Bobabini i-IBS kunye ne- microscopic colitis babelana ngesifo sohudo olungapheliyo. Ngaloo nto kuyaqondakala ukuba zibuze ukuba zihlobene. Unyango lwemiqathango emibini luhluke kakhulu - ngoko uya kufuna ukuqinisekiswa ukuba unesifo sokuxilonga. Kule ngqungquthela, siza kujonga ukuba i-colitis microscopic iyiphi indlela kwaye ihluke njani kwi-IBS.
Sibanzi
I-microscopic colitis yimeko apho umntu efumana amanzi angapheliyo, kodwa engenagazi, uhudo.
Esi sifo sichaphazela kakhulu umfazi kunabesilisa kwaye ingozi yakho iya kunyuka njengoko uneminyaka yobudala, kunye nesiganeko esiphezulu sibonakala kubantu abakwi-60s okanye 70s yabo.
Kukho ezimbini iintlobo ze-colroscopic colitis: I-Collagenous colitis ne-lymphocytic colitis. Ziyahluka ngokweendlela ezibukeka ngayo kodwa mhlawumbi zizigaba ezimbini ezahlukeneyo zesifo esifanayo. Kungakhathaliseki ukuba luhlobo luni, iziphazamiso zombini ziyafunyanwa kwaye ziphathwa ngendlela efanayo. Kwi-lymphocytic colitis, kukho inani elongeziweyo lamaseli egazi ezimhlophe ezikhoyo kwiisisisi zecala lekholoni . Kwi-colgenous colitis, i-collagen encomekileyo ibonakala kwiisishu.
Iimpawu
Ukongeza kwimiqondiso yesifo sohudo esingapheliyo, i-microscopic colitis ingakhokelela eku:
- Iintlungu zesisu kunye / okanye iincampu
- I sizathu
- Ukungabikho kwamaFecal
- Ukuhla ukusinda
Iimpawu zingaphakathi kwaye ngezinye izihlandlo, isifo sinokuzilungisa ngokwazo ngaphandle kwonyango.
Ukuxilongwa
Efana ne-IBS, nge-colitis microscopic, akukho mqondiso wesifo esibonwe ngexesha le-colonoscopy. Lapho iziphazamiso ezimbini zihluke khona kukuba i-microscopic colitis iya kubonakala xa isampuli yamathambo e-colonic ikhangelwa phantsi kwe-microscope.
Ukongeza kwi-colonoscopy nge-biopsy, ezinye iimvavanyo ziya kunikwa ukulawula ezinye izifo.
Umsebenzi wegazi, kunye nokuphela kwe-endoscopy, kuya kunconywa ukulawula isifo se-celiac. Uvavanyo lwe-stool lunganconywa ukuba luchonge naziphi na ii-pathogens ezinokubangela ukuhanjiswa.
Izizathu
Akukho mntu uyazi ngokuqinisekileyo oko kubangelwa i-microscopic colitis. Imiba yengozi iquka:
- I-bile acid isifo sohudo
- Isifo seCeliac
- H2 blockers
- Iziyobisi ezingekho-steroidal ezichasayo (i-NSAID)
- Polyarthritis
- Iproton pump inhibitors (PPIs)
- Ukutshaya
- I-serotonin i-reuptake inhibitors (iSRRIs)
- Iingxaki zeTyroid
Unyango
Njengoko uza kubona, ukhetho lwezonyango lwe-microscopic colitis luhluke kakhulu kunendlela yokwenza unyango lwe-IBS.
Isinyathelo sokuqala esinokuthi sibe nesigulane sokuyeka ukutshaya okanye ukuyeka nayiphi na imithi ekhankanywayo njengengenelelo kwisifo. Amayeza anokumiselwa. Kwimeko yayo embi kakhulu, i-colitis i-colitis ingabhekiswa kwi- ileostomy .
IBS vs. Microscopic Colitis
Emva kokuba ufunde nge-colroscopic colitis, usenokuba uyazibuza ukuba unesi sifo. Uhlalutyo lwama-meta lwakutshanje lukhangele iziphumo zezifundo ezininzi ngesihloko. Ukudibanisa idatha kulezi zifundo, abalobi baphetha ngelithi nangona malunga nesithathu kwisigulane sezilwanyana ezinobunzima be-colitis babika izimpawu ze-IBS, eli phesenti alizange lihluke kubantu abangenayo i-colroscopic colitis.
Ukungahlali phakathi kwe-IBS kunye ne-colroscopic colitis kuyahluka kuye kuxhomekeke kwisakhiwo sokufunda. Xa uphando lwezifundo, i-microscopic colitis yabonakala ngokuphindaphindiweyo kubantu abane-IBS kunabo babengenalo iimpawu. Kodwa kwizifundo ezazibukele ubungqina kuwo onke amaqela amakhulu, abantu abane-IBS abanakho ukufumana i-colitis encorciscopic ngaphezu kwabantu abanesifo sohudo kodwa abangenayo i-IBS.
Ngokusekelwe kule meta-analysis, abalobi batusa ukuba ngaphandle kokuba unomngcipheko ophezulu we-microscopic colitis (esekelwe kwimingcipheko engentla yengozi) okanye nayiphina impawu ebomvu yeflegi , akukho mfuneko yokuba umntu one-IBS abe ne-colonoscopy ukuze lawula i-colroscopic colitis.
Ewe, ukuba iimpawu zakho ze-IBS zitshintsha, kufuneka uxelele ugqirha wakho, ngale lindele ukuba ukuvavanywa okungakumbi kunokuqinisekiswa ukuba ufumane ukuxilongwa ngokuchanekileyo.
Kutheni iimpawu ze-IBS kunye ne-microscopic colitis efanayo, nangona zizifo ezahlukileyo? Ngokuqinisekileyo, ukuvuvuka kwinqanaba eliphantsi lidibene ne-IBS . Impendulo ingaba kukuba balala ngokuqhubekayo. Ngethemba, uphando oluqhubekayo luya kunceda ukucacisa ngakumbi umba.
Imithombo:
Kamp, E., Kane, J. & Ford, A. "I-Irritable Bowel Syndrome kunye ne-Microscopic Colitis: Uhlolo lokuHlola kunye nokuhlaziywa kweMeta" I- Clinical Gastroenterology kunye ne-Hepatology Iicatshulwa ezipapashwe kwi-Press Online Oktobha 7, 2015.
"I-Microscopic Colitis" Iwebhusayithi yeMayo Clinic Ifikelele ngo-Oktobha 16, 2015.
I-Park, T., Umkholo, D. & Marshall, C. "I-microscopic colitis: Ukuhlaziywa kwe-etiology, unyango kunye nezifo zokukhanyela" I- World Journal yeGastroenterology 2015 21: 8804-8810.