Ubu bungqina kunye nokuchasana nokuthatha iprobiotics kwi Crohn's okanye Ulcerative Colitis
Indlela yethu i-microbiome ithintela ngayo ukuphuhliswa kwesifo sesibindi (IBD) sisicatshulwa esichukumisayo kwiingxoxo kunye nophando. I- microbiome ibhekisela kuwo onke ama-microorganisms (ii-bacteria kunye ne-microbes) ezihlala emizimbeni yethu. I-microbiome yamathumbu amakhulu ngokukhethekileyo isifundo ngokumalunga nesifo sikaCrohn kunye nesifo sezilonda zesilonda, ngenxa yembono yokuba i-IBD ibangelwa ukuphazamiseka kwi-microbiome, okanye ukuba i-IBD ibangele ukuphazamiseka.
Ukulandela ukusuka kuloo nto ingumzekelo wokuthi ukuba i-microbiome ingalungiswa, kunye nokuxuba "okulungileyo" kweebhaktheriya kunokuhlakulwa kwindlela yokutya, ukuba i-IBD ichatshazelwe okanye ifumaneke.
Faka ii- probiotiki , ezinobungane "ezinobungane" ezitshitshiswayo, mhlawumbi ngokuzidla okanye ngokuthatha isongezelelo. Iiprobiotics ziyabiza, kwaye ukuthanda kwabo kuyanda, kodwa ngaba bayakufanelekela utyalomali lwemali xa kufike kwi-IBD? Kwaye nangaphezulu: Abalawulwa nguLawulo lwezoKutya nokuLawulwa kweeMithi, ukuphakamisa umbuzo wokuba ingaba bangayibangela nayiphi na ingozi.
Amaphupha abalulekileyo ukugcina engqondweni malunga nokusebenzisa i-probiotics kwi-IBD:
- Akukaqondi ngokucacileyo ukuba i-microbiome ichaphazeleka njani yi-IBD.
- Ezinye iiprobioti zingasebenza kwi-IBD, kodwa uphando olungakumbi luyimfuneko.
- Enye yeprobiotic ekhoyo ithengiswayo iboniswe ngempumelelo kwi- pouchitis kubantu abane-j-pockets.
- Iiprobiotiki zinokubiza kwaye ngaphandle kokuba isisombululo "esilungileyo" sisetyenzisiwe, asinakubonelela nayiphi na inzuzo.
- Iiprobiotics inokulimaza kubantu abaye banciphisa ama-immune systems kunye neentsana.
- Izongezelo zeProbiotic kufuneka zisetyenziswe kwingcebiso yonyango.
Yintoni i-Microbiome efana ne-IBD?
Kuye kwaziwa ukuba abantu abane-IBD banamaphepha ahlukeneyo kwimizila yabo yokugaya kunabantu abaphilileyo.
I-microbiome iphakamileyo kakhulu: Wonke umntu uya kuba neyakhe inguqu "yesiqhelo." Nangona kunjalo, kukho iimeko ezincinci ezifumaneka kubantu abane-IBD ezifunyenwe ngabaphandi. Indlela oku kuhambelana ngayo neempawu kwaye unyango alukaziwa. Ngoko, kuyaqondakala ukuba kukho utshintsho kwi-microbiome yomntu onomsebenzi we-IBD kodwa akwaziwa ukuba oku kuchaphazela njani i-IBD kwaye ukuba le nto yinto efuna ukuphathwa okanye ingaphathwa kakuhle.
Ngaba amaProbiotics ayingozi?
Kukho imbono yokuba i-probiotikthi yinto efanelekileyo kwaye iyimfuneko kwaye kulungile ukuba "uzame" kwaye ubone ukuba kusebenza njani, kuba akukho zibi. Kwiimeko ezininzi, ngokukodwa kubantu abadala abadala, ama-probiotics mhlawumbi ayingozi. Abantu abaninzi badla iiprobiotics ekudleni kwabo imihla ngemihla, ngakumbi kwi yogurt, kombucha, okanye kefir. Nangona kunjalo, ngamanye amaqela, njengalebo abagula kakhulu, athathaka amandla omzimba, okanye iintsana, ngokomzekelo, ukuxhaswa kweprobiotiki kunokubangela ingozi. Akuqhelekanga, kodwa iziphumo ezimbi zibikwe, ngokugqithiseleyo kwiintsana ezigulayo zanikwa iiprobitics.
Njengoko esingazi ukuba yeyiphi i-organisms okanye ingaba zininzi zazo ezifunekayo ukulungelelanisa i-microbiome yethu ngendlela efanelekileyo, ukusebenzisa i-probiotiki kubantu abasele begula okanye bekhulile bangenakukhuseleka.
Akukho ubungqina obaneleyo obuza kuhla ngolu hlobo ngenye indlela, kodwa ukuvumelana ngokubanzi kweli nqanaba kukuba i-probiotics ayilunganga, kwaye ugqirha kufuneka uxoxwe ngaphambi kokuba asebenzise.
Indlela yokuxelela ukuba iprobiotic isebenza
Kwabanye abantu, ukuthatha iprobiotiki kungabangela ukuba i-gas igwebe kunye nokuqhaqha. Ukuqala ngeqondo eliphantsi kunye nokwandisa ngokukhawuleza ngexesha elide kunokunceda ukunciphisa le ntlobo yeziphumo ezibi. Naluphi na umonakalo okanye ezinye iziphumo kufuneka zifakwe kwiiveki okanye ezimbini. Ukuba azinjalo, lixesha lokuphinda lihlolisise le probiotic ethile kunye nodokotela. Kungaba nzima ukuba ukwazi ukuba iprobiotics isebenza.
Kumntu ophethe izithambiso ezivulekileyo, ukuba isigxina esiqinileyo esingaba yinkcazelo yokuba iprobiotics isebenza kakuhle. Kodwa ukuba i- IBD inokuxolelwa , kwaye iprobiotics isetyenziselwa ukuhlala ngale ndlela: kunzima ukwazi ukuba isebenza. Le yenye yezona zizathu ezininzi zokuba kubalulekile ukuxoxa ngeerbiotics kunye nodokotela kwaye ugcine idayari yesifo xa uqala iprobiotic entsha.
IiProbiotics kwiiCrohn's
Izilingo zeprobiotics kubantu abadala abanesifo sikaCrohn ekuxoxisweni baye babonisa iziphumo ezixubekileyo kunye neeprotictic supplements, nangona kungacacile ukuba zeziphi iingxaki eziya kuba luncedo. Uhlalutyo lwe-meta (apho abaphandi bafunda iimiphumo zezifundo eziliqela ukwenzela ukuba bafike kwisiphetho) kwezi zilingo ezi-9 zazingabonakali nzuzo kubantu abanesifo sikaCrohn. Kukho inzuzo ebonwayo xa kusetshenziselwa iintlobo ezininzi ndawonye, ngokukodwa i- Saccharomyces boulardii , i- Lactobacillus , kunye ne-VSL # 3 ( eyinqaku lorhwebo oluqulethe umxube we-bacterial strains).
Noko ke, kukho izilingo ezintathu ezibandakanyiweyo kulo meta-uphando olwalubonisa "inzuzo ebalulekileyo" kubantwana abaphila nesifo sikaCrohn abongezelelekileyo ngeprobiotics. Kufuneka kuphawulwe ke, ukuba ezi zilingo, oku kuthetha ukuba abantwana bephantsi kolondolozo lwagqirha, befumana iliso lokujonga, kwaye ukuba i-probiotics ayifanele isetyenziswe kubantwana abane-IBD ngaphandle kokuxoxa nodokotela.
IiProbiotics kwi-Ulcerative Colitis
Uhlalutyo lwe-meta olujonge kwiilingo ezingama-18 zeprobiotiki kwizigulana eziphila ngesifo sezilonda zesigulane saphetha ukuba kukho "umphumo obalulekileyo." Abaphandi bathi i-probiotitics edibeneyo yaboniswa ukuba iyasebenza ngakumbi kubantu abane-ulcerative colitis. Ukuxhaswa nge- Lactobacillus probiotic kunye ne-prebiotiki yayisebenzayo kwi-ulcerative colitis kodwa kungekhona kwisifo sikaCrohn. Umxube wezorhwebo u-VSL # 3 waboniswa ukuba uyasebenza kwi-ulcerative colitis, kwaye xa idibene neLactobacillus, yaboniswa ukuba nefuthe kubantwana abane-IBD. Kwakhona, ku funeka kuqatshelwe ukuba ukusetyenziswa kweprobiotics kubantu abane-IBD kufuneka kwenziwe phantsi kolawulo lugqirha, ngokukodwa kwimeko yabantwana abanesifo.
Iiprobiotics ze-J-poches
Kukho iqela elilodwa labantu abane-IBD ekuye kuboniswe ukuba ama-probiotics ancedo, kwaye ngabantu ngabantu abane-j-poch. Utyando lwe-J-pouch luhlobo lotyando olwenzelwe abantu abane-ulcerative colitis, kwaye i-teknoloji yegama lobugcisa yi-pole-anal anal anastomosis (IPAA). Ngethuba lokuhlinzwa, i-colon isuswe, kunye nenxalenye okanye yonke i-rectum. Inxalenye yokugqibela yamathumbu amancinci ifakwe kwisitya esikhankanya indawo ye-rectum kwaye igxothwe kwi-anus.
Enye inkxalabo ye-j-pouch yimeko ebizwa nge pouchitis , ezisa iimpawu zorhudo, umkhuhlane, ukuphuthuma, kunye namaxesha amancinci ngamanzi. I-Pouchitis ayiqondwa kakuhle, kodwa kukho ubungqina bokuba ukusetyenziswa rhoqo kweprobiotics kunokukunceda ukukhusela i-pouchitis. Olunye uhlobo lweprobiotiki, olufanelekileyo kunye nolwenziwe yinkampani eyodwa, luye lwafundwa kwaye iziphumo zibonisa ukuba zinokukunceda ukukhusela i-pouchitis okanye ukugcina isigulane ekuxoxweni emva kwe-pouchitis yiphathwe ngamayeza. Impendulo kukuba i-probiotics iyabiza kwaye ayisoloko ihlanganiswa yi-inshurensi ngenxa yokuba ithathwa njengesongezelelo kungekhona iyeza.
Ngaba iiProbiotics ziya kuba "unyango" kwi-IBD?
Nangona kukho izifundo ezithile ezibonisa iintlawulo ngokuthatha iindidi ezithile zeprobiotics kwiincinci ezithile ze-IBD, umphumo awuyi kuba yanele ngokwaneleyo ukuba ithathwa njengonyango. I-Probiotics inokunceda abanye abantu nge-IBD, kodwa kubalulekile ukuqaphela ukuba abayi kusebenza ngokufanelekileyo ukuba izigulane ziyeke ukuthabatha imithi ye-IBD.
ILizwi
Ukusetyenziswa kweeprobitics ukuphatha i-IBD ekhangayo. Nangona kunjalo, kusekho iimpendulo ezininzi ekufuneka ziphendulwe, ngokugqithiseleyo ukuba i-microbiome ichaphazeleka njani ngaphambi kokuqala kwe-IBD kunye nendlela iguquka ngayo xa i-IBD ikhupha kwaye xa ikhutshwe. Kukho iintlobo ezininzi ezahlukeneyo zee-microorganism kwi-digestive tract ukuba kunzima ukufumanisa ukuba yeyiphi ibhakteria ekufuneka isetyenziswe ukutshintsha ibhalansi. Abaphengululi baxhomekeke kwiindawo ezinokuthi zisebenzise, kodwa zikhona ezinye ezingaziwayo kunokuba ziyaziwa kule ndawo. Kuze kubekho ulwazi olungakumbi lophando, akucaci okwamanje abangabanceda kwi-probiotic supplement. Kungakhathaliseki ukuba ingasetyenziselwa ukusebenzisa iprobiotic ingxoxo okanye i-probiotics kufuneka isenzeke phakathi kogqirha nesigulane kuba isigqibo ngasinye. Esikhundleni sokuba "uzame ubone," ugqirha unokunikela ngesikhokelo malunga neentsholongwane zebhakteria ezinokuba luncedo.
> Imithombo:
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