Irritable Bowel Syndrome vs Isifo Esibangelwa Kukudumba

Umxholo

• Ubuninzi
• Ezona mpawu
• Iimpawu
• Indima yoxinzelelo
• Unyango
• Imbonakalo
• Unyango lwendalo
• Q:
• A:

IBS vs. IBD

Xa kuziwa kwihlabathi lezifo zesisu, unokuva ezininzi amagama afana ne-IBD kunye ne-IBS.Isifo samathumbu esivuthayo (IBD) ligama elibanzi elibhekisa kukudumba okungapheliyo (ukudumba) kwamathumbu. Ihlala iphazanyiswa nemeko engeyiyo yokuvuvukala yesifo sengqondo samathumbu (IBS). Nangona ezi ngxaki zimbini zabelana ngamagama afanayo kunye neempawu ezifanayo, zinomahluko okwahlukileyo. Funda umahluko ophambili apha. Qiniseka ukuba uxoxa ngezinto ezikuxhalabisayo nge-gastroenterologist.

Ubuninzi

I-IBS ixhaphake kakhulu. Ngapha koko, i-International Foundation for Functional Gastrointestinal Disorder iqikelela ukuba ichaphazela ukuya kuthi ga kwiipesenti ezili-15 zabemi kwihlabathi liphela. NgokukaCedars-iSinayi, malunga neepesenti ezingama-25 zabantu baseMelika bakhalaza ngeempawu ze-IBS. Esi sesona sizathu siqhelekileyo sokuba kutheni abaguli befuna i-gastroenterologist.

I-IBS yimeko eyahlukileyo eyahlukileyo kune-IBD. Okwangoku, umntu ofunyenwe ene-IBD unokubonisa iimpawu ezifana ne-IBS. Kwakhona kubalulekile ukwazi ukuba unokuba neemeko zombini ngexesha elinye. Zombini zithathwa njengeemeko ezingapheliyo (eziqhubekayo).

Ezona mpawu

Ezinye iintlobo ze-IBD zibandakanya:

• Isifo sikaCrohn
• ukudumba okwenziwa sisilonda sikabhobhosi
• ukudumba okungapheliyo

Ngokungafaniyo ne-IBD, i-IBS ayihlelwa njengesifo esiyinyani. Endaweni yoko yaziwa ngokuba "sisifo esisebenzayo." Oku kuthetha ukuba iimpawu azinaso isizathu esichazayo. Eminye imizekelo yokuphazamiseka kokusebenza kubandakanya iintlungu zentloko kunye nesifo esingakhathali esinganyangekiyo (i-CFS).

Ngokuchasene nenkolelo edumileyo, i-IBS ayisiyiyo imeko yengqondo. I-IBS ineempawu ezibonakalayo, kodwa akukho sizathu saziwayo. Ngamanye amaxesha iimpawu zibizwa ngokuba yi-mucous colitis okanye i-spastic colitis, kodwa loo magama awachanekanga. IColitis kukukrala kwikholon, ngelixa i-IBS ingabangeli ukudumba.

Abantu abane-IBS ababonisi zimpawu zesifo kwaye bahlala befumana iziphumo zovavanyo oluqhelekileyo. Nangona zombini iimeko zinokwenzeka nakubani na nangaliphi na ixesha, kubonakala ngathi kuyaqhutywa kwiintsapho.

Iimpawu

I-IBS ibonakaliswa ngokudibanisa:

• intlungu zesisu
• iicampu
• ukuqhina
• urhudo

I-IBD inokubangela iimpawu ezifanayo, kunye noku:

• ukudumba kwamehlo
• ukudinwa kakhulu
• ukutyumka amathumbu
• intlungu edibeneyo
• ukungondleki
• ukuphuma kwegazi
• ukuhla ukusinda

Zombini zinokubangela intshukumo engxamisekileyo yamathumbu.

Izigulana ze-IBS zinokuziva zinemfuduko engaphelelanga ngokunjalo. Ubuhlungu bunokubakho kwisisu sonke. Ihlala ibonakalisa ekunene okanye ezantsi kwicala lasekhohlo. Abanye abantu baya kuba namava aphezulu esiswini esisekunene ngaphandle kwempawu.

I-IBS yahlukile kwisixa sesitulo esivelisiweyo. I-IBS inokubangela izitulo ezivulekileyo, kodwa ivolumu iya kuwela ngaphakathi kwemida eqhelekileyo. (Urhudo luchazwa ngokomthamo, hayi ngokuhambelana.)

Abaguli be-IBS ngokuqunjelwa bahlala benamaxesha aqhelekileyo okuhamba kwe-colonic-ixesha elithathwayo ukulungiselela isitulo ukuhamba ukusuka kwikholoni ukuya kwi-rectum.

Kuxhomekeka kwisibonakaliso esingundoqo, izigulana ze-IBS zihlelwa njengokuqhinwa, ubukhulu becala, isifo sorhudo, okanye iintlungu.

Indima yoxinzelelo

Kuba ukudumba kwe-IBD akukho kubantu abane-IBS, kunzima kubaphandi ukuba baqonde izizathu ezichanekileyo zale meko yokugqibela. Ukwahluka okuphawulekayo kukuba i-IBS phantse ihlala ikhula ngoxinzelelo. Iindlela zokunciphisa uxinzelelo zinokunceda. Cinga ukuzama:

• ukucamngca
• ukwenza umthambo rhoqo
• thetha ngonyango
• iyoga

I-IBD inokuphakama kwimeko zoxinzelelo ezisezantsi kunye noxinzelelo oluphezulu.

NgokukaGqirha Fred Saibil, umbhali wencwadi ethi "Izifo zikaCrohn kunye neUlcerative Colitis," abantu abaninzi abavakalelwa kukuba banokuxoxa nge-IBS ngenxa yeempawu zentlalo. Uthi: "Awuva bantu abaninzi bethetha 'ngokugabha kobuxhakaxhaka' babo okanye 'ukurhuda kwesisu' okanye 'isisu esibuhlungu,' nangona zihlala zixhaphakile."

Ugqirha Saibil uphawula kwakhona ukuba kusekho ukudideka malunga ne-IBD kuba oogqirha babekholelwa ukuba imeko ibangelwa luxinzelelo. Akukho bungqina bokuba kunjalo, nangona kunjalo, kwaye abaguli be-IBD akufuneki nangayiphi na indlela bazive bezise le meko kubo.

Unyango

I-IBS inokunyangwa ngamayeza athile anjenge-antispasmodics yamathumbu njenge-hyoscyamine (i-Levsin) okanye i-dicyclomine (iBentyl).

Ukutshintsha kokutya kunye nendlela ophila ngayo kubonakala kunceda kakhulu. Abantu abane-IBS kufuneka bakuphephe ukuyenza mandundu imeko yabo ngokutya okuthosiweyo okunamafutha kunye neziselo ezine-caffeine.

Unyango lwe-IBD luxhomekeke kwifom echongiweyo. Injongo ephambili kukunyanga nokukhusela ukudumba. Ixesha elingaphezulu, oku kungonakalisa amathumbu.

Imbonakalo

I-IBD kunye ne-IBS kunokubonakala ngathi zabelana ngeempawu ezifanayo, kodwa ezi ziimeko ezimbini ezahlukeneyo ezineemfuno zonyango ezahlukeneyo. Nge-IBD, injongo kukunciphisa ukudumba okubangela iimpawu. I-IBS, kwelinye icala, ayinakuphathwa ngamayeza kuba akukho sizathu sichongiweyo. I-gastroenterologist inokunceda ukumisela imeko yakho kwaye inike esona sicwangciso sonyango kunye nezixhobo zokukunceda ulawule iimpawu.

Unyango lwendalo

Q:

Ngawaphi amayeza endalo aya kunceda ukunciphisa iimpawu ze-IBS kunye ne-IBD?

Isigulana esingaziwayo

A:

Kukho iindlela ezahlukeneyo zendalo kunye notshintsho kwindlela yokuphila ezinokuthi ziphucule iimpawu zakho ze-IBS njengokunyusa kancinci ifayibha ekutyeni kwakho, ukusela ulwelo oluninzi, ukunqanda ukutya okwenza iimpawu zibe mbi kakhulu ezinje ngotywala, icaffeine, ukutya okunezipayisi, itshokholethi, iimveliso zobisi, kunye izinto zokuthambisa ezingezizo, zokuzilolonga rhoqo, ukutya ngamaxesha aqhelekileyo, kunye nokusebenzisa isilumkiso ngeyeza lokuhambisa kunye namayeza okuthintela urhudo.

Iingcebiso ziyahluka kancinane kwizigulana ezine-IBD. Ukuba unayo i-IBD, unokufuna ukunqanda iimveliso zobisi, utywala, icaffeine, kunye nokutya okunezipayisi kwaye ungadinga ukunciphisa umda wakho wokutya kunye nokuphepha ukutya okunamafutha. Kusabalulekile ukusela amanzi amaninzi nge-IBD. Kuya kufuneka uphinde utye ukutya okuncinci kwaye uthathele ingqalelo ukuthatha i-multivitamin. Okokugqibela, kufuneka ukunqande ukutshaya kwaye unciphise inqanaba loxinzelelo lwakho ngeendlela ezinje ngomthambo, i-biofeedback, okanye ukuphumla rhoqo kunye nokuzilolonga ukuphefumla.

UGraham Rogers, iimpendulo ze-MDA zimele izimvo zeengcali zethu zonyango. Yonke imixholo inolwazi ngokungqongqo kwaye akufuneki ukuba ithathelwe ingqalelo njengengcebiso yezonyango.