{"id":1518,"date":"2022-07-27T08:00:23","date_gmt":"2022-07-27T06:00:23","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?p=1518"},"modified":"2024-04-02T08:56:21","modified_gmt":"2024-04-02T06:56:21","slug":"el-c-lon-irritable","status":"publish","type":"post","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/el-c-lon-irritable\/","title":{"rendered":"C\u00f2lon irritable. S\u00edmptomes i tractament"},"content":{"rendered":"

El C\u00f2lon Irritable o S\u00edndrome d’Intest\u00ed Irritable, \u00e9s un trastorn funcional que es defineix cl\u00ednicament per la relaci\u00f3, sense causa org\u00e0nica coneguda, entre el malestar abdominal i alteracions de l\u2019h\u00e0bit deposicional<\/strong>. La prevalen\u00e7a al nostre pa\u00eds varia entre el 3,3 i el 13,6%.<\/p>\n

El C\u00f2lon Irritable\u00a0\u00e9s lleugerament m\u00e9s freq\u00fcent en dones<\/strong> que en homes. Les categories m\u00e9s freq\u00fcents en aquest g\u00e8nere s\u00f3n els de predomini de restrenyiment i els de tipus alternant (alterna diarrees amb restrenyiment). El de predomini de diarrea es distribueix per igual entre tots dos sexes.<\/p>\n

La S\u00edndrome d’Intest\u00ed Irritable pot associar-se amb altres malalties, com la fibromialgia o el s\u00edndrome de fatiga cr\u00f2nica.<\/p>\n

Malgrat que alguns estudis s\u00f3n discordants en quant a si el s\u00edndrome d\u2019intest\u00ed irritable augmenta o disminueix amb l\u2019edat, la majoria suggereixen que la prevalen\u00e7a \u00e9s inferior en ancians.<\/p>\n

S\u00edmptomes freq\u00fcents de la S\u00edndrome d’Intest\u00ed Irritable (SII)<\/h3>\n

Dolor o malestar abdominal que s\u2019alleuja amb la defecaci\u00f3 i\/o amb les ventositats.<\/p>\n

Dolor o malestar abdominal que s\u2019associa a un canvi en el ritme intestinal (diarrea, restrenyiment o alternan\u00e7a de tots dos) o en la consist\u00e8ncia de la femta (dures, l\u00edquides o semi-l\u00edquides).<\/p>\n

Sensaci\u00f3 d\u2019inflament o distensi\u00f3 abdominal.<\/p>\n

Urg\u00e8ncia per defecar.<\/p>\n

Tenesme fecal (no quedar-se satisfet despr\u00e9s de la defecaci\u00f3).<\/p>\n

Incontin\u00e8ncia fecal.<\/p>\n

Pres\u00e8ncia de moc en les deposicions.<\/p>\n

Esfor\u00e7 excessiu durant la defecaci\u00f3.<\/p>\n

Sensaci\u00f3 d\u2019evacuaci\u00f3 incompleta.<\/p>\n

Altres s\u00edmptomes tamb\u00e9 relacionats: cremors d\u2019est\u00f3mac, digestions lentes, sacietat preco\u00e7, dolor anal.<\/p>\n

S\u00edmptomes no intestinals que poden associar-se amb la SII<\/h3>\n

Regles doloroses.<\/p>\n

Dolors musculars.<\/p>\n

Dolors ossis.<\/p>\n

Cansament.<\/p>\n

Mal de cap.<\/p>\n

Alteracions psicol\u00f2giques com a ansietat, angoixa, depressi\u00f3.<\/p>\n

Subtipus de la S\u00edndrome d’Intest\u00ed Irritable<\/h3>\n

SII amb predomini de restrenyiment.<\/p>\n

SII amb predomini de diarrea.<\/p>\n

SII alternant (alterna per\u00edodes de restrenyiment amb diarrees).<\/p>\n

El curs cl\u00ednic d’aquesta patolog\u00eda es caracteritza per per\u00edodes amb pres\u00e8ncia de s\u00edmptomes, alternant amb d’altres asintopm\u00e0tics.<\/p>\n

Diversos estudis han demostrat que els pacients amb SII tenen una pitjor qualitat de vida que la poblaci\u00f3 general.<\/p>\n

Causes de la S\u00edndrome d’Intest\u00ed Irritable<\/h3>\n

Encara que no es conegui exactament la causa, s\u2019han descrit alguns mecanismes fisiopatog\u00e8nics implicats<\/strong>:<\/p>\n

Factors gen\u00e8tics i ambientals.<\/p>\n

Alteracions en la motilitat digestiva (moviments intestinals).<\/p>\n

Hipersensibilitat intestinal.<\/p>\n

Sobrecreixement bacteri\u00e0.<\/p>\n

Post-gastroenteritis (despr\u00e9s d\u2019un episodi de diarrea infecciosa).<\/p>\n

Alteracions psicol\u00f2giques (ansietat, depressi\u00f3, somatitzaci\u00f3, cancerof\u00f2bia, etc).<\/p>\n

Hist\u00f2ria d\u2019ab\u00fas f\u00edsic i sexual.<\/p>\n

L\u2019estr\u00e8s psicol\u00f2gic agut podria afectar els moviments i la sensibilitat intestinal, el que explicaria el perqu\u00e8 m\u00e9s de la meitat dels pacients amb SII relacionen els episodis d\u2019exacerbacions dels seus s\u00edmptomes amb situacions estressants.<\/p>\n

El cicle menstrual influeix en la percepci\u00f3 de la patolog\u00eda a les dones que pateixen S\u00edndrome d’Intest\u00ed Irritable.<\/p>\n

Proves complement\u00e0ries utilitzades<\/h3>\n

An\u00e0lisi de sang complet amb reactants d\u2019inflamaci\u00f3, metabolisme del ferro i altres vitamines, hormones tiro\u00efdals, estudi celiac, etc.<\/p>\n

Coprocultius amb par\u00e0sits.<\/p>\n

Ileocolonoscopia amb bi\u00f2psies.<\/p>\n

Gastrosc\u00f2pia amb bi\u00f2psies.<\/p>\n

Test Al\u00e9 H2 Lactosa.<\/p>\n

Estudi de l’intest\u00ed prim mitjan\u00e7ant C\u00e0psula endosc\u00f2pia, Sencer-RM, Sencer-TAC, etc…<\/p>\n

Tractament de la S\u00edndrome d’Intest\u00ed Irritable<\/h3>\n

El recol\u00e7ament del metge i la confian\u00e7a del pacient en el mateix s\u00f3n fonamentals.<\/p>\n

El metge ha de tranquil\u00b7litzar i educar al pacient indicant-li la naturalesa completament benigna del trastorn, explicant-li de forma comprensible els motius pels quals apareixen els s\u00edmptomes i ajudant-li a detectar i controlar els factors desencadenants.<\/p>\n

Els professionals m\u00e8dics de ServiDigest li aconsell\u00e0r\u00e0 la pr\u00e0ctica d\u2019exercici f\u00edsic, seguir una dieta equilibrada i dedicar un temps adequat per la defecaci\u00f3,\u00a0 factors que milloren els s\u00edmptomes i l\u2019evoluci\u00f3 d\u2019aquest trastorn.<\/p>\n

Algunes variacions a la dieta poden ajudar: no realitzar menjars abundants, pobres en greixos i rics en prote\u00efnes pot millorar el dolor abdominal; evitar aliments flatulents millora la distensi\u00f3 abdominal; el consum d\u2019abundant fibra diet\u00e8tica (fruites, verdures, salvat de blat, etc) i l’ingesta d’aigua (1 a 2 litres diaris) ajuden a combatre el restrenyiment.<\/p>\n

Es poden utilitzar alguns medicaments seleccionats d\u2019acord amb la simptomatologia del pacient: el dolor i distensi\u00f3 abdominal milloren amb inhibidors de la motilitat intestinal (espasmol\u00edtics) i amb antidepressius a dosis baixes; la diarrea i el restrenyiment poden ser manejats amb antidiarreics i laxants, respectivament.<\/p>\n","protected":false},"excerpt":{"rendered":"

La S\u00edndrome d\u2019Intest\u00ed Irritable, o C\u00f2lon Irritable, \u00e9s un trastorn funcional que es defineix cl\u00ednicament per la relaci\u00f3, sense causa org\u00e0nica coneguda, entre el malestar abdominal i alteracions de l\u2019h\u00e0bit deposicional. […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":29377,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[828],"tags":[819,780],"class_list":{"0":"post-1518","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articles-medics","8":"tag-aparell-digestiu-2","9":"tag-restrenyiment-2"},"yoast_head":"\n29377<\/title>\n<meta name=\"description\" content=\"29377\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/el-c-lon-irritable\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"29377\" \/>\n<meta property=\"og:description\" content=\"29377\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/el-c-lon-irritable\/\" \/>\n<meta property=\"og:site_name\" content=\"Servidigest\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/servidigest\" \/>\n<meta property=\"article:published_time\" content=\"2022-07-27T06:00:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-02T06:56:21+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2014\/07\/MEDICINA-24.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"1200\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@servidigest\" \/>\n<meta name=\"twitter:site\" content=\"@servidigest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/el-c-lon-irritable\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/el-c-lon-irritable\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/person\/4079191c38c5398fcedefa4662bb1eff\"},\"headline\":\"C\u00f2lon irritable. 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