Kodi Anthu Amene Ali ndi IBD Angakhalenso ndi IBS?

Sitikukayikira Za IBS ndi IBD Kukhalanso Mmodzi Wodwala

Nthawi zambiri kusokonezeka kumene kumayambitsa matenda a m'mimba (IBS) ndi matenda opatsirana (IBD) : zigawo ziwiri zomwe zimapezeka m'mimba. Zonse ziwiri za IBS ndi IBD zingayambitse zizindikiro za kutsekula m'mimba , kupweteka , ndi kupweteka, koma izi ndizofanana ndi momwe zimakhalira. Mu njira zina zambiri, izi ndizosiyana kwambiri ndi wina ndi mzake ndipo zimagwiritsidwa ntchito m'njira zosiyanasiyana.

Ngakhale zili choncho, chifukwa cha maina awo ofanana ndi momwe amafotokozera kwambiri zizindikiro zawo, anthu ena amagwiritsa ntchito IBS ndi IBD molakwika .

IBS ndi IBD ndizosiyana, koma kodi ndizotheka kukhala ndi mikhalidwe yonse panthawi yomweyo? Kafukufuku wina anapeza kuti anthu ena amapezeka kuti ali ndi IBS asanatuluke kuti ali ndi IBD (izi zinali zovuta kwambiri chifukwa cha matenda a Crohn kusiyana ndi ulcerative colitis). Kodi wodwala ndi wothandizira awo angayambe bwanji kumvetsa ngati zizindikiro zawo zimayambitsidwa ndi IBS kapena ngati zimayambitsidwa ndi IBD?

IBS Musanadziwe Zambiri za IBD?

Pali kusowa kwa kafukufuku pa nkhaniyi, ndipo lingaliro lakuti zonsezi zikhoza kuchitika mwa munthu yemweyo ndizomwe zikutsutsana ndipo sizikupezeka kuvomereza. Kafukufuku wina adanena kuti anthu ena omwe ali ndi IBD adakhalabe ndi zizindikiro zakumadya ngakhale pamene IBD yokha inapezeka kuti ikukhululukidwa. Odwala mu phunziroli sanakhalenso ndi kutupa m'magazi awo omwe angathe kufotokoza zizindikiro za IBD.

Nchifukwa chiyani odwala aja akupitilirabe kutsegula m'mimba ndi kufulumira? Olembawo anatsimikiza kuti odwala omwe adakali ndi zizindikiro zofanana ndi IBS angapindule ndi chithandizo chomwe chimaganizira zonsezi. Zinapezeka kuti odwala omwe anali ndi matenda a Crohn anali odwala kwambiri.

Kukhala ndi IBD yogwira ntchito kumagwirizananso ndi zizindikiro za mtundu wa IBS.

Phunziro lina lomwe linapangidwa ku Manitoba linapeza kuti asanatengedwe ndi IBD, odwala ayenera kukhala ndi zizindikiro za IBS zaka zitatu kapena kuposerapo. Olembawo amanena kuti ambiri mwa anthu 146 alionse omwe ali ndi matenda a IBD mu maphunziro awo anali "mwina kapena kotheka" kuti akhalenso ndi IBS. Odwala omwe angakhale ndi IBS anali ndi zizindikiro za kugaya kwa nthawi yaitali asanadziwe kuti ali ndi IBD. Olembawo anatsimikizira kuti kuchuluka kwa IBS kwa odwala omwe ali ndi IBD angakhale ofanana ndi kuchuluka kwa IBS pakati pa anthu onse.

IBS, Kapena Kutupa?

Nthano ina yokhudzana ndi zizindikiro za IBS kwa ogwira ntchito za IBD ndizoti pangakhale "kutukumula" kutupa. Mwa kuyankhula kwina, IBD ikhoza kuyambitsa kuchepa komwe sikungatengeke ndi njira zowerengera, monga Crohn's Disease Activity Index . Ochita kafukufuku apeza kuti odwala ameneŵa ali ndi kuchuluka kwa calprotectin, mapuloteni omwe amawoneka ndi kutupa kumene kumachitika ndi IBD. Kuchuluka kwa kutupa kwakanakhoza kuchititsa zizindikiro zina, monga zomwe zimatsanzira IBS.

Kodi IBS iyenera kuchitidwa mu odwala a IBD?

Monga momwe palibe kusanthula bwino ngati odwala omwe ali ndi IBD angakhalenso ndi IBS, palibenso kuzindikira momwe odwala omwe angapewere matenda a IBS ayenera kuchiritsidwa.

Chithandizo chiyenera kukhala chosinthidwa kwa wodwala aliyense ndi gastroenterologist wawo. Pali lingaliro lakuti tricyclic anti-depressants , yomwe ingagwiritsidwe ntchito pochiza IBS, ingakhale yothandiza kwa odwala omwe ali ndi zizindikiro za IBS ndi IBD.

Pali zambiri zomwe sizikudziwikanso zokhudzana ndi kuthekera kwa IBS kwa odwala omwe ali ndi IBD, komanso momwe zimakhudzidwira matenda ndi matenda m'tsogolomu. Maphunzirowa adakonzedwabe, ndipo palifukufuku omwe akuchitidwa kuti athetse chiwerengero cha zizindikiro za IBD ndi IBS mwa anthu ena. Mpaka chithunzichi chikuwonekera bwino, chitsimikizo chabwino kwambiri pazochitika zonse ziwiri za m'mimba - kaya singly kapena concert - ndi gastroenterologist wanu.

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