Kulumikizana Pakati pa PCOS ndi IBS

Zamkati

• Kodi PCOS ndi IBS ndi chiyani?
• Kulumikizana Pakati pa IBS ndi PCOS
• Kodi muyenera kuchita chiyani ngati mukuganiza kuti muli ndi PCOS ndi IBS?
• Momwe Mungadziwire Ndi Kuthandizidwa
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Ngati chowonadi chatsopano chatsopano chatulukira pakudya ndi kachitidwe kaumoyo m'zaka zingapo zapitazi, ndizopusa momwe ma microbiome am'mimba anu amakhudzira thanzi lanu lonse. Koma mungadabwe momwe zimalumikizirananso ndi ziwalo zanu zoberekera, nawonso-makamaka, ngati muli ndi matenda a polycystic ovary.

Matenda a Polycystic ovary (PCOS) amakhudza azimayi amodzi mwa amayi 10 ku United States, malinga ndi US department of Health and Human Services. Ndipo matenda opweteka a m'mimba (IBS) ndi amodzi mwa mavuto omwe amapezeka m'matumbo, omwe amakhudza anthu 20 peresenti ya anthu, akutero Carolyn Newberry, MD, katswiri wa gastroenterologist ku New York-Presbyterian ndi Weill Cornell Medicine.

Zomwe zimafala kwambiri payekha, palinso zochulukirapo: Kufikira 42 peresenti ya odwala omwe ali ndi PCOS alinso ndi IBS, malinga ndi kafukufuku wa 2009 wofalitsidwa m'nyuzipepalayi Matenda a Digestive ndi Sayansi.

Nchiyani chimapereka? Malinga ndi akatswiri, nkhonya ziwiri za PCOS ndi IBS matenda ndi zenizeni. Nazi zonse zomwe muyenera kudziwa zokhudzana ndi kulumikizana, ndi zoyenera kuchita ngati mukuganiza kuti muli nacho.

Kodi PCOS ndi IBS ndi chiyani?

Choyamba, pezani koyamba koyambira pazochitika zonsezi.

Matenda a Polycystic ovarian ndi matenda a m'thupi omwe amakhudza akazi popanda chifukwa chenicheni kapena kuchiritsa, "ngakhale kuti pali mitundu yosiyanasiyana ya majini ndi chilengedwe," anatero Julie Levitt, M.D., ob-gyn pa The Women's Group of Northwestern ku Chicago. Zizindikiro zodziwika bwino za PCOS zimaphatikizapo kusowa kwa ovulation, kuchuluka kwa mahomoni achimuna (androgen), ndi ma cysts ang'onoang'ono a ovarian, ngakhale azimayi sangakhale nawo onse atatu. Komanso ndi chifukwa chofala cha kusabereka.

Matenda okhumudwitsa ndi chikhalidwe chomwe chimadziwika ndi "matumbo osachiritsika komanso kupweteka kwa m'mimba mwa anthu omwe alibe kufotokoza kwina kwa zizindikiro (monga matenda kapena matenda otupa)," akutero Dr. Newberry. Zomwe zimayambitsa IBS sizikudziwika, koma ziyenera kukhala zokhudzana ndi kuwonjezeka kwa mitsempha ya m'matumbo m'matumbo, yomwe ingasinthidwe ndi zochitika zakunja monga zakudya, kupsinjika maganizo, ndi kugona.

Kulumikizana Pakati pa IBS ndi PCOS

Pomwe kafukufuku wa 2009 adapeza kulumikizana pakati pa ziwirizi, chinali kukula pang'ono, ndipo (monga zimakhalira zowona zamankhwala) akatswiri amakhulupirira kuti kafukufuku wina akuyenera kuchitidwa kuti atsimikizire kuti kulumikizanaku ndikotsimikizika.

"Palibe kulumikizana komwe kumadziwika pakati pa IBS ndi PCOS; komabe, zochitika zonsezi nthawi zambiri zimakhudza atsikana, chifukwa chake anthu ambiri omwe ali ndi vuto limodzi atha kukhalanso ndi enawo," akutero Dr. Newberry. (Zowona: IBS ndi zina za GI ndizofala kwambiri mwa amayi.)

Kupatula apo, IBS ndi PCOS zili ndi zizindikilo zofananira: kuphulika, kudzimbidwa, kutsegula m'mimba, kupweteka m'chiuno ndi m'mimba, atero Dr. Levitt.

Chifukwa chimodzi chotheka cha kuyanjana ndi chakuti nkhani za mahomoni zomwe zimagwirizanitsidwa ndi PCOS zingakhudzenso matumbo anu: "Zikuwoneka kuti odwala omwe ali ndi PCOS angakhale ndi zizindikiro za IBS, popeza PCOS imagwirizanitsidwa ndi mahomoni ochuluka a androgen (monga testosterone) ndi zolakwika. mu endocrine/hormonal system amatha kusintha matumbo," akutero a John Pandolfino, MD, wamkulu wa gastroenterology ku Digestive Health Center ku Northwestern Medicine.

Zizindikiro zina za PCOS zimayambitsanso mavuto am'mimba. Matenda owopsa kwambiri a PCOS amagwirizanitsidwa ndi insulin kukana (pamene maselo ayamba kukana kapena kunyalanyaza zizindikiro zochokera ku hormone ya insulini, yomwe imakhudza momwe thupi lanu limagwirira ntchito shuga wa magazi) ndi kutupa, komwe kungawonetsere mabakiteriya omwe amakhala m'matumbo aang'ono, akutero Dr. Levitt. Kuchuluka kwa mabakiteriyawa (omwe mungadziwe kuti SIBO) amalumikizidwa kwambiri ndi IBS.

Kusagwirizana kwa mabakiteriya m'matumbo mwanu kumatha kuyambitsa kutupa ndikupangitsa kuti PCOS iwonjezeke, ndikupangitsa ulalo wa IBS / PCOS kukhala woipa. Dr. (Zogwirizana: Zizindikiro za 6 Mukupanga Testosterone Yochulukirapo)

Ngakhale zinthu zakunja kwa mimba yanu zimatha kukhudza zochitika ziwirizi. Dr.

Ngakhale pali zinthu zambiri zomwe zimawagwirizanitsa, ofufuza akuyesera kuti adziwe ngati pali kugwirizana kwachindunji pakati pa PCOS ndi IBS, komanso chifukwa chake.

Kodi muyenera kuchita chiyani ngati mukuganiza kuti muli ndi PCOS ndi IBS?

Popeza zizindikiro zambiri za IBS ndi PCOS zimatha kupezeka, ndikofunikira kulankhula ndi dokotala zonse zizindikiro zanu.

"Ngati muli ndi zizindikiro zachilendo za m'mimba (kuphatikizapo kusintha kwa chizolowezi cha matumbo, kupweteka kwa m'mimba, kutupa, nseru, kapena kusanza), muyenera kupita kwa dokotala kuti mudziwe ngati mukufunikira kuyesedwa kowonjezera komanso zomwe mungasankhe," akutero Dr. Newberry. Ngati zizindikiro zanu zikugwirizana ndi IBS, mungaganizire zosintha pamoyo wanu, njira zopewera kupsinjika, kusintha kwa zakudya, kapena mankhwala ngati chithandizo.

Zomwezi zimachitika ngati mukukayikira kuti muli ndi PCOS.

PCOS itha kukhala ndi zizindikilo zofananira, kuphatikiza kupweteka m'mimba, kuphulika, komanso nthawi zina, komanso kuyang'aniridwa ndi dokotala, atero Dr. Newberry. Atha kudziwa ngati kuyezetsa kwina kumafunika komanso/kapena mankhwala omwe alipo kuti athe kuwongolera zizindikiro.

Ngati mukuganiza kuti muli nawo onse, "mankhwala ena omwe amathetsa vuto la m'mimba atha kukhala othandiza pazinthu zonse ziwiri," akutero. "Koma ambiri mwa mankhwalawa amakumana ndi vuto limodzi kapena linzake."

Momwe Mungadziwire Ndi Kuthandizidwa

Pali zosintha zingapo zomwe mungachite ngati mukuganiza kuti muli ndi IBS kapena PCOS zomwe zingathandize kuchepetsa zizindikiro.

Dr.Littitt anati: "Mutha kufunsa dokotala wanu wamankhwala woyamba za matenda a IBS, koma pamapeto pake kutumizidwa kwa gastroenterology kungakhale gawo lotsatira lothandizira pazakudya kapena kasamalidwe ka zamankhwala," akutero Dr.

Kusintha kwa zakudya ndizofunikira kwambiri pochiza IBS ndi PCOS.

"Amayi omwe ali ndi PCOS amatha kuchiza matenda okhudzana ndi IBS posintha zakudya (makamaka, zakudya zochepa za FODMAP), kupewa zakudya zomwe zingayambitse matenda am'mimba komanso kuphulika, chidwi chamatumbo, ndikugwiritsa ntchito njira zolimbitsa thupi zochepetsera kulemera, ngati kuli kodetsa nkhaŵa,” akutero Dr. Levitt.

Komanso, kuchita masewera olimbitsa thupi kungathandize ndi IBS. Anthu omwe adachita masewera olimbitsa thupi kwa mphindi 20 mpaka 30 katatu kapena kasanu pa sabata adanenanso zakusintha kwa IBS poyerekeza ndi omwe sanachite masewera olimbitsa thupi, malinga ndi kafukufuku wa 2011 mu American Journal ya Gastroenterology.

Matenda ena amisala komanso chithandizo chamankhwala onse atha kuthandizira. (Umu ndi momwe mungapezere wothandizira woyenera kwa inu.)

Njira zochiritsira zamakhalidwe monga hypnosis zasonyezedwa kuti zimathandiza ndi IBS, akutero Dr. Pandolfino. Matenda amisala kapena machitidwe amathandizanso ku PCOS, popeza azimayi omwe ali ndi vutoli amakhala ndi chizolowezi cholimbana ndi mavuto amisala, kuphatikiza nkhawa, kukhumudwa, komanso vuto la kudya.

Ngati muli ndi nkhawa kuti mutha kukhala ndi PCOS ndi IBS, lankhulani ndi dokotala wanu, yemwe angakuthandizeni kupeza matenda ndikupeza njira yoyenera yothandizira.

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