Zvinokonzerwa neConorbid Disorders
Kutevera kereke yekare "apo inonaya ichidurura", varwere veBS vanowanzozviwana vachibata nedzimwe matambudziko ehutano kunze kweBS.
Vanachiremba vanotaura nezvemamiriro ezvinhu akafanana "zvinokonzera kukanganisa." Sezvo vatsvakurudzi vanopfuurira mukutsvaga kwavo kuti vanzwisise zviri nani zvikonzero zvinokonzera IBS , nzvimbo inoshingaira yekubvunzurudza inotarisa maitiro evarwere veBS kuti vaone zviratidzo zvepamusoro uye zvirwere zvakakwirira kudarika zvinowanzoitika.
Heino mhedziso yezvinozivikanwa kusvika zvino maererano neBS uye ukama hwayo nezvimwe zvinetso zveutano. Sezvaunenge uchiverenga izvi, tapota funga mupfungwa dzako kuti tsika iyi yehupenyu husingaoneki haisi kuonekwa mumunhu wese weBS.
Kazhinji Kuda Kurwisa GI Kurwara
Kunyange zvazvo chiri chiitiko chakakomba kune murwere, hazviiti sechishamisika kuti murwere weBS aizotarisana nehutachiwana hwehutachiona hwepabonde. Zvinogona kunge kuti chimwe chinhu chinowanikwa chinokonzera chirwere chimwe nechimwe. Pano pane zvirwere zveGI zvakaratidzwa kuti zviitike pazinga rakakwirira muvarwere veBBS kupfuura kune vasiri vese veBS (sarudza pane imwe nhungano kuti uwane mamwe mashoko):
- Diverticulitis
- Dysphagia (kuoma nekumedza)
- Esophageal Spasm
- Fecal incontinence
- Gastroesophageal reflux chirwere (GERD)
- Peptic ulcer chirwere uye zvinoshanda dyspepsia (zviratidzo zvisingazivikanwi nechirwere)
Kazhinji Hasi-GI Yakabatana Nezvinetso zveConorbid
Kunyanya kunetseka ndeyekuti varwere veBS vanowanzoona kusagadzikana kwepamuviri pane zvingangotarisirwa.
Intuitively, zvakaoma kunzwisisa kuti nei izvi zvingava zvakadaro. Izvi ndezvimwe zvezvinetso izvo vatachiona veBS vanowirirana pamwe neBHS dzavo:
- Kupera Kuneta Syndrome
- Chronic Prostatitis (Chronic Chronic Pelvic Pain Syndrome)
- Dysmenorrhea (kurwadziwa kwakanyanya kwemwedzi)
- Interstitial Cystitis
- Fibromyalgia
- Migraine headaches
Kurwisa Kurapa Kwepfungwa
Chirwere chepamusoro chezvirwere zvepfungwa muvashandi veBS ndechechokwadi yakasimbiswa. Zvinosuruvarisa, ruzivo urwu rwanzove ruchikanganisa zvakadai kuti varwere veBS vanoudzwa kuti zvinetso zvavo zvekudya zvinenge zvese zvepfungwa. Zvakanaka kutaura kuti panogona kunge kune zvikonzero zvinokonzera kutanga nekuchengetedza kweBBS uye chero hutano huripo huri hutano hwehutano. Heano mamwe ematambudziko epfungwa anowanikwa pamwe neBS:
- Panic disorder
- Obsessive-Compulsive Disorder (OCD)
- Kuora mwoyo
Chikonzero nei Kune Iko Kuwedzera Kwekurwara Kwechirwere
Kubva ikozvino, hapana zvikonzero zvakajeka-zvitsananguri kutsanangura chiitiko chekurwara kwecomorbid uye IBS. Iyo puzzles inonyadziswa nekuti havasi vose varwere veBB vanowana chirwere chinowanikwa pamwe chete. Ichokwadi, kunyange zvazvo huwandu kune ngozi yakawanda yekurwara kwecomorbid muvarwere veBBS, zvirwere zvinokonzerwa nehutachiona zvinoramba zvichikanganisa vasati vasvika 20 muzana yeVIV vanorwara.
Mune zvimwe zviitiko, tsanangudzo dzakagoverwa dzingangodaro dzinoonekwa sechikonzero. Izvi zvinowanzoitika apo dambudziko re comorbid rinosangana zvakafanana, zvakadai sedambudziko rinogona kuitika rose nekudya mhepo. Saizvozvowo, kushamwaridzana nehutano hwepfungwa kunogona kutsanangurwa nekusawirirana kwakapatsana kwevamwe vevhisi vehutano mukati mehutano hwepakati.
Imwe tsananguro inogona kuitika ndeyekuti vamwe vashandi veBS vane tsika yekunyatsoziva nezvekunzwa kwepanyama uye zviratidzo. Izvi zvakanyanyisa kutungamirirwa nazvo zvinoita kuti vave nechido chekutsvaga mazano ekurapa pamusoro pezviratidzo zvavo uye nokudaro zvirwere zvakakura zvezvirwere zvinongororwa. Uchapupu hwehutano uyu hunobva pane kuti kune zvimwe zvinetso hazvina zvikamu zvehupenyu zvakagadzirirwa zvinogona kutsanangura zvirwere zvakasiyana-siyana. Kungofanana nehuku-uye-e-yei, hazvisi pachena kana iyi hypersensitivity inobatsira kuBS yavo, kana kana iyo inobata IBS inopa munhu kuti azive nezvekunzwa kwomuviri.
Sayenzi yemazuva ano chokwadi inouya nemhinduro dzakanaka.
Imwe nzvimbo itsva yekubvunzurudza inotarisa nzira mumumuviri unozivikanwa se hypothalamic-pituitary-adrenal axis. Nzira iyi inobata maitiro edu akawanda emumuviri uye inoita kunge yakabatana nekuti miviri yedu inobata sei nekudzvinyirira. Yakave yakarongedzwa kuti kusakosha mumugwagwa uno kunotanga danho rekuwedzera kuputika kunobatsira zvinetso izvi zvinokonzera.
Izvi Zvinorevei Kwauri
Kana iwe ukazviwana uri munzvimbo isingawaniki yekutarisana nedzimwe matambudziko ehutano kunze kweBHS yako, taura nachiremba wako pamusoro pekugona kwezvinhu zvakajairika zvinokonzera. Idzi ruzivo runogona kubatsira panguva yekugadzirisa chirongwa chakagoverwa chechirongwa chekugadzirisa. Iwe unogona kuwana kuti muviri wose unoswedera kune unobatsira kupfuura kuporesa kunotarisa zviratidzo zvakasiyana. Zvisarudzo zvekuvandudza hutano hwako hwose hunosanganisira kuvandudza kudya kunovaka muviri, kushandiswa kwemishonga yemishonga , nekuita mukugadzirisa kwepfungwa .
Sources:
Goddard, E., Barth, K., Lydiard, B. Kushungurudzika Kunowanzopindirana neIrritable Bowel Syndrome: Inogona Kugoverwa Neurobiology Inogona Tsanangudzo Yadzo Yakawanda Yenyika? Primary Psychiatry 2007: 69-7.
Reidl, A., uye.al. Somatic comorbidities yekutsamwisa bhood syndrome: Kuongorora kwakarongeka Journal of Psychosomatic Research 2008 573-582.
Whitehead, W. et.al. "Kusagadzikana muIriritable Bowel Syndrome" American Journal of Gastroenterology 2007 102: 2767-2776.