Kev Sib Txuas Ntawm PCOS thiab IBS

Zoo Siab

• PCOS thiab IBS yog dab tsi?
• Kev Sib Txuas Ntawm IBS thiab PCOS
• Koj yuav ua dab tsi yog tias koj xav tias koj muaj ob lub PCOS thiab IBS?
• Yuav kuaj thiab kho li cas
• Tshuaj xyuas rau

Yog tias ib qho tshiab, qhov tseeb muaj zog tau tshwm sim los ntawm cov zaub mov thiab kev noj qab haus huv nyob rau ob peb xyoos dhau los, nws yog qhov vwm tsuas yog ntau npaum li cas koj lub plab microbiome cuam tshuam rau koj kev noj qab haus huv tag nrho. Tab sis koj yuav xav tsis thoob tias nws tseem cuam tshuam nrog koj li kev ua me nyuam ib yam nkaus, tshwj xeeb, yog tias koj muaj polycystic ovary syndrome.

Polycystic ovary syndrome (PCOS) cuam tshuam rau 1 ntawm 10 tus poj niam hauv Tebchaws Meskas, raws li US Department of Health thiab Human Services. Carolyn Newberry, MD, kws kho mob plab zom mov ntawm New York-Presbyterian thiab Weill Cornell Tshuaj hais tias Carolyn Newberry, MD, tus kws kho mob plab zom mov ntawm New York-Presbyterian thiab Weill Cornell Tshuaj.

Raws li ib txwm muaj raws li txhua tus ntawm lawv tus kheej, muaj ntau qhov sib tshooj: Txog li 42 feem pua ​​​​ntawm cov neeg mob nrog PCOS kuj muaj IBS, raws li kev tshawb fawb xyoo 2009 luam tawm hauv phau ntawv journal Kab Mob Digestive thiab Kev Tshawb Fawb.

Dab tsi muab? Raws li cov kws tshaj lij, ib-ob qhov kev ntaus nrig ntawm PCOS thiab IBS kev kuaj mob yog qhov tseeb. Nov yog txhua yam koj xav paub txog kev sib txuas, thiab yuav ua li cas yog tias koj xav tias koj muaj nws.

PCOS thiab IBS yog dab tsi?

Ua ntej, tau txais kev qhia me ntsis ntawm ob qho xwm txheej.

Polycystic zes qe menyuam syndrome yog qhov teeb meem hormonal cuam tshuam rau poj niam yam tsis muaj laj thawj lossis kho tau zoo, "txawm hais tias yuav muaj kev sib xyaw ua ke ntawm caj ces thiab ib puag ncig ntawm kev ua si," hais tias Julie Levitt, MD, ob-gyn ntawm Cov Poj Niam Pawg ntawm Northwestern hauv Chicago. Cov cim qhia ntawm PCOS suav nrog tsis muaj ovulation, qib txiv neej cov tshuaj hormones (androgen) qib, thiab cov qog me me ntawm zes qe menyuam, txawm hais tias poj niam yuav tsis tuaj nrog txhua peb. Nws kuj yog ib qho ua rau infertility.

Mob plab hnyuv syndrome yog ib qho xwm txheej tshwj xeeb los ntawm "tus qauv ua haujlwm tsis tu ncua hauv plab thiab mob plab hauv cov neeg uas tsis muaj lwm qhov kev piav qhia rau cov tsos mob (zoo li kev kis mob lossis mob qog noj ntshav)," hais tias Dr. Newberry. Qhov laj thawj ntawm IBS tsis paub meej, tab sis nws yuav ua rau muaj kev nkag siab zoo ntawm cov hlab ntsha hauv plab, uas tuaj yeem hloov pauv los ntawm ib puag ncig sab nraud ua rau muaj kev noj haus, kev ntxhov siab, thiab kev pw tsaug zog.

Kev Sib Txuas Ntawm IBS thiab PCOS

Thaum xyoo 2009 txoj kev tshawb nrhiav pom muaj peev xwm sib txuas ntawm ob, nws yog qhov piv txwv me me, thiab (zoo li feem ntau muaj tseeb hauv tshuaj) cov kws tshaj lij ntseeg tias yuav tsum muaj kev tshawb fawb ntau ntxiv los ua pov thawj qhov txuas yog qhov tseeb.

"Tsis muaj kev sib txuas ntawm IBS thiab PCOS; Txawm li cas los xij, ob qho tib si feem ntau cuam tshuam rau cov poj niam hluas, thiab yog li ntawd ntau tus neeg uas muaj ib tus mob kuj muaj lwm yam," hais tias Dr. Newberry. (Nws yog qhov tseeb: IBS thiab lwm yam teeb meem GI yog qhov tsis txaus ntseeg ntau dua rau cov poj niam.)

Thiab, tom qab tag nrho, IBS thiab PCOS muaj cov tsos mob zoo sib xws: tsam plab, cem quav, raws plab, mob plab thiab plab, hais tias Dr. Levitt.

Ib qho laj thawj rau kev sib cuam tshuam yog qhov teeb meem hormonal cuam tshuam nrog PCOS tuaj yeem cuam tshuam rau koj lub plab ib yam nkaus: "Nws yog qhov tseeb ntawm cov neeg mob nrog PCOS tuaj yeem muaj IBS cov tsos mob, vim PCOS cuam tshuam nrog ntau ntau ntawm cov tshuaj androgen (xws li testosterone) thiab txawv txav hauv cov kab ke endocrine/hormonal tuaj yeem hloov pauv txoj haujlwm ntawm lub plab, "hais tias John Pandolfino, MD, tus thawj coj ntawm lub plab zom mov ntawm Digestive Health Center ntawm Northwestern Medicine.

Lwm cov tsos mob ntawm PCOS tuaj yeem ua rau muaj teeb meem digestive, thiab. Cov mob hnyav dua ntawm PCOS yog cuam tshuam nrog insulin tsis kam (thaum cov hlwb pib tawm tsam lossis tsis quav ntsej cov cim los ntawm cov tshuaj insulin, uas cuam tshuam rau koj lub cev tswj cov ntshav qab zib li cas) thiab o, uas tuaj yeem tshwm sim hauv cov kab mob uas nyob hauv cov hnyuv, hais tias Dr. .Levitt. Ib qho kev loj hlob ntawm cov kab mob no (uas koj yuav paub tias yog SIBO) tau txuas nrog IBS.

Nyob rau hauv tas li ntawd, qhov tsis txaus ntawm cov kab mob hauv koj lub plab tuaj yeem ua rau mob thiab ua rau cov tsos mob ntawm PCOS tsis zoo, tig IBS / PCOS txuas mus rau hauv ib hom vicious voj voog. "Qhov mob no tuaj yeem ua rau muaj kev tiv thaiv insulin, uas tuaj yeem ua rau zes qe menyuam kom dhau los ua testosterone, uas ua rau muaj kev cuam tshuam kev coj khaub ncaws, thiab tiv thaiv ovulation," hais tias Dr. Levitt. (Muaj feem cuam tshuam: 6 Cov Cim Qhia tias Koj Ua Tau Zoo Tshaj Testosterone)

Txawm tias yam khoom sab nraum koj lub plab tuaj yeem cuam tshuam rau ob qho xwm txheej. "Kev ntxhov siab cuam tshuam nrog PCOS kuj tseem tuaj yeem ua rau cov tsos mob hnyav dua xws li kev ntxhov siab thiab kev nyuaj siab, uas tuaj yeem ua rau mob plab thiab kev hloov hauv plab hnyuv vim kev sib cuam tshuam ntawm lub hauv nruab nrab lub paj hlwb thiab lub plab," hais tias Dr. Pandolfino.

Thaum muaj ntau yam tseem ceeb uas txuas rau lawv, cov kws tshawb fawb tseem tab tom sim txheeb xyuas seb puas muaj kev cuam tshuam ncaj qha ntawm PCOS thiab IBS, thiab raws nraim qhov ua rau.

Koj yuav ua dab tsi yog tias koj xav tias koj muaj ob lub PCOS thiab IBS?

Txij li ntau tus tsos mob ntawm IBS thiab PCOS tuaj yeem sib tshooj, nws yog qhov tseem ceeb tham nrog koj tus kws kho mob txog tag nrho ntawm koj cov tsos mob.

"Yog tias koj muaj cov tsos mob ntawm lub plab zom mov txawv (suav nrog kev hloov pauv hauv lub cev, mob plab, tsam plab, xeev siab, lossis ntuav), koj yuav tsum mus ntsib koj tus kws kho mob txhawm rau txiav txim siab yog tias koj xav tau kev tshuaj xyuas ntxiv thiab seb koj xaiv txoj kev kho mob li cas," hais tias Dr. Newberry. Yog tias koj cov tsos mob zoo ib yam nrog IBS, koj yuav xav txog kev hloov pauv kev ua neej, kev tswj kev ntxhov siab, kev hloov pauv hauv kev noj zaub mov, lossis tshuaj noj raws li kev kho mob.

Thiab tib yam mus yog tias koj xav tias koj muaj PCOS.

PCOS tuaj yeem muaj cov tsos mob zoo sib xws, suav nrog mob plab, plab hnyuv, thiab lub sijhawm txawv txav, thiab yuav tsum tau kuaj xyuas los ntawm kws kho mob, hais tias Dr. Newberry. Lawv tuaj yeem txiav txim siab yog xav tau kev tshuaj ntsuam ntxiv thiab/lossis cov tshuaj twg muaj los tswj cov tsos mob.

Yog tias koj xav tias koj muaj ob qho tib si, "qee cov tshuaj uas hais txog kev mob plab yuav zoo rau ob qho tib si," nws hais. "Tab sis ntau txoj kev kho mob hais txog ib qho mob lossis lwm yam."

Yuav kuaj thiab kho li cas

Muaj qee qhov kev hloov pauv uas koj tuaj yeem ua yog tias koj xav tias koj muaj IBS lossis PCOS uas tuaj yeem pab txo cov tsos mob.

"Koj tuaj yeem sab laj nrog koj tus kws kho mob poj niam ua ntej rau cov tsos mob IBS, tab sis thaum kawg kev xa mus rau lub plab zom mov yuav yog cov kauj ruam tom ntej los pab hloov kho kev noj zaub mov lossis kev tswj hwm kev noj qab haus huv," hais tias Dr. Levitt.

Kev hloov pauv kev noj haus yog qhov tseem ceeb hauv kev kho IBS thiab PCOS.

"Cov poj niam uas muaj PCOS tuaj yeem kho cov tsos mob ntsig txog IBS los ntawm kev hloov pauv kev noj haus (tshwj xeeb, kev noj zaub mov tsawg FODMAP), zam cov khoom noj uas yuav ua rau muaj cov tsos mob ntawm cov pa roj thiab tsam plab, ua tib zoo saib xyuas lub plab zom mov, thiab siv cov phiaj xwm kev tawm dag zog kom txo tau. qhov hnyav, yog tias qhov kev txhawj xeeb, "hais tias Dr. Levitt.

Ntxiv rau, kev tawm dag zog tuaj yeem pab nrog IBS. Cov neeg uas tau tawm dag zog li 20 mus rau 30 feeb peb mus rau tsib zaug hauv ib lub lis piam tau tshaj tawm cov tsos mob ntawm IBS zoo dua piv rau cov neeg koom uas tsis tawm dag zog, raws li kev tshawb fawb xyoo 2011 hauv American Journal of Gastroenterology.

Lwm yam kev puas siab puas ntsws thiab kev kho kom zoo yuav pab tau. (Nov yog yuav nrhiav tus kws kho mob zoo rau koj li cas.)

Kev kho tus cwj pwm zoo li hypnosis tau pom tias pab nrog IBS, hais tias Dr. Pandolfino. Kev puas siab puas ntsws lossis kev coj tus cwj pwm kuj tseem tuaj yeem ua pov thawj muaj txiaj ntsig zoo rau PCOS ib yam nkaus, txij li cov poj niam uas muaj tus mob no muaj kev nyiam ua rau muaj teeb meem kev puas siab puas ntsws, nrog rau kev ntxhov siab, kev nyuaj siab, thiab kev noj zaub mov tsis zoo.

Yog tias koj txhawj xeeb tias koj yuav muaj PCOS thiab IBS, nrog koj tus kws kho mob tham, uas tuaj yeem pab kuaj mob thiab nrhiav txoj kev kho mob zoo rau koj.

Tshuaj xyuas rau