I-Irritable Bowel Syndrome vs. Izifo Zamathumbu Okuvuvukala

-Delile

• Ukudlanga
• Izici ezisemqoka
• Izimpawu
• Indima yengcindezi
• Ukwelashwa
• Umbono
• Amakhambi emvelo
• Q:
• A:

IBS vs. IBD

Uma kukhulunywa ngomhlaba wezifo zamathumbu, ungezwa amagama amaningi afana ne-IBD ne-IBS. Isifo samathumbu esivuthayo (IBD) yigama elibanzi elisho ukuvuvukala okungapheli (ukuvuvukala) kwamathumbu. Kuvame ukudideka ngesimo esingeso sokuvuvukala samathumbu isifo (IBS). Yize lezi zinkinga ezimbili zabelana ngamagama afanayo nezinye izimpawu ezifanayo, zinokwehluka okuhlukile. Funda umehluko omkhulu lapha. Qiniseka ukuthi uxoxa ngezinkinga zakho nodokotela wezifo zesisu.

Ukudlanga

I-IBS ivame kakhulu. Eqinisweni, i-International Foundation for Functional Gastrointestinal Disorders ilinganisela ukuthi ithinta abantu abangafika kumaphesenti ayi-15 emhlabeni jikelele. Ngokusho kukaCedars-Sinai, cishe amaphesenti angama-25 abantu baseMelika bakhala ngezimpawu ze-IBS. Lesi futhi yisizathu esivame kakhulu esenza ukuthi iziguli zifune i-gastroenterologist.

I-IBS yisimo esihluke ngokuphelele kune-IBD. Noma kunjalo, umuntu otholwe ukuthi une-IBD angabonisa izimpawu ezifana ne-IBS. Kubalulekile futhi ukwazi ukuthi ungaba nemibandela yomibili ngasikhathi sinye. Zombili zibhekwa njengezimo ezingapheli (eziqhubekayo).

Izici ezisemqoka

Ezinye izinhlobo ze-IBD zifaka:

• Isifo sikaCrohn
• ukulunywa yizilonda emathunjini
• i-colitis engapheli

Ngokungafani ne-IBD, i-IBS ayihlukaniswa njengesifo sangempela. Esikhundleni salokho yaziwa ngokuthi "ukuphazamiseka kokusebenza." Lokhu kusho ukuthi izimpawu azinayo imbangela engakhonjwa. Ezinye izibonelo zokuphazamiseka kokusebenza zifaka ukungezwani kwekhanda kanye ne-chronic fatigue syndrome (i-CFS).

Ngokuphikisana nenkolelo evamile, i-IBS ayisona isimo sengqondo. I-IBS inezimpawu zomzimba, kepha asikho isizathu esaziwayo. Kwesinye isikhathi izimpawu zibizwa ngokuthi yi-mucous colitis noma i-spastic colitis, kepha lawo magama awalungile. IColitis ukuvuvukala kwekholoni, kanti i-IBS ayibangeli ukuvuvukala.

Abantu abane-IBS abakhombisi zimpawu zomtholampilo zesifo futhi bavame ukuba nemiphumela yokuhlolwa ejwayelekile. Yize zombili lezi zimo zingenzeka kunoma ngubani kunoma yisiphi ubudala, kubonakala sengathi ziyagijima emindenini.

Izimpawu

I-IBS ibonakala ngokuhlanganiswa kwe:

• ubuhlungu besisu
• amajaqamba
• ukuqunjelwa
• isifo sohudo

I-IBD ingadala izimpawu ezifanayo, kanye ne:

• ukuvuvukala kweso
• ukukhathala ngokweqile
• izibazi zamathumbu
• ubuhlungu obuhlangene
• ukungondleki
• ukuphuma kwegazi
• ukuncipha komzimba

Zombili zingadala ukunyakaza okuphuthumayo kwamathumbu.

Iziguli ze-IBS nazo zingaba nomuzwa wokukhishwa okungaphelele. Ubuhlungu bungatholwa kuso sonke isisu. Kuvame ukubonakala ohlangothini olungezansi kwesokudla noma ohlangothini lwesobunxele. Abanye abantu bazophinde bezwe ubuhlungu besisu sangaphezulu kwesokudla ngaphandle kwezinye izimpawu.

I-IBS yehlukile enanini lesitokisi esikhiqizwayo. I-IBS ingadala izitulo ezixekethile, kepha ivolumu empeleni izowela ngaphakathi kwemikhawulo ejwayelekile. (Uhudo luchazwa ngevolumu, hhayi ngokuvumelana.)

Abagulayo be-IBS ngokuqunjelwa bavame ukuba nezikhathi ezijwayelekile zokuhamba kwamakholoni - inani lesikhathi esithatha isitulo ukuhamba sisuka kukholoni siye ku-rectum - futhi.

Ngokuya ngesibonakaliso esikhulu, iziguli ze-IBS zihlukaniswa njengokuqunjelwa-okubaluleke kakhulu, isifo sohudo-esivelele, noma ubuhlungu obukhulu.

Indima yengcindezi

Njengoba ukuvuvukala kwe-IBD kungekho kubantu abane-IBS, kunzima kubacwaningi ukuqonda izimbangela eziqondile zalesi simo sokugcina. Umehluko owodwa ophawulekayo ukuthi i-IBS ivame ukukhushulwa ukucindezeleka. Izindlela zokunciphisa ingcindezi zingasiza. Cabanga ukuzama:

• ukuzindla
• ukuzivocavoca umzimba njalo
• ukwelashwa kokukhuluma
• i-yoga

I-IBD ingahle iqhume kuzo zombili izimo zokucindezeleka okuphansi nezingcindezi eziphezulu.

Ngokusho kukaDkt Fred Saibil, umbhali wencwadi ethi "Crohn's Disease and Ulcerative Colitis," abantu abaningi abazizwa ukuthi bangaxoxa nge-IBS ngenxa yezinhlamba zenhlalo. Uthi: "Awuzwa abantu abaningi bekhuluma 'ngokuhlanza kwezingcindezi' noma 'isifo sohudo' noma 'isisu esishubile,' yize lokhu kuyinto ejwayelekile."

UDkt Saibil uphawula futhi ukuthi kusenokudideka okuthile nge-IBD ngoba odokotela bake bakholelwa ukuthi lesi simo sidalwa yingcindezi. Abukho ubufakazi bokuthi kunjalo, noma kunjalo, futhi iziguli ze-IBD akufanele nakancane zizizwe ukuthi zilethe lesi simo kuzo.

Ukwelashwa

I-IBS ingaphathwa ngemithi ethile efana namathumbu antispasmodics afana ne-hyoscyamine (Levsin) noma i-dicyclomine (iBentyl).

Izinguquko zokudla nezindlela zokuphila zibonakala zisiza kakhulu. Abantu abane-IBS kufanele bagweme ukubhebhethekisa isimo sabo ngokudla okuthosiwe okunamafutha neziphuzo ezine-caffeine.

Ukwelashwa kwe-IBD kuncike kufomu elitholakele. Umgomo oyinhloko ukwelapha nokuvimbela ukuvuvukala.Ngokuhamba kwesikhathi, lokhu kungalimaza amathumbu.

Umbono

I-IBD ne-IBS kungabonakala sengathi yabelana ngezimpawu ezifanayo, kepha lezi yizimo ezimbili ezihlukene ezinezidingo zokwelashwa ezihluke kakhulu. Nge-IBD, inhloso ukunciphisa ukuvuvukala okubangela izimpawu. I-IBS, ngakolunye uhlangothi, ingahle ingalapheki ngemithi ngoba ayikho imbangela ebonakalayo. I-gastroenterologist ingakusiza ukunquma isimo sakho esithile futhi inikeze uhlelo oluhle kakhulu lokwelashwa nezinsizakusiza ukuphatha izimpawu.

Amakhambi emvelo

Q:

Yimaphi amakhambi emvelo azosiza ukunciphisa izimpawu ze-IBS ne-IBD?

A:

Kunezindlela eziningi zokwelapha zemvelo nezinguquko zendlela yokuphila ezingathuthukisa izimpawu zakho ze-IBS njengokukhuphula kancane i-fiber ekudleni kwakho, ukuphuza uketshezi oluningi, ukugwema ukudla okwenza izimpawu zibe zimbi kakhulu njengotshwala, i-caffeine, ukudla okubabayo, ushokoledi, imikhiqizo yobisi okokunandisa okokuzenzela, ukuzivocavoca umzimba njalo, ukudla ngezikhathi ezijwayelekile, nokuqapha ngama-laxatives nemithi elwa nohudo.

Izincomo ziyehluka kancane ezigulini ezine-IBD. Uma une-IBD, kungadingeka ukuthi ugweme imikhiqizo yobisi, utshwala, i-caffeine, kanye nokudla okubabayo futhi kungadingeka ukuthi unciphise nokudla kwakho i-fiber futhi ugweme ukudla okunamafutha. Kusabalulekile ukuphuza uketshezi oluningi nge-IBD. Kufanele futhi udle ukudla okuncane futhi ucabangele ukuthatha i-multivitamin. Ekugcineni, kufanele ugweme ukubhema futhi wehlise izinga lokuxineka kwakho ngamasu afana nokuzivocavoca umzimba, i-biofeedback, noma ukuphumula njalo nokuzivocavoca kokuphefumula.