Irritable Bowel Syndrome vs. Matenda Opopa Matumbo

Zamkati
- Kukula
- Zinthu zazikulu
- Zizindikiro
- Udindo wamavuto
- Mankhwala
- Chiwonetsero
- Mankhwala achilengedwe
- Funso:
- Yankho:
IBS vs. IBD
Ponena za matenda am'mimba, mutha kumva ziziwonetsero zambiri monga IBD ndi IBS.Matenda opatsirana otupa (IBD) ndi mawu otakata omwe amatanthauza kutupa kwakanthawi (kutupa) kwamatumbo. Nthawi zambiri zimasokonezeka ndi matenda osakwiya omwe amakhumudwitsa matumbo (IBS). Ngakhale mavuto awiriwa amagawana mayina ofanana ndi zizindikilo zofananira, ali ndi zosiyana. Phunzirani kusiyana kwakukulu apa. Onetsetsani kuti mukukambirana nkhawa zanu ndi gastroenterologist.
Kukula
IBS ndi yofala kwambiri. M'malo mwake, International Foundation for Functional Gastrointestinal Disorder ikuyerekeza kuti imakhudza anthu 15% padziko lonse lapansi. Malinga ndi Cedars-Sinai, pafupifupi 25% ya anthu aku America amadandaula za matenda a IBS. Ichi ndi chifukwa chofala kwambiri chomwe odwala amafunira gastroenterologist.
IBS ndi yosiyana kwambiri ndi IBD. Komabe, munthu amene wapezeka ndi IBD amatha kuwonetsa zizindikilo za IBS. Ndikofunikanso kudziwa kuti mutha kukhala ndi zikhalidwe zonse ziwiri nthawi imodzi. Zonsezi zimawerengedwa kuti ndizosakhalitsa.
Zinthu zazikulu
Mitundu ina ya IBD ndi iyi:
- Matenda a Crohn
- anam`peza matenda am`matumbo
- Matenda osadziwika
Mosiyana ndi IBD, IBS sichiwerengedwa kuti ndi matenda enieni. M'malo mwake amadziwika kuti "matenda osokoneza bongo." Izi zikutanthauza kuti zizindikirazo zilibe chifukwa chodziwika. Zitsanzo zina zamavuto amachitidwe zimaphatikizapo kupsinjika kwa mutu komanso matenda otopa (CFS).
Mosiyana ndi zomwe ambiri amakhulupirira, IBS siimaganizo. IBS ili ndi zizindikiro zakuthupi, koma palibe chifukwa chodziwika. Nthawi zina zizindikirazo zimatchedwa mucous colitis kapena spastic colitis, koma mayinawo sakhala olondola. Colitis ndi kutupa kwa m'matumbo, pomwe IBS siyimayambitsa kutupa.
Anthu omwe ali ndi IBS sawonetsa zizindikiritso zamatenda ndipo nthawi zambiri amakhala ndi zotsatira zoyesedwa. Ngakhale zonsezi zitha kuchitika kwa aliyense pamsinkhu uliwonse, zikuwoneka kuti zikuyenda m'mabanja.
Zizindikiro
IBS imadziwika ndi kuphatikiza kwa:
- kupweteka m'mimba
- kukokana
- kudzimbidwa
- kutsegula m'mimba
IBD ingayambitsenso zizindikiro zomwezo, komanso:
- kutupa kwa diso
- kutopa kwambiri
- zotupa m'mimba
- kupweteka pamodzi
- kusowa kwa zakudya m'thupi
- magazi akutuluka
- kuonda
Zonsezi zimatha kuyambitsa matumbo mwachangu.
Odwala a IBS amathanso kumva kuti achoka mosakwanira. Ululu ukhoza kupezeka m'mimba monse. Nthawi zambiri zimawonekera m'munsi kumanja kapena kumanzere kumanzere. Anthu ena adzamvanso ululu wakumanja kumanja kopanda zisonyezo zina.
IBS imasiyana pamipando yopangira. IBS imatha kuyambitsa malo otayirira, koma voliyumuyo imagwera m'malire. (Kutsekula m'mimba kumatanthauzidwa ndi voliyumu, osati chifukwa cha kusasinthasintha.)
Odwala a IBS omwe ali ndi kudzimbidwa nthawi zambiri amakhala ndi nthawi yodutsa m'mimba - nthawi yomwe zimatengera kuti chimbudzi chiziyenda kuchokera ku colon kupita ku rectum.
Kutengera chizindikiro chachikulu, odwala IBS amadziwika kuti ndi kudzimbidwa, makamaka kutsekula m'mimba, kapena kupweteka kwambiri.
Udindo wamavuto
Popeza kutukusira kwa IBD kulibe mwa anthu omwe ali ndi IBS, ndizovuta kuti ofufuza amvetsetse zomwe zimayambitsa izi. Kusiyana kwakukulu ndikuti IBS nthawi zambiri imakulitsidwa ndi nkhawa. Njira zothanirana ndi nkhawa zitha kuthandiza. Ganizirani kuyesa:
- kusinkhasinkha
- kuchita masewera olimbitsa thupi
- kulankhula mankhwala
- yoga
IBD ikhoza kutuluka m'malo opsinjika komanso opsinjika kwambiri.
Malinga ndi Dr. Fred Saibil, wolemba buku la "Crohn's Disease and Ulcerative Colitis," anthu ambiri samva kuti atha kukambirana za IBS chifukwa chamanyazi. "Simumva anthu ambiri akunena za 'kusanza kwawo' kapena 'kutsekula m'mimba' kapena 'kupwetekedwa m'mimba,'" akutero, "ngakhale izi zili ponseponse."
Dr. Saibil ananenanso kuti pali chisokonezo china pa IBD chifukwa madokotala kale ankakhulupirira kuti vutoli limayambitsidwa ndi kupsinjika. Palibe umboni wosonyeza kuti ndi choncho, komabe, odwala IBD sayenera kumva kuti abweretsa vutoli pa iwo okha.
Mankhwala
IBS imatha kuchiritsidwa ndi mankhwala ena monga m'mimba antispasmodics monga hyoscyamine (Levsin) kapena dicyclomine (Bentyl).
Kusintha kwa zakudya ndi moyo zikuwoneka ngati zothandiza kwambiri. Anthu omwe ali ndi IBS ayenera kupewa kukulitsa vuto lawo ndi zakudya zokazinga ndi zamafuta komanso zakumwa za khofi.
Chithandizo cha IBD chimadalira mawonekedwe omwe apezeka. Cholinga chachikulu ndikuchiza ndikupewa kutupa. Popita nthawi, izi zitha kuwononga matumbo.
Chiwonetsero
IBD ndi IBS zitha kuwoneka kuti zikugawana zofananira, koma izi ndi zinthu ziwiri zosiyana ndizofunikira kwambiri zamankhwala. Ndi IBD, cholinga ndikuchepetsa kutupa komwe kumayambitsa zizindikilo. Komano, IBS, siyingachiritsidwe ndi mankhwala chifukwa palibe chifukwa chodziwikiratu. Gastroenterologist itha kukuthandizani kudziwa momwe mungakhalire ndikupatseni njira zabwino zochizira ndi zothandizira kukuthandizani kuthana ndi zizindikilo.
Mankhwala achilengedwe
Funso:
Ndi njira ziti zachilengedwe zomwe zingathandize kuchepetsa zizindikilo za IBS ndi IBD?
Yankho:
Pali mitundu ingapo yazithandizo zachilengedwe komanso kusintha kwa moyo wanu komwe kumatha kusintha zizindikiritso zanu za IBS monga kukulitsa chikudyacho m'zakudya zanu, kumwa madzi ambiri, kupewa zakudya zomwe zimawonjeza zizindikiro monga mowa, tiyi kapena khofi, zakudya zokometsera, chokoleti, zopangidwa ndi mkaka, ndi zotsekemera zopangira, kuchita masewera olimbitsa thupi pafupipafupi, kudya nthawi zonse, komanso kusamala ndi mankhwala otsegulitsa m'mimba komanso mankhwala oletsa kutsegula m'mimba.
Malangizowo amasiyana pang'ono kwa odwala omwe ali ndi IBD. Ngati muli ndi IBD, mungafunikire kupewa zopangira mkaka, mowa, tiyi kapena khofi, ndi zakudya zonunkhira ndipo mungafunikire kuchepetsa kudya kwa fiber ndikupewa zakudya zamafuta. Ndikofunikanso kumwa madzi ambiri ndi IBD. Muyeneranso kudya zakudya zing'onozing'ono ndipo ganizirani kumwa multivitamin. Pomaliza, muyenera kupewa kusuta ndikuchepetsa kupsinjika ndi njira monga zolimbitsa thupi, biofeedback, kapena kupumula pafupipafupi komanso kupuma.
Graham Rogers, MDAnswers akuyimira malingaliro a akatswiri athu azachipatala. Zonse zomwe zili ndizachidziwikire ndipo siziyenera kuonedwa ngati upangiri wa zamankhwala.