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  1. #161
      Damn80
    , , 12, ,
    01.05.2017
    37
    208


    , , , , , , .
    , , ( ), (III) 2006 . [11]. , , 3 1 . 3 . : , . 6 .
    , . , (, , , 40 , , , , .) , , , , . , , (few tests are required for patients who have typical IBS symptoms and no alarm features), (IBS is often properly diagnosed without testing) [11].
    , . ? 38% , 26% [4]. [7], (58 28% ). , , .
    5 , (3,6 0,7% ) [4]. , , , , . , 20% , 28% [18]. 18,5% . [2]. , 10% , ( ), , , , [14]. , 28% ( ) [12]. , , , , . [21].
    D. Sanders [20] , , , ( <100 /) 6,1% , , , . M. Camilleri [5] , . M. Camilleri, , , (irritable bowel syndrome a diagnosis of exclusion, but exclusions have changed). , , ( ), , , ., , . , [1].
    , . , . ( , , , .) , . , , , [3]. . : (education), ( ) (reassurance), . , , , , .
    , , 3 : , ; , ; , . , , , , , . , 5361% ( 3141%), NNT ( , , (number needed to treat)) 2,55 [4, 17]. , , , , . , , . , , , , [4].
    μ- κ- , . .
    c . .
    , .
    , , 29 , 2333 , , ( 58 46% ; <0,001, NNT=7) [19].
    () (). 9 (), 575 , (, ) . (NNT=4), , [4]. 5 , 230 , , (NNT=3,5), [4]. . , 28% [4, 6].
    , , , , , 5-3- , . 19 , ( , ) . , [4, 6].
    . , , , , . 2- , , , , , , , , [4, 6].
    . 3- , 545 , . 11001200 , 1014 . , 2,53 . . , [4, 6].
    5-3- , , - , . 2000 . . 2000 . ( , 1 750 , , 29%). , , 8- , 4987 , .
    , , , , , : ; Croton lechleri , CFTR; ; , ; ; κ- μ- ; ; 5-3-, , [4]. , , , 5-4- , .
    , , , Plantago ovat, , . 4- 6- (NNT=6). .
    , , , , , . , , ( , ), , . , : (, ) (, ). .
    5 (NNT=3). [10]. ( 612 .).
    , , , : , * , , (lazy bowel syndrome). ( , 2 .).
    5-4-, , 3 : , , . , , - - . , . , , , , , , off-label ().
    , , . , , . . FDA . [4, 6]. , , , , . . , (NNT=5,6), (NNT=2,8), (NNT=2,4), (NNT=3,2) [9]. III .
    , , , (, , .). (, ), . , .
    [4]. STW 5 (), , , , , , , , . 5-3- 5-4-, 3-, , [22]. , ( ) . , [8, 16, 23].
    - , . 4- Likert 1,5 , [13]. (0,04%) [15].
    , M. Camilleri , , 10 : - , , , , , . -, , ,
       

  2. #162

    , , ,
    05.10.2017
    20

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  3. #163
      Damn80
    , , 12, ,
    01.05.2017
    37
    208

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  4. #164

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  5. #165
      Damn80
    , , 12, ,
    01.05.2017
    37
    208

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  6. #166

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