Kuchuluka kwa mabakiteriya a m'mimba m'mimba (SIBO) ndi thanzi limene mavitamini ambiri amakhala m'matumbo aang'ono. Poyamba kuganiza kuti ndizosavomerezeka, kafukufuku wofufuzira amasonyeza kuti sichidziwika ndi madokotala.
Matenda omwe amapezeka mosavuta ndi omwe amachititsa kuti matenda a m'mimba asokonezeke (IBS), pomwe kwenikweni vuto lenileni ndi SIBO.
Chinthu china ndikutanthauza kuti zizindikiro zochokera ku SIBO ku matenda oyamba omwe amachititsa kuti SIBO ikhale ndi chitukuko kapena kukonzekera, pamene SIBO ilipo limodzi ndi matendawa.
Kusiyanitsa SIBO ku IBS ndi zina zaumoyo ndizovuta. SIBO imagawana zizindikiro zake ndi zovuta zina ndipo sizili ndi zizindikiro zake zosiyana. Ngakhale kuti zowerengera zimasiyanasiyana pakati pa kafukufuku wafukufuku, SIBO yapezeka kuti ilipo mu chiwerengero chodabwitsa cha anthu omwe anapezeka ndi IBS. Ndalama zazikulu za SIBO zakhala zikupezeka kwa anthu okalamba, anthu omwe ali ndi matenda a celiac omwe sali othetsera zakudya zopanda thanzi komanso anthu omwe ali ndi chiwindi .
Chifukwa chakuti SIBO ikhoza kuthandizira zizindikiro kuyambira pofatsa (kumimba mimba), mpaka ku zofooka (zofooka), ndikofunika kuti kupezeka kwake kuzindikiridwe.
Mwachidule ichi, mudzaphunzira za zizindikiro zazikulu za SIBO. Ngati mukuganiza kuti SIBO ikhoza kusokoneza zizindikiro zanu, muyenera kudandaula ndi dokotala wanu kuti muwone bwinobwino.
Zizindikiro za SIBO
Zizindikiro za SIBO zingakhale zosiyana ndi munthu mmodzi.
Ndipo monga mukuonera, zizindikiro zake zimakhala zofanana (ngati siziri zofanana) ndi zomwe IBS:
- Mimba yamimba
- Kusiyana kwa m'mimba (kumafika poipa kwambiri pamene tsiku likupitirira)
- Kupweteka m'mimba
- Matenda otsekula, nthawi zina ndi changu
- Kuchuluka kwa m'mimba gasi
- Nausea
- Ngozi zowonongeka
Pofuna kuti mudye madzi mumsampha wa SIBO pali zizindikiro kuti zizindikiro zake zimasiyana malinga ndi mabakiteriya omwe ali m'matumbo aang'ono.
Kodi Mungadziwe Bwanji Ngati Si IBS?
Ngakhale kuti zizindikiro za matenda awiriwa ndi ofanana, pali kusiyana. Chizindikiro chimodzi chotheka kuti vuto likhoza kukhala SIBO kusiyana ndi IBS ngati kupuma kwanu kumayamba mkati mwa mphindi 90 mutatha kudya. Maganizo apa ndi akuti amatenga pafupifupi 90 minutes kuti chakudya chifike pamimba yaikulu. Choncho ngati kuphulika kukuchitika pasanathe mphindi 90, zikhoza kusonyeza kuti mabakiteriya m'mimba mwachinyamatayo ali ndi udindo.
Kutopa, kufooka, ndi kuchepa kwa thupi ndi zizindikiro za milandu yoopsa ya SIBO yomwe siidziwika bwino ndi anthu omwe ali ndi IBS.
SIBO ndi Zofooka Zambiri Zakudya
Mu milandu yambiri komanso yoopsa kwambiri, SIBO ikhoza kuthetsa mavuto ndi mavitamini ndi zakudya zina zomwe zimayambitsa matenda osowa zakudya.
Malabsorption ikhoza kuchitika pamene SIBO imayambitsa kuwonongeka kwakukulu kwa villi yomwe imalowa pamakoma a matumbo aang'ono . Kufooka kwa zakudya kumabweretsa mavuto aakulu azaumoyo, motero ndikofunikira kuti SIBO, ngati alipo, adziŵe ndi kuwachiritsidwa. Ngati mwadzidzidzidwa ndi kulemera kosawerengeka pambali pamatumbo, ndikofunikira kuti mubweretse dokotala wanu zizindikiro kuti mugwiritse ntchito njira yothetsera matenda ndi mankhwala.
Nazi zina mwazofooka zomwe zakhudzana ndi kukhalapo kwa SIBO.
Mabayobedi malabsorption: Pali njira zingapo zomwe SIBO ingayambitsire kuwononga malaga.
Choyamba ndi chakuti SIBO ingayambitse kudya zakudya zam'thupi nthawi yayitali ndi mabakiteriya omwe ali m'mimba mwachinyamatayo. SIBO imalingaliridwanso kuti imayambitsa matenda osokoneza bongo m'madzimadzi omwe amachititsa kuti madzi azikhala ochepa chifukwa cha kuwonongeka kwa villi. Ndipo potsiriza, anthu omwe ali ndi SIBO angayambitsenso kuchepetsa zakudya zawo m'thupi pofuna kuyesetsa kupewa, kutsegula m'mimba, ndi zizindikiro zina.
Mapuloteni malabsorption: Kuwonongeka kwa villi kuchokera ku SIBO kungachititse kuchepa kwa matumbo aang'ono kuti adye mapuloteni m'thupi.
Mafuta a malabsoption : Mafuta omwe amabwera chifukwa cha SIBO amaganiza kuti amabwera chifukwa mabakiteriya omwe ali m'mimba mwachinyamatayo amathyola bile acid omwe amachititsa kuti mafuta awonongeke. Izi zowonongeka bile acid zimaganiziridwa kuti zimaphatikizidwa pakati pa matumbo aang'ono (jejunum) osati gawo lomaliza la matumbo aang'ono (a ileum) omwe amapezeka mavitamini osungunuka monga vitamini A, D , E, ndi K, kawirikawiri zimakhudzidwa.
Mafuta malabsorption ndiwopweteka kwambiri chifukwa angayambitse mavitaminiwa. Mwamwayi, kafukufuku wasonyeza kuti mwazidzidzidzi zovuta kwambiri matenda amayamba chifukwa cha zofookazi.
Mankhwalawa amakhala ndi chizindikiro chowoneka bwino chomwe chimayambitsa ziwalo zoyandama . Zitsulo zingayang'anenso wochuluka ndipo zingakhale zonyansa kwambiri.
Kulephera kwa Vitamini B-12 : Kukhalapo kwa SIBO kumabweretsa chiopsezo cha munthu chifukwa chosoŵa B-12 chifukwa mabakiteriya m'matumbo aang'ono amagwiritsa ntchito mavitamini okha, ndipo motero vitamini sichikupezeka kuti thupi lanu lidye. Kulephera koteroko kungayambitse matenda a ubongo. Zingathenso kutulutsa magazi m'thupi (maselo ofiira ofiira owonjezera) kapena normocytic anemia (kuchepa kwa maselo ofiira magazi).
Kulephera kwa iron : SIBO ikhozanso kuyambitsa magazi m'thupi chifukwa cha kusowa kwa chitsulo. Iwo amavomerezedwa kuti chitsulo sichili bwino bwino chifukwa cha kuwonongeka kwa mabakiteriya omwe amapita ku villi mkati mwa matumbo aang'ono.
Kulephera kwa Vitamini D : Kukhalapo kwa SIBO kwagwirizanitsidwa ndi chiopsezo chachikulu cha osteoporosis . Mgwirizanowu ukuganiza kuti ndiwotsatira wa kusowa kwa vitamini D komwe kunayambitsa SIBO.
Mavuto ena a vitamini: Pakhala pali malipoti a anthu omwe amavutika ndi vitamini E kulephera syndromes ndi lipoti limodzi la munthu yemwe anawona khungu usiku chifukwa chosowa mu vitamini A kufika kwa SIBO.
Zochitika zaumoyo zomwe Zowonjezera ngozi yanu kwa SIBO
Kafukufuku wochititsa chidwi wapeza matenda osiyanasiyana omwe angakhalepo pambali pa SIBO . Dziko lokhalapoli likhoza kukhala chifukwa matenda omwewo amakhazikitsa zinthu zomwe SIBO zingakonze. Ngati muli ndi zifukwa zotsatirazi ndipo zizindikiro zanu zikukulirakulira ngakhale mukuchiritsidwa, mungathe kuyankhula ndi dokotala wanu za kukuyesani kwa SIBO:
- Matenda a Celiac (ngakhale kuti amadya zakudya zopanda thanzi)
- Kuperewera kwapang'onopang'ono
- Matenda a Crohn
- Matenda a shuga
- Scleroderma
Zimene Mungachite Ngati Mukumukana SIBO
Ngati zambiri zomwe mwawerenga pano lero zakuthandizani kuganiza kuti mwina SIBO ikuthandizira zizindikiro zanu, muyenera kukonzekera kuti mukambirane ndi dokotala wanu.
SIBO imapezeka kudzera pogwiritsa ntchito mpweya wabwino kapena kupyolera mu chidziwitso chomwe chimatengedwa nthawi yopuma. Ngakhale kuti mpweya wabwino ndi wovuta kwambiri, pali zodetsa nkhaŵa zenizeni zenizeni ponena za kukhalapo kapena kupezeka kwa SIBO.
Ngati SIBO ikupezeka kuti alipo, dokotala wanu adzagwira ntchito ndi inu pa dongosolo la mankhwala . Ngati pali matenda omwe amachititsa kuti SIBO ikhale ndi chitukuko, kulumikiza matendawa ndikofunika kwambiri. Nthawi zina, mayesero a ma antibayotiki omwe amathandiza kuthetsa mabakiteriya m'matumbo aang'ono angakhale oyenerera. Dokotala wanu nayenso angayang'ane ndikuthandizira njira zowonjezereka za vitamini.
> Zotsatira:
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> 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 .
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