Ukuxhumana Phakathi kwe-PCOS ne-IBS

-Delile

• Yini ama-PCOS ne-IBS?
• Ukuxhumana Phakathi kwe-IBS ne-PCOS
• Yini okufanele uyenze uma ucabanga ukuthi unazo zombili i-PCOS ne-IBS?
• Ungayihlola Kanjani Futhi Uyiphathe Kanjani
• Buyekeza kwe-

Uma iqiniso elilodwa elisha, elinamandla selivele ekuthambekeni kokudla nezempilo eminyakeni embalwa edlule, kungukuthi kuyamangaza ukuthi i-microbiome yamathumbu akho iyithinta kanjani impilo yakho yonke. Kepha ungamangala ukuthi ixhunyaniswa kanjani nesistimu yakho yokuzala, futhi-ikakhulukazi, uma une-polycystic ovary syndrome.

I-Polycystic ovary syndrome (i-PCOS) ithinta abesifazane abayi-1 kwabangu-10 e-United States, ngokusho koMnyango wezeMpilo wase-United States. Futhi i-irritable bowel syndrome (IBS) ingenye yezinkinga ezivame kakhulu zamathumbu, ezithinta kufika kumaphesenti angu-20 abantu, kusho uCarolyn Newberry, M.D., udokotela wezifo zesisu eNew York-Presbyterian and Weill Cornell Medicine.

Njengoba kuvamile njengoba ngayinye yalezi zinto zodwa, kunokugqagqana okukhulu: Kuze kube ngamaphesenti angama-42 eziguli ezine-PCOS nazo ezine-IBS, ngokusho kocwaningo lwango-2009 olushicilelwe kumagazini Izifo Zokugaya Nesayensi.

Yini enikezayo? Ngokusho kochwepheshe, i-punch eyodwa-ezimbili ye-PCOS ne-IBS ukuxilongwa kungokoqobo. Nakhu konke odinga ukukwazi mayelana nokuxhumeka, nokuthi yini okufanele uyenze uma ucabanga ukuthi unayo.

Yini ama-PCOS ne-IBS?

Okokuqala, thola isifundo esincane sesingeniso kuzo zombili lezi zimo.

Isifo se-Polycystic ovarian ukuphazamiseka kwamahomoni okuthinta abesifazane ngaphandle kwesizathu sangempela noma ikhambi, "yize kungenzeka kube khona inhlanganisela yezakhi zofuzo nezemvelo," kusho uJulie Levitt, M.D., ob-gyn eThe Women's Group of Northwestern eChicago. Izimpawu ezichazayo ze-PCOS zihlanganisa ukushoda kwe-ovulation, amazinga aphezulu e-hormone yesilisa (androgen), nama-cysts amancane e-ovarian, nakuba abesifazane bengase bangabi khona kuzo zontathu. Futhi kuyimbangela ejwayelekile yokungabi nenzalo.

I-Irritable bowel syndrome yisimo esivezwa "amaphethini wamathumbu angavamile angajwayelekile kanye nobuhlungu besisu kubantu abangenayo enye incazelo yezimpawu (njengesifo noma isifo sokuvuvukala)," kusho uDkt. Newberry. Izimbangela ngqo ze-IBS azaziwa, kepha kungenzeka ukuthi zihlobene nokuzwela okwandayo kokuphela kwemizwa emathunjini, okungashintshwa yimibangela yangaphandle yemvelo njengokudla, ukucindezeleka, namaphethini wokulala.

Ukuxhumana Phakathi kwe-IBS ne-PCOS

Ngenkathi ucwaningo lwango-2009 lwathola ukuxhumana okungaba khona phakathi kwalokhu okubili, bekuwusayizi omncane wesampula, futhi (njengoba kuvame ukuba iqiniso kwezokwelapha) ochwepheshe bakholelwa ukuthi ucwaningo olwengeziwe kufanele lwenziwe ukufakazela ukuthi isixhumanisi siqinisekile ngokuphelele.

"Akukho ukuxhumana okwaziwayo phakathi kwe-IBS ne-PCOS; kodwa-ke, zombili lezi zimo zivame ukuthinta abesifazane abasebasha, ngakho-ke abantu abaningi abanesimo esisodwa bangaba naso nesinye," kusho uDkt. Newberry. (Kuyiqiniso: IBS nezinye izindaba ze-GI zivame kakhulu kwabesifazane.)

Futhi, ngemva kwakho konke, i-IBS ne-PCOS zinezimpawu ezifanayo kakhulu: ukuqunjelwa, ukuqunjelwa, isifo sohudo, ubuhlungu be-pelvic nesisu, kusho uDkt Levitt.

Esinye isizathu esingaba isizathu sokuxhumana ukuthi izinkinga zama-hormone eziboshelwe ku-PCOS zingase zithinte amathumbu akho: "Kuyavela ukuthi iziguli ezine-PCOS zingase zibe nezimpawu ze-IBS, njengoba i-PCOS ihlotshaniswa nenani eliningi lamahomoni e-androgen (njenge-testosterone) nokungavamile. ohlelweni lwe-endocrine / hormonal lungashintsha ukusebenza kwamathumbu, "kusho uJohn Pandolfino, MD, oyinhloko ye-gastroenterology eDigestive Health Centre eNorthwestern Medicine.

Ezinye izimpawu ze-PCOS zingadala nezinkinga zokugaya ukudla, futhi. Amacala abucayi kakhulu we-PCOS ahlotshaniswa nokuphikiswa kwe-insulin (lapho amaseli eqala ukumelana noma ukungazinaki izimpawu ezivela kwi-insulin hormone, ethinta indlela umzimba wakho ophatha ngayo ushukela wegazi) nokuvuvukala, okungabonakala kubhaktheriya elihlala emathunjini amancane, kusho uDkt. Levitt. Ukwanda kwalawo mabhaktheriya (ongawazi njenge-SIBO) kuxhumene kakhulu ne-IBS.

Futhi, ukungalingani kwamagciwane esiswini sakho kungadala ukuvuvukala futhi kwenze izimpawu ze-PCOS zibe zimbi kakhulu, kuguqula isixhumanisi se-IBS / PCOS sibe uhlobo lomjikelezo ononya. "Lokhu kuvuvukala kungaba nomthelela ekumelaneni ne-insulin, okungasebenza kuma-ovari ukukhiqiza ngokweqile i-testosterone, yona ephazamisa ukujikeleza kokuya esikhathini, futhi ivimbele ukukhiqizwa kweqanda," kusho uDkt Levitt. (Okuhlobene: Izimpawu ze-6 Ukhiqiza i-Testosterone eyeqile)

Ngisho nezinto ezingaphandle kwesisu sakho zingathinta lezi zimo ezimbili. "Ingcindezi ehambisana ne-PCOS nayo ingadala izimpawu eziya ziba zimbi njengokukhathazeka nokudangala, nakho okungaholela ezinhlungwini zesisu kanye nokushintsha kwemikhuba yamathumbu ngenxa yokuhlangana okuntekenteke phakathi kohlelo lwemizwa oluphakathi namathumbu," kusho uDkt Pandolfino.

Yize kunezici eziningi ezizixhumanisayo, abacwaningi basazama ukukhomba ukuthi kukhona ukuhlobana okuqondile phakathi kwe-PCOS ne-IBS, kanye nembangela.

Yini okufanele uyenze uma ucabanga ukuthi unazo zombili i-PCOS ne-IBS?

Njengoba eziningi zezimpawu ze-IBS ne-PCOS zingadlula, kubalulekile ukukhuluma nodokotela wakho ngakho konke zezimpawu zakho.

"Uma unezimpawu ezingajwayelekile zamathumbu (kufaka phakathi ushintsho emikhubeni yamathumbu, ubuhlungu besisu, ukuqunjelwa, isicanucanu, noma ukugabha), kufanele uvakashele udokotela wakho ukuthola ukuthi udinga ukuhlolwa okwengeziwe nokuthi yiziphi izindlela zokwelashwa ongazisebenzisa," kusho uDkt. I-Newberry. Uma izimpawu zakho zihambisana ne-IBS, ungase ucabangele ukuguqulwa kwendlela yokuphila, amasu okulawula ingcindezi, izinguquko ekudleni, noma imithi njengokwelashwa.

Futhi kuyafana uma usola ukuthi une-PCOS.

I-PCOS ingaba nezimpawu ezifanayo, kufaka phakathi ubuhlungu besisu, ukuqunjelwa, nezikhathi ezingejwayelekile, futhi kufanele futhi ihlolwe ngudokotela, kusho uDkt. Newberry. Bangakwazi ukunquma ukuthi ngabe kudingeka ukuhlolwa okwengeziwe futhi / noma imiphi imithi etholakalayo yokulawula izimpawu.

Uma ucabanga ukuthi ninakho kokubili, "eminye imishanguzo ebhekene nokucindezeleka kwesisu ingasebenza kuzo zombili lezi zimo," esho. "Kodwa izindlela eziningi zokwelashwa zikhuluma ngesimo esisodwa noma esinye."

Ungayihlola Kanjani Futhi Uyiphathe Kanjani

Kunezinguquko ezimbalwa ongazenza uma usola ukuthi une-IBS noma i-PCOS engasiza ekudambiseni izimpawu.

"Ungaxhumana nodokotela wakho wezifo zabesifazane kuqala ukuze uthole izimpawu ezingaba khona ze-IBS, kepha ekugcineni ukudluliselwa kwe-gastroenterology kungaba yisinyathelo esilandelayo sokusiza ekuguqulweni kokudla noma ekuphathweni kwezokwelapha," kusho uDkt Levitt.

Izinguquko zokudla ziyisici esikhulu ekwelapheni i-IBS ne-PCOS.

"Abesifazane abane-PCOS bangaphatha izimpawu ezihlobene ne-IBS ngokwenza ukuguqulwa kokudla (ikakhulukazi, ukudla okuphansi kwe-FODMAP), ukugwema ukudla okungadala izimpawu zobuhlungu begesi nokuqunjelwa, ukunaka imikhuba yamathumbu, nokusebenzisa uhlelo lokuzivocavoca njalo ukunciphisa isisindo, uma lokho kuyinkinga, "kusho uDkt. Levitt.

Futhi, ukuzivocavoca kungasiza nge-IBS. Abantu abazivocavoce imizuzu engama-20 kuya kwengama-30 kathathu kuya kwemihlanu ngesonto babike ukuthi zithuthukise kakhulu izimpawu ze-IBS uma kuqhathaniswa nabahlanganyeli abangazange bazivocavoca, ngokusho kocwaningo lwango-2011 ku Ijenali yaseMelika yeGastroenterology.

Okunye impilo yengqondo kanye nokwelashwa okuphelele kungasiza. (Nansi indlela yokuthola umelaphi ofanele.)

Imithi yokwelapha efana ne-hypnosis ikhonjisiwe ukuthi iyasiza nge-IBS, kusho uDkt Pandolfino. Ukwelashwa kwengqondo noma kokuziphatha nakho kungabonakala kuwusizo naku-PCOS futhi, ngoba abesifazane abanesimo banokuthambekela okwandayo kokulwa nezinkinga zempilo yengqondo, kufaka phakathi ukukhathazeka, ukudangala, nokuphazamiseka kokudla.

Uma ukhathazekile ukuthi ungaba nayo yomibili i-PCOS ne-IBS, khuluma nodokotela wakho, ongakusiza ekuxilongweni bese ekutholela uhlelo olulungile lwezokwelapha.

Buyekeza kwe-