Irritable Bowel Syndrome vs. Hutachiona hweHosha Chirwere
Zvemukati
IBS vs. IBD
Kana zvasvika kune nyika yezvirwere zvemudumbu, iwe unogona kunzwa akawanda mazwi ekuremekedza akadai seBD uye IBS.Chirwere chinoputira chirwere (IBD) izwi rakapamhamha rinoreva kuzvimba kusingaperi (kuzvimba) kwematumbo. Iyo inowanzo kuvhiringidzika neisina-kuzvimba mamiriro anotsamwisa bowel syndrome (IBS). Kunyangwe hazvo matambudziko maviri achigovana mazita akafanana uye zvimwe zvezviratidzo zvakafanana, ane misiyano yakasiyana. Dzidza misiyano yakakosha apa. Ive neshuwa yekukurukura zvaunonetsekana negastroenterologist.
Kuwanda
IBS yakajairika zvakanyanya. Muchokwadi, iyo International Foundation for Functional Gastrointestinal Dambudziko inofungidzira kuti inokanganisa kusvika gumi neshanu muzana yevagari pasi rese. Sekureva kwaCedars-Sinai, vangangoita 25 muzana yevaAmerica vanonyunyuta nezvezviratidzo zveBS. Ichi zvakare ndicho chikonzero chakajairika nei varwere vachitsvaga gastroenterologist.
IBS yakasarudzika mamiriro akasiyana pane IBD. Zvakadaro, munhu akaonekwa kuti ane IBD anogona kuratidza IBS-senge zviratidzo. Zvakakoshawo kuti uzive kuti unogona kuva nemamiriro maviri panguva imwe chete. Ose ari maviri anoonekwa seasingaperi (anoenderera) mamiriro.
Zvinhu zvakakosha
Dzimwe mhando dzeBD dzinosanganisira:
- Chirwere cheCrohn
- urikanwi colitis
- indeterminate colitis
Kusiyana neBD, IBS haina kusarudzwa sechirwere chechokwadi. Panzvimbo pezvo inozivikanwa se "chinetso chinoshanda." Izvi zvinoreva kuti zviratidzo hazvina chikonzero chinozivikanwa. Mimwe mienzaniso yezvinetso zvinoshanda zvinosanganisira kushushikana kwemusoro uye kusingaperi kuneta chirwere (CFS).
Kupesana nekutenda kwakakurumbira, IBS haisi mamiriro epfungwa. IBS ine zviratidzo zvepanyama, asi hapana chikonzero chinozivikanwa. Dzimwe nguva zviratidzo zvinodaidzwa kuti mucous colitis kana spastic colitis, asi iwo mazita anenge asiri iwo. Colitis iko kuzvimba kwekoloni, nepo IBS isingakonzere kuzvimba.
Vanhu vane IBS havaratidze kiriniki zviratidzo zvehosha uye vanowanzo kuve neyakajairwa miedzo. Kunyangwe zvese zviri zviviri mamiriro ezvinhu anogona kuitika mune chero munhu chero zera, zvinoita sekumhanya mumhuri.
Zviratidzo
IBS inoratidzirwa nekubatanidzwa kwe:
- marwadzo emudumbu
- cramps
- kuvimbiswa
- manyoka
IBD inogona kukonzera zviratidzo zvakafanana, pamwe chete ne:
- kuzvimba kweziso
- kuneta zvakanyanya
- ura hwemukati
- kurwadza kwemajoini
- kushaya zvokudya zvinovaka muviri
- kubuda kweropa
- kuonda
Ose ari maviri anogona kukonzera kukurumidza kubuda ura.
Varwere veBS vanogona kuve nekunzwa kwekusakwana kusabuditsa zvakare. Marwadzo anogona kuitika mukati medumbu rose. Iyo inowanzo kuratidzira mune yezasi kurudyi kana yezasi kuruboshwe kuruboshwe. Vamwe vanhu vanozoonawo yepamusoro kurudyi padumbu kurwadziwa pasina zvimwe zviratidzo.
IBS inosiyana muhuwandu hwechituru chakagadzirwa. IBS inogona kukonzera zvigaro zvakasununguka, asi iyo vhoriyamu inonyatso kuwira mukati meyakajairwa miganhu. (Dhairrhea inotsanangurwa nevhoriyamu, kwete hazvo nekuenderana.)
Varwere veBS vane kupatirwa vanowanzo kuve neyakajairwa colonic yekufambisa nguva - iyo nguva yenguva yainotora kuti chigaro chiende kubva kukoloni kuenda kuwere - zvakare.
Zvichienderana nechiratidzo chikuru, varwere veBS vanorondedzerwa senge kuzvimbirwa-kwakanyanya, manyoka-kunyanya, kana kurwadziwa-kwakanyanya.
Basa rekushushikana
Sezvo kuzvimba kweBD kusipo kune vanhu vane IBS, zvinonetsa kuti vaongorori vanzwisise zvikonzero chaizvo zvechimiro chekupedzisira. Imwe misiyano inozivikanwa ndeyekuti IBS inowanzo kuve inowedzerwa nekushushikana. Matanho ekuderedza kushungurudzika anogona kubatsira. Funga kuyedza:
- kufungisisa
- kugara uchirovedza muviri
- taura kurapwa
- yoga
IBD inogona kuputika mune zvese zvakaderera-kushungurudzika uye kwakanyanya-kunetseka mamiriro.
Sekureva kwaDr Fred Saibil, munyori webhuku "Crohn's Disease and Ulcerative Colitis," vanhu vazhinji havafungi kuti vanogona kukurukura IBS nekuda kwekunyombwa kwevanhu. "Haunzwi vanhu vazhinji vachitaura nezve 'kurutsa kunetsa' kwavo kana 'kunetsekana kwemanyoka' kana 'kunetsekana nemimba,'" anodaro, "kunyangwe izvi zvikajairika."
Dr. Saibil vanocherechedzawo kuti kuchine imwe nyonganiso pamusoro peBD nekuti vanachiremba vakambotenda kuti mamiriro acho aikonzerwa nekushushikana. Iko hakuna humbowo hwekuti ndizvo zvazviri, zvisinei, uye varwere veBD havafanirwe kumbonzwa kuti vakaunza mamiriro acho pavari.
Kurapa
IBS inogona kurapwa nemimwe mishonga yakadai seyemukati antispasmodics senge hyoscyamine (Levsin) kana dicyclomine (Bentyl).
Kudya uye mararamiro ehupenyu anoita seanonyanya kubatsira. Vanhu vane IBS vanofanirwa kudzivirira kuwedzera mamiriro avo nezvakakangwa uye zvine mafuta chikafu uye zvinwiwa zvine caffeine.
IBD kurapwa kunoenderana nefomu rakaonekwa. Chinangwa chekutanga kurapa nekudzivirira kuzvimba. Nekufamba kwenguva, izvi zvinogona kukuvadza ura.
Outlook
IBD neBS zvinogona kuita sekugovana zviratidzo zvakafanana, asi aya mamiriro maviri akasiyana aine akasiyana zvakanyanya marapirwo anoda. NeBD, chinangwa ndechekuderedza kuzvimba kunokonzera zviratidzo. IBS, kune rumwe rutivi, inogona kunge isingarapike nemishonga nekuti hapana chikonzero chinozivikanwa. Gastroenterologist inogona kubatsira kuona yako chaiyo mamiriro uye nekupa yakanakisa yekurapa chirongwa uye zviwanikwa zvekukubatsira iwe kubata zviratidzo.
Natural mishonga
Mubvunzo:
Ndeapi mishonga yechisikigo inobatsira kudzikisira zviratidzo zveBS uye IBD?
A:
Kune akatiwandei ekugadzirisa echisikigo uye mararamire shanduko anogona kuvandudza ako IBS zviratidzo senge zvishoma nezvishoma kuwedzera iyo fiber mune kwako kudya, kunwa yakawanda mvura, kudzivirira chikafu chinoita kuti zviratidzo zviwedzere zvakanyanya senge doro, caffeine, zvinonhuwira chikafu, chokoreti, zvigadzirwa zvemukaka, uye zvigadzirwa zvinotapira zvekuita, kurovedza muviri nguva dzose, idya nguva dzakajairwa, uye chenjerera nemishonga yekugeza uye mishonga yekurwisa manyoka.
Izvo zvinokurudzirwa zvinosiyana zvishoma kune varwere vane IBD. Kana iwe uine IBD, ungangoda kudzivirira zvigadzirwa zvemukaka, doro, caffeine, uye zvekudya zvinonhuwira uye ungangodawo kudzikisira yako fiber yekudya uye kudzivirira mafuta ane chikafu. Izvo zvichiri kukosha kunwa mvura zhinji neBD. Iwe unofanirwawo kudya zvidiki zvidiki uye funga kutora multivitamin. Chekupedzisira, iwe unofanirwa kudzivirira kuputa uye kudzikisira yako kunetseka nhanho nemaitiro akadai sekurovedza muviri, biofeedback, kana kugara uchizorora uye kufema maekisesaizi.
Graham Rogers, MDAmhinduro vanomiririra iwo mafungiro evanyanzvi vedu vezvekurapa. Zvese zvirimo ndezvechokwadi zvine ruzivo uye hazvifanire kutorwa sezano rekurapa.