Kukho ukungaqiniseki malunga ne-IBS kunye ne-IBD Coexist In the same patient
Kukho rhoqo ukudideka okubangelwa sisifo se-bowel syndrome (IBS) kunye nesifo sesibindi (IBD) : izimo ezibini eziqhelekileyo zendlela yokutya. Bobabini i-IBS ne-IBD ingabangela iimpawu zokurhuda , ukubhubhisa , kunye nentlungu, kodwa ngokukodwa kubangelwa ukufana kwazo. Kwezinye iindlela ezininzi, le miqathango ihluke ngokupheleleyo kunye kwaye iphathwa ngeendlela ezahlukeneyo.
Nangona kunjalo, ngenxa yamagama abo afanayo kunye nokugqithwa kweyona nto ekhuluma kakhulu ngeempawu, abanye abantu basebenzisa i-IBS ne-IBD ngokungalunganga.
I-IBS ne-IBD ziimeko ezahlukeneyo, kodwa ngaba kunokwenzeka ukuba zombini iimeko ngelo xesha? Olunye uphando lufumanise ukuba abanye abantu banokuthi baqale baxilongwa nge-IBS ngaphambi kokuba bafumane i-IBD (oku kuyenzeka ngokuqhelekileyo kwisifo sikaCrohn kunesifo sokulonda i-ulcerative colitis). Isigulane nomnakekeli wabo baya kuqala njani ukuqonda ukuba iimpawu zabo zibangelwa yi-IBS okanye ukuba zibangelwa yi-IBD?
I-IBS Ngaphambi Kokufumanisa I-IBD?
Kukho ukungaphumeleli kophando kulo mbandela, kwaye ingcamango yokuba zombini imeko iyakwenzeka kumntu ofanayo isengxowanxu kwaye ayikho into eyamkelekileyo yokwamkela. Olunye uhlalutyo lwe-meta lubonise ukuba abanye abantu abane-IBD baqhubeka befumana iimpawu zokutya nangona i-IBD ngokwaso ifumaneke ukuba ixolelwe. Izigulane ezi zifundo zazingasayi kutshabalala kwindlela yokutya yokutya okuza kuchaza izimpawu ze-IBD.
Kutheni abo bagulane beqhubeka befumana urhudo kunye nokuphuthuma? Ababhali bafika kwisigqibo sokuba abo bagulane abaqhubeka befumana iimpawu ezihambelanayo ne-IBS banokuzuza kwiinkatho ezithatha iimeko zombini. Kwafunyaniswa ukuba abo bagulane abane-Crohn's disease abakhuselekileyo banokufumana iimpawu ze-IBS.
Ukuba ne-IBD esebenzayo nayo idibaniswe neempawu eziqhelekileyo ze-IBS.
Olunye uphando olwenzelwe eManitoba lubonise ukuba ngaphambi kokufunyaniswa ne-IBD, izigulana zi nokuba neempawu ezifana ne-IBS iminyaka emithathu okanye ngaphezulu. Ababhali balinganisela ukuba abaninzi abafana ne-14% yezigulane ezingama-396 ze-IBD ekufundweni kwabo "banokwenzeka okanye banako" ukuba nabo babe ne-IBS. Ezi zi gulane ezinokuthi nazo zibe ne-IBS iimpawu zokugaya ixesha elide ngaphambi kokufumana ukuxilongwa kwe-IBD. Ababhali baphetha ukuba izinga le-IBS kwizigulane ezine-IBD zingafana nezinga le-IBS kuluntu jikelele.
IBS, okanye ukuvutha?
Enye ingcamango malunga neempawu ze-IBS kwizigulane ze-IBD ekuxoxweni kukuba kukho "ukukhwabanisa" ukuvuvukala. Ngamanye amagama, i-IBD isenokubangela ukuba kubekho izinga lokuvuvukala okungenakufunyanwa yiendlela zokuhlola eziqhelekileyo, njenge- Crohn's Disease Activity Index . Abaphandi baye bafumanisa ukuba ezi gulane zinamanqanaba athathekayo e-calprotectin, iprotheni ehambelana nohlobo lokuvuvukala olubangelwa yi-IBD. Inqanaba eliphantsi lokuvuvukala lingasenza iimpawu ezithile, njengalezo ezilinganisa i-IBS.
Ngaba i-IBS iya kuthathwa kwi-IBD?
Njengokuba kukho ukungabikho kophando olungileyo malunga nokuba izigulane ezine-IBD nazo zingaba ne-IBS, akukho ngqiqo encinane malunga nendlela izigulane ezine-diagnostic ye-IBS kufuneka ziphathwe ngayo.
Unyango luya ku funeka lubekwe ngokwezifiso kwisigulane ngasinye ngesigulane sayo segastroenterologist. Kukho ukucinga ukuba i- tricyclic antidepressants , engasetyenziswa ekuphatheni i-IBS, inokuba luncedo kwizigulane ezineempawu ze-IBS kunye ne-IBD.
Kukho into engacacanga ngokubhekiselele kwi-IBS kwizigulane ezine-IBD, kwaye oko kuchaphazela njani ukuxilongwa kunye nenkonyango kwikamva. Ikhosi iyaqhubeka isatshatiwe, kwaye kukho uphando olwenziwe ukukhupha i-IBD kunye ne-IBS ezifana nezimpawu kwabanye abantu. Ngaphambi kokuba umfanekiso ucacile, umthombo ogqwesileyo wolwazi kwiimeko zombini zokugaya - mhlawumbi ngecala okanye kwi-khonti - ngu-gastroenterologist wakho.
Imithombo:
Barratt SM, Leeds JS, uRobinson K, et al. "Iprodromal irritable bowel syndrome inokubangela ukulibaziseka ekuxilongweni kwizigulana ezinikezela ngesifo sikaCrohn kunye nesifo se-celiac, kodwa kungekhona isifo se-ulcerative colitis." Dig Dis Sci . NgoNovemba 2011; 56 (11): 3270-5. i-doi: 10.1007 / s10620-011-1783-y. 17 kuMatshi 2014.
UBurgmann T, uClara I, uGraff L, et al. Isifundo soKhuseleko lwaBantu baseManitoba esibangelwa nguMzimba wezilwanyana ezikhuselekileyo: iimpawu ezinde ixesha ngaphambi kokuxilongwa - sininzi kangakanani isifo sengqondo sesisu? " Iklinikhi yaseGastroenterol Hepatol . 2006 ngoMeyi; 4 (5): 614-620. 17 kuMatshi 2014.
I-Halpin SJ, i-Ford AC. "Ukunyameka kweMpawu zokuHlangana kweeNkcazo ze-Irritable Bowel Syndrome kwiSifo seBillar Inflammatory: Uhlolo lokuHlola kunye no-Meta-Analysis 401." U- Amer J Gastroenterol . 2012: 107; 1474-1482. i-doi: 10.1038 / ajg.2012.260. 17 kuMatshi 2014.
Keohane J, O'Mahony C, O'Mahony L, et al. "Iimpawu zesifo sezilonda ezihlaselayo ezigulane ezinezifo zesifo sobilini: ingqungquthela yokwenene okanye ukubonakalisa ukuvuvukala kwemimoya? " NguJ Gastroenterol . Ngo-Agasti wama-2010; 105 (8): 1788, 1789-94; Imibuzo ye-1795. yeyona: 10.1038 / ajg.2010.156. 17 kuMatshi 2014.
Quigley EM, Bernstein CN. "Iimpawu zesifo esilumkileyo" kwisifo sesibindi sokukhupha: ukungaqiniseki kokungaqinisekiyo kudibana nenyaniso ye-pathological. "U- Am J Gastroenterol, u- Oktobha 2012. 107 (10): 1483-5.
USyrora MJ, uSydora BC, i-Fedorak RN. "Ukuqinisekiswa kwedesksi yokunakekelwa kwidisksi ephezulu ukucwangcisa i-calectectin ye- fecal kwaye uhlukanise isifo sesibilini sokugulisa kwisifo soxilongo." UJ Crohns Colitis . 2012 Mar; 6 (2): 207-14. i-doi: 10.1016 / j.crohns.2011.08.008. 17 kuMatshi 2014.