Functional Gastrointestinal Disorders: Zvaunoda Kuziva

Vanhu vane dambudziko rekugaya izvo zvisingakwanisi kuonekwa vanogona kunge vari kusangana nekushanda kwegastrointestinal kusagadzikana. Kunzwisisa marudzi kungabatsira here kugadzira zvirongwa zvekurapa zvinoshanda?

Functional Gastrointestinal Disorders

Kushanda gastrointestinal kusagadzikana, kana FGDs, ihosha dzegadziriro yekugaya umo kuvapo kwechimiro kana matishu abnormality kusingagoni kutsanangura zviratidzo. Inoshanda gastrointestinal kusagadzikana inoshaya zvinozivikanwa biomarkers uye inoongororwa zvichienderana nezviratidzo. (Christopher J. Black, et al., 2020)

Roma Criteria

FGDs dzakashandisa kuongororwa kwekusabatanidzwa, zvichireva kuti vaigona kungoonekwa mushure mekunge organic / identifiable chirwere chabviswa. Zvisinei, muna 1988, boka revatsvakurudzi nevarapi vehutano vakasangana kuti vagadzire nzira dzakasimba dzekuongororwa kwemhando dzakasiyana dzeFGDs. Iyo nzira inozivikanwa seRome Criteria. (Max J. Schmulson, Douglas A. Drossman. 2017)

FGDs

Rondedzero yakazara sezvakatsanangurwa neRome III maitiro (Ami D. Sperber et al., 2021)

Functional Esophageal Disorders

• Kushanda chirungurira
• Kushanda kurwadziwa kwechipfuva kunofungidzirwa kuve kwesophageal kwakabva
• Kushanda dysphagia
• Globus

Functional Gastroduodenal Disorders

• Kubheuka kwakanyanya kusingazivikanwe
• Functional dyspepsia - inosanganisira postprandial distress syndrome uye epigastric pain syndrome.
• Chronic idiopathic nausea
• aerophagia
• Kushanda kurutsa
• Cyclic vomiting syndrome
• Rumination syndrome muvanhu vakuru

Functional Bowel Disorders

• Irritable bowel syndrome - IBS
• Functional constipation
• Manyoka anoshanda
• Kusatariswa kunoshanda bowel kusagadzikana

Functional Abdominal Pain Syndrome

• Kushanda marwadzo emudumbu - FAP

Inoshanda Gallbladder uye Sphincter yeOddi Disorders

• Functional gallbladder disorder
• Inoshanda biliary Sphincter yeOddi disorder
• Inoshanda pancreatic Sphincter yeOddi kusagadzikana

Functional Anorectal Disorders

• Kushanda fecal incontinence
• Functional Anorectal Pain - inosanganisira chronic proctalgia, Levator ani syndrome, isina kutaurwa inoshanda anorectal pain, uye proctalgia fugax.
• Functional Defecation Disorders - inosanganisira dyssynergic defecation uye isina kukwana defecatory propulsion.

Childhood Functional GI Disorders

Mucheche/Mucheche (Jeffrey S. Hyams et al., 2016)

• Mucheche colic
• Functional constipation
• Manyoka anoshanda
• Cyclic vomiting syndrome
• Kuchenesa vacheche
• Infant rumination syndrome
• Mucheche dyschezia

Childhood Functional GI Disorders:

Mwana/Adolescent

• Kurutsa uye Aerophagia - cyclic vomiting syndrome, adolescent rumination syndrome, uye aerophagia.
• Abdominal Pain-Related Functional GI Disorders dzinosanganisira:

1. kushanda dyspepsia
2. IBS
3. Abdominal migraine
4. Childhood functional abdominal kurwadziwa
5. Childhood functional abdominal pain syndrome

• Constipation - functional constipation
• Incontinence - kusagadzikana kwefecal incontinence

kuongorora chirwere

Kunyangwe maitiro eRome achibvumira kuongororwa kweFGDs kuve-chiratidzo-kwakavakirwa, mupi wehutano anogona achiri kumhanyisa bvunzo dzekuongorora kuti abvise zvimwe zvirwere kana kutsvaga matambudziko emugadzirirwo anokonzeresa zviratidzo.

mabatiro

Kunyangwe pasina zviratidzo zvinooneka zvechirwere kana matambudziko emugadzirirwo angaonekwa sekukonzera zviratidzo, hazvireve kuti hazvisi izvo. zvinorapika uye zvinogoneka. Kune vanhu vanofungidzira kuti vanogona kunge vaine kana kuti vakaonekwa vaine chirwere chemudumbu chinoshanda, zvichave zvakakosha kushanda nemupi wehutano pachirongwa chekurapa chinoshanda. Nzira dzekurapa dzinogona kusanganisira: (Asma Fikree, Peter Byrne. 2021)

• Physical therapy
• Kugadziriswa kwezvokudya uye kudya
• Kushungurudzika mupfungwa
• Psychotherapy
• Mishonga
• Biofeedback

---

Kudya Zvakanaka Kuti Unzwe Zvirinani

---

References

Dema, CJ, Drossman, DA, Talley, NJ, Ruddy, J., & Ford, AC (2020). Inoshanda gastrointestinal kusagadzikana: kufambira mberi mukunzwisisa uye manejimendi. Lancet (London, England), 396(10263), 1664–1674. doi.org/10.1016/S0140-6736(20)32115-2

Schmulson, MJ, & Drossman, DA (2017). Chii Chitsva muRoma IV. Nyaya ye neurogastroenterology uye 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). Kuwanda Kwepasirese uye Kuremerwa kweInoshanda Gastrointestinal Disorders, Zvabuda zveRome Foundation Global Study. 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). Functional Disorders: Vana uye Vachiri Kuyaruka. Gastroenterology, S0016-5085(16)00181-5. Advance online kudhindwa. doi.org/10.1053/j.gastro.2016.02.015

Fikree, A., & Byrne, P. (2021). Kutungamirirwa kwehutano hwehutano hwemimba. Mishonga yekiriniki (London, England), 21 (1), 44-52. doi.org/10.7861/clinmed.2020-0980