Fecal Bacteriotherapy Human Stool Transplant

1 -

Kodi Kusamba kwa Fecal N'kutani?
Vertigo3d / Getty Images

Kuika chinyama, chomwe chimadziwika kuti fecal bacteriotherapy , ndi njira yobwezeretsa mabakiteriya omwe amapezeka m'magawo am'mimba ndi kulowetsedwa kwa nyansi (chopondera) kuchokera kwa wopereka. Ngakhale izi zikuwoneka ngati chinthu chachilendo, ndibwino kukumbukira kuti matupi athu amafuna mabakiteriya kuti azidya chakudya. Mabakiteriya amathandizanso kusunga kayendedwe ka chakudya ndi chotupa kudzera m'matumbo. Pamene mabakiteriya omwe ali m'magazi akuwonongedwa, zingakhale zovuta kubwerera.

Mabakiteriya a Fecal - Flora

Munthu wamba ali ndi mitundu yambiri ya mabakiteriya m'magazi. Ngakhale kuti n'zotheka kukhalabe popanda mabakiteriyawa, omwe amadziwika kuti zomera kapena zachilengedwe, zimathandiza kwambiri thupi. Mabakiteriya "abwino" amathandiza kuchepetsa kupitirira kwa mabakiteriya oyipa, amatha kupititsa patsogolo chitetezo cha mthupi, ndipo amathandizira kuthetsa mitundu yambiri yazakudya zamagazi.

Pamene tabadwa, tili ndi mabakiteriya m'thupi lathu lomwe timalandira kuchokera kwa amayi athu, ngati "chikhalidwe choyamba". Ngati chiwonongeko cha mabakiteriya ndi chokwanira, sipangakhale chokwanira kubwerera ku miyezo yachibadwa popanda kutenga zomera za munthu wina monga chikhalidwe chachiwiri choyamba.

2 -

Nchifukwa chiyani Zidutswa Zomwe Zimayikidwa?

Zilombozi zimayikidwa kuti zikhazikitse mabakiteriya omwe atayika kapena kuwonongedwa ndi matenda kapena mankhwala. M'thupi lachibadwa, mabakiteriya ambirimbiri alipo. Mabakiteriyawa, otchedwa zomera zowonongeka, ndizofunika kuti chimbudzi chikhale chogwira ntchito komanso zimathandiza kuti zitha kusokonezeka komanso zimapangitsanso ntchito zowonongeka.

Mu dongosolo lachibadwa la zakudya, mabakiteriya mazana ambiri amene amapanga zomera zowonongeka amayesetsa kuti azikhala osamala, kusunga mabakiteriya aliwonse kuti asapitirire. Nthendayi ndi yosakhwima, ndipo ngati mankhwala akulepheretsa, kuwonjezereka kumachitika. Chotsatiracho chikhoza kukhala chovuta kwambiri kwa dongosolo la kugaya. Kawirikawiri, dongosolo la kugaya limabwerera kumbuyo, kubwezeretsanso zomera. Kwa ena, kupitirira kwakukulu kumabweretsa mavuto ochulukirapo a m'mimba ndi mapulaneti ochepa kwambiri kuti akhale ogwira mtima. Kwa iwo, bacteriotherapy ya fecal ndi njira yofunika yothandizira.

Zilonda zamtundu zingaperekedwe monga chithandizo cha ululu wa clostridium difficile , womwe umatchedwa "C. kusiyana." C. Zovuta zimapezeka kuchokera ku mankhwala omwe amachiza mabakiteriya abwino pakupha mabakiteriya oipa. Kwa odwala odwala kwambiri, C. diff angapangitse opaleshoni yowonjezereka kapena kupuma kwakanthawi. Kwa wodwala wodwalayo amene amavomereza C. kusiyana, sipangakhale kusowa kwa bacteriotherapy, monga mankhwalawa amagwiritsidwa ntchito kwa omwe ali ndifupipafupi C. kusiyana. Ndi odwala omwe amayenerera kukhala ndi moyo angapindule kwambiri ndi kubzala.

3 -

Zovuta? Kodi Kufaka kwa Fecal Bacteriotherapy N'chimodzimodzinso ndi Mankhwala?

Kusakanikirana kungakhale chifukwa chachikulu chomwe anthu ambiri alibe njira yogwiritsira ntchito bacteriotherapy. Pamene amakumana ndi mavuto a m'mimba ambiri, komabe lingaliro la kuvomereza kulowetsedwa kwa nyongolotsi zimapirira odwala ambiri. Zambiri mwazimene zimafunika kuika nkhumba zimayambitsa matenda otsegula m'mimba, omwe amatha, komanso omwe amatha.

Poyamba, lingaliro la kuika nyama kumakhala ngati nthabwala - komabe, malingana ndi kafukufuku wina, bacteriotherapy yamtunduwu ili ndi 91%. Kwa odwala omwe amakumana mobwerezabwereza C. difficile kwambiri, ndi zizindikiro zowonongeka zogwirizana nazo, chinthu "chokwanira" chingakhale chosakhala.

Zosintha za fecal zimavomerezedwa monga chithandizo cha njira zambiri zamatumbo za m'mimba. Komabe, akamagwiritsidwa ntchito pochizira matenda opatsirana ndi zilonda zam'mimba, matenda opatsirana amtunduwu amatengedwa ngati mankhwala oyesera.

4 -

Kodi Nsalu Zosakaniza Zimatheka Bwanji?

Ndalamayi imapezeka kuchokera kwa wopereka mkati mwa maola asanu ndi limodzi. Amayesedwa ndi kuyesedwa kwa tizilonda toyambitsa matumbo ndi zizindikiro zina za matenda zomwe zingawononge woperekayo. Ngati nyembazo zili zoyenera, zimakonzedwa kuti zikhale ndi zokolola, makamaka mwa kusakaniza ndi madzi osabvundi ndi kupyolera mu fyuluta ya khofi mobwerezabwereza kuchotsa zolimba.

Chitsanzochi chimaphatikizidwa mwa wolandira mwa njira imodzi, kudzera mu enema kapena pogwiritsa ntchito chubu .

Ngati njira ya enema ikugwiritsidwira ntchito, sampulayi imayikidwa mu thumba la enema kapena botolo, kenaka imalowetsedwa mu rectum yomwe imachitika nthawi yaitali. Izi zimachitidwa mobwerezabwereza masiku osachepera asanu kapena asanu, ndikubweretsa maluwa omwe amatha kubwerera m'mimba.

Njira ina imagwiritsira ntchito chubu popatsa mpweya wodwala m'matumbo. Thubuyi imagwiritsidwa ntchito podyetsa odwala omwe sangalekerere mitundu yambiri ya chakudya kapena chubu. Iyo imayikidwa mu mphuno ndi pansi mpaka mmimba, ndipo iyo imapitirira kupitirira mpaka itayima mu matumbo. Chitsamba chokonzekera ndiyeno chimaphatikizidwa kupyolera mu chubu, kuti chiyike mwachindunji m'mimba.

Nthawi zina, njira zamagetsi komanso zamagetsi zimagwiritsidwa ntchito kubwezeretsanso zomera m'thupi.

5 -

Zosamba Zosamba: Kubwezeretsa kwa Autologous Flourestinal Flora (ARGF)

Kubwezeretsa kwazitsamba kwazitsamba za m'mimba, kapena ARGF, ndi njira yatsopano yomwe ikuwerengedwa. Pachifukwa ichi, odwala omwe ali pangozi yowonongeka kwa matope omwe amapezeka m'matumbo amapereka chitsanzo chawo. Chitsanzocho chimasungidwa, ndipo ngati chiri chofunika, chimasankhidwa ndi kuzizira-zouma. Chitsanzocho chimapangidwa mu capsule ndi yokutidwa, mofanana ndi ibuprofen kapena mankhwala ena, kotero kuti imapita ku intestine isanayambe. Njira imeneyi, monga enema ndi njira zopangira tizilombo toyambitsa matenda, imayambitsa ndondomeko yoyenera ya zomera kumatumbo kumene imatha kumanga.

6 -

Ndani Angakhale Wosasunthira Zowonjezera Mafuta a Fecal?

Kawirikawiri, wokondedwa kapena wachibale wathanzi amaonedwa kuti ndi woyenera kulandira chithandizo. Palibe chofunikira kuti wopereka akhale wachibale; munthu aliyense wodzipereka angadzipereke kupereka. Mbiri ya zamankhwala ya woperekayo idzafufuzidwa, pamodzi ndi moyo wawo wamakono. Woperekayo ayenera kukhala wopanda matenda opatsirana, monga hepatitis A, B ndi C, ndi HIV. Ayeneranso kukhala opanda matenda a parasitic, otupitsa yisiti, ndi zina zomwe zimagwiritsidwa ntchito popatsa chakudya chomwe chingaperekedwe kwa wolandira.

Asanayambe kupereka zopereka, woperekayo angapemphedwe kuti atenge mphamvu ya antibiotic kukonzekera zoperekazo.

> Zotsatira:

> Fecal Microbiota Kusakaniza kwa Kachilombo kaja kowonjezera. LJ Brandt, SS Reddy. Journal of Clinical Gastroenterology.

> Kachilendo ka Clostridium kawirikawiri: Nkhani Yophatikizapo Odwala 18 Ochitidwa ndi Donor Stool Olamulidwa Kudzera mu Tube Yogwiritsira Ntchito. Johannes, Gessert ndi Bakker.