Izinkinga ezivamile ze-Comorbid
Ukulandela i-chestnut endala "uma imvula ithululela", iziguli ze- IBS zivame ukuzithola zibhekana nezinye izinkinga zempilo ngaphezu kwe-IBS yazo.
Ochwepheshe bezokwelapha bathi lezi zimo ezifanayo "izifo ezibangelwa yi-comorbid." Njengoba abacwaningi beqhubeka befuna ukuqonda kangcono izimbangela eziyinhloko ze-IBS , indawo esebenzayo yophenyo igxile ekuthambekeni kweziguli ze-IBS ukuzwa izimpawu ezingaphezulu kwamathumbu kanye nezifo ezingaphezu kwejwayelekile.
Nansi ukubuka konke okwakwaziwa ngakho manje mayelana ne-IBS nobuhlobo bayo nezinye izinkinga zempilo. Njengoba ufunda lokhu, sicela uhlale ukhumbule ukuthi ukuthambekela ezimweni ezifanayo akubonakali kuzo zonke iziguli ze-IBS.
I-Common Comorbid GI Illnesses
Yize kuyisimo esibucayi isiguli, akubonakali kumangalisa ukuthi isiguli se-IBS sizophinde sibe nesifo esisemlonyeni esisodwa esisodwa. Kungenzeka ukuthi isici esabelane ngaso siyisifo esiyinkinga ngayinye. Nazi ezinye izifo ze-GI eziboniswe ukuthi zenzeka ngesilinganiso esiphezulu kuziguli ze-IBS kuneziguli ezingezona ze-IBS (chofoza kusixhumanisi ngasinye ukuthola ulwazi oluthe xaxa):
- I-Diverticulitis
- I-Dysphagia (ubunzima ngokugwinya)
- Spasm Esophageal
- Ukungathembeki kwamaFecal
- Isifo se-reflux se-gastroesophageal (GERD)
- Isifo sesilonda se-Peptic kanye ne-dyspepsia esebenzayo (izimpawu ezingenaso isilonda esisodwa)
Ukungaxhunyiwe okungajwayelekile kwe-Non-GI okuhlobene no-Comorbid Disorders
Ukukhathazeka okwengeziwe ukuthi iziguli ze-IBS zikwazi ukubhekana nokuphazamiseka okungenasisindo kwamathumbu kunokuba ngokuvamile kulindeleke.
Ngokwemvelo, kunzima ukuqonda ukuthi kungani lokhu kungaba njalo. Lezi ezinye zezinkinga ezibhekene neziguli ze-IBS eceleni kwe-IBS yazo:
- Isifo Sokuphelelwa Isifo Sokugcina
- I-Prostatitis Esingapheli (Isikhathi Esivamile SamaPelvic Pain Syndrome)
- I-dysmenorrhea (ubuhlungu obukhulu bokuya esikhathini)
- I-Cystitis ye-Interstitial
- I-Fibromyalgia
- I-Migraine ikhanda
Izifo ezibangelwa yi-Psychiatric Illnesses
Izinga eliphakeme lokugula kwengqondo kubalimi be-IBS yiqiniso eliqinisiwe. Ngeshwa, lolu lwazi luye lwaphazamiseka kaningi kangangokuthi iziguli ze-IBS zitshelwe ukuthi izinkinga zabo zokugaya ukudla zonke zengqondo. Kuyinto enhle ukusho ukuthi kungase kube khona izici ezingezansi ezifaka isandla ekuqaliseni nasekulondolozeni kokubili i-IBS kanye nanoma yikuphi ubunzima bokusebenza kwengqondo obukhona. Nazi ezinye zezifo zengqondo ezibonakala eceleni kwe-IBS:
- Isifo se-panic
- I-Obsessive-Compulsive Disorder (OCD)
- Ukucindezeleka
Kungani Kunesilinganiso Esiphakeme Sokugula Kwama-Comorbid
Kuze kube manje, azikho izizathu ezicacile zokuchaza isimo se-comorbid ukugula ne-IBS. I-puzzle iphazamisekile ngokuthi akuzona zonke iziguli ze-IBS ezithola ukuphazamiseka okukhona. Eqinisweni, nakuba jikelele kukhona ingozi eyengeziwe yokwelashwa kwama-comorbid ezigulini ze-IBS, ukugula okubangelwa yi-comorbid kuthinta abangaphansi kuka-20% be-IBS abagulayo.
Kwezinye izimo, izincazelo ezabiwe zingase zibonwe njengezoni. Lokhu kungenzeka kakhulu uma i-comorbid disorder ibelana ngezici ezifanayo, njengenkinga enkulu eningi ngokukhwabanisa kwe- digestive. Ngokufanayo, ukuxhunyaniswa nokugula kwengqondo kungachazwa ukungalingani okwabelwana ngakho kwamanye ama-neurotransmitter ngaphakathi kwesistimu yezinzwa zomphakathi.
Enye incazelo engenzeka ukuthi ezinye iziguli ze-IBS zinomkhuba wokuzizwa kahle ngokuzizwa komzimba kanye nezimpawu. Lokhu kunakekelwa ngokweqile kubangele ukuba bafune ukuthola usizo lwezokwelapha ngezimpawu zabo futhi ngaleyo ndlela amazinga amakhulu okuthola izifo. Ubufakazi bale mbono buvela eqinisweni lokuthi kwezinye izinkinga azikho izici eziphilayo ezabelwana ngazo ezingachaza izifo ezehlukene. Njengezinkukhu-ne-iqanda, akucaci ukuthi ngabe lokhu kuphefumula kunomthelela ku-IBS yabo, noma uma uhlangabezana ne-IBS uvumela umuntu ukuba azi kahle izinzwa zomzimba.
Isayensi yanamuhla izokuthola izimpendulo ezingcono.
Indawo entsha yokuphenya ibukeka endleleni eyaziwa ngokuthi i-hypothalamic-pituitary-adrenal axis. Le ndlela ithinta izinhlelo zethu eziningi zomzimba futhi kubonakala sengathi ihlotshaniswa nokuthi imizimba yethu ibhekana kanjani nokucindezeleka. Kuye kwachazwa ukuthi ukungasebenzi kahle kule ndlela kubeka isiteji sokuvuvukala okwandayo okufaka izinkinga kulezi zinkinga.
Lokhu kusho ukuthini lokhu
Uma uzithola usesimweni esingenakukwazi ukubhekana nezinye izinkinga zempilo ngaphezu kwe-IBS yakho, khuluma nodokotela wakho mayelana nokuthi kungenzeka yini izici ezivamile ze-causal. Lolu lwazi lungasiza ekuthuthukiseni uhlelo oluhlanganyelwe lokuphathwa kwezimpawu. Ungathola ukuthi indlela yomzimba wonke iyasiza kakhulu kunezokwelapha ezikhomba izimpawu ezithile. Izinketho zokuthuthukisa impilo yakho yonke zibandakanya ukondla okuthuthukisiwe, ukusetshenziswa kwamakhemikhali emithi , nokubandakanya inqubo ye- psychotherapy .
Imithombo:
I-Goddard, E., i-Barth, i-K., i-Lydiard, i-B. Ukuphazamiseka Yikuphi Ukuvame Ukuqhathaniswa Ne-Irritable Bowel Syndrome: Ingabe I-Neurobiology Ebiwe Ngayo Ingachaza Umhlangano Wabo Ovamile? Psychiatry Primary 2007: 69-7.
U-Reidl, A., et.al. Ama-Somidbidities e-Somatic of irritable bowel syndrome: Ukuhlaziywa okuhleliwe Journal of Psychosomatic Research 2008 573-582.
I-Whitehead, i-W. et.al. "Ukunciphisa i-Irritable Bowel Syndrome" I- American Journal of Gastroenterology 2007 102: 2767-2776.