Sibanzi
Ukugqithisa kwebhakterini encinci ye-intestinal (SIBO) yimeko yempilo ebeyicinga ukuba ingxaki engavamile. Ngoku kutshanje, abaphandi baye bagxininisa uxhulumano phakathi kwe-SIBO kunye neengxaki ezahlukeneyo zempilo. Kule ngqungquthela, uya kufunda ukuba zeziphi iimeko eziphandweyo ezinokuphakamisa umngcipheko wokuphuhlisa iSIBO.
Ungayisebenzisa le ngcaciso ukuvula ingxoxo kunye nodokotela wakho malunga nokuba akunjalo yini ukuba uhlolwe kwaye mhlawumbi ulandelwe iSIBO.
Yintoni i-SIBO?
I-SIBO ifunyaniswa xa kukho inani elongezelelweyo leebhaktheriya, kunye / okanye utshintsho kwiintlobo zebhaktheriya, ezikhoyo emathunjini akho amancinci. Ngokuqhelekileyo ubukho beebhaktheriya emathunjini amancinci aluncinane, ngokuchasene nemali enkulu yeebhaktheriya ezihlala emathunjini amakhulu. Olu tshintsho kwimali kunye nokwenza iibhaktheriya kunokubangela ukuba izibonakaliso zibangele ngqo, umzekelo, ugesi oluninzi lwe-intestinal , okanye ubangele iimpawu ezichanekileyo ngokuthintela izondlo ozidlayo ukuba uzifake kakuhle emzimbeni wakho.
I-SIBO kucatshangelwa ukuba ivela ngenxa yokuphazamiseka kwiinkqubo zokuzivikela zomzimba ezigcina ubuninzi bebhakteria kwisisu esincinci kwinqanaba eliphantsi. Kukho iintlobo ezininzi zezinto ezinokubangela ukuba le ntlupheko, umzekelo, utshintsho kwinqanaba le-asidi yesisu, ukunciphisa inani le- enzymes ekhutshwe yi-pancreas , okanye iinguqu zesakhiwo kunye nesimo se-anatomical.
I-SIBO ihlala ingacatshulwa kakuhle kwaye iphikisana nento ethile. Oku kubangelwe inxalenye yokuba kukho iingxaki ngokuqinisekileyo kwezi ndlela zokuvavanya zangoku . Ukongezelela, kwimibiko yophando, abantu abaphilileyo baye bafunyanwa babe namazinga aphezulu amabhaktiriya emathunjini amancinci ngaphandle kweempawu zokuba zibonakaliswe.
Oko kuthethwa, i-SIBO icingelwa ukuba ingaphantsi kwe-diagnosti kwaye ngenxa yoko iphoswe njengento ebangela ukuba iimpawu ezibangelwa ngabantu.
Iimpawu
Iimpawu ze-SIBO ziyahlukahluka ngokubanzi. Kwezinye iimeko iziganeko zingabi ncinane okanye zithathwe kwezinye iingxaki zempilo. Nangona kunjalo, iimpawu eziqhelekileyo ziquka:
- Intlungu zesisu
- Ukuqhawula
- Isifo sohudo
- I-gesi yamathumbu emathunjini
- I sizathu
- Ukunqongophala kwezondlo
- Ukuhla ukusinda
Iimeko ezidibeneyo
I-SIBO ayimelanga yodwa. Imiqathango yokuphuhliswa kwe-SIBO ingaba ngumphumo wesifo okanye i-SIBO ngokwayo ingabangela ingxaki eqhubekayo yempilo. Kwiimeko ezithile ezigqithiseleyo, kukho imeko "yenkukhu kunye neqanda" phakathi kweSIBO kunye nesinye isifo, apho isifo ngasinye sincedisa ukugcinwa kwesinye. Nazi ezinye zeemeko zempilo eziye zijoliswe ngundoqo kubaphandi be-SIBO:
Isifo se-reflux ye-Gastroesophageal (GERD): Uphando lubonise ukuba abantu abaneGERD basengozini enkulu yokuphuhliswa kwe-SIBO. Oku akucingelwa ukuba ngenxa yeGERD ngokwalo, kodwa kunoko kuhla kwe-acid acid njengesiphumo sokusetyenziswa kwexesha elide leproton pump inhibitors (PPIs) .
I-irritable syndrome (IBS): I- IBS ne-SIBO inomsebenzi ogqithiseleyo ngokwempawu, nangona kunjalo ubudlelwane obuphakathi kwezi zibini zihlala zingacacanga.
Kukholelwa ukuba isetyenzana esithile sabantu abafumene ukuba ne-IBS ngokwenene banayo i-SIBO kwaye ke yi-SIBO elandela iimpawu zamathambo ezingamnandi. Abanye abaphandi bakholelwa ukuba kukungasebenzi kwe-IBS ebeka isigaba sokuphuhliswa kwe-SIBO.
Isifo seCeliac: Abaphandi bafumanisa ukuba izifo ezile ndawo zinganyusa umngcipheko womntu wokuphuhlisa iSIBO. Kucatshulwa ukuba ukutshabalala okungapheliyo kwimbombo yesisu esincinci, okanye ukunyanzeliswa kwesantya ngaphakathi kwamathumbu amancinci, okanye zombini, ubeka isigaba sokugqithisa ibhaktheriya. Ukuba umntu ophethe isifo se-celiac unempawu zomzimba eziqhubekayo nxamnye nokulandela ukutya okungahambisani nokutya, kuyacetyiswa ukuba bavavanywe ngobungqina be-SIBO baze baphathwe ngokufanelekileyo.
Isifo sikaCrohn: Abaphandi baqikelela ukuba abaninzi abantu abangama-25% abantu abane-Crohn's disease nabo banokuthi babe ne-SIBO, benomngcipheko ophezulu obonakalayo kulabo ababenokuhlinzwa ngenxa yesifo sesisu. Ukulawula i-SIBO kubalulekile ukuba i-SIBO ingaqondwa kakubi njenge-flare-up of the Crohn's disease ngokwayo.
Isifo sikashukela: Abaphandi baye bafumanisa ukuba abantu abanesifo sikashukela esisigxina basesichengeni sokuba ne-SIBO. Kucingelwa ukuba ukuba nesifo sikashukela sinokulimaza ukusebenza kwenkqubo yokutya kunye nokuseta izimo apho iSIBO ikhula khona. Ukuba unesifo sikashukela kwaye uvakalelwa iimpawu zesisu, kungaba yinto efanelekileyo ukuthetha nodokotela wakho malunga nokuvavanywa kwe-SIBO, ngokukodwa ekubeni ukudibanisa isifo sikashukela kunye neSIBO kunokukhokelela ekubhubhiseni izondlo ezibalulekileyo.
Ezinye iimeko zeMpilo eziPhando malunga noMbutho kunye neSIBO
Njengoko uza kubona uluhlu olulandelayo, kukho uluhlu olubanzi lweengxaki zempilo abaphandi abaphanda ngazo malunga nekhonkco ekhoyo kunye ne-SIBO:
- Iingxaki ze-Anatomical kwi-intestine encinci (umz.
- I-pancreatitis engapheliyo
- Amathumbu amancinci angapheliyo
- Cirrhosis
- Icystic fibrosis
- Izifo ezonakalisa i-immune system, kuquka i-HIV / AID
- Fibromyalgia
- Hypothyroidism
- Izifo ze-neurologic (isifo se-Parkinson kunye nesifo se-muscular dystrophy)
- I-radiation enteropathy
- Scleroderma
- Isifo esifutshane samathumbu
Qhagamshelana nokuguga
Akukho ngxubusho yemeko yengozi ye-SIBO igqibe ngaphandle kokuqaphela ukuba ukuguga ngokwayo kuphakamisa umngcipheko we-SIBO. Oku kucatshangelwa ukuba kulungile, ngenxa yecandelo, ukucotha ukuhamba kwenkqubo yokutya. Lo mngcipheko uphakanyisiwe ukuba umntu usetyenzise i-PPI ixesha elide okanye uye wahlinzwa ngaphambili. Kubantu abadala, i-SIBO inokubangela ukuba i-malabsorbtion yezondlo kunye nokulahlekelwa kwesisindo esilandelayo.
Ukuxilongwa
Ukuba unayo nayiphi na imeko yezempilo echazwe ngasentla kwaye ulwa nempawu eziqhubekayo zesisu, kuya kulungela ixesha lakho ukuba nencokola nodokotela wakho malunga nokuvavanywa ngobukho be-SIBO.
Kukho iindlela ezintathu eziphambili zokuvavanya i-SIBO-ngokusebenzisa ukuhlolwa kokuphefumula kwe- hydrogen , ngokusebenzisa iisampula zokuvavanya kwintsholongwane emathunjini amancinci athathwe ngexesha lokuphela kwe- endoscopy , okanye nge-trial of antiobiotics ethile . Indlela nganye ineenzuzo zayo kunye nemingcele yayo, nangona indlela yokutyelela ngqo ngokusebenzisa i-endoscopy ithathwa njengeyona yithembekileyo.
Iindaba ezilungileyo kukuba kwiinkalo ezininzi zophando eziye zavavanya i-SIBO kumaqela abantu abaneengxaki ezithile zempilo, unyango lwe-SIBO luphumelele ekunciphiseni iimpawu zalo.
Unyango
Ukususela ngoku, unyango oluphambili lwe-SIBO lusetyenziso lwee-antibiotics ezithile ezingabandakanywa kwisigaba sesisu, ngoko ke zisebenza ngqo kwiibhaktheriya ngaphakathi emathunjini amancinci. Kungathatha iikhosi ezimbini zeeveki zeyeza phambi kokuba i-SIBO ipheliswe. Emva kokuba usuqedile ukuthatha amayeza, ugqirha wam uncome ukuba ulandele ukutya okuphantsi kwe-FODMAP ukwenzela ukukhusela ukuphindaphinda kwe-SIBO.
Ezinye izazinzulu ziphanda ukusetyenziswa kwezinto zokutya zokuqala ekujonganeni neSIBO. Oku kubandakanya ukutya okunomsoco, ukusela isondlo esithile sokutya. Nangona kunjalo, njengolu lokutya okunzima ukugcina, nangona isicwangciso esiphakanyisiweyo seveki ezimbini, oku kuya kuba yindlela yokwelashwa engavumelekanga.
ILizwi
Nangona uphando olusandul 'ukutsha kwiphando, i-SIBO ihlala isifo esingaqondakaliyo kunye negazi. Kubalulekile ukuqaphela ukuba kweli nqanaba, ukuqonda kwethu ukubaluleka kwayo, ukuvavanya, kunye nonyango kusekude kugqibe.
> 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.
> Grace E, Shaw C, Whelan K, Andreyev H. "Umbhalo wokuhlaziya: Ubuncinane bebhaktile obunamazinyo obuninzi - ukusabalalisa, iimpawu zeklinikhi, ezikhoyo kunye nokuphuhlisa iimvavanyo zokuxilonga, kunye nonyango" I- Pharmacology kunye neTherapeutics 2013; 38 (7): 674-688 .
> Pimentel, M., et.al. "I-Element Day Elemental Diet iSebenza ngokuPhezulu ngokuCwangcisa uVavanyo lwe-Lactulose Breath Test" 2004 49: 73-77. Izifo zeNtsholongwane kunye neNzululwazi
> Salem A, Roland BC "Ukugqithiswa kweBatter Smallest intestinal (SIBO)" Journal of Gastrointestinal & Digestive System 2014; 4: 225