32 I R S

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32 I R S

  1. 1. öÜóìá ëåéôïõñãéêÿí äéáôáñá÷ÿí åõåñ èéóôï íôåñï ìç åëêùôéê äõó åøßá = ëåéôïõñãéê äéáôáñá÷ åõåñ èéóôï íôåñï Üôõ ï Üëãïò ñïóÿ ïõ êïéëéáêü Üëãïò óôïìáôéê êáõóáëãßá áëëáã ò óôéò óõí èåéåò ôïõ åíô ñïõ õóôåñßá = globus hystericus ?? åíßïôå ôåéíåóìüò ñÿéìç óõíáéóèçìáôéê äéáôáñá÷ äéÜãíùóç êñéô ñéá ROME äéÜññïéá êñéô ñéá MANNING ÷ïëåóôõñáìßíç ëï åñáìßäç = imodium áíôáãùíéóô ò óåñïôïíßíçò = äõíáôü åãêáôÜóôáóç äõóêïéëéüôçôáò, êáôÜëçîç áï éó÷áéìéê êïëßôéäá. ìüíï ìïñö ò ôçò íüóïõ óå è ëåá ìå IBS + äéÜññïéá åíáëëáã ò óôéò åíôåñéê ò óõí èåéåò ì íôá íåõñïãåí ò äéÜññïéá å ßìïíç äõóêïéëéüôçôá äéÜôáóç äõóöïñßá óôï áíÿôåñï ÃÅÓ äõóêïéëéüôçôá ñùéíü ãå ìá ìå óêï ü ñùéí áöüäåõóç á îçóç üãêïõ êï ñÜíùí = [ FIBER, PSYLLIUM, BRAN] éèáíÜ åñãáóôçñéáêÜ åõñ ìáôá ùóìùôéêÜ êáèáñêôéêÜ ñéí ôïí íï ^ ESR áí á ïô ÷ïõí, stimulus laxatives ëåõêïêõôôÜñùóç LUBIPROSTONE áíáéìßá TEGASEPROD LOXIGLUMIDE (CHOLECYSTOKININ-A RECEPTOR ANTAGONIST) äéáöïñéê äéÜãíùóç äéÜôáóç íåï ëáóßåò, áäåíïêáñêßíùìá óéìåèéêüíç êïéëéáê óôçèÜã÷ç = éó÷áéìéê êïëßôéäá â ãáëáêôïóéäÜóç øåõäïá üöñáîç äéáëåß ïõóá óõóôñïö óéãìïåéäï ò ôïîéêü ìåãÜêïëï åíäïêñéíéê ò äéáôáñá÷ ò = TSH, ADDISON äõóá ïñüöçóç äéáôáñá÷ óõíáéóè ìáôïò = SSRI åíäïìçôñßùóç giardiasis Üã÷ïò = âïõó éñüíç, áìéôñõ ôéëßíç êáèáñêôéêÜ êáôÜ÷ñçóç öÜñìáêá ìå áíå éè. äñÜóç = äõóêïéëéüôçôá øõ÷éáôñéêü õ üâáèñï ÷ñüíéï Üëãïò = áìéôñõ ôéëßíç, äåóé ñáìëéíç, SSRI åñãáóôçñéáêÜ ìåôáãåõìáôéêü Üëãïò = áíôé÷ïëéíåñãéêÜ ì ÷ñé 2 åâäïìÜäåò [ áí äåí õ Üñîåé ñïåî ÷ïõóá äõóêïéëéüôçôá áíôá üêñéóç ] ãåíéê áßìáôïò TSH óéãìïåéäïóêü çóç, êïëïíïóêü çóç ñïåî ÷ïõóá äéÜññïéá = ôá ùò Üíù ++ ë ñçò âéï÷çìéêüò ëåã÷ïò ESR áñáóéôïëïãéê êï ñÜíùí ëåõêÜ êï ñÜíùí Celiac Sprue (Transglutaminase, endomysial Antibody) ñïåî ÷ùí êïéëéáêü Üëãïò ãåíéê áßìáôïò äéá÷åßñçóç - ãåíéêÜ ì ôñá äåí åßíáé ë ïí äéÜãíùóç åî á ïêëåéóìï íá ìçí á ïäßäåôáé á ïêëåéóôéêá óå øõ÷ïãåí áßôéá á ïöõã / äéá÷åßñçóç óôñåò åíõäÜôùóç á îçóç üãêïõ êï ñÜíùí á ïöõã [ áëêïüë, êáö , üó ñéá, óïñâéôüëç, êáëáì üêé, óéôÜñé, êßôñá, ôå÷íçôÜ ãëõêáíôéêÜ, ëé áñÜ ãå ìáôá, ÷ñüíéï ÷ñ óç êáèáñêôéêÿí, âåíæïäéáæå ßíåò, íáñêùôéêÜ

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