Maraykanka iyo wadamada kale ee galbeedka, laba dumar ah oo haween ah ayaa ragga raadinaya daaweyn cillad maskaxeed (IBS) . Xaqiiqdii, IBS waxaa badanaa loo arkaa inay tahay arrin caafimaadka haweenka ah inkastoo ay jiraan ragga qaba xaaladdan. Ragga waxay sameeyaan IBS, sidaa daraadeed maxay tahay dumar badan marka loo eego ragga qaba cudurka? Miyuu jawaabtu ku jirtaa jismiga, kiimikada, bulshada, ama shucuurta khilaafaadka u dhexeeya garsoorayaasha?
Farqiyada Jirka
Cilmi-baarisyada qaarkood waxay tilmaamayaan in qayb ka mid ah isku dheelitirnaanta ballaaran ee tirada ragga iyo dumarka lagu garto IBS ay kudhici karto kala duwanaanshaha jirka, sida jawaab-celinta xanuunka. Guud ahaan, haweenka ayaa lagu muujiyay inay u nugul yihiin noocyada xanuunka qaarkood (sida xanuun ka yimaada xubnaha gudaha) ragga. Sidaa daraadeed, xanuunka IBS waxaa laga yaabaa in ay caan ku tahay haweenka marka loo eego ragga, taas oo ay ku imaan lahayd booqasho dhakhtar.
Faraqa Kiimikada
Dumar badan ayaa ku warramaya in calaamadaha IBS ay ka sii darayaan marxaladaha qaarkood ee wareegga caadada (sida caadada uurka ama muddada uureysiga). Ururkan ayaa hogaaminayey cilmi-baarayaasha inay sheegaan in haddii hormoonada haweenku ay sii xumaato IBS, hormoonnada labka ah waxay masuul ka noqon karaan "ilaalinta" ragga IBS. Hal baadhitaan, ragga qaba IBS waxaa lagu ogaadey in ay leeyihiin heerar hoose oo hormoon ah ragga oo aan lahayn IBS. Tani waxay macnaheedu noqon kartaa in heerarka sare ee hormoonnada labka ah ee jirku ka hortago astaamaha IBS , laakiin cilmi-baarayaashu ma hubin sababta.
Waxaa intaa sii dheer, daraasad kale ayaa muujisay in ragga qaada heerka hoose ee testosterone ay si gaar ah u dareemaan calaamadaha cudurka IBS.
Farqiyada Bulshada
Sabab kale oo loogu talagalay xaddiga yar ee ragga ay soo sheegaan calaamadaha cudurka IBS waa in aysan daaweyn caafimaad u raadsan karin sida haweenka. Raggu ma tixgelin karaan in uu arko xirfadle caafimaad waayo xanuunka uu ka soo maray IBS.
Dumarku sidoo kale waxay raadsan karaan daaweynta IBS marar badan, sababtoo ah waxay mar horeba caadeysteen inay dhakhtarka arkaan (badanaa dhakhtarka dumarka) baaritaanka Pap ama baadhitaan kale sanadkiiba. Ka warbixinta xanuunka caloosha ama isbeddelka caadooyinka mindhicirada ee booqashooyinkaan waxay keeni kartaa gudbin si loogu dabagalo dhakhtarka guud ama dhakhtarka gaasta . Raga iyo ragga da'doodu tahay mid caafimaad qaba ayaa si caadi ah u arki karin dhakhtarka si joogta ah, sidaas darteedna ma lahaan doonin xiriir dhow oo dhakhtarku ama inuu ku jiro boos si fudud loogu sheego xanuunka ama isbeddelka caadooyinka mindhicirka.
Kala duwanaanshaha Calaamadaha
Waxaa muuqata in ay xiriir la leeyihiin xaaladaha nafsiga ah iyo IBS, inkasta oo cilmi-baarayaashu ay weli hubin waxa sababa xiriirka. Niyadjabka iyo walbahaarku guud ahaan way ka badan yihiin dumarka ragga runtii ka qayb qaadan kara sharaxaadda IBS ee haweenka. Daraasado ayaa tusay in haweenka IBS ay sidoo kale u badan tahay inay leeyihiin taariikhda xadgudubka galmada .
Ereyga
Waxay u muuqataa in dhammaan qodobadaasi ay door ka ciyaarayaan inay sharxaan heerka hoose ee IBS ee ragga marka loo barbar dhigo dumarka. Waxaa sidoo kale jiri kara sababo kale oo bulsheed ah maxaa yeelay ragga ma raadsan karaan daryeel ama sababta ay haweenku u badan tahay inay raadsadaan daryeel xaalada dheefshiidka.
Daraasado ku saabsan kala duwanaanta jinsiga ee IBS ayaa kordhay sannadihii la soo dhaafay, cilmi-baarayaashuna waxay ku soo gabagabeeyeen in loo baahan yahay in la fahmo kala duwanaanta jinsiga ee IBS.
Ilaha:
Blanchard EB, Keefer L, Galovski TE, Taylor AE, Turner SM. "Farqiga jinsiga ee dhibaatooyinka nafsaaniga ah ee ka dhex jira bukaanka qaba cilladda mindhicirka." J Psychosom Res 2001; 50: 271-275. 10 Sebtembar 2013.
Chang L, Heitkemper MM. "Kala duwanaanshaha jinsiga ee cilladda mindhicirka." Gastroenterology 2002; 123: 1686-1701. 10 Sebtembar 2013.
Fass R, Fullerton S, Naliboff B, Hirsh T, Mayer EA. "Qalitaanka aan galmada ahayn ee bukaanka qaba cillad maskaxeed xannuunsan iyo dyspepsia aan lahayn." Digestion 1998; 59: 79-85. 10 Sebtembar 2013.
Houghton LA, Lea R, Jackson N, Whorwell PJ. "Xilliga caadada wuxuu saameeyaa xasaasiyadda dabeecada ee bukaanada qaba xanuunka 'Bowel Syndrome' laakiin maaha kuwo mutadawiciin caafimaad qaba." Gut 2002; 50: 471-474. 10 Sebtembar 2013.
Houghton LA, Jackson NA, Whorwell PJ, Morris J. "Ma sameeyaan hormoonada labka dheddig ee ka ilaaliya mindhicirka mindhicirka?" Am J Gastroenterol 2000; 95: 2296-2300. 10 Sebtembar 2013.
Kim BJ, Rhee PL, Park JH, et al. "Hooyo haween ah ayaa laga yaabaa in ay saameyn ku yeeshaan calaamadaha xanuunka mindhicirka ee ragga dhalinyarada ah." Digestion 2008; 78: 88-92. doi: 10.1159 / 000166600. Epub 2008 Oct 31. 10 Sebtembar 2013.