Irritable Bowel Syndrome vs. Carcinoid Syndrome

Zvemukati

• Ndezvipi zviratidzo zvikuru zveMCTs?
• Ndezvipi zviratidzo zveBS?
• Ndeapi mamwe misiyano yakakosha pakati peBS neMCTs?
• Zera pakuongororwa
• Kuputika, kufema, kana kunetseka kufema
• Kuonda
• Kuenderera mberi kwezviratidzo zvemudumbu
• Kutora

Vanachiremba vari kuve nani pakuongorora metastatic carcinoid tumors (MCTs). Zvisinei, zviratidzo zvakasiyana zveMCT zvinogona dzimwe nguva kutungamira mukusaziva zvisirizvo uye kurapwa kusiri iko, kudzamara bundu recarcinoid raonekwa seriri shure kwezviratidzo izvi. Sekureva kweNational Organisation for Rare Disorders, tumota twemakonzo dzinowanzoonekwa zvisirizvo sehurombo hwehurwere (IBS) kana chirwere cheCrohn, kana sechiratidzo chekuguma kuenda kumwedzi muvakadzi.

Kuziva mutsauko uripo pakati pezviratidzo zvecarcinoid syndrome uye IBS kunogona kukupa iwe pfungwa iyo mamiriro aungave uine, uye izvo zvaunofanira kubvunza chiremba wako kuti azive zvechokwadi.

Ndezvipi zviratidzo zvikuru zveMCTs?

Sekureva kwemagazini American Family Physician, mazhinji mamota ane carcinoid haakonzere zviratidzo. Kazhinji, chiremba anovhiya anowana rimwe remamota aya paanenge achivhiya imwe nyaya, yakadai sepaccreatitis yakaoma, kuvhara ura hwemunhu, kana hosha dzinosanganisira nzira yekubereka yemukadzi.

Carcinoid mamota anogona kuchengetedza mahormone akati wandei anokanganisa muviri wako, chakanyanya kukosha kuve serotonin. Kuwedzera serotonin mumuviri wako kunogona kukurudzira ura hwako, zvichikonzera IBS-senge zviratidzo, kunyanya manyoka. Zvimwe zviratidzo zvinosanganiswa neMCTs zvinosanganisira:

• kufashaira
• matambudziko emwoyo anokonzeresa kurova kwemoyo zvisina kujairika uye neshanduko yeropa, kazhinji ichideredza BP
• tsandanyama uye majoini aches
• kurira

Manyoka ane hukama neMCTs anowanzo nyanyisa mushure mekunge munhu adya chikafu chine chinhu chinonzi tyramine. Zvikafu zvine tyramine zvinosanganisira waini, chizi, uye chokoreti.

Nekufamba kwenguva, zviratidzo zvemudumbu zvine chekuita neMCTs zvinogona kukuvadza zvakanyanya. Izvi zvinosanganisira kuonda nekuti chigaro chinopfuura nekukurumidza kuburikidza neura hwako zvekuti muviri wako hauna nguva yekutora zvinovaka muviri. Kushaiwa mvura uye kushaya zvinovaka muviri kunogonawo kuitika nekuda kwezvikonzero zvakafanana.

Ndezvipi zviratidzo zveBS?

IBS mamiriro anobata ura hwakawanda, zvichikonzera kutsamwa kazhinji kunogona kutungamira mukushungurudzika mudumbu nguva dzose. Mienzaniso yezviratidzo zvinosanganisirwa neBS zvinosanganisira:

• kuvimbiswa
• cramping
• manyoka
• gasi
• kurwadziwa nemudumbu

Vamwe vanhu vane IBS vanoona kushandura mabhureki ekuzvimbirwa uye manyoka. Sezvo neMCT, IBS inowanzoitwa yakaipa kana munhu achidya mamwe marudzi ezvikafu, senge chokoreti nedoro. Zvimwe zvekudya zvinozivikanwa kukonzera zviratidzo zveBS zvinosanganisira:

• cruciferous veggies senge broccoli, cauliflower, uye kabichi
• zvikafu zvinonaka
• chikafu chine mafuta mazhinji
• bhinzi
• zvigadzirwa zvemukaka

IBS haiwanzo kukonzera kukuvara kwemuviri kumatumbu. Kana munhu aine zviratidzo zvakakomba, chiremba anogona kuita biopsy yematumbo avo kutsvaga kukuvara kana chirwere. Apa ndipo apo chiremba paanogona kuwana MCT, kana imwe iripo.

Ndeapi mamwe misiyano yakakosha pakati peBS neMCTs?

Tichifunga nezvezviratidzo zveBS, zviri nyore kuona kuti MCT inogona sei kusanzwisisika seBS. Zvisinei, zvimwe zvinhu zvakakosha zvinogona kutungamira chiremba kuti akurudzire ongororo yekuongorora kuti aongorore MCT.

Zera pakuongororwa

Nepo munhu achigona kuona IBS chero zera, vakadzi vadiki pane makore makumi mashanu vanowanzoonekwa kuti vane IBS, sekureva kweMayo Clinic. Kusiyana neizvi, avhareji zera munhu ane MCT anotanga kuona zviratidzo ari pakati pe50 ne60.

Kuputika, kufema, kana kunetseka kufema

Munhu ane MCT anogona kusangana nekufema uye nemanyoka uye nekukochekera zviratidzo izvi kusvika pane zvakasiyana nyaya. Semuenzaniso, vanogona kupomhodza kufembetera pane kutonhora uye nemanyoka avo paBS. Zvisinei, zviratidzo zvinosanganiswa neMCTs hazviwanzo kusimbiswa pane imwe nzira mumuviri wemunhu.

Kuziva izvi, zvakakosha kuti utsanangure zvese zvisina kujairika zviratidzo zvawanga uchisangana nazvo kuna chiremba wako, kunyangwe zvikaita senge zvisina hukama. Semuenzaniso, iwe unofanirwa kugovana kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchingoona kwete kuita manyoka chete, asi zvakare kupuruzira, kufema, kana zvakajairika kunetseka kufema Kunyanya, manyoka uye kubhururuka kunoitika panguva imwechete kune avo vane MCT.

Kuonda

Nepo munhu ane IBS achigona kurasikirwa nehuremu hune hukama nemanyoka avo, ichi chiratidzo chinowanzoitika neMCTs kana chimwe chakakomba mamiriro. Kurera huremu kunoonekwa se "mutsvuku mureza chiratidzo" icho chiri kukonzera hachisi IBS, sekureva kweMayo Clinic.

Kuenderera mberi kwezviratidzo zvemudumbu

Kazhinji, avo vane MCT vanozoona zviratidzo zvakasiyana zvemudumbu kwemakore mazhinji vasina kuongororwa. Kana zviratidzo zvako zvisina kupindura pakurapwa kana zvichingoita kunge zviri nani nekubvisa tyramine-ine zvinhu kubva pane zvaunodya, ichi chingave chiratidzo chekubvunza chiremba wako kuti arambe achichera kumberi.

Mienzaniso yemiedzo yekuongorora MCT inosanganisira:

• kuyera weti yako kwemaawa makumi maviri nemana ekuvapo kwe5-HIAA, a-chibereko chemuviri wako uchipaza serotonin
• kuyedza ropa rako remubatanidzwa chromogranin-A
• kushandisa imaging scans, senge CT kana MRI scans, kuti uone nzvimbo inogona kuve yeMCT

Kutora

Ivhareji nguva kubva pakutanga kweMCT zviratidzo zvekuongororwa ndeye. Kunyange izvi zvichiita kunge inguva yakareba kwazvo, zvinoratidza kuti zvakaoma sei uye dzimwe nguva zvinogona kuvhiringidza kuongorora MCT.

Kana iwe uine zviratidzo zvinowedzera kupfuura diarrhea, taura nachiremba wako nezve kuita kubatika kweMCT. Vanhu vazhinji vane MCT havatsvage kurapwa kusvikira bundu rapararira uye rotanga kukonzera zvimwe zviratidzo. Asi kana iwe ukatora matanho ekuwedzera bvunzo kutanga uye chiremba wako anoongorora MCT, vanogona kukwanisa kubvisa bundu, kuchidzivirira pakupararira.