Mwachidule
Kuchuluka kwa mabakiteriya a m'mimba (SIBO) ndi matenda omwe poyamba ankaganiza kuti ndi ovuta. Posachedwapa, ofufuza akhala akunena za kugwirizana pakati pa SIBO ndi matenda osiyanasiyana osiyanasiyana. Mwachidule ichi, mudzaphunzira kuti ndi zinthu ziti zomwe zafufuzidwa zomwe zingakulepheretseni kutenga SIBO.
Mutha kugwiritsa ntchito mfundoyi kuti muyambe kukambirana ndi adokotala ngati mukufuna kuti muyesedwe kapena mwinamwake mukutsatiridwa kwa SIBO.
Kodi SIBO ndi chiyani?
SIBO imapezeka ngati pali kuchuluka kwa mabakiteriya, ndipo / kapena kusintha kwa mitundu ya mabakiteriya, yomwe ilipo m'matumbo anu aang'ono. Kawirikawiri kukhalapo kwa mabakiteriya m'matumbo aang'ono ndi ochepa, mosiyana ndi mabakiteriya ambiri omwe amakhala m'matumbo akuluakulu. Kusintha kumeneku mu kuchuluka kwa mabakiteriya kungayambitse zizindikiro, mwachitsanzo, kupweteka kwambiri kwa m'mimba , kapena kuwonetsa zizindikiro mwachindunji mwa kuteteza zakudya zomwe mumadya kuti zisamalowe bwino m'thupi lanu.
SIBO imaganiza kuti ikuchitika chifukwa cha kuwonongeka kwa thupi la chitetezo cha thupi lomwe nthawi zambiri limaika chiwerengero cha bakiteriya m'matumbo aang'ono pamtunda wochepa. Pali zinthu zosiyanasiyana zomwe zingayambitse izi, mwachitsanzo, kusintha kwa mimba ya asidi, kuchepa kwa michere yomwe imatulutsidwa ndi ziphuphu , kapena kusintha kwa chilengedwe.
SIBO imakhalabe yosamvetsetseka komanso yovuta kumvetsa. Izi zimachitika chifukwa chakuti pali mavuto omwe ali nawo pakadalirika ndi njira zowonetsera zamakono . Kuonjezera apo, mu malipoti a kafukufuku, anthu omwe ali ndi thanzi labwino apezeka kuti ali ndi mabakiteriya apamwamba m'matumbo aang'ono popanda chizindikiro chilichonse chowonetsera.
Izi zikunenedwa kuti, SIBO akuganiza kuti sadziŵika bwino ndipo amachisowa monga chothandizira zizindikiro zomwe anthu akukumana nazo.
Zizindikiro
Zizindikiro za SIBO zimasiyana. Nthawi zina zizindikiro zimakhala zochepa kapena zimakhala ndi mavuto ena azaumoyo. Komabe, zowonjezereka zizindikiro zikuphatikizapo:
- Kupweteka m'mimba
- Kutseka
- Kutsegula m'mimba
- Kuchuluka kwa m'mimba gasi
- Nausea
- Kufooka kwa zakudya
- Kutaya thupi
Zotsatira Zogwirizana
SIBO siimaima yokha. Zomwe zimayambitsa kukula kwa SIBO zikhoza kukhala chifukwa cha matenda kapena SIBO palokha ingayambitse vuto la thanzi labwino. Nthawi zina zovuta kwambiri, pali "nkhuku ndi dzira" pakati pa SIBO ndi matenda ena, omwe matenda onse amachititsa kusamalira enawo. Nazi zina zaumoyo zomwe zakhala zikuyang'ana kwa ofufuza a SIBO:
Matenda a reflux a Gastroesophageal (GERD): Kafukufuku wasonyeza kuti anthu omwe ali ndi GERD ali pachiopsezo chachikulu chokhazikitsa SIBO. Izi sizingaganizidwe chifukwa cha GERD zokha, koma zimachepetsa m'mimba ya asidi monga zotsatira za nthawi yaitali ntchito ya proton pump inhibitors (PPIs) .
Matenda owopsa a m'mimba (IBS): IBS ndi SIBO zimagwirizana kwambiri ndi zizindikiro, komabe kugwirizana pakati pa ziwirizi sikumveka bwino.
Amakhulupirira kuti kagulu kena ka anthu omwe amapezeka ndi IBS kwenikweni ali ndi SIBO ndipo motero ndi SIBO yomwe imayambitsa matenda osabisa m'mimba. Ofufuza ena amakhulupirira kuti ndizovuta kwa IBS zomwe zimayambitsa maziko a SIBO.
Matenda a Celiac: Ofufuza akupeza kuti matenda a celiac angawonjezere chiopsezo cha munthu kuti apange SIBO. Zimatchedwa kuti kutupa kosatha pazitsulo za m'mimba, kapena mofulumira motility mkati mwa matumbo aang'ono, kapena onse awiri, kumayambitsa malo oposa mabakiteriya. Ngati munthu amene ali ndi matenda a celiac ali ndi zizindikiro za m'mimba mosalekeza ngakhale akudya zakudya zopanda thanzi, zimalimbikitsa kuti ayesedwe kuti akhalepo kwa SIBO ndiyeno nkuchitidwa moyenera.
Matenda a Crohn: Akatswiri ofufuza amanena kuti anthu 25 peresenti ya anthu omwe ali ndi matenda a Crohn akhoza kukhala ndi SIBO, omwe ali ndi chiopsezo chowoneka mwa iwo amene anachitidwa opaleshoni ya matenda opatsirana. Kulamulira SIBO kungakhale kofunikira pamene SIBO ingawonongeke ngati matenda a Crohn.
Matenda a shuga: Ochita kafukufuku apeza kuti anthu omwe ali ndi matenda a shuga a nthawi yayitali ali pachiopsezo chotenga SIBO. Zikuganiziridwa kuti matenda a shuga angasokoneze kayendedwe kamene kamayambitsa matenda ndikugwiritsanso ntchito momwe SIBO imakhalira. Ngati muli ndi matenda a shuga komanso mumakhala ndi zizindikiro za m'mimba, zingakhale bwino kukambirana ndi dokotala wanu za kuyesedwa kwa SIBO, makamaka popeza kugwirizana kwa matenda a shuga ndi SIBO kungabweretse vuto la kulandira mavitamini.
Zinthu zina zaumoyo Kufufuzidwa Kuti Ukhale ndi Msonkhano ndi SIBO
Monga momwe mudzaonera pa mndandandawu, pali mavuto ambiri azaumoyo omwe ofufuza akhala akufufuza powona momwe mungagwiritsire ntchito ndi SIBO:
- Matenda am'thupi mumatumbo aang'ono (mwachitsanzo, chotupa kapena kumatira)
- Kuperewera kwapang'onopang'ono
- Matumbo ochepa amatha kuchepa
- Cirrhosis
- Cystic fibrosis
- Matenda omwe amachititsa chitetezo cha mthupi, kuphatikizapo HIV / AID
- Fibromyalgia
- Hypothyroidism
- Matenda a m'maganizo (monga matenda a Parkinson ndi kupweteka kwa thupi)
- Kusokonezeka kwa mankhwala
- Scleroderma
- Matenda afupipafupi
Lumikizani ku ukalamba
Palibe kukambirana za zifukwa zoopsa za SIBO komaliza popanda kuzindikira kuti kukalamba kumadzetsa ngozi kwa SIBO. Izi zikuyenera kuti, chifukwa cha zina, kuchepetsa kayendetsedwe ka kayendedwe kameneka. Izi zimawonjezeka ngati munthu wagwiritsa ntchito PPIs kwa nthawi yayitali kapena wakhala akuchitidwa opaleshoni. Kwa anthu achikulire, SIBO ikhoza kuyambitsa malabsorbtion ya zakudya ndi kuwonongeka kwa thupi.
Kudziwa
Ngati muli ndi matenda aliwonse omwe ali pamwambawa ndipo mukulimbana ndi zizindikiro za m'mimba nthawi zonse, ndibwino kuti muyambe kukambirana ndi dokotala wanu kuti mudziwe za kukhalapo kwa SIBO.
Pali njira zitatu zowunikira SIBO-kupyolera mu kuyesera kupuma kwa hydrogen , kupyolera mu kuyesa zitsanzo zamadzimadzi m'matumbo ang'onoang'ono omwe amachitidwa panthawi yopuma , kapena kudzera mu mayesero a antibiobiotics . Njira iliyonse ili ndi ubwino wake ndi zofooka zake, ngakhale kuti njira yodziyimira mwachindunji kupyolera kumapeto kwake imatengedwa kukhala yodalirika kwambiri.
Nkhani yabwino ndi yakuti m'mabungwe ambiri a kafukufuku omwe awonetsa SIBO m'magulu a anthu omwe ali ndi matenda enieni, kuthandizira kuti SIBO ikwaniritse zizindikiro zake.
Chithandizo
Pakalipano, chithandizo chachikulu cha SIBO ndi kugwiritsa ntchito mankhwala enaake omwe sagwiritsidwa ntchito m'mimba ndipo amatero mwachindunji pa mabakiteriya mkati mwa matumbo aang'ono. Zitha kutenga maphunziro ochuluka a milungu iwiri SIBO isanachotsedwe. Mukamaliza kumwa mankhwala, dokotala wanga amalangiza kuti muzitsatira chakudya chochepa cha FODMAP kuti muteteze SIBO.
Asayansi ena akufufuza momwe ntchito yogwiritsira ntchito zakudya zoyambirira zimagwiritsira ntchito SIBO. Izi zimaphatikizapo kukhala ndi zakudya zamadzimadzi, kumwa mowa mwachindunji. Komabe, monga chakudya chovuta kuti chikhalebe, ngakhale kuti chilimbikitso cha milungu iwiri chikhale chokhazikika, izi zikhoza kukhala njira yosamalidwa kawirikawiri.
Mawu Ochokera
Ngakhale kuti kufufuza kwaposachedwapa kwakhala kovuta, SIBO imakhalabe yodabwitsa komanso yovuta kudziwa. Ndikofunika kuzindikira kuti pakadali pano, kumvetsetsa kwathu kufunika kwake, kuyezetsa, ndi chithandizo sikutha.
> Zotsatira:
> Bohm M, Siwiec RM, Wo JM. "Kuzindikira ndi Kusamalira Mimba Yambiri ya Bakiteriya Yamkati Amatenda" Zakudya Zakudya Zamakono 2013; 28 (3): 289.299.
> Bures J, Cyrany J, Kohoutova D, et al. "Matenda aang'ono a mabakiteriya oyambitsa matenda a m'mimba." World Journal of Gastroenterology 2010; 16 (24): 2978-2990.
> Grace E, Shaw C, Whelan K, Andreyev H. "Mfundo yowonongeka: kuchepa kwabakiteriya kakang'ono ka m'mimba - kuchulukira, zochitika zachipatala, zamakono komanso kupanga mayesero opatsirana, ndi mankhwala" Pharmacology and Therapeutics 2013; 38 (7): 674-688 .
> Pimentel, M., et.al. "Chakudya Chamasiku 14 Chokha Ndicho Chothandiza Kwambiri Poyesa Chiyeso Chakumwa kwa Lactulose" 2004 49: 73-77. Matenda a Simba ndi Sayansi
> Salem A, Roland BC "Kugwidwa kwa Bakiteriya Ochepa Kwambiri M'thupi (SIBO)" Journal of Stomach & Digestive System 2014; 4: 225