Shin mutanen da ke tare da IBD suna da IBS?

Babu tabbacin game da IBS da IBD tare da juna a cikin Same haƙuri

Akwai sau da yawa rikicewa game da cututtukan zuciya mai jiji (IBS) da kuma cututtukan zuciya mai ciwon jini (IBD) : yanayi guda biyu na al'amuran narkewa. Dukkan IBS da IBD na iya haifar da alamun cututtukan cututtuka , shafewa , da kuma ciwo, amma hakan ya fi dacewa da kamannin su. A yawancin hanyoyi, waɗannan yanayi sun bambanta da juna kuma an bi su da hanyoyi daban-daban.

Duk da haka, saboda sunayensu da kuma maganganun da suka fi magana game da bayyanar cututtuka, wasu mutane sun yi amfani da IBS da IBD ba daidai ba .

IBS da IBD sune daban-daban yanayi, amma yana yiwuwa a samu duka yanayi a lokaci ɗaya? Ɗaya daga cikin binciken ya gano cewa wasu mutane za a iya bincikar su da farko tare da IBS kafin a gano su tare da IBD (wannan ya fi sau da yawa ga cutar Crohn fiye da ulcerative colitis). Ta yaya mai haƙuri da mai kula da su zai fara fahimtar idan sunyi bayyanar cututtuka ta IBS ko kuma idan IBD ya samo su?

IBS Kafin A Zuwan Asalin Of IBD?

Akwai rashin bincike a kan batun, kuma ra'ayin cewa yanayi guda biyu zai iya faruwa a cikin wannan mutumin har yanzu yana da rikice-rikice kuma yana da karɓar karɓa. Ɗaya daga cikin misalai-bincike ya lura cewa wasu mutane tare da IBD sun ci gaba da samun alamun bayyanar cututtuka ko da lokacin da aka gano IBD da kansa a cikin gafara. Wadanda marasa lafiya a cikin wannan binciken ba su da kumburi a cikin tsarin kwayar halitta wanda zai iya bayyana alamun bayyanar ta IBD.

Me yasa wadannan marasa lafiya ke ci gaba da shawo kan gaggawa da gaggawa? Mawallafa sun yanke shawarar cewa marasa lafiya da suka ci gaba da samun cututtuka da suka dace da IBS zasu iya amfanar da magani wanda yake ɗaukar asusun biyu. An gano cewa marasa lafiya da ke fama da kwayar cutar Crohn suna iya samun irin abubuwan bayyanar cutar ta IBS.

Da ciwon IBD mai aiki an kuma hade shi da wasu nau'o'in bayyanar cututtukan IBS.

Wani binciken da aka yi a Manitoba ya gano cewa kafin a bincikar da shi tare da IBD, marasa lafiya sun iya samun IBS-like symptoms na tsawon shekaru 3 ko fiye. Mawallafin sun kiyasta cewa yawancin mutane 14% na marasa lafiya na IBD 396 a cikin binciken su "yana iya yiwuwa" ko kuma suna da IBS. Wadannan marasa lafiya waɗanda ke iya samun IBS suna da alamun bayyanar cututtuka na tsawon lokaci kafin su sami asali na IBD. Masu marubuta sun yanke shawarar cewa yawan marasa lafiya da ke cikin marasa lafiya na IBD na iya zama daidai da rabon IBS a cikin jama'a.

IBS, Ko Kumburi?

Wani ka'ida game da bayyanar cututtukan IBS a cikin marasa lafiya na IBD a cikin gafara shine cewa za'a iya kasancewa ƙonewa "occult". A wasu kalmomi, IBD zai iya ci gaba da haifar da ƙananan ƙananan ƙananan da ba za'a iya samo su ta hanyoyi masu kwarewa na al'ada ba, irin su Cikin Harkokin Cututtuka na Crohn . Masu bincike sun gano cewa wadannan marasa lafiya suna da matakan da za su iya samuwa daga calprotectin, wani sinadaran da ke hade da irin kumburi da IBD ke haifarwa. Ƙananan ƙananan ƙumburi zai iya haifar da wasu alamun alamun, irin su waɗanda suke ɗaukar IBS.

Ya kamata a kula da IBS A cikin marasa lafiya na IBD?

Kamar yadda rashin bincike mai kyau game da ko marasa lafiya tare da IBD na iya samun IBS, akwai ma rashin fahimta game da yadda za'a kula da marasa lafiya da yiwuwar ganewa na IBS.

Jiyya zai buƙaci kowacce ƙwararren su ya dace da su gastroenterologist. Akwai wasu tsinkaye cewa masu amfani da antidepressants tricyclic , waɗanda za a iya amfani dashi don bi da IBS, na iya taimakawa ga marasa lafiya wadanda ke da alamun HIV da IBD.

Har yanzu akwai abin da ba shi da tabbas game da yiwuwar IBS a cikin marasa lafiya tare da IBD, kuma yadda wannan ke shafar ganewar asali da magani a nan gaba. Har yanzu ana cigaba da karatun, kuma ana gudanar da bincike don bazawa da bidiyon na IBD da IBS-kamar alamu a wasu mutane. Har sai hotunan ya fi bayyane, mafi kyawun bayani game da yanayi na narkewa - ko dai guda ɗaya ko a raye - to gastroenterologist.

Sources:

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Burgmann T, Clara I, Graff L, et al. "Manitoba Inflammatory Bowel Ciwon Kwalejin Cututtuka na Ƙungiyar Cututtukan Ƙungiyar Cututtuka: Rawanin zubar da hankali a gabanin ganewar asali - nawa ne cututtukan ciwon jiji? " Clin Gastroenterol Hepatol . 2006 Mayu, 4 (5): 614-620. 17 Mar 2014.

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Quigley EM, Bernstein CN. "" Harshen cututtuka marasa jin dadi "a cikin cututtukan cututtuka na jini: bincikar rashin tabbas ya haɗu da gaskiyar halitta." Am J Gastroenterol 2012 Oktoba; 107 (10): 1483-5. Doi: 10.1038 / ajg.2012.263 17 Mar 2014.

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