Sindromul de colon iritabil este o afec\u021biune func\u021bional\u0103 frecvent \u00eent\u00e2lnit\u0103 a tractului digestiv, caracterizat\u0103 prin dureri abdominale, balonare \u0219i tulbur\u0103ri de tranzit intestinal, care pot afecta semnificativ calitatea vie\u021bii pacien\u021bilor. Potrivit dr. Diana Bl\u0103naru, medic specialist medicin\u0103 intern\u0103 \u00een cadrul Spitalului Jude\u021bean de Urgen\u021b\u0103 Buz\u0103u, aceast\u0103 afec\u021biune apare mai des la femei \u0219i este influen\u021bat\u0103 de factori precum stresul, alimenta\u021bia necorespunz\u0103toare, dezechilibrele microbiotei intestinale \u0219i anumite intoleran\u021be alimentare. Simptomele pot varia de la crampe abdominale \u0219i alternan\u021ba diaree\u2013constipa\u021bie p\u00e2n\u0103 la balonare \u0219i grea\u021b\u0103, iar prezentarea la medic este recomandat\u0103 atunci c\u00e2nd disconfortul devine persistent sau apar semne de alarm\u0103 precum sc\u0103dere \u00een greutate, s\u00e2nger\u0103ri digestive ori febr\u0103.<\/p>\n
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Tot mai mul\u021bi adul\u021bi sunt diagnostica\u021bi cu sindromul de colon iritabil. Despre acest subiect vom discuta cu dna. Dr. Bl\u0103naru Diana, medic specialist medicin\u0103 intern\u0103 \u00een cadrul S.J.U. Buz\u0103u, care ne va spune care sunt factorii de risc, simptomele, cauzele \u0219i op\u021biunile de tratament \u00een cazul depist\u0103rii acestei afec\u021biuni.<\/p>\n
Dr. Bl\u0103naru Diana a activat ca medic rezident la S.J.U. Buz\u0103u din anul 2021, iar din luna martie 2026, ocup\u0103 func\u021bia de medic specialist \u00een medicin\u0103 intern\u0103, \u00een cadrul Sec\u021biei de Medicin\u0103 Intern\u0103. Este un medic t\u00e2n\u0103r, dedicat \u0219i empatic, care s-a integrat foarte bine \u00een echipa medical\u0103.<\/p>\n
Ce este sindromul de colon iritabil?<\/strong><\/p>\n Dr. Bl\u0103naru Diana<\/strong>: \u201eSindromul de colon iritabil reprezint\u0103 o patologie func\u021bional\u0103 a tractului gastrointestinal, caracterizat\u0103 de durere abdominal\u0103, meteorism \u0219i tulbur\u0103ri de tranzit, cu impact negativ asupra calit\u0103\u021bii vie\u021bii pacien\u021bilor. Reprezint\u0103 cea mai comun\u0103 tulburare func\u021bional\u0103, comparativ cu dispepsia func\u021bional\u0103 \u0219i durerea toracic\u0103 func\u021bional\u0103. Afecteaz\u0103 cu prec\u0103dere femeile (\u00een procent de 70%).\u201d<\/p>\n Care sunt principalele cauze \u0219i factori de risc? Ce rol au stresul \u0219i alimenta\u021bia?<\/strong><\/p>\n Dr. Bl\u0103naru Diana<\/strong>: \u201eCu toate c\u0103 mecanismul fiziopatologic nu este pe deplin \u00een\u021beles, cel mai probabil este vorba despre o comunicare ineficient\u0103 \u00eentre intestin \u0219i creier, care duce la tulbur\u0103ri de motilitate \u0219i hipersensibilitate visceral\u0103. Totu\u0219i, ultimele studii au ar\u0103tat c\u0103 inflama\u021bia, alterarea microbiotei fecale sau cre\u0219terea \u00een exces a bacteriilor din intestinul sub\u021bire pot avea un rol important. Factorii psihosociali pot influen\u021ba expresia sindromului de colon iritabil. S-au efectuat diverse studii \u00een care s-a demonstrat c\u0103 pacien\u021bii cu simptomatologie digestiv\u0103 preexistent\u0103 au afirmat o cre\u0219tere a manifest\u0103rilor \u00een perioadele stresante, dar \u0219i c\u0103 ace\u0219ti pacien\u021bi asociaz\u0103 mai frecvent anxietate, depresie sau fobii. Un alt studiu a ar\u0103tat c\u0103 anxietatea, tulbur\u0103rile de somn sau simptomele somatice sunt al\u021bi factori de risc independen\u021bi pentru dezvoltarea sindromului de colon iritabil. Intoleran\u021bele sau alergiile alimentare (lactoz\u0103, fructoz\u0103, gluten) pot contribui \u0219i ele la apari\u021bia sau accentuarea sindromului de colon iritabil.\u201d<\/p>\n Care sunt simptomele cele mai frecvente?<\/strong><\/p>\n Dr. Bl\u0103naru Diana: \u201eCele mai frecvente simptome care pot ap\u0103rea sunt durerea cronic\u0103 abdominal\u0103 \u0219i tulbur\u0103rile de tranzit. Durerea abdominal\u0103 este descris\u0103 deseori ca o cramp\u0103 de diferite intensit\u0103\u021bi, cu exacerb\u0103ri periodice. Intensitatea durerii poate varia de la moderat\u0103 la sever\u0103 \u0219i este frecvent \u00een leg\u0103tur\u0103 cu defeca\u021bia \u2013 la unii pacien\u021bi amelioreaz\u0103 durerea, la al\u021bii o agraveaz\u0103. Stresul emo\u021bional \u0219i alimenta\u021bia pot contribui la exacerbarea durerii. Se poate asocia cu balonare \u0219i flatulen\u021b\u0103, grea\u021b\u0103, v\u0103rs\u0103turi, urgen\u021b\u0103 mic\u021bional\u0103, poliurie, fibromialgie. Tulbur\u0103rile de tranzit includ diaree, constipa\u021bie, alternan\u021ba acestora sau tranzit intestinal normal altern\u00e2nd cu diaree\/constipa\u021bie. Simptomele se agraveaz\u0103 frecvent \u00een context emo\u021bional sau de stres, iar coexisten\u021ba patologiei psihiatrice poate agrava simptomatologia \u00een 70\u201390% din cazuri.\u201d<\/p>\n C\u00e2nd ar trebui s\u0103 ne prezent\u0103m la medic?<\/strong><\/p>\n Dr. Bl\u0103naru Diana<\/strong>: \u201ePrezentarea la medic ar trebui s\u0103 aib\u0103 loc atunci c\u00e2nd pacientul resimte disconfort care \u00eei afecteaz\u0103 calitatea vie\u021bii sau dac\u0103 apar simptome de alarm\u0103: v\u00e2rsta de debut dup\u0103 50 de ani, s\u00e2nger\u0103ri rectale sau melen\u0103, diaree nocturn\u0103, sc\u0103dere ponderal\u0103, febr\u0103, modific\u0103ri la analizele de laborator (anemie, markeri inflamatori crescu\u021bi) sau istoric familial de cancer colorectal.\u201d<\/p>\n Cum se stabile\u0219te diagnosticul? Ce analize sunt necesare?<\/strong><\/p>\n Dr. Bl\u0103naru Diana<\/strong>: \u201eDiagnosticul se suspecteaz\u0103 la un pacient cu durere cronic\u0103 abdominal\u0103 \u0219i tulbur\u0103ri de tranzit \u0219i se stabile\u0219te prin excluderea patologiilor organice, precum bolile inflamatorii intestinale, cancerul colorectal sau ovarian, pancreatita cronic\u0103, tulbur\u0103rile hormonilor tiroidieni, intoleran\u021ba la lactoz\u0103.<\/p>\n Pentru a exclude o patologie organic\u0103, se pot efectua: hemoleucograma (pentru excluderea anemiei, infec\u021biei sau inflama\u021biei); markeri inflamatori precum proteina C reactiv\u0103, VSH, calprotectina fecal\u0103; ionograma, ureea \u0219i creatinina \u2013 la pacien\u021bii cu diaree; hormoni tiroidieni; calciu seric \u2013 pentru excluderea hiperparatiroidismului; coprocultur\u0103, coproparazitologie, test pentru toxina Clostridium difficile; endoscopie digestiv\u0103 superioar\u0103 (cu biopsiere pentru boala celiac\u0103) \u0219i inferioar\u0103 (la pacien\u021bii peste 50 de ani cu rectoragii sau teste hemocult pozitive).\u201d<\/p>\n Care este tratamentul pentru sindromul de colon iritabil \u0219i ce rol are dieta \u0219i stilul de via\u021b\u0103?<\/strong><\/p>\n Dr. Bl\u0103naru Diana<\/strong>: \u201eManagementul sindromului de intestin iritabil const\u0103 \u00een primul r\u00e2nd \u00een acordarea suportului psihologic \u0219i \u00een m\u0103suri dietetice. Un stil de via\u021b\u0103 s\u0103n\u0103tos, reprezentat printr-o alimenta\u021bie echilibrat\u0103 \u0219i efort fizic, este cheia succesului terapeutic.<\/p>\n La pacien\u021bii cu constipa\u021bie, dieta const\u0103 \u00een suplimentarea de fibre \u0219i hidratarea adecvat\u0103 (1,5\u20132 L ap\u0103 pe zi, un pahar de ap\u0103 b\u0103ut diminea\u021ba pe stomacul gol), cereale integrale neprelucrate termic (ex.: semin\u021be de in\/psyllium) la micul dejun; legume verzi, crude sau g\u0103tite \u00een func\u021bie de toleran\u021b\u0103 (fasole verde, maz\u0103re, spanac, \u0219tevie, lobod\u0103, urzici, dovlecei, salat\u0103 verde, rucola, valerian\u0103, avocado, ceap\u0103 verde \u0219i usturoi verde, cu precau\u021bii); fructe crude, \u00een compot sau \u00een tarte: mere, pere, piersici, caise, prune, smochine; fructe uscate: prune, smochine, curmale; lapte, lactate, br\u00e2nzeturi; p\u00e2ine integral\u0103, p\u00e2ine cu t\u0103r\u00e2\u021be; sucuri de fructe proaspete (portocale, l\u0103m\u00e2i), diminea\u021ba, pe stomacul gol.<\/p>\n La pacien\u021bii la care predomin\u0103 diareea: ap\u0103 plat\u0103, ceai de ment\u0103; orez, paste; carne slab\u0103 de vi\u021bel, de pas\u0103re, de pe\u0219te proasp\u0103t; ou\u0103 bine fierte; legume care nu fermenteaz\u0103; br\u00e2nzeturi slabe (iaurt, br\u00e2nz\u0103 de vaci, lapte degresat, telemea slab\u0103); ulei crud ad\u0103ugat la final \u00een m\u00e2ncare; mezeluri slabe (\u0219unc\u0103); p\u00e2ine pr\u0103jit\u0103 sau uscat\u0103, grisine, sticksuri; fructe \u00een compot.<\/p>\n Dac\u0103 durerea \u0219i balonarea sunt problemele principale, alimentele bine tolerate sunt: carne de vit\u0103 la gr\u0103tar, pe\u0219te \u0219i jambon slab; legume verzi, u\u0219or g\u0103tite, decojite; orez, cartofi fier\u021bi sau cop\u021bi; ou\u0103 g\u0103tite f\u0103r\u0103 gr\u0103sime; br\u00e2nzeturi cu con\u021binut redus de gr\u0103sime la cei cu toleran\u021b\u0103 la lactoz\u0103; fructe care nu provoac\u0103 aciditate, decojite; biscui\u021bi usca\u021bi, grisine, sticksuri, p\u00e2ine pr\u0103jit\u0103; la cei cu toleran\u021b\u0103 la gluten \u2013 tarte de fructe, bezele.\u201d<\/p>\n Ce alimente trebuie evitate?<\/strong><\/p>\n Dr. Bl\u0103naru Diana<\/strong>: \u201eAlimentele nepotrivite pentru pacien\u021bii cu sindrom de colon iritabil sunt: v\u00e2natul, organele (creier, rinichi etc.), mezelurile, pe\u0219tele gras (somn, ton); legumele crude (varz\u0103, ridichi, castravete, ardei iute, \u021belin\u0103, morcov etc.) sau unele legume g\u0103tite (conopid\u0103, varz\u0103, broccoli); leguminoasele uscate (fasole, linte, maz\u0103re); br\u00e2nzeturile grase, fermentate, vechi (unt, sm\u00e2nt\u00e2n\u0103, ca\u0219caval, br\u00e2nz\u0103 topit\u0103, telemea gras\u0103); fructe precum: pepene, banane, prune, struguri, mere; nuci, alune, fistic, migdale; stafide, smochine, curmale; sufleuri, \u00eenghe\u021bat\u0103, produse de patiserie, croissante, pr\u0103jituri cu crem\u0103; p\u00e2ine alb\u0103 proasp\u0103t\u0103, m\u0103m\u0103lig\u0103; b\u0103uturi acidulate; dulcea\u021b\u0103, miere.\u201d<\/p>\n A\u021bi observat o cre\u0219tere num\u0103rului pacien\u021bilor diagnostica\u021bi cu sindrom de colon iritabil?<\/strong><\/p>\n Dr. Bl\u0103naru Diana<\/strong>: \u201eDa, am observat. Tr\u0103im, din p\u0103cate, o via\u021b\u0103 destul de stresant\u0103 \u0219i avem o alimenta\u021bie nepotrivit\u0103. Trebuie s\u0103 ne facem timp pentru noi, s\u0103 m\u00e2nc\u0103m s\u0103n\u0103tos, s\u0103 facem sport \u0219i s\u0103 ne odihnim corespunz\u0103tor, pentru a avea un corp \u0219i o minte s\u0103n\u0103toas\u0103.\u201d<\/p>\n [analyse_source url=”https:\/\/www.buzau.net\/stiri-din-buzau\/dr-diana-blanaru-tot-mai-multi-pacienti-diagnosticati-cu-sindrom-de-colon-iritabil\/”]<\/p>\n","protected":false},"excerpt":{"rendered":" [analyse_image type=”featured” src=”https:\/\/www.buzau.net\/stiri-din-buzau\/wp-content\/uploads\/2026\/04\/FotoJet-36-1.jpg”] Sindromul de colon iritabil este o afec\u021biune func\u021bional\u0103 frecvent \u00eent\u00e2lnit\u0103 a tractului digestiv, caracterizat\u0103 prin dureri abdominale, balonare \u0219i tulbur\u0103ri de tranzit intestinal, care pot afecta semnificativ calitatea vie\u021bii pacien\u021bilor. Potrivit dr. Diana Bl\u0103naru, medic specialist medicin\u0103 intern\u0103 \u00een cadrul Spitalului Jude\u021bean de Urgen\u021b\u0103 Buz\u0103u, aceast\u0103 afec\u021biune apare mai des la femei […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[113,226],"class_list":["post-1863376","post","type-post","status-publish","format-standard","hentry","category-politics","tag-buzau-net","tag-crawlmanager"],"_links":{"self":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1863376","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1863376"}],"version-history":[{"count":0,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=\/wp\/v2\/posts\/1863376\/revisions"}],"wp:attachment":[{"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1863376"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1863376"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/analyse.optim.biz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1863376"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}