Vamwe masayendisiti vanofunga kuti vanogona kuva chirwere chakafanana
Mune chimwe chezvinhu izvi zvinosuruvarisa zvinokanganisa, vanhu vane shungu dzechirwere chirwere (IBS) vanowanzozviwana ivo vachifanira kurarama nedambudziko rimwe, rinonzi gastroesophageal reflux chirwere (GERD) , rinosangana nepamusoro peGI tract.
Ichokwadi, zvidzidzo zvinoratidza kuti pose pose 25 kubva muzana kusvika 32 muzana yevanhu vane IBS vachasangana nematambudziko maviri aya. Nokuti IBS neGERD vanogovana zvizhinji zvezvifananidzi zvakafanana, nepamusoro pezana 81 muzana vachaona kuwirirana kwezviratidzo.
Izvi zvinogona dzimwe nguva kutungamirira kunonoka kwekuongororwa kweiyo-iripo (comorbid) mamiriro pamwe chete nekuendesa kurapa kwakakodzera.
Kunzwisisa kuti sei izvi zvichiitika zvinogona kukubatsira iwe kutanga nzira yakanakisisa yekugadzirisa zviratidzo zvako zvakawanda kana iwe mose IBS neGERD.
Zviratidzo nezviratidzo GERD
GERD inzvimbo iyo iyo sphincter iri pasi pechipfupa chako haishande zvakanaka. Nemhaka yeizvi, zviri mukati momuviri zvinogona dzimwe nguva kudzorera (reflux) muchikamu.
Zviratidzo zveGERD zvinosanganisira:
- Inzwi rinopisa mubhokisi (kushungurudza mwoyo), dzimwe nguva kupararira kumutsipa uchitungamirirwa nekunwa kunorwa mumuromo
- Kudzokorora kwezvokudya kana mvura (acid reflux)
- Chipfuva chepfu
- Dambudziko rokuedza (dysphagia)
- Dry chikwama
- Huro inorwadza
- Hoarseness
- Kushungurudza kwebundu riri kumashure kwehuro mako
Zvinokonzera Comorbid IBS neGERD
Hapana mhinduro dzakananga dzekuti sei kushungurudzika uku kuripo.
Zvisinei, vamwe vanhu vari kutanga kutenda kuti haisi nyaya yakawanda yechikonzero asi pane imwe yerondedzero. Kune avo vanotenda, somuenzaniso, kuti IBS inongova imwechete yehuwandu hweGERD.
Vamwe vakafungidzira kuti zvose IBS neGERD zvinokonzerwa nehutachiona hwekushaya muviri.
Imwe yedzidziso yakadaro inoratidza kuti visceral hypersensitivity (kunyanya kunzwisisika kwezviviri zvemukati) inogona kukonzera kusagadzikana kwepachiviri mumakumbo ( motility kudzvinyirira ) iyo inogona kukanganisa iyo yepamusoro kana yezasi yeGI tsananguro zvichienderana nekuti zvipikano zviripi.
Kana izvi zvikaitika, zvinoratidza kuti IBS neGERD imwe chete uye chirwere chakafanana. Iyi nyanzvi inotsigirwa, muchikamu, nehumwe uchapupu hunoratidza kuti 22 kubva muzana yevanhu vane kudzoka shure nekubuda pakati penguva apo ivo chete vane zviratidzo zveBS nezvimwe apo ivo vane zviratidzo zveGERD chete.
Kubata IBS neGERD
Kana iwe uchitambura kubva kune zvose IBS neGERD, zvakakosha kushanda nachiremba wako kuti uite chirongwa chakakwana chekushandisa kugadzirisa matambudziko ose. Izvi zvinogona kusanganisira kusanganiswa kwezvokudya, kuderedza kunetseka, uye mishonga yemishonga uye isina mishonga.
Chikamu chechinangwa chingave chekucherechedza chero zvikafu zvekudya zvinokonzera IBS uye / kana GERD. Zvokudya zvinosanganisa zvinosanganisira zvokudya zvebland zvinowanzoshandiswa kusimbisa nheyo yekutanga iyo isina zviratidzo. Zvishoma nezvishoma, nokufamba kwenguva, zvokudya zvitsva zvinoziviswa kuti uone IBS, GERD, kana zvose zviri zviviri.
Chimwe nechimwe chiitiko chaizotapurirwa zvakasiyana nemishonga. Antacids uye asidi-kudzivirira mishonga inowanzoshandiswa kuGERD.
Antispasmodics uye mishonga inopesana nehasha zvinowanzoshandiswa, mishonga yokutanga yeBS.
> Sources:
> Gasiorowska, A .; Poh, C .; uye Fass, R. "Gastroesophageal Reflux Disease (GERD) uye Irritable Bowel Syndrome (IBS) -Iye Chimwe Chirwere kana Kuparara Kwezvinhu zviviri Zvinetso?" Digestive Diseases and Sciences. 2008; 54: 1829-34.
> Lee, S ;; Lee, K .; Kim, S. et al. "Kuwandisa uye njodzi zvinokonzera kudarika pakati pegastroesophageal reflux, chirwere chekushaya dyspepsia, uye chinokanganisa chirwere chemawere: chidzidzo chevanhu." Digestion. 2009; 79: 196-201.
> Sperber, A. uye Dekel, R. "Irritable Bowel Syndrome uye Ko-morbid Masimba uye Kuwedzera-kwepamuviri Kushanda Syndromes." J Neurogastrointen Mobil. 2010; 16 (2): 113-119; DOI: 10.5056 / jnm.2010.16.2.13.