Ezinye izazinzulu zikholelwa ukuba zifana nesifo esifanayo
Kwesinye sezo zintlupheko zengxaki, abantu abaneengxaki zesifo seengqondo (IBS) baya kufumana bajongane nesinye isifo, esaziwa njengesifo se-reflux ye-gastroesophageal (GERD) , esichaphazela i-GI tract tract.
Enyanisweni, uphando lubonisa ukuba naphi na ipesenti ezingama-25 ukuya kuma-32 ekhulwini abantu abane-IBS baya kubandezeleka. Ngenxa yokuba i-IBS ne-GERD yabelana ngeziganeko ezifanayo, amaninzi anama-81 ekhulwini aya kuba namava ephawulekayo.
Oku ngamanye amaxesha kunokukhokelela ekulibazisekeni kokuxilongwa kwimeko ekhoyo (comorbid) kunye nokunikezelwa kweyeza ezifanelekileyo.
Ukuqonda ukuba kutheni le nto yenzekayo kunokukunceda uphuhlise isicwangciso esiliqili ngakumbi sokulawula impawu zakho zeempawu xa ubini i-IBS ne-GERD.
Iimpawu kunye nezibonakaliso zeGERD
I-GERD yimeko apho i- sphincter ephantsi kwe-oophagus yakho ayisebenzi kakuhle. Ngenxa yoko, iziqulatho zesisu zingaphinde zibuyele (reflux) kwi-esophagus.
Iimpawu zeGERD ziquka:
- Ukuvakalelwa kwesibindi esifubeni (ukucheka kwentliziyo), ngamanye amaxesha kusasazeka emqaleni ehamba kunye neentlungu ezinomlomo
- Ukuphindaphinda kokutya okanye i-liquid (reflux acid)
- Iintlungu zesifuba
- Unzima ukugwinya (dysphagia)
- Umkhuhlane omile
- Umqala obuhkungu
- Ukuthuka
- Ukuvezwa kwesilwanyana emqaleni wakho emqaleni
Iingxaki zeComorbid IBS kunye neGERD
Akukho zimpendulo ezicacileyo malunga nokuba zeziphi iziphazamiso ezimbini zikhona.
Nangona kunjalo, abanye abantu baqala ukukholelwa ukuba akukona nje umcimbi wesibongo kodwa kunoko enye yeenkcazelo. Kukho abo bakholwayo, umzekelo, ukuba i-IBS yinto enye yembalo epheleleyo yeGERD.
Abanye baye bacinga ukuba ii-IBS kunye ne-GERD zibangelwa yinto yokutya yokutya okuqhelekileyo.
Enye inkolelo ibonisa ukuba i- visceral hypersensitivity (ubukhulu obunzulu bobunzima bezitho zangaphakathi) kunokubangela ukuphambana kwamathumbu okungaqhelekanga (i- motility dysfunction ) enokuchaphazela ukuba iphetshana eliphezulu okanye eliphantsi kweGI kuxhomekeke apho iindawo ezichaseneyo zifumaneka khona.
Ukuba ngaba kunjalo, kuya kubonisa ukuba i-IBS ne-GERD enye kunye nesifo esifanayo. Le ngcamango ixhaswa, ngokuyinxalenye, ngobungqina obubonisa ukuba iipesenti ezingama-22 zabantu baphindela emuva naphambili phakathi kwexesha xa benempawu kuphela ze-IBS kunye nezinye xa ziphela iimpawu ze-GERD.
Ukuphathwa kwe-IBS kunye neGERD
Ukuba ubandezeleka kuzo zombini i-IBS ne-GERD, kubalulekile ukusebenza kunye nogqirha wakho ukuphuhlisa isicwangciso solawulo olubanzi ukujongana neemeko zombini. Oku kungabandakanya ukudibanisa kokutya, ukunciphisa uxinzelelo, kunye neyeza kunye nemithi yokungagunyazisiyo.
Ingxenye yinjongo iya kuba kukufumanisa nayiphi na ukutya okubangela ukuba i-IBS kunye / okanye iGERD. Ukutya okunciphisa okubandakanya ukutya kwe-bland kudla ngokusetyenziswa ukuseka isiseko esingaphandle kwempawu. Kancinci, ekuhambeni kwexesha, ukutya okutsha kuqaliswa ukubona i-IBS, GERD, okanye zombini.
Nganye imeko iya kuthathwa ngokwahlukileyo kunye neyeza. I-Antacids kunye neyeza-ukukhusela amayeza aqhelekileyo asetyenziswa kwiGERD.
I-Antispasmodic kunye namayeza anxamnye nokuxhalaba aqhelekileyo, unyango lokuqala lwe-IBS.
> Imithombo:
> Gasiorowska, A .; Poh, C; kunye ne-Fass, R. "I-Gastroesophageal Reflux Disease (GERD) kunye ne-Irritable Bowel Syndrome (IBS)-Ngaba sisinye isifo okanye ukuxhamla kweengxaki ezimbini?" Izifo zeNtsholongwane kunye neNzululwazi. 2008; 54: 1829-34.
> Lee, S; Vuza.; UKim, S. et al. Iimeko ezinobungozi kunye nemingcipheko yokugqithisa phakathi kwesifo se-reflux yesifo se-gastroesophageal, i-dyspepsia, kunye nesifo sengqondo esisisigxina: isifundo esisekelwe kubantu. " Ukugonywa. 2009; 79: 196-201.
> I-Sperber, A. kunye noDekel, R. "I-Irritable Bowel Syndrome kunye ne-Co-morbid Gastrointestinal and Extra-stastrointestinal Syndromes Functional Syndromes." J Neurogastrointen Mobil. 2010; 16 (2): 113-119; INGXELO: 10.5056 / jnm.2010.16.2.13.