Sakani Bakiteriya ndi IBS

Kutentha mabakiteriya kungathandize pa matenda a m'mimba (IBS). Ngati mukuvutika ndi IBS, nthawi zina mungaganize kuti pali nkhondo yomwe imalowa mkati mwa thupi lanu. Eya, kafukufuku wamakono wa IBS akusonyeza kuti mukhoza kukhalapo ku chinachake.

Matumbo anu amatuluka ndi mabiliyoni mabakiteriya a mitundu yonse; mabakiteriya amenewa amatchedwa kuti ntchentche .

M'thupi labwinobwino, mabakiteriya onsewa amawoneka bwino. Mwamwayi, nthawi zimakhala zosokonezeka m'mimba yamtunda , boma lomwe limatchedwa matumbo a dysbiosis , zomwe zimabweretsa zizindikiro zosasangalatsa za m'mimba. Izi zikhoza kuchitika pa zifukwa zosiyanasiyana, monga kugwidwa ndi gastroenteritis (m'mimba ya chimfine) kapena ngati zotsatira za mankhwala osokoneza bongo. M'dziko lafukufuku , pali zizindikiro zina zatsopano zomwe zimakhala zovuta nthawi zonse m'mitengo ya matumbo zomwe zingapangitse kuti musamadziwe ngati IBS. Zizindikiro izi zimachokera ku madera anayi osiyana:

IBS Yopatsirana

Umboni ukuyamba kuphulika umene umasonyeza kuti IBS ikuwonekera mwa anthu ena omwe akudwala matenda opatsirana kwambiri m'magulu. Maphunziro a anthu omwe ali ndi matendawa apeza kuti pafupifupi 25% adzapitirizabe kuwona zozizwitsa za GI zosapitirira miyezi isanu ndi umodzi pambuyo pa matenda oyamba.

Chododometsa kwambiri ndichopeza kuti munthu mmodzi mwa anthu 10 alionse amene ali ndi kachilombo koyambitsa matenda a GI adzatha ndi matenda omwe amadziwika ndi IBS. Pazochitikazi, pali chizindikiritso chodziwikiratu bwino cha matenda opatsirana kwambiri, omwe amadziwika ngati IBS (IBS-PI) yomwe imatuluka.

Kafukufuku wa Lab umapereka mfundo zenizeni zokhudzana ndi IBS-PI. Pogwiritsira ntchito njira yomwe mzere wa rectum umagwirira ntchito, ofufuza apeza maselo okhudzana ndi kutupa komanso serotonin m'matumbo a anthu omwe anayamba IBS. Izi zimapereka umboni wina wa ntchito yotupa komanso kugwirizanitsa ubongo wa ubongo pokonza zizindikiro za IBS.

Mapulojekiti

Umboni winanso wokhudzidwa ndi mabakiteriya ku IBS umachokera ku mphamvu ya ma probiotics pofuna kuchepetsa zizindikiro. Maantibiotiki amadziwika kuti ndi "okoma" mabakiteriya chifukwa amalingalira kuti ndi othandiza kuti mukhale ndi thanzi labwino. Ngakhale kuti zambiri mwazothandiza za mankhwala a probiotics a IBS zimachokera ku malipoti ovomerezeka, mtundu wina wa probiotic, Bifidobacterium infantis wakhala akuwonetsedwa kuti amachepetsa zizindikiro za IBS. Zikuganiziridwa kuti kutenga mankhwala othandizira mavitamini kumathandiza kubwezeretsa mabakiteriya mkati mwa madzi a m'matumbo kuti akhale oyenera kwambiri.

Kugwedeza Kwabakiteriya Kakang'ono Kwambiri (SIBO)

Kuchuluka kwa mabakiteriya am'kati m'mimba (SIBO) ndi chikhalidwe chomwe muli chiwerengero chachikulu cha mabakiteriya m'matumbo aang'ono. Mfundo yatsopano ndi yotsutsana ikufuna kudziwa SIBO monga chifukwa chachikulu cha IBS .

Ochirikiza chiphunzitso cha SIBO amakhulupirira kuti SIBO amalemba chizindikiro cha kuvulaza, kusintha kwa motility komwe kumayambitsa kutsekula m'mimba ndi kudzimbidwa , komanso kugonana kwa amayi omwe akuwoneka m'magulu a IBS.

SIBO kawirikawiri amapezeka kuti akugwiritsa ntchito mayesero omwe amayeza kuchuluka kwa hydrogen mumphepete mwakumwa kwa zakumwa zomwe zili ndi lactulose. Lactulose ndi shuga umene sungapangidwe ndi matupi athu, choncho umafufuzidwa ndi mabakiteriya mkati mwa m'mimba. Ngati mpweya wa hydrogen uli wamphongo kanthawi kochepa mutatha kumwa mkaka wa lactulose, amakhulupirira kuti amaonetsa mabakiteriya akuluakulu m'matumbo aang'ono.

Mtsutso umakhalapo pazinthu zosiyana zokhudzana ndi kulondola kwa kuyesedwa kwa hydrogen mpweya, komanso mauthenga otsutsana ndi odwala angati a IBS omwe amapanga zotsatira zowonongeka. Pofika pakalipano, chigamulo chafukufuku wa IBS ndi chakuti SIBO ikhoza kukhala yoyenera kwa odwala ena a IBS.

Maantibayotiki

Gawo lina lafukufuku lomwe limasonyeza kuti matenda a mabakiteriya amagwira ntchito mu IBS zimachokera ku chiphunzitso cha SIBO komanso kugwiritsa ntchito mankhwala ena olimbitsa thupi monga mankhwala kwa IBS. Ma antibayotiki awiri amagwiritsidwa ntchito, Rifaximin ndi Neomycin, ali ndi Rifaximin akuwonetsa pang'ono pambali mwa mphamvu. Mankhwala opha majeremusiwa asankhidwa chifukwa sangatenge m'mimba, choncho amalingalira kuti akhoza kulimbana ndi mabakiteriya aliwonse omwe amalowa mkati mwa matumbo aang'ono. Kafukufuku wasonyeza kuti maantibayotiki awa amachititsa kuti zizindikiro zikhale bwino kwambiri ndipo zingagwirizanenso ndi kusintha kwabwino kwa mayeso a mpweya wa hydrogen. Kuwonongeka kwa kugwiritsa ntchito maantibayotiki kumagwirizana ndi kukwera mtengo kwawo komanso kudera nkhaŵa komwe kumathandiza kuti pakhale mabakiteriya ambiri otsutsana. Mankhwala opha tizilombo amangotumizidwa kwa anthu omwe mayesero a mpweya wa hydrogen amasonyeza kukhalapo kwa mabakiteriya ochuluka m'kati mwa matumbo aang'ono.

> Zotsatira:

> Drossman, D. "Chithandizo cha Kuwonjezeka Kwabakiteriya mu Irritable Bowel Syndrome" Annals wa Internal Medicine 2006 145: 626-628.

> Fumi, A. & Trexler, K. "Rifaximin Treatment of Symptoms of Irritable Bowel Syndrome" The Annals of Pharmacotherapy 2008 42: 408-412.

> Garcia Rodriguez, L. & Ruigomez, A. "Kuwonjezeka kwa chifuwa cha matenda opweteka m'mimba pambuyo pa bakiteriya gastroenteritis: kuphunzira" " BMJ 1999 318: 565-566.

> Gwee, K., Collins, S., Read, N., Rajnakova, A., Deng, Y., Graham, J., McKendrick, M. & Moochala, S. "Kuwonjezereka kwa mitsempha ya interleukin 1ß posachedwapa Analandira matenda opatsirana omwe amatha kupatsirana pogonana Gut 2003 2003: 523-526.

> Lin, H. "Kugwedeza kwa Mabakiteriya Ochepa Kwambiri" Journal of the American Medical Association 2004 292: 852-858.

> O'Mahony, L., McCarthy, J., Kelly, P., Hurley, G., Luo, F., Chen, K., O'Sullivan, G., Kiely, B., Collins, J., Shanahan, F. & Quigley, E. "Lactobacillus ndi bifidobacterium mu matenda opweteketsa mtima: Zizindikiro zofanana ndi ubale ndi mbiri za cytokine" Gastroenterology 2005 128: 541-551.

> Pimental, M., Park, S., Mirocha, J., Kane, S., & Kong, Y. "Mmene Mankhwala Osagwiritsira Ntchito Mankhwala Osagwiritsira Ntchito Mankhwala Osagwiritsiridwa Ntchito Amadzimadzi (Rifaximin) Amagwiritsa Ntchito Zizindikiro za Irritable Bowel Syndrome" Annals of Internal Medicine (2006) 145: 557-563.

> Sharara, A. Aoun, A., Abdul-Baki, H., Mounzer, R., Sidani, S. & ElHaii "Mayendedwe Ozungulira a Rifaximin Omwe Ali ndi Akhungu Ambiri Omwe Ali ndi Matenda Akumimba Ndi Ambiri" American Journal ya Gastroenterology (2006) 101: 326.

> Spiller, R. "Matenda opwetekedwa ndi matenda otupa thupi" Gastroenterology 2003 124: 1662-1671.