Kamano pakeng tsa marulelo a hao le migraine ea hau
Matšoao a hlaselang a maling (IBS) le migraine ke mathata a mabeli a amanang le bohloko, empa leha ho le joalo a ba le likarolo tse itseng. Sena se fana ka makala a tloaelehileng a tšoanang le a tlhaho a tsoang sefateng se tloaelehileng.
Ha e le hantle, ho tloaelehile hore batho ba nang le IBS ba be le migraine le ka tsela e fapaneng. Hangata batho ba tseba ho hongata ka boloetse bo le bong, hangata bo bohloko kapa bo fokolisang.
IBS le Migraines ke Syndromes e Bohareng ba ho Utloa Bohloko
Litsebi tse ngata li fana ka maikutlo a hore bobeli ba migraine le bohale bo bakoang ke lefu la boea ke bohlokong bo matla ba kutloisiso ea syndromes.
"Bohareng" bo bolela bohloko bo bakoang ke phetoho ea tsamaiso ea methapo e kholo, e nang le boko le mokokotlo oa mokokotlo.
"Ho ba le kutloisiso" ho bolela hore batho ba nang le migraine le IBS ba na le kutloisiso e matla ea lintho tse peli tse lokelang ho ba tse sa lokelang ho utloisa bohloko, ho bolelang hore ba ikutloa ba le bohloko bo boholo ho feta ba tloaelehileng ba nang le moriana ( hyperlagesia ) kapa ba sa thabiseng ( allodynia ).
Boemo ba ho se Utloe Bohloho ho Migraines
Nakong ea tlhaselo ea migraine, bo-rasaense ba lumela hore methapo ea mali e potolohileng boko e phahama. Metsing ena ea ho phalla kapa ho atolosa e etsa hore methapo ea trigeminal ( mokokotlo oa mokokotlo ) o lokolle li-peptide joaloka peptide e amanang le liphatsa tsa lefutso (CGRP) , e khothalletsang ho ruruha le ho fetisetsa matšoao a bohloko bokong-sena se bitsoa tsela ea bohloko ea trigeminovascular.
Qetellong, boko bo ntse bo khothatsoa ke ba susumetsang, tse bolelang lisele tsa methapo bokong li ka fetisetsa melaetsa ka mokhoa o bonolo ka tsela ea bohloko ea trigeminovascular hobane ba e entse pele. Sena se bitsoa ho matlafatsa bohareng 'me se ka etsa hore litlhaselo tsa migraine li hlahe ka mokhoa o bonolo haholoanyane ka ho pepeseha mokokotlo o tšoanang.
Boikutlo ba ho ba le kutloisiso bohareng ba IBS
Sebaka sa bohlokoa sa IBS ke hypcerensitivity visceral, e bolelang hore litho tsa ka hare tsa motho (mohlala, mala, mala, senya) li baka keketseho ea maikutlo a bohloko. Ke ka lebaka leo ho ruruha ha mpa kapa ho senyeha ho motho ho ka bang monate le ho fokolisa motho ea nang le IBS.
Litsebi li lumela hore hypcerensitivity ea visceral ea IBS e qetella e lebisa tlhokomelong ea tsamaiso ea methapo ea mantlha. Sena se tla hlalosa hore na ke hobane'ng ha batho ba bangata ba nang le IBS ba e-na le matšoao a amanang le bohloko (mohlala, migraine, maqhama le mahlaba a mesifa) 'me ba bang ha ba joalo.
Tse ling tsa Central Sensibility Syndromes
Mathata a mang a tloaelehileng a khetholloang e le li-syndromes tsa kutloisiso e kenyeletsa:
- fibromyalgia
- boloetse bo sa foleng ba mokhathala
- bohloko bo sa foleng ba mahlaba
- li-cystitis
Joaloka maloetse ana a mang, IBS le migraine li fumanoa ke matšoao a bona, ho bolelang hore ha ho na leba kapa teko ea ho etsa litšoantšo ho e netefatsa. Ho e-na le ho na le litekanyetso tseo lingaka li li sebelisang ho fumana hore na mokuli o na le bothata ba mofuta ofe-joalo ka lethathamo la lichelete tsa matšoao, empa ho na le lintlha tse qaqileng.
The Link Estrogen: IBS le Migraines
Ntle le kutloisiso e matla ea bobeli, IBS le migraine li tloaelehile ho basali. Sena se fana ka maikutlo a hore li-hormone tsa thobalano, haholo-holo estrogen, li na le tšusumetso ea mathata ana a bohloko.
IBS le Estrogen
Ho IBS, estrogen ha e fokolise bohloko le khatello ea kelello bokong, empa e boetse e ama kutloisiso ea 'mele oa hao ho bohloko, motility oa likoti tsa hau, esita le mofuta oa libaktheria tse hōlang ka marong.
Ho boleloa hore karolo ea estrogen ho IBS e rarahane. Ke ka lebaka leo lipatlisiso li hanyetsanang le hore na mekhahlelo e itseng ea li-hormone bophelong ba mosali e thusa kapa e mpefatsa matšoao a eona a IBS. Ka mohlala, liphuputso tsa boholo-holo li bontša hore liketsahalo tsa IBS li fokotsehile ka mor'a ho ipolaea , ha litekanyetso tsa estrogen 'meleng li le tlase haholo. Ha ho buuoa joalo, basali ba bang ba tlaleha ho mpefatsa matšoao a GI, haholo-holo ho thibela le ho senya, ka mor'a ho khaotsa ho ipolaea.
Migraines le Estrogen
Li-migraine, basali ba atisa ho ntlafala ha ba e-na le migraine nakong ea bobeli ba bobeli le ba boraro ba bokhachane ha maemo a tsona a estrogen a phahame. Ka mokhoa o ts'oanang, ho ea khoeling ho tloaelehile ho ba le migraine ea basali 'me ho lumeloa hore ho bakoa ke ho theoha ha estrogen, e hlahang pele ho nako.
Ka mokhoa o tšoanang, basali ba bangata ba na le migraine e mengata ha ba ntse ba atamela ho ea ts'ebetsong, ha mosebetsi oa bona oa mahe o qala ho theoha le maemong a estrogen 'meleng oa qala ho oa. Ha ho boleloa hore, migraine ea bona e bonahala e ntlafala ka mor'a hore ba tsoe pele-e leng setšoantšo se ferekanyang, ho fana ka maikutlo a lintho tse 'maloa tse bapalang.
Lintlha Tse Ling Tse Tloaelehileng tsa IBS le Migraines
Ho tloaelehile hore mathata a kelello a kang ho tepella maikutlong, matšoenyeho, le / kapa lefu la khatello ea kelello ka morao-rao le hlahang le IBS le migraines. Ho ba le boloetse ba kelello ho phaella ho bothata ba ho utloa bohloko ke potoloho e makatsang ea ntho e susumetsang e 'ngoe. Hangata ho thata ho netefatsa hore na ke eng e ileng ea tla pele, khopolo ea "khoho le mahe". Ho sa tsotellehe hore na, ho kopana ha bohloko ba 'mele hammoho le phapang ea kelello ho ka mpefatsa boleng ba bophelo ba motho le mosebetsi oa letsatsi le leng le le leng.
Ho phaella moo, hona joale saense e hlahisa hore batho ba nang le IBS le migraine ba ka arolelana liphatsa tsa lefutso tse tloaelehileng, haholo-holo tse amanang le serotonin. Khokahano ena e thahasellisa hobane e ka thusa bo-rasaense ho theha mefuta e mengata ea phekolo bakeng sa IBS le migraines.
Ho Phekola IBS ea Hao le Migraines
E le ho phekola maemo a mabeli, lingaka li atisa ho khothalletsa mefuta e meng ea phekolo e akarelletsang meriana le mekhoa ea phekolo ea boitšoaro, joaloka phetoho ea biofeedback kapa ts'oaetso-ea boitšoaro. Ho phaella moo, mekhoa ea phekolo e tlatsetso, joaloka phekolo ea phekolo , hangata e sebelisoa ke bakuli ho eketsa khatholoho ea bohloko ba bona.
Bo-rasaense ba boetse ba shebile kalafo e le 'ngoe e ka thusang maemo a mabeli, e mong e le ho phekola phekolo. Phuputsong e 'ngoe e nyenyane ea 2013 ho Hlooho ea lihlooho , barupeluoa ba nang le migraine le IBS ba ile ba ja lijo tse fokolang, ba itšetlehile ka litekanyetso tse phahameng tsa IgG maling a bona ha ba pepa lijo tse itseng. IgG ke antibody le marker bakeng sa ho ruruha 'meleng. Lijo tseo li ne li fokotsa matšoao a IBS le migraine ho litho tsa sehlopha.
Ntho e ka tlaase
Tlhaloso pakeng tsa mathata a mabeli ha e bolele hore e mong o baka e 'ngoe, kapa hore ka tsela e le' ngoe u tla qetella u hlahisa tse ling. E mpa e bolela feela hore ho na le li-link.
Ho ithuta likamano pakeng tsa IBS le migraine ho thusa bo-rasaense ho utloisisa habonolo hore na ke hobane'ng ha mathata ana a bohloko a hlaolela le hore na lingaka li ka li tšoara ka ho fetisisa-e leng ts'ebetso e liehang e hloka tlhaloso le thuto e hlokolosi.
Lisebelisoa:
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Mulak A, Taché Y, Larauche M. Sex Hormone ka ho Feto-fetoha ha Irritable Bowel Syndrome. World J Gastroenterol . 2014; 20 (10): 2433-48.
Uluduz D et al. Khokahanyo pakeng tsa Migraine, Khohlano Mofuta oa Hlooho le Hlooho ea Irritable Bowel Syndrome: Lipontšo tsa Meriana ea Meriana le ea Mahlaseli. Neurology . 2016; 86 (16) SupplementP4.120.