Kuwonjezeka kwa bakiteriya m'matumbo ang'onoang'ono kumaganiziridwa kuti ndi vuto lomwe lingakhalepo kwa zaka popanda kuwonetsa zizindikiro. Matenda omwe sadziwika ndi mankhwala ochiritsira, ubongo wamatumbo ang'onoang'ono amatha kugwidwa ndi matenda akuluakulu monga gasi, bloating, kutsegula m'mimba, ndi / kapena kudzimbidwa. Anthu akhoza kuuzidwa kuti ali ndi matenda a m'mimba (IBS).
Mwachitsanzo, kafukufuku amene anafufuza pa Cedars-Sinai Medical Center ku California anafufuza anthu 202 omwe anapeza njira yothetsera matenda a m'mimba, ndipo anawapatsa mayeso oposa mabakiteriya omwe amatchedwa lactulose hydrogen test.
Ochita kafukufuku anapeza kuti anthu 157 mwa anthu 202 (78 peresenti) anali ndi vuto lalikulu la mabakiteriya. Pamene mabakiteriya osakondedwa a m'mimba adathetsedwa, zizindikiro za IBS zinakula mu 48 peresenti ya nkhani, makamaka kutsekula m'mimba ndi kupweteka m'mimba.
Si anthu okha omwe ali ndi zizindikiro za IBS zomwe zimakhala ndi kupitirira kwa mabakiteriya. Zizindikiro zosagwira ntchito monga kuperewera kwa mphamvu zingakhale zofunika kwambiri. Anthu ena opanga mankhwala amakhulupirira kuti akhoza kutenga nawo matenda odwala matenda opatsirana, fibromyalgia, matenda, matenda a nyamakazi, lupus, matenda omwe amadzimva okhaokha, matenda a shuga, ndi zina zotero.
Mwachidule
Mabakiteriya m'matumbo ang'onoang'ono amachititsa kuti thupi likhale lopanda mphamvu.
Mabakiteriya angapangitse mafupa malabsorption kudzera mu njira yotchedwa bile acid deconjugation. Zakudya zamagazididwe zingakhudzidwe ndipo zimapangitsa kuti thupi likhale nayonso m'mimba ndi gasi, kupweteka, kupweteka, mucous m'mabedi , malo ovunda ndi mpweya, ndi kutsekula m'mimba. Malinga ndi madokotala ena, maswiti ndi zakudya zowonjezera zimayambitsa zovuta kwambiri.
Zakudya zamadzimadzi zomwe zimapangidwa ndi mabakiteriya zingawononge maselo a m'mimba ndi kuwononga kusakaniza, zomwe zimayambitsa kufooka kwa zakudya, zakudya zowonjezera zakudya komanso kusagwirizana, komanso kuwonongeka kwa mavitamini.
Zimayambitsa
Matumbo ochepa amakhala ndi mabakiteriya ochepa. Komabe, ena opanga mankhwala amakhulupirira kuti zinthu zina zingalimbikitse kukula kwa mabakiteriya owonjezera.
- Kuchepetsa ubongo m'matumbo aang'ono: chifukwa cha kudya zakudya zopitirira shuga, kupsinjika maganizo, ndi matenda monga shuga, hypothyroidism, ndi scleroderma.
- Hypochlorhydria: Pamene anthu amakula, kuchuluka kwa mimba ya asidi amachititsa kuchepa. Ngati mulibe asidi ochepa m'mimba, mabakiteriya amakhala ochepa kwambiri. Kugwiritsira ntchito mankhwala osokoneza bongo kumagwiritsidwanso kuti kumayambitsa kukwera kwa bakiteriya.
- Zochitika zolakwika m'matumbo aang'ono: m'mimba operekera opaleshoni, m'mimba mwazing'ono, m'mimba, m'mitsempha ya m'mimba, ndi m'thupi la Crohn's fistula ndi zina mwa zifukwa zomwe zingakhudzidwe kwambiri ndi mabakiteriya.
- Zina mwazifukwazi zimaphatikizapo kuchepa kwa chitetezo cha mthupi, kupanikizika, mankhwala ena monga steroids, antibiotics, mapiritsi oletsa kubereka, zakudya zochepa zowonjezera, komanso kusowa kwa puloteni.
Zizindikiro
- Kutseka m'mimba ndi mpweya mutatha kudya
- Ululu
- Kutsekedwa
- Matenda osasuntha kapena kutsekula m'mimba: Kafukufuku apeza kuti 48% mpaka 67% mwa anthu omwe ali ndi matenda otsekula m'mimba amatha kukhala ndi mabakiteriya.
- Zofewa, zonunkha zonunkhira zomwe zimamatira ku mbale
- Kutopa: kuchepetsa magazi m'thupi chifukwa cha vitamini B12 malabsorption
- Kusokonezeka maganizo
- Zakudya zakuthupi ngakhale kutenga zowonjezera
- Kutaya thupi
- Kupweteka m'mimba
- Mucous mu malo
- Kuphika kwambiri ndi carbu, fiber, ndi shuga
Matenda Achilengedwe
Chifukwa cha kusowa kwa kafukufuku, pang'ono chabe amadziwika za vutoli. Ngakhale kuti mankhwala osokoneza bongo angapangidwe, vutoli silikudziwika nthawi zonse.
Ngati muli ndi zizindikiro, ndizofunika kulankhula ndi adokotala. Kudziletsa ndi kupewa kapena kuchepetsa kusamalidwa koyenera kungakhale kovulaza thanzi lanu.
Malinga ndi asing'anga ena, palinso magawo atatu pa chithandizo chachilengedwe cha kupitirira kwa bakiteriya:
- Chakudya: Zakudya zochepa zamagulufidi
- Kuthana ndi mabakiteriya opanda ubwino m'matumbo aang'ono pogwiritsa ntchito zitsamba monga mafuta odzola.
- Bwezerani: Kuwonjezeka kwa bakiteriya kumapangitsa kuti mabakiteriya akhale abwino (" ma probiotics ") ndi michere ya m'mimba.
Zitsamba Zakudya
Mafuta a peppermint ophika mkati mwawo ndi amodzi mwa mavitamini ambiri omwe amapezeka m'matumbo ang'onoang'ono. Njira yopangira mankhwala nthawi zambiri imakhala miyezi 1 kapena 6. Mafuta a peppermint mafuta amodzi amodzi ndi awiri makilogalamu atatu patsiku, amathiridwa pakati pa chakudya ndi madzi. Zotsatirapo zingaphatikizepo kutentha kwa mpweya, kutentha kwapakati, ndi kugwidwa kokoma.
Mankhwala ena ophera tizilombo omwe amagwiritsidwa ntchito pochiza mabakiteriya angaphatikizepo:
- Kuchokera kwa mbewu za zipatso za pamtengo : Anthu omwe sakonda kutenga capsules, amachotsa mbewu yamtengo wapatsogolo amapezeka mumadzi. Onjezerani madontho pang'ono m'madzi ndikumwa pakati pa chakudya
- Oregano mafuta capsules
- Adyo
- Berberine: goldenseal , Oregon mphesa
- Kuchotsa masamba a azitona
- Pau d'arco
Zakudya
Pa chithandizo, ochiritsira ena omwe amapereka mankhwala amauza anthu kuti azidya zakudya zomwe zimalepheretsa kudya zakudya zokoma komanso zowonjezera. Chakudya chotere ndi zakudya zomwe zimapatsa tirigu, masamba obiriwira, ndi nyemba zina, ndipo zinalengedwa kuti zithetse vuto la kugaya monga bacterial overgrowth, Crohn's disease, ndi ulcerative colitis .
- Chingwe Chakumapeto Triglycerides: Mosiyana ndi mafuta ozolowereka, omwe munthu ali ndi vuto lalikulu la bakiteriya sangathe kuzindikiritsa, triglycerides yowonjezera imayamwa mwachindunji popanda kufunika kwa michere ya m'mimba. Mankhwala otchedwa chain triglycerides, monga kokonati mafuta, nthawi zambiri amalimbikitsidwa kwa anthu okhala ndi mabakiteriya ochulukirapo kapena mtundu uliwonse wa malabsorption.
- Mavitamini a m'mimba: Mavitamini a m'mimba amathandiza kuti thupi lizikhala ndi mavitamini a thupi mpaka thupi libwezeretsedwe. Ayenera kutengedwa asanadye chakudya. Zambiri pa mavitamini a m'mimba .
- Mavitamini ndi mchere zomwe zingakhale zosayenera kwa anthu okhala ndi mabakiteriya akuphatikizapo vitamini B12, magnesium, calcium, iron, zinc, mkuwa, vitamini A, D, E, K.
- Maantibiotiki: amafunika kusintha mabakiteriya abwino m'matumbo. Lactobacillus plantarum ndi lactobactillus GG ndi mitundu ina yomwe yayigwiritsidwa ntchito popitirira mabakiteriya.
Kuyesedwa
Kuyesa "muyezo wa golide" ndiko kutenga miyambo ya bakiteriya ya m'mimba yamadzimadzi.
Lactulose hydrogen kupimitsa mthupi: Mayeso ambiri ndiwo lactulose hydrogen kupimidwa chifukwa sichimakhala kovuta. Lactulose ndi shuga yomwe imakhala yosakanikirana yomwe ili ndi tizilombo toyambitsa matumbo, zomwe zimayambitsa kupanga hydrogen. Ngati pali kupitirira kwa mabakiteriya, kusala kudya kwa hydrogen kudzakhala kotsika. Kuonjezerapo, atatha kuthira shuga, padzakhala kuwonjezeka kwakukulu kwa hydrogen.
Mayeso ena ndi mayeso a schilling (chifukwa chosowa vitamini B12). Katemera waung'ono angapangidwe pofuna kuyang'ana mavuto a zomangamanga.
Chimodzi mwa zifukwa zomwe zimayambitsa vuto la bakiteriya zingakhale zosakwanira m'mimba ya asidi, yotchedwa hypochlorhydria. Matenda a m'mimba mwachibadwa amatha ndi zaka.
Zochitika Zogwirizana
- Matenda osokoneza ubongo
- Kulephera kwa vitamini ndi mineral
- Osakhala mowa steatohepatitis (NASH)
- Matenda otopa nthawi zonse
> Zosowa
> Kerlin P, Wong L. Breath hydrogen kuyesedwa m'kati mwa mabakiteriya a m'mimba. Gastroenterology. 1988 Oct; 95 (4): 982-8.
> Pimentel, Mark, Chow, Evelyn J. & Lin, Henry C. Kuchotseratu kwa mabakiteriya aang'ono a m'mimba kumachepetsa zizindikiro za matenda opweteka a m'mimba. American Journal of Gastroenterology 2000, 95 (12), 3503-3506.
> Lichtman SN, Keku J, Schwab JH, Sartor RB. Kuvulala kwachilendo komwe kumagwirizanitsidwa ndi tizilombo toyambitsa matenda timene timatulutsa timadzi timatetezedwa ndi metronidazole ndi tetracycline. Gastroenterology. 1991 Feb; 100 (2): 513-9.
> Shindo K, Machida M, Miyakawa K, Fukumura M. A syndrome of cirrhosis, achlorhydria, mabakiteriya aang'ono m'mimba, ndi mafuta a malabsorption. Am J Gastroenterol. 1993 Dec; 88 (12): 2084-91.
> Teo, Marcus, Chung, Stephen, Chitti, Lauri, Tran, Cuong, Kritas, Stamatiki, Butler, Ross, Cummins, Adrian. Matenda ochepa omwe amabwera chifukwa cha bakiteriya ndi omwe amachititsa kuti m'mimba azitsekula m'mimba. Journal of Gastroenterology ndi Hepatology 2004; 19 (8), 904-909.
> de Boissieu D, Chaussain M, Badoual J, Raymond J, Dupont C. Kupitirira kwa mabakiteriya ochepa kwambiri kwa ana omwe ali ndi matenda otsekula m'mimba, ululu wamimba, kapena onse awiri. J Wodwala. 1996 Feb; 128 (2): 203-7.
> Jeffery S. Meyers, MD, Eli D. Ehrenpreis, MD, ndi Robert M. Craig, MD Small Intestinal Bacterial Overgrowth Syndrome. Zomwe Zachiritsidwe Zamakono Zopangira Zochitika Zachilengedwe 2001, 4: 7-14
Chodziwikiratu: Zomwe zili pa tsambali zimapangidwa pazinthu zophunzitsira zokha ndipo sizilowetsamo malangizo, matenda kapena chithandizo ndi dokotala wololedwa. Sichikutanthauza kubisa zonse zomwe zingatheke, kuyanjana kwa mankhwala, zochitika kapena zotsatirapo zoipa. Muyenera kupeza chithandizo chamankhwala mwamsanga pa nkhani iliyonse yathanzi ndikufunsani dokotala musanagwiritse ntchito mankhwala osakaniza kapena kusintha kwa regimen yanu.