Nthawi zambiri IBS imasokonezedwa mosavuta ngati zina
Matenda owopsa a m'mimba (IBS) ndi matenda osokoneza bongo, kutanthauza kuti matenda a IBS amapezeka nthawi zambiri popanda chifukwa china chokhalira ndi zizindikiro. Izi zikutanthawuza kuti IBS nthawi zambiri imakhala yosamvetsetseka, ndipo imachiritsidwa, monga zina. Anthu ena amawona madokotala angapo osiyanasiyana ndikuyesedwa mayesero ambiri asanafike pozindikira kuti IBS ili ndi matenda.
Kodi zinthu zina zomwe ziri ndi zizindikiro zofanana ndi IBS ndi ziti? Zinthu zimenezi zimadziwika kuti "kusiyana ndi matenda" -kusiyana kwake komwe kuli ndi zizindikiro zofanana kapena "kuwonetsera."
Pali kafukufuku amene amasonyeza kuti IBS ikhoza kukhala cholowa: kuti pali majeremusi omwe amagwirizana ndi IBS. Zina za majini amenewa zapezeka, koma lingaliroli likupitirizabe kuwerengera kuti majini a munthu amakhudza bwanji chiopsezo chawo chokhala ndi IBS.
Matenda Opatsirana Opatsirana (IBD)
IBS nthawi zambiri imasokonezeka ndi ulcerative colitis kapena matenda a Crohn (omwe amadziwika kuti IBD), koma pali kusiyana kwakukulu. IBS ndi matenda, osati matenda, ndipo sichidzatsogolera khansa ya colon kapena sizimayambitsa kutupa kapena kutuluka kwa m'mimba. IBD nthawi zambiri imayambitsa kutupa kapena zilonda m'mimba mwa m'mimba zomwe mungaziwonetse ndi dokotala pa colonoscopy, pomwe IBS siimayambitsa zizindikiro za thupi.
IBD ikhozanso kuyambitsa kupweteka kwa m'mimba, fever, ndi kulemera kwa thupi, zomwe siziwoneka ndi IBS.
N'zotheka kuti anthu omwe ali ndi IBD akhale ndi IBS . Komabe, pali kusiyana kwakukulu koti mukhale ndi IBS sichikutanthauza "kupita patsogolo" kapena "kukalowa" IBD. IBS si matenda opitirirabe ndipo sizimayambitsa vuto lililonse m'matumbo kapena m'magawo ena.
Anthu omwe ali ndi IBD angafunikire opaleshoni ngati chithandizo cha matenda awo. Kuchita opaleshoni sikunayende kuti muzitha kuchiritsa IBS. IBD nthawi zambiri imakhudza ziwalo zina za thupi kunja kwa kapangidwe ka zakudya.
Mfundo zazikulu: IBS siimapangitsa kutupa, zilonda, kutuluka m'magazi, kapena kutayika kwakukulu.
Matenda a Celiac
Matenda a Celiac (omwe amachitcha kuti celiac sprue) amadziwika kuti alibe chifukwa chakuti anthu ambiri akuganizabe kuti matendawa ndi ovuta kwambiri. Ndipotu, anthu amodzi mwa anthu 1000 akhoza kukhala ndi chikhalidwe cholowa chimenechi. Zingatenge zaka kuti azindikire matenda a celiac, chifukwa zizindikirozo zimakhala zosavuta ndipo sizikhoza kunyalanyazidwa kapena kuganiza kuti zimayambitsidwa ndi zina. Munthu yemwe ali ndi matenda a chilondawa amadya gluten (chakudya chofala), kumayambitsa chitetezo cha mthupi kumayambitsa kuvulaza m'mimba. Izi zimachititsa kuti m'mimba mwawo musatenge zakudya zofunikira. Mosiyana ndi IBS, yomwe palibe chidziwitso, matenda a celiac angathe kupezeka ndi 85% mpaka 90% molondola ndi mayesero a antibody (IgA anti-gliadin ndi anti-tissu transglutaminase), ndipo ndi 95% mpaka 98% molondola ndi ma genetic test ( HLA-DQ2 ndi HLA-DQ8 majini). Maziko a chithandizo cha matenda a leliac ndi kuchotsa kwa gluten ku zakudya.
Akuti pafupifupi 30 peresenti ya omwe anapezeka ndi IBS akhoza kukhala ndi matenda a celiac.
Mfundo zazikulu: Matenda a Celiac amatha kupezetsedwa bwino ndi mayesero a antibody kapena kuyesedwa kwa majeremusi, ndipo zizindikiro zimakula mofulumira ndi zakudya zopanda thanzi.
Kutenga
Matenda a tizilombo, tizilombo toyambitsa matenda, kapena tizilombo toyambitsa matenda amachititsa kuti zizindikiro zikhale zofala mu IBS monga kupweteka kwa m'mimba, kuphulika, ndi kutsekula m'mimba. Matendawa akhoza kukhala "amfine" (viral gastroenteritis), poizoni wa chakudya, kapena madzi owonongeka ndi tizilombo toyambitsa matenda. Matendawa amayamba kukhala ovuta osati osasintha; zizindikiro zimayamba mwamsanga ndipo zingakhale zovuta.
Nthaŵi zambiri, pakhoza kukhala chochitika chowonekera chomwe chinachepetsa zizindikiro, monga kudya zakudya zopanda chofufumitsa (poyambitsa poizoni chakudya) kapena kukhudzana ndi munthu yemwe ali ndi zizindikiro zofanana (monga chifuwa cha mmimba). Pali umboni wina wosonyeza kuti IBS ikhoza kukhala ndi kachilombo koyambitsa matenda a bakiteriya, koma izi sizinatsimikizidwebe.
Mfundo zazikuluzikulu: Matenda a bakiteriya ndi a parasitic amatha kusintha pambuyo pa mankhwala ndi maantibayotiki, ndipo matenda a tizilombo amatha kusintha pakapita masiku angapo, pomwe zizindikiro za IBS ndizosalekeza.
Chidziwitso Chochokera
IBS nthawi zambiri imasokonezeka ndi zinthu zina, makamaka IBD. Kuonjezera apo, nthawi zina zimatchulidwa ndi mawu olakwika monga "matenda opweteka a m'mimba" kapena "matenda opweteka a m'mimba," omwe amachititsa mavuto ena komanso kusamvetsetsana. Mukalandira chithandizo kuchokera kwa gastroenterologist kapena katswiri wina wa zaumoyo, lingaliro lofunika ndi kupeza chidziwitso choyera ndi kufunsa mafunso mpaka mutakhala wotonthoza ndi mawu atsopano. Kutenga maminiti pang'ono kuti mumvetse IBS idzakhala yofunikira kwa odwala komanso othandizira zaumoyo adzafuna kuyankha mafunso kuti athandize kufotokoza mafunso alionse ndikupita kuchipatala choyenera.
Zotsatira:
Holten KB, Wetherington A, Bankston L. "Kuzindikira Wodwala ndi Mimba Yamimba ndi Zosintha Zochita Zanyama: Kodi Ndizopweteka Kwambiri?" Am Am Physician . 2003 May 15; 67: 2157-2162.
National Institutes of Health. "Viral Gastroenteritis." National Institute of Diabetes ndi Matenda a Chifuwa ndi Impso (NIDDK). Apr 2012.
NIDDK Zotsatira Zatsopano Zopititsa & Mipingo Yowonekera: Matenda Ogonjetsa ndi Zakudya Zakudya. "Matenda a Celiac-IFFGD." 28 Mar 2014.
Saito YA. "Udindo wa Genetics mu IBS." Zipatala zamakono za kumpoto kwa America . 2011; 40 (1): 45-67. lembani: 10.1016 / j.gtc.2010.12.011. 6 Feb 2016.