I-IBS ivame ukungaqondakali kahle njengezinye izimo
I-irritable bowel syndrome (IBS) yisifo sokungabikho, okusho ukuthi ukuxilongwa kwe-IBS kuvame ukunikezwa ngemuva kokuba kungabikho enye imbangela yezimpawu ezingatholakala. Lokhu kusho nokuthi i-IBS ivame ukungaqondakali, futhi iphathwe, njengeminye imibandela. Abanye abantu bangase babone odokotela abaningana bese behlolwa okuningi ngaphambi kokufika ekutholeni i-IBS.
Yiziphi ezinye izimo ezinempawu ezifana ne-IBS? Lezi zimo ziyaziwa ngokuthi "ukuxilongwa okuhlukile" -imihluko ehlukahlukene enezimpawu ezifanayo zezimpawu noma "isethulo."
Kunomunye ucwaningo olubonisa ukuthi i-IBS ingase izuze ifa: ukuthi kunezakhi zofuzo ezihlobene ne-IBS. Ezinye zalezi zakhi zofuzo zitholakale, kodwa lo mqondo usaqhubeka ucwaninga ukuthola ukuthi izakhi zofuzo zomuntu zithinta kanjani ingozi yokuba ne-IBS.
Izifo Ze-Bowel Inflammatory (IBD)
I-IBS ivame ukudideka nge- ulcerative colitis noma isifo se-Crohn (eyaziwa ngokuthi i-IBD), kodwa kukhona umehluko omkhulu. I-IBS i-syndrome, hhayi isifo, futhi ngeke iholele kumdlavuza wekoloni noma ingabangela ukuvuvukala noma ukuphuma kwamathumbu emathunjini. I-IBD izovame ukubangela ukuvuvukala noma izilonda emgqeni wamathumbu angabonwa ngudokotela ngesikhathi se-colonoscopy, kuyilapho i-IBS ingabangeli noma iyiphi yalezi zimpawu zomzimba.
I-IBD ingabangela ubuhlungu obukhulu besisu, imfiva, nokulahleka kwesisindo, ezingabonakali nge-IBS.
Kungenzeka ukuthi abantu abane-IBD nabo babe ne-IBS . Kodwa-ke, kukhona ukuhlukaniswa okubalulekile okwenziwe ukuthi ukuthi i-IBS ayisho ukuthi "izoqhubeka" noma "iphenduke" IBD. I-IBS ayiyona isifo esiqhubekayo futhi ayikho imbangela yokulimala emathunjini noma kwezinye izingxenye zegciwane lokugaya.
Abantu abane-IBD bangase badinge ukuhlinzwa njengokwelashwa kwesifo sabo. Ukuhlinzwa akukwenziwe ukuphatha i-IBS. IBD ivame ukuthinta ezinye izingxenye zomzimba ngaphandle kwendlela yokugaya.
Amaphuzu abalulekile: I-IBS ayibangeli ukuvuvukala, izilonda, ukuphuma, noma ukulahleka kwesisindo esibalulekile.
Izifo zeCeliac
Isifo se-Celiac (okuvame ukubizwa ngokuthi i-celiac sprue) kubikwa ukuthi asihlosiwe ngoba abantu abaningi basacabanga ukuthi lesi sifo esingavamile sobuntwana. Eqinisweni, abaningi abangabangu-1 kubantu abangu-1000 bangase babe nalesi simo sokufa. Kungathatha iminyaka ukuthola ukutholakala kwesifo se-celiac, njengoba izimpawu zivame ukungaqondakali futhi zinganakwa noma zithathwe ukuthi zibangelwa ezinye izimo. Uma umuntu onesifo se-celiac esidla i-gluten (isithako sokudla esivamile), impendulo yegciwane lengculazi ibangelwa ukuthi ibangele umbhede wezinambuzane ezincane. Lokhu kubangela emathunjini amancane akakwazi ukuthola izakhi ezibucayi. Ngokungafani ne-IBS, okungekho ukuhlolwa kokuxilongwa, isifo se-celiac singatholakala ukuthi sinembile engu-85% kuya kwezingu-90% ngokuhlolwa kwe-antibody (i-IgA anti-gliadin ne-anti-tiscu transg transgaminaminase), futhi nge-95% kuya ku-98% ngokunemba ngokuhlolwa kofuzo ( I-HLA-DQ2 ne-HLA-DQ8 amagciwane). Isisekelo sokwelashwa kwesifo se-celiac ukuqedwa kwe-gluten ekudleni.
Kulinganiselwa ukuthi abaningi abangaba ngu-30% kulabo abatholwa nge-IBS bangase babe nesifo se-celiac.
Amaphuzu ayisihluthulelo: Isifo se-Celiac singase sitholwe ngokucophelela ukuthi sinokuhlolwa kwe-antibody noma ukuhlolwa kofuzo, futhi izimpawu zivame ukuthuthuka ngokushesha ngokudla okungenayo i-gluten.
Ukutheleleka
Ukutheleleka kwamagciwane, ama-parasitic, noma ama-bacteria kungabangela ukuthi izimpawu zivame ku-IBS njengobuhlungu besisu, ukuvuvukala, nesifo sohudo. Lezi zifo zingase zibe "isisu somzimba" esivamile (i-gastroenteritis yegciwane), ukudla okunobuthi, noma emanzini anonakele ngama-parasite ayingozi. Lezi zinhlobo zokutheleleka zivame ukuba nzima kunokuba zenzeke; izimpawu ziqala ngokushesha futhi zingase zibe nzima.
Ezimweni eziningi, kungase kube khona umcimbi ocacile owenyusa izimpawu, njengokudla ukudla okungasetshenzisiwe (uma kwenzeka ubuthiwe) noma uxhumane nomuntu onezimpawu ezifanayo (njengesifo somkhuhlane). Kunobunye ubufakazi bokuthi i-IBS ingaxhunyaniswa nokutheleleka kwangaphambi kwebhaktheriya, kodwa le mbono ayitholakali.
Amaphuzu aphambili: Ukutheleleka kwama-bacterial kanye nama-parasitic kuvame ukuthuthukisa emva kokwelashwa ngama-antibiotic, kanti ukutheleleka ngegciwane lesandulela ngculazi kuvame ukuthuthukisa emva kwezinsuku ezimbalwa, kanti izimpawu ze-IBS zihlala zingenasifo.
Inothi Kusuka
I-IBS ivame ukudideka nezinye izimo, ikakhulukazi i-IBD. Ukwengeza, izimo ngezinye izikhathi zibhekwa ngamagama angafanele njengokuthi "isifo sofuba esithukuthele" noma "isifo sofuba sesisu," okubangela izinkinga ezengeziwe nokungaqondi kahle. Lapho uthola ukuxilongwa kwesifo se-gastroenterologist noma omunye ochwepheshe bezempilo, umqondo omuhle ukuthola ulwazi olucacile futhi ubuze imibuzo kuze kube yilapho kunesiduduzo nemibandela emisha. Ukuthatha imizuzu embalwa ukuqonda i-IBS kuyoba kubalulekile iziguli nabahlinzeki bezempilo bazofuna ukuphendula imibuzo ukuze basize ukucacisa noma yimiphi imibuzo bese uthola indlela eya ekwelapheni okufanele.
Imithombo:
Holten KB, Wetherington A, Bankston L. "Ukuqaphela Isiguli Ngezinhlungu Zomzimba Kanye Nemikhuba Yengqondo Yokuguquguquka: Ingabe I-Irritable Bowel Syndrome?" I- Am Fam Physician . 2003 Meyi 15; 67: 2157-2162.
Izikhungo zezempilo zikazwelonke. "I-Viral Gastroenteritis." Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso (NIDDK). Apr 2012.
I-NIDDK Inqubekela phambili Yamuva kanye Namathuba Okukhuphuka: Izifo Zokugaya Nokudla. "I-Celiac Disease-IFFGD." 28 Mashi 2014.
Saito YA. "Indima Yezokwelapha Nge-IBS." Imitholampilo ye-Gastroenterology eNyakatho Melika . 2011; 40 (1): 45-67. doi: 10.1016 / j.gtc.2010.12.011. 6 Feb 2016.