Pouchitis Angakhale Vuto Lalikulu Kwa Anthu Amene Ali ndi J-Pouch
Kodi Pouchitis N'chiyani?
Pouchitis ndi chikhalidwe chomwe chingakhudze anthu omwe ali ndi j-pouch (ileal pouch-anal anastomosis [IPAA]) opaleshoni ya ulcerative colitis. Mankhwala a pouchitis sakudziwitsidwa bwino, ndipo amaganiza kuti angakhale ndi mitundu yosiyanasiyana ya matenda. Ndilo vuto lalikulu kwambiri mwa anthu omwe ali ndi j-pochi.
Zizindikiro za pouchitis zingakhalepo:
- zochitika zambiri komanso zofunikira mofulumira
- kupweteka m'mimba
- magazi
- malungo
Pouchitis amavomereza mankhwala ndi maantibayotiki koma akhoza kubwereza pafupifupi magawo awiri mwa atatu mwa odwala. Pafupifupi 10 peresenti ya odwala amakumana ndi pouchitis omwe samayankha mankhwala oletsa maantibayotiki. Zokwanira za pouchitis zingapangitse kuchepa kwa moyo kwa anthu okhala ndi j-poch.
Kupeza mankhwala kwa pouchitis, makamaka mu nthawi yomwe operekera opaleshoni, ndikofunikira kwambiri. Aliyense yemwe wakhala akuchitidwa opaleshoni yachangu ayenera kuonana ndi adokotala nthawi yomweyo pamene thumba likuwonekera "kutali" ndipo pali zizindikiro za ululu, malungo, ndi magazi mu chitseko.
N'chifukwa Chiyani Maantibiotiki Amathandiza?
Ochita kafukufuku anapeza kuti anthu amene amapeza pouchitis ali ndi mabakiteriya othandiza kwambiri, omwe ndi lactobacilli ndi bifidobacteria, m'magawo awo. Chinthu chotsatira chotsatira chinali kuyesa mayesero kuti awone ngati kukula kwa mabakiteriya opindulitsa mu chigawo cha m'mimba kungathandize kusintha zizindikiro za pouchitis.
Zakudya za mabakiteriya opindulitsa ameneĊµa zimatchedwa "ma probiotics" ndipo zingakhale ndi mitundu yosiyanasiyana ya mabakiteriya.
Umboni Wogwiritsira Ntchito Ma Probiotics
Mayesero awiri omwe amachititsa khungu, omwe amachititsa kuti apeze malo omwe amachititsa kuti awonongeke. Anayesedwa kuti aone ngati mabakiteriya omwe ali ndi lyophilized-mitundu inayi ya Lactobacillus , mitundu itatu ya Bifidobacterium ndi Streptococcus (yotchedwa VSL # 3) ingathandize kuthana ndi zizindikiro za pouchitis.
Chiyeso chimodzi chinapeza kuti patapita miyezi 9, odwala 85% omwe anatenga VSL # 3 sanabwererenso pouchitis. Odwala onse 20 omwe analandira placebo adabwereranso. Pachiyeso chachiwiri, 85% mwa odwala omwe amachititsa VSL # 3 sanabwererenso pakatha chaka chimodzi cha mankhwala. Onsewa koma mmodzi mwa odwala omwe ali ndi placebo adabwereranso. Zotsatira za maphunziro awiriwa zimapereka chithandizo chabwino kuti ma probiotics omwe ali ndi mavuto ena a mabakiteriya angakhale othandiza kwa anthu omwe ali ndi j-pochi omwe amakhala ndi pouchitis.
Mu phunziro lina, odwala 16 mwa 23 omwe ali ndi mphamvu, pouchitis adakhululukidwa pambuyo pa milungu iwiri ya mlingo wa VLS # 3. Ngakhale olemba a phunziroli atsimikiza kuti ma probiotics ndi othandiza pa pouchitis yofatsa, amafufuzanso kufufuza kwina.
Mayesero ena adayesa machitidwe ena a probiotic, kuphatikizapo Lactobacillus rhamnosus GG ndi Lactobacillus acidophilus pamodzi ndi Bifidobacterium lactis . Maphunzirowa sanawonetsere kuti ma probiotics awa anali ndi zotsatira zabwino pa pouchitis; Komabe, chiyeso chimodzi chinasonyeza kuti L rhamnosus GG inali yothandiza pochedwa kuchepetsa pochitisiti yoyamba pamene mankhwala adayambitsidwa mwamsanga pambuyo pa opaleshoni ya j-pouch .
Mfundo Yofunika Kwambiri
Ngakhale kuti umboni wa zachipatala ndi wochepa kwambiri pa nkhani ya maantibiotiki, ndizomveka kunena kuti ngakhale ma probiotics angathandize kuthandizira kukhululukidwa, sizothandiza kwenikweni kuchiza pouchitis.
Dokotala wanu akhoza kukuthandizani kudziwa pamene mankhwala a probiotics amathandiza pochitis, komanso mankhwala omwe angagwiritsidwe ntchito, ndi kuchuluka kwake.
Mfundo Zofunika Kukumbukira:
- Mankhwala oletsa maantibiotiki angakhale othandiza kuti musamatsitsire pochitis mutapatsidwa mankhwala opha tizilombo kapena kuchepetsa kuyambira kwa pouchitis
- Mankhwala osokoneza bongo asanakhalepo othandiza pochizira pouchitis
- Ndikofunika kukambirana za kugwiritsa ntchito maantibiobio ndi dokotala kuti awonetsetse kuti mtundu woyenera ndi ndalama zatengedwa
- Umboni wogwiritsira ntchito maantibiobio siwatha, ndipo zotsatira za maphunziro amtsogolo zingasinthe kugwiritsa ntchito ma probiotics a pouchitis
> Zotsatira:
> Elahi B, Nikfar S, Derakhshani S, Vafaie M, Abdollahi M. "Pogwiritsa ntchito mankhwala a probiotics omwe amagwiritsa ntchito pouchitis pa odwala ali ndi chikhotho cha anastomosis. " Dig Dis Sci. May 2008. 53: 1278-1284.
> Gionchetti P, Rizzello F, Morselli C, Poggioli G, Tambasco R, Calabrese C, Brigidi P, Vitali B, Straforini G, Campieri M. "Mankhwala amphamvu kwambiri othandizira kuti achotse pochitis. "Chigawo cha Dis Colon Dec 2007 50: 2075-2082.
> Gionchetti P, Rizzello F, Venturi A, et al. "Tizilombo toyambitsa matenda tizilombo toyambitsa matenda monga chithandizo chokonzekera kwa odwala omwe ali ndi vuto la pouchitis . 2000 119: 305-309.
> Gosselink MP, Schouten WR, van Lieshout LM, Hop WC, Laman JD, Ruseler-van Embden JG. "Kutha koyamba kwa pouchitis pogwiritsa ntchito mankhwala opanga mankhwala a Lactobacillus rhamnosus GG. " Dongosolo la Dis Colon. Jun 2004 47: 876-884.
> Kuisma J, Mentula S, Jarvinen H, et al. "Zotsatira za Lactobacillus rhamnosus GG pa zotchedwa ileal pouch inflammation ndi zomera zazing'onoting'ono." Aliment Pharmacol Ther. 2003 17: 509-515.
> Pangani KO, Line PD, Aabakken L, et al. "Kufufuza kwa mucosal kutupa ndi kufalitsa chifukwa cha ma probiotics kwa odwala opangidwa ndi leal pouch anal anastomosis kwa ulcerative colitis." Scand J Gastroenterol. 2003 38: 409-414.
> Liu Z1, Song H, Shen B. "Pouchitis: kupewa ndi kuchiza." Curr Opin Zakudya Zamakono Zakudya Zamakono . 2014 Sep; 17: 489-495.
> Mimura T, Rizzello F, Helwig U, et al. "Pomwe pali mankhwala akuluakulu a tsiku ndi tsiku (VSL # 3) kuti mupitirizebe kukhululukidwa mu pouchitis . 2004 53: 108-114.
> Ruseler-van Embden JG, Schouten WR, Van Lieshout LM. "Pouchitis: zotsatira za kusayenerera kwapiritsiki?" Gut. 1994 35: 658-664.