Abanye ososayensi bakholelwa ukuthi kungaba yisifo esifanayo
Kwesinye salezo zinsuku ezimbi eziyingozi, abantu abanomzimba wesifo sofuba (IBS) bazovame ukuzithola bebhekene nesinye isifo, esaziwa ngokuthi isifo se-reflux ye-gastroesophageal (GERD) , esithinta ipheshana eliphezulu le-GI.
Empeleni, ucwaningo lubonisa ukuthi noma yikuphi lapho amaphesenti angama-25 kuya kubantu abangamaphesenti angu-32 abano-IBS abazobhekana nezinkinga zombili. Ngenxa yokuthi i-IBS ne-GERD yabelana ngezici ezifanayo, abaningi abangamaphesenti angu-81 bayothola ukuqoqwa kwezimpawu.
Lokhu kungase kuholele ekubambezelekeni ekutholeni isimo esifanele (comorbid) kanye nokwethulwa kokwelashwa okufanele.
Ukuqonda ukuthi kungani lokhu kwenzeka kungakusiza ukuba uhlakulele isu eliphumelelayo kakhulu lokuphatha ububanzi bakho bezimpawu uma wena no-IBS no-GERD.
Izimpawu Nezibonakaliso GERD
I-GERD yisimo lapho i- sphincter engaphansi kwesimo sakho engasebenzi kahle. Ngenxa yalokhu, okuqukethwe kwesisu kungase kuvuselelwe ngezinye izikhathi (reflux) ngaphakathi kwesigcawu.
Izimpawu ze-GERD zifaka:
- Ukuzwa okuvuthayo esifubeni (ukushaya inhliziyo), ngezinye izikhathi kusakazeka emphinjeni ohambisane nokunambitheka okubabayo emlonyeni
- Ukuvuselelwa kokudla noma uketshezi (reflux acid)
- Ubuhlungu besifuba
- Kunzima ukugwinya (dysphagia)
- Ukukhwehlela okumile
- Umphimbo obuhlungu
- Ukuthuthumela
- Inzwa yesikhumba ngemuva komphimbo wakho
Izimbangela ze-Comorbid IBS ne-GERD
Azikho izimpendulo ezicacile zokuthi kungani lezi zinkinga ezimbili zikhona.
Kodwa-ke, abanye abantu baqala ukukholelwa ukuthi akuyona nje inkinga yombangela kodwa kunenye yezincazelo. Kukhona labo abakholwayo, isibonelo, ukuthi i-IBS iyingxenye eyodwa ye-spectrum egcwele ye-GERD.
Abanye baye bacabanga ukuthi kokubili i-IBS ne-GERD ibangelwa ukukhubazeka okuvamile kokugaya ukudla.
Enye yezinkolelo ezibonisa ukuthi i- visceral hypersensitivity (ukuzwela ngokweqile kwamalungu angaphakathi) kungabangela ukuphazamiseka kwamathumbu okungavamile ( ukungasebenzi komzimba ) okungathinta i-tract ye-GI engenhla noma ephansi kuye ngokuthi yiziphi izinhlangothi ezitholakalayo.
Uma ngabe kunjalo, kungasikisela ukuthi i-IBS ne-GERD yinye nesifo esifanayo. Le ncazelo isekelwe, ngokuyingxenye, ngobufakazi obonisa ukuthi amaphesenti angu-22 abantu abaphindela emuva naphakathi phakathi kwezikhathi lapho benesibonakaliso se-IBS nezinye kuphela uma benayo izimpawu ze-GERD.
Ukuphatha i-IBS ne-GERD
Uma uhlupheka kokubili i-IBS ne-GERD, kubalulekile ukusebenza nodokotela wakho ukuthuthukisa uhlelo olubanzi lokuphatha ukubhekana nezimo zombili. Lokhu kungabandakanya ukuhlanganiswa kokudla, ukunciphisa ukucindezeleka, kanye nemithi kadokotela kanye nemithi engekho imithi.
Ingxenye yomgomo kungaba ukukhomba noma yikuphi ukudla okuqala okubangela i-IBS kanye / noma i-GERD. Ukudla okuqedile okubandakanya ukudla kwe-bland kuvamise ukusetshenziselwa ukusungula isisekelo sokuqala esingekho izimpawu. Kancane kancane, ngokuhamba kwesikhathi, kutholakala ukudla okusha ukuze ubone ukuthi yiliphi i-IBS, GERD, noma kokubili.
Isimo ngasinye siyobe sesilashwa ngokwehlukana nemithi. Ama-Antacids kanye nemithi yokuvimbela i-asidi ngokuvamile isetshenziselwa i-GERD.
I-Antispasmodics nemithi yokulwa nokukhathazeka zivamile, ukwelashwa kokuqala kwe-IBS.
> Imithombo:
> Gasiorowska, A .; I-Po, C .; no-Fass, R. "Izifo ze-Reflux ze-Gastroesophageal (GERD) ne-Irritable Bowel Syndrome (IBS) -Ingabe Kuwukuphela Kwesifo Noma Ukuqubuka Kwezingqinamba Zikabili?" Izifo ze-Digestive and Sciences. 2008; 54: 1829-34.
> Lee, S .; Isitshalo esihlobene no-anyanisi.; UKim, S. et al. "Izifo ezithintekayo nezingozi zokugqekeza phakathi kwesifo se-reflux ye-gastroesophageal, i-dyspepsia, nesifo esithathelanayo esiswini: isifundo esisekelwe kubantu." Ukugaya. 2009; 79: 196-201.
> I-Sperber, A. noDekel, R. "I-Irritable Bowel Syndrome ne-co-morbid ye-Functional Syndromes." J Neurogastrointen Mobil. 2010; 16 (2): 113-119; I-DOI: 10.5056 / jnm.2010.16.2.13.