Matenda a Common Comorbid
Otsatira akale amtundu "akagwa mvula", odwala a IBS amapezeka kuti akulimbana ndi matenda ena kuwonjezera pa IBS.
Ogwira ntchito zamankhwala amatcha kuti zinthu zofananazi ndi "zovuta zowonongeka." Pamene ofufuza akupitiriza kufunafuna kumvetsetsa zomwe zimayambitsa mabvuto a IBS , malo ogwira ntchito afukufuku akugwiritsira ntchito chizoloŵezi cha odwala IBS kuti athe kuwona zizindikiro za m'mimba komanso matenda pamwamba kuposa momwe zimakhalira.
Pano pali kufotokozera mwachidule zomwe zikudziwika mpaka pano za IBS ndi ubale wake ndi mavuto ena azaumoyo. Pamene mukuwerenga izi, chonde kumbukirani kuti chizoloŵezi ichi chokhala ndi zofanana sizikuwoneka mthupi aliyense wa IBS.
Common Comorbid GI matenda
Ngakhale zimakhala zovuta kwa wodwalayo, sizikuwoneka zodabwitsa kuti wodwala wa IBS angakhalenso ndi vuto lakumimba. N'kutheka kuti chinthu china chomwe chimayambitsa matendawa chimayambitsa vuto lililonse. Nazi matenda ena a GI omwe awonetsedwa kuti amapezeka pamlingo wapamwamba kwa odwala IBS kuposa odwala omwe si a IBS (dinani pa chigawo chilichonse kuti mudziwe zambiri):
- Diverticulitis
- Dysphagia (zovuta ndi kumeza)
- Kuthamanga kwa Esophageal
- Fecal incontinence
- Matenda a reflux a Gastroesophageal (GERD)
- Peptic matenda a chilonda ndi ntchito zowopsya (zizindikiro zopanda chilonda)
Common Non-GI Okhudzana ndi Matenda a Comorbid
Chododometsa kwambiri ndi chakuti odwala IBS amavutika kwambiri ndi matenda osagwira m'mimba kuposa momwe angayembekezere.
Intuitively, zimakhala zovuta kumvetsa chifukwa chake izi zikanakhala zovuta. Izi ndi zina mwa matenda omwe IBS akukumana nawo ndi IBS:
- Matenda Osalekeza Osalekeza
- Prostatitis Yachilendo (Matenda Achilendo Opaka Mafinya)
- Dysmenorrhea (kupweteka kwambiri kwa msambo)
- Makhalidwe a Cystitis
- Fibromyalgia
- Mutu wa mutu wa Migraine
Kudwala matenda a Psychiatric
Matenda apamwamba a matenda opatsirana m'maganizo mwa odwala a IBS ndizochitika zenizeni. Mwatsoka, nkhaniyi nthawi zambiri yanyalanyaza kotero kuti odwala IBS amauzidwa kuti vuto lawo lakumimba ndilimaganizo. Ndizomveka kunena kuti pangakhale zifukwa zomwe zimayambitsa kuyambika ndi kukonzanso zonse za IBS ndi mavuto ena omwe alipo. Nazi zina mwa matenda a maganizo omwe akuwonetsedwa pambali pa IBS:
- Matenda a mantha
- Obsessive-Compulsive Disorder (OCD)
- Kusokonezeka maganizo
Chifukwa Chake Pali Mpata Wapamwamba wa Matenda a Comorbid
Kuyambira tsopano, palibe zifukwa zomveka zofotokozera zovuta za matenda oopsa ndi IBS. Zosokonezazi zimasokonezeka ndi mfundo yakuti si onse odwala IBS omwe amavutika ndi matenda omwe alipo. Ndipotu, ngakhale kuti chiwerengero cha anthu omwe ali ndi matenda a comorbid akudwala kwambiri, chiwerengero cha matenda a comorbid akudwala osachepera 20 peresenti ya odwala IBS.
Nthaŵi zina, kufotokozera kwa wina ndi mnzake kungawoneke kuti ndiwe wolakwira. Izi zingatheke ngati vuto la comorbid likugawanitsa zofanana, monga vuto lalikulu lomwe limakhala ndi kuchepa kwa motility . Mofananamo, kugwirizanitsa ndi matenda a maganizo kungathe kufotokozedwa ndi kusagwirizana komwe kulipo pakati pa anthu ena odwala matenda opatsirana m'mimba mkatikatikati mwa mitsempha ya mitsempha.
Chifukwa china chotheka ndi chakuti odwala ena a IBS amakhala ndi chizoloŵezi chodziŵa bwino thupi ndi zizindikiro. Kusamala kwambiri kumene kumawatsogolera kumawathandiza kupeza chithandizo chamankhwala zokhudzana ndi zizindikiro zawo. Umboni wa chiphunzitso ichi umachokera ku mfundo yakuti pamabvuto ena mulibe zinthu zina zomwe zimafotokozera matenda osiyanasiyana. Monga nkhuku-ndi-dzira, sikudziwika ngati hypersensitivity iyi imapereka kwa IBS, kapena ngati akukumana ndi IBS amachititsa kuti azidziŵa zambiri za thupi.
Sayansi yamakono idzabwera ndi mayankho abwino.
Malo atsopano a kafukufuku ndikuyang'ana njira yomwe imadziwika kuti hypothalamic-pituitary-adrenal axis. Njirayi imakhudza thupi lathu lonse ndipo likuwoneka kuti ikugwirizana ndi momwe matupi athu amachitira ndi nkhawa. Kwadziwikiratu kuti kupweteka kwa njirayi kumayambitsa malo otentha omwe amachititsa mavuto amenewa.
Kodi Izi Zikutanthauza Chiyani Kwa Inu?
Ngati mukupeza kuti simungathe kupirira mavuto ena okhudzana ndi thanzi lanu kuwonjezera pa IBS yanu, kambiranani ndi dokotala za momwe mungagwiritsire ntchito zifukwa zofala. Zomwezi zingathandize pokhazikitsa chitukuko chogawidwa cha matenda. Mutha kupeza kuti thupi lonse limakhala lothandiza kwambiri kusiyana ndi chithandizo chomwe chimakhudza zizindikiro zina. Zosankha zowonjezera thanzi lanu lonse zikuphatikizapo zakudya zabwino, kugwiritsa ntchito mankhwala a zitsamba , ndikuchita nawo njira ya psychotherapy .
Zotsatira:
Goddard, E., Barth, K., Lydiard, B. Matenda Omwe Amapezeka Nthawi Zambiri ndi Irritable Bowel Syndrome: Kodi Kugawanika Kwawo Kumagwirizanitsa Kugwirizana Kwawo Kwawo? Psychiatry Primary Primary 2007: 69-7.
Reidl, A., et.al. Zovuta zowonongeka za matenda opweteka m'mimba: Kusanthula mwatsatanetsatane Journal of Psychosomatic Research 2008 573-582.
Whitehead, W. etal. "Kugonana mu Irritable Bowel Syndrome" American Journal of Gastroenterology 2007 102: 2767-2776.