I-Endometriosis kunye ne-IBS: Ngaba lukhona unxibelelwano?

Umxholo

• Yintoni i-endometriosis, kwaye yintoni IBS?
• Endometriosis
• IBS
• Ziintoni iimpawu?
• Yintoni unobangela?
• I-endometriosis kunye ne-IBS zichongwa njani?
• Zithini iindlela zokhetho zonyango?
• Unyango lwasekhaya
• Yintoni imbonakalo?
• Yise kude

I-Endometriosis kunye ne-irritable bowel syndrome (IBS) ziimeko ezimbini ezineempawu ezifanayo. Kungenzeka ukuba ube neengxaki zombini. Ugqirha wakho unokungaqondi imeko enye xa injalo enye. Oogqirha bayazi ukuba abasetyhini abane-endometriosis kunokwenzeka ukuba babe ne-IBS.

Qhubeka ufunda ngolwazi oluthe kratya malunga nemeko nganye kwaye zinxulumene njani.

Yintoni i-endometriosis, kwaye yintoni IBS?

Endometriosis

I-Endometriosis yimeko apho izicwili zihlala zifunyanwa kuphela kwisibeleko ziqala ukukhula kwezinye iindawo zomzimba.

Imizekelo yale mimandla ibandakanya ii-tublopian tubes kunye nee-ovari. Izicubu ze-Endometrium nazo zingakhula emathunjini. Oku kunokuba negalelo kwiimpawu ezinjenge-IBS.

IBS

I-IBS ibangela iimpawu zesisu. Oku kubandakanya ukuqhina, urhudo, okanye zombini. Nangona kunjalo, imeko ayonakalisi amathumbu omntu njenge-ulcerative colitis okanye isifo sikaCrohn.

Abasetyhini abane-endometriosis bane-IBS rhoqo kunabafazi ngaphandle kwe-endometriosis. Abasetyhini abaninzi abane-endometriosis emathunjini kunye nezinye izakhiwo ezikufuphi bahlala befumana i-IBS misdiagnosis.

Ziintoni iimpawu?

I-Endometriosis kunye ne-IBS zabelana ngeempawu eziqhelekileyo. Oku kugqithana kunokubonisa umceli mngeni koogqirha abazama ukufumanisa imvelaphi yesifo kunye nokungonwabi kwesigulana.

Iimpawu eziqhelekileyo zeemeko zombini zi-visceral sensitivity. Oku kuthetha ukuba umntu onayo nayiphi na imeko uneentlungu ezisezantsi zokunyamezeleka kwintlungu yesisu okanye ye-pelvic. Ukuphela kwentliziyo yabo kunokuba novakalelo ngakumbi. Oku kunokukhokelela kwimpendulo ephakamileyo kwintlungu.

Ezinye zeempawu ezabelwana ngazo phakathi kwe-endometriosis kunye ne-IBS zibandakanya:

• ukuxinwa esiswini
• ukudumba
• urhudo
• isicaphucaphu
• iintlungu ngokuhamba kwamathumbu

Ngenxa yezi mpawu zabelwanayo, oogqirha banokuba nobunzima ekuchongeni i-endometriosis okanye i-IBS.

Yintoni unobangela?

Oogqirha abazi ukuba yintoni kanye kanye ebangela i-endometriosis. Bayazi ukuba imeko inento yofuzo, kodwa akukho nto ingako malunga nokuba kutheni abanye beyiphuhlisa le meko kwaye abanye bengenayo.

I-IBS iyimfihlakalo efanayo koogqirha. Bayazi ukuba ukudumba kunokukhokelela kwi-IBS. Abanye abantu bafumana i-IBS emva kokosuleleka yintsholongwane okanye intsholongwane, enokubangela ukudumba okungapheliyo kwamathumbu.

I-endometriosis kunye ne-IBS zichongwa njani?

Oogqirha abanalo uvavanyo olunye kuphela oluchonga imeko. Xa ufumanisa i-IBS, oogqirha bahlala bezama ukulawula ezinye iimeko zonyango ezibangela iimpawu ezifanayo. Oku kubandakanya:

• Ukunyamezelana kwegluten
• izifo ezosulelayo
• isifo sesisu sokuvuvukala, njengesifo sezilonda zesilonda okanye isifo sikaCrohn
• Ukunyamezelana kwe-lactose

Ugqirha unokuyalela kuvavanyo lwegazi ukumisela ukuba umntu unezinto ezomeleleyo ezinokubonisa ukunganyamezelani kwe-gluten okanye i-lactose. Banokucela isampuli yestool ukuvavanya ilindle legazi okanye izinto eziphilayo.

Ngamanye amaxesha ugqirha unokucebisa i-endoscopy ephezulu okanye i-colonoscopy. Ezi ziindlela zokuvavanya ezivumela ugqirha wakho ukuba ajonge ulwelwesi lwe-esophagus, isisu kunye nekholoni ukuze achonge nakuphi na ukungaqheleki.

Oogqirha banokusebenzisa iindlela ezahlukeneyo zokufumanisa i-endometriosis. Imizekelo yoku ibandakanya:

• Uvavanyo lwePelvic. Ugqirha wakho unokuqhuba uvavanyo lwe-pelvic ukuziva kwiindawo ezinqabileyo.
• Ukujonga iimvavanyo. I-MRI okanye i-ultrasound inokunceda ugqirha wakho ukuba abone ukuba ngaba kukho ii-cysts okanye i-endometriosis-efana nokuqina kwisibeleko okanye kwezinye iindawo.
• Amayeza. Ugqirha wakho unokukunika amayeza e-hormonal ukunciphisa iimpawu ze-endometriosis. Ukuba iimpawu zakho ziphucula, imeko inokwenzeka ukuba yi-endometriosis.
• I-laparoscopy yoqhaqho. Ekuphela kwendlela eqinisekileyo yokuqinisekisa i-endometriosis yi-laparoscopy yotyando. Oku kubandakanya ukususa isahlulo sezicubu ezinokungaqhelekanga kunye nokuzivavanya elebhu kubukho bethambo lesibeleko.

Ugqirha wakho uza kuxoxa nawe ngezi ndlela zokuqonda isifo. Baya kuthi emva koko basebenzise iziphumo ukwenza izindululo zonyango.

Zithini iindlela zokhetho zonyango?

Unyango lwe-Endometriosis luxhomekeke apho iiseli ezingaqhelekanga zikhona emzimbeni wakho.

Ukuba i-endometriosis ichaphazela isisu, ugqirha wakho unokuyalela unyango lwehomoni. Oku kubandakanya iipilisi zokulawula ukuzalwa okanye isixhobo se-intrauterine (IUD). Iihormoni ezongezelelweyo zinokukwazi ukulawula iingxaki ezinje nge-cramping kunye nokopha.

Ukuba iihomoni azizinciphisi iimpawu, ugqirha unokucebisa ukuba utyando lususe indawo apho kukhula khona izicwili ze-endometrium. Ukuba unenkxalabo yokuzala, utyando lunokukunceda nawe.

Ukunyanga i-IBS, ugqirha wakho unokumisela amayeza ngokuxhomekeke kwiimpawu zakho. Imizekelo ibandakanya:

• Ukudakumba. Oku kubandakanya i-serotonin reuptake inhibitors ekhethiweyo (i-SSRIs), enje nge-citalopram (i-Celexa), i-fluoxetine (i-Prozac), okanye i-sertraline (i-Zoloft) kunye ne-tricyclic antidepressants, njenge-amitriptyline (Elavil)
• Ukudibana neempawu zorhudo. Oku kubandakanya i-loperamide, i-rifaximin, okanye i-eluxadoline (Viberzi).
• Amayeza anyanga ukuqhina. Oku kubandakanya laxatives, lubiprostone (Amitiza), linaclotide (Linzess), okanye plecanatide (Trulance).

Ukongeza kumayeza amiselweyo, oogqirha banokucebisa unyango ukuba uxinzelelo lubangela i-IBS flare-ups. Umgqirha unokucebisa ngeendlela ezinokunceda umntu aphendule ngcono kuxinzelelo.

Unyango lwasekhaya

Unyango lwasekhaya lwe-endometriosis luhlala luhambelana nokuthanjiswa kweempawu zangasese okanye zesisu.

Ukunciphisa iintlungu ezingaphezulu kwekhawuntari, ezinje nge-ibuprofen okanye i-acetaminophen, inokuthomalalisa iintlungu. Ukufaka isicelo sobushushu okanye iipakethe ezibandayo kwisisu esisezantsi kunokunceda ukuphazamisa iimpawu.

Ukwenza utshintsho kwindlela yokutya kunokunceda ukunyanga i-IBS. Cinga ngoku kulandelayo:

• Yitya ukutya okunee-preservatives ezimbalwa kunye ne-flavouring ye-artificial kunye nemibala. Le ndlela iyinxalenye yokutya okuphantsi kwe-FODMAP.
• Faka ifayibha ngakumbi ekutyeni kwakho.
• Yeka ukutya ukutya okune-gluten.
• Thatha iiprobiotic ukubandakanya ibacteria esempilweni emathunjini.

Ukuthatha amanyathelo okunciphisa uxinzelelo kunokunceda abanye abantu abane-IBS. Oku kunokubandakanya ukusebenza rhoqo komzimba kunye nokucamngca.

Jonga ugqirha wakho ukuba ucinga ukuba uneempawu nokuba zezinye okanye zombini iimeko. Imizekelo ibandakanya:

• utshintsho kwimikhwa yamathumbu, njengokunyuka kwesisu okanye urhudo
• amaxesha abuhlungu kakhulu
• iintlungu zangasese
• ukuxinwa sisisu

Ngelixa iimpawu ze-endometriosis kunye ne-IBS kunqabile ukuba kubekho imeko engxamisekileyo kwezonyango, kunokuba buhlungu ngokumangalisayo kwaye kuphazamise ubomi bakho bemihla ngemihla. Ngenxa yoko, kubalulekile ukuba uthethe nogqirha wakho kwaye ufumane unyango ngokukhawuleza kunokuba kamva.

Yintoni imbonakalo?

Nangona i-endometriosis kunye ne-IBS zingenalo unyango lwangoku, zombini iimeko zingalawulwa ngempumelelo.

Ukongeza kunxibelelwano phakathi kwe-endometriosis kunye ne-IBS, oogqirha badibanise i-endometriosis nenqanaba eliphezulu lezinye iimeko zonyango. Oku kubandakanya:

• negazi lakho
• umbefu
• Ukuphazamiseka komzimba, kubandakanya i-multiple sclerosis kunye ne-lupus
• Iicancer, ezifana nomhlaza webele okanye wesibeleko
• ukudinwa okungapheliyo
• ifibromyalgia

Xoxa ngale micimbi kunye neemeko kunye nogqirha wakho ukuba unayo i-endometriosis.

Yise kude

Ukuba une-endometriosis kunye ne-IBS, awuwedwa. I-Endometriosis Foundation yaseMelika iqikelela iipesenti ezilishumi zabasetyhini kumazwe amanyeneyo ane-endometriosis. Uphando olutshanje luqikelela ukuba abafazi abane-endometriosis banamathuba angama-2.5 amathuba okuba ne-IBS.

Ukufuna unyango lwazo zombini okanye zombini iimeko kunokunceda ekuphuculeni umgangatho wobomi bakho.