IBD ndi IBS Zili ndi Zizindikiro Zofanana-Tingawauze Bwanji?
Matenda awiri omwe nthawi zambiri amasokonezeka, ngakhale kuti ndi osiyana kwambiri, amakhala ndi matenda a m'mimba (IBS) ndi matenda opatsirana (omwe amatenga matenda a Crohn's and ulcerative colitis, omwe amadziwika kuti IBD). Ngakhale IBS ndi IBD zimamveka mofanana chifukwa cha zizindikiro zawo, ndipo zingayambitse zizindikiro zomwezo, ndizosiyana kwambiri ndi matenda osiyanasiyana.
Kuonjezera apo, iwo amachiritsidwa mosiyana ndipo mankhwala omwe amagwiritsidwa ntchito pa imodzi sangakhale othandizira wina.
IBS ndi matenda opatsirana: ngakhale kuti zizindikirozo ndi zenizeni ndipo zingakhale zovuta, palibe zovuta zomwe zimapezeka m'matumbo akuluakulu poyesedwa, monga mapeto osakanikirana , ndipo palibe umboni wodwala umene umapezeka panthawi ya kufufuza kwa chifuwa cha m'mimba . IBD, komabe, ndi matenda omwe amachititsa zosaoneka bwino zomwe zimawoneka poyesedwa. Pamene IBD imapanda kusamalidwa ikhoza kukhala ndi mavuto aakulu omwe angathe kuchitika mkati ndi kunja kwa dongosolo la zakudya, pamene IBS sichigwirizana ndi izi. Kuwonjezera pamenepo, zovuta kuchokera ku IBD zingakhale zoopsa kwambiri kuika moyo pachiswe , pamene izi si zoona kwa IBS.
Poganizira zinthu zonsezi, kusiyana pakati pa IBD ndi IBS kuli kofunikira kwambiri, ngakhale kuti sikungatheke ngati pamwamba chifukwa zonse zimayambitsa kutsegula m'mimba ndi kupweteka.
Anthu ambiri amasokoneza zikhalidwe ziwirizo kapena amagwiritsa ntchito mawu osayenera monga "matenda opweteka a m'mimba" kapena "matenda opweteka a m'magazi," omwe onse sali oyenera komanso alibe zikhalidwe.
IBS ndi Ulcerative Colitis Ndizosiyana
IBS nthawi zambiri imasokonezeka ndi ulcerative kolitis kapena colitis, koma sizili zofanana.
Zonsezi zimakhudza matumbo akulu ndipo zingayambitse kutsekula m'mimba, koma izi zimakhala zofanana.
IBS ndi matenda, si matenda. Ulcerative colitis imakhudzana ndi chiopsezo cha khansa yamtundu , ndipo kukhala ndi IBS sikungowonjezera chiopsezo cha khansa yamtundu. IBS sichimayambitsa magazi m'mimba ndipo chimatulutsa zilonda zam'mimba.
"Colitis" ndilo mawu omveka bwino omwe amatanthawuza kutupa kwina kulikonse ndipo zingayambidwe ndi zikhalidwe zosiyanasiyana, kuphatikizapo matenda a bakiteriya kapena IBD. Colitis ndi chizindikiro cha ulcerative colitis kapena cha Crohn's disease- si mbali ya IBS.
Kusiyanasiyana kwa Mankhwala kwa IBD ndi IBS
Mankhwala ndi mankhwala a IBS amasiyana kwambiri ndi awo a IBD. Ndondomeko yoyenera yothetsera matenda ndi chithandizo sizingakhale zophweka koma nthawi zina zingakhalenso zoopsa.
Kuchiza kwa IBD kawirikawiri kumafuna mankhwala, monga immunosuppressives, biologics, ndi steroids. Nthawi zambiri IBS imadyetsedwa ndi zakudya komanso kusintha kwa moyo , koma ngati mankhwalawa amafunika , nthawi zina amagwiritsidwa ntchito mankhwala osokoneza bongo .
Kusiyana Kwambiri Kwambiri
Endoscopy imatanthawuza mayesero omwe amapangidwa kuti ayang'ane mkati mwa matumbo kapena matupi ena. Nthawi zina, anthu amene akudandaula kuti ali ndi IBS akhoza kukhala ndi colonoscopy kapena mayesero ena kuti athetse zina.
Pamene dokotala akuyang'ana mkati mwa coloni ya munthu yemwe ali ndi IBS, sipadzakhala umboni wa matenda omwe amapezeka. Izi ndi chifukwa IBS ndi matenda osokoneza ubongo , osati matenda, ndipo sizimayambitsa matumbo.
Matenda a Crohn ndi ulcerative colitis angayambitse mavuto ambiri m'mimba. Poyang'ana m'kati mwa munthu amene ali ndi matenda a Crohn m'matumbo akuluakulu, dokotala akhoza kuona zilonda (kapena mabowo), kutupa, ndi ziwalo zingamawoneke ngati coblestone .
Zizindikiro (zidutswa za minofu zomwe zimatengedwa kuchokera mthupi ndi kutumizidwa kukayezetsa pansi pa microscope) ziwonetsanso kusintha kwakukulu.
Mphuno ya munthu amene ali ndi zilonda zam'mimba zimayambanso kutupa ndi zilonda, ndipo biopsy idzasintha kusintha maselo.
Gome ili m'munsiyi silingathe kulemba mndandanda wathunthu kapena wolimba wa zizindikiro koma zimapereka lingaliro lodziwika bwino pakati pa IBS ndi IBD.
Kusiyana pakati pa IBD ndi IBS
| Zizindikiro za m'mimba | IBS | Crohn's Matenda | Ulcerative Colitis |
| Kutsegula m'mimba / kudzimbidwa | X | ||
| Kupweteka m'mimba | X | X | X |
| Kulekanitsa / Kutalika | X | X | X |
| Mucus | X | X | X |
| Kutsegula m'mimba | X | X | X |
| Kutaya Zakudya | X | X | |
| Kutuluka magazi | X | X | |
| Fistula | X | ||
| Miyeso | X | ||
| Zizindikiro Zambiri za M'mimba | IBS | Crohn's Matenda | Ulcerative Colitis |
| Kuwopsa kwa zizindikiro pakapita nthawi | X | X | X |
| Anemia | X | X | |
| Kukula kocheperachepera ndi kusakaniza kwa kugonana kwa ana | X | X | |
| Kukhumudwa kwa diso | X | X | |
| Fever | X | X | |
| Khungu lopweteka | X | X | |
| Kutaya thupi | X | X | |
| Zochitika Zogwirizana | IBS | Crohn's Matenda | Ulcerative Colitis |
| Makhalidwe a Mtsinje | X | X | X |
| Fibromyalgia | X | X | X |
| Nkhawa | X | X | X |
| Kusokonezeka maganizo | X | X | X |
| Arthritis | X | X | |
| Zovuta za Chiwindi | X | X | |
| Osteoporosis | X | X | |
| Khansara ya Colon | X | X |
Zotsatira:
Crohn's ndi Colitis Foundation ya America. "Ulcerative Colitis ndi chiyani?" CCFA.org. Apr 2017.
Crohn's ndi Colitis Foundation ya America. "Kodi matenda a Crohn ndi chiyani?" CCFA.org. Apr 2017.
Sachar DB, Walfish AE. Matenda a Crohn (Regional Enteritis; Granulomatous Ileitis kapena Ileocolitis). "The Merck Manual Dec 2012.
Sachar DB, Walfish AE. "Ulcerative Colitis." Merck Manual Dec 2012.
Torpy JM. "Irritable Bowel Syndrome." JAMA 22 Feb 2006; 295. lembani: 10.1001 / jama.295.8.960