Unxulumano phakathi kwamathambo akho kunye ne-migraines yakho
I-irritable bowel syndrome (IBS) kunye ne- migraines ziintlungu ezimbini ezinxulumene nentlungu, kodwa ke zikwabelana ngezinye iinkalo. Oku kubonisa ukuba kunokwenzeka ukuba ngamasebe athile aqhelekileyo afana nemvelaphi yomthi ovela kwimimandla eqhelekileyo.
Enyanisweni, kuyaqhelekile ukuba abantu abane-IBS babe ne-migraines kunye nangoko. Ngokuqhelekileyo abantu bachonge ngakumbi ngengxaki enye, ngokuqhelekileyo yinto enobunzima okanye eyonakalisa.
IBS kunye neMigraines njenge-Central Intelligence Syndromes
Iingcali ezininzi zibonisa ukuba zombini i-migraines kunye nesifo sengqondo sesifo sengqondo sesifo sentsholongwane yintlungu ye-syndromes.
"Ephakathi" kubhekisela entlungu evela kuba utshintsho kwinkqubo yesantya ephakathi, equka ubuchopho kunye nomgudu womgudu.
"Ukuzwela" kubhekisela ekubeni abantu abane-migraines kunye ne-IBS banokuvakalelwa kwimiba emibini efanelekileyo kwaye ayifanele ibe yintlungu, oku kuthetha ukuba bazive benqanaba eliphezulu leentlungu kunesigqirha kunye ne-needle prick ( hyperlagesia ) ( allodynia ).
Ubuninzi bobuzwe eMigraines
Ngexesha lokuhlaselwa kwe-migraine, izazinzulu zikholelwa ukuba imilambo yegazi ejikeleze ubuchopho iyancipha. Ukuxubha komda okanye ukukhulisa kusebenze i-nerve trigeminal (i- nerve cranial ) ukukhulula iipepptide njenge-peptide e- calcitonin ehlobene ne-gene (CGRP) , ekhuthaza ukuvuvukala kwaye idlulisele iimpawu zentlungu ebuchosheni-oku kubizwa ngokuba yi-trigeminovascular path pathway.
Ekugqibeleni, ingqondo iya kuba nefuthe kwizinto ezibangela ukuba iisenti zeengqungquthela engqondweni zikwazi ukugqithisa ngokugqithiseleyo imilayezo ngokusebenzisa i-trigeminovascular pathway pathway kuba yenze oko ngaphambili. Oku kubizwa ngokuba yi-central sensitization kwaye kunokubangela ukuba ukuhlaselwa kwe-migraine kuvele ngokulula ngokukhutshwa kwinto efanayo.
Ubuninzi bobukhulu kwi-IBS
Ibonakaliso ye-IBS yi-visceral hypersensitivity, oku kuthetha ukuba izitho zangaphakathi zomntu (umzekelo, amathumbu, isisu, isisu) kubangela ukwanda kwentlungu. Yingakho isisu esiswini esilula okanye ukujikeleza kumntu kunokuhlambalaza kwaye kunciphisa umntu onomsebenzi we-IBS.
Iingcali zikholelwa ukuba i-visceral hypersensitivity ye-IBS ekugqibeleni ikhokelela ekuveleleni kwinkqubo yesantya ephakathi. Oku kuya kuchaza ukuba kutheni abantu abaninzi abane-IBS bafumana iimpawu ezinxulumene nentlungu (umz., I-migraines, idibeneyo kunye neentlungu ze-muscle) kunye nabanye abangekho.
Ezinye iiSyncromes zokuKhathazeka kweCentral
Ezinye iziphazamiso eziqhelekileyo zikwahlulelwa njenge-syndromes yobudlelwane obuphakathi ziquka:
- fibromyalgia
- unesifo esingapheliyo
- ubuhlungu bentlungu
- i-cystitis
Njengalezi ezinye izifo, i-IBS kunye ne-migraines zifunyaniswa zizibonakaliso zabo, nto ithetha ukuba akukho bhobho okanye uvavanyo lwe-imaging ukuyiqinisekisa. Kunoko kukho imigaqo yokuba oogqirha basebenzise ukujonga ukuba isigulane sibhekene naso-uhlobo oluthile lweluhlu lwezhenkco zeempawu, kodwa enye ingcaciso.
I-Estrogen Link: IBS kunye neMigraines
Ngaphandle kwentshukumo ephakamileyo, i-IBS kunye ne-migraines ziqhelekileyo kubasetyhini. Oku kuphakamisa ukuba i-hormone yesini, ngakumbi i-estrogen, ithintela le ntlungu.
IBS kunye ne-Estrogen
Ku-IBS, i-estrogen ayiyiyo kuphela imodaka intlungu kunye nokuphendula kwengcinezelo kwingqondo, kodwa iyakuchukumisa ubuzwe besisu sakho kunye neentlungu, ubunzima bokuquletheka kwimizimba yakho, kunye nohlobo lweebhaktheriya ezikhula emathunjini akho.
Oko kuthethwa, indima ye-estrogen kwi-IBS iyinkimbinkimbi. Yingakho iiphononongo ziphikisana nokuba ingaba izigaba ezithile ezinobungozi kubomi bowesifazane ziyakunceda okanye zenze kakubi iimpawu zayo ze-IBS. Ngokomzekelo, uphando lubonisa ukuba iziganeko ze-IBS zinciphile emva kokuyeka umva , xa amazinga e-estrogen emzimbeni aphantsi kakhulu. Oko kuthethwa, abanye besetyhini baxela ukugqithisa iimpawu ze-GI, ngokugqithiseleyo kunye nokuqhawula, emva kokumisa umva.
Migraines ne-Estrogen
Kwi-migraines, abafazi banokuphucula kwimigraines ngexesha lesibini neyesithathu kwi-pregnancy xa amazinga e-estrogen ephakamileyo. Ngokufanayo, ukuhamba kwimihla yokuya esikhathini kuyaqhelekileyo kwi-migraineurs yabasetyhini kwaye bakholelwa ukuba kubangelwa ukuwa kwe-estrogen, eyenzeka nje ngaphambi kokuba i-mens.
Ngomqondiso ofanayo, amaninzi amabhinqa afumana ama-migraine ngaphezulu xa esondela ekupheleni komntu, xa umsebenzi wabo ovaryanti uqala ukuhla, kunye namazinga e-estrogen emzimbeni aqala ukuwa. Oko kuthethwa, i-migraines yabo ibonakala iphucula emva kokuphuma kwimizi-yinto edidekayo, ebonisa ukuba zizinto ezininzi ezidlala.
Ezinye izinto eziqhelekileyo ze-IBS kunye neMigraines
Kuqhelekile ukukhathazeka kwengqondo njengokhathazeka, ukuxhalabisa, kunye / okanye ukuphazamiseka kwengxaki yokuxinzelela emva kokudityaniswa kwe-IBS kunye ne-migraines. Ukugula kwesifo sengqondo ngaphezu kweengxaki zentlungu ngumjikelezo onzima wokubangela enye. Ngokusoloko kunzima ukuqinisekisa ukuba yiyiphi yokuqala eya kuqala, "inkokhelo". Kungakhathaliseki, ukudibanisa iintlungu zomzimba kunye nokuphazamiseka kwengqondo kunokudambisa umgangatho wobomi kunye nokusebenza kwansuku zonke.
Ukongezelela, isayensi ngoku kuvela ukuba abantu abane-IBS kunye ne-migraines bangabelana ngeesigeni eziqhelekileyo, ngokukodwa ezinxulumene ne-serotonin. Le nxu lumnandi kuba inokunceda izazinzulu zenze iipilisi ezininzi ezijoliswe kuzo kwi-IBS kunye nemigraines.
Ukuphatha i-IBS ne-Migraines yakho
Ukunyanga iimbini zombini, oogqirha bancoma ukudibanisa imithi yokwelapha kuquka amachiza kunye neendlela zokuziphatha, njenge-biofeedback okanye unyango lwezengqondo. Ukongezelela, iindlela zokuncedisa, ezinjenge- acupuncture , zisoloko zisetyenziswe zizigulana ukunyusa intlungu yazo.
Iingcali zenzululwazi zijonge nangonyango olulodwa oluya kunceda zombini iimeko, enye yonyango lokutya. Kwisifundo esincinane se-2013 kwisihloko seNtloko, abathathi-nxaxheba abane-migraines kunye ne-IBS banokutya kokunciphisa, ngokusekelwe kumazinga aphezulu a-IgG kwi-bloodstream yabo xa bebonakaliswe ekutya okuthile. IGG ngumntu ochasayo kunye nomakishi wokuvuvukala emzimbeni. Ukutya kukunciphisa zombini iimpawu ze-IBS kunye ne-migraines kubathathi-nxaxheba.
Okukwintsusa
Ukuqhagamshelana phakathi kweengxaki ezimbini akuthethi ukuba enye ibangela enye, okanye ukuba enye inokuthi uza kuhlakulela enye. Kuthetha nje ukuba kukho ikhonkco.
Ukufunda izixhumanisi phakathi kwe-IBS kunye ne-migraines kunceda oososayensi ukuba baqonde kakuhle ukuba kutheni ukukhathazeka kwezi zintlungu ziphuhlise kwaye indlela oogqirha abanokuziphatha ngayo kakuhle-inkqubo encinci efuna ukuba uphendule kunye nokufundisisa ngokucokisekileyo.
Imithombo:
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Chang FY, Lu CL. I-Irritable Bowel Syndrome kunye ne-Migraine: Abadlali okanye abaSebenzi? J Neurogastroenterol Motil. 2013; 19 (3): 301-11.
Moshiree B, Zhou Q, ixabiso leDD, iVerne GN. Ukwazisa okuMbindi kwiiNgxaki zokuPhathwa kweentlungu. Gut . 2006; 55 (7): 905-8.
Mulak A, Taché Y, Larauche M. Sex Hormones kwiModulations of Irritable Bowel Syndrome. Ihlabathi J Gastroenterol . 2014; 20 (10): 2433-48.
Uluduz D et al. Ikhonkco phakathi kwe-Migraine, Intlupheko Uhlobo lweentloko kunye ne-Irritable Bowel Syndrome: Izibonakaliso zeKlinikhi kunye neeGenesis. Neurology . 2016; 86 (16) UngezeleloP4.120.