76
ޟ
ჿ݊໑ዧၝΥस
?
໑ዧၝΥस͵၈ɽ໑ዧसd
א
ɓছɛ၈
໑ઽชd
ߵ
˖
Irritable Bowel Syndrome (IBS)
f̴
݊ɓ၇͛
ي
-
ːଣ
-
ٟึषसd᙮
໑ߞ
̌ঐ८ḛ
ሜ
໑א
༸ཀઽ
ה
ˏৎٙसًʘशषf̴ՈϞ໖೨e
໖ദeર
୦ک
࿕ҷᜊʿɽ
ک
Җ࿒ମ੬
א
ῡ૰
ک
ഃᑗ
ґस
ࡉ
໊fसًܵᚃπί
א
ග๊೯ЪdШɦॹ˶Җ
࿒ኪձྼ᜕܃ମ੬ҷᜊഃ
ᆽʲԱኽf
I BS
݊ᑗґɪ
੬މ௰
Ԉٙ
໑ߞ
̌ঐ८
ʘɓd
ߒ
̕࿔໖ᓧषɛ
ٙɓ̸̛̒dШ࿁ՉႩᗆ
ᒔჃჃʔdɓ˙̴ࠦᒱ
݊ɓ၇໑༸༶ਗঐ८d
Шྼ᜕܃াՑٙਗɢ८
ၾᑗґ
ڌ
ତԨʔҁΌ
ୌΥd̤ɓ˙̴ࠦʔ݊ɓ၇ዹͭٙशषdϾ݊ɓ၇
̙೯͛ε၇ً࿒ɨ
ڌ
ତᗳЧٙၝΥसf
໑ዧၝΥसٙषᅄ
໑ዧၝΥसٙसًܼ̍ʔΝ
ܓ
ٙ໖೨d
ޟ।ک
ЇԂᓧfաᅂᚤኜܼ֜̍ʃ໑ʿɽ໑fष೯ٙႰΪd
ઃ٫ஷ੬݊͛
ݺ
৷
ܓ
ːଣᏀɢᐑྤʘɨ
(
ᗭ
࠰
ಥ
ɪफɓૄઃ໑ዧၝΥसٙˢଟ
৷ޟ
l
)
dˏ
ߧ
ग़
ၡੵdઋၫЭໝdग़সࢮdၚग़
ܥ
કഃfν
؈
ઃ
٫੬Ϟ
।ک
ʿϞԴ͜ᓧᖹ
א
Ϟ
୦໑ݹ
࿕d
ک
݊ઃ
໑ዧၝΥसٙ৷Κૄf
໑ዧၝΥसٙषᅄ̙ʱ
މ
Շᗳ
:
第一類:
¨ഐ໑೪©
,
೨ู̈ତίഐ໑ٙЗdˈՉ
݊ίɔًഐ໑ʘɪfઃ٫ɓছேᙂ໖೨೯̸͛
ᗙ໖
א
̸ᗙʃ໖ʕfஷ੬ึϞ໖ᓧ
।کא
ٙତd
Ͼ໖ᓧ
੭੬ي
Ϟᓂ૰fЇઃϞ
।ک
ٙdᐰ
ۍيک
ɤʱdઃ٫ٙ໖೨੬ίર
ܝک
˸ബᇠf
第二類:
¨
ܢ
ೌ೨໖ᓧ©d໖ᓧ
ܝ
सًͭՍՑബ
ಯdШೌ೨໖ᓧ
ޟ
ˇ೯͛ίૉɪွेࣛfν
؈
ೌ೨
໖ᓧ೯͛ွेࣛd໑ᛔ̙ঐϞՉ˼ٙषᜊdც
ࠅ
ͭуరᔼஈଣf
໑ዧၝΥसʘൢᓙ
໑ዧၝΥसԨ
ڢ
ɓ၇
ߧ
նٙशषdϣष೯ஷ੬
݊ίɚɤ̸๋̛ٙϋჀɛԒɪf໖೨
ܓ
ɓছ݊᙮
̙˸࢙ҜٙdШ݊໖೨
ۍ
੬ʔᓙήూ೯d
މ
ಂ
ɓ
ࡈ
˜̸̛dʘ
ܝ
ɦึೌ
ᇝೌ݂ή৾˟೯ЪfШӊ
༾Ց͛
ݺ
Ꮐɢࣛd໑
ዧၝΥसึɦࠠอ೯Ъf
வᅵٙઋ
ر
ʔᓙήృᐑ೯
͛d˿ઃ٫
੬ڢ
f࿁
໑ዧၝΥसٙൢᓙd
ᔼኪ
ޢ
ʕϞɓ
ࡈ
Mann i ng
Criteria
Ъ
܄މ
ᝈൢᓙᅺf
1999
ϋdᔼኪ
ޢ
ɦՓ֛ə
̤ɓ
ࡈ
Rome II Criteria
dу
ϓ
މ
ͦ
௰ۃ
ᄿ
މ
ટաʿᏐٙ͜ൢᓙᅺfषɛ̈
ତषᅄʘ
ܝ
d̀
ࠅ
ਂԒᏨ
ݟ
e᜕Аʿɽ
ک
ʷ᜕d
ͦٙ݊
ࠅ
ৰषɛઃϞՉ˼ᘌࠠ໑༸शष̙ٙঐf
߰݊ɽ
ک
ϞАeமА
א
݊АஐͣሯЭeරᑔ९ཀ
৷ഃdவԬேʔᏐ༈̈ତί໑ዧၝΥसf໑ዧ
ၝΥस̥Ꮠ̈ତ̌ঐɪٙਪᕚdዚঐഐ݊ʔᏐ̈
ତਪᕚٙd
ה
˸षɛٙዚঐᏐ༈݊ҁΌ͍੬dν
؈
Ꮸ
ݟ
ձʷ᜕ϞОʔ͍੬ᅄًd
ۆ
ც
ࠅ
ЪආɓӉᏨ
ݟ
fઃ໑ዧၝΥसٙषɛϋᙧεί
20
ε๋Ї
40
ε
๋dν
؈
षɛ݊
50
๋˸ɪϾϞΝषᅄӋൢdՉઃ
ɪ໑ዧၝΥसٙዚึ
༰ک
Эd࿁ઃəՉ˼һᘌ
ࠠٙशषdν໑ᐖٙዚึ̙ঐһ৷f
ઋၫ
ت
ਗ༰ઃɪ
໑
ߞ
͛ଣʕʊٝ༸໑
ߞ
݊௰ঐ
ڌ
ତઋၫٙኜ֜i
Ϊ
މ
˕ৣሜછ໑
ݺߞ
ਗٙಔ
ي
ग़ʕᅹίʕ໘ၾઋ
ၫʕᅹٙᑌᖩʲdઋၫϞᜊਗͭуึˏৎಔ
ي
ग़̌ঐٙᏐᜊʷdආϾᅂᚤՑ໑
ߞ
ٙ
ݺ
ਗၾ̌
ঐfԷνԄλٙઋၫึ
ڮ
ආᅎd
ࠋ
ࠦઋၫ
ک
ᙂ
內科診症室