Izvo zvose IBS uye microscopic colitis inoshandisa chiratidzo chekugara kwenguva refu. Nokudaro zvinonzwisisika kushamisika kana vakabatana. Kurapa kwemaviri aya kwakasiyana kwazvo - naizvozvo iwe unoda kuve nechokwadi chokuti une chirwere chakakodzera. Muchidimbu ichi, tichaona kuti microscopic colitis chii uye kuti yakasiyana sei neBS.
Overview
Microscopic colitis ndiyo mamiriro ayo munhu anowanzobata mvura isingaperi, asi kwete ropa, chirwere.
Chirwere ichi chinowanzokonzera mukadzi kupfuura varume uye njodzi yako inokura iwe paunenge uine makore, uye huwandu hwakanyanya hunoonekwa kuvanhu vari mumakore makumi matanhatu kana makumi matanhatu.
Kune marudzi maviri emakiromita episitiki: Collagenous colitis uye lymphocytic colitis. Zvinopesana maererano nenzira iyo yavanotarisa asi zvinogona kunge zvikamu zviviri zvakasiyana zvechirwere chakafanana. Pasinei nemhando, zvirwere zviviri izvi zvinoonekwa uye zvinotorwa nenzira imwecheteyo. Mu lymphocytic colitis, pane nhamba yakawedzerwa yemasero eropa eropa aripo mune zvigunwe zveganda rekoloni . Mu collagenous colitis, kubwinya kwegorgen kunowanikwa mumatumbu.
Zviratidzo
Kunze kwechiratidzo chekugara kwenguva refu kwemvura, hutachiona hutachiona hunoitawo kuti:
- Maviri emimba uye / kana makumbo
- Nausea
- Fecal incontinence
- Kuonda
Zviratidzo zvingave zviri pakati nepakati uye dzimwe nguva, chirwere chinogona kugadzirisa pachako pasina kurapwa.
Kuziva
Zvakafanana neBibS, ine microscopic colitis, hapana chiratidzo chechirwere chinowanikwa panguva yekolonoscopy. Apo zvinetso zviviri izvi zvakasiyana ndezvokuti microscopic colitis icharatidza apo muenzaniso wezvinyorwa zvekoloni unotarisa pasi pekroscope.
Mukuwedzera kune colonoscopy ne biopsy, mamwe maedzo achapiwa kuti atonge kunze kwezvirwere.
Ropa rinoshanda, pamwe nekugona kugumira endoscopy, richakurudzirwa kutonga kunze kwechirwere ichi. Chigaro chechigaro chinogona kukurudzirwa kuti chizive chero zvirwere zvingangodaro zvinokonzera chirwere.
Zvinokonzera
Hapana anoziva zvechokwadi chinokonzera microscopic colitis. Zvinhu zvinokuvadza zvinosanganisira:
- Bile acid diarrhea
- Chirwere cheCeliac
- H2 blockers
- Kwete-steroidal anti-inflammatory drugs (NSAIDs)
- Polyarthritis
- Proton pump inhibitors (PPIs)
- Kusvuta
- Kusarudza serotonin reuptake inhibitors (SSRIs)
- Matambudziko echitendero
Mishonga
Sezvauchaona, maitiro ekurapa kwe microscopic colitis yakasiyana zvikuru nekusarudzwa kwekurapa kweBS.
Nhanho yekutanga inogona kuva yekuita kuti murwere arege kusvuta kana kusiya mishonga ipi zvayo inofungidzirwa sechikamu chechirwere. Mishonga inogona kunyorwa. Pakuipisisa kwayo, microscopic colitis inogona kutariswa kuburikidza nekuvhiya yeoostomy .
IBS vs. Microscopic Colitis
Sezvo wakadzidza nezve microscopic colitis, iwe uchiri kungove uchifunga kana iwe une chirwere chakakodzera. Meta-analysis yakangotarisa yakatarisa migumisiro yezvidzidzo zvakawanda pamusoro pehurukuro. Kubatanidza nhoroondo kubva pane zvidzidzo izvi, vanyori vakapedzisa kuti kunyange anenge chikamu chimwe chete muzvitatu chevarwere vane microscopic colitis inoratidzira zviratidzo zveBS, iyi yepakati haina kusiyana nevanhu vasina microscopic colitis.
Kuwirirana pakati peBIB uye microscopic colitis yakasiyana kubva pakudzidza kugadzirwa. Kana zviitiko zvekuongorora, microscopic colitis yakaonekwa kakawanda kune vanhu vane IBS kupfuura avo vasina zviratidzo. Asi mune zvidzidzo zvinotarisa uchapupu kumativi ose emapoka makuru, vanhu vane IBS havakwanisi kuva nehutachiona hwehutachiona pane vanhu vane chirwere chemashuga asi vasina IBS.
Kubva pane meta-analysis iyi, vanyori vanokurudzira kuti kunze kwekuti iwe uri pangozi yakakosha ye microscopic colitis (zvichienderana nematambudziko anopfuura pamusoro apa) kana chero zviratidzo zvitsvuku zvinoputika , hapana chikonzero chemunhu ane IBS kuti ave necolonoscopy kuti inotarisa microscopic colitis.
Zvechokwadi, kana zviratidzo zvako zveBBS zvichishandura, iwe unofanira kuzivisa chiremba wako, nechitarisiko ichi kuti kuwedzerwa kuedzwa kungave kwakakodzera kuti uwane zvakajeka kuongorora.
Sei zviratidzo zveBS uye microscopic colitis zvakafanana, kunyange zvazvo dziri zvirwere zvakasiyana? Zvechokwadi, kuputika kwepasi-pasi kwakabatanidzwa neBS . Mhinduro yacho inogona kuva yokuti vanovata panopfuurira. Tariro, kutsvakurudza kwakaenderera mberi kuchabatsira kuita kuti nyaya yacho ijekese.
Sources:
Kamp, E., Kane, J. & Ford, A. "Irritable Bowel Syndrome uye Microscopic Colitis: Ongororo Yakagadziriswa uye Meta-analysis" Clinical Gastroenterology uye Hepatology Nyaya Dzokudhindwa dzakabudiswa Online October 7, 2015.
"Microscopic Colitis" Mayo Clinic yepaIndaneti Yakagadzirwa naOctober 16, 2015.
Park, T., Cave, D. & Marshall, C. "Microscopic colitis: Kuongororwa kwemashoko etiology, kurapwa uye kurwisa zvirwere" World Journal of Gastroenterology 2015 21: 8804-8810.