I-SIBO , isichazi somqathango obizwa ngokuba yi-infestinal infestinal overgrowth encinci, isenziwa uphando njengeyona nto ingabangela isifo sengqondo sesifo soxilongo (IBS ). Njengazo ezininzi ezinxulumene ne-IBS, umba we-SIBO ube yingxaki eyinkqantosi inzima kwaye ibhalwe ngenye ingxabano kwihlabathi le- IBS yophando . Le ngqungquthela ye-SIBO ngokunxulumene ne-IBS inokukunceda ukuba unqume ukuba oku kuyinto ofuna ukuthetha nodokotela wakho malunga nayo.
Yintoni i-SIBO?
I-SIBO ukuqokelela inani elincinci lomgudu webholongwane emathunjini amancinci. Nayiphi na imeko ephazamisa ukuhamba ngokuqhelekileyo okanye ukunyakaza kwesisu esincinci sinokuyifumana kwisithuba seSIBO. Isifo sikaCrohn kunye nokuhlinzwa kwangasemva kwesisu kuphakathi kweziganeko zobungozi bokuphuhliswa kweSIBO.
I-SIBO ifunyanwe njani?
Ngenxa yobunzima ukwenza i-biopsies ngqo yeembilini ezincinci ukuvavanya ubukho bebhaktheriya, uvavanyo olwaziwa ngokuba luvavanyo lwe- hydrogen breath (HBT) lusetyenziswa. Izigulane zinikwa isisombululo, ezifana ne-lactulose, ukusela, kwaye uvavanyo lokuphefumula lunikezelwa ukuhlola ukufumaneka kwegesi, njenge-hydrogen okanye i-methan. Ngomntu onempilo, umntu akanakulindela ukubona nayiphi na i-hydrogen okanye i-methan ekuphefumlweni de kubekho iiyure ezimbini, ixesha eliza kuthatha ukuba i-lactulose ihambe emathunjini amakhulu apho kuya kubakho ibhaktheriya, ngaloo ndlela ikhulule gesi.
Isiphumo esihle segesi ebonwe ngaphakathi kwimizuzu engama-90 yokusela isisombululo sinika ubungqina bebhaktheriya phezulu kwindlela yokutya, oko kukuthi kwinqanaba elincinci.
I-SIBO Theory ye-IBS
Inyaniso yokuba ukuqhaqhabalalisa isifo esibonakalayo kubantu abane-IBS, kungakhathaliseki ukuba ukubethelwa okanye isifo sohudo njengesifo esibalulekileyo, kuye kwabangela ukuba abaphandi bafune inkathazo eqhelekileyo.
Ukongeza, nangona izigulane ze-IBS zidla ngokutya ngokuthe ngqo njengokuba kubangela iimpawu, akukho uphando olucacileyo oluxhasa le nto.
Ubungqina bokuthi i-SIBO ingaba yimbangela ebangela i-IBS ivela kwiziphumo ezibini eziphambili. Eyokuqala kukuba abanye abaphandi baye bafumanisa ukuba izigulane ze-IBS zininzi ziphethe i-HBT enhle kunabantu abangaphazamiseki, mhlawumbi kubonisa i-SIBO njengengxaki. Okwesibini kukuba uphando lubona ukuba izigulane ezininzi zibona ukwehla okukhulu kwiimpawu ze- IBS emva kokuvavanywa kwamachiza athile. Ezi antibiotics azixhamli esiswini kwaye ngoko ziyafumaneka ukuba zisebenze kuyo nayiphi na i-bhakteria enokuthi ilale ngaphakathi emathunjini amancinci.
I-theory ye-SIBO ifuna ukuchaza isizathu sokuba iibhaktheriya ziphelele kwindawo engafanelekanga. Umathumbu omncinci unomtshato "wokuhlambulula" wemvelo - ukunyakaza kwemizimba eminzini eyenza ukukhupha intlungu emancinci rhoqo. Kucatshangelwa ukuba ukungaphumeleli kule ntshukumo yomzimba kungabangela ukugcinwa kweebhaktheriya. Enye ingcamango kukuba i- gastroenteritis ingonakalisa izihlunu ezijongene nalolu nyathelo oluhlambulukileyo, into enokuthi ichaze into ebonakalayo ye -IBS yokusuleleka . Kwakhona kucatshangelwa ukuba uxinzelelo lunokunciphisa isenzo salezi zihlunu, ngoko kuchaza ubudlelwane phakathi koxinzelelo kunye ne-IBS .
I-theory ye-SIBO izama ukuphendula ingxelo yokuba i-IBS ingazibonakalisa ngokwayo okanye i-diarrhea okanye i-constipation. Ukucinga kukuba iintlobo ezahlukeneyo zeebhaktheriya kunye nefuthe abazenzayo zineempembelelo ezahlukeneyo kwi- gut motility . Ezinye iziphumo ziye zafumanisa ukuba izigulane ezibonisa inani eliphezulu leemetane ziyakwazi ukuvalelwa, ngelixa i-diarrhea-izigulane eziphezulu zibonisa izinga eliphezulu le-hydrogen.
Kwakhona kuthiwa i-SIBO ingaba yinyani ebangela i- fructose kunye nokunyanzelana kweswekile .
Ingxabano
Nangona i-SIBO i-theory ibonakala ibophe i-IBS kwiphakethe elungileyo, abaphandi abaninzi abaqinisekanga.
Kukho iingongoma eziphambili zeengcamango. I-critical critic kukuba i-HBT ayibonakali njengendlela enokwethenjelwa ngenxa yezinga eliphezulu lokulahleka. Okubaluleke ngakumbi kukuba amazinga aphakamileyo ye-SIBO kunye nempumelelo ye-antibiotics njengonyango ebonwe kwizifundo ezenziwa ngabafundi be-SIBO azizange zihlaziywe ngabanye abaphandi. Inkxalabo ikhona kwakhona malunga nokusetyenziswa kwexesha elide lamagciwane, ikakhulukazi inikwe ukuba i-IBS yimeko eqhubekayo.
Ngaphantsi
Njengoko ubona, ubudlelwane phakathi kwe-SIBO ne-IBS buhlala bubukhali. Ukubambisana ngokubanzi kubonakala ngathi i-SIBO ingaba yinkathazo engundoqo kwisigxina se-IBS izigulane kwaye uhlobo oluthile lwe-antibiotic, i-Rifaximin, luneenkxaso ngokubanzi zophando ngokusebenza kwayo ngokunciphisa ukubhubhisa kunye nehudo. Ngethemba, uphando oluqhubekayo luya kucacisa imbambano, kunye nokunyanga okukhuselekileyo kunye nonyango.
Ngaba ufanele uxoxe nodokotela wakho ngokuthatha i-HBT ye-SIBO? Ngenxa yokuba iSIBO ibonakala iyinkinga kwezinye izigulane ze-IBS kunye nokuba i-antibiotic ingabangela ukuphulukiswa kwempawu, i-SIBO ingafanelekile ukuba iphandwe ngokuphandle ngakumbi, ngakumbi ukuba i-bloating yinxalenye ebalulekileyo yesigwebo sakho.
Imithombo:
Ikholeji yase-American yeGastroenterology IBS Task Force "Ingxelo eNgqinisiso-based Based Statement yoLawulo lwe-Irritable Bowel Syndrome" I- American Journal yeGastroenterology 2009: S1-S35.
I-Lin, H. "I-Overgrowth encinci ye-Abestestinal intestinal: Isikhokelo sokuqonda i-Irritable Bowel Syndrome" Umbhalo we-American Medical Association 2004 292: 852-858.
I-Pimentel, M. "I-IBS Isixazululo esitsha" I-Health Point Press 2006.
IQuigley, E. "I-Bakteria kunye ne-Irritable Bowel Syndrome" IsiSeko samaZwe esiSeko seMisebenzi yokuHlezeka kwemiSebenzi yokuHluleka kweNtlungu.