Unxibelelwano phakathi kwePCOS kunye ne-IBS

Umxholo

• Yintoni i-PCOS kunye ne-IBS?
• Unxibelelwano phakathi kwe-IBS kunye nePCOS
• Kufuneka wenze ntoni ukuba ucinga ukuba unayo zombini i-PCOS kunye ne-IBS?
• Ungayifumana njani into yokuchonga nokunyanga
• Uphengululo lwe

Ukuba inyani enye entsha, enamandla iye yavela ekutyeni nakwindlela yezempilo kule minyaka imbalwa idlulileyo, kukuba iyaphambana indlela i-microbiome yamathumbu akho eyichaphazela ngayo impilo yakho iyonke. Kodwa unokumangaliswa ukuba idibaniswe njani nenkqubo yakho yokuzala, kwakhona-ngokukodwa, ukuba unayo i-polycystic ovary syndrome.

I-Polycystic ovary syndrome (i-PCOS) ichaphazela i-1 kwi-10 yabasetyhini e-United States, ngokutsho kweSebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Kwaye i-irritable bowel syndrome (IBS) yenye yezona ngxaki zixhaphakileyo zamathumbu, ezichaphazela ukuya kuma-20 ekhulwini labantu, utsho uCarolyn Newberry, M.D., i-gastroenterologist eNew York-Presbyterian kunye ne-Weill Cornell Medicine.

Ngokuqhelekileyo njengoko nganye yezi zinto iyodwa, kukho ukugqitha okungaphezulu: Ukuya kuthi ga kwiipesenti ezingama-42 zezigulana ezine-PCOS nazo zine-IBS, ngokophando lowe-2009 olupapashwe kwiphephancwadi. Izifo zokuGaya kunye neeSayensi.

Yintoni enika? Ngokutsho kweengcali, i-punch enye-ezimbini ye-PCOS kunye nokuxilongwa kwe-IBS yinyani. Nantsi yonke into ofuna ukuyifumana malunga nonxibelelwano, kunye nokuba wenzeni ukuba ucinga unayo.

Yintoni i-PCOS kunye ne-IBS?

Okokuqala, fumana ikhosi yentshayelelo encinci kuzo zombini iimeko.

Isifo sePolycystic ovarian sisigulo sehomoni esichaphazela abasetyhini ngaphandle kwesizathu sokwenyani okanye unyango, "nangona kusenokwenzeka ukuba kukho indibaniselwano yemfuza kunye nezinto ezisingqongileyo ezidlalwayo," utshilo uJulie Levitt, M.D., ob-gyn kwiQela laBasetyhini laseNorthwestern eChicago. Iimpawu ze-PCOS zibandakanya ukungabikho kwe-ovulation, amanqanaba aphezulu ehomoni yamadoda (androgen), kunye nama-cysts ama-ovarian amancinci, nangona abafazi bengenakho kuzo zontathu. Ikwangunobangela oqhelekileyo wokungachumi.

I-Irritable bowel syndrome yimeko ephawulwa "kukungalungelelani kokuhamba kwamathumbu kunye neentlungu zesisu kubantu abangenayo enye inkcazo yeempawu (njengesifo okanye isifo sokudumba), utshilo uGqirha Newberry. Oonobangela ngqo be-IBS abaziwa, kodwa inokuba inento yokwenza nokunyuka kokuziva kokuphela kwentliziyo emathunjini, enokutshintshwa yimeko yangaphandle ebangela ukutya, uxinzelelo kunye neendlela zokulala.

Unxibelelwano phakathi kwe-IBS kunye nePCOS

Ngelixa uphononongo luka-2009 lufumene ikhonkco elinokubakho phakathi kwezi zimbini, yayiyisampulu encinci, kwaye (njengoko ihlala iyinyani kunyango) iingcali zikholelwa ukuba kufuneka kwenziwe uphando olungaphezulu ukubonisa ukuba ikhonkco licacile.

"Akukho nxu lumano lwaziwayo phakathi kwe-IBS kunye ne-PCOS; nangona kunjalo, zombini ezi meko zihlala zichaphazela abasetyhini abancinci, kwaye ke abantu abaninzi abanesimo esinye banokuba nayo enye, utshilo uGqirha Newberry. (Yinyani: I-IBS kunye neminye imiba ye-GI ixhaphake kakhulu kwabasetyhini.)

Kwaye, ngapha koko, i-IBS kunye ne-PCOS baneempawu ezifanayo kakhulu: ukudumba, ukuqhina, urhudo, iintlungu zesisu kunye nesisu, utshilo uGqirha Levitt.

Esinye sezizathu zokunxibelelana kukuba imicimbi yehomoni ebotshelelwe kwi-PCOS inokuchaphazela isisu sakho: "Kuyenzeka ngokuchanekileyo ukuba izigulana ezine-PCOS zinokuba neempawu ze-IBS, kuba iPCOS inxulunyaniswa nezixa zehomoni ze-androgen (ezinje nge testosterone) kunye nokungaqheleki kwinkqubo ye-endocrine / yehomoni inokutshintsha ukusebenza kwamathumbu, "utshilo uJohn Pandolfino, MD, oyintloko ye-gastroenterology kwiZiko lezeMpilo lokugaya ukutya kwiNyango yaseNyakatho-ntshona.

Ezinye iimpawu ze-PCOS zinokubangela imiba yokutya, nayo. Iimeko ezinzima ngakumbi ze-PCOS zinxulunyaniswa nokumelana ne-insulin (xa iiseli ziqala ukuchasa okanye ukungahoyi imiqondiso evela kwihomoni ye-insulin, echaphazela indlela umzimba wakho ophatha ngayo iswekile yegazi) kunye nokuvuvukala, okungabonakalisa kwiibhaktheriya ezihlala emathunjini amancinci, utshilo uGqr. Levitt. Ukugqithisa kwebhaktheriya (onokuyazi njenge-SIBO) inxulumene kakhulu ne-IBS.

Emva koko, ukungalingani kwebhaktheriya emathunjini akho kunokubangela ukuvuvukala kunye nokwenza iimpawu ze-PCOS zibe zibi nakakhulu, ukuguqula i-IBS / PCOS ikhonkco ibe luhlobo lomjikelezo onobungozi. UGqr Levitt uthi: "Oku kudumba kunokufaka isandla ekunganyangekiyo kwe-insulin, enokuthi isebenze kwii-ovari ukuvelisa ngokugqithisileyo i-testosterone, enokuthi iphazamise umjikelo wokuya exesheni, kwaye ithintele i-ovulation. (Idibeneyo: Iimpawu ze-6 Uvelisa i-Testosterone engaphezulu)

Kwanezinto ezingaphandle kwesisu sakho zinokuchaphazela ezi meko zimbini. "Uxinzelelo olunxulumene ne-PCOS lunokubangela iimpawu ezibuhlungu ezifana nokuxhalaba kunye nokudakumba, nto leyo enokuthi ikhokelele kwiintlungu zesisu kunye nokutshintsha kwimikhwa yamathumbu ngenxa yobudlelwane obuthambileyo phakathi kwenkqubo ye-nervous kunye nesisu," kusho uDkt. Pandolfino.

Nangona kukho izinto ezininzi ezizidibanisayo, abaphandi basazama ukukhomba ukuba ngaba kukho ulungelelwaniso oluthe ngqo phakathi kwe-PCOS kunye ne-IBS, kunye nonobangela kanye.

Kufuneka wenze ntoni ukuba ucinga ukuba unayo zombini i-PCOS kunye ne-IBS?

Kuba uninzi lweempawu ze-IBS kunye nePCOS zinokudibana, kubalulekile ukuba uthethe nogqirha wakho malunga konke yeempawu zakho.

"Ukuba uneempawu ezingaqhelekanga zesisu (kubandakanya utshintsho kwimikhwa yamathumbu, iintlungu zesisu, ukuqunjelwa, isicaphucaphu, okanye ukugabha), kuya kufuneka undwendwele ugqirha wakho ukubona ukuba ufuna uvavanyo olongezelelekileyo kunye nokuba loluphi unyango lwakho, utshilo uGqr. Iqunube. Ukuba iimpawu zakho zihambelana ne-IBS, unokuqwalasela ukuguqulwa kwendlela yokuphila, iindlela zokulawula uxinzelelo, utshintsho kwindlela yokutya, okanye unyango njengonyango.

Kwaye kuyafana ukuba uyakrokrela ukuba une-PCOS.

I-PCOS inokuba neempawu ezifanayo, kubandakanya iintlungu zesisu, ukuqunjelwa, kunye namaxesha angaqhelekanga, kwaye kufuneka ujongiwe nogqirha, utshilo uGqirha Newberry. Banokugqiba ukuba ngaba uvavanyo olongezelelweyo luyafuneka kunye / okanye ngawaphi amayeza akhoyo ukulawula iimpawu.

Ukuba ucinga ukuba unazo zombini, "amanye amayeza ajongene noxinzelelo lwesisu anokusebenza kuzo zombini ezi meko," utshilo. "Kodwa uninzi lonyango lujongana nemeko enye okanye enye."

Ungayifumana njani into yokuchonga nokunyanga

Kukho iinguqu ezimbalwa onokuzenza ukuba ukrokrela ukuba unayo i-IBS okanye iPCOS enokunceda ukunciphisa iimpawu.

"Unokudibana nodokotela wakho wezifo zokuqala malunga neempawu ezinokubakho ze-IBS, kodwa ekugqibeleni ukuhanjiswa kwesifo esiswini kuya kuba linyathelo elilandelayo lokunceda kulungiso lokutya okanye kulawulo lwezonyango," utshilo uGqirha Levitt.

Utshintsho lokutya luyinto enkulu ekuphatheni zombini i-IBS kunye ne-PCOS.

"Abasetyhini abane-PCOS banokunyanga iimpawu ezinxulumene ne-IBS ngokwenza ukuguqulwa kokutya (ngokukodwa, ukutya okuphantsi kwe-FODMAP), ukuphepha ukutya okunokubangela iimpawu zentlungu yegesi kunye nokuqunjelwa, ingqalelo kwimikhwa yamathumbu, kunye nokusebenzisa isicwangciso sokuzilolonga rhoqo sokunciphisa. ubunzima, ukuba oko kuyinkxalabo, "utsho uGqr Levitt.

Ngaphezu koko, umthambo unokunceda nge-IBS. Abantu abasebenzisa imizuzu engama-20 ukuya kwengama-30 amaxesha amathathu ukuya kahlanu ngeveki baxele ukuba iimpawu ze-IBS ziphuculwe kakhulu xa kuthelekiswa nabathathi-nxaxheba abangazange benze umthambo, ngokutsho kophononongo luka-2011. Ijenali yaseMelika yeGastroenterology.

Enye impilo yengqondo kunye nonyango olupheleleyo lunokunceda. (Nantsi indlela yokufumana unyango olufanelekileyo kuwe.)

Unyango lokuziphatha njenge-hypnosis lubonakalisiwe ukunceda nge-IBS, utshilo uGqirha Pandolfino. Unyango lwengqondo okanye lokuziphatha lunokungqineka luluncedo kwi-PCOS nayo, kuba abantu basetyhini abanemeko banotyekelo olwandayo lokulwa nemicimbi yezempilo yengqondo, kubandakanya uxinzelelo, uxinzelelo kunye nokuphazamiseka kukutya.

Ukuba unenkxalabo yokuba unokuba ne-PCOS kunye ne-IBS, thetha nogqirha wakho, onokukunceda ngokuxilongwa kwaye ufumane isicwangciso sonyango esifanelekileyo kuwe.

Uphengululo lwe