Izifo eziqhelekileyo zeComorbid
Ukulandela i-chestnut endala "xa imvula ithululela", izigulane ze- IBS zifumana zijongana nezinye iingxaki zempilo ngaphezu kwe-IBS yazo.
Iingcali zezokwelapha zibiza ezi zimo ezifanayo "izifo ezidityanisiweyo." Njengoko abaphandi baqhubeka befuna ukuqonda kangcono izizathu eziphambili ze-IBS , indawo echaphazelekayo yophando igxile ekutheni izigulane ze-IBS zifumane iimpawu ezingaphezulu kwamathumbu kunye nezifo kwizinga eliphezulu kunezinye eziqhelekileyo.
Nantsi ingqwalasela yento eyaziwayo ngokude nge-IBS kunye nolwalamano lwayo kunye nezinye iingxaki zempilo. Njengoko ufunda oku, nceda ugcine ukhumbule ukuba olu tyekelo lweemeko ezifanayo alubonakali kuyo yonke imbono ye-IBS.
I-Common Comorbid GI Izifo
Nangona kungumntu osisigxina kumgulane, akubonakali kumangalisa ukuba isiguli se-IBS siza kuba nesifo sengxaki esiswini esele sikhona. Kungenzeka ukuba isabelo esabelanayo sisisifo sengxaki nganye. Nazi ezinye izifo ze-GI eziye zaboniswa ukuba zenzeke kwizinga eliphezulu kwizigulane ze-IBS kunezigulane ezingezizo ze-IBS (nqakraza kwikhonkco ngalinye ukuze uthole ulwazi olungakumbi):
- Diverticulitis
- Dysphagia (ubunzima ngokugwinya)
- Spasm Esophageal
- Ukungabikho kwamaFecal
- Isifo se-reflux se-Gastroesophageal (GERD)
- Isifo sesilonda se-Peptic kunye ne-dyspepsia esebenzayo (iimpawu ezingenaso isilonda esisodwa)
Imiba engaqhelekanga engeyiyo-GI enxulumene neengxaki zeComorbid
Okunye ukuphazamiseka kukuba i-IBS izigulane zinokuthi zifumane ukuphazamiseka okungenasisisu kunokuba zikulindeleke ngokuqhelekileyo.
Intuitively, kunzima ukuqonda ukuba kutheni oku kuya kwenzeka. Ezi zezi ezinye zeengxaki ezibangelwa zizigulane ze-IBS kunye ne-IBS yazo:
- Isifo Sokunyamekela Isifo esingapheliyo
- Prostatitis engapheliyo (i-Chronic Chronic Pain Syndrome)
- I-Dysmenorrhea (ubuhlungu obukhulu besisu)
- Cystitis
- Fibromyalgia
- Intloko ye-Migraine
Izifo zengqondo zeComorbid Psychiatric
Iqondo eliphezulu lokugula ngengqondo kwizigulane ze-IBS yinyani eqinisekisiwe. Ngelishwa, olu lwazi luye lwaphazamiseka ngokokuba izigulane ze-IBS zitsho ukuba iingxaki zabo zokugaya ukutya ziphela zengqondo. Kukulungele ukuthetha ukuba kunokubakho iimeko ezichaphazela ekuqaleni nasekugcinweni kokubili kwe-IBS kunye naluphi na ubunzima bezempilo yengqondo. Nazi ezinye zeengxaki zengqondo ezibonwayo eceleni kwe-IBS:
- Ukuphazamiseka kwintlungu
- I-Obsessive-Compulsive Disorder (OCD)
- Ukuxinezeleka
Kutheni Kukho Iqondo Eliphezulu Lokugula Kwe-Comorbid
Ukususela kwangoku, akukho zizathu ezicacileyo zokuchaza into echaphazelekayo yokugula kunye ne-IBS. Iphazili lididekile kukuba akubona zonke izigulane ze-IBS ezifumana ingxaki ekhoyo. Enyanisweni, nangona ngokubanzi kukho ingozi yokwanda kwama-comorbid kwizigulane ze-IBS, ukugula okugwenxa kunokuchaphazela abangaphantsi kwe-20% ye-IBS abagulayo.
Kwezinye iimeko, iingcaciso ezabelwana ngazo mhlawumbi zichongiwe njengeyona nto. Oku kunokwenzeka xa kunokwenzeka ukuba i-disorbid disorder ikwabelana ngamanqaku afanayo, afana nengxaki ekhoyo enokubamba inkunkuma . Ngokufanayo, ukunxibelelana nokugula ngengqondo kunokuchazwa ngokungalingani okwabelwanayo kwamanye ama-neurotransmitters ngaphakathi kwenkqubo ye-nervous central.
Enye inkcazo enokwenzeka kukuba ezinye izigulane ze-IBS zinomdla wokuba zixhamle ngokuziqonda kunye neempawu. Ukuqwalaselwa ngokweqile kubakhokelela ukuba banokufumana ingcebiso ngezokwelapha malunga neempawu zabo kwaye ngoko ke amazinga amaninzi okuxilongwa kwezifo. Ubungqina bokuba le ngcamango ivela kwinto yokuba iziphazamiso ezithile azikho izinto ezabelwana ngazo eziphilayo ezingachaza izifo ezahlukeneyo. Njenge inkukhu-ne-iqanda, akucaci ukuba ngaba ukuxhomekeka kweengxowankulu kuncedisa kwi-IBS yabo, okanye ukuba i-IBS iboleka umntu ukuba aqonde ngakumbi imizwa yomzimba.
Inzululwazi yanamhlanje iqiniseke ukuba ifike ngeempendulo ezingcono.
Omnye ummandla omtsha wokuphanda ukhangele indlela emzimbeni obizwa ngokuba yi-hypothalamic-pituitary-adrenal axis. Le ndlela ichaphazela ezininzi iinkqubo zethu zomzimba kwaye zibonakala zihambelana nendlela imizimba yethu ihlangabezana ngayo noxinzelelo. Kuye kwachazwa ukuba i-dysfunction kule ndlela ibeka isiteji sokunyuka kokunyuka okubangela ukuba kubekho iingxaki ezinzima.
Yintoni oku kuthetha ngayo kuwe
Ukuba uzifumanisa kwisimo esingenakukwazi ukujongana nezinye iingxaki zempilo ukongeza kwi-IBS yakho, thetha nogqirha wakho malunga nokuba kukho izinto eziqhelekileyo. Olu lwazi lunokunceda ekuphuhlisweni kwesicwangciso esabelana ngaso solawulo lwempawu. Unokufumanisa ukuba indlela yomzimba wonke iluncedo kunokuba unyango olujolise kwiimpawu ezithile. Izinketho zokuphucula impilo yakho yonke ziquka ukuphucula ukondla, ukusetyenziswa kwamachiza omzimba , kunye nokubandakanya kwinkqubo yengqondo ye- psychotherapy .
Imithombo:
Goddard, E., Barth, K., Lydiard, B. Iziphazamiso ezithatha rhoqo nge-Irritable Bowel Syndrome: Ngaba i-Neurobiology eyabelanayo ingachaza uMbutho wabo oqhelekileyo? I-Psychiatry yaseprayimari 2007: 69-7.
Reidl, A., et.al. Ama-Somatic adorbidities of irritable syndrome: Ukuhlalutya ngokuchanekileyo Ingxelo yoPhando lwe-Psychosomatic 2008 573-582.
I-Whitehead, i-W. et.al. "Ukuxhatshazwa kwi-Irritable Bowel Syndrome" I- American Journal yeGastroenterology 2007 102: 2767-2776.