Zonse ziwiri za IBS ndi matenda oopsa otsekula m'mimba zimagwiritsa ntchito zizindikiro za kutsekula m'mimba. Motero ndizomveka kudzifunsa ngati ali ofanana. Chithandizo cha zinthu ziwirizi ndi chosiyana kwambiri - choncho mudzafuna kutsimikiziridwa kuti muli ndi matenda oyenera. Mwachidule ichi, tiwona momwe chiwerengero cha tizilombo toyambitsa matenda tizilombo ting'onoting'ono ting'onoting'ono ndi momwe zimasiyanirana ndi IBS.
Mwachidule
Kuchulukitsa tizilombo toyambitsa matenda tizilombo toyambitsa matenda ndi matenda omwe munthu amakhala ndi madzi ambiri osataya magazi, kutsegula m'mimba.
Matendawa amakhudza amayi kusiyana ndi amuna ndipo chiopsezo chanu chimafika pamene mukulamba, zomwe zimawonekera kwambiri kwa anthu omwe ali ndi zaka 60 kapena 70.
Pali mitundu iwiri ya tizilombo toyambitsa matenda timene timakhala timene timakhala timene timakhala timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatulutsa timadzi timene timatuluka. Amasiyana malinga ndi momwe amawonekera koma mwina ndi magawo awiri osiyana a matenda omwewo. Mosasamala mtundu, mavuto awiriwa amapezeka ndikuchitidwa chimodzimodzi. Mu lymphocytic colitis, pali chiwerengero chowonjezeka cha maselo oyera a m'magazi omwe ali mu minofu ya chida cha colon . Mu collagenous colitis, collagen wakuda wosanjikiza amawoneka mu minofu.
Zizindikiro
Kuphatikiza pa chizindikiro cha kutsekula kwa madzi kosatha, kupweteka kwa tizilombo toyambitsa matenda kungapangitse kuti:
- Mimba ya m'mimba ndi / kapena kupweteka
- Nausea
- Fecal incontinence
- Kutaya thupi
Zizindikiro zikhoza kukhala pakatikati ndipo nthawi zina, matendawa akhoza kuthetsa okha popanda mankhwala.
Kudziwa
Mofanana ndi IBS, ndi microscopic colitis, palibe chizindikiro cha matenda omwe amapezeka pa colonoscopy. Mmene mavuto awiriwa amasiyanirana ndikuti microscopic colitis idzaonekera pamene chinyama cha ma colonic chikuyang'anitsitsa pansi pa microscope.
Kuphatikiza pa colonoscopy ndi biopsy, mayesero ena adzapatsidwa kuti athetse matenda ena.
Ntchito yamagazi, yomwe ingatheke kumapeto kwake, idzalimbikitsidwa kuti iwononge matenda a chilili. Pulogalamu yachitetezo ikhoza kutonthozedwa kuti muzindikire tizilombo toyambitsa matenda omwe angayambitse kutsegula m'mimba.
Zimayambitsa
Palibe amene akudziwa motsimikiza chomwe chimayambitsa microscopic colitis. Zinthu zoopsa zimaphatikizapo:
- Dulitsani kutsekula m'mimba
- Matenda a Celiac
- H2 blockers
- Mankhwala osagwirizana ndi zotupa (anti-steroidal anti-inflammatory drugs (NSAIDs)
- Polyarthritis
- Proton pump inhibitors (PPIs)
- Kusuta
- Kusankha serotonin reuptake inhibitors (SSRIs)
- Matenda a chithokomiro
Kuchiza
Monga momwe mudzaonera, njira zomwe mungasamalire kuti mukhale ndi tizilombo tating'onoting'ono ting'onoting'ono ting'onoting'ono ndizosiyana kwambiri ndi momwe mungapangire mankhwala a IBS.
Njira yoyamba ikhoza kukhala kuti wodwala asiye kusuta kapena kusiya mankhwala aliwonse amene akukuyikira kuti akuthandizira ku matendawa. Mankhwala angapangidwe. Pazirombo zake zovuta kwambiri, zingatheke kupyolera mu opaleshoni ya ileostomy .
IBS vs. Microscopic Colitis
Podziwa za tizilombo tating'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono ting'onoting'ono Kafukufuku wamakono posachedwapa adawona zotsatira za maphunziro ambiri pa mutuwo. Kuphatikizapo deta kuchokera ku maphunzirowa, olembawo anapeza kuti ngakhale pafupifupi oposa atatu mwa odwala omwe ali ndi microscopic colitis amafotokoza zizindikiro za IBS, chiwerengero ichi sichinasiyane ndi anthu omwe alibe microscopic colitis.
Kugwirizanitsa pakati pa IBS ndi microscopic colitis kumasiyana malinga ndi kupanga mapangidwe. Ngati pulogalamu ya kulamulira, kuwonetseka kochepa kwambiri kwapezeka anthu ambiri omwe ali ndi IBS kusiyana ndi omwe alibe zizindikiro. Koma m'maphunziro omwe amayang'ana umboni kudutsa magulu akuluakulu, anthu omwe ali ndi IBS sakhalanso ndi kachilombo kakang'ono kuposa anthu omwe amatsekula m'mimba koma alibe IBS.
Malingana ndi kafukufuku wamakono, olembawo amalimbikitsa kuti ngati mulibe chiopsezo chachikulu chokhala ndi tizilombo toyambitsa matenda (zochokera pazifukwa zomwe zili pamwambapa) kapena zizindikiro zonse zofiira , zimakhala zosafunikira kuti munthu amene ali ndi IBS azikhala ndi colonoscopy onetsetsani kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda.
Inde, ngati zizindikiro zanu za IBS zisintha, muyenera kudziwitsa dokotala wanu, ndi chiyembekezo ichi kuti kuyesetseratu kuyesedwa kungakhale koyenerera kuti mudziwe bwinobwino.
Nchifukwa chiyani zizindikiro za IBS ndi microscopic colitis zikufanana, ngakhale kuti ndizosiyana matenda? Ndithudi, kutupa kwapansi kumagwirizanitsidwa ndi IBS . Yankho lake likhoza kukhala kuti iwo amagona pa kupitiriza. Tikukhulupirira, kufufuza kopitirira kudzakuthandizani kuti nkhaniyi ikuwoneke bwino.
Zotsatira:
Kamp, E., Kane, J. & Ford, A. "Irritable Bowel Syndrome ndi Microscopic Colitis: Kusanthula Mwadongosolo ndi Kusanthula Meta" Clinical Gastroenterology ndi Hepatology Nkhani Zolemba Zopangidwa pa Intaneti Pa October 7, 2015.
"Microscopic Colitis" Webusaiti ya Mayo Clinic Idafika pa October 16, 2015.
Park, T., Cave, D. & Marshall, C. "Microscopic colitis: Kuwerengera zamatsenga, mankhwala ndi zizindikiro za matenda" World Journal of Gastroenterology 2015 21: 8804-8810.