Irritable Bowel Syndrome vs. Carcinoid Syndrome

Anter

• He aha nā hōʻailona nui o ka MCT?
• He aha nā hōʻailona o IBS?
• He aha kekahi o nā ʻokoʻa nui ma waena o IBS a me MCTs?
• Makahiki ma ka hōʻoia
• Flushing, wheezing, a paʻakikī i ka hanu ʻana
• Kaumaha emi
• Nā ʻōpū ʻōpū hoʻomau
• ʻO ka lawe lawe ʻana

Ke maikaʻi aʻe nei nā kauka i ke kuhi ʻana i nā tumors carcinoid metastatic (MCTs). Eia nō naʻe, hiki i nā ʻōuli ʻokoʻa o ka MCT ke alakaʻi i kahi kuhi hewa a me ka mālama pono ʻole ʻana, a hiki i ka wā e hōʻike ʻia ai kahi tumo carcinoid ma hope o kēlā mau ʻōuli. Wahi a ka National Organization for Rare Disorder, ua hōʻike hewa pinepine ʻia nā tumc carcinoid ma ke ʻano he maʻi huhū (IBS) a i ʻole Crohn's disease, a i ʻole he hōʻailona o ka menopause i nā wahine.

ʻO ka ʻike ʻana i nā ʻokoʻa ma waena o nā ʻōuli o ka carcinoid syndrome a me ka IBS hiki iā ʻoe ke hāʻawi i kahi manaʻo i ke ʻano āu e loaʻa ai, a he aha kāu e noi aku ai i kāu kauka e ʻike pono.

He aha nā hōʻailona nui o ka MCT?

Wahi a ka puke pai ʻAmelika Kauka Lapaʻau, ʻo ka hapa nui o nā tumo carcinoid ʻaʻole i kumu nā ʻōuli. ʻO ka manawa pinepine, ʻike ke kaukōkō i kekahi o kēia mau tumors ʻoiai e hana ana i ke ʻoki no kekahi pilikia ʻē aʻe, e like me ka pancreatitis nui, ka paʻa ʻana o ka ʻōpū o kekahi kanaka, a i ʻole nā ​​maʻi e pili ana i ka hua hānau o ka wahine.

Hiki i nā tumo Carcinoid ke hūnā i kekahi mau hormoni e hoʻopili i kou kino, ʻo ka serotonin ka mea nui loa. Hiki i ka serotonin hoʻonui ʻia i kou kino ke hoʻonāukiuki i kou ʻōpū, e hoʻoulu ana i nā ʻōuli e like me IBS, ʻoi loa i ka palahī. ʻO nā ʻōuli ʻē aʻe e pili pū ana me nā MCT:

• ʻōpala
• nā pilikia puʻuwai e kumu ai i nā puʻuwai kūlike ʻole a me nā loli i ke kahe o ke koko, ka hoʻohaʻahaʻa pinepine ʻana i ke koko
• ʻeha nā mākala a me nā ami
• ʻūhā

ʻO ka diarrhea e pili pū ana me nā MCT ʻoi aku ka maikaʻi ma hope o ka ʻai ʻana o kekahi i nā meaʻai i loaʻa kahi mea i kapa ʻia ʻo ka tyramine. ʻO nā meaʻai i loaʻa ka tyramine me ka waina, ka tī, a me ka kokoleka.

I ka hala ʻana o ka manawa, hiki i nā ʻōpū o ka ʻōpū e pili ana i nā MCT ke loaʻa hou nā hopena ʻino. Hoʻopili kēia i ka pohō kaumaha no ka mea hele wikiwiki ka pahu ma waena o kou ʻōpū i loaʻa ʻole ai i kou kino ka manawa e omo ai i nā meaola. Hiki ke hana i ka make wai a me ka malnutrity no nā kumu like.

He aha nā hōʻailona o IBS?

ʻO IBS kahi kūlana e hoʻopili i ka ʻōpū nui, e hoʻonāukiuki pinepine ana i hiki ke alakaʻi i ka huhū o ka ʻōpū mau. ʻO nā laʻana o nā ʻōuli e pili pū ana me ka IBS:

• kōpaʻa
• cramping
• pāhoehoe
• ʻenekini
• ʻeha ka ʻōpū

ʻIke kekahi poʻe me IBS i nā hakakā alternating o ka constipation a me ka diarrhea. E like me ka MCT, hana hewa pinepine ʻia ʻo IBS ke ʻai ke kanaka i kekahi ʻano o nā meaʻai, e like me ke kokoleka a me ka waiʻona. ʻO nā meaʻai ʻē aʻe i ʻike ʻia e hoʻokumu i nā ʻōuli o ka IBS:

• ʻo nā mea kanu koloka e like me broccoli, cauliflower, a me kāpiki
• mea ʻai nīoi
• mea ʻai momona momona
• pīni
• huahana waiū

ʻAʻole hiki i ka IBS ke hōʻino kino i nā ʻōpū. Ke loaʻa nā kānaka i kahi hōʻailona koʻikoʻi, hiki i ke kauka ke hana i kahi biopsy o ko lākou ʻōpū e nānā no ka hōʻino a i ʻole ka maʻi. ʻO kēia ka manawa e ʻike ai ke kauka i kahi MCT, inā aia kekahi.

He aha kekahi o nā ʻokoʻa nui ma waena o IBS a me MCTs?

Ke noʻonoʻo nei i nā ʻōuli o IBS, maʻalahi ke ʻike pehea e kuhi hewa ʻia ai kahi MCT ma ke ʻano he IBS. Eia nō naʻe, alakaʻi paha kekahi mau kumu nui i ke kauka e koi i nā hoʻokolohua diagnostical e loiloi no kahi MCT.

Makahiki ma ka hōʻoia

ʻOiai hiki i ke kanaka ke ʻike iā IBS i kēlā me kēia makahiki, ʻo nā wahine ma mua o 45 mau makahiki e ʻike ʻia me IBS, e like me ka Mayo Clinic. I ka hoʻohālikelike ʻana, ʻo ka makahiki maʻamau o ke kanaka me kahi MCT e hoʻomaka e ʻike i nā hōʻailona ma waena o 50 a me 60.

Flushing, wheezing, a paʻakikī i ka hanu ʻana

Hiki paha i kekahi kanaka me kahi MCT ke ʻike i ke kani a me ka diarrhea a me ka chalk i kēia mau ʻōuli a i nā pilikia like ʻole. ʻO kahi laʻana, e hoʻopiʻi paha lākou i ka wheezing ma kahi anuanu a me kā lākou maʻi diarrhea ma IBS. Eia naʻe, ʻaʻole pili mau nā hōʻailona e pili ana i nā MCT i hoʻokahi ʻōnaehana i ke kino o ke kanaka.

Ke ʻike nei i kēia, he mea nui e wehewehe i nā ʻōuli ʻē a pau āu e ʻike nei i kāu kauka, ʻoiai inā pili ʻole lākou. ʻO kahi laʻana, pono ʻoe e kaʻana inā ʻaʻole ʻoe i ʻike i ka palahī wale nō, akā i ka pīpī ʻana, ka huehue ʻana, a i ʻole ka paʻakikī maʻamau i ka hanu ʻana. I ke kikoʻī, kū ka diarrhea a me ka flush i ka manawa like i kēlā me kēlā me kēia me kahi MCT.

Kaumaha emi

ʻOiai ʻike ke kanaka me IBS i ka pohō kaumaha e pili ana i kā lākou maʻi kōkō, e ʻike ʻia kēia hōʻailona me nā MCT a i ʻole kahi kūlana koʻikoʻi ʻē aʻe. Manaʻo ʻia ka hoʻohaʻahaʻa he "hōʻailona hae ʻulaʻula" ʻaʻole ke kumu kumu i IBS, e like me ka Mayo Clinic.

Nā ʻōpū ʻōpū hoʻomau

ʻO ka manawa pinepine, ʻo ka poʻe me kahi MCT e ʻike i nā ʻōpū ʻōpū like ʻole no nā makahiki he nui me ka ʻole o kahi hōʻailona. Inā ʻaʻole i pane kāu mau ʻōuli i ka lāʻau lapaʻau a i ʻole e hoʻomaikaʻi wale ʻia me ka hoʻopau ʻana i nā mea i loaʻa i ka tyramine mai kāu papaʻai, hiki i kēia ke hōʻailona e noi i kāu kauka e ʻeli hou.

ʻO nā laʻana o nā hoʻokolohua e kuhikuhi i kahi MCT me:

• ana i kou mimi no 24 mau hola no ke alo o 5-HIAA, kahi huahana o kou kino e wāwahi ana i ka serotonin
• Ke hoʻāʻo nei i kou koko no ka chromogranin-A compound
• e hoʻohana ana i nā kiʻi paʻi kiʻi, e like me CT a i ʻole MRI scans, e ʻike ai i ka pūnaewele kūpono o kahi MCT

ʻO ka lawe lawe ʻana

ʻO ka manawa maʻamau mai ka hoʻomaka ʻana o nā hōʻailona MCT i ka hōʻailona. ʻOiai he manawa lōʻihi loa kēia, hōʻike ia i ka paʻakikī a i kekahi manawa e kānalua ana i ka diagnose i kahi MCT.

Inā loaʻa iā ʻoe nā ʻōuli e hoʻonui i ka hāʻai, e kamaʻilio me kāu kauka e pili ana i kahi hana no MCT. ʻAʻole ʻimi ka hapanui o ka poʻe me kahi MCT i ka lāʻau a hiki i ka palahalaha ʻana o ka tumo a hoʻomaka i ke kumu o nā hōʻailona hou aʻe. Akā inā ʻoe e hana i nā ʻanuʻu no nā hoʻokolohua hou aʻe i ka wanaʻao a ʻike ka kauka iā MCT, hiki iā lākou ke wehe i ka tumo, pale iā ia mai ka hoʻolaha ʻana.