Kukhona Ukungaqiniseki Ngokuphathelene ne-IBS no-IBD Ukuhlala Ngomunye Obekezelayo
Kuvame ukudideka okuhambisana nesifo sofuba esiswini (IBS) nesifo sofuba (IBD) : izimo ezimbili ezivamile zendlela yokugaya ukudla. Bobabili i-IBS ne-IBD ingabangela izimpawu zokuhuda , ukubhubhisa , nobuhlungu, kodwa ikakhulukazi ukulingana kwazo. Ngezinye izindlela eziningi, lezi zimo zihluke ngokuphelele komunye futhi ziphathwa ngezindlela ezahlukahlukene kakhulu.
Noma kunjalo, ngenxa yamagama abo afanayo kanye nokuqoqwa kwezimpawu zabo ezikhuluma kakhulu, abanye abantu basebenzisa i-IBS ne-IBD ngendlela engafanele .
I-IBS ne-IBD yizimo ezihlukile, kodwa kungenzeka yini ukuba nezimo zombili ngesikhathi esifanayo? Ucwaningo olulodwa lwathola ukuthi abanye abantu bangase baqale baxilongwe nge-IBS ngaphambi kokuba kutholakale ukuthi bane-IBD (lokhu kwakuyiqiniso kaningi kwesifo sikaCrohn kune-ulcerative colitis). Ngabe isiguli nomnakekeli wabo bazoqala kanjani ukuqonda uma izimpawu zabo zibangelwa yi-IBS noma uma zibangelwa yi-IBD?
I-IBS Ngaphambi Kokuthola I-IBD?
Kukhona ukuntuleka kocwaningo ngalolu daba, futhi umqondo wokuthi kokubili izimo zingenzeka kumuntu ofanayo namanje zikhona ngaphansi kwengxabano futhi ahluleka ukwamukelwa okubanzi. Ukuhlaziywa kwe-meta eyodwa kuboniswe ukuthi abanye abantu abane-IBD baqhubeka nokuthola izimpawu zokugaya ngisho nalapho i-IBD ngokwayo itholakele ekukhokheni. Iziguli ezikulesi sifundo azange zibe nokuvuvukala ohlelweni lwabo lokugaya okungachaza izimpawu ze-IBD.
Kungani lezi ziguli zaqhubeka zithola isifo sohudo nokuphuthuma? Abalobi bafinyelela esiphethweni sokuthi lezo ziguli eziqhubeka zizwa izimpawu ezihambisana ne-IBS zingase zithole ukwelashwa okubheka kokubili izimo. Kutholakale ukuthi lezo ziguli ezazikhuthele izifo zikaCrohn cishe zathola izimpawu ze-IBS.
Ukuba ne-IBD esebenzayo nayo ihlotshaniswa nezimpawu ezijwayelekile ze-IBS-hlobo.
Esinye isifundo esenziwe eManitoba sithole ukuthi ngaphambi kokuthola ukuthi unesifo se-IBD, iziguli kungenzeka ukuthi zinezimpawu ze-IBS-like iminyaka engu-3 noma ngaphezulu. Abalobi balinganisela ukuthi abaningi abangaba ngu-14% weziguli ezingu-396 ze-IBD esifundweni sabo "kungenzeka noma kungenzeka" ukuze babe ne-IBS. Lezo ziguli ezingase zibe ne-IBS zinezibonakaliso zokugaya isikhathi eside ngaphambi kokuthola ukuxilongwa kwe-IBD. Abalobi baphetha ngokuthi izinga le-IBS ezigulini ezine-IBD lingase lifane nesilinganiso se-IBS emphakathini jikelele.
IBS, Noma Ukuvuvukala?
Enye inkolelo mayelana nezimpawu ze-IBS ezigulini ze-IBD ekuxoxweni ukuthi kungase kube nokuvuvukala "kokulumba." Ngamanye amazwi, i-IBD isengabangela izinga eliphansi lokuvuvukala okungenakuqalwa ngezindlela ezijwayelekile zokuhlola, njenge- Crohn's Disease Activity Index . Abacwaningi bathole ukuthi lezi ziguli zinamazinga afanelekayo we-calprotectin, iphrotheni ehlotshaniswa nohlobo lokuvuvukala okubangelwa yi-IBD. Izinga eliphansi lokuvuvukala lingase lidale izimpawu ezithile, njengalezo ezilingisa i-IBS.
Ingabe i-IBS kufanele ilandelwe kuziguli ze-IBD?
Njengoba nje kungabikho ucwaningo oluhle mayelana nokuthi iziguli ezine-IBD nazo zingaba ne-IBS, kukhona nokuqonda okuncane ukuthi iziguli ezine-diagnostic ye-IBS kufanele ziphathwe kanjani.
Ukwelashwa kuyodingeka ukuthi kwenziwe ngokwezifiso ngesiguli ngasinye yi-gastroenterologist yabo. Kukhona ukucabanga ukuthi i- tricyclic anti-depressants , engase isetshenziselwe ukuphatha i-IBS, ingaba usizo ezigulini ezinezimpawu ze-IBS ne-IBD.
Kukhona okuningi okungaqondakali ngokuthi kungenzeka yini i-IBS kuziguli ezine-IBD, nokuthi lokho kuthinta kanjani ukuxilongwa nokwelashwa esikhathini esizayo. Le nkambo isanda kubhalwa, futhi kukhona ucwaningo olwenziwe ukukhipha ukuqoqwa kwezimpawu ze-IBD ne-IBS kwabanye abantu. Kuze kube yilapho isithombe sicacile, umthombo ongcono kakhulu wolwazi kokubili izimo zokugaya - mhlawumbe ngecala noma ekhonsathini - yi-gastroenterologist yakho.
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