IBD uye IBS Ive Nenzira Dzakasiyana-siyana Tingavaudza Sei?
Matambudziko maviri anowanzovhiringidzika, kunyange zvazvo akasiyana nemamiriro ezvinhu zvakasiyana, anokanganisa bowel syndrome (IBS) uye kuputika kwechirwere chirwere (izvo zvinosanganisira zvose Crohn's disease uye ulcerative colitis, pamwe chete inozivikanwa seBD). Kunyange zvazvo IBS neBD inzwika zvakafanana nekuda kwezvinyorwa zvavo, uye zvinogona kuita kuti zviratidzo zvakafanana, zvive zvakasiyana zvachose nezvidzidzo zvakasiyana zvakasiyana zvezvirwere.
Mukuwedzera, ivo vanorapwa zvakasiyana uye mishonga inoshandiswa kune imwe haisi kuzobatsira kune imwe.
IBS chirwere chinoshanda: kunyange zvazvo zviratidzo zviripo uye zvinogona kuva zvakanyanya, hapana hupenzi hunowanikwa mumuviri mukuru panguva yekuedzwa, seyakagadziriswa, uye hapana uchapupu hwehutano hunowanikwa panguva yekuongororwa kwechirwere chemuviri wemukumbo . IBD, zvisinei, chirwere chinokonzera kusanzwisisika kwakajeka kunoonekwa panguva yekuedzwa. Apo IBD inoenda isingateereri inogona kutungamirira kumatambudziko akakomba anokwanisa kuitika mukati uye kunze kwegadziriro yezvokudya, asi IBS haina kubatanidzwa nenyaya idzi. Mukuwedzera, matambudziko kubva kuBD anogona kuva akakwana zvakakwana kuti ave kutyisa upenyu , asi izvi hazvisi zvechokwadi kune IBS.
Mukuona kwezvinhu izvi zvose, kusiyana kweBDD neBS kunonyanya kukosha, kunyange zvingaita sezviri pachena pamusana nokuti zvose zviri zviviri zvinokonzera kuora uye kurwadziwa.
Vanhu vazhinji vanowanzovhiringidza mamiriro maviri aya kana kutoshandisa mazwi asina kururama se "chirwere chinokanganisa maronda" kana "chirwere chinosuruvarisa chirwere," zvose izvo zvisiri mazwi akarurama uye haisi mamiriro ezvinhu aripo.
IBS uye Ulcerative Colitis Vakasiyana
IBS inowanzovhiringidzika ne ulcerative colitis kana colitis, asi haisi mamiriro akafanana.
Zvose izvi zvinokonzera mumukati mukuru uye zvinogona kukonzera chirwere, asi izvi ndizvo zvakafanana nekufanana.
IBS chirwere, hachisi chirwere. Ulcerative colitis inobatanidza nehutano hwekenza yekoloni , uye kuva neBH haina kuwedzera ngozi yekenza yekoloni. IBS haina kukonzera kubuda mumimba uye ulcerative colitis inoita.
"Colitis" inoreva izwi rakanyanya kufanana rinoreva chero kuputika kukuru mumakoloni uye kunogona kukonzerwa nemamiriro akasiyana-siyana, kusanganisira mabhakitiriya zvirwere kana IBD. Colitis chiratidzo chekuonda kwechirwere kana chirwere che Crohn- hachisi chikamu cheBS.
Kusiyanisa mune Zvirwere zveBD uye IBS
Therapy uye mishonga yeBBS yakasiyana zvakasiyana kubva kune iyo yeBD. Chirongwa chisina kururama uye chirongwa chekurapa hachigoni kungoita chete asi, pane dzimwe nguva, chinogonawo kunge chakaipa.
Mishonga yeBD inowanzobatanidza zvinodhaka, zvakadai semamunosuppressives, biologics, uye steroids. IBS inowanzobatwa nekudya uye mararamiro ekuchinja , asi kana madhiragi achidikanwa , antispasmodics kana anti-depressants dzimwe nguva anoshandiswa.
Endoscopic Kusiyana
Endoscopy inoreva kuedza kunoitwa kutarisa mukati mematumbo kana zvimwe zvivako zvemuviri. Mune zvimwe zviitiko, vanhu vanofungidzirwa kuva neBS vanogona kuva nekolonoscopy kana kuti dzimwe mimwe miedzo kuti vatonge zvimwe zvingaita.
Apo chiremba anotarisa mukati memukironi wemunhu ane IBS, hapazovi nehupi hwehutano hunowanikwa. Ichi ndechokuti IBS chirwere chinoshanda , kwete chirwere chehupenyu, uye hachisi kukonzera kuchinja mukati memadziro emadziro.
Chirwere cheCrohn uye ulcerative colitis chinogona kukonzera kukanganisa kwakakura kumadziro emukati. Paanotarisa mukati mekoni yemunhu ane chirwere cheCrohn mumukati mukuru, chiremba angaona zvironda (kana mabomba), kuvhuvhuta, uye zvikamu zvingaita sechibblestone .
Zvinyorwa (zvidimbu zvemuviri zvakatorwa kubva mumuviri uye zvakatumirwa kuti zviongororwe pasi pe microscope) zvicharatidza zvimwe kuchinja.
Mukoko wemunhu ane ulcerative colitis icharatidzawo kuputira uye zvionda, uye biopsy icharatidza kuchinja mumasero.
Tafura iri pasi apa haisi yakakwana kana yakaoma-uye-yakanyora mutsara yezviratidzo uye zviratidzo asi inopa pfungwa yakawanda yezvinhu zvakasiyana-siyana zvinosiyanisa IBS ne IBD.
Kusiyanisa pakati peBD ne IBS
| Intestinal Symptoms | IBS | Crohn's Dendaase | Ulcerative Colitis |
| Kuisa mararamiro / kubvisa | X | ||
| Marwadzo emudumbu | X | X | X |
| Bloating / Distension | X | X | X |
| Mucus | X | X | X |
| Kuramba kubuda | X | X | X |
| Kurasika kweAppetite | X | X | |
| Rectal bleeding | X | X | |
| Fistulas | X | ||
| Zvidimbu | X | ||
| Zvimwe Mucheche Zviratidzo | IBS | Crohn's Dendaase | Ulcerative Colitis |
| Kuwedzeredza kwezviratidzo munguva yezvipembenene | X | X | X |
| Anemia | X | X | |
| Kukurira kuderera uye kukura kwepabonde kuvana | X | X | |
| Ziso rinotsamwisa | X | X | |
| Fever | X | X | |
| Ganda rinotsamwisa | X | X | |
| Kuonda | X | X | |
| Related Conditions | IBS | Crohn's Dendaase | Ulcerative Colitis |
| Zviitiko zveUriin | X | X | X |
| Fibromyalgia | X | X | X |
| Kufunganya | X | X | X |
| Kuora mwoyo | X | X | X |
| Arthritis | X | X | |
| Matambudziko echiropa | X | X | |
| Osteoporosis | X | X | |
| Kanononi yeColon | X | X |
Sources:
Crohn's uye Colitis Foundation yeAmerica. "Chii chinonzi Ulcerative Colitis?" CCFA.org. Apr 2017.
Crohn's uye Colitis Foundation yeAmerica. "Chii chinonzi Crohn's Disease?" CCFA.org. Apr 2017.
Sachar DB, Walfish AE. "Crohn's Disease (Regional Enteritis; Granulomatous Ileitis kana Ileocolitis)." The Merck Manual Dec 2012.
Sachar DB, Walfish AE. "Ulcerative Colitis." The Merck Manual Dec 2012.
Torpy JM. "Irritable Bowel Syndrome." JAMA 22 Feb 2006; 295. doi: 10.1001 / jama.295.8.960