{"id":3747,"date":"2025-07-01T15:40:41","date_gmt":"2025-07-01T15:40:41","guid":{"rendered":"https:\/\/cms.core-way.de\/?p=3747"},"modified":"2025-09-02T08:00:56","modified_gmt":"2025-09-02T08:00:56","slug":"como-os-seus-pensamentos-influenciam-o-seu-ced","status":"publish","type":"post","link":"https:\/\/cms.core-way.de\/pt\/so-beeinflussen-deine-gedanken-deine-ced\/","title":{"rendered":"Como os seus pensamentos influenciam o seu CED"},"content":{"rendered":"

N\u00e3o somos apenas o que comemos, mas por vezes tamb\u00e9m o que pensamos. Os pensamentos negativos podem causar desconforto mental em pessoas com doen\u00e7a inflamat\u00f3ria cr\u00f3nica do intestino. Por vezes, tamb\u00e9m favorecem um novo surto da doen\u00e7a. Neste artigo, analisamos mais de perto a forma como os seus pensamentos podem afetar a sua DII.
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\"A<\/span>
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Os exerc\u00edcios de relaxamento podem ajudar a reduzir o stress mental.<\/p>\n\n\n\n

Os sintomas da doen\u00e7a inflamat\u00f3ria intestinal cr\u00f3nica incluem o aumento da vontade de defecar, diarreia frequente, dor, fadiga ou hemorragia rectal. Estes sintomas n\u00e3o afectam apenas o Corpo<\/strong> das pessoas afectadas, mas tamb\u00e9m pode ter um impacto negativo nas suas Psique<\/strong> t\u00eam um impacto. Para al\u00e9m dos sintomas f\u00edsicos, as pessoas afectadas podem ter uma grande variedade de preocupa\u00e7\u00f5es com a doen\u00e7a, que Stress mental<\/strong> pode. Quer se trate do medo de novas crises, da preocupa\u00e7\u00e3o de n\u00e3o ter uma casa de banho p\u00fablica ao alcance da m\u00e3o ou do medo de ser operado, todas estas s\u00e3o preocupa\u00e7\u00f5es que as pessoas que sofrem de doen\u00e7a inflamat\u00f3ria cr\u00f3nica do intestino t\u00eam por vezes. Estas preocupa\u00e7\u00f5es podem ter um efeito negativo no c\u00e9rebro e levar a um aumento da liberta\u00e7\u00e3o de subst\u00e2ncias mensageiras inflamat\u00f3rias, o que pode favorecer as crises de DII. Um c\u00edrculo vicioso<\/strong>.<\/p>\n\n\n\n

As pessoas que sofrem de DII t\u00eam um risco acrescido de problemas de sa\u00fade mental <\/h2><\/div>\n\n\n\n

Em geral, os doentes com DII t\u00eam um risco acrescido de desenvolver determinados Doen\u00e7as mentais<\/strong>como a depress\u00e3o ou perturba\u00e7\u00f5es de ansiedade. Uma das raz\u00f5es poss\u00edveis pode ser a ataques s\u00fabitos de doen\u00e7a<\/strong> que est\u00e3o associados \u00e0 doen\u00e7a e baseiam-se em tempo indeterminado <\/strong>podem persistir. Sintomas como diarreia s\u00fabita e prolongada, dor ou hemorragia rectal n\u00e3o s\u00e3o apenas fisicamente desagrad\u00e1veis, mas tamb\u00e9m duram muito tempo em alguns casos de DII. Com receio de se deparar com uma situa\u00e7\u00e3o desagrad\u00e1vel de exacerba\u00e7\u00e3o eventos sociais<\/strong> por vezes evitados pelas pessoas afectadas. Isto significa que um processo gradual<\/strong> a isolamento social<\/strong> surgem. Inicialmente, cancelam-se eventos mais pequenos, adiam-se f\u00e9rias e evitam-se compromissos interpessoais. Mais tarde, os eventos de maior dimens\u00e3o tamb\u00e9m s\u00e3o frequentemente cancelados para evitar as crises. Nos casos mais graves, os doentes com DII podem retirar-se completamente.<\/p>\n\n\n\n

Muitas vezes, o medo de um novo surto da doen\u00e7a \u00e9 acompanhado pelo Falta de compreens\u00e3o<\/strong> do ambiente em rela\u00e7\u00e3o \u00e0s pessoas afectadas. Os doentes com DII podem desenvolver o sentimento de que s\u00e3o um fardo para os que os rodeiam e culpam-se a si pr\u00f3prios pelas m\u00e1s fases. justificar<\/strong> ter de o fazer. A frustra\u00e7\u00e3o e o desespero que da\u00ed resultam para as pessoas afectadas face a ambientes n\u00e3o compreensivos podem levar a um aumento da isolamento social<\/strong> pode levar a um resultado negativo. Na pior das hip\u00f3teses, esta espiral de pensamentos negativos pode levar a uma nova Impulso do gatilho<\/strong>. Por outro lado, isto pode ter um efeito negativo no bem-estar mental. O corpo e a mente s\u00e3o, portanto, parcialmente interdependentes rec\u00edproco<\/strong>.<\/p>\n\n\n\n

Intera\u00e7\u00e3o entre o intestino e a psique <\/strong><\/h2><\/div>\n\n\n\n

As intera\u00e7\u00f5es entre o intestino e a psique nas pessoas que sofrem de DII podem ser analisadas tanto neurol\u00f3gico<\/strong> bem como imunol\u00f3gico<\/strong> explicar. <\/p>\n\n\n\n

Uma das raz\u00f5es para a neurol\u00f3gico<\/strong> A intera\u00e7\u00e3o entre a DII e a psique \u00e9 a chamada Eixo intestino-c\u00e9rebro<\/strong>. Esta liga\u00e7\u00e3o entre o intestino e o c\u00e9rebro funciona em ambas as direc\u00e7\u00f5es, o intestino influencia o c\u00e9rebro, que por sua vez influencia o intestino. <\/p>\n\n\n\n

O imunol\u00f3gico<\/strong> A intera\u00e7\u00e3o entre as doen\u00e7as inflamat\u00f3rias cr\u00f3nicas do intestino e o bem-estar mental dos doentes pode ser resumida da seguinte forma subst\u00e2ncias mensageiras inflamat\u00f3rias<\/strong>citocinas. Estas subst\u00e2ncias mensageiras s\u00e3o cada vez mais libertadas na DII. As subst\u00e2ncias t\u00eam um efeito negativo no c\u00e9rebro e favorecer<\/strong> um desequil\u00edbrio no bem-estar mental do doente. Isto deve-se ao facto de as subst\u00e2ncias mensageiras inflamat\u00f3rias provocarem o aumento dos n\u00edveis de inflama\u00e7\u00e3o. Por sua vez, os n\u00edveis de inflama\u00e7\u00e3o provocam altera\u00e7\u00f5es em determinadas regi\u00f5es do c\u00e9rebro respons\u00e1veis pela Regula\u00e7\u00e3o dos estados de esp\u00edrito e das emo\u00e7\u00f5es<\/strong> s\u00e3o respons\u00e1veis. Mais concretamente, a disponibilidade de certos neurotransmissores \u00e9 perturbada. Serotonina<\/strong>, Dopamina<\/strong> e Noradrenalina<\/strong> s\u00e3o todos neurotransmissores. S\u00e3o respons\u00e1veis por v\u00e1rias emo\u00e7\u00f5es, como a motiva\u00e7\u00e3o, o prazer e o impulso. S\u00e3o despoletados pela valores elevados de inflama\u00e7\u00e3o<\/strong> A produ\u00e7\u00e3o e a disponibilidade de energia s\u00e3o perturbadas. Consequentemente, o bem-estar mental dos doentes com DII deteriora-se e a depress\u00e3o pode ser favorecida.<\/p>\n\n\n\n

Os processos inflamat\u00f3rios, que afectam o estado mental, podem, por sua vez, provocar novas inflama\u00e7\u00f5es. Mesmo com uma atividade inflamat\u00f3ria baixa, isto pode levar a sintomas mais graves. Um c\u00edrculo vicioso<\/strong>. <\/p>\n\n\n\n

Quais s\u00e3o as op\u00e7\u00f5es de tratamento dispon\u00edveis?<\/strong><\/h2><\/div>\n\n\n\n

Uma vez que os sintomas psicol\u00f3gicos na DII n\u00e3o s\u00e3o apenas psicol\u00f3gicos, mas tamb\u00e9m imunol\u00f3gico<\/strong> e neurol\u00f3gico <\/strong>As terapias que estabilizam a flora intestinal ou reduzem os processos inflamat\u00f3rios podem ter um efeito positivo n\u00e3o s\u00f3 no corpo, mas tamb\u00e9m na mente.<\/p>\n\n\n\n

\u00c9 importante estar atento \u00e0s queixas psicol\u00f3gicas n\u00e3o se culpar<\/strong> mas reconhecer que estes podem fazer parte da DEC. Psicoterapeutas experientes<\/strong> pode ajudar atrav\u00e9s de terapias comportamentais, questionar padr\u00f5es de pensamento negativos<\/strong> e encontrar uma melhor forma de lidar com a doen\u00e7a. O stress pode, por exemplo, ser tratado com Exerc\u00edcios de aten\u00e7\u00e3o plena<\/strong> podem ser contrariados. Estes podem mudar o foco para o Aqui e agora<\/strong> e longe das preocupa\u00e7\u00f5es com o futuro. \u00c9 igualmente importante, apesar da doen\u00e7a Contactos sociais <\/strong>\u00e0 fam\u00edlia e aos amigos. <\/strong> Grupos de autoajuda <\/strong>podem proporcionar conforto para que n\u00e3o se sinta sozinho com a DII. Oferecem a oportunidade de criar novas estrat\u00e9gias e sugest\u00f5es para lidar com a doen\u00e7a de uma forma positiva. <\/p>\n\n\n\n

Para al\u00e9m das op\u00e7\u00f5es de tratamento profissional, os Movimento<\/a><\/strong> sob a forma de caminhadas e exerc\u00edcios de ioga podem ajudar nas queixas mentais. Podem libertar endorfinas e reduzir o stress.\u00a0\u00a0<\/p>\n\n\n\n

Conclus\u00e3o<\/strong><\/h2><\/div>\n\n\n\n

Uma vez que a DII e o bem-estar mental das pessoas afectadas se podem influenciar mutuamente, \u00e9 importante Queixas psicol\u00f3gicas <\/strong>como parte da doen\u00e7a. Embora a vergonha, a falta de casas de banho em espa\u00e7os p\u00fablicos, o sentimento de falta de controlo sobre o pr\u00f3prio corpo, a dor, a fadiga e o medo de reca\u00eddas sejam Grande tens\u00e3o psicol\u00f3gica <\/strong>\u00e9 importante n\u00e3o se isolar, mas abertamente com a doen\u00e7a<\/strong> e procurar ajuda junto da fam\u00edlia, amigos, grupos de autoajuda ou psicoterapeutas experientes, se necess\u00e1rio. Porque um Bem-estar mental est\u00e1vel <\/strong>pode n\u00e3o s\u00f3 ter uma influ\u00eancia positiva no curso da doen\u00e7a, mas tamb\u00e9m pode Qualidade de vida <\/a>das pessoas afectadas.
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Fontes: <\/h2><\/div>\n\n\n\n
    \n
  1. Carpio D, et al. Perce\u00e7\u00e3o da carga da doen\u00e7a e satisfa\u00e7\u00e3o com o tratamento em pacientes com colite ulcerosa de cl\u00ednicas ambulatoriais em Espanha: inqu\u00e9rito UC-LIFE. Eur J Gastroenterol Hepatol. 2016; 28(9): 1056-64.<\/li>\n\n\n\n
  2. Navabi S, et al. Influ\u00eancias e impacto da ansiedade e depress\u00e3o no contexto da doen\u00e7a inflamat\u00f3ria intestinal. Inflamm Bowel Dis 2018; 24(11):2303-2308.<\/li>\n\n\n\n
  3. Barberio B, et al. Preval\u00eancia de sintomas de ansiedade e depress\u00e3o em pacientes com doen\u00e7a inflamat\u00f3ria intestinal: uma revis\u00e3o sistem\u00e1tica e meta-an\u00e1lise. Lancet Gastroenterol Hepatol 2021; 6(5): 359-370.<\/li>\n\n\n\n
  4. Zhang B, et al. Associa\u00e7\u00e3o bidirecional entre a doen\u00e7a inflamat\u00f3ria intestinal e a depress\u00e3o entre os doentes e os seus irm\u00e3os n\u00e3o afectados. J Gastroenterol Hepatol 2022; 37(7): 1307-1315.<\/li>\n\n\n\n
  5. Hu S, et al. Depress\u00e3o e transtornos de ansiedade em pacientes com doen\u00e7a inflamat\u00f3ria intestinal. Front Psychiatry 2021; 12:714057.<\/li>\n\n\n\n
  6. Neurologistas e psiquiatras na rede. Psicossom\u00e1tica: https:\/\/www.neurologen-und-psychiater-im-netz.org\/psychiatrie-psychosomatik-psychotherapie\/psychosomatik (\u00faltimo acesso: 29\/07\/2022).<\/li>\n\n\n\n
  7. Weiss P. A nova psicossom\u00e1tica: efeitos da mudan\u00e7a de paradigma no tratamento de doentes com DII. J Gastroenterol Hepatol Erks 2004; 1(2): 15-20.<\/li>\n\n\n\n
  8. Manthey CM, et al. O que \u00e9 seguro no tratamento da doen\u00e7a inflamat\u00f3ria intestinal cr\u00f3nica. Internist 2021; 62: 1269-1279<\/li>\n\n\n\n
  9. Prof. Dr. med. Dr. phil. Gerhard Rogler (Hospital Universit\u00e1rio de Zurique): Ambiente e desloca\u00e7\u00e3o: Como \u00e9 que isso afecta CED<\/dfn> fora? Ventr\u00edloquo <\/em>2\/2015, S. 61-67<\/a>, 64.<\/li>\n\n\n\n
  10. Barberio B, Zamani M, Black CJ et al. Preval\u00eancia de sintomas de ansiedade e depress\u00e3o em pacientes com doen\u00e7a inflamat\u00f3ria intestinal: uma revis\u00e3o sistem\u00e1tica e meta-an\u00e1lise. Lancet Gastroenterol Hepatol 2021; 6 (5): 359-370. Sgambato D, Miranda A, Ranaldo R et al. O papel do stress nas doen\u00e7as inflamat\u00f3rias intestinais. Curr Pharm Des 2017; 23: 3997-4002.<\/li>\n\n\n\n
  11. VisiteMedicina. DII e depress\u00e3o: Quando o corpo e a alma sofrem juntos<\/em>. VisiteMedizin. Abgerufen von https:\/\/www.visite-medizin.de\/morbus-crohn\/leben-mit-morbus-crohn\/ced-und-depression-wenn-k%C3%B6rper-und-seele-gemeinsam-leiden.html <\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"

    N\u00e3o somos apenas o que comemos, mas por vezes tamb\u00e9m o que pensamos. \ud83e\udde0 Os pensamentos negativos podem estar associados a [...]<\/p>","protected":false},"author":8,"featured_media":3750,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","inline_featured_image":false,"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_glsr_average":0,"_glsr_ranking":0,"_glsr_reviews":0,"footnotes":"[]"},"categories":[17,166,174],"tags":[169,19,171,168,55,170,122,173,172],"class_list":["post-3747","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-alltag-mit-ced","category-deutsch","category-stresslevel","tag-angstzustaende","tag-ced","tag-ced-schubwegenpsychischenbeschwerden","tag-cedundpsychischebeschwerden","tag-colitis-ulcerosa","tag-depressionenbeiced","tag-ibd","tag-morbuscrohn","tag-psychischebeschwerdenbeiced"],"yoast_head":"\nSo beeinflussen deine Gedanken deine CED - coreway<\/title>\n<meta name=\"description\" content=\"Bei CED kann es neben k\u00f6rperlichen auch seelische Symptome geben. 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