I-IBD ne-IBS Zinempawu Ezifanayo-Sinokusichazela Kanjani?
Iziphazamiso ezimbini ezisoloko zididekile, nangona ziimeko ezifani ngokupheleleyo, ziyakhathazeka ngesifo sesisu (IBS) kunye nesifo sesisu ( esichaphazelekayo isifo seCrohn kunye ne-ulcerative colitis, ebizwa ngokuba yi-IBD). Nangona i-IBS ne-IBD zivakala ngokufanayo ngenxa yezimpawu zabo, kwaye zinokubangela iimpawu ezifana nezi, ziimeko ezihluke ngokupheleleyo kunye nezifundo ezihlukileyo zezifo.
Ukongezelela, baphathwa ngokungafaniyo kwaye amayeza asetyenziselwa enye ayayi kunceda omnye.
I-IBS iyinkathazo yokusebenza: nangona iimpawu zinyani kwaye zinokuba nzima, akukho nto engabonakaliyo esitholakala emathunjini amakhulu ngexesha lokuvavanya, njenge- endoscopy , kwaye akukho bungqina bokuba nesifo sifumaneka ngexesha loviwo lwe- biopsy yamathumbu emathumbu . I-IBD, nangona kunjalo, isifo esibangela ukungaqhelekanga okubonakalayo okubonakalayo ngexesha lokuvavanya. Xa i-IBD ihamba ingakhange iphendulwe ingakhokelela kwiimeko ezinzima ezinokuthi zenzeke ngaphakathi nangaphandle kwenkqubo yokutya, ngelixa i-IBS ingahambelani nale micimbi. Ukongezelela, iingxaki ezivela kwi-IBD zinokuthi zomelele ngokwaneleyo ukuba zisongela ubomi , ngelixa oku akunjalo kwi-IBS.
Ukujonga zonke ezi zinto, ukungafani phakathi kwe-IBD kunye ne-IBS kunene kubaluleke kakhulu, nangona kungabonakali ngaleyo ndlela ebusweni ngenxa yokuba boloko babangela ukuhanjiswa kunye nentlungu.
Abantu abaninzi bavame ukudibanisa le mibini okanye mhlawumbi basebenzise imigaqo engafanelekanga "njengesifo esilumkileyo" okanye "isifo esilumkileyo esilumkileyo," ezo zombini azikho imigaqo echanekileyo kwaye azikho iimeko ezikhoyo.
IBS kunye ne-Ulcerative Colitis Zihlukile
I-IBS idla ngokudibanisa ne-ulcerative colitis okanye i-colitis, kodwa ayikho imeko efanayo.
Ezi zombini iimeko zithinta intumbu enkulu kwaye ingabangela ukuhanjiswa, kodwa oku kufana nokufana.
IBS isifo, akusisifo. I-ulcerative colitis ihambelana nomngcipheko womhlaza wekoloni , kwaye ukuba ne-IBS ayinyuli umngcipheko womhlaza wekoloni. I-IBS ayibangeli ukuphuma kwamanzi emathunjini kunye ne-ulcerative colitis.
"I-Colitis" ibinzana elibanzi elibhekiselele kunoma yikuphi ukuvuvukala ngokubanzi kwikholoni kwaye kunokubangelwa yimimandla eyahlukileyo eyahlukeneyo, kubandakanya ukusuleleka kwe-bacteria okanye IBD. I-Colitis ibonakaliso lwe-ulcerative colitis okanye yesifo sika-Crohn- ayiyona ingxenye ye-IBS.
Ulwahluko kwiZonyango ze-IBD ne-IBS
Unyango kunye namachiza we-IBS ayahluka ngokubanzi kwii-IBD. Isicwangciso sokuxilonga nokungalunganga kunye nesicwangciso sonyango asikwazi nje kuphela ukungasebenzi, kodwa kwezinye iimeko, sinokuba yingozi.
Unyango lwe-IBD kaninzi lubandakanya iziyobisi, njenge-immunosuppressives, biologics, kunye ne-steroids. I-IBS idlalwa ngokutya kunye nokuguquka kwendlela yokuphila , kodwa xa kukho izidakamizwa ezifunekayo , ngamanye amaxesha i-antispasmodics okanye i-anti-depressants are used.
Ulwahlulo lwe Endoscopic
I-Endoscopy ibhekisele kwiimvavanyo ezenziwe ukujonga ngaphakathi kwamathumbu okanye ezinye izakhiwo zomzimba. Kwezinye iimeko, abantu abaye bakrokrelwa ukuba ne-IBS banakho i- colonoscopy okanye ezinye iimvavanyo ukulawula ezinye iimeko ezinokwenzeka.
Xa ugqirha ekhangele ngaphakathi kwikholoni yomntu one-IBS, akuyi kubakho ubungqina besifo esifunyenweyo. Oku kungenxa yokuba i-IBS iyinkathazo yokusebenza , kungekhona isifo se-organic, kwaye ayibangeli utshintsho kwindonga yamathumbu.
Isifo sikaCrohn kunye nesifo sesilonda singabangela umonakalo omkhulu kwiindonga zamathumbu. Xa ukhangele ngaphakathi kwikholoni yomntu onesifo sikaCrohn emathunjini amakhulu, ugqirha unokubona izilonda (okanye izimbobo), ukuvuvukala, kunye neengxenye zingabonakala njenge- cobblestone .
Ii-Biopsies (iziqwenga zethambo ezithathwe emzimbeni kwaye zithunyelwe ukuhlolwa ngaphantsi kwe-microscope) ziza kubonisa utshintsho oluthile.
Ikholoni yomntu one-ulcerative colitis iya kubonisa ukuvuvukala kunye nezilonda, kwaye i-biopsy iya kubonisa utshintsho kwiiseli.
Itheyibhile engezantsi ayikho inqaku elipheleleyo okanye elinzima kunye nelolukhuni lweempawu kunye neempawu kodwa linika ingcamango ngokubanzi yezinto eziphambili ezicacileyo phakathi kwe-IBS ne-IBD.
Ulwahluko phakathi kwe-IBD ne-IBS
| Amathumbu Emathumbu | IBS | Crohn's Izifo | Ulcerative Colitis |
| Ukutshatyalaliswa kwesirhudo / ukuqhawulwa | X | ||
| Intlungu zesisu | X | X | X |
| UkuCima / ukuPhathwa | X | X | X |
| Mucus | X | X | X |
| Ukuhanjiswa okuqhubekayo | X | X | X |
| Ukulahleka kwesidlo | X | X | |
| Ukuphuma kwamanzi | X | X | |
| IFistula | X | ||
| Izithintelo | X | ||
| Iimpawu zoMathumbu ezongezelelweyo | IBS | Crohn's Izifo | Ulcerative Colitis |
| Ukuphuculwa kweempawu ngexesha lexesha | X | X | X |
| IAnemia | X | X | |
| Ukukhula okufutshane kunye nokukhula komzimba kubantwana | X | X | |
| Ukucaphuka kweso | X | X | |
| Fever | X | X | |
| Ukucaphukisa isikhumba | X | X | |
| Ukuhla ukusinda | X | X | |
| Iimeko ezihambelanayo | IBS | Crohn's Izifo | Ulcerative Colitis |
| Imibandela yeeUreko | X | X | X |
| Fibromyalgia | X | X | X |
| Ukuxhalabisa | X | X | X |
| Ukuxinezeleka | X | X | X |
| Arthritis | X | X | |
| Ubunzima beengxaki | X | X | |
| Osteoporosis | X | X | |
| ICaron Cancer | X | X |
Imithombo:
Crohn's and Colitis Foundation of America. "Yintoni i-Ulcerative Colitis?" CCFA.org. Matshi 2017.
Crohn's and Colitis Foundation of America. "Yintoni i-Crohn's Disease?" CCFA.org. Matshi 2017.
ISharhar DB, i-Walfish AE. "Izifo zeCrohn (i-Regional Enteritis; iGranulomatous Ileitis okanye i-Ileocolitis)." I-Merck Manual ka-2012.
ISharhar DB, i-Walfish AE. "Ulcerative Colitis." I-Merck Manual Dec 2012.
Torpy JM. "I-Irritable Bowel Syndrome." JAMA 22 Feb 2006; 295. i-doi: 10.1001 / jama.295.8.960