Pali kusintha kwa mitima ndi mapapo, ngakhale manja ndi nkhope; impso zimaperekedwa, motero zimakhala zosautsa.
Zimamveka zokongola kwambiri, koma palinso zowonongeka.
Kuika chophimba sikungaphatikize opaleshoni kapena chitetezo cha chitetezo cha mthupi monga ziwalo za thupi zimadalira. Izi ndizopulumutsa moyo kwa ena.
Sizowoneka ngati wopenga momwe zingamveke.
Tonse tili ndi mabakiteriya mwa ife, nthawi zonse. Ndipotu, tili ndi mabakiteriya 100 triliyoni mwa ife nthawi iliyonse. Zonsezi ndi mbali ya microbiome yomwe imakhala ndi mabakiteriya pa khungu lathu, m'matumbo athu, ndi ziwalo zina zambiri za matupi athu. Mabakiteriya ochuluka kuposa maselo aumunthu pafupifupi 10: 1. Ife "timangokhala" tiri ndi maselo 10 tliliyoni aumunthu.
Matendawa amatchedwa Fecal Microbiota Transplants (FMT) kapena zojambulajambula. Izi zimatha kuthana ndi matenda omwe amabwera mkati mwa matumbo athu osati zomwe ayenera kukhala. Kawirikawiri pali mitundu yambiri yambiri ya mabakiteriya. Pali zinthu zovuta kwambiri m'thupi mwathu. Nthawi zina zamoyozi zimatha kutsukidwa ndi maantibayotiki ndipo zimatha kupitirira ndi mtundu umodzi wa mabakiteriya - monga C Diff (Clostridium Difficile). Zojambulazo zamasamba zakhala zikugwiritsidwa ntchito makamaka pa matenda osiyana siyana a C Diff.
Clostrdium Difficile N'chiyani?
Clostridium difficile ( C. difficile ) ndi mabakiteriya omwe amatha kugwera m'matumbo pamene odwala amapatsidwa mankhwala opha tizilombo, makamaka pamene ali kuchipatala kumene ena ali ndi kachilomboka komanso pamene akudwala.
Zingayambitse kutsekula m'mimba. Izi zinayambitsa matenda opitirira 500,000 mu 2011. Nthawi zambiri zimayambitsa kubwereza - oposa 80,000 ku US omwe anali ndi kachilombo kawiri kawiri. Mwa anthu omwe ali ndi kachilomboka, pafupifupi 30,000 anafa m'mwezi umodzi wa matendawa ndi C Diff.
C Diff akhoza kuchiritsidwa ndi maantibayotiki, koma kubwereza kumakhala kofala ndipo zina sizimayankha mankhwala opha tizilombo.
C Kusiyana kwakukulu kumachitika pamene mabakiteriya oyenera m'matumbo amatha kufafanizidwa ndi ma antibayotiki ndipo zomera zowonongeka zimayenera kubwereranso kuti apewe C Diff mobwerezabwereza ndi kubwereza. Apo ayi odwala akhoza kuvutika - ndipo nthawi zina amafa - kuchokera ku zotsatira za kutsegula m'mimba.
Kodi matendawa amagwiritsidwa ntchito pa matenda ena?
Pakhala pali matenda ena opatsirana m'mimba (kuphatikizapo MRSA) omwe mapiritsi awa agwiritsidwa ntchito. Pamene tikuphunzira zambiri za microbiome ndi gawo lake mu umoyo waumunthu, pakhala chiyembekezo cha zofunsira ku matenda a Inflammatory Bowel Disease (kuphatikizapo matenda a Crohn), Irritable Bowel Syndrome, matenda a chiwindi (zovuta ndi ammonia), matenda ena a m'matumbo matenda, ndi matenda ena ambiri. Komabe, pali zambiri zomwe mungaphunzire musanafike poyambira. Pali maphunziro omwe akuchitidwa kuti amvetsetse momwe njirayi ingathandizire matenda monga Crohn's , Ulcerative Colitis, ndi matenda a chiwindi.
Pamene tikuyamba kumvetsa zovuta za microbiome, tikhoza kumvetsa maudindo ena - kupitirira C Diff treatment.
Ndi ndani yemwe wagwiritsidwa ntchito?
Kawirikawiri wachibale wapamtima kapena wachibale, monga mwamuna kapena mkazi, wakhala akuthandizira.
Komabe pali mabanki omwe amachitapo kanthu kuti apereke chitsimodzinso, ngakhale poyamba panali mfundo zina zowonongeka zokhudzana ndi kugwiritsira ntchito mabanki.
Otsatsa amasankhidwa bwanji?
Opereka amapatsidwa mayeso a magazi a HIV, Hepatitis A, B, C, komanso syphilis. Mabokosi awo amafufuzidwa chifukwa cha majeremusi ndi mazira a mazira ndi kuyesedwa kwa Helicobacter pylori, Giardia, Cryptosporidium, komanso makamaka C difficile.
Pakhala pali zochitika zosafuna, monga norovirus m'mimba, zomwe zimafalikira kupyolera mwa kuziika.
Mfundoyi ndiyikuti mabakiteriya azingidwe, choncho kusintha konse kumabweretsa kusintha kwa mabakiteriya.
Kodi zotembenuzidwa zimaperekedwa bwanji?
Pali njira zosiyanasiyana zomwe mpando ungaperekedwe. Pokhapokha ngati pali chitsime chozizira kuchokera ku mabanki, nthawi zambiri amakonzekera 'mwatsopano' maola ambiri. Kawirikawiri zimasakanizidwa ndi njira ya madzi, kuphatikizidwa, ndipo amaperekedwa mkati mwa maola asanu kapena asanu ndi limodzi kudzera mu chubu la nasogastric, enema, kapena kudzera mu colonoscopy.