I-IBS ihlala ingacatshulwa njengezinye iimeko
I-irritable syndrome (IBS) isifo sokungabikho, oku kuthetha ukuba ukuxilongwa kwe-IBS kudlalwa ngaphandle kokuba kungabikho esinye isizathu sokuba iimpawu zifumaneke. Oku kuthetha ukuba ii-IBS zihlala zingakhange zixilwe, kwaye ziphathwe, njengezinye iimeko. Abanye abantu banokubona oogqirha abahlukahlukeneyo kwaye bafumana iimvavanyo ezininzi ngaphambi kokuba bafike kwi-IBS.
Ziziphi ezinye iimeko ezinempawu ezifana ne-IBS? Le miqathango yaziwa ngokuba "ukuxilongwa ngokungafaniyo" -imiqathango eyahlukeneyo eneempawu ezifanayo okanye "intetho."
Kukho uphando olubonisa ukuba i-IBS ingaba nefa: ukuba kukho iigesi ezidibene ne-IBS. Ezinye zezo jeni zifunyenwe, kodwa le ngcamango isaphononongo ukufumanisa ukuba ubuninzi bomzimba babantu buchaphazela umngcipheko wokuba ne-IBS.
Isifo soBugulayo esibangelisayo (IBD)
I-IBS idla ngokudibanisa ne- ulcerative colitis okanye isifo se-Crohn (eyaziwa ngokuba yi-IBD), kodwa kukho ukungafani okubalulekileyo. I-IBS i-syndrome, kungekhona isifo, kwaye ayiyi kubakho kumdlavuza wekoloni okanye ingabangela ukuvuvukala okanye ukuphuma kwamathumbu emathunjini. I-IBD iya kubangela ukuvuvukala okanye izilonda kumadonga emathumbu angabonwa ngugqirha ngexesha le-colonoscopy, ngelixa i-IBS ingabangeli naziphi na ezi zibonakaliso zomzimba.
I-IBD ingabangela ubuhlungu obukhulu besisu, amafiva kunye nokulahleka kwesisindo, ezingabonakali nge-IBS.
Kunokwenzeka ukuba abantu abane-IBD babe ne-IBS . Nangona kunjalo, kukho ulwahlulo olubalulekileyo ukwenza ukuba i-IBS ayithethi ukuba "iya kuqhubeka" okanye "iya kuba" IBD. I-IBS ayiyona isifo esiqhubekayo kwaye ayibangele nayiphi na umonakalo emathunjini okanye kwezinye iindawo zendlela yokugaya.
Abantu abane-IBD bangadinga ukuhlinzwa njengonyango lwesifo sabo. Ukuhlinzwa akukwenziwe ukuphatha i-IBS. I-IBD ihlala ichaphazela ezinye iindawo zomzimba ngaphandle kwendlela yokugaya.
Amanqaku aphambili: I-IBS ayibangeli ukuvuvukala, izilonda, ukuphuma kwamanzi, okanye ukulahleka komzimba.
Izifo zeCeliac
Isifo seCeliac (oko kwakuqhelekileyo kuthiwa yi-celiac sprue) kuthiwa singaphathwa kakubi ngenxa yokuba abantu abaninzi bacinga ukuba lesi sifo esingabonakali sabantwana. Enyanisweni, abaninzi abantu abayi-1 kubantu abayi-1000 banokuthi babe nelifa lemveli. Kungathatha iminyaka ukufumana ukuxilongwa kwezifo ze-celiac, njengoko iimpawu zisoloko zingacacanga kwaye zingathathwa okanye zicingelwe ukuba zibangelwa ezinye iimeko. Xa umntu onesifo esibi esidla i-gluten (isisitha sokutya esiqhelekileyo), iimpendulo zokuzivikela komzimba zibangelwa umonakalo kwisibilini samathumbu amancinci. Oku kubangela umathumbu omncinci akakwazi ukufumana izondlo ezibalulekileyo. Ngokungafani ne-IBS, ekungekho uvavanyo lwe-diagnostic, izifo ezingama-celiac ziyafumaneka ukuba zichaneke nge-85% ukuya kwi-90% ngokuchanekileyo kunye neemvavanyo zentsholongwane (IgA anti-gliadin kunye ne-anti-tissue transglutaminase), kunye ne-95% ukuya kwi-98% ngokuchanekileyo kunye nokuhlolwa kofuzo ( I-HLA-DQ2 kunye ne-HLA-DQ8 izakhi). Isiseko sokonyango kwesifo se-celiac kukupheliswa kwe-gluten ekudleni.
Kuqikelelwa ukuba abaninzi abangama-30% abo bafumene i-IBS banokwenene ukuba banesifo se-celiac.
Iingongoma ezibalulekileyo: Izifo zeCeliac zihlala zixilongwa ngokuchanekileyo ngeemvavanyo ze-antibody okanye ukuhlolwa kofuzo, kwaye iimpawu zihlala ziphucula ngokukhawuleza ngokutya okungekho gulen.
Sulelo
Intsholongwane, i-parasitic, okanye intsholongwane yebhaktheriya inokubangela ukuba iimpawu eziqhelekileyo kwi-IBS ezinjengeentlungu zesisu, ukuqhaqhaqhaqha, kunye nehudo. Ezi zintsholongwane zinokuba zixhaphakileyo "isisu somzimba" (i-virus gastroenteritis), ukutyhefu kokutya, okanye kumanzi anokuhlaselwa ngamagciwane. Ezi ntlobo zentsholongwane ziba nzima kunokuba zihlale zingapheliyo; iimpawu ziqala ngokukhawuleza kwaye zibe nzima.
Kwiimeko ezininzi, kunokubakho isiganeko esicacileyo esilungelelanisa iimpawu, ezifana nokutya ukutya okungasetshenziswanga (kwindawo yokutya ubuthi) okanye ukudibana nomntu onempawu ezifanayo (ezifana nesifo somkhuhlane). Kukho ubungqina bokuba i-IBS inokudibaniswa nokusuleleka kwebhaktheriya kwangaphambili, kodwa le ngcamango ayibonakali.
Amaphuzu aphambili: Izifo ezibangelwa yi-bacterial and parasitic zihlala ziphucula emva kokunyangwa ngamayeza, kwaye iintsholongwane zentsholongwane zivame ukuphucula emva kweentsuku ezimbalwa, ngelixa iimpawu ze-IBS zingapheliyo.
Inqaku esuka
I-IBS idla ngokudideka kunye nezinye iimeko, ngokugqithiseleyo IBD. Ukongezelela, iimeko ngokubhekiselele zibhekiswa yimigaqo engafanelekanga efana ne "isifo sengqondo sesifo" okanye "isifo sengqondo somzimba," esibangela iingxaki ezingaphezulu kunye nokungaqondi. Xa ufumana ukuxilongwa kwi-gastroenterologist okanye omnye oqeqeshiweyo wezezempilo, ingcamango engcono kukufumana ulwazi olucacileyo kwaye ubuze imibuzo de kubekho intuthuzelo kunye nemigaqo emitsha. Ukuthatha imizuzu embalwa ukuqonda i-IBS kuya kubaluleka kwizigulane kunye nababoneleli bezempilo baya kufuna ukuphendula imibuzo ukuze bancede ukucima nayiphi na imibuzo kwaye bafike endleleni eya kunyango olufanelekileyo.
Imithombo:
Holten KB, i-Wetherington A, iBanstonston L. "Ukuchonga isigulane ngesisu esiswini kunye neendlela eziguquguqukileyo zokuxhamla: Ngaba i-Irritable Bowel Syndrome?" 2003 Meyi 15; 67: 2157-2162.
AmaZiko eZiko lezeMpilo. "I-Viral Gastroenteritis." Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane kunye neNtsholongwane (iNIDDK). Matshi 2012.
I-NIDDK Intuthuko ezayo kunye namaNqanaba aphumayo: Ukugula kweNtsholongwane kunye neZondlo. "I-Celiac Disease-IFFGD." 28 uMatshi 2014.
Saito YA. "Indima yeGenetics kwi-IBS." Iiklinikhi zeGastroenterology zaseNyakatho Melika . 2011; 40 (1): 45-67. i-doi: 10.1016 / j.gtc.2010.12.011. 6 Feb 2016.