Ingaba ukwenyusa i-Slipo ingozi yakho kwi-SIBO?
Xa uqala ukufumanisa ukuba unesifo se- celiac , mhlawumbi uyathemba-kwaye ulindele-ukuba ukutya okungekho-gluten kusombulula iingxaki zakho zokugaya. Nangona kunjalo, uphando kunye nobungqina obunjalo bubonisa ukuba akusoloko kulula ukuba kunjalo, ipesenteji ebalulekileyo yabantu abanezifo eziqhubekayo baqhubeka beva iimpawu nangona emva kokungena-gluten .
Kukho izizathu ezinokubakho kwezi zimpawu zokugaya ukutya, zonke onokuzenzayo ngaphezu kwesi sifo se-celiac: isifo se-reflux esiswini (i-GERD) , isifo sengqondo sesifo esisisisindo (IBS) , kunye nesifo sesibindi (IBD) .
Kwakhona, ezinye iimeko ezingenanto zokugaya ezitholakala kubantu abanezifo ezinqabileyo, ezifana nesifo se-thyroid , kunokubangela iimpawu zokugaya.
Isifo esiqhaqhaqhekileyo se-celiac ( isifo esiqhekezayo esingasiphuculanga naphezu kokutya okungekho-gluten) nako kunokubangela iimpawu eziqhubekayo, nangona kungabonakali kakhulu. Kwaye, ngokutya ngokugqithiseleyo i-gluten-kunye neyincinci ye-gluten- ingakhokelela ekuphenduleni okubi . Ngelishwa ngelangaqhelekileyo.
Kodwa enye inkcazo enokwenzeka yokuqhubeka iimpawu ezingase ziqhube ngexesha phantsi kwe-radar yintshontsho yebhanti yamathambo (SIBO). I-SIBO ingabangela isifo sohudo, intlungu yesisu, kunye nokubethelela kunye nesisongulu kunye negesi engaphezulu. Ngaba oku kufana neengxaki zakho? Ukuba kunjalo, funda.
Yintoni eyiyo i-SIBO?
Inkqubo yokugaya yonke umntu ibandakanya amabhaktheriya ... amaninzi amabhaktheriya. Ezi zigidigidi zezinto ezincinci, ezininzi zazo ezitholakala emathunjini akho amakhulu, kukunceda ugqibe ukutya kwakho kwaye zivelise iivithamini, ezifana ne-vitamin K kunye ne-biotin.
Inambuzane yakho encinci iphinda ibone iibhaktheriya, kodwa iintlobo ezahlukeneyo kunye nemali encinci kakhulu emathunjini akho amakhulu. I-SIBO iyenzeka xa iibhaktheriya eziqhelekileyo zihlala emathunjini akho amakhulu zihambela emathunjini akho amancinci kwaye zanda.
Xa ezo bhaktheriya zikhula apho zingafanelekanga, zinokubangela zonke iintlobo zeempawu zokugaya, kwaye kwiimeko ezinzima kakhulu, i-SIBO ingabangela ukungaphumeleli kwamavithamini kunye nezondlo.
I-SIBO kunzima ukuxilonga ngokufanelekileyo, kwaye iimpawu zabantu zihlala ziphendula kakuhle kunyango.
I-SIBO kunye neCeliac: Nguwuphi uxhumano?
Njengokuba mhlawumbi uyazi, isifo se-celiac senzeka xa isistim somzimba wakho siphendula ngephutha kwi-protein ye-gluten, efunyenwe ngqolowa, i-hareyi kunye ne-rye. Xa umntu onamaqanda angamaqhekeza ehluthayo, amangqamuzana egazi amhlophe ahlasele umbane we-intestine yawo encinci, ekhokelela ekuthiwa yi -atrophy . Nangona isifo se-celiac sisuka kwisistim sakho sokutya, sichaphazela umzimba wakho wonke, ukudala iimpawu kuyo yonke indawo ukusuka kwindlela yakho yokugaya kwisifo sakho nengqondo yakho.
Okwangoku, iimpawu ze-SIBO zifanisa iimpawu zokugaya izifo ze-celiac ngokugqibeleleyo. Enyanisweni, i-SIBO inokubangela ukuba i -atrophy ekhohlakeleyo , umonakalo omncinci wamathumbu obonakalayo kulabo abanesifo esiqhekezayo. I-SIBO ngokukodwa inokubangela ukukhathala kunye nokulahleka kwesisindo, okubonakalayo kwisifo esingenakulinganiswa nesifo somzimba njengokuba umzimba we-immune system utshabalalisa i-small intestinal lining.
Ngoko ungayichazela njani le mibandela mibili?
Ukufumanisa izifo ze-celiac, oogqirha bavame ukusebenzisa iimvavanyo zegazi ukukhangela amanqaku athile abonisa indlela umzimba wakho usabela ngayo kwiprotheni ye-gluten.
Ezi mvavanyo, kunye neenkqubo zonyango ezibizwa ngokuba yi- endoscopy evumela ugqirha wakho ukuba akhangele ngqo kwindawo yakho yamathambo amancinci, angachaza ngokucacileyo isifo se-celiac.
I-SIBO, okwangoku, ifunyaniswa ngomoya wokuvavanya umoya , nangona oogqirha banokusebenzisa i-endoscopies. Ukwenza izinto zibe nzima nakakhulu, kukho ubungqina bokuthi uvavanyo lokuphefumula alukwazi ukusebenza konke okufanelekileyo ukufumanisa i-SIBO kubantu abanezifo ezinqabileyo.
Ewe, Unako Unako
Kungenzeka ukuba nesifo sesibini kunye ne-SIBO ngexesha elifanayo, okwenza ukucacisa iimpawu zabo kude kube nzima nakakhulu. Enyanisweni, uphando lubonisa ukuba i-SIBO ingaba yinto eqhelekileyo kunabantu abaphakathi kwezifo eziqhekezayo, ikakhulukazi kubantu abaneempawu zokugaya ziphuculanga kwi-gluten-free diet.
Nangona kunjalo, abanye abaphandi baye bangathandabuzeki ngaloo ndlela.
Olunye uphando lweencwadi zonyango kwi-SIBO nesifo esiqhekezayo, esinezifundo ezili-11 ezahlukeneyo, safumanisa ukuba omnye umntu wesihlanu wabantu abane-celiac wayenayo i-SIBO.
Olu hlalutyo lufumene ukuba iipesenti ezingama-28 zalabo abanesifo esiqhekezayo saqhubeka sinezimpawu nxamnye nokulandela ngokutya ngokugqithisileyo kwanokugqitywa kwe-gluten kwakhona kwafunyaniswa ukuba ne-SIBO. Okwangoku, iipesenti ezili-10 kuphela zalabo abaneziqhwala eziye zahlulwa kwi-gluten-free diet zazifumene i-SIBO.
Sekunjalo, njengabaphandi bezonyango baphonononga ukuba bangaphi abantu abane-celiac banokuthi babe ne-SIBO, akucaci isizathu sokuba umngcipheko ungaphezulu. Enye inkcazo enokuthi ibandakanya ukunyuka kwamathumbu emathumbu, oko kukunyuka kokutya ngokusebenzisa umzila wakho wokugaya. Abantu abanesifo esiqhekezayo banokukhawuleza-kunoko-eziqhelekileyo okanye ezihamba ngokukhawuleza kunokuba ziqhelekileyo, okanye ngamanye amaxesha ziba ne-slower-frequency-motility inxalenye yendlela yabo yokutya (umzekelo, esiswini) idibaniswe ngokukhawuleza-kunokoqobo i-motility kwelinye inxalenye (umzekelo, kwikolon). Iingxaki nge-intestinal motility zingabangela ukuba iibhaktheriya zikhule apho zingafanelekanga khona.
I-SIBO ithathwa njani kwiCeliac Disease?
Ukuba ufumene uvavanyo lwe-SIBO, ugqirha wakho unokwenza ukuba uchaze uhlobo oluthile lwe-antibiotic ebizwa ngokuba yi-rifaximin. Le antibiotic, ebuye isetyenziswe ekuphatheni isifo sohudo, asixhamli kakuhle ngumzimba, oko kuthetha ukuba isebenza phantse kwindlela yakho yokugaya.
Nangona kunjalo, akubona wonke umntu obona ukukhulula kwindlela yokwelashwa kwamayeza. Olunye uphando lwafumanisa ukuba abantu abanezifo ezingapheliyo abafumene i-SIBO kwaye baphathwa nge-rifaximin abazange babone naluphi na uphuculo kwimpawu zabo zokugaya ukutya kwi-antibiotic. Okokufunda kwakuquka abantu abangama-25 abane-celiac ababethabathe i-antibiotic, kwaye bafanisa nabantu abangama-25 abane-celiac abathabatha indawo ye-placebo.
Kukho ubungqina bokuba ama-probiotics anganceda kwi-SIBO (kukho kwakhona uphando oluphambili olubandakanya ama- probiotiki kunye nezifo ezinqabileyo ). Ngoko ukuba ugqirha wakho ufumene ukuba nguSIBO kodwa unyango kunye ne-rifaximin aluncedanga ngokwaneleyo, unokucinga ngokuxoxa ngokuzama ukuzama ukufumana i-probiotiki-qi niseka ukuba uthenge uphawu lwe-gluten.
I-SIBO ayiqondwa kakuhle, kodwa kunzima ukuchonga nokuphatha abantu abanokuba nayo. Njengoko ixesha liqhubeka, kufuneka sibe nolwazi olungakumbi malunga noko kusebenza kwi-SIBO kunye noko kungenjalo, okuya kunceda wonk 'ubani, kubandakanye nalabo abane-SIBO kunye nesifo seliliac.
> Imithombo:
> Tshintsha MS et al. Ukuhlaziywa kweRifaximin kunye neNgqungquthela yeBhaktheriya kwiSifo esiMnyama esisisigxina. Uphuhliso lwezonyango kwi-Gastroenterology . 2012 uJan; 5 (1): 31-6.
> Losurdo G. et al. Ukunyuka kweBestinal Overgrowth kunye neCeliac Disease: Ukuhlolwa kweSistim nge-Pooled-Data Analysis. I-Neurogastroenterology kunye ne-Motility . 2017 Feb 12.
> Tursi A. Ubumnqamlezo beMotil Disturbances in Celiac Disease. Umbhalo we-Clinical Gastroenterology . 2004 Sep; 38 (8): 642-5.