I-Endometriosis ne-IBS: Ingabe Kukhona Ukuxhumana?

-Delile

• Iyini i-endometriosis, futhi iyini i-IBS?
• I-Endometriosis
• IBS
• Ziyini izimpawu?
• Ziyini izimbangela?
• I-endometriosis ne-IBS itholakala kanjani?
• Yiziphi izinketho zokwelashwa?
• Amakhambi asekhaya
• Uyini umbono?
• Ukudla okudlela endlini

I-Endometriosis ne-irritable bowel syndrome (IBS) yizimo ezimbili ezinezimpawu ezifanayo. Kungenzeka ukuba nakho kokubili ukuphazamiseka. Udokotela wakho angaqonda kahle isimo esisodwa uma kungenjalo esinye. Odokotela futhi bayazi ukuthi abesifazane abane-endometriosis banamathuba amaningi okuba ne-IBS.

Qhubeka ufundele ukuthola eminye imininingwane ngesimo ngasinye nokuthi zihlobene kanjani.

Iyini i-endometriosis, futhi iyini i-IBS?

I-Endometriosis

I-Endometriosis yisimo lapho izicubu ezivame ukutholakala kuphela esibelethweni ziqala ukukhula kwezinye izindawo zomzimba.

Izibonelo zalezi zindawo zifaka phakathi amashubhu angama-fallopian nama-ovari. Izicubu ze-Endometrial nazo zingakhula emathunjini. Lokhu kunganikela kuzimpawu ezifana ne-IBS.

IBS

I-IBS ibangela izimpawu zesisu. Lokhu kufaka ukuqunjelwa, isifo sohudo, noma kokubili. Kodwa-ke, lesi simo asilimazi amathumbu omuntu njenge-ulcerative colitis noma isifo sikaCrohn.

Abesifazane abane-endometriosis bane-IBS kaningi kunabesifazane abangenayo i-endometriosis. Abesifazane abaningi abane-endometriosis emathunjini nakwezinye izakhiwo eziseduze bavame ukuthola i-IBS misdiagnosis.

Ziyini izimpawu?

I-Endometriosis ne-IBS yabelana ngezimpawu ezivamile. Lokhu kugqagqana kungaletha inselelo kodokotela abazama ukuthola umthombo wezinhlungu nokungajabuli kwesiguli.

Uphawu olujwayelekile lwezimo zombili ukuzwela kwe-visceral. Lokhu kusho ukuthi umuntu onoma yisiphi isimo unokubekezelela ubuhlungu obuphansi besisu noma ubuhlungu be-pelvic. Ukuphela kwemizwa yabo kungazwela kakhulu. Lokhu kungaholela ekuphenduleni okuphakanyisiwe ebuhlungu.

Ezinye zezimpawu ezengeziwe ezabiwe phakathi kwe-endometriosis ne-IBS zifaka:

• ukuqunjelwa esiswini
• ukuqunjelwa
• isifo sohudo
• isicanucanu
• ubuhlungu ngokunyakaza kwamathumbu

Ngenxa yalezi zimpawu ezabiwe, odokotela bangaba nobunzima bokuthola i-endometriosis noma i-IBS.

Ziyini izimbangela?

Odokotela abazi ukuthi yini ngempela ebangela i-endometriosis. Bayazi ukuthi isimo sinezakhi zofuzo, kodwa okunye okunye mayelana nokuthi kungani abanye beba nalesi simo kanti abanye abanaso.

I-IBS iyimfihlakalo efanayo kodokotela. Bayazi ukuthi ukuvuvukala kungaholela ku-IBS. Abanye abantu bathola i-IBS ngemuva kokutheleleka ngamagciwane noma igciwane, okungaholela ekuvukeleni okungapheli kwamathumbu.

I-endometriosis ne-IBS itholakala kanjani?

Odokotela abanakho ukuhlolwa okukodwa okuxilonga noma isiphi isimo. Lapho uthola i-IBS, odokotela bavame ukuzama ukukhipha ezinye izimo zezokwelapha ezibangela izimpawu ezifanayo. Lokhu kufaka phakathi:

• ukungabekezelelani kwe-gluten
• izifo ezithathelwanayo
• isifo sokuvuvukala kwamathumbu, njenge-ulcerative colitis noma isifo sikaCrohn
• ukungabekezelelani kwe-lactose

Udokotela anga-oda ukuhlolwa kwegazi ukuthola ukuthi ngabe umuntu unezakhi ezivuvukalayo ezingakhomba ukungabekezelelani kwe-gluten noma i-lactose. Bangase futhi bacele isampula yendle ukuhlola isitokisi segazi noma izinto ezithathelwanayo.

Kwesinye isikhathi udokotela angancoma i-endoscopy ephezulu noma i-colonoscopy. Lezi izindlela zokuhlola ezivumela udokotela wakho ukuthi abuke ulwelwesi lwesisu, isisu, nekholoni ukukhomba noma yikuphi ukungahambi kahle.

Odokotela bangasebenzisa izindlela ezahlukahlukene zokuhlola i-endometriosis. Izibonelo zalokhu zifaka:

• Ukuhlolwa kwepelvic. Udokotela wakho angaqhuba ukuhlolwa kwe-pelvic ukuze azizwe ngezindawo zokuqothuka.
• Ukuhlola ukuhlolwa. I-MRI noma i-ultrasound ingasiza udokotela wakho ukuthi abone ukuthi kukhona yini ama-cysts noma i-endometriosis-like thickening esibelethweni noma kwezinye izindawo.
• Imithi. Udokotela wakho angakunikeza imishanguzo yamahomoni ukunciphisa izimpawu ze-endometriosis. Uma izimpawu zakho zithuthuka, isimo kungenzeka i-endometriosis.
• I-laparoscopy yokuhlinzwa. Ukuphela kwendlela eqondile yokuqinisekisa i-endometriosis i-laparoscopy yokuhlinzwa. Lokhu kuhilela ukususa ingxenye yezicubu ezingajwayelekile futhi uyihlole ebhodini ukuze kutholakale izicubu zesibeletho.

Udokotela wakho uzoxoxa nawe ngalezi zindlela zokuxilonga. Bazosebenzisa imiphumela ukwenza izincomo zokwelashwa.

Yiziphi izinketho zokwelashwa?

Imithi yokwelashwa kwe-Endometriosis incike lapho amaseli angajwayelekile ekhona emzimbeni wakho.

Uma i-endometriosis ithinta isisu, udokotela wakho angahle anikeze ukwelashwa kwamahomoni. Lokhu kufaka phakathi amaphilisi okulawula ukubeletha noma i-intrauterine device (IUD). Ama-hormone angeziwe angakwazi ukulawula izinkinga njengokucinana nokopha.

Uma ama-hormone engazinciphisi izimpawu, udokotela wakho angancoma ukuhlinzwa ukuze kususwe izindawo lapho izicubu ze-endometrium zikhula khona. Uma unezinkinga zokuzala, ukuhlinzwa kungasiza futhi.

Ukwelapha i-IBS, udokotela wakho angakunikeza imithi kuye ngezimpawu zakho. Izibonelo zifaka:

• Izidambisi. Lokhu kufaka phakathi i-serotonin reuptake inhibitors ekhethiwe (SSRIs), efana ne-citalopram (Celexa), i-fluoxetine (i-Prozac), noma i-sertraline (i-Zoloft) kanye ne-tricyclic antidepressants, efana ne-amitriptyline (Elavil).
• Ama-antidiarrhea. Lokhu kufaka phakathi i-loperamide, i-rifaximin, noma i-eluxadoline (i-Viberzi).
• Imithi yokwelapha ukuqunjelwa. Lokhu kufaka phakathi ama-laxatives, i-lubiprostone (i-Amitiza), i-linaclotide (i-Linzess), noma i-plecanatide (iTrulance).

Ngaphezu kwemithi kadokotela, odokotela bangaphinde bancome ukwelashwa uma ukucindezeleka kuyimbangela yokuqhuma kwe-IBS. Umelaphi angaphakamisa izindlela ezingasiza umuntu ukuthi aphendule kangcono ekucindezelekeni.

Amakhambi asekhaya

Amakhambi asekhaya we-endometriosis ngokuvamile ahlobene nezimpawu ezithambile zesisu noma zesisu.

Ukudambisa izinhlungu zasesithenjini, njenge-ibuprofen noma i-acetaminophen, kungabudambisa ubuhlungu. Ukufaka amaphakethe okushisa noma amakhaza esiswini esingezansi kungasiza ukucindezela izimpawu.

Ukwenza ushintsho oluthile lokudla kungasiza ekwelapheni i-IBS. Cabanga ngalokhu okulandelayo:

• Yidla ukudla okuqukethe izivimbelakuvunda ezimbalwa kanye nokunambitheka okufakelwayo nokufaka imibala. Le ndlela iyingxenye yokudla okuphansi kwe-FODMAP.
• Faka i-fiber eningi ekudleni kwakho.
• Gwema ukudla ukudla okune-gluten.
• Thatha ama-probiotic ukufaka amabhaktheriya anempilo emathunjini.

Ukuthatha izinyathelo zokunciphisa ukucindezeleka kungasiza abanye abantu abane-IBS. Lokhu kungafaka ukuvivinya umzimba njalo nokuzindla.

Bheka udokotela wakho uma ucabanga ukuthi unezimpawu zombili noma zombili izimo. Izibonelo zifaka:

• izinguquko emikhubeni yamathumbu, njengokuqunjelwa okwandayo noma isifo sohudo
• izikhathi ezibuhlungu kakhulu
• ubuhlungu be-pelvic
• ukuqunjelwa yisisu

Ngenkathi izimpawu ze-endometriosis ne-IBS kungezona izimo eziphuthumayo zezokwelapha, zingaba buhlungu ngendlela exakile futhi ziphazamise impilo yakho yansuku zonke. Ngenxa yalokhu, kubalulekile ukuthi ukhulume nodokotela wakho futhi uthole ukwelashwa ngokushesha kunokuba kamuva.

Uyini umbono?

Yize i-endometriosis ne-IBS ingenakho ukwelashwa kwamanje, zombili lezi zimo zingaphathwa ngempumelelo.

Ngaphezu kokuxhumana phakathi kwe-endometriosis ne-IBS, odokotela baxhumanise i-endometriosis nezinga eliphakeme lezinye izimo zezokwelapha. Lokhu kufaka phakathi:

• ukusabela okweqile
• isifuba somoya
• ukuphazamiseka komzimba, kufaka phakathi i-multiple sclerosis ne-lupus
• umdlavuza, njengomdlavuza webele noma wesibeletho
• ukukhathala okungamahlalakhona
• i-fibromyalgia

Xoxa ngalezi zingozi nezimo nodokotela wakho uma une-endometriosis.

Ukudla okudlela endlini

Uma une-endometriosis ne-IBS, awuwedwa. I-Endometriosis Foundation of America ilinganisela amaphesenti ayi-10 abesifazane emazweni ase-Unites abane-endometriosis. Ucwaningo lwamuva lubuye lilinganise ukuthi abesifazane abane-endometriosis banamathuba aphindwe ama-2,5 okuba ne-IBS.

Ukufuna ukwelashwa nganoma yiziphi izimo noma zombili kungasiza ekuthuthukiseni ikhwalithi yakho yokuphila.