ʻO Irritable Bowel Syndrome vs. maʻi maʻi ʻōpala

Anter

• Hoʻonui
• Nā hiʻohiʻona koʻikoʻi
• Nā ʻōuli
• Ke kuleana o ke koʻikoʻi
• Nā hoʻoponopono
• Outlook
• Nā hoʻoponopono kūlohelohe
• Q:
• A:

IBS vs. IBD

Ke hiki mai i ka honua o nā maʻi gastrointestinal, lohe paha ʻoe i ka nui o nā acronyms e like me IBD a me IBS.ʻO ka maʻi ʻōpū (IBD) kahi manawa ākea e pili ana i ka palaho mau (mumū) o nā ʻōpū. Hoʻohuli pinepine ia me ka maʻi non-inflammatory irritable bowel syndrome (IBS). ʻOiai hāʻawi like nā maʻi ʻelua i nā inoa like a me kekahi o nā ʻōuli like, he ʻokoʻa ʻokoʻa ko lākou. E aʻo i nā ʻokoʻa ʻokoʻa ma aneʻi. E noʻonoʻo e kūkākūkā i kāu mau hopohopo me kahi gastroenterologist.

Hoʻonui

ʻO ka IBS maʻamau loa. ʻO ka ʻoiaʻiʻo, ua kuhi ka International Foundation for Functional Gastrointestinal Disorder e pili ana i 15 pakeneka o ka heluna kanaka ma ka honua holoʻokoʻa. Wahi a Cedars-Sinai, ma kahi o 25 pākēneka o ʻAmelika e hoʻopiʻi i nā ʻōuli o ka IBS. ʻO kēia nō hoʻi ke kumu maʻamau e ʻimi ai nā mea maʻi i kahi gastroenterologist.

He ʻano ʻokoʻa ʻo IBS ma mua o IBD. Eia nō naʻe, hiki i kahi kanaka i hōʻoia ʻia me ka IBD ke hōʻike i nā hōʻailona like IBS. He mea nui nō hoʻi e ʻike hiki iā ʻoe ke loaʻa nā kūlana ʻelua i ka manawa like. Ua manaʻo ʻia nā kūlana ʻelua (mau).

Nā hiʻohiʻona koʻikoʻi

ʻO kekahi ʻano o IBD me:

• Maʻi ʻo Crohn
• ulcerative colitis
• colitis pau ʻole

ʻAʻole like me IBD, ʻaʻole hoʻolaha ʻia ʻo IBS ma ke ʻano he maʻi maoli. Akā ʻike ʻia ia ma ke ʻano he "maʻi hana." ʻO kēia ka manaʻo ʻaʻohe kumu i ʻike ʻia o nā ʻōuli. ʻO nā laʻana ʻē aʻe o nā maʻi e pili ana i ka hana me nā headache tension a me nā maʻi luhi mau loa (CFS).

Kūlike ʻole i ka manaʻo nui, ʻaʻole he kūlana psychological ʻo IBS. He mau ʻōuli kino ko IBS, akā ʻaʻohe kumu i ʻike ʻia. I kekahi manawa kapa ʻia nā hōʻailona he mucous colitis a i ʻole spastic colitis, akā ʻaʻole pololei kēlā mau ʻenehana. ʻO Colitis kahi mumū o ke kolona, ​​akā ʻaʻole ʻo IBS ke kumu o ka mumū.

ʻAʻole hōʻike ka poʻe me IBS i nā hōʻailona olakino o kahi maʻi a loaʻa pinepine nā hopena hoʻokolohua maʻamau. ʻOiai hiki i nā kūlana ʻelua i kēlā me kēia kanaka i kēlā me kēia makahiki, ke holo nei i loko o nā ʻohana.

Nā ʻōuli

Kuhi ʻia ʻo IBS e ka hui pū ʻana o:

• abdominal eha
• ʻūlū
• kōpaʻa
• pāhoehoe

Hiki i ka IBD ke hana i nā hōʻailona like, a me:

• pehu ka maka
• luhi loa
• scarring ʻōpū
• ʻeha pū
• hana maikaʻi ʻole
• hoʻokahe kahe
• Kaumaha emi

Hiki i nā mea ʻelua ke hoʻonāukiuki i ka ʻōpū o ka ʻōpū.

ʻIke paha nā mea maʻi IBS i kahi ʻano o ka hoʻopau piha ʻole pū kekahi. ʻIke ʻia paha ka ʻeha ma loko o ka ʻōpū holoʻokoʻa. Hōʻike pinepine ʻia ia ma ka ʻaoʻao ʻākau haʻahaʻa a hema paha. E ʻike kekahi poʻe i ka ʻeha o ka ʻaoʻao ʻākau i luna me ka ʻole o nā hōʻailona ʻē aʻe.

ʻOkoʻa ʻo IBS i ka nui o ka pahu i hana ʻia. Hiki i ka IBS ke hoʻolei i nā noho hakahaka, akā e hāʻule maoli ka leo i loko o nā palena maʻamau. (Wehewehe ʻia ka maʻi pākī e ka nui, ʻaʻole pono e ke kūlike ʻole.)

ʻO nā mea maʻi IBS me ka constipation ka mea maʻamau i nā manawa transit colonic maʻamau - ka nui o ka manawa no ka stool e huakaʻi ai mai ke kolone a i ka pololei.

Kaukaʻi ʻia i ka ʻōuli nui, hoʻokaʻawale ʻia nā mea maʻi IBS ma ke ʻano he paʻa paʻa paʻa, mea nui o ka maʻi diarrhea, a i ʻole pain-pain.

Ke kuleana o ke koʻikoʻi

Ma muli o ka loaʻa ʻole o ka mumū o IBD i ka poʻe me IBS, paʻakikī i ka poʻe noiʻi e hoʻomaopopo i nā kumu kikoʻī o ke ʻano hope. ʻO kahi ʻokoʻa ʻokoʻa loa ʻo IBS e aneane hoʻonui loa ʻia e ke koʻikoʻi. Hiki ke kōkua i nā ʻenehana hōʻemi koʻikoʻi. E noʻonoʻo e hoʻāʻo:

• noʻonoʻo
• hoʻoikaika kino mau
• kūkā kamaʻilio
• yoga

Piʻi paha ʻo IBD i nā kūlana haʻahaʻa a me ke kaumaha nui.

Wahi a Dr. Fred Saibil, ka mea kākau o ka puke "Crohn's Disease and Ulcerative Colitis," ʻaʻole manaʻo ka poʻe he nui hiki iā lākou ke kūkākūkā i ka IBS ma muli o nā stigmas pili kaiaulu. "ʻAʻole ʻoe e lohe i ka nui o ka poʻe e kamaʻilio ana e pili ana i kā lākou 'luaʻi kūpikipiki' a i ʻole 'tension diarrhea' a i ʻole 'tension perut,'" ʻōlelo ʻo ia, "ʻoiai he mau mea maʻamau kēia."

Hoʻomaopopo pū ʻo Kauka Saibil aia nō kekahi huikau ma luna o IBD no ka mea ua manaʻoʻiʻo nā kauka ua hoʻokumu ʻia kēia ʻano e ke koʻikoʻi. ʻAʻohe mea hōʻike inā he hihia kēlā, akā naʻe, ʻaʻole pono nā mea maʻi IBD e lawe i ke ʻano ma luna o lākou iho.

Nā hoʻoponopono

Hiki ke mālama ʻia ʻo IBS me kekahi mau lāʻau e like me ka antispasmodics ʻōpū e like me hyoscyamine (Levsin) a i ʻole dicyclomine (Bentyl).

Hoʻololi nā meaʻai a me nā loli i ke kōkua i ka hapa nui. Pono nā poʻe me IBS e hōʻole i ka hōʻeha ʻana i ko lākou kūlana me nā meaʻai palai a momona hoʻi a me nā mea inu caffeine.

Pili ka mālama ʻana ʻo IBD i ka palapala i ʻike ʻia. ʻO ka pahuhopu mua ka mālama ʻana a me ka pale ʻana i ka pehu. I ka hala ʻana o ka manawa, hiki i kēia ke hōʻino i nā ʻōpū.

Outlook

ʻIke like paha ʻo IBD a me IBS i nā ʻōuli like, akā ʻelua mau ʻano ʻokoʻa me nā koina lapaʻau ʻokoʻa loa. Me IBD, ʻo ka pahuhopu ka hōʻemi ʻana i ka mumū e kumu ai nā ʻōuli. ʻO IBS, ma ka ʻaoʻao ʻē aʻe, ʻaʻole hiki ke mālama ʻia me nā lāʻau no ka mea ʻaʻohe kumu e ʻike ʻia. Hiki i kahi gastroenterologist ke kōkua i ka hoʻoholo ʻana i kāu kūlana kikoʻī a hāʻawi i ka hoʻolālā lapaʻau maikaʻi loa a me nā kumuwaiwai e kōkua iā ʻoe e hoʻokele i nā ʻōuli.

Nā hoʻoponopono kūlohelohe

Q:

ʻO nā lāʻau kūlohelohe hea e kōkua i ka hōʻoluʻolu i nā ʻōuli o IBS a me IBD?

A:

Nui a hewahewa nā hoʻoponopono kūlohelohe a me nā loli nohona e hoʻomaikaʻi ai i kāu mau ʻōuli IBS e like me ka hoʻonui lohi ʻana i ka fiber i kāu papaʻai, inu ʻana i nā wai he nui, ka hōʻalo ʻana i nā meaʻai e ʻoi aku ka maikaʻi o nā ʻōuli e like me ka wai ʻona, caffeine, nā meaʻai nīoi, kokoleka, nā huahana waiū, a nā mea hoʻonani ʻimi hoʻopunipuni, hoʻoikaika kino mau, ʻai i nā manawa maʻamau, a hoʻohana akahele me nā laxatives a me nā lāʻau anti-diarrheal.

ʻOkoʻa iki nā ʻōlelo aʻoaʻo no nā mea maʻi me IBD. Inā loaʻa iā ʻoe ka IBD, pono ʻoe e hōʻalo i nā huahana waiū, ʻalekohola, caffeine, a me nā meaʻai nīoi a pono paha ʻoe e kaupalena i kāu lawe ʻana i ka fiber a hōʻalo i nā meaʻai momona. He mea nui ia e inu i ka nui o nā wai me IBD. Pono ʻoe e ʻai i nā meaʻai liʻiliʻi a noʻonoʻo i ka lawe ʻana i multivitamin. ʻO ka mea hope loa, pono ʻoe e hōʻalo i ka puhipaka a hoʻēmi i kou pae stress me nā ʻenehana e like me ka hoʻoikaika kino, biofeedback, a i ʻole ka hoʻomaha maʻamau a me nā hana hanu.