{"id":2750,"date":"2021-12-16T07:09:06","date_gmt":"2021-12-16T07:09:06","guid":{"rendered":"https:\/\/assure.ruppell.io\/irritable-bowel-syndrome-ibs\/"},"modified":"2025-09-05T19:18:11","modified_gmt":"2025-09-05T11:18:11","slug":"irritable-bowel-syndrome-ibs","status":"publish","type":"post","link":"https:\/\/www.accuramedical.hk\/hk\/irritable-bowel-syndrome-ibs\/","title":{"rendered":"\u3010\u8179\u75db\u3011\u7d93\u5e38\u809a\u75db\u300c\u8178\u6613\u6fc0\u300d\u4f5c\u602a \u4e86\u89e3\u6210\u56e0\u75c5\u5fb5"},"content":{"rendered":"\n<div class=\"wp-block-group alignwide has-global-padding is-layout-constrained wp-block-group-is-layout-constrained\">\n<div class=\"wp-block-ht-block-toc is-style-contrasted htoc htoc--position-wide toc-list-style-bulleted\" data-htoc-state=\"expanded\"><span class=\"htoc__title\"><span class=\"ht_toc_title\">\u3010\u8179\u75db\u3011\u7d93\u5e38\u809a\u75db\u300c\u8178\u6613\u6fc0\u300d\u4f5c\u602a \u4e86\u89e3\u6210\u56e0\u75c5\u5fb5<\/span><span class=\"htoc__toggle\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"16\" height=\"16\"><g fill=\"#444\"><path d=\"M15 7H1c-.6 0-1 .4-1 1s.4 1 1 1h14c.6 0 1-.4 1-1s-.4-1-1-1z\"><\/path><path d=\"M15 1H1c-.6 0-1 .4-1 1s.4 1 1 1h14c.6 0 1-.4 1-1s-.4-1-1-1zM15 13H1c-.6 0-1 .4-1 1s.4 1 1 1h14c.6 0 1-.4 1-1s-.4-1-1-1z\"><\/path><\/g><\/svg><\/span><\/span><div class=\"htoc__itemswrap\"><ul class=\"ht_toc_list\"><li class=\"\"><a href=\"#htoc-\">\u5e38\u898b\u75c5\u5fb5<\/a><\/li><li class=\"\"><a href=\"#htoc-1\">\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u985e\u578b<\/a><\/li><li class=\"\"><a href=\"#htoc-11\">\u98a8\u96aa\u56e0\u7d20<\/a><\/li><li class=\"\"><a href=\"#htoc-111\">\u6cbb\u7642\u65b9\u6cd5<\/a><\/li><li class=\"\"><a href=\"#htoc-1111\">\u6aa2\u67e5\u53ca\u8a3a\u65b7<\/a><\/li><\/ul><\/div><\/div>\n\n\n\n<p class=\"is-style-rup-paragraph-danger wp-block-paragraph\" id=\"htoc-11111\"><em>\u6709\u6c92\u6709\u7d93\u6b77\u904e\u6bcf\u6b21\u9032\u98df\u5f8c\u5c31\u809a\u75db\uff1f\u5728\u8857\u4e0a\u7a81\u7136\u809a\u75db\u597d\u5c37\u5c2c\uff0c\u8981\u5148\u627e\u5ec1\u6240\u518d\u6562\u5916\u51fa\uff1f<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"htoc-111111\">\u5e7e\u4e4e\u6bcf\u500b\u90fd\u5e02\u4eba\u90fd\u66fe\u7d93\u8a66\u904e<strong>\u8179\u75db\u3001\u8179\u8139\u3001\u809a\u7009\u6216\u4fbf\u79d8<\/strong>\uff0c\u6709\u4e9b\u4eba\u66f4\u5df2\u5c07\u4e4b\u8996\u70ba\u7fd2\u6163\uff0c\u6c92\u6709\u591a\u52a0\u7406\u6703\u3002\u539f\u4f86\uff0c\u7d93\u5e38\u809a\u75db\u53ef\u80fd\u662f\u60a3\u4e0a <strong>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\uff08Irritable Bowel Syndrome, IBS\uff09<\/strong> \u7684\u5fb5\u5146\u3002<\/p>\n\n\n\n<p class=\"is-style-rup-paragraph-primary wp-block-paragraph\" id=\"htoc-1111111\"><strong>\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\uff0c\u4ea6\u7a31\u300c\u5927\u8178\u6613\u6fc0\u75c7\u300d\uff0c\u6216\u4e00\u822c\u4eba\u53eb\u4f5c\u300c\u8178\u654f\u611f\u300d\u3002<\/strong>\u9019\u662f\u8178\u9053\u5728\u6c92\u6709\u4efb\u4f55\u640d\u50b7\u3001\u75c5\u8b8a\u4e0b\uff0c\u51fa\u73fe\u8815\u52d5\u5931\u8abf\u6216\u904e\u654f\u7b49\u529f\u80fd\u969c\u7919\uff0c\u5c6c\u9577\u671f\u6162\u6027\u75be\u75c5\uff0c\u8207\u5076\u7136\u51fa\u73fe\u4e26\u80fd\u81ea\u884c\u5eb7\u5fa9\u7684\u8178\u80c3\u708e\u4e0d\u540c\u3002\u4e00\u822c\u4f86\u8aaa\uff0c\u60a3\u8005\u6703\u611f\u5230\u8179\u90e8\u4e0d\u9069\u7684\u60c5\u6cc1\uff0c\u901a\u5e38\u6703\u5728\u6392\u4fbf\u5f8c\u5f97\u5230\u4e00\u5b9a\u7684\u7d13\u7de9\uff0c\u53c8\u6216\u8005\u809a\u75db\u6642\uff0c\u5927\u4fbf\u6b21\u6578\u6703\u589e\u52a0\u6216\u6e1b\u5c11\uff0c\u6216\u5927\u4fbf\u6703\u8b8a\u5f97\u904e\u786c\u6216\u7a00\u721b\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"htoc-11111111\">\u56e0\u70ba\u6b64\u75c7\u6703\u9020\u6210\u6392\u4fbf\u7fd2\u6163\u6539\u8b8a\uff0c\u4f7f\u60a3\u8005\u9664\u4e86\u611f\u5230\u8eab\u9ad4\u4e0d\u9069\u5916\uff0c\u5728\u5de5\u4f5c\u3001\u65e5\u5e38\u793e\u4ea4\u53ca\u60c5\u7dd2\u63a7\u5236\u7b49\u65b9\u9762\u4ea6\u5099\u53d7\u56f0\u64fe\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"htoc-2016-6-rome-iv-criteria\">\u4efb\u4f55\u5e74\u9f61\u4eba\u58eb\u5747\u6709\u6a5f\u6703\u60a3\u4e0a\u6b64\u75c7\uff0c\u5c24\u4ee5<strong>\u5e74\u8f15\u5973\u6027<\/strong>\u4f54\u7684\u6bd4\u4f8b\u8f03\u591a\u3002\u6839\u64da2016\u5e746\u6708\u767c\u4f48\u7684\u8a3a\u65b7\u6e96\u5247Rome IV criteria\uff0c\u7b26\u5408\u4ee5\u4e0b\u60c5\u6cc1\u53ef\u8996\u4f5c\u60a3\u4e0a\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u904e\u5f80\u4e09\u500b\u6708\uff0c\u5e73\u5747\u6bcf\u661f\u671f\u81f3\u5c11\u4e00\u5929\u53cd\u8986\u51fa\u73fe\u8179\u75db\uff0c\u4e26\u9023\u5e36\u4ee5\u4e0b\u5169\u9805\u6216\u4ee5\u4e0a\u5fb5\u72c0\uff1a\n<ul class=\"wp-block-list\">\n<li>\u6392\u4fbf\u5f8c\u8179\u75db\u5f97\u4ee5\u7d13\u7de9<\/li>\n\n\n\n<li>\u5927\u4fbf\u6b21\u6578\u6539\u8b8a<\/li>\n\n\n\n<li>\u5927\u4fbf\u5f62\u614b\u6539\u8b8a<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group has-base-2-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-2bc9ee43 wp-block-group-is-layout-constrained\" style=\"border-radius:10px;padding-top:var(--wp--preset--spacing--10);padding-right:var(--wp--preset--spacing--10);padding-bottom:var(--wp--preset--spacing--10);padding-left:var(--wp--preset--spacing--10)\">\n<figure class=\"wp-block-image aligncenter size-large is-style-rup-image-blue\"><img loading=\"lazy\" decoding=\"async\" width=\"1280\" height=\"717\" src=\"https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/Accura-IBS-ZH-logo-resize-rev-1-1280x717.jpg\" alt=\"\" class=\"wp-image-15956\" style=\"object-fit:contain\" srcset=\"https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/Accura-IBS-ZH-logo-resize-rev-1-1280x717.jpg 1280w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/Accura-IBS-ZH-logo-resize-rev-1-1024x573.jpg 1024w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/Accura-IBS-ZH-logo-resize-rev-1-768x430.jpg 768w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/Accura-IBS-ZH-logo-resize-rev-1-1536x860.jpg 1536w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/Accura-IBS-ZH-logo-resize-rev-1-18x10.jpg 18w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/Accura-IBS-ZH-logo-resize-rev-1.jpg 2000w\" sizes=\"auto, (max-width: 1280px) 100vw, 1280px\" \/><figcaption class=\"wp-element-caption\">\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u60a3\u8005\u7684\u8178\u58c1\u6703\u8b8a\u5f97\u654f\u611f\u548c\u6613\u53d7\u523a\u6fc0\uff0c\u6240\u4ee5\u7d93\u5e38\u51fa\u73fe\u8179\u7009\u3002<\/figcaption><\/figure>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"htoc-\">\u5e38\u898b\u75c5\u5fb5<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8179\u75db\u3001\u8179\u8139<\/li>\n\n\n\n<li>\u5927\u4fbf\u7fd2\u6163\u6539\u8b8a<\/li>\n\n\n\n<li>\u5927\u4fbf\u5e36\u6709\u9ecf\u6db2<\/li>\n\n\n\n<li>\u9593\u6b47\u6027\u4fbf\u79d8\u3001\u809a\u7009<\/li>\n\n\n\n<li>\u611f\u89ba\u6392\u4fbf\u4e0d\u6e05<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"htoc-1\">\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u985e\u578b<\/h2>\n\n\n\n<ul class=\"wp-block-list is-style-rup-list-pink\">\n<li>\u4fbf\u79d8\u578b(IBS with predominant constipation)\n<ul class=\"wp-block-list\">\n<li>\u5927\u4fbf\u4e7e\u4e14\u786c\uff0c\u5448\u7c92\u72c0\u6216\u51f9\u51f8\u4e0d\u5e73\u7684\u689d\u72c0<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u809a\u7009\u578b(IBS with predominant diarrhea)\n<ul class=\"wp-block-list\">\n<li>\u5927\u4fbf\u9b06\u6563\u5448\u7cca\u72c0\uff0c\u751a\u81f3\u6c34\u72c0<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u6df7\u5408\u578b(IBS with mixed bowel habit)\n<ul class=\"wp-block-list\">\n<li>\u7a00\u721b\u53ca\u904e\u786c\u5927\u4fbf\u4ea4\u66ff\u51fa\u73fe<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u7121\u985e\u5225(IBS unclassified)\n<ul class=\"wp-block-list\">\n<li>\u5927\u4fbf\u578b\u614b\u76f8\u5c0d\u6b63\u5e38<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"htoc-11\">\u98a8\u96aa\u56e0\u7d20<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"htoc-111111111\">\u66ab\u6642\u91ab\u5b78\u754c\u5c0d\u8178\u6613\u6fc0\u7d9c\u5408\u75c7\u7684\u6210\u56e0\u9084\u672a\u6709\u78ba\u5207\u5b9a\u8ad6\uff0c\u4f46\u6709\u7814\u7a76\u6307\u51fa\uff0c\u5fb5\u72c0\u4e26\u975e\u7531\u55ae\u4e00\u539f\u56e0\u5f15\u8d77\u3002\u8207\u4e4b\u6709\u95dc\u7684\u56e0\u7d20\u6709\uff1a<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u8178\u9053\u808c\u8089\u6536\u7e2e\u7d0a\u4e82<\/li>\n\n\n\n<li>\u8178\u9053\u654f\u611f\u5ea6\u8f03\u9ad8<\/li>\n\n\n\n<li>\u5bb6\u65cf\u907a\u50b3<\/li>\n\n\n\n<li>\u5fc3\u7406\u58d3\u529b\u3001\u751f\u6d3b\u7dca\u5f35<\/li>\n\n\n\n<li>\u60c5\u7dd2\u75c5\u75c7\uff0c\u5982\u6291\u9b31\u75c7\u3001\u7126\u616e\u75c7<\/li>\n\n\n\n<li>\u9032\u98df\u6cb9\u81a9\u6216\u523a\u6fc0\u6027\u98df\u7269<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"htoc-111\">\u6cbb\u7642\u65b9\u6cd5<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"htoc-1111111111\">\u6cbb\u7642\u4e26\u975e\u8457\u773c\u65bc\u6839\u6cbb\u75c5\u60a3\uff0c\u53cd\u800c\u91dd\u5c0d\u63a7\u5236\u53ca\u7d13\u7de9\u75c5\u5fb5\uff0c\u6e1b\u5c11\u5fb5\u72c0\u70ba\u60a3\u8005\u5e36\u4f86\u7684\u4e0d\u4fbf\u3002\u6545\u91ab\u751f\u6703\u56e0\u61c9\u60a3\u8005\u7684\u75c5\u5fb5\u7d66\u4e88\u4e0d\u540c\u610f\u898b\u3001\u8655\u65b9\u5408\u9069\u85e5\u7269\u3002<\/p>\n\n\n\n<ol class=\"wp-block-list is-style-rup-list-pink\">\n<li>\u751f\u6d3b\u7fd2\u6163\n<ul class=\"wp-block-list\">\n<li>\u4f5c\u606f\u5b9a\u6642\u53ca\u4fdd\u6301\u9069\u91cf\u904b\u52d5\uff0c\u4ee5\u52a9\u6e1b\u58d3<\/li>\n\n\n\n<li>\u9650\u5236\u6216\u907f\u514d\u651d\u53d6\u9152\u7cbe\u3001\u5496\u5561\u56e0\u3001\u4e73\u7cd6\u3001\u9ea9\u8cea\u3001\u5c71\u68a8\u9187\uff08\u4eba\u5de5\u751c\u5473\u5291\uff09<\/li>\n\n\n\n<li>\u63a7\u5236\u9032\u98df\u975e\u6c34\u6eb6\u6027\u7e96\u7dad\u98df\u7269\u7684\u4efd\u91cf\uff08\u5982\uff1a\u5168\u9ea5\u7a3b\u7c73\u3001\u5168\u9ea5\u9eb5\u5305\uff09<\/li>\n\n\n\n<li>\u9032\u98df\u6c34\u6eb6\u6027\u7e96\u7dad\u98df\u7269\uff0c\u6709\u52a9\u6539\u5584\u8179\u8139\uff08\u5982\uff1a\u71d5\u9ea5\u3001\u4e9e\u9ebb\u7c7d\uff09<br><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u85e5\u7269\n<ul class=\"wp-block-list\">\n<li>\u8178\u80c3\u6b62\u6523\u85e5\uff1a\u6e1b\u8f15\u8178\u9053\u62bd\u6410\uff0c\u6539\u5584\u8179\u75db<\/li>\n\n\n\n<li>\u6b62\u7009\u85e5\uff1a\u6e1b\u6162\u8178\u9053\u8815\u52d5\uff0c\u5e6b\u52a9\u809a\u7009\u56b4\u91cd\u6216\u4e0d\u65b9\u4fbf\u7d93\u5e38\u4e0a\u6d17\u624b\u9593\u7684\u60a3\u8005<\/li>\n\n\n\n<li>\u7de9\u7009\u5291\uff1a\u4fc3\u9032\u8178\u9053\u8815\u52d5\uff0c\u5e6b\u52a9\u4fbf\u79d8\u60a3\u8005\u6392\u4fbf<\/li>\n\n\n\n<li>\u76ca\u751f\u83cc\u88dc\u5145\u5291\uff08Probiotic\uff09\uff1a\u5e73\u8861\u8178\u9053\u83cc\u7fa4\uff0c\u7a69\u5b9a\u8178\u9053\u9178\u9e7c\u5ea6\uff0c\u63d0\u5347\u6574\u9ad4\u514d\u75ab\u529b<br><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>\u60c5\u7dd2\u8f14\u5c0e\n<ul class=\"wp-block-list\">\n<li>\u6539\u5584\u7126\u616e\u3001\u53d7\u58d3\u60c5\u7dd2\u5f8c\uff0c\u8178\u80c3\u4e0d\u9069\u7684\u5fb5\u72c0\u4e5f\u5f97\u4ee5\u6e1b\u8f15<br><\/li>\n<\/ul>\n<\/li>\n<\/ol>\n\n\n\n<div class=\"wp-block-group has-base-2-background-color has-background has-global-padding is-layout-constrained wp-container-core-group-is-layout-2bc9ee43 wp-block-group-is-layout-constrained\" style=\"border-radius:10px;padding-top:var(--wp--preset--spacing--10);padding-right:var(--wp--preset--spacing--10);padding-bottom:var(--wp--preset--spacing--10);padding-left:var(--wp--preset--spacing--10)\">\n<figure class=\"wp-block-image aligncenter size-full has-custom-border is-style-rup-image-info\"><img loading=\"lazy\" decoding=\"async\" width=\"1066\" height=\"800\" src=\"https:\/\/assure.ruppell.io\/wp-content\/uploads\/2021\/12\/probiotics-resize.jpg\" alt=\"\" class=\"wp-image-6044\" style=\"border-radius:10px;object-fit:contain\" srcset=\"https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/probiotics-resize.jpg 1066w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/probiotics-resize-1024x768.jpg 1024w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/probiotics-resize-768x576.jpg 768w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/probiotics-resize-16x12.jpg 16w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/probiotics-resize-800x600.jpg 800w, https:\/\/www.accuramedical.hk\/wp-content\/uploads\/2021\/12\/probiotics-resize-600x450.jpg 600w\" sizes=\"auto, (max-width: 1066px) 100vw, 1066px\" \/><figcaption class=\"wp-element-caption\">\u88dc\u5145\u76ca\u751f\u83cc\u53ef\u5e73\u8861\u8178\u9053\u83cc\u7fa4\uff0c\u7a69\u5b9a\u8178\u9053\u9178\u9e7c\u5ea6\uff0c\u63d0\u5347\u6574\u9ad4\u514d\u75ab\u529b\u3002 <\/figcaption><\/figure>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"htoc-111111111111\"><\/p>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-o4e98\"><div class=\"eb-parent-wrapper eb-parent-eb-button-o4e98 \"><div class=\"eb-button-wrapper eb-button-alignment eb-button-o4e98\"><div class=\"eb-button\"><a class=\"eb-button-anchor\" href=\"https:\/\/www.accuramedical.hk\/hk\/body-checkup-abdominal\/\" rel=\"noopener\">\u8178\u9053\u76f8\u95dc\u6aa2\u67e5<\/a><\/div><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\" id=\"htoc-1111111111111\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"htoc-1111\">\u6aa2\u67e5\u53ca\u8a3a\u65b7<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" 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