Irritable Bowel Syndrome vs. Carcinoid Syndrome

Zamkati

• Zizindikiro zazikulu za MCT ndi ziti?
• Kodi zizindikiro za IBS ndi ziti?
• Kodi pali kusiyana kotani pakati pa IBS ndi MCT?
• Zaka atazindikira
• Kuthamanga, kupuma, kapena kupuma movutikira
• Kuchepetsa thupi
• Kupitilira kwa m'mimba zizindikilo
• Kutenga

Madokotala akukhala bwino pakuzindikira zotupa za khansa zam'mimba (MCTs). Komabe, zizindikilo zosiyanasiyana za MCT nthawi zina zimatha kuyambitsa matenda osazindikira ndi chithandizo cholakwika, mpaka chotupa cha khansa chiwonetseke kuti chimayambitsa izi. Malinga ndi National Organisation for Rare Disorders, zotupa za khansa nthawi zambiri zimazindikira molakwika ngati matenda opweteka a m'mimba (IBS) kapena matenda a Crohn, kapena ngati chisonyezo chakutha kwa azimayi.

Kudziwa kusiyana pakati pa zizindikiro za matenda a carcinoid ndi IBS kungakupatseni lingaliro lomwe mungakhale nalo, ndi zomwe muyenera kufunsa dokotala kuti adziwe.

Zizindikiro zazikulu za MCT ndi ziti?

Malinga ndi magazini ya American Family Physician, zotupa zambiri za khansa sizimayambitsa zisonyezo. Kawirikawiri, dokotalayo amatulukira chimodzi mwa zotupazi pochita opaleshoni ya vuto lina, monga kapamba kapamba, kutsekeka kwa matumbo a munthu, kapena matenda okhudzana ndi ziwalo zoberekera za amayi.

Zotupa za carcinoid zimatha kutulutsa mahomoni angapo omwe amakhudza thupi lanu, chofunikira kwambiri kukhala serotonin. Kuwonjezeka kwa serotonin m'thupi lanu kumatha kulimbikitsa matumbo anu, kuchititsa zizindikilo ngati za IBS, makamaka kutsegula m'mimba. Zizindikiro zina zokhudzana ndi MCTs ndi monga:

• kuchapa
• mavuto amtima omwe amachititsa kugunda kwamtima mosasinthasintha komanso kusintha kwa kuthamanga kwa magazi, nthawi zambiri kumachepetsa kuthamanga kwa magazi
• kupweteka kwa minofu ndi olumikizana
• kupuma

Kutsekula m'mimba komwe kumalumikizidwa ndi MCT nthawi zambiri kumakhala koipa munthu akadya zakudya zopanga mankhwala otchedwa tyramine. Zakudya zomwe zili ndi tyramine zimaphatikizapo vinyo, tchizi, ndi chokoleti.

Popita nthawi, zizindikiro zam'mimba zokhudzana ndi MCT zitha kukhala ndi zotsatirapo zina zowopsa. Izi zimaphatikizapo kuonda chifukwa chopondapo chimadutsa mwachangu m'matumbo mwanu kotero kuti thupi lanu lilibe nthawi yokwanira kuyamwa michere. Kutaya madzi m'thupi komanso kusowa kwa zakudya m'thupi kumathanso kupezeka pazifukwa zofananira.

Kodi zizindikiro za IBS ndi ziti?

IBS ndi vuto lomwe limakhudza matumbo akulu, ndikupangitsa mkwiyo pafupipafupi womwe ungayambitse kukhumudwa m'mimba nthawi zonse. Zitsanzo za zizindikilo zomwe zimakhudzana ndi IBS ndi izi:

• kudzimbidwa
• kuphwanya
• kutsegula m'mimba
• mpweya
• kupweteka m'mimba

Anthu ena omwe ali ndi IBS amasintha kudzimbidwa ndi kutsekula m'mimba. Monga MCT, IBS nthawi zambiri imakula kwambiri munthu akadya zakudya zina, monga chokoleti ndi mowa. Zakudya zina zomwe zimayambitsa matenda a IBS ndi monga:

• Ziweto zazikulu monga broccoli, kolifulawa, ndi kabichi
• zakudya zokometsera
• zakudya zamafuta ambiri
• nyemba
• zopangidwa ndi mkaka

IBS sizimayambitsa kuwonongeka kwa matumbo. Munthu akakhala ndi zisonyezo zazikulu, adotolo amatha kutulutsa m'matumbo kuti ayang'ane kuwonongeka kapena matenda. Apa ndipamene dokotala amatha kupeza MCT, ngati alipo.

Kodi pali kusiyana kotani pakati pa IBS ndi MCT?

Poganizira zizindikiro za IBS, ndikosavuta kuwona momwe MCT ingazindikiridwire ngati IBS. Komabe, zina mwazinthu zazikulu zitha kupangitsa dokotala kuti alangize zoyeserera kuti athe kuyesa MCT.

Zaka atazindikira

Ngakhale munthu atha kukhala ndi IBS pamsinkhu uliwonse, akazi ochepera zaka 45 amatha kupezeka ndi IBS, malinga ndi Mayo Clinic. Mosiyana ndi izi, zaka zapakati pomwe munthu yemwe ali ndi MCT amayamba kuwona zizindikiro ali pakati pa 50 ndi 60.

Kuthamanga, kupuma, kapena kupuma movutikira

Munthu yemwe ali ndi MCT amatha kumva kupweteka m'mimba komanso kutsekula m'mimba ndikuyika zizindikirozi munthawi zosiyanasiyana. Mwachitsanzo, amatha kuimba mlandu chimfine ndi kutsekula m'mimba pa IBS. Komabe, zizindikilo zomwe zimakhudzana ndi MCTs sizimangoyang'ana dongosolo limodzi mthupi la munthu.

Kudziwa izi, ndikofunikira kuti mufotokozere dokotala zonse zachilendo zomwe mwakhala mukukumana nazo, ngakhale zikuwoneka kuti sizikugwirizana. Mwachitsanzo, muyenera kugawana nawo ngati mwakumana ndi matenda otsekula m'mimba, komanso kuphulika, kupuma, kapena kupuma movutikira. Makamaka, kutsegula m'mimba ndi kutuluka kumachitika nthawi yomweyo mwa iwo omwe ali ndi MCT.

Kuchepetsa thupi

Ngakhale munthu yemwe ali ndi IBS atha kuchepa thupi chifukwa cha kutsekula m'mimba, chizindikirochi chimachitika ndi MCTs kapena vuto lina lalikulu. Kuchepetsa thupi kumawerengedwa kuti ndi "chizindikiro cha mbendera yofiira" chomwe chimayambitsa si IBS, malinga ndi Mayo Clinic.

Kupitilira kwa m'mimba zizindikilo

Nthawi zambiri, omwe ali ndi MCT amakhala ndi zowawa m'mimba kwa zaka zambiri osazindikira. Ngati zisonyezo zanu sizinayankhe kuchipatala kapena zikuwoneka kuti zikuyenda bwino ndikuchotsa mankhwala okhala ndi tyramine pazakudya zanu, izi zitha kukhala chizindikiro chofunsa dokotala kuti apitilize kukumba mopitilira.

Zitsanzo za mayeso oti mupeze MCT ndi awa:

• kuyeza mkodzo wanu kwa maola 24 kupezeka kwa 5-HIAA, chochokera mthupi lanu chomwe chimaphwanya serotonin
• kuyesa magazi anu pa chromogranin-A
• pogwiritsa ntchito zithunzi zojambula, monga CT kapena MRI scans, kuti mudziwe malo omwe angathe kukhala a MCT

Kutenga

Nthawi yayitali kuyambira pomwe zizindikiro za MCT zimayamba kudziwika ndi. Ngakhale izi zikuwoneka ngati nthawi yayitali kwambiri, zikuwonetsera momwe zimakhalira zovuta komanso nthawi zina zimakhala zovuta kudziwa kuti MCT ndi yotani.

Ngati muli ndi zizindikilo zomwe zimapitilira kutsekula m'mimba, lankhulani ndi dokotala wanu za momwe mungagwiritsire ntchito MCT. Anthu ambiri omwe ali ndi MCT samafuna chithandizo mpaka chotupacho chitafalikira ndikuyamba kuyambitsa zina. Koma ngati mutenga mayesero owonjezera koyambirira ndipo dokotala wanu atazindikira kuti MCT, atha kuchotsa chotupacho, kuti chisafalikire.