Ukufakelwa KwamaFecal Kungaba Ukwelashwa Kwesikhathi Esizayo Kwa-IBD?
I-bacteriotherapy ye-Fecal (FB) noma i-fecal microbiota transplantation (FMT) uhlobo lwezokwelapha oluye lwasetshenziswa iminyaka eminingi, kodwa manje liqala ukubhekwa nesicelo salo kwisifo sofuba esiswini (IBD) . Ngezinye izikhathi i-FB isetshenziselwa ukuphatha izifo ezivamile ngeClostridium difficile (noma iC difficile ), nakuba lokhu akuvamile.
Izwi Eliqinile Lokuqapha
Ama-fecal transplants akufanele akwenze ekhaya , ngisho nangemva kokufunda imiyalelo noma incwadi noma ukubukela ividiyo yokuthi ungayenza kanjani.
Akuyona "indlela" yokwenza ngayo lokho okuyingxenye enzima. Ingxenye esacutshungulwa yilokho okwenza umnikeli omuhle nokuthi lowo mnikeli udla kanjani amabhaktheriya azosebenzisana futhi ashintshe amabhaktheriya asegwini lomamukeli. Iziguli ziye zafa ngemva kokusebenzisa ama-fecal transplantant "do-it-yourself". Abanye baye babhekana nemiphumela engahlosiwe njengezifo ezintsha zezifo noma isisindo somzimba. Le mithi isacwaningelwa abantu abane-IBD futhi akuyona into okufanele yenziwe ekhaya.
I-Fecal Bacteriotherapy For C Inselele
Umathumbu omkhulu ugcwele izinhlobo eziningi ezahlukene zamabhaktheriya. Ukwakhiwa noma inombolo yezinhlobo ezahlukene zebhaktheriya kungashintshwa izifo noma ngemithi. Ukutheleleka kwe- C okunzima kungenzeka uma isitshalo se-bacterial emathunjini amakhulu sishintshwa (ngokuvamile ngama-antibiotics), okuvumela i- C difficile ukuba yande futhi ikhiqize ubuthi bayo, okungabangela ukubola okukhulu nesifo esisongela impilo.
Ukwelashwa okujwayelekile kokutheleleka kwe- C difficile kuyinkambo yezinsuku eziyi-10 kuya kwezingu-14 zama-antibiotic anti- C difficile . Ngezinye izikhathi, i- C difficile colitis ingabuye ibuyele ngemva kokuba ukwelashwa kuqedile. Kungenxa yalezi zinkinga eziphikisayo ukuthi i-FB iye yakhanga kakhulu.
I-FB iyindlela yokwelashwa ephuthumayo engakaze isetshenziswe noma isetshenziswe kakhulu, kodwa iye yazama kwabanye abantu abanezifo eziqhubekayo ze- C difficile .
Le nqubo iqala ngesihlobo esiseduze nesiguli esizimisele ukuqoqa isitoreji sabo ezinsukwini ezimbalwa bese sizinikela. Indaba ye-fecal ihlolwe nganoma yini engase ibonise ukuthi iyingozi - njengesifo, amabhaktheriya angaphandle noma ama-parasites . Ngemuva kokuba isitokisi sinqume ukuphepha ukuze isetshenziswe, ingasetshenziswa kuFB.
Indlela i-Fecal Bacteriotherapy Eyenziwa ngayo
I-fecal impahla ingabe isetshenziselwa isiguli ngokusebenzisa i- enema , i- colonoscopy noma i- nasogastric (NG) tube . Uma inikezwa i-enema, indaba yefecal izoxubaniswa ne-liquid, njenge-saline, futhi inikezwe udokotela, noma ekhaya ngamalungu omndeni noma isiguli ngokwakhe. I-enema kuphela ifaka phezulu kuze kube ikoloni, ngakho ukuphatha ukufakelwa kabusha nge-colonoscopy enye indlela esetshenziswayo. Uma inqubo yenziwa nge-colonoscope, indaba yefecal ingasakazwa kulo lonke ikolon, okucatshangwa ukuthi iyasebenza kakhulu. Uma i-NG ye-tube (indlela evame kakhulu) isetshenziselwa, ukwaziswa kwama-fecal kungasakazwa kuwo wonke amathumbu amancane kanye nawo wonke amathumbu amakhulu. I- proton-pump inhibitor ivame ukunikezwa ngesikhathi esifanayo ukuze kuvimbele amabhaktheriya anenzuzo ekubulaweni nge-acids esiswini.
I-Fecal Bacteriotherapy Ye-IBD
Enye yezinkolelo mayelana nezimbangela ezikhona ze-IBD ihilela ukutshala kwebhaktheriya emathunjini amakhulu. Kucatshangwa ukuthi uma abantu abane-IBD bengenabhaktheriya abathile ekolonini, noma okuningi kakhulu, i-FB ingaba yindlela yokwelapha. I-FB iye yacwaningwa kuphela ekusetshenzisweni ku-IBD kwezinye izifundo ezincane, izifundo zokuqala, ngakho ukusebenza akukabonakali. Ukukhathazeka okukodwa mayelana nokusetshenziswa kwe-FB ukuzimisela kwabantu abane-IBD ukuba benze inqubo. Abanye abacwaningi benza ucwaningo oluthile ukuze bathole ukuthi abantu abane-ulcerative colitis bangacabanga nge-FB, futhi lo mqondo wamukelwa kahle.
Futhi eyaziwa njenge: fecal microbiota transplantation (FMT)
Imithombo:
Kahn SA, Gorawara-Bhat R, uRubin DT. "I-bacteriotherapy ye-Fecal ye-ulcerative colitis: Iziguli zilungele, akunjalo?" I- Inflamm Bowel Dis Meyi 25, 2011 INGABE: 10.1002 / ibd.21775. 31 Julayi 2013.
I-Borody TJ, i-Warren EF, i-Leis S, i-Surace R, i-Ashman O. "Ukwelashwa kwe-ulcerative colitis usebenzisa i-bacteriotherapy ye-fecal". J Clin Gastroenterol 2003 Jul; 37: 42-47. 31 Julayi 2013.