurudu GI Iṣiṣẹ ọmọde:

Ọmọde/Ọdọmọkunrin

• Eebi ati Aerophagia - iṣọn eebi cyclic, iṣọn rumination ọdọ, ati aerophagia
• Inu Inu-Irora ti o jọmọ Awọn Arun GI Iṣẹ ṣiṣe ni:

1. dyspepsia iṣẹ-ṣiṣe
2. IBS
3. Ikun migraine
4. Irora inu ti iṣẹ-ṣiṣe ọmọde
5. Aisan irora inu inu iṣẹ ṣiṣe ọmọde

• àìrígbẹyà – àìrígbẹyà iṣẹ
• Incontinence – aiduro fecal incontinence

okunfa

Botilẹjẹpe awọn ilana Rome gba ayẹwo ti FGDs lati jẹ orisun-ami-ami, olupese ilera kan le tun ṣe awọn idanwo idanimọ boṣewa lati ṣe akoso awọn aarun miiran tabi wa awọn iṣoro igbekalẹ ti o yọrisi awọn ami aisan.

itọju

Botilẹjẹpe ko si awọn ami ti o han ti arun tabi awọn iṣoro igbekalẹ le ṣe idanimọ bi o nfa awọn ami aisan naa, ko tumọ si pe wọn kii ṣe treatable ati ki o ṣakoso. Fun awọn ẹni-kọọkan ti o fura pe wọn le ni tabi ti ni ayẹwo pẹlu iṣọn-ẹjẹ nipa ikun ti iṣẹ, yoo jẹ pataki lati ṣiṣẹ pẹlu olupese ilera kan lori eto itọju ti n ṣiṣẹ. Awọn aṣayan itọju le pẹlu: (Asma Fikree, Peter Byrne. 2021)

• Itọju ailera ara
• Awọn atunṣe ounjẹ ati ounjẹ
• Itoju iṣoro
• Ọpọlọ
• gbígba
• Biofeedback

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Njẹ ọtun Lati Lero Dara

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Black, CJ, Drossman, DA, Talley, NJ, Ruddy, J., & Ford, AC (2020). Awọn rudurudu ikun ti iṣẹ-ṣiṣe: awọn ilọsiwaju ni oye ati iṣakoso. Lancet (London, England), 396(10263), 1664–1674. doi.org/10.1016/S0140-6736(20)32115-2

Schmulson, MJ, & Drossman, DA (2017). Kini Tuntun ni Rome IV. Iwe akosile ti neurogastroenterology ati motility, 23 (2), 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). Ilọju Kariaye ati Ẹru ti Awọn rudurudu Ifun Ifun Iṣẹ, Awọn abajade Ikẹkọ Agbaye ti Ipilẹ Rome. Gastroenterology, 160 (1), 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). Awọn ailera iṣẹ: Awọn ọmọde ati awọn ọdọ. Gastroenterology, S0016-5085 (16)00181-5. Advance online atejade. doi.org/10.1053/j.gastro.2016.02.015

Fikree, A., & Byrne, P. (2021). Isakoso ti awọn rudurudu ikun ti iṣẹ. Oogun iwosan (London, England), 21 (1), 44-52. doi.org/10.7861/clinmed.2020-0980