Kodi kukhala ndi celiac kumabweretsa mwayi kwa SIBO?
Mukayamba kuti muli ndi matenda a celiac , mumakhala ndi chiyembekezo-ndipo mukuyembekeza-kuti zakudya zopanda thanzi zidzathetsa mavuto anu obisala. Komabe, kafukufuku ndi umboni wosonyeza kuti sizingakhale zosavuta nthawi zonse, makamaka anthu ambiri omwe ali ndi matenda a chililili amakhalabe ndi zizindikilo ngakhale atakhala osasuka .
Pali zifukwa zingapo zomwe zingapangitse zizindikiro za matendawa, zomwe mungathe kuwonjezera pa matendawa: matenda a m'mimba otchedwa reflux (GERD) , matenda opweteka a m'mimba (IBS) , ndi matenda opatsirana (IBD) .
Komanso, zinthu zambiri zomwe sizingagwiritsidwe ntchito m'mimba mwa anthu omwe ali ndi matendawa, monga matenda a chithokomiro , angayambitse matenda.
Nthenda yotchedwa Celiac disease (matenda a celiac omwe samasintha ngakhale zakudya zopanda thanzi) zimatha kuyambitsa zizindikiro, ngakhale kuti ndizosawerengeka. Ndiponso, kudya mwachisawawa ma gluten- kuphatikizapo timadzi tochepa- kungachititse kuti tiyambe kuchita zoipa . Ndizomvetsa chisoni kuti izi ndizofala.
Koma chifukwa chimodzi chokha chokhala ndi zizindikiro zomwe nthawi zina zimawuluka pansi pa radar ndizochepa zapakiteriya za m'mimba (SIBO). SIBO ikhoza kuyambitsa kutsekula m'mimba, kupweteka kwa m'mimba, ndi kupopera pamodzi ndi kunyoza ndi mafuta owonjezera. Kodi izi zikumveka ngati zizindikiro zanu? Ngati ndi choncho, werengani.
Kodi SIBO N'chiyani?
Mankhwalawa ali ndi mabakiteriya ... mabakiteriya ambiri . Mitundu yambirimbiri ya tizilombo ting'onoting'ono tambiri, zomwe zimapezeka mumatumbo anu akuluakulu, zimakuthandizani kukumba chakudya komanso kupanga mavitamini, monga vitamini K ndi biotin.
Mtumbo wanu wamkati umapanganso mabakiteriya, koma mitundu yosiyanasiyana komanso yaying'ono kwambiri kuposa matumbo anu aakulu. SIBO imapezeka pamene mabakiteriya amene amakhala makamaka m'matumbo anu akulu amayenda pamtunda wanu ndikuchuluka.
Pamene mabakiteriyawa amakula kumene sakuyenera, amatha kuyambitsa mitundu yonse ya zizindikiro za kugaya, ndipo m'mabvuto oopsa kwambiri, SIBO ikhoza kuyambitsa mavitamini ndi zakudya zoperewera.
SIBO ndi yovuta kufotokoza bwino, ndipo zizindikiro za anthu sizimayankha nthawi zonse kuchipatala.
SIBO ndi Celiac: Kodi Connection ndi chiyani?
Monga momwe mukudziwira, matendawa amapezeka pamene thupi lanu limagwira molakwika kwa mapuloteni, omwe amapezeka mu tirigu, balere, ndi rye. Munthu wina amene ali ndi tizilombo toyambitsa matenda amatha kusungunuka, maselo oyera a m'magazi amawombera pamatumbo a m'mimba mwawo, zomwe zimawatsogolera ku zomwe zimatchedwa kuti atrophy . Ngakhale kuti matenda oopsawa amachokera m'thupi lanu, zimakhudza thupi lanu lonse, kupanga zizindikiro paliponse kuchokera m'magazi anu mpaka ubongo wanu ndi khungu lanu.
Panthawiyi, zizindikiro za SIBO zimasonyeza kuti zizindikiro za m'mimba za matenda a leliac zimakhala bwino kwambiri. Ndipotu, SIBO ingayambitse matenda oopsa a m'mimba , omwe amatha kuwonongeka m'mimba mwawo omwe ali ndi matendawa. SIBO yaikulu kwambiri ingayambitse kutopa ndi kulemera kwa thupi, zomwe zimawonetsedwanso mu matenda osadziwika omwe ali ndi chitetezo cha mthupi kuwononga kamwana kakang'ono ka m'mimba.
Ndiye mungadziwe bwanji zinthu ziwirizi?
Kuti mudziwe matenda a chilliac, madokotala nthawi zambiri amagwiritsa ntchito mayeso a magazi kuti afufuze zizindikiro zomwe zimasonyeza momwe thupi lanu limayendera puloteni ya gluten.
Mayeserowa, kuphatikizapo njira yachipatala yotchedwa endoscopy yomwe imalola dokotala wanu kuyang'ana mwachindunji m'mimba yanu ya m'mimba yaing'ono, akhoza kutsimikizira kuti matendawa ndi otani.
SIBO, pakali pano, amapezeka ndi kupyolera mthupi , ngakhale madokotala angagwiritsenso ntchito mapuloteni. Kuti zinthu zikhale zovuta kwambiri, pali umboni wina woti mpweya sungagwire ntchito zonse kuti zizindikire SIBO kwa anthu omwe ali ndi matenda a celiac.
Inde, Mungathe Kukhala Nawo Onse
N'zotheka kukhala ndi matenda a chililiac ndi SIBO nthawi yomweyo, zomwe zimapangitsa kuti zizindikiro zawo zisakhale zovuta kwambiri. Ndipotu, kafukufuku wina amasonyeza kuti SIBO ikhoza kukhala yowonjezereka kusiyana ndi anthu omwe ali ndi matenda a celiac, makamaka omwe anthu omwe amadwala matendawa samasintha zakudya zopanda thanzi.
Komabe, ofufuza ena asakayikira zoganiza zimenezo.
Phunziro limodzi la zolemba zachipatala pa SIBO ndi matenda oopsa, omwe amaphatikizapo maphunziro 11 osiyanasiyana, adapeza kuti mmodzi mwa asanu mwa anthu omwe ali ndi celiac nayenso anali ndi SIBO.
Ndemanga imeneyi inapeza kuti 28 peresenti ya anthu omwe ali ndi matenda a chililili omwe adakhalabe ndi zizindikiro ngakhale kuti akutsata zakudya zopanda thanzi mosamalitsa anapeza kuti ali ndi SIBO. Pakalipano, 10 peresenti ya iwo omwe ali ndi celiac omwe amadziwika kuti ali ndi zakudya zopatsa thanzi anapezeka ndi SIBO.
Komabe, ngakhale ofufuza za zachipatala akufufuza momwe anthu angapo omwe ali ndi celiac angakhale ndi SIBO, sizikuwonekeratu kuti chiwopsezo chikhoza kukhala chapamwamba bwanji. Zomwe mungathe kuzifotokoza zimakhudza matumbo a m'mimba, omwe ndi kayendetsedwe ka chakudya kudzera m'thupi lanu. Anthu omwe ali ndi matendawa amatha kukhala mofulumira kapena mofulumira kuposa motility, kapena nthawi zina ngakhale mochedwa-kuposa-yachizolowezi motility mu gawo lina la m'mimba (mwachitsanzo, m'mimba) kuphatikizapo mofulumira-kuposa -chibadwa motility mu gawo lina (mwachitsanzo, mu colon). Matenda a m'mimba motility angayambitse mabakiteriya kukula kumene sakuyenera.
Kodi SIBO Yachita Zotani mu Matenda a Celiac?
Ngati mwapezeka kuti muli ndi SIBO, adokotala anu adzaika mtundu wina wa antibiotic wotchedwa rifaximin. Mankhwala oterewa, omwe amagwiritsidwanso ntchito pakuthandizira kutsekula m'mimba, sagwiritsidwa bwino ndi thupi, zomwe zikutanthauza kuti zimagwira ntchito mwachindunji m'matumbo anu.
Komabe, si onse omwe amawona chithandizo cha mankhwala ochiza maantibayotiki. Kafukufuku wina anapeza kuti anthu omwe ali ndi matenda a leliac amene anapezeka ndi SIBO ndiyeno amachizidwa ndi rifaximin sanaone kusintha kwa chifuwa chawo kuchokera ku maantibayotiki. Kafukufukuyu anaphatikizapo anthu 25 omwe ali ndi laliac amene adatenga mankhwalawa, ndipo amawayerekeza ndi anthu 25 omwe ali ndi celiac omwe anatenga malowo.
Pali umboni wina wosonyeza kuti ma probiotics angathandizire ku SIBO (palinso kafukufuku wochuluka wokhudza maantibiobi ndi matenda a celiac ). Kotero ngati dokotala akupeza kuti muli ndi SIBO koma chithandizo ndi rifaximin sichithandiza mokwanira, mungaganize kukambirana za kuyesa maantibiobio-zitsimikizirani kugula chizindikiro chaulere cha gluten.
SIBO sichimvetsetsedwa komabe, kotero zimakhala zovuta kuzindikira ndi kuchitira anthu omwe ali nazo. Pamene nthawi ikupitirira, tiyenera kudziwa zambiri zomwe zimagwira ntchito ku SIBO ndi zomwe sizingathandize aliyense, kuphatikizapo omwe ali ndi matenda a SIBO ndi matendawa.
> Zotsatira:
> Chang MS ndi al. Kubwereza kwa Rifaximin ndi Bakiteriya Odwala mu Matenda Osauka Omwe Amamva Zovuta. Kupititsa patsogolo kwachipatala mu Gastroenterology . 2012 Jan; 5 (1): 31-6.
> Losurdo G. et al. Kugwidwa kwa Mabakiteriya Ochepa Amimba ndi Matenda Odziwika: Kukonzekera Mwadongosolo ndi Pooled-Data Analysis. Neurogastroenterology ndi Motility . 2017 Feb 12.
> Tursi A. Kusokonezeka kwa Matenda a Motility ku Matenda a Celiac. Journal of Clinical Gastroenterology . 2004 Sep; 38 (8): 642-5.