Pofuna kuthandizira kuti matendawo akhale oyambitsa matenda a m'mimba (IBS), asayansi akuyang'ana ku mavitamini omwe angathe kuchepetsa zizindikiro za IBS. Pano mudzaphunzira chifukwa chake ma probiotics angakhale othandizira komanso momwe angasankhire choonjezera chomwe chili choyenera kwa inu.
Mwachidule
Nthawi zina mabakiteriya amatchedwa mabwenzi, omwe amaganiza kuti amateteza ma chitetezo chathu cha thupi komanso amatithandiza kuti tikhale ndi thanzi labwino mwa kusunga mabakiteriya omwe alibe "ubwino" m'matumbo athu.
Matumbo anu amadzaza ndi mabakiteriya ambirimbiri-zonse zomwe zimakhala m'matumbo athu. Zomwe zimapangitsa kuti munthu akhale ndi thanzi labwino, amachititsa kuti mitundu yonseyi ikhale yovuta. Pamene mabakiteriya opanda ubwino amachititsa-matenda omwe amadziwika ngati matumbo a dysbiosis- mukhoza kukhala ndi kutupa kwa dziko komwe kumabweretsa zizindikiro za thupi.
Kutenga mankhwala opatsirana pogwiritsa ntchito maantibiotiki kumatithandiza kuti tikhalebe ndi mabakiteriya abwino, omwe amachititsa kuti mukhale ndi thanzi labwino ndipo zingathandize kuthetsa zizindikiro za IBS.
Zizindikiro
Ngakhale kuti kafukufuku wokhudzana ndi kugwiritsa ntchito maantibiotiki a IBS ndi ovuta chifukwa chovuta kufananitsa mitundu yambiri yomwe yayesedwa, makamaka mbali zambiri, kafukufuku wasonyeza zotsatira zabwino za ma probiotics pa zizindikiro zosiyanasiyana zomwe zimapanga IBS. Monga momwe malonjezano amachitira ndikuti maphunziro ambiri sanawonetsetse zotsatirapo zolakwika pa zizindikiro za IBS pochotsa maantibiobio.
Mu maphunziro osiyanasiyana, ma prostbiotic supply amapezeka:
- Lembetsani kusokoneza
- Pewani flatulence
- Kuonjezera zizindikiro zonse za IBS
- Sakanizani kawirikawiri kayendedwe ka kayendedwe kake
- Kuchepetsa ululu m'mimba
Chifukwa Chimene Amathandizira
Kuwonjezera pulojekiti yowonjezera mavitamini, ndipo motero kuwonjezera chiwerengero cha mabakiteriya obwenzi mkati mwa matumbo akuluakulu, akuganiza kuti kuchepetsa zizindikiro za IBS kupyolera mu zina kapena zotsatira zotsatirazi:
- Kuchotsa tizilombo tochepa toyambitsa mabakiteriya (SIBO)
- Kuchepetsa chiwerengero cha mabakiteriya opanda ubwino
- Kulimbikitsa chida cha m'matumbo
- Kuchepetsa kuchepetsa kutsekula kwa m'mimba (kutsekemera kwa m'mimba)
- Kusokoneza motility
- Kuchepetsa kugonana kwa visceral hypersensitivity
- Kuchepetsa ululu kudzera ku zotsatira zothandiza pamatenda obwezeretsa m'mimba omwe amapezeka m'mimba m'mimba
Mtundu Wapamwamba Ndi Wotani?
Imodzi mwa zovuta zomwe ochita kafukufuku akuyesera kuti athe kutsimikizira kuti ndi njira ziti zomwe zimapindulitsa kwambiri pochepetsa zizindikiro za IBS. Kuyambira tsopano, pali umboni wochepa wosonyeza kuti zovuta zotsatirazi zingathandize kuchepetsa zizindikiro za IBS:
- Matenda a Lactobacillus, (monga L. acidophilus, L. plantarum, L. rhamnosus)
- Matenda a Bifidobacterium, (monga B. infantis (kugwirizanitsa), B. longum, B. bifidum)
Ogwira ntchito akhala akutanganidwa kupanga mapulogalamu osiyanasiyana a ma probiotic ndikuwunika momwe angagwiritsire ntchito. Chinthu chimodzi chotere chomwe chimaphatikizapo mavuto omwe ali ndi kafukufuku wowonjezera ndi VSL # 3. Kuwongolera kotere ndi opanga mapulogalamu owonjezera amapanga bwino kuti tsogolo labwino likhale lotetezeka komanso yogwira ntchito zosankha.
Pamene mupanga chisankho chanu, onetsetsani kuti choonjezera chomwe mumasankha chili ndi mavuto omwe amapezeka m'mabakiteriya. Pakhomo, onetsetsani kusungira choonjezera molingana ndi malingaliro a wopanga.
Maonekedwe ena amafunika firiji, pamene ena akhoza kusungidwa pamalo ozizira ndi owuma.
Mapulojekiti mu Chakudya
Zakudya zina zili ndi probiotics chifukwa cha kukonzekera kwake. Zakudya zowonjezera mavitamini ndi zakudya zomwe zakhala zikuchitidwa nayonso kuyambitsa kupanga mitundu yambiri yosiyanasiyana ya mabakiteriya a probiotic. Zitsanzo zina za zakudya zowonjezera zomwe zimakhala ndi maantibiobiya zimaphatikizapo yogurt, mchere wokonzedwa bwino, komanso chakudya cha Korean kimchi. Kwa nthawi yaitali anthu akhala akuganiza kuti zakudya zowonjezera zimapangitsa kuti thupi lonse likhale ndi thanzi labwino, koma palibe kufufuza kwenikweni pa nkhaniyo.
Sizimadziwikanso ngati zakudya zowonjezera zingakhale zothandizira zizindikiro za IBS. Malinga ndi kuyesa kwa yunivesite ya Monash, njira ya fermenting ikhoza kuwonjezera zakudya za FODMAP za zakudya zina. Ngati mumasankha kuwonjezera zakudya zowonjezera zakudya zanu, onetsetsani kuti muyambe ndi tizilombo ting'onoting'ono kuti muone ngati mumatha kupirira zakudya izi popanda kuwonjezereka.
Mfundo Yofunika Kwambiri
Pokhala ndi chiyembekezo cha phindu lenileni komanso kuchepetsa mavuto aakulu, ma probiotics angakhale oyenera kuyesa IBS yanu. Koma monga zilizonse zogulitsa, musanayese ma probiotics kumbukirani kukaonana ndi dokotala wanu. (Maantibiotiki angakhale ovulaza kwa anthu omwe afooketsa chitetezo cha mthupi kapena omwe amadwala matenda aakulu aakulu.)
Bungwe la British Dietetic Association limalimbikitsa kuti muyesetse kupereka mankhwala othandizira mavitamini kwa milungu iwiri kuti muwone ngati ili ndi zotsatirapo pa zizindikiro zanu. Ngati sichoncho, amakulimbikitsani kuti muyese mankhwala ena omwe ali ndi vuto losiyana kapena mabakiteriya a probiotic.
> Zotsatira:
> Dai, C., ndi. al. "Mankhwala oletsa mavitamini komanso matenda otupa thupi" World Journal of Gastroenterology 2013 28 19: 5973-5980.
> Didari T, Mozaffari S, Nikfar S, Abdollahi M. "Kuchita bwino kwa maantibiobio mu matenda opweteketsa mtima: Kukonzanso ndondomeko yowonongeka ndi meta-analysis." World Journal of Gastroenterology 2015; 21 (10): 3072-3084.
> Gallo A, Passaro G, Gasbarrini A, Landolfi R, Montalto M. "Kulinganiza kwa tizilombo toyambitsa matenda monga mankhwala opweteka m'mimba: An uptodate." World Journal of Gastroenterology 2016; 22 (32): 7186-7202.
> McKenzie YA, Alder A, Anderson W, Wills A, Goddard L, Gulia P, Jankovich E, Mutch P, Reeves LB, Singer A, Lomer MCE. "British Dietetic Association yotsimikiziridwa ndi umboni wokhudzana ndi zakudya zowonongeka kwa matenda aakulu m'mimba mwa anthu akuluakulu" Journal of Human Nutrition and Dietetics 2012 25: 20-274.
> Weber S. "Zakudya zofukiza ndi FODMAPS" Monash University January 2017.