IBD Evidence

Symptom

At lívi við IBD: fatigue, pínu og partar sum eingin málar

Remissión á pappír og remissión sum upplivað eru ymisk ting, og gapið er har flestu av byrðuni liggur.

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Fatigue

Fatigue er millum tey mest ofta meldaðu symptomini í IBD og millum tey minst ofta viðgjørd. Tað heldur fram í einum stórum part av fólki, har inflamatiónin er stýrð, sum merkir, at tað er ikki bara ein merkir um sjúkuvirksemi.

Ávirkjarar eru millum annað anemi (jernmangul er nógv vanligur og rættanlegur), svefntruflanir, lyknivøttur, kronisk inflamatión, og sálarligur byrði av einum ófyrisigandi sjúku. Tey rættanlegu eru vert at fylgja upp á beinleiðis, tí eingin fer at taka tey upp fyri teg í einum fimtán-minuttum fundi, sum er miðvíst um calprotectin.

Fatigue byrði í IBD

Sálarheilsu

Angist og depresiónarhøttir í IBD yvirganga nógv bakgrundarhøttir. Tann augljósa forklaringin — at liva við einum ófyrisigandi, stigmatiseraðum, stundum pínandi sjúku er óhugnaligt — er veruligt og kanska ikki alt søgan, tá hugsað verður um inflamatóriskar og tarm-heilabrúkar leiðir sum eru viðgjørdar á okkara tarm-heilabrúkar vøttum.

Tað sum hevur týdning í praktiskum førum er, at hetta er viðgerandi og ofta missað. Sálarlig stuðul er ein partur av IBD viðgerð í evropeiskum leiðbeiningum og er ójavnt veittur.

Tað praktiska byrði

  • Angist fyri toalettum, sum avmarkar ferð, arbeiði og sosialt lív meira enn læknar vanligt meta.
  • Ófyrisigandi. At planleggja er torført, tá ein fløtt kann koma uttan fyrireiking.
  • Matarstýring. Persónligir ávirkjarar, eingin staðfest listi, og nógv mótstríðandi ráð — sí matur.
  • Arbeiði. Fatigue og bráðskund eru illa samanspæld við strikta arbeiðsmynstur.
  • Ferð. Lyknivøttur, mattrygd og atgongd — viðgjørt á okkara ferðarheilsuvøttum.

Epidemiologi

IBD frekvens er høg og stabil í Europa og Norðuramerika og vaksandi skarpt í nýtt industrialiseruðum londum. Tann geografiska mynstur er ein av sterkastu argumentunum fyri einum umhvørvisligum part — matur, hreinleiki, antibiotika og mikrobiomet eru øll kandidatar, og eingin er staðfest.

Vanligar spurningar

Hví eri eg móður, um eg eri í remissión?
Fatigue heldur ofta fram eftir inflamatóriskari stýrð. Kanna ferritin og B12 fyrst; tey eru vanlig, rættanleg og ofta missað.
Er stress orsøkin til mínar fløttir?
Stress hevur sannlíkt ávirkan á symptomini og evnið um at tað orsakar inflamatión er veikari enn fólkamyndin. Tað er ikki títt skuld.
Mundi eg fáa atgerð?
Ein stórur minni partur ger, og parturin er fallin, tá effektiv terapi kom fyrr — sí viðgerð.
Kann eg ferðast?
Ja, við fyrireiking um lyknivøtt, trygging og mattrygd.

Viðmerkingar

Hver einasta tilvísing niðanfyri bendir til upprunaliga peer-reviewed skjalið á PubMed ella gjøgnum DOI. Einki her er ein staðfesting fyri læknaligt ráð.

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  9. STRIDE-II: An Update on the Selecting Therapeutic Targets in Inflammatory Bowel Disease (STRIDE) Initiative of the International Organization for the Study of IBD (IOIBD): Determining Therapeutic Goals for Treat-to-Target strategies in IBD Turner D, Ricciuto A, Lewis A, et al. · Gastroenterology · 2021 · Systematic review DOIPubMed 33359090
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  17. Hidradenitis suppurativa: an update on epidemiology, phenotypes, diagnosis, pathogenesis, comorbidities and quality of life Nguyen TV, Damiani G, Orenstein LAV, et al. · Journal of the European Academy of Dermatology and Venereology : JEADV · 2021 · Review DOIPubMed 32460374
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