Endometriosis ndi IBS: Kodi Pali Kulumikizana?

Zamkati

• Kodi endometriosis ndi chiyani, ndipo IBS ndi chiyani?
• Endometriosis
• Kufufuza
• Zizindikiro zake ndi ziti?
• Zimayambitsa ndi chiyani?
• Kodi endometriosis ndi IBS zimapezeka bwanji?
• Kodi njira zamankhwala ndi ziti?
• Zithandizo zapakhomo
• Maganizo ake ndi otani?
• Tengera kwina

Endometriosis ndi matumbo osakwiya (IBS) ndi mikhalidwe iwiri yomwe ili ndi zizindikilo zofananira. Ndizotheka kukhala ndi zovuta zonse ziwiri. Dokotala wanu akhoza kuzindikira molakwika vuto lina pomwe ndi linzake. Madokotala amadziwanso kuti amayi omwe ali ndi endometriosis amakhala ndi IBS.

Pitilizani kuwerenga kuti mumve zambiri za chikhalidwe chilichonse komanso momwe zimakhudzirana.

Kodi endometriosis ndi chiyani, ndipo IBS ndi chiyani?

Endometriosis

Endometriosis ndi chikhalidwe chomwe minofu yomwe imapezeka mchiberekero imayamba kukula m'malo ena amthupi.

Zitsanzo za maderawa ndizophatikiza ma tubes ndi mazira. Matenda a Endometrial amathanso kukula m'matumbo. Izi zitha kuthandizira kuzizindikiro zonga IBS.

Kufufuza

IBS imayambitsa matenda am'mimba. Izi zimaphatikizapo kudzimbidwa, kutsegula m'mimba, kapena zonse ziwiri. Komabe, vutoli silikuwononga matumbo a munthu monga ulcerative colitis kapena matenda a Crohn.

Amayi omwe ali ndi endometriosis amakhala ndi IBS nthawi zambiri kuposa azimayi omwe alibe endometriosis. Amayi ambiri omwe ali ndi endometriosis m'matumbo ndi nyumba zina zapafupi nthawi zambiri amalandila matenda osokoneza bongo a IBS.

Zizindikiro zake ndi ziti?

Endometriosis ndi IBS amagawana zodziwika bwino. Kuphatikizana kumeneku kumatha kubweretsa zovuta kwa madokotala omwe akuyesera kuzindikira komwe kudwala komanso kusapeza bwino kwa wodwalayo.

Chizindikiro chodziwika bwino cha zinthu zonsezi ndikumvetsetsa kwa visceral. Izi zikutanthauza kuti munthu yemwe ali ndi vuto lililonse amakhala ndi ululu wachepa wam'mimba kapena wamimba. Kutha kwa mitsempha yawo kumatha kukhala kovuta kwambiri. Izi zitha kubweretsa kuyankha kwakumva kupweteka.

Zina mwazizindikiro zowonjezera pakati pa endometriosis ndi IBS ndi monga:

• kuphwanya m'mimba
• kuphulika
• kutsegula m'mimba
• nseru
• ululu ndi matumbo

Chifukwa cha izi zomwe adagawana, madokotala amatha kukhala ndi vuto lodziwitsa endometriosis kapena IBS.

Zimayambitsa ndi chiyani?

Madokotala sakudziwa chomwe chimayambitsa endometriosis. Amadziwa kuti vutoli lili ndi chibadwa, koma zochepa za chifukwa chomwe ena amakhala ndi vutoli pomwe ena alibe.

IBS ndichinsinsi chimodzimodzi kwa madokotala. Amadziwa kuti kutupa kumatha kubweretsa IBS. Anthu ena amapezanso IBS pambuyo pa matenda a bakiteriya kapena ma virus, omwe angayambitse kutupa kwamatumbo kosatha.

Kodi endometriosis ndi IBS zimapezeka bwanji?

Madokotala alibe mayeso amodzi okha omwe amapezeka ngati ali ndi vuto lililonse. Pozindikira IBS, madokotala nthawi zambiri amayesa kuthana ndi zovuta zina zomwe zimayambitsa zofananira. Izi zikuphatikiza:

• tsankho la gluten
• matenda opatsirana
• matenda otupa, monga ulcerative colitis kapena matenda a Crohn
• tsankho la lactose

Dokotala amatha kuyitanitsa kuyezetsa magazi kuti adziwe ngati munthu ali ndi mankhwala otupa omwe amatha kuloza kusagwirizana kwa gluten kapena lactose. Angathenso kufunsa choyeserera kuti ayese chopondapo magazi kapena tizilombo toyambitsa matenda.

Nthawi zina dokotala amalangiza endoscopy wapamwamba kapena colonoscopy. Izi ndi njira zoyesera zomwe zimalola dokotala kuti awone zolumikizira za m'mimba, m'mimba, ndi m'matumbo kuti azindikire zosavomerezeka zilizonse.

Madokotala amatha kugwiritsa ntchito njira zosiyanasiyana kuti azindikire endometriosis. Zitsanzo za izi ndi izi:

• Kuyesa kwapelvic. Dokotala wanu amatha kuyesa mayeso m'chiuno kuti amve ngati pali zovuta.
• Kuyesa mayeso. MRI kapena ultrasound imatha kuthandiza dokotala kuti awone ngati pali zotupa kapena endometriosis ngati kukhuthala kwa chiberekero kapena madera ena.
• Mankhwala. Dokotala wanu akhoza kukupatsani mankhwala a mahomoni kuti muchepetse zizindikiro za endometriosis. Ngati zizindikiro zanu zikuyenda bwino, vutoli ndi lotchedwa endometriosis.
• Opaleshoni laparoscopy. Njira yokhayo yotsimikiziranso endometriosis ndi laparoscopy ya opaleshoni. Izi zimaphatikizapo kuchotsa gawo la minofu yomwe ingakhale yachilendo ndikuyiyesa mu labu kuti mupezeko minofu ya chiberekero.

Dokotala wanu akukambirana nanu njira zodziwitsira izi. Kenako agwiritsa ntchito zotsatirazi popereka upangiri wa chithandizo chamankhwala.

Kodi njira zamankhwala ndi ziti?

Mankhwala a Endometriosis amatengera komwe maselo osadziwika ali mthupi lanu.

Ngati endometriosis imakhudza matumbo, dokotala wanu amatha kukupatsani mankhwala othandizira mahomoni. Izi zikuphatikizapo mapiritsi oletsa kubereka kapena chipangizo cha intrauterine (IUD). Mahomoni owonjezera amatha kuthana ndi mavuto monga kupunduka komanso kutuluka magazi.

Ngati mahomoni samachotsa zizindikilo, dokotala wanu angakulimbikitseni kuchitidwa opaleshoni kuti muchotse malo omwe minofu ya endometrial imakula. Ngati muli ndi nkhawa zakubereka, kuchitanso opaleshoni kumathandizanso.

Pofuna kuchiza IBS, dokotala wanu akhoza kukupatsani mankhwala kutengera matenda anu. Zitsanzo ndi izi:

• Mankhwala opatsirana pogonana. Izi zimaphatikizapo serotonin reuptake inhibitors (SSRIs), monga citalopram (Celexa), fluoxetine (Prozac), kapena sertraline (Zoloft) komanso ma tricyclic antidepressants, monga amitriptyline (Elavil).
• Matenda opatsirana. Izi zimaphatikizapo loperamide, rifaximin, kapena eluxadoline (Viberzi).
• Mankhwala ochizira kudzimbidwa. Izi zimaphatikizapo mankhwala ofewetsa tuvi tolimba, lubiprostone (Amitiza), linaclotide (Linzess), kapena plecanatide (Trulance).

Kuphatikiza pa mankhwala akuchipatala, madotolo amathanso kulangiza othandizira ngati kupsinjika ndi komwe kumayambitsa IBS. Wothandizira atha kupereka malingaliro omwe angathandize munthu kuthana ndi zovuta.

Zithandizo zapakhomo

Zithandizo zapakhomo za endometriosis nthawi zambiri zimakhudzana ndi zotonthoza m'chiuno kapena m'mimba.

Kuchepetsa kupweteka kwapadera, monga ibuprofen kapena acetaminophen, kumatha kuchepetsa ululu. Kuyika mapaketi otentha kapena ozizira pamimba pamunsi kumatha kuthandizira kukhumudwitsa.

Kusintha zakudya kungathandize kuchiza IBS. Taganizirani izi:

• Idyani zakudya zomwe zilibe zochepa zotetezera ndi zokometsera zokometsera ndi mitundu. Njirayi ndi gawo la zakudya zochepa za FODMAP.
• Phatikizani fiber yambiri pazakudya zanu.
• Pewani kudya zakudya zomwe zili ndi gluten.
• Tengani maantibiotiki kuti muphatikize mabakiteriya athanzi m'matumbo.

Kuchita njira zochepetsera nkhawa kungathandizenso anthu ena omwe ali ndi IBS. Izi zingaphatikizepo kuchita masewera olimbitsa thupi komanso kusinkhasinkha.

Onani dokotala wanu ngati mukuganiza kuti muli ndi zizindikilo za zonsezi kapena zonse ziwiri. Zitsanzo ndi izi:

• kusintha kwa zizolowezi za matumbo, monga kuchuluka kwa kudzimbidwa kapena kutsegula m'mimba
• nthawi zopweteka kwambiri
• kupweteka kwa m'chiuno
• kupweteka m'mimba

Ngakhale zizindikiro za endometriosis ndi IBS sizowopsa mwadzidzidzi zamankhwala, zimatha kukhala zopweteka kwambiri ndikusokoneza moyo wanu watsiku ndi tsiku. Zotsatira zake, ndikofunikira kuti mukalankhule ndi dokotala kuti mupeze chithandizo posachedwa.

Maganizo ake ndi otani?

Ngakhale endometriosis ndi IBS zilibe mankhwala apano, zonsezi zitha kuyendetsedwa bwino.

Kuphatikiza pa kulumikizana pakati pa endometriosis ndi IBS, madotolo agwirizanitsa endometriosis ndi chiwopsezo chachikulu cha matenda ena. Izi zikuphatikiza:

• thupi lawo siligwirizana
• mphumu
• Matenda osokoneza bongo, kuphatikizapo multiple sclerosis ndi lupus
• Khansa, monga khansa ya m'mawere kapena yamchiberekero
• matenda otopa
• fibromyalgia

Kambiranani zoopsa ndi izi ndi dokotala ngati muli ndi endometriosis.

Tengera kwina

Ngati muli ndi endometriosis ndi IBS, simuli nokha. Endometriosis Foundation of America ikuyerekeza kuti 10 peresenti ya azimayi ku Unites States ali ndi endometriosis. Kafukufuku waposachedwa akuti azimayi omwe ali ndi endometriosis ali ndi mwayi wopitilira IBS kawiri kawiri.

Kufunafuna chithandizo chilichonse kapena zonsezi kungathandize kuti mukhale ndi moyo wabwino.