Sintomi

Li ngħixu ma' IBD: tħossok imħasseb, u l-parti li ħadd ma jkejjel

L-immunità fuq il-karta u l-immunità kif esperjenzata huma affarijiet differenti, u l-vojt huwa fejn jgħix ħafna mill-piż.

Aġġornat 2 min read 22 ċitazzjonijiet Saħħa tal-evidenza 3/5

Tħossok imħasseb

Tħossok imħasseb huwa fost is-sintomi l-aktar rapportati fl-IBD u fost l-aktar li ma jittrattawx. Jibqa' f'frazzjoni kbira tan-nies li l-infjammazzjoni tagħhom hija kkontrollata, li jfisser li mhuwiex sempliċement markatur ta' attivitá tal-marda.

Il-kontribwenti jinkludu l-anemija (nuqqas ta' ferra huwa komuni ħafna u korrettabbli), disturb fil-ħin tal-ħolqien, effetti tal-mediċini, infjammazzjoni kronika, u l-piż psikoloġiku ta' marda imprevedibbli. Il-korrettabbli huma ta' valur biex jiġu segwiti b'mod esplicitu, għax ħadd ma se jsemmihom għalik f'appuntament ta' ħmistax-il minuta li jiffoka fuq il-calprotectin.

Il-piż tat-tħossok imħasseb fl-IBD

Saħħa mentali

Ir-rati ta' ansjetà u depressjoni fl-IBD jespandu b'mod sostanzjali r-rati ta' sfond. L-evidenza ovvia — li ngħixu ma' marda imprevedibbli, stigmata, li xi drabi tikkawża inkontinenza hija tħassib — hija vera u probabbilment mhix l-istorja kollha, meta wieħed iqis il-passi infjammatorji u l-passi tal-ġilda u tal-moħħ koperti fuq is-sit tagħna gut-brain evidence site.

Dak li huwa prattikament importanti huwa li dan huwa trattabbli u spiss jintilef. L-appoġġ psikoloġiku huwa parti mill-kura tal-IBD fil-gwida Ewropea u huwa distribwit b'mod mhux uniformi.

Il-piż prattiku

  • Ansjetà dwar l-aċċess għall- toilet, li tikkonfina t-travel, ix-xogħol u l-ħajja soċjali aktar milli japprezzaw il-kliniċi tipikament.
  • Imprevedibbiltà. Il-pjanar huwa diffiċli meta flare jista' jasal mingħajr twissija.
  • Ħarsien tad-dieta. Triggers individwali, l-ebda lista valida, u ħafna pariri kontradittorji — ara diet.
  • Impjieg. Tħossok imħasseb u urġenza jinteraġixxu ħażin ma' mudelli ta' xogħol rigidi.
  • Travel. Ħażna tal-mediċini, sigurtà tal-ikel u aċċess — koperti fuq is-sit tagħna travel health site.

Epidemioloġija

L-inċidenza tal-IBD hija għolja u stabbli fl-Ewropa u fl-Nord America u qed tiżdied b'mod qawwi f'pajjiżi ġodda industrijalizzati. Dak il-patruna ġeografiku huwa wieħed mill-aktar argumenti b'saħħithom għal komponent ambjentali — dieta, igiene, antibiotiks u l-mikrobioma huma kollha kandidati, u l-ebda wieħed mhu stabbilit.

Mistoqsijiet komuni

Għaliex jien eżawst jekk jien fl-immunità?
Tħossok imħasseb spiss jibqa' wara l-kontroll infjammatorju. Iċċekkja ferritin u B12 l-ewwel; huma komuni, korrettabbli u spiss jintilef.
Qed tagħmel stress il-flare tiegħi?
Stress plausibbilment jaffettwa s-sintomi u l-evidenza li jikkawża infjammazzjoni hija iktar dgħajfa mill-mudell folkloristiku. Mhux kulħadd huwa ħtija tiegħek.
Se jkolli bżonn operazzjoni?
Minorità sostanzjali għandhom, u l-proporzjon naqas hekk kif it-terapija effettiva waslet aktar kmieni — ara treatment.
Nista' nivvjaġġa?
Iva, bil-pjanar madwar il-mediċini, l-assigurazzjoni u s-sigurtà tal-ikel.

Referenzi

Kull ċitazzjoni hawn taħt tgħaqqad mal-record oriġinali peer-reviewed fuq PubMed jew permezz ta' DOI. Xejn hawnhekk m'għandux ikun sostitut għal parir mediku.

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Din il-paġna ġiet tradotta awtomatikament mill-Ingliż. Il-citazzjonijiet u n-numri mhumiex mibdula. Aqra l-original Ingliż jekk xi ħaġa taqra b'mod stramb. Aqra l-original Ingliż