Ngaba Ukuguquka Kwakho Kwemithi Kuye Kubangele IBS Yakho?
Ingaba iyeza lakho lokunciphisa igalelo lingaba negalelo kwiimpawu zakho ze- IBS ? Abaphandi bajonga ubuhlobo obunokwenzeka phakathi kokusetyenziswa kweproton pump inhibitors (PPIs) kunye nentwazana encinci yebhaktile (SIBO). Ekubeni i- SIBO icingelwa ukuba iyona nto ibangela ezinye iimeko ze-IBS , nayiphi na ubuhlobo phakathi kwabathathu kubalulekile ukujonga.
Ziziphi ii-PPIs?
Ii-PPI zonyango ezisebenza ngokunciphisa ukukhutshwa kwesisu esiswini.
Ziyalelwe ukuba unyango lweemeko zempilo ezahlukahlukeneyo, kubandakanywa nesifo se-reflux yesifo se-gastroesophageal (GERD) kunye nezilonda ze-peptic. Nangona ii-PPI ezininzi zifuna imithi, kukho ezinye eziseleyo. Ezi zilandelayo ziyimimiselo ye-PPIs:
- Aciphex
- Umxhasi
- Kapidex
- Nexium
- Prevacid
- Prilosec
- Protonix
- Zegerid
Nangona i-PPI ngokuqhelekileyo ibonwa njengekhuselekile, iqhuba umngcipheko omncinci we-pneumonia, kunye nomngcipheko okhoyo wokusuleleka u- C .
Yintoni i-SIBO?
I-SIBO yimeko apho kukho ubungakanani obuninzi bokugaya amabhaktheriya ngaphakathi emathunjini amancinci . Ezi bhaktheriya zenza kwi-carbohydrate enokuyidlayo, ezikhokelela ekutyeni nokuvutha ngaphakathi kwamathumbu. Iimpawu zeSIBO ziquka:
- Intlungu zesisu
- Ukuqhawula
- Uhudo
- UkuBheka
- Flatulence
Ikhonkco phakathi kwe-IBS kunye ne-SIBO ihlala iphikisana. Oku kubangelwe inxalenye, ubunzima kunye nokuxilongwa ngokuchanekileyo kwe-SIBO.
Ukuxilongwa ngokucacileyo kunokwenziwa ngokuthatha isicatshulwa esisisigxina, nangona kunjalo, ngokwenza oko, izigulane zinokuthi zifumaneke ukuba zihlolwe ngomoya ovavanyo , ukuhlolwa okungapheliyo, kodwa kuncinci. Nangona ezinye iqikelelo zihlala ziphakamileyo ngokubhekiselele kwi-IBS ne-SIBO, kunokwenzeka ukuba iSIBO idlala indima kuphela kwi-subset ye-IBS izigulane.
Enye ingxaki kukuba akubona wonke umntu ovumelana neSIBO esi sifo. Abantu abaninzi banokubakho ubungqina be-SIBO ngaphandle kwempawu. Ngenxa yoko i-SIBO ayisayiqondwa kakuhle kwaye ininzi into ekuthethiweyo ngayo kukuba yinto esetyenziswe ngezinye izihlandlo ukuxilonga iimpawu zomntu.
Uphando malunga nokuxhamla okunokwenzeka phakathi kwe-PPI kunye ne-SIBO
Imfundiso yokuba iPPI isebenza ekuphuhliseni i-SIBO isekelwe ekubeni i-acid isisu yenye yezinto ezikhusela ukugqithisa kweebhaktheriya kumathumbu amancinci. Ngenxa yoko, isisu esiswini esinciphile ngenxa yokusetyenziswa kwe-PPI, ngelixa ukhonza ukuphelisa i-heartburn kunye nezilonda, kunokubangela iingxaki phantsi kweenkqubo zokugaya .
Enyanisweni, uphando lufumene ukuba ukwehla kwesisu esiswini kunokunyusa inani leebhaktheriya emathunjini amancinci. Into engacacile, nokuba ngaba ukongezwa kubangela ukuphuhliswa kweSIBO kunye neempawu zayo.
Kwisifundo esithile, malunga nesiqingatha sezigulane ezithatha ii-PPIs kwixesha elide livavanywe kakuhle kwi-SIBO. Izimpawu zabo zanda ukwanda ngokukhawuleza ngexesha, kwaye iimpawu ziqala ngokulula ezinyangeni ezintandathu zokuqala, kodwa ukwandisa ukuya kwi-moderation kunye nexesha elidlulileyo.
Ukuqhawula kunye nokurhoxisa kwakuyimpawu eziphambili ezichazwe, ngelixa iipesenti ezincinane zezigulane zibikwa ukuba zixhamle kunye nentlungu yesisu.
Kwisifundo esincinci, abantu ababengenayo i-GERD engeyiyo (NERD) kwaye abangazange banike ingxelo yeempawu zeembilini banikwe i-PPI ezintandathu ezintandathu. Emva kweeveki ezisibhozo zonyango, phantse isiqingatha sezigulane zikhalaza ngokubetha, ngelixa inani elincinci likhalaza ngokunyameka, iintlungu zesisu, kunye nesifo sohudo. Emva kweenyanga ezintandathu zonyango, malunga neyesine kwisine sezigulane zivavanyelwe i-SIBO ngokuvavanya umoya, kwaye malunga nesihlanu kwesigulane sihlangabezane neendlela zokuxilongwa kwe-IBS .
Uhlalutyo lwe-meta kwinqaku efunyenwe ukuba kukho ubungqina bekhonkco lePPI / SIBO kwizifundo ezazisetyenziselwa ukuba zihlolisise i-SIBO, kodwa kungekhona kulabo basebenzise ukuhlolwa komoya. Kucacile ukuba uphando olongezelelweyo lufunekayo, kunye nokunyuka okunyanisiweyo ngokubhekiselele kwindlela iSIBO ifumaneka ngayo.
Ngaphantsi
Ukuze i-SIBO iqondwe kangcono, okanye iimvavanyo zokuxilonga ezicacileyo ziphuhlisiwe, ayikwazi ukugqitywa ukuba kukho nxu lumano lwePPI / SIBO / IBS. Ukuba unenkxalabo malunga nokuxhamla phakathi kwe-PPI yakho ne-IBS yakho, xubusha umba kunye nodokotela wakho.
Imithombo:
The lekisa, D., et.al. "Iimpembelelo zonyango lwexesha elide lwe-PPI ekuveliseni iimpawu zesilonda kunye ne-SIBO." I- European Journal kaPhando lweeNtsholongwane ka-2011 41: 380-386.
Johnson, D. & Oldfield, E. "Iimpembelelo zecala kunye neengxaki zexesha elide leProton Pump Inhibitor Ukusebenzisa: Ukuxubusha ubungqina" I- Gastroenterology Clinic kunye neHepatology 2013 11: 458-464.
Yabona, W. & Walter, W. "iProtton Pump Inhibitor Usetyenziso kunye neengozi yoBugcisa obuncinci bamaBetriya: I-Meta-analysis" I- Gastroenterology Clinic kunye neHepatology 2013 11: 483-490.
Lombardo, L., et.al. "Ukunyuka kwe-Abstestinal Overgrowth Kwangaphakathi kweProteton Pump Inhibitor Treaty" I- Clinical Gastroenterology kunye neHepatology 2010 8: 504-508.
IMinocha, A. & Adamec, C. (2011) I-Encyclopedia ye-Digestive System kunye ne-Digestive Disorders (2nd Ed.) ENew York: Iinkcukacha kwiFayile.