Abin takaici, mutane sau da yawa sun ƙare magance matsalar fiye da ɗaya a cikin lokaci. Kuma wasu lokuta, akwai wasu abubuwan da ke haifar da wani abu mai mahimmanci wanda zai haifar da wani mutum yana fuskantar ƙarin damar samun ciwon fiye da ɗaya. Wannan ya zama lamari tare da IBS da damuwa. Wannan bayyani yana duban abin da aka sani game da farfadowa daga cikin waɗannan yanayi guda biyu, da abin da zaka iya yi don sarrafa mafi kyau ga alamar cutar duka cuta.
Mene Ne Mawuyacin?
Rashin ciki shi ne rashin lafiya da ake nunawa ta rashin ci gaba ko rashin asarar sha'awa ko jin daɗi tare da wasu sauran alamun alamun da ke tsangwama ga iyawar mutum don aiki da kuma jin dadin rayuwa. Abun cututtuka na ciki na iya hada da:
- Canje-canje a ci abinci da nauyi
- Difficulty concentrating
- Difficile barcin barci da / ko wahala zama barci
- Jin dadin rashin bege, rashin girmankai, girman kai, da damuwa
- Rashin makamashi da dalili
- Haɗin kan jama'a
- Adalci da kuma ƙoƙari
Akwai umarnin da ke damuwa da dama tare da siffofin daban-daban, ciki har da:
- Rashin nakasa yanayin dysregulation yanayi
- Babban mawuyacin hali
- Dysthymic cuta
- Tsarin dysphoord na premenstrual (PMDD)
Kashewa na IBS da damuwa
Mafi yawan maganin ƙwaƙwalwar ƙwayar cuta a cikin marasa lafiya na IBS shine ciwon zuciya. A cikin nazarin daya, yawancin masu fama da cutar da aka kiyasta sun kasance kashi 31 cikin dari na marasa lafiya na IBS da suka nemi magani.
Wadannan lambobi sun fi yadda yawancin nakasar da aka gani a marasa lafiyar da ke fama da cututtukan zuciya (IBD) ko a cikin mutane masu lafiya.
Me yasa marasa lafiya na IBS zasu kasance mafi haɗari ga rashin ciki? Masu bincike suna neman amsoshi. Ɗaya daga cikin bangarori na bincike yana da nasaba da damun yara. Hanyoyin adadin kuɗi na ƙananan yara da jima'i da / ko cin zarafi a cikin marasa lafiya na IBS da yawa, tare da kimanin kimanin 50%.
Yin fama da irin wannan mummunan hali yana sanya mutum cikin haɗari don ci gaban yanayin kwakwalwa irin su damuwa.
Masu binciken na IBS suna kallo kan rawar da ke tattare da serotonin neurotransmitter a cikin duka matsaloli biyu. Serotonin yana da hannu a yawancin ayyuka na narkewa kuma yana taka muhimmiyar rawa wajen sadarwar tsakanin tunaninmu da kullunmu. Matakan Serotonin kuma suna hade da halayyar cututtukan kodayake ba a fahimci ma'anar wannan dangantaka ba. Saboda haka, matsaloli da tsarin jiki na serotonin na iya kasancewa bayan farfadowa.
Wani abu mai kyau shi ne ko samun IBS zai iya haifar da baƙin ciki. Wani babban binciken shekaru 12 ya gano cewa samun ciwon IBS a farkon binciken ya danganta da matakan da ke cikin damuwa da damuwa a ƙarshen binciken. Duk da haka, abin da ya ƙi shi ma gaskiya ne. Mutanen da suke da matsanancin damuwa da damuwa a farkon binciken sun kasance mafi haɗari ga ci gaban IBS bayan ƙarshen binciken. Masana binciken binciken sun gane cewa wannan yana nuna cewa rashin lafiya a bayan kwakwalwar zai iya faruwa a kowane hanya, watau daga kwakwalwa zuwa guttu ko daga gut zuwa kwakwalwa.
Abin da za a yi idan kana da duka biyu
Kodayake suna fama da cuta guda biyu a lokaci guda za a iya rubutawa a ƙarƙashin tsarin "rayuwa ba daidai" ba, akwai wani nau'i na azurfa.
Abin da ke da kyau ga cuta ɗaya zai iya tabbatar da taimako ga sauran cuta. Kuna iya samun wannan musamman a wurin likitan magani.
Kodayake an dauke shi da amfani da lakabi, ana amfani da antidepressants zuwa marasa lafiya na IBS saboda sakamako mai amfani a cikin rage rage ciwo da kuma inganta haɓaka gut. Ana tsammanin cewa wannan tasiri yana da sakamakon sakamakon antidepressant a kan serotonin da wasu masu amfani da neurotransmitters.
Tudyclic antidepressants su ne nau'i na antidepressants wanda ya rage saukar da hanji na intestinal, watakila zai sa su zama mafi kyau ga marasa lafiya waɗanda suke da ciwon sukari rinjaye jijiyar ciwo (IBS-D).
Masu maganin maganin maganin cututtukan Serotonin Reuptake (SSRIs) sune nau'i na antidepressants waɗanda ake zaton kawai za su ci gaba da serotonin, wanda zai haifar da sakamako mai lalacewa maras so, ciki har da maƙarƙashiya. Saboda haka, mutum wanda yake da ciwo mai tsananin ciwon zuciya (IBS-C) zai iya zama mafi alhẽri don jin daɗin maganinta da magani daga wannan aji.
Wani hanyar da za a yi la'akari shine amfani da maganin halayyar halayyar halayyar zuciya (CBT). CBT yana da goyon bayan bincike mai zurfi don taimakawa wajen taimakawa bayyanar cututtuka na ciki da na IBS.
Sources:
Ƙungiyar Ƙwararrun Ƙasar Amirka. "Dattijai da Dokar Bayanai na Mental Dama, 4th ed., Rubutun rubutu" 2000 Washington, DC
Koloski1, N., et.al. "Hanyar ƙwaƙwalwar ƙwaƙwalwa a cikin cututtuka na gastrointestinal aiki shine jagora: binciken shekaru 12 na shekara mai suna" Gut 2012 61: 1284-1290.
Surdea-Blaga, T., Baban, A. & Dumitrascu, D. "Mawallafin da ke da ƙwayar cututtukan zuciya" Journal of the World of Gastroenterology 2012 18: 616-626.