Izigulane kufuneka zisebenzise ukucinga okubalulekileyo xa sifunda nge-IBD Research
Uphando olubangelwa izibilini zesifo sokuguga (IBD) kubalulekile, kuyimfuneko kwaye kuyimfuneko. Ngophando lobunjani, izazinzulu ziya kukwazi ukufumana iinkcukacha ezininzi malunga neyona nto ibangela i-IBD nendlela yokuyiphatha kakuhle. Nangona kunjalo, akuyiyo yonke iphepha yophando malunga ne-IBD. Ewe, akusiyo yonke iphepha lokuphanda elibonakala lithembisayo ekuqaleni kwaye lomoya okhokelela ekufumaneni into ebalulekileyo malunga ne-IBD kamva.
Kukho indlela ende ngaphambi kokufumanisa okuthakazelisayo eyenziwa ngabaphandi banokuba yinto engasetyenziswa ngamagqirha ukunceda izigulane okanye iinkampani zonyango ukuba zenze iyeza. Ezinye izazinzulu kunye nabaphandi kufuneka bafunde iziphumo zokuqala baze bakwazi ukwenza esinye isifundo baze bafumane iziphumo ezifanayo.
Xa abaphandi becinga ukuba banokufumana into ebalulekileyo, bayilwa kwaye benze isifundo esincinci. Ukuba oko kufundiswa kubonisa into ebalulekileyo, uphando olunzulu luyenziwe. Xa sisendleleni, kunokufunyanwa ukuba izifundo ezinkulu azikho umphumo ofanayo nokuba isifundo esincinci senziwe. Ngelo xesha, uhlalutyo oluthile lufuneka lwenziwe ukuba lubone oko kwenzeka phakathi kwezi zifundo zimbini nokuba kutheni bengafani. Xa uphando aluphefumli luba luleke njengoko kucinga kuqala, ngokuqinisekileyo luyadumala kubaphandi, oogqirha kunye nabantu abane-IBD.
Umzekelo woPhando loPhando
Izazinzulu ziyazi ixesha elithile ukuba izigulane zabantu abane-Crohn's disease kunye ne-ulcerative colitis ziqulethe izixa ezahlukeneyo zebhaktheriya kunye nama-protini kunabantu abangenayo IBD.
Ukwazi ukuba ukwakheka kweziqulatho kumathambo ahluke ngokuqinisekileyo kuphucula ulwazi phambili kwaye kunceda abaphandi banciphise okokufundisisa ngokulandelayo.
Kunzima, nangona kunjalo, ukuqonda ngokucacileyo okokuba iibhaktheriya ezingaphezulu okanye ngaphantsi okanye ngaphantsi kweeprotheni zithetha kwisicwangciso esikhulu sezinto. Ngaba i-IBD yenza ukuba utshintsho lwenzeke?
Okanye ngaba le nguqulelo ivela esinye isizathu? Ezi zitshintsho zihambelana njani nezizathu ze-IBD? Kukho iingcamango malunga noko konke oku kuthetha ukuthini, kodwa asikwazi ukuphendula iimpendulo kule mibuzo ngokuqinisekileyo.
Omnye umzekelo ogqityiweyo wophando olusisiseko ngu-2016 uphando olushicilelwe kwiphepha le-mBio eliye lafunda izinto eziphilayo emanzini abantu abanesifo sikaCrohn kwaye bafanisa nezilwanyana kubantu abangenawo isifo sikaCrohn. Iintsapho ezibandakanyekayo kuphando, abo babenamalungu kunye ne-IBD kunye nabangenayo imbali ye-IBD, babesenyakatho yeFransi neBelgium. Ziziphi izazinzulu ezazifumanisa ukuba ezimbini iintlobo zebhakteria, i- Escherichia coli kunye ne- serratia marcescens , kunye nohlobo olulodwa lwe-fungus, i- Candida tropicalis , lwafumaneka kwixabiso eliphezulu kubantu abane-Crohn's disease.
Xa ibhaktheriya kunye nefungus zifundwe kwibhuyibhile, kwafumanisa ukuba badibana kunye nokudala iqela leeseli ezinamathele ndawonye, ebizwa ngokuba yi-biofilm. Abaphandi bathatha le biofilm baza benza izifundo ezininzi kwibhuyibhile, kwaye babonisa ukuba kubangele ukuvutha kwamaseli emathumbu. Uluhlu lubalulekile kuba lubonise ukuba kukho ukungafani kwiibhaktheriya kunye nefungus efunyanwa kubantu abanesifo sikaCrohn xa kuthelekiswa nabangenawo isifo sikaCrohn.
Kwakhona kubonisa ukuba kwii-laboratory izifundo, ezi ziphilayo zisebenza kunye ukuchaphazela iiseli kumathumbu. Nangona kunjalo, esi siphumo sokuqala asanele ukusixelela ukuba iifungus kunye neebhaktheriya zichaphazela ukuphuhliswa kwesifo sikaCrohn kubantu.
Ngoko Ngoku Siyazi Yintoni Ebangelwa Izifo Zama-Crohn?
Hayi, asikwazi ukusho ngokuqinisekileyo oko kubangela isifo sikaCrohn . Iziphumo ezitsha malunga nokusebenzisana phakathi kwefungus kunye neebhaktheriya ngokuqinisekileyo zivula indlela entsha yophando. Nangona kunjalo, kwakuyincwadana encinane kakhulu.
Ukubandakanywa kweso sifundo kwakuneentsapho ezilisithoba ezineempawu ezinesifo se-Crohn kunye neentsapho ezine ezingenawo amalungu anesifo sika-Crohn.
Zonke iindwendwe zivela kwindawo ethile (enyakatho yeFransi neBelgium). Kwakukho abantu abangama-20 abanesifo sikaCrohn, amalungu omndeni angama-28 angenayo isifo sikaCrohn, kunye nabantu abangama-21 abavela kwiintsapho ezingenayo imbali yesifo sikaCrohn. Esi sisonke sabantu abangama-69, okwaneleyo isampula ukwenza isitatimende esicacileyo esibandakanya bonke abantu abanesifo sikaCrohn kuwo wonke umhlaba.
Ukongezelela, kucingelwa ukuba kunokubakho iindidi ezilikhulu ezahlukeneyo ze-IBD. Iingcali ze-IBD zisoloko zibhekisela kwi-IBD njengezifo zesifo. Ukuba ngaba kunjalo, kwaye ngokunyuka ukujonga ngale ndlela, i-IBD inokuthi izifo ezininzi ziyahlukana. Okwangoku ngoku izazinzulu kunye noogqirha bafaka i-IBD kwiibhakethi ezimbini, isifo sikaCrohn kunye nesifo se-ulcerative (ngebhakethi yesithathu ye-colitis engapheliyo malunga neepesenti ezili-10 zezigulane). Ezi bhakethi zinokunyuka kwixesha elizayo njengoko sifunda ngakumbi nge-IBD. Xa ukhangela i-IBD kulo mbono, ngokuqinisekileyo kuya kuba ngaphezu kweyodwa "imbangela" kunye " nokunyanga " omnye. Ukuba i-IBD, njengoko iingcali zicinga, ngaphezu kwezifo ezimbini ezihlukeneyo, kuyaqondakala ukuba kuya kuba namajethi amaninzi kunye neziphumo ezingaphezulu kwezinto ezingqongileyo ezibandakanyekayo ekubangeni.
Izigulane ze-IBD kunye nabanye abanomdla wokugcina uphando lwezobugqirha baye bakuva inqaku elithi "ukulungiswa akuyiyo ingxaki." Oko kuthetha ukuthini xa izinto ezimbini zivela kunye, akusoloko kunjalo ukuba omnye wabo ubangela omnye. Abaphandi banokubonisa ukuba i-fungus kunye ne-bacteria emathunzini abantu abane-IBD zihlukile kunezo ezingenayo i-IBD, kodwa lo mlinganiso awusitsheli ukuba ibhaktheriya okanye i-fungus ibangela IBD. Kubalulekile ukubonakalisa ukuba kukho imbangela echanekileyo kunye nolwalamano lwentsebenziswano phakathi kweenguqu ezimbini ngaphambi kokuba naziphi na izigqibo zingenziwa.
Kutheni i-Media Outlets Ifuna ukuba Siyazi isizathu Sezifo Zama-Crohn?
Kukho imiba emininzi eyenza iphepha lokuphanda elilodwa liqwalasele kakhulu. Iqiniso elibi le-intanethi yehlabathi kukuba liqhutyelwa yintengiso. Ngendlela efanayo amaphephandaba namaphephancwadi bathembela kwisiseko sokubhaliselwa, iiwebhu zixhomekeke kwisixa sabantu abajonga iphepha kunye namanqaku amaninzi abawajongayo. Intloko ehlaselayo okanye ephosakeleyo ingathetha ukuba inqaku likwabelwana ngoluntu kwimidiya yoluntu kwaye licofa kumaxesha amaninzi kunokuba isebenzise isihloko esinyanisekileyo okanye esiphezulu.
Ingongoma eyongezelelweyo yokwabelana ngamabali malunga nezifundo zophando yinkqubo emva kokupapasha amaphepha ezesayensi. Umbhali opapasha iphepha kufuneka aqinisekise ukuba iphepha liyabonwa kwaye liyavuma. Ngokugqithiseleyo iphepha liphuma kwiiholo zezemfundo nakwi-press press apho ifundwa kwaye ixoxwa ngayo, ingcono. Oku kunokunceda abaphandi okanye amaziko athole imali engaphezulu yokwenza uphando olungakumbi.
Uphando oluthe gqolo luhlala luyinto entle, kodwa umphumo wokugqibela kukuba kukho uxinzelelo olukhulu kwizenzululwazi ukuba banake ingqwalasela enkulu kunokwenzeka ekutheni bafunde. Isebe lobudlelwane boluntu kwiziko apho uphando lwenzeka khona luya kunceda ukufumana igama malunga nokufunda ngokutsha. Ababhali baqhagamshelana neentlobo ezininzi zeendaba zokubhaliweyo. Yonke into efunekayo isicatshulwa esinye singasichazwa ngokucacileyo okanye sithathwe ngaphandle kwimixholo, eso siphinde sichazwe kwiindawo ezininzi zeendaba, kwaye kukho isiqhwithi esipheleleyo senkcazelo engafanele ixazululwe.
Inqaku esuka
Uphando lubaluleke kakhulu kwizigulane ezine-IBD kunye noogqirha babo. Ngokuphanda uphando olutsha luphuhliswa kwaye olunye luqondwa malunga nezinto ezinokuthi zibe negalelo kwi-IBD. Nangona kunjalo, izigulane kufuneka zisetyenziswe ngokucokisekileyo xa zifunda malunga nophando lwe-IBD kunye nokuba lithetha ntoni.
Kuye kubekho ukuphuhliswa, kwaye kuya kubakho ngaphezulu, kodwa ngethamsanqa kunokwenzeka ukuba akukho nto enye, isizathu esicacileyo okanye unyango kwisifo ezinzima njenge-IBD. Uphando lokulunga luya kugcina isiseko solwazi phambili, kwaye ukuqhutyelwa phambili kuyenziwe kakade. Akunakwenzeka ukuba kuya kuba nelinye iphepha lezesayensi eliza kuvula iimfihlelo ze-IBD, yingakho sifanele siqhubeke nokukhuthaza ukuphanda ngakumbi kuluntu lwethu noorhulumente, de kube siqonda ngakumbi nge-IBD.
> Imithombo:
> I-Crohn's neColitis Foundation yaseMelika. Post Facebook. 28 Septemba 2016. https://www.facebook.com/ccfafb/posts/11/11776048608272
> Hoarau G, Mukherjee PK, Gower-Rousseau C, et al. "I-bacterial and mycobiome interactions ixhomekeke kwi-microbial dysbiosis kwisifo seCrohn." [ipapashwe kwi-intanethi ngo-Septemba 20, 2016]. mBio .
> Rehman J. "Ukuchaneka kolwazi lwezoNyango kwi-intanethi." Scientific American. 2 Agasti 2012
> Umthi, M. "Kutheni asizange siphilise isifo sesisu?" Ubomi bezeNzululwazi. 6 Matshi 2015.