I-IBD ne-IBS inezibonakaliso Ezifanayo-Singabatshela Kanjani?
Izifo ezimbili ezivame ukudideka, nakuba ziyizimo ezihluke ngokuphelele, ziyakwazi ukucasula isifo sofuba (IBS) nesifo sofuba (okubandakanya kokubili isifo sikaCrohn nesifo sofuba esiswini, esibizwa nge-IBD). Yize i-IBS ne-IBD izwakala ifana ngenxa yezimpawu zabo, futhi ingase ibangele izimpawu ezifanayo, ziyizimo ezicacile ngokuphelele ngezifundo ezihlukahlukene kakhulu zezifo.
Ngaphezu kwalokho, baphathwa ngendlela ehluke kakhulu futhi imithi esetshenziselwa eyodwa ngeke ibe usizo kumunye.
I-IBS iyinkinga yokusebenza: yize izimpawu zingokoqobo futhi zingaba nzima, azikho okungavamile ezitholakala emathunjini amakhulu ngesikhathi sokuvivinywa, njenge- endoscopy , futhi akukho bufakazi besifo obutholakala ngesikhathi sokuhlolwa kwe- biopsy yamathumbu emathumbu . I-IBD, noma kunjalo, isifo esibangela ukungabonakali okubonakalayo okubonakala ngesikhathi sokuhlolwa. Uma i-IBD ihamba ingaphathwa kabi ingaholela ezinkingeni ezinkulu ezingenzeka ngaphakathi nangaphandle kwesistimu yokugaya ukudla, kuyilapho i-IBS ingahambelani nalezi zinkinga. Ngaphezu kwalokho, izinkinga ezivela ku-IBD zingaba nzima ngokwanele ukuba zisongela ukuphila , kuyilapho lokhu akulona iqiniso ku-IBS.
Ngenxa yazo zonke lezi zici, umehluko phakathi kwe-IBD ne-IBS empeleni kubalulekile kakhulu, nakuba kungase kungabonakali ngaleyo ndlela ngenxa yokuthi bobabili babangela ukuhuda nokuhlungu.
Abantu abaningi bavame ukudideka lezi zimo ezimbili noma basebenzise nemibandela engafanele njenge "izifo zesifo sofuba" noma "isifo sofuba esithukuthelayo," kokubili okungesiyo imigomo efanele futhi akuzona izimo ezikhona.
I-IBS ne-Ulcerative Colitis Yehlukile
I-IBS ivame ukudideka nge-ulcerative colitis noma kolitis, kodwa ayikho isimo esifanayo.
Zombili izimo zithinta amathumbu amakhulu futhi zingabangela ukuhuda, kepha lokho kufana nokufana okuhambayo.
I-IBS i-syndrome, akusona isifo. Ukwelashwa kwe-ulcerative kuhloswe ngengozi yomdlavuza wekoloni , futhi ukuba ne-IBS ayinakwandisa ingozi yomdlavuza wekoloni. I-IBS ayibangeli ukuphuma kwegazi emathunjini kanye ne-ulcerative colitis.
"I-Colitis" yigama elibanzi elibhekisela kunoma yisiphi ukuvuvukala okujwayelekile emgqeni futhi kungabangelwa izimo eziningana ezihlukene, kuhlanganise nezifo ze-bacteria noma i-IBD. I-colitis iyisibonakaliso se-ulcerative colitis noma se-Crohn's- akuyona ingxenye ye-IBS.
Umehluko Ukwelashwa kwe-IBD ne-IBS
Ukwelapha kanye nemithi ye-IBS ihlukahluka kakhulu kulabo be-IBD. Uhlelo olungalungile lokuxilongwa nokulashwa alukwazi nje kuphela ukungasebenzi kodwa, kwezinye izimo, lungaba yingozi.
Ukwelashwa kwe-IBD kuvame ukubandakanya izidakamizwa, njenge-immunosuppressives, biologics, ne-steroids. I-IBS ivame ukuphathwa ngokudla nokuguqula indlela yokuphila , kodwa uma kudingeka izidakamizwa , ama-antispasmodics noma ama-antidepressants ngezinye izikhathi asetshenziswa.
Ukungafani Kwe-Endoscopic
I-Endoscopy ibhekisela ekuhlolweni okwenziwe ukubuka ngaphakathi kwamathumbu noma ezinye izakhiwo zomzimba. Kwezinye izimo, abantu abasolwa ngokuba ne-IBS bangaba ne- colonoscopy noma ezinye izivivinyo ukulawula ezinye izimo ezikhona.
Uma udokotela ebuka ngaphakathi kololoni lomuntu one-IBS, ngeke kube khona ubufakazi bokuthola isifo. Lokhu kungenxa yokuthi i-IBS iyinkinga yokusebenza , hhayi isifo esingokwemvelo, futhi ayibangeli ushintsho odongeni lwamathumbu.
Isifo sikaCrohn kanye nesifo sokulonda kwesilonda singabangela umonakalo omkhulu ezindongeni zamathumbu. Uma ubheka ngaphakathi kolononi lomuntu one-Crohn's disease emathunjini amakhulu, udokotela angabona izilonda (noma izimbobo), ukuvuvukala, nezingxenye zingase zibukeke njenge- cobblestone .
I-Biopsies (izingcezu zamathambo ezithathwe emzimbeni futhi athunyelwe ukuhlolwa ngaphansi kwe-microscope) izobonisa ngisho nezinguquko ezingaphezulu.
Ikholomu yomuntu one-ulcerative colitis izophinde ibonise ukuvuvukala nezilonda, futhi i-biopsy izobonisa izinguquko kumaseli.
Ithebula elingezansi alikho uhlu oluphelele noma olunzima lwezimpawu nezimpawu kodwa lunikeza umbono jikelele wezici eziyisisekelo ezihlukanisayo phakathi kwe-IBS ne-IBD.
Umehluko Phakathi kwe-IBD ne-IBS
| Izimpawu zamathumbu | I-IBS | Crohn's Izifo | Ulcerative I-Colitis |
| Ukususwa kwesifo sohudo / ukuqothulwa | X | ||
| Ubuhlungu besisu | X | X | X |
| Ukuvimbela / Ukuhlukaniswa | X | X | X |
| I-Mucus | X | X | X |
| Uhudo oluqhubekayo | X | X | X |
| Ukulahlekelwa Ukudla | X | X | |
| Ukuphuma kwegazi | X | X | |
| I-fistula | X | ||
| Izibalo | X | ||
| Izimpawu ezengeziwe zamathumbu | I-IBS | Crohn's Izifo | Ulcerative I-Colitis |
| Ukuphuthumayo kwezibonakaliso ngesikhathi sezimpawu | X | X | X |
| I-anemia | X | X | |
| Ukukhula okulehlisiwe nokuvuthwa ngokocansi ezinganeni | X | X | |
| Ukucasuka kweso | X | X | |
| Fever | X | X | |
| Ukucasula isikhumba | X | X | |
| Ukulahlekelwa kwesisindo | X | X | |
| Izimo ezihlobene | I-IBS | Crohn's Izifo | Ulcerative I-Colitis |
| Izimo ze-Urinary | X | X | X |
| I-Fibromyalgia | X | X | X |
| Ukukhathazeka | X | X | X |
| Ukucindezeleka | X | X | X |
| I-arthritis | X | X | |
| Izinkinga zesibindi | X | X | |
| I-osteoporosis | X | X | |
| I-Colon Cancer | X | X |
Imithombo:
Crohn's and Colitis Foundation of America. "Iyini i-Ulcerative Colitis?" CCFA.org. Ngo-Apr 2017.
Crohn's and Colitis Foundation of America. "Iyini izifo zika Crohn?" CCFA.org. Ngo-Apr 2017.
I-Sachar DB, i-Walfish AE. "Izifo ZaseCrohn (IsiGodi EsiPhakathi KwesiFunda; i-Granulomatous Ileitis noma i-Ileocolitis)." I-Merck Manual Dec 2012.
I-Sachar DB, i-Walfish AE. "Ulcerative Colitis." I-Merck Manual Dec 2012.
I-Torpy JM. "I-Irritable Bowel Syndrome." I-JAMA 22 Feb 2006; 295. i-doi: 10.1001 / jama.295.8.960