\u5728\u8fc7\u53bb\u7684\u5341\u5e74\u4e2d\uff0c\u5168\u4e16\u754c\u708e\u75c7\u6027\u80a0\u75c5\uff08IBD\uff09\u7684\u53d1\u75c5\u7387\u589e\u52a0\u4e86\u3002\u75c7\u72b6\u901a\u5e38\u5f88\u75db\u82e6\uff0c\u53ef\u80fd\u5305\u62ec\u8179\u6cfb\uff0c\u6e83\u75a1\u51fa\u8840\u548c\u8d2b\u8840\u3002<\/p>\n
SCD\u996e\u98df\uff08\u7279\u6b8a\u78b3\u6c34\u5316\u5408\u7269\u996e\u98df\uff09\u662f\u4e00\u79cd\u9650\u5236\u6027\u5f88\u5f3a\u7684\u996e\u98df\u8ba1\u5212\uff0c\u4f1a\u4e25\u683c\u9650\u5236\u78b3\u6c34\u5316\u5408\u7269\u7684\u79cd\u7c7b\u3002\u901a\u8fc7\u53bb\u9664\u5927\u591a\u6570\u590d\u6742\u7684\u78b3\u6c34\u5316\u5408\u7269\uff08\u4e3b\u8981\u662f\u8c37\u7269\uff0c\u6dc0\u7c89\uff0c\u4e73\u5236\u54c1\u548c\u7cd6\uff09\uff0c\u5e76\u53ea\u5141\u8bb8\u9700\u8981\u6700\u597d\u6d88\u5316\u7684\u7b80\u5355\u78b3\u6c34\u5316\u5408\u7269\uff0c\u6211\u4eec\u53ef\u4ee5\u51cf\u5c11\u708e\u75c7\uff0c\u5e76\u4f7f\u80c3\u80a0\u9053\uff08GI\uff09\u60a3\u8005\u4eab\u53d7\u996e\u98df\u3002<\/p>\n
1924\u5e74\uff0cSidney V. Haas\u63cf\u8ff0\u4e86\u7b2c\u4e00\u4e2a\u7528\u4e8e\u6cbb\u7597\u60a3\u6709\u4e73\u7cdc\u6cfb\u7684\u513f\u7ae5\u7684SCD\u996e\u98df\u3002\u8fd9\u5c31\u662f\u9999\u8549\u996e\u98df\u3002\u9999\u8549SCD\u51e0\u5341\u5e74\u6765\u4e00\u76f4\u662f\u6cbb\u7597\u8179\u8154\u75be\u75c5\u7684\u57fa\u77f3\uff0c\u76f4\u5230\u7b2c\u4e8c\u6b21\u4e16\u754c\u5927\u6218\u5728\u8377\u5170\u9020\u6210\u7684\u9762\u5305\u77ed\u7f3a\u5bfc\u81f4\u8179\u8154\u75be\u75c5\u7684\u513f\u7ae5\u5f97\u5230\u6539\u5584\uff0c\u6700\u7ec8\u5206\u79bb\u51fa\u5bfc\u81f4\u8179\u8154\u75be\u75c5\u7684\u5c0f\u9ea6\u86cb\u767d\u800c\u975e\u6dc0\u7c89\u3002\u6211\u4eec\u90fd\u5e94\u8be5\u907f\u514d\u9eb8\u8d28\u3002<\/p>\n
SCD\u57281996\u5e74\u518d\u6b21\u6d41\u884c\uff0c\u5f53\u65f6\u751f\u7269\u5316\u5b66\u5bb6Elaine Gottschall\u51fa\u7248\u4e86\u300a\u6253\u7834\u6076\u6027\u5faa\u73af\u300b\u4e00\u4e66\u3002\u636e\u62a5\u9053\uff0cGottschall\u7684\u5973\u513f\u5728\u4e24\u5e74\u5185\u6cbb\u6108\u4e86\u6e83\u75a1\u6027\u7ed3\u80a0\u708e\u3002Gottschall\u63cf\u8ff0\u4e86\u9650\u5236\u996e\u98df\u5982\u4f55\u51cf\u5c11\u4e0e\u5404\u79cd\u533b\u5b66\u72b6\u51b5\u76f8\u5173\u7684\u80a0\u9053\u708e\u75c7\u7684\u7406\u8bba\u3002Gottschall\u8bf4\uff0c\u996e\u98df\u53ef\u4ee5\u201c\u6cbb\u6108\u201d\u591a\u79cd\u75be\u75c5\u3002Gottschall\u63d0\u5021\u4f7f\u7528SCD\u6cbb\u7597\u514b\u7f57\u6069\u6c0f\u75c5\uff0c\u6e83\u75a1\u6027\u7ed3\u80a0\u708e\uff0c\u61a9\u5ba4\u708e\uff0c\u56ca\u6027\u7ea4\u7ef4\u5316\uff0c\u6162\u6027\u8179\u6cfb\u548c\u81ea\u95ed\u75c7\u3002<\/p>\n
\u5854\u592b\u8328\u5927\u5b66\u533b\u5b66\uff0c\u8425\u517b\u5b66\u548c\u80a0\u80c3\u75c5\u5b66\u526f\u6559\u6388\u4e54\u5c14\u00b7\u6885\u68ee\u8bf4\uff1a\u201c\u80a0\u9053\u7ec6\u83cc\u5bf9\u60a8\u6240\u5403\u7684\u98df\u7269\u654f\u611f\uff0c\u4f46\u8fd9\u662f\u4e00\u4e2a\u975e\u5e38\u590d\u6742\u7684\u73b0\u8c61\uff0c\u5c1a\u4e0d\u6e05\u695aSCD\u662f\u5426\u5177\u6709\u6297\u708e\u4f5c\u7528\u548c\u6709\u76ca\u4f5c\u7528\u3002\u201d\u5b83\u5e76\u4e00\u5b9a\u9002\u5408\u6240\u6709\u4eba\u3002<\/p>\n
\u88ab\u8bca\u65ad\u51fa\u60a3\u6709\u4ee5\u4e0b\u75be\u75c5\u7684\u4eba\uff1a<\/p>\n
\u708e\u75c7\u6027\u80a0\u75c5\uff08IBD\uff09<\/p>\n
\u80a0\u6613\u6fc0\u7efc\u5408\u75c7\uff08IBS\uff09<\/p>\n
\u8179\u8154\u75be\u75c5<\/p>\n
\u514b\u7f57\u6069\u75c5<\/p>\n
\u56ca\u6027\u7ea4\u7ef4\u5316<\/p>\n
\u6162\u6027\u8179\u6cfb<\/p>\n
\u6d88\u5316\u4e0d\u826f\uff0c\u80a0\u80c3\u80c0\u6c14\u548c\u8179\u80c0<\/p>\n
\u5ff5\u73e0\u83cc\u75c5\u548c\u80a0\u9053\u8425\u517b\u4e0d\u826f<\/p>\n
\u80a0\u6f0f<\/p>\n
\u5b66\u4e60\u548c\u884c\u4e3a\u969c\u788d<\/p>\n
\u8fd9\u4e9b\u6d88\u5316\u95ee\u9898\u53ef\u80fd\u4f1a\u59a8\u788d\u6211\u4eec\u6d88\u5316\u548c\u5438\u6536\u98df\u7269\u8425\u517b\u7684\u80fd\u529b\u3002\u56e0\u6b64\uff0cSCD\u65e8\u5728\u6cbb\u6108\u80a0\u9053\u7ec4\u7ec7\u4ee5\u6062\u590d\u5176\u529f\u80fd\u3002\u533b\u7597\u4fdd\u5065\u4ece\u4e1a\u8005\u53ef\u80fd\u4f1a\u5efa\u8baeSCD\u4f5c\u4e3a\u4e34\u65f6\u996e\u98df\u6216\u957f\u671f\u6cbb\u7597\u7b56\u7565\uff0c\u5177\u4f53\u53d6\u51b3\u4e8e\u60a3\u8005\u7684\u751f\u6d3b\u65b9\u5f0f\u548c\u75c7\u72b6\u3002<\/p>\n
\u5982\u679c\u60a8\u9047\u5230\u4e25\u91cd\u7684\u80a0\u9053\u95ee\u9898\uff0c\u4f8b\u5982SIBO\u6216IBS\uff0c\u5219SCD\u662f\u4e00\u79cd\u53ef\u80fd\u5bf9\u60a8\u6709\u7528\u7684\u89e3\u51b3\u65b9\u6848\u3002\u67d0\u4e9b\u4eba\u4e5f\u6709\u53ef\u80fd\u4ece\u4f4eFODMAP\u996e\u98df\u6216GAPS\u996e\u98df\u4e2d\u53d7\u76ca\u3002\u8bb8\u591a\u4eba\u4f7f\u7528\u8fd9\u4e9b\u996e\u98df\u5728\u80a0\u9053\u5065\u5eb7\u548c\u81ea\u8eab\u514d\u75ab\u75be\u75c5\u65b9\u9762\u53d6\u5f97\u4e86\u5de8\u5927\u6210\u529f\u3002<\/p>\n
\u4ece\u7406\u8bba\u4e0a\u8bb2\uff0cSCD\u7684\u76ca\u5904\u53d1\u751f\u5728\u7ec6\u80de\u6c34\u5e73\u4e0a\uff0c\u53ef\u4ee5\u63a7\u5236\u7ec6\u83cc\u3002\u7cbe\u5236\u7684\u78b3\u6c34\u5316\u5408\u7269\u4f1a\u6539\u53d8\u80a0\u9053\u4e2d\u7684\u7ec6\u83cc\u3002\u968f\u7740\u8fd9\u4e9b\u7ec6\u83cc\u79cd\u7fa4\u7684\u589e\u957f\uff0c\u5b83\u4eec\u4f1a\u4ea7\u751f\u4fc3\u8fdb\u708e\u75c7\u7684\u526f\u4ea7\u7269\uff0c\u5e76\u6700\u7ec8\u5bfc\u81f4\u6d88\u5316\u9053\u4e2d\u8425\u517b\u7269\u8d28\u7684\u5438\u6536\u51cf\u5c11\u3002\u901a\u8fc7\u53bb\u9664\u590d\u6742\u7684\u78b3\u6c34\u5316\u5408\u7269\uff0c\u6211\u4eec\u53ef\u4ee5\u6539\u53d8\u80a0\u9053\u4e2d\u7ec6\u83cc\u7684\u4ee3\u8c22\u5e76\u51cf\u5c11\u708e\u75c7\u3002<\/p>\n
\u4e25\u683c\u9075\u5b88SCD\u6700\u7ec8\u4f1a\u901a\u8fc7\u5265\u593a\u5b83\u4eec\u7684\u98df\u7269\u800c\u4f7f\u8fd9\u4e9b\u7ec6\u83cc\u51cf\u5c11\uff0c\u4ece\u800c\u4f7f\u80a0\u9053\u7ec4\u7ec7\u5f97\u4ee5\u6108\u5408\u3002<\/p>\n
\u90a3\u4e9b\u60a3\u6709\u80a0\u75c5\u7684\u4eba\u6709\u65f6\u53ef\u80fd\u7f3a\u5c11\u67d0\u4e9b\u6d88\u5316\u9176\u6765\u5206\u89e3\u590d\u6742\u7684\u7cd6\u548c\u6dc0\u7c89\uff0c\u4ece\u800c\u4e3a\u7ec6\u83cc\u63d0\u4f9b\u66f4\u591a\u98df\u7269\u3002\u590d\u6742\u7684\u78b3\u6c34\u5316\u5408\u7269\u901a\u5e38\u9700\u8981\u66f4\u957f\u7684\u65f6\u95f4\u624d\u80fd\u5728\u80a0\u9053\u4e2d\u6d88\u5316\u548c\u5206\u89e3\uff0c\u5b83\u4eec\u4f1a\u88ab\u6709\u5bb3\u7684\u80a0\u9053\u7ec6\u83cc\u53d1\u9175\uff0c\u5e76\u5bfc\u81f4\u8179\u80c0\uff0c\u6c14\u4f53\uff0c\u75c9\u631b\uff0c\u8179\u6cfb\u548c\u6076\u5fc3\u611f\u3002<\/p>\n
\u5f97\u77e5\u5e76\u975e\u6240\u6709\u78b3\u6c34\u5316\u5408\u7269\u90fd\u662f\u5e73\u7b49\u7684\uff0c\u60a8\u53ef\u80fd\u4f1a\u611f\u5230\u60ca\u8bb6\u3002\u6709\u8bb8\u591a\u4e0d\u540c\u7c7b\u578b\u7684\u78b3\u6c34\u5316\u5408\u7269\uff0c\u5f53\u60a8\u7684\u80a0\u9053\u5065\u5eb7\u65f6\uff0c\u6700\u597d\u5728\u996e\u98df\u4e2d\u52a0\u5165\u591a\u79cd\u78b3\u6c34\u5316\u5408\u7269\u3002\u5982\u679c\u60a8\u7684\u80a0\u9053\u4e0d\u5065\u5eb7\uff0c\u53ef\u4ee5\u53bb\u9664\u67d0\u4e9b\u7c7b\u578b\u7684\u78b3\u6c34\u5316\u5408\u7269\u3002<\/p>\n
\u590d\u6742\u78b3\u6c34\u5316\u5408\u7269\u7684\u5f62\u5f0f\u6709\uff1a<\/p>\n
\u4e8c\u7cd6<\/b>\uff08\u4e24\u79cd\u5355\u7cd6\u7ed3\u5408\u5728\u4e00\u8d77\uff09 -\u5e38\u89c1\u7684\u4f8b\u5b50\u5305\u62ec\u725b\u5976\u7cd6\u4e73\u7cd6\uff08\u8461\u8404\u7cd6+\u534a\u4e73\u7cd6\uff09\uff0c\u8517\u7cd6\u6216\u8517\u7cd6\u8517\u7cd6\uff08\u8461\u8404\u7cd6+\u679c\u7cd6\uff09\uff0c\u9ea6\u82bd\u7cd6\uff08\u8461\u8404\u7cd6+\u8461\u8404\u7cd6\uff09\uff0c\u548c\u4e73\u679c\u7cd6\uff08\u534a\u4e73\u7cd6+\u679c\u7cd6\uff09\u3002<\/p>\n
\u4f4e\u805a\u7cd6<\/b>\uff08\u901a\u5e38\u5c06\u4e09\u5230\u5341\u4e2a\u7b80\u5355\u7684\u7cd6\u8fde\u63a5\u5728\u4e00\u8d77\uff09-\u5e38\u89c1\u7684\u4f8b\u5b50\u5305\u62ec\u4f4e\u805a\u679c\u7cd6\uff08FOS\uff09\uff0c\u4f4e\u805a\u534a\u4e73\u7cd6\uff08GOS\uff09\uff0c\u7518\u9732\u7cd6\uff08MOS\uff09\uff0c\u5728\u4eba\u7c7b\u5c06\u5176\u7528\u4f5c\u80a0\u9053\u7ec6\u83cc\u7684\u98df\u7269\u6765\u6e90\u4e4b\u524d\uff0c\u5b83\u4eec\u4ec5\u88ab\u4eba\u7c7b\u90e8\u5206\u6d88\u5316\u3002<\/p>\n
\u591a\u7cd6<\/b>\uff08\u8bb8\u591a\u7b80\u5355\u7684\u7cd6\u7ed3\u5408\u5728\u4e00\u8d77\uff09-\u6700\u5e38\u89c1\u7684\u4f8b\u5b50\u5305\u62ec\u6dc0\u7c89\uff0c\u7cd6\u539f\uff0c\u7ea4\u7ef4\u7d20\u548c\u51e0\u4e01\u8d28\u3002<\/p>\n
\u88ab\u79f0\u4e3a\u5355\u7cd6\u7684\u78b3\u6c34\u5316\u5408\u7269\u5305\u62ec\u8461\u8404\u7cd6\uff08\u53f3\u65cb\u7cd6\uff09\uff0c\u679c\u7cd6\uff0c\u534a\u4e73\u7cd6\uff0c\u6838\u7cd6\u548c\u6728\u7cd6\uff0c\u53ef\u4ee5\u76f4\u63a5\u5438\u6536\u5230\u8840\u6db2\u4e2d\u3002\u4e0e\u590d\u6742\u7684\u7cd6\u5206\u5b50\uff08\u590d\u6742\u7684\u78b3\u6c34\u5316\u5408\u7269\uff09\u76f8\u6bd4\uff0c\u5b83\u4eec\u53ef\u4ee5\u88ab\u5feb\u901f\uff0c\u8f7b\u677e\u5730\u5438\u6536\uff0c\u5e76\u4e14\u53ef\u4ee5\u88ab\u8f83\u4f4e\u6c34\u5e73\u7684\u6d88\u5316\u9176\u5206\u89e3\u3002\u8fd9\u4f7f\u5f97\u7b80\u5355\u7684\u7cd6\u66f4\u6613\u4e8e\u6d88\u5316\uff0c\u4e0d\u592a\u53ef\u80fd\u53d1\u9175\u548c\u5582\u517b\u80a0\u9053\u4e2d\u7684\u6709\u5bb3\u7ec6\u83cc\uff0c\u8fd9\u4e9b\u7ec6\u83cc\u4f1a\u5f15\u8d77\u4e0e\u6d88\u5316\u7cfb\u7edf\u548c\u884c\u4e3a\u5f02\u5e38\u6709\u5173\u7684\u75c7\u72b6\u3002<\/p>\n
SCD\u7981\u6b62\u7684\u98df\u7269\u5305\u62ec\u8c37\u7269\uff0c\u571f\u8c46\u548c\u542b\u4e73\u7cd6\u7684\u4e73\u5236\u54c1\u3002\u5b83\u4e5f\u662f\u65e0\u9eb8\u8d28\u996e\u98df\uff0c\u4f46\u6240\u6709\u5176\u4ed6\u4e0d\u542b\u9eb8\u8d28\u7684\u8c37\u7269\u4e5f\u4e0d\u5141\u8bb8\u3002<\/p>\n
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