Kukhona ukuguquka kwenhliziyo namaphaphu, ngisho nezandla nobuso; izinso zinikelwa, ngakho-ke ama-lobes of livers.
Kuzwakala kuhle kakhulu, kepha kunezitoli zokuguqula.
Ukufakelwa kwe-stool akubandakanyi ukuhlinzwa noma ukuguqulwa kwesistimu yomzimba njengokudinga izidakamizwa kudinga. Kungakhathaliseki ukuthi ukusindisa impilo kwabanye.
Akukona okwakumangalisa njengoba kungase kuzwakale.
Sonke sinamabhaktheriya kithi, sonke isikhathi. Eqinisweni, cishe sinamabhaktheriya ayizigidi eziyi-100 kithi noma nini. Yonke ingxenye ye- microbiome yethu ehlanganisa amabhaktheriya esikhumbeni sethu, emathunjini ethu, nezinye izingxenye zomzimba wethu. Ama-bacteria angaphezu kwezingqamuzana zomuntu cishe ngo-10: 1. "Sine" kuphela amangqamuzana omuntu ayizigidi ezingu-10 trillion.
Ukufakelwa okunjalo kubizwa ngokuthi amaFecal Microbiota Transplants (FMT) noma ama-Stool transplants. Lezi zinguquko zingakwazi ukuphatha ukuphazamiseka okwenzeka lapho amabhaktheriya ekuguleni kwethu akuzona okufanele abe yiwo. Ngokujwayelekile kunezinhlobo eziningi, izinhlobo eziningi zamabhaktheriya emagumbini ethu. Kunesimo esiyinkimbinkimbi sezinto eziphilayo ezilinganiselwe ngaphakathi kwamagundane ethu. Ngesinye isikhathi lezizinto zemvelo zingasuswa ngama-antibiotic futhi zingadlulelwa uhlobo olulodwa lwebhaktheriya - njengoC Diff (Clostridium Difficile). Ukuguqulwa kwezitofu sekusetshenziselwa ukutheleleka okujwayelekile kwe-C.
Iyini i-Clostrdium eyinkimbinkimbi?
I-Clostridium difficile ( C. difficile ) yi-bacteria engadlulela emathunjini lapho iziguli zinikezwa ama-antibiotics, ikakhulukazi uma zikhona ezindaweni zokunakekelwa kwezempilo lapho abanye besandulele khona futhi lapho begula.
Kungabangela ukuhuda okukhulu. Kwabangelwa ukutheleleka okungaba ngu-500 000 ngo-2011. Ngokuvamile kubangele ukuphindaphinda - abangaphezu kwama-80,000 e-US abaphethe ukutheleleka okungenani kabili. Kulabo abathintekayo, cishe abangaba ngu-30 000 bafa engakapheli inyanga eyodwa baxilongwa ngeC Diff.
I-C Diff ingelashwa ngama-antibiotics, kodwa ukuphindaphinda kuvamile kanti ezinye izimo aziphenduli kuma-antibiotics.
C Overgrowth kwenzeka uma amabhaktheriya evamile emathunjini kungenzeka apheliswe ngama-antibiotics futhi i-flora evamile kudingeka ibuyele ukuze igweme i-C ephindaphindiwe futhi iphinde ibuye. Ngaphandle kwalokho iziguli zingase zihlupheke - futhi ngezinye izikhathi zifa-kusukela emiphumeleni yokuhuda eqhubekayo.
Ingabe ukuguqulwa okusetshenziselwa ezinye izifo?
Kube nezinye izifo ezithinta izibeletho zomzimba (kufaka phakathi i-MRSA) lezi zithutha eziye zasetshenziselwa. Njengoba sifunda kabanzi mayelana ne-microbiome kanye nendima yayo empilweni yabantu, kuye kwaba nethemba lezinhlelo zokusebenza ezifweni ezibulalayo (kuhlanganise nesifo se-Crohn), i-Irritable Bowel Syndrome, isifo sesibindi (esiyinkimbinkimbi ngamazinga aphezulu e-ammonia), ama-syndromes amancane, amanye amathumbu izifo, nezinye izifo eziningi. Kodwa-ke, kuningi okumele ufunde ngaphambi kokuguquka okunjalo kungasetshenziswa eziningi zalezi zimo. Kukhona izifundo eziqhutshwa ukuze kuqondwe kangcono ukuthi le ndlela ingasiza kanjani ezifweni ezifana neCrohn's , Ulcerative Colitis, nesifo sesibindi.
Njengoba siqala ukuqonda ubunzima be-microbiome, singase siqonde izindima ezengeziwe - ngaphesheya kwe-C Diff.
Ubani isitokisi esetshenziswa?
Ngokujwayelekile umndeni oseduze noma ilungu lomndeni, njengowomlingani, ube ngumnikeli wesitoreji.
Kukhona namabhange asezinhlakeni eziye athuthukisa ukuhlinzeka ngesithunzi, nakuba ekuqaleni kwakukhona ezinye izinkinga eziphathelene nokusetshenziswa kwamabhange.
Abaxhasi bakhethwa kanjani?
Abanikeli banikezwa ukuhlolwa kwegazi nge-HIV, I-Hepatitis A, B, C, kanye ne-syphilis. Isihlalo sabo sihlolwe ngama-parasites namaqanda asezimpungeni futhi ihlolwe i-Helicobacter pylori, i-Giardia, i-Cryptosporidium, kanye no-C difficile.
Kube khona amacala okungafunwa okungafuneki, okufana nokutheleleka kwe-norovirus diarrheal, okuye kwasakazwa ngokufakelwa kwesitshalo.
Iphuzu kodwa ukuthi amabhaktheriya kufanele atshalwe kabusha, ngakho konke ukuguqula kubangelwa ukudluliselwa kwama-bacteria.
Ukuguqulwa kunikezwa kanjani?
Kunezindlela ezihlukahlukene isitokisi esinganikwa. Ngaphandle kwesikhala seqhwa esivela emabhange, ngokuvamile kulungiswe 'ngokushesha' emahoreni. Ngokujwayelekile ixubene nesisombululo samanzi, sihlanganiswe futhi sinikezwe ngaphakathi kwamahora angu-6 noma nge-tube nasogastric, i-enema, noma nge-colonoscopy.