Pane Kusanzwisisa NezveBS uye IBD Mukurarama Muchiri Chimiro Chete
Iko kunowanzovhiringidzika kunokonzera kusuruvara kwemawere (IBS) uye kuputika kwechirwere chirwere (IBD) : zvinhu zviviri zvakajairika zvegumbo rekudya. Zvose zviviri IBS neBD zvinogona kukonzera zviratidzo zvekurara , kubhururuka , nekurwadziwa, asi izvi ndizvo zvakanyanya kufanana kwazvo. Mune dzimwe nzira dzakawanda, mamiriro aya akasiyana zvachose kubva kune mumwe uye anobatwa nenzira dzakasiyana.
Kunyange zvakadaro, pamusana pemazita avo akafanana uye kuwirirana kwevakanyanya-vakataura pamusoro pezviratidzo, vamwe vanhu nenzira isiri iyo vanoshandisa IBS neBD zvisiri izvo.
IBS uye IBD dzakasiyana nemamiriro ezvinhu, asi zvinokwanisika kuva nemamiriro maviri maviri panguva imwe chete here? Chimwe chekudzidza chakawana kuti vamwe vanhu vangave vanove vaongororwa neBS mushure mekunge vaongororwa neBD (ichi chaiva chokwadi kakawanda nokuda kwechirwere che Crohn kupfuura chironda chekurwara). Mutevedzeri uye muchengeti wavo anotanga sei kunzwisisa kana zviratidzo zvavo zvichikonzerwa neBS kana kuti zvakakonzerwa neBD?
IBS Isati Yave Kuzivikanwa kweBD?
Pane kushayikwa kwekutsvakurudza munyaya, uye pfungwa yokuti zvose zvinogona kuitika mumunhu mumwe chete zvinenge zvichiri pasi pekukakavadzana uye hazvisi nyore kubvumirwa. Imwe meta-analysis yakaratidza kuti vamwe vanhu vane IBD vakaramba vachiita zviratidzo zvekudya kunyange apo IBD pachayo yakawanikwa ichiri mukuregererwa. Varwere vari muchidzidzo ichi vakanga vasati vava nechirwere mumagetsi avo anokwanisa kutsanangura zviratidzo zveBD.
Sei varwere ivavo vakaramba vachirara uye vachikurumidza? Vanyori vakasvika pakagumisa kuti varwere ivavo vakaramba vachiona zviratidzo zvakaenderana neBib vanogona kubatsirwa nemishonga inotora mamiriro maviri aya. Yakawanikwa kuti varwere ivavo avo vaiva nechirwere cheCrohn chirwere chakanga chakanyanya kuitika zviratidzo zveBS-type.
Kuva nebasa IBD yakabatanidzwawo nehuwandu hwezviratidzo zveBS-type.
Chimwe chidzidzo chakaitwa muManitoba chakawana kuti vasati vaongororwa neBD, varwere vangave vane zviratidzo zveBS-semakore matatu kana kupfuura. Vanyori vanofungidzira kuti vazhinji vavo vanenge 14% yevadzidzi 396 veBDD mukudzidza kwavo "vaigona kana zvichiita" kuti vave neBS. Varwere ivavo vanogonawo kuva neBS vane zviratidzo zvekudya kwemazuva akawanda vasati vawana kuongororwa kweBD. Vanyori vakapedzisa kuti mubairo weBS mune varwere vane IBD vanogona kunge vakafanana nehuwandu hweBS kuvanhu vose.
IBS, Kana Kuvhiringidza?
Imwe nyanzvi pamusoro pezviratidzo zveBS muBD murwere mukuregererwa ndechokuti kune "kuipa" kunoputika. Mune mamwe mazwi, IBD inogona kuve ichikonzera hutsika hwakanyanya hwekuvhiringidza husingazogadziriswa nenzira dzinowanzoongorora, zvakadai seCrohn's Disease Activity Index . Vatsvakurudzi vakaona kuti varwere ava vanoyera zviyero zve calprotectin, puroteni inosanganiswa nemhando yekuzvimba kunokonzerwa neBD. Nhamba yakaderera yekuputika inogona kuve ichikonzera zvimwe zviratidzo, zvakadai sezvo zvinofananidzira IBS.
Ko IBS Inofanira Kubatwa MuBD Patients?
Kungofanana nekushayikwa kwekutsvakurudza kwakajeka pamusoro pekuti varwere vane IBD vanogonawo kuva neBS, pane kunyatsonzwisisa kwokuti varwere vanogona kuongororwa neBS vanofanira kurapwa sei.
Mishonga inofanira kuve yakagadzirirwa kune mumwe murwere ne gastroenterologist yavo. Pane kumwe kufungidzira kuti tricyclic antidepressants , iyo inogona kushandiswa kurapa IBS, inogona kubatsira kune varwere vane zviratidzo zveBS uye IBD.
Pane zvakawanda zvisingazivikanwi nezvehutano hweBHI mune varwere vane IBD, uye kuti inobata sei kuongororwa uye kurapwa munguva yemberi. Dzidzo ichiri kuenzaniswa, uye kune tsvakurudzo inoitwa kuti isabatanidze kubatana kweBD uye IBS-sezviratidzo kune vamwe vanhu. Kusvikira mufananidzo wacho wakanyatsojeka, yakanakisisa inopa ruzivo pamusoro pemamiriro maviri ekugomba - zvichida singly kana mukoni - ndiyo gastroenterologist yako.
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