IBS inowanzonyatsorongororwa semamwe mamiriro ezvinhu
Inonyangadza bowel syndrome (IBS) chirwere chokuregererwa, zvinoreva kuti kuongororwa kweBS kunowanzopiwa mushure mechimwe chikonzero chezviratidzo zvingawanikwa. Izvi zvinoreva zvakare kuti IBS inowanzosarudzwa, uye inobatwa, semamwe mamiriro ezvinhu. Vamwe vanhu vanogona kuona vanachiremba vakasiyana-siyana uye vanoedzwa zvakanyanya vasati vazosvika pakuongororwa kweBS.
Ndeipi mamwe mamiriro ezvinhu ane zviratidzo zvakafanana neBS? Aya mamiriro ezvinhu anozivikanwa se "kusiyanisa kuongororwa" -mamiriro ezvinhu akafanana ane zviratidzo zvakafanana kana "kutaura".
Kune humwe hutsva hunoratidza kuti IBS inogona kuva nhaka: kuti kune mazita ejeni anobatanidza neBS. Zvimwe zvemajeni aya zvakawanikwa, asi pfungwa yacho ichiri pasi pechidzidzo kuti uone kuti maitiro evanhu anowanzoita sei pangozi yekuva neBS.
Inflammatory Bowel Disease (IBD)
IBS inowanzovhiringidzika ne ulcerative colitis kana chirwere cheCrohn (pamwe chete ichizivikanwa seBD), asi pane zvakasiyana zvakasiyana. IBS chirwere, kwete chirwere, uye hachizoitungamirira kumararoni emakoroni uye hazvikonzeri kuputika kana kubuda mumimba. IBD inowanzokonzera kuputika kana masonda mumatumbo mudumbu anogona kuonekwa nachiremba panguva yekolonoscopy, asi IBS haina kukonzera chimwe chezviratidzo izvi.
IBD inogonawo kukonzera kurwadziwa kwepamuviri, fever, uye kuora muviri, izvo zvisingaonekwi neBS.
Zvinogoneka kuti vanhu vane IBD vanewo IBS . Zvisinei, kune kusiyana kwakakosha kuita pakuti kuva neBIB hakureve kuti zvicha "kufambira mberi" kana "kutendeuka" IBD. IBS haisi chirwere chinopfuurira uye haicho chaicho chinokonzera chero kukuvadza kumatumbo kana zvimwe zvikamu zvegumbo rekudya.
Vanhu vane IBD vangada kuvhiyiwa sevanorapa zvirwere zvavo. Kuvhiya hakuiti kuti tibate IBS. IBD inowanzokonzera zvimwe zvikamu zvemuviri kunze kweropa rekudya.
Nheyo dzinokosha: IBS haina kukonzera kutuka, zvipembenene, kubuda ropa, kana kurerutsa kuora.
Celiac Disease
Chirwere cheCeliac (icho chaimbova chinonzi celiac sprue) chinonzi hachizivikanwi nokuti vanhu vazhinji vachiri kufunga kuti ichi chisingawanzo mwana hutachiona. Ichokwadi, vazhinji vanoita 1 mu1000 vanhu vanogona kunge vane chirongwa ichi. Zvinogona kutora makore kuti uwane chirwere chechiliac, sezvo zviratidzo zvisinganzwisisiki uye zvinogona kukanganwa kana kufungidzirwa kuti zvinokonzerwa nedzimwe mamiriro. Apo munhu ane chirwere chechiliac anodya gluten (chikafu chekudya chinowanzovhiringidzika), mhinduro yomusimba inokonzerwa iyo inokonzera kukuvadza kumucheka wemukati muduku. Izvi zvinoguma mumucheche muduku haikwanisi kuunganidza zvakakosha zvinovaka. Kusiyana neBIB, iyo isina chirwere chekuongororwa, chirwere chechiliac chinogona kuongororwa ne 85% kusvika ku 90% kunyatsorongedzwa nemasvomhu anonzi (IgA anti-gliadin uye anti-tissue transglutaminase), uye ne 95% kusvika 98% zvakajeka neine genetic test ( HLA-DQ2 uye HLA-DQ8 majini). Chikonzero chekurapa chirwere chechiliac ndiko kubviswa kwe gluten kubva pakudya.
Inofungidzirwa kuti vazhinji vanenge 30% yeavo vakaonekwa vane IBS vangave vane chirwere cheliacac.
Nheyo dzinokosha: chirwere cheCeliac chinogona kuve chakanyatsorongororwa chinosangana nemaitiro e-antibody kana maitiro ekuongorora, uye zviratidzo zvinowanzofambira mberi nekukurumidza kudya kweguten.
Kurwara
Utachiwana hwehutachiona, hutachiona, kana hutachiona hwehutachiona hunoita kuti zviratidzo zvinowanzobatwa muBS zvakadai sekurwadziwa kwepamuviri, kubvongodza, uye kubuda. Izvi zvirwere zvinogona kunge zviri "chironda chemudumbu" (viral gastroenteritis), chepfu yekudya, kana kubva kumvura yakasvibiswa nemaronda anoparadza. Aya marudzi ehutachiona anowanzove akaoma panzvimbo pane asingagumi; zviratidzo zvinotanga nokukurumidza uye zvinogona kuva zvakanyanya.
Muzviitiko zvizhinji, pangava nechiitiko chakajeka chakavhara zviratidzo, zvakadai sokudya zvokudya zvisingadyiki (mune zvekudya zvekudya) kana kusangana nemunhu ane zviratidzo zvakafanana (zvakadai nedumbu remvura). Kune humwe uchapupu hwokuti IBS inogona kunge yakabatana nehutachiona hwepakutanga husati hwavapo, asi iyi dzidziso haisati yabvumidzwa.
Nheyo dzinokosha: Utachiona hwebhakitiriya uye hwechirwere hunowanzovandudzwa mushure mekurapa nemishonga inorwisa mabhakitiriya, uye zvirwere zvehutachiona zvinowanzovandudzwa mushure memazuva mashomanana, asi zviratidzo zveBS hazvigumi.
Tsananguro Inobva
IBS inowanzovhiringidzwa nemamwe mamiriro ezvinhu, kunyanya IBD. Uyezve, mamiriro acho ezvinhu dzimwe nguva anotumidzwa nemashoko asina kururama sekuti "shungu dzezvirwere" kana "kuputira chirwere chendumbu," izvo zvinokonzera kukanganisika uye kusanzwisisa. Paunogamuchira kufungidzirwa kubva kune gastroenterologist kana imwe nyanzvi yehutano, pfungwa yakanakisisa ndeyokuwana ruzivo rwakajeka uye kubvunza mibvunzo kusvikira paine nyaradzo yepamusoro nemashoko matsva. Kutora maminetsi mashomanana kuti unzwisise IBS ichave yakakosha kune varwere uye vatapi vehutano vacharamba vachida kupindura mibvunzo kuitira kuti vabatsire kujekesa mibvunzo chero ipi zvayo uye kuti vawane nzira yekurapa kwakakodzera.
Sources:
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National Institutes of Health. "Viral Gastroenteritis." National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Apr 2012.
NIDDK Kufambira Mberi Kwenguva Ichangobva Kuitika & Mikana Inotangira: Kuderedza Zvirwere uye Kudya. "Celiac Disease-IFFGD." 28 Mar 2014.
Saito YA. "Basa reIndaneti muBibS." Gastroenterology makiriniki eNorth America . 2011; 40 (1): 45-67. doi: 10.1016 / j.gtc.2010.12.011. 6 Feb 2016.