Ukugqithiswa kwebhakterth encinci ye-intestinal (SIBO) yimeko yempilo apho inani elincinci lokugulisa amabhaktheriya likhona emathunjini amancinci. Xa ucinga ukuba yimeko engabonakaliyo, uphando olusakhulayo lubonisa ukuba unogqirha ongazifumana ngunyango.
I-diagnosticosis engafanelekanga yiyo ye- brit syndrome (IBS), xa ngokwenene ingxaki yangempela yi-SIBO.
Enye imeko kukuba kubonakalisa iimpawu ezivela kwi-SIBO kwisifo esiyintloko esibangela ukuphuhliswa okanye ukugcinwa kwe-SIBO, xa i-SIBO ikhona ngokwenene ekhoyo kunye nokugula.
Ukuhlukana kwe-SIBO kwi-IBS kunye nezinye iimeko zempilo kunzima. I-SIBO ikwabelana ngeempawu zayo kunye nezinye izifo kwaye ayikho impawu zayo ezizodwa. Nangona uqikelelo luhluka ngokubanzi kwiinkalo zophando, i-SIBO ifunyenwe ibekho kwinani eliphakamileyo labantu abaye bafumana i-IBS. Iindleko eziphakamileyo eziphezulu ze-SIBO ziye zafunyanwa kubantu asebekhulile, abantu abanesifo se-celiac zabo iimpawu ezingagqitywanga ngokutya okungekho gulen, kunye nabantu abane- cirrhosis yesibindi .
Ngenxa yokuba i-SIBO inokufaka isandla kwiimpawu ezivela kumnxeba (ukutyalwa kwesisu), kwiimeko ezinzima (ukungaphumeleli kokutya), kubalulekile ukuba kubakho ukubonakala kwayo.
Kule ngqungquthela, uya kufunda malunga neempawu eziphambili neempawu ze-SIBO. Ukuba uyakrokreka ukuba i-SIBO ingasemva kweempawu zakho, kufuneka ukuzisa iinkxalabo zakho ngogqirha wakho ukuze uphonononge kakuhle kwaye unyango.
Iimpawu zeSIBO
Izimpawu ze-SIBO zingahluka kumntu omnye ukuya kwesinye.
Kwaye njengoko ubona, ezininzi iimpawu zalo zifana kakhulu (ukuba azifani) kwi-IBS:
- Ukuqhaqha kwesisu
- Ukumisa kwesisu (kuya kuba nzima njengoko imini iyaqhubeka)
- Intlungu zesisu
- Uhudo olungapheliyo, ngamanye amaxesha ngokukhawuleza
- I-gesi yamathumbu emathunjini
- I sizathu
- Iingozi zomoya
Ukuqhubela phambili udaka amanzi xa kuza ku-SIBO kukho into yokuba iimpawu kunye neempawu zayo ziyahlukahluka ngokwemiqathango ethile yeebhaktheriya ezikhoyo emathunjini amancinci.
Ungazi njani ukuba awunayo i-IBS?
Nangona iimpawu zeengxaki ezimbini zifana noko, kukho ukungafani. Esinye isibonakaliso esinokwenzeka ukuba ingxaki ingaba yi-SIBO ngokuchasene ne-IBS kukuba ukuba ukubetha kwakho kuqale emva kwemizuzu engama-90 emva kokutya into ethile. Ukucinga apha kukuba kuthatha malunga nemizuzu engama-90 yokutya ukufikelela emathunjini amakhulu. Ngoko ukuba ukubhubhisa kwenzeka phambi kweempawu zemizuzu engama-90, kunokubonisa ukuba iibhaktheriya ngaphakathi emathunjini amancinci zixanduva.
Ukukhathala, ubuthathaka kunye nokulahleka kwesisindo kukubonakalisa iziganeko ezinzima kakhulu ze-SIBO ezingaqhelekanga kubantu ababenayo i-IBS.
I-SIBO ebonakalayo kunye noLwaphulo lweMpilo
Kwiimeko ezininzi ezithe xaxa kwaye zinzima kakhulu, i-SIBO inokufaka isandla kwiingxaki ngokuxutywa kwamavithamini kunye nezinye izondlo ezibangelwa ukusilela kwondlo.
I-Malabsorption iyakwenzeka xa i-SIBO ibangela umonakalo omncinci kwi- villi edibene neendonga zesisu esincinci . Ukungaphumeleli kwezondlo kungakhokelela kwiingxaki zempilo ezibalulekileyo, ngoko kubalulekile ukuba i-SIBO, ukuba ikhoyo, ichongwe kwaye iphathwe. Ukuba ufumene ukulahlekelwa kwesisindo esingachazwanga kunye nempawu zomzimba, kubalulekile ukuba uzise izigulane zakho kumgqirha wakho ukufumana isifo kunye nokucwangcisa.
Nazi ezinye zezinto ezingenasondlo zokunqongophala ezinxulumene nobukho be-SIBO.
I-carbohydrate malabsorption: Kukho iindlela ezinokuthi i-SIBO ingabangela ukuba i-malabsorption ye-carbohydrates.
Iyokuqala kukuba i-SIBO ingabangela ukutyalwa kwe-carbohydrates ngaphambi kwexesha ngeebhaktheriya ezikhoyo emathunjini amancinci. I-SIBO ikwacatshulwa ukuba ibangele ukungasebenzi kwi-enzymes ezijongene nokuphula ii-carbohydrates ukwenzela ukuxhamla kwigazi ngenxa yemonakalo kwi-villi. Kwaye ekugqibeleni, abantu abane-SIBO nabo bangaqala ukukhawulela i-carbohydrate yabo ngenzame yokuphepha ukukhupha, isifo sohudo kunye nezinye iimpawu.
Iiprotheni malabsorption: Umonakalo kwi-villi evela kwi-SIBO ingakhokelela ekubeni kunciphise amandla emathunjini amancinci ukuba athathe iprotheni emzimbeni.
I-malabsoption yamafutha : I-malabsorption ye-Fat ephuma ku-SIBO icingelwa ukuba iyenzeka kuba iibhaktheriya ezikhoyo emathunjini amancinci zichitha i-bile acids ejongene nokuphuka nokuxutywa kwamanqatha. Ezi ziqhekeza i-bile acids zicingelwa ukuba zixutywe kwingxenyana ephakathi emathunjini amancinci (i jejunum) kunokuba inxalenye yokugqibela yamathumbu amancinci (i-ileum) apho iivithamini ezinqumle ngamaninzi, ezifana neevithamini A, D , E, kunye neK, ngokuqhelekileyo babanjwe.
I-malabsorption ye-Fat yinkxalabo enokuthi ingabangela ukusilela kwala mavithamini. Ngenhlanhla, uphando luye lwabonisa ukuba kuphela kwiimeko ezinqabileyo kakhulu ukugula okukhulayo kuvela kule mpahla.
I-malabsorption ye-Fat isoloko inomqondiso obonakalisiweyo obonakalayo kuba unokubangela iziqu eziphambileyo . Izitshixo zingabonakala zi-oily kwaye zinokuthi zitshathise.
Ubunzima be-Vitamin B-12 : Ubungqina be-SIBO buphakamisa umngcipheko wengozi ye-B-12 kuba ibhaktheriya emathunjini amancinci asebenzisa i-vitamin ngokwabo, kwaye ngoko ke i-vitamin ayifumaneki emzimbeni wakho ukuxhamla. Ukusilela okunjalo kunokubangela ukuba i-neuropathy ye-paripher. Ingakhokelela kwakhona kwi-anemia ye-megaloblastic (iiseli zegazi ezibomvu ezandisiweyo) okanye i-anemia ye-normocytic (inani elibomvu leeseli legazi).
Ukuntuleka kwe-Iron : I-SIBO nayo ingabangela i-anemia ngenxa yokuntuleka kwesinyithi. Kucatshulwa ukuba isinyithi ayifumananga kakuhle ngenxa yomonakalo owenziwe yiibhaktheriya ezikhoyo kwi-villi ngaphakathi kwamathumbu amancinci.
Ubunzima be-Vitamin D : Ubukho be-SIBO budibaniswe nomngcipheko ophezulu we- osteoporosis . Lo mbutho ucingelwa ukuba ngumphumo we-SIBO obangelwa yi-vitamin D.
Olunye ulwaphulo lwe-vitamin: Kukho iingxelo zeengxelo zabantu abafumana ulwalamano lwe-vitamine E kunye neengxelo zesinye seziganeko zomntu obona ubumpumputhe ubusuku obuthathaka kwi-vitamin A kwi-SIBO.
Izimo zezeMpilo ezandisa ingozi yakho kwi-SIBO
Uphando olusakhulayo luye lwafumanisa iintlobo ezahlukeneyo zezifo ezinokuba zikhona kunye neSIBO . Lo mgaqo okhoyo okhoyo ukho nokuba ugulo ngokwawo lubeka izimo ze-SIBO ukuphuhlisa. Ukuba unalolu hlobo lulandelayo kwaye iimpawu zakho ziye zanda ngakumbi nangona unyango lwezempilo, unokufuna ukuthetha nodokotela wakho malunga nokuvavanya nge-SIBO:
- Isifo seCeliac (nxamnye nokuthobela ukutya okungenanto ye-gluten)
- I-pancreatitis engapheliyo
- Isifo sikaCrohn
- Sikashukela
- Scleroderma
Yintoni ongayenza Ukuba Usola uSIBO
Ukuba ulwazi olufundile apha namhlanje luye lenza ukuba ucinge ukuba mhlawumbi i-SIBO idlala indima kwiimpawu zakho, kufuneka ucwangcise i-aphoyintimenti ukuthetha nodokotela wakho malunga nomcimbi.
I-SIBO ifunyaniswa ngokusetyenziswa kovavanyo lokuphefumula okanye nge-biopsy ethathelwe kwi-endoscopy. Nangona uvavanyo lokuphefumula aluyiyo ingenelo encinci, kukho ukukhathazeka malunga nokusebenza kwayo ngokuchanekileyo ngokuchonga ubukho okanye ukungabikho kwe-SIBO.
Ukuba i-SIBO ifunyenwe ukuba ikhona, ugqirha uya kusebenza nawe kwiplani yokonyango . Ukuba kukho isifo esisisiseko esisimise iimeko ze-SIBO ukuphuhlisa, ukujongana nesifo kuya kuba yintloko ephambili. Kwezinye iimeko, uvavanyo lwezilwanyana ezinqamlekileyo ezijoliswe ekupheliseni ibhaktheriya ngaphakathi emathunjini amancinci lungavunyelwa. Ugqirha wakho unokuvavanya kwaye ancomele ukungenelela kunoma yiyiphi i-vitamin ekhoyo.
> Imithombo:
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> Bures J, Cyrany J, Kohoutova D, et al. "Ubuncinane be-bacterial syndrome". I- World Journal ye-Gastroenterology 2010; 16 (24): 2978-2990.
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