Qhov Tseem Ceeb Qhov txawv - IBS vs Crohn's
IBS thiab Crohn tus kab mob yog ob yam mob uas cuam tshuam rau txoj hnyuv. Irritable plob tsis so tswj syndrome los yog IBS yog txhais raws li ib tug functional derangement ntawm txoj hnyuv uas ua rau muaj kev hloov ntawm lub plab hnyuv siab raum thiab mob plab thaum Crohn tus kab mob yog ib tug inflammatory plob tsis so tswj kab mob tshwm sim los ntawm transmural o ntawm lub colonic mucosa. Txawm hais tias txoj hnyuv tau mob hauv Crohn tus kab mob, tsis muaj cov txheej txheem inflammatory no tau pom hauv IBS. Qhov no tuaj yeem suav tias yog qhov sib txawv tseem ceeb ntawm IBS thiab Crohn's.
IBS yog dab tsi?
Irritable bowel syndrome lossis IBS txhais tau tias yog kev ua haujlwm tsis zoo ntawm cov hnyuv uas ua rau muaj kev hloov pauv hauv plab thiab mob plab. Lub hom phiaj tseem ceeb yog qhov tsis muaj cov txheej txheem inflammatory hauv cov kab mob colonic.
Tshuaj Kho Mob
- Kev hloov ntawm lub plab zom mov - qhov no tuaj yeem yog cem quav lossis raws plab
- Kab mob plab
- Nqe lossis dawb mucorrhea
- Kev sib deev tsis zoo
- Dyspepsia
- Ntaus, ntuav
- tso zis ntau zaus thiab ceev
- Fibromyalgia
- Txom nyem ntawm cov tsos mob thaum lub sijhawm perimenstrual
Diagnosis
Kev kuaj mob ntawm IBS yog ua raws li cov hauv qab no.
Tus neeg mob yuav tsum tau mob plab kom ntev li 3 lub hlis nrog tsawg kawg yog ob qhov kev kho mob hauv qab no.
- mob yuav tsum muaj feem cuam tshuam nrog kev tso quav
- Hloov pauv ntawm qhov tso quav ntau zaus
- Hloov qhov kev ntxhib los mos ntawm cov quav
Qhov muaj cov tsos mob ntxiv xws li mucorrhea thiab plab plab zom mov ua rau qhov kev kuaj mob.
Muaj plaub yam tseem ceeb ntawm IBS
- IBS-D: raws plab yog qhov tseem ceeb tshaj
- IBS-C: cem quav yog qhov tseem ceeb
- IBS-M: sib xyaw raws plab thiab cem quav
- IBS-U: kev nthuav qhia kho mob tsis zoo ib yam li ntawm peb pawg saum toj no
Daim duab 01: Gastrointestinal System
Kev tswj hwm
Nonpharmacological tswj suav nrog
- Kev hloov pauv noj zaub mov xws li nce cov ntsiab lus fiber ntau ntawm cov khoom noj thiab txo qis cov psyllium tebchaw kom txo qis qhov flatulence
- Haus dej ntau
- Kev txo qis kev noj zaub mov tuaj yeem tiv thaiv plab plab
Y Pharmacological Intervention
- Anticholinergics xws li dicyclomine
- Cov tshuaj tiv thaiv kab mob xws li loperamide
- Tricyclic antidepressants
- YProkinetics
- Ntau cov tshuaj laxatives
Crohn yog dab tsi?
Crohn tus kab mob yog kab mob plab hnyuv uas tshwm sim los ntawm kev hloov pauv ntawm cov kab mob colonic mucosa. Feem ntau, tsuas yog qee thaj tsam ntawm txoj hnyuv tau mob ua rau kis kab mob es tsis muaj kev koom tes tas mus li.
Daim duab 02: Crohn's
Tshuaj Kho Mob
Zoo plab
Mob plab hauv Crohn tus kab mob yog vim muaj cov kua dej ntau dhau thiab kev nqus dej tsis zoo los ntawm qhov mob plab hnyuv mucosa. Ntxiv rau qhov ntawd, malabsorption ntawm cov kua tsib ntsev los ntawm cov kab mob hauv lub davhlau ya nyob twg ileum kuj tseem ua rau muaj qhov ua rau mob raws plab.
YFibrostenotic Disease
Kev cuam tshuam ntawm plab hnyuv vim yog plab hnyuv me lossis cov plab hnyuv loj tuaj yeem ua rau cov tsos mob xws li mob plab, cem quav, xeev siab, thiab ntuav.
Fistulizing Disease
Cov kab mob transmural ntawm GIT tuaj yeem ua rau cov kab mob sinus, serosal penetration, thiab fistulae xws li enteroenteric fistulae. Kev nkag mus ntawm lub plab zom mov los ntawm cov kab mob inflammatory ua rau cov kua dej tso rau hauv cov kab noj hniav uas ua rau peritonitis thiab lwm yam teeb meem.
Cov Teeb Meem Hauv Zos ntawm Crohn's Disease
- Dej raws plab vim muaj kev cuam tshuam ntawm cov dej hauv plab thiab nqus electrolyte
- Qhov txo qis ntawm cov kua tsib acid cuam tshuam kev nqus cov rog, ua rau steatorrhea
- Ntev mus ntev steatorrhea tuaj yeem ua rau pob txha pob txha, kev noj zaub mov tsis txaus thiab ua kom ntshav tsis zoo
- Nephrolithiasis (kev tsim cov pob zeb raum)
- Vitamin B12 malabsorption
Crohn tus kab mob ua rau muaj kev pheej hmoo ntawm cov qog nqaij hlav hauv plab, lymphomas thiab squamous cell carcinomas ntawm qhov quav.
Morphology
Macroscopy
Feem ntau sab xis ntawm txoj hnyuv raug cuam tshuam los ntawm Crohn tus kab mob. Muaj segmental faib ntawm qhov txhab. Feem ntau, lub qhov quav yog tseg.
Microscopy
Muaj kev cuam tshuam kev cuam tshuam nrog qhov tshwm sim ntawm fissures thiab noncaseating granulomas.
Diagnosis
Cov keeb kwm kho mob thiab kev kuaj mob ua lub luag haujlwm tseem ceeb hauv kev kuaj mob CD.
Endoscopy qhia pom qhov pom ntawm aphthous ulcers uas ua rau pom pob zeb zoo nkauj. Kev kuaj plab plab thiab pelvic tuaj yeem siv los txheeb xyuas txhua qhov abscesses.
Kev tswj hwm
Tsis muaj kev kho mob Crohn tus kab mob. Lub hom phiaj ntawm kev kho mob yog kev tawm tsam ntawm cov txheej txheem inflammatory uas ua rau cov tsos mob tshwm sim thiab cov tsos mob tshwm sim.
tshuaj tiv thaiv kab mob
Corticosteroids xws li prednisolone
YAminosalicylates
- Lub cev tiv thaiv kab mob xws li azathioprine thiab cov tshuaj lom neeg xws li infliximab
- Tshuaj tua kab mob
- Antidiarrheals
- YIron thiab vitamin B12 ntxiv
Qee zaum, yuav tsum tau phais tshem tawm qhov puas ntawm txoj hnyuv.
Dab tsi yog qhov zoo sib xws ntawm IBS thiab Crohn's?
- Ob leeg yog kab mob ntawm GI ib puag ncig.
- Zoo plab yog ib yam mob tshwm sim hauv ob qho tib si.
Qhov txawv ntawm IBS thiab Crohn yog dab tsi?
IBS vs Crohn's |
|
| Irritable bowel syndrome txhais tau tias yog kev ua haujlwm tsis zoo ntawm txoj hnyuv uas ua rau muaj kev hloov pauv hauv plab thiab mob plab. | Crohn's disease yog kab mob plab hnyuv uas tshwm sim los ntawm kev hloov pauv ntawm lub plab mucosa. |
| Colonic Mucosa | |
| Tsis muaj qhov mob ntawm lub plab mucosa. | Colonic mucosa yog o. |
| khaw siab | |
| cem quav yog pom raws li cov tsos mob qee zaum. | cem quav tsis yog qhov tsos mob. |
Summary – IBS vs Crohn's
Crohn tus kab mob yog kab mob plab hnyuv uas tshwm sim los ntawm kev hloov pauv ntawm cov kab mob colonic mucosa. Ib qho kev ua haujlwm tsis zoo ntawm txoj hnyuv uas ua rau muaj kev hloov pauv ntawm plab hnyuv thiab mob plab yog pom tias yog lub plab hnyuv siab raum. Kev mob tshwm sim tsuas yog pom hauv Crohn tus kab mob thiab tsis yog hauv IBS.
Download PDF Version ntawm IBS vs Crohn's
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm IBS thiab Crohns
