Kokubili i-IBS kanye ne- colitis ezincane zihlanganyela ngesifo sohudo olungapheli. Ngakho-ke kuyaqondakala ukuzibuza ukuthi zihlobene yini. Ukwelashwa kwezimo ezimbili kuhluke kakhulu - ngakho-ke uzodinga ukuqinisekiswa ukuthi unesifo sokuhlonza kahle. Kulesi sibonisi, sizobuka ukuthi i-colitis encane kangakanani nokuthi ihluke kanjani ku-IBS.
Sibutsetelo
I-microscopic colitis yinkinga lapho umuntu ehlangabezana khona namanzi angapheli, kodwa hhayi igazi, isifo sohudo.
Lesi sifo cishe singathinta owesifazane kunamadoda futhi ingozi yakho ikhuphuka njengoba usudala, kanti isifo esiphezulu sibonakala kubantu abangama-60s noma ama-70s.
Kunezinhlobo ezimbili ze-colitis ezincane: I-Collagenous colitis kanye ne-lymphocytic colitis. Ziyahlukahluka ngendlela ebukeka ngayo kodwa mhlawumbe ziyizigaba ezimbili ezahlukene zesifo esifanayo. Kungakhathaliseki uhlobo, lezi zifo ezimbili zitholwa futhi ziphathwa ngendlela efanayo. E-lymphocytic colitis, kunenombolo ekhuphukile yamaseli amhlophe egazi asekhona emathanjeni ekwakhekeni koloni . Ngo-colgenous colitis, uhlaka oluqinile lwe-collagen lubonakala kumathishu.
Izimpawu
Ngaphandle kwesibonakaliso sohudo olukhukhulayo lwamanzi, ukubola kwe-microscopic kungabangela nokuthi:
- Ubuhlungu besisu kanye / noma izimpande
- I-nausea
- Ukungathembeki kwamaFecal
- Ukulahlekelwa kwesisindo
Izimpawu zingase zibe phakathi futhi ngezikhathi ezithile, lesi sifo singakwazi ukuzixazulula ngaphandle kokwelashwa.
Ukuxilongwa
Ngokufanayo ne-IBS, ene-colitis encane, ayikho isibonakaliso sesifo esibonwe ngesikhathi se-colonoscopy. Lapho lezi zinkinga ezimbili ezihluke khona ukuthi ukubola kwe-microscopic kuzoveza lapho isampula yamathisikhiyamu ibukwa ngaphansi kwe-microscope.
Ngaphandle kwe-colonoscopy nge-biopsy, ezinye izivivinyo zizonikwa ukulawula ezinye izifo.
Umsebenzi wegazi, nge-endoscopy kungenzeka, uzotuswa ukuba ulawule isifo se-celiac. Isivivinyo se-stool singase sinconywe ukuze sibone noma yiziphi izifo eziphilayo ezingase zidale isifo sohudo.
Izimbangela
Akekho owazi ngokuqinisekile ukuthi kungani kubangela ukubola kwe-microscopic. Izici zengozi zihlanganisa:
- I-bile acid yesifo sohudo
- Isifo se-Celiac
- H2 blockers
- Izidakamizwa ezingekho-steroidal anti-inflammatory (NSAIDs)
- I-Polyarthritis
- I-Proton pump inhibitors (i-PPIs)
- Ukubhema
- I-serotonin reuptake inhibitors ekhethiwe (SSRIs)
- Izinkinga ze-thyroid
Ukwelapha
Njengoba uzobona, ukhetho lwezokwelapha nge-colros microscopic luhluke kakhulu kunendlela yokwelapha ye-IBS.
Isinyathelo sokuqala singase sibe nesiguli sokuyeka ukubhema noma ukuyeka noma yimiphi imithi okusolakala ukuthi iyinxenye yesifo. Imithi ingabekwa. Ekubambeni kwayo okubi nakakhulu, kungabhekana nokuhlinzwa kwe-ileostomy .
IBS vs. Microscopic Colitis
Njengoba ufunde nge-colitis ezincane, usengase uzibuze ukuthi unesifo esifanelekile yini. Ukuhlaziywa kwe-meta yakamuva kubheka imiphumela yezifundo eziningi esihlokweni. Ukuhlanganisa idatha kusuka kulezi zifundo, abalobi baphetha ngokuthi nakuba cishe ingxenye eyodwa kwezintathu zeziguli ezine-colroscopic colitis zibika izimpawu ze-IBS, leli phesenti alifani nabantu abangenayo i-colroscopic colitis.
Ukuqhekeka phakathi kwe-IBS ne-colitis ezincane kuyahluka kuye ngokuklanywa kwesifundo. Uma kwenzeka ukulawula izifundo, ukubola kwesibindi kubonakala kaningi kubantu abane-IBS kunalabo ababengenayo izimpawu. Kodwa ezifundweni ezibuke ubufakazi kuwo onke amaqembu amakhulu, abantu abane-IBS abasenakho amathuba okuba ne-colitis ezincane kunabantu abanesifo sohudo kodwa abangenayo i-IBS.
Ngokusekelwe kulolu cwaningo lwama-meta, abalobi batusa ukuthi ngaphandle kokuba usengozini ephakeme ye-colitis microscopic (ngokusekelwe ezicini ezingenhla ezingozini) noma noma yimaphi izimpawu zokugaya izimpawu ezibomvu , asikho isidingo sokuba umuntu one-IBS abe ne-colonoscopy ukuze ukulawula ukubola kwe-microscopic.
Yiqiniso, uma izimpawu zakho ze-IBS zishintsha, kufanele utshele udokotela wakho, ngaleli themba ukuthi ukuhlolwa okuqhubekayo kungase kuqinisekiswe ukuthola ukuhlonza okuqondile.
Kungani izimpawu ze-IBS ne-microscopic colitis zifana, nakuba ziyizifo ezihlukahlukene? Ngokuqinisekile, ukuvuvukala kwezinga eliphansi kuhlotshaniswa ne-IBS . Impendulo kungenzeka ukuthi balala ngokuqhubekayo. Sethemba ukuthi ucwaningo oluqhubekayo luzosiza ukwenza lolu daba luzwakale ngokucacile.
Imithombo:
Kamp, E., Kane, J. & Ford, A. "I-Irritable Bowel Syndrome ne-Microscopic Colitis: Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwama-Meta" I-Gastroenterology Clinical ne-Hepatology Izihloko Ezamaphephandaba Ezishicilelwe Ku-Okthoba 7, 2015.
"Microscopic Colitis" Iwebhusayithi yeMayo Clinic Ifinyelele ngo-Okthoba 16, 2015.
Ipaki, T., Umgodla, D. & Marshall, C. "Ukwelashwa okuncane kakhulu: Ukubuyekezwa kwe-etiology, ukwelashwa kanye nesifo sokuphikisa" I- World Journal of Gastroenterology 2015 21: 8804-8810.