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Kuyini ukufakelwa kwamaFecal?Ukufakelwa kwama-fecal, owaziwa nangokuthi i- bacteriotherapy ye-fecal , yindlela yokubuyisela amabhaktheriya ngokuvamile atholakale emgodini wokugaya umzimba nge-infusion ye-feces (isitoli) esivela kumnikezi. Ngenkathi lokhu kuzwakale njengomqondo ongajwayelekile, kubalulekile ukukhumbula ukuthi imizimba yethu idinga amabhaktheriya ukugaya ukudla. Ama-bacteria nawo asiza ukugcina ukuhamba okuvamile kokudla kanye nesitembu ngokusebenzisa ubulunga. Lapho ama-bacteria e-tract digestive ebhujiswa, kungaba nzima kakhulu ukubuyela emuva.
Ama-bacteria amaFecal - Flora evamile
Umuntu ovamile unamakhulu ezinhlobo zamabhaktheriya endleleni yokugaya. Nakuba kungenzeka ukuba uphile ngaphandle kwalezi zinhlamvu, ezibizwa ngokuthi i-flora evamile noma izitshalo zokugaya, ziyasiza kakhulu emzimbeni. Lawa ma-bacteria "amahle" asiza ekuvimbeleni ukwanda kwamabhaktheriya amabi, angathuthukisa isimiso somzimba sokuzivikela, futhi adlale indima ekwehleni izinhlobo ezithile ze-carbohydrate engapheli.
Uma sizalwa, sinamabhaktheriya ohlelweni lwethu esiluthola kumama wethu, njengohlobo "lwesiko sokuqala." Uma ukubhujiswa kwamabhaktheriya kunzima ngokwanele, kungase kungabi khona ngokwanele ukubuyela emazingeni ajwayelekile ngaphandle kokuthatha imifula evamile yomuntu njengesiko sesibili sokuqala.
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Kungani Izidakamizwa Zitshalwe?Izinhlanzi zifakelwa kabusha ukuze zithathele ama-bacteria alahlekile noma abhujiswe yisifo noma ukwelashwa. Kuhlelo olujwayelekile lokugaya, kunezinhlobo zezinhlobo ezahlukene zebhaktheriya ezikhona. Lawa ma-bacteria, okuthiwa i-flora evamile, ayadingeka ukuze asebenze ngokugaya futhi asebenze ekuvimbeleni ukusabela okweqile futhi akhulise imisebenzi yokuzivikela.
Esimweni sokujwayelekile sokugaya, amakhulu amabhaktheriya ahlukene awenza izitshalo ezijwayelekile asebenza ukuze alondoloze ibhalansi, agcine noma yiziphi amabhaktheriya owodwa ekudleni. Ibhalansi iyinkimbinkimbi, kanti uma imithi iphazamisa, ukukhuphuka kungase kwenzeke. Umphumela ungaba yinkimbinkimbi ohlelweni lokugaya ukudla. Ezimweni eziningi, uhlelo lokugaya luyabuyela emuva, luphinde lubheke imifula evamile. Kwabanye, kodwa ukukhuphuka kwemiphumela kubangelwa ukucindezeleka kokuvunywa kwamathumbu kanye nemifino encane kakhulu evamile ukuze iphumelele. Kulabo, i-bacteriotherapy ye-fecal iyindlela yokwelashwa ebalulekile.
Izinhlanzi zingafakelwa kabusha njengokwelashwa kwe- clostridium difficile colitis, eyaziwa ngokuthi "C. diff." C. ngokuvamile ngokuvamile kubangelwa inkambo yokwelashwa ngama-antibiotic abulala amabhaktheriya amahle lapho ebulala amabhaktheriya amabi. Kwabagula abagulayo kakhulu, C. diff ingaholela ekuhlinzekeni okungeziwe noma ukuvuselelwa isikhathi eside. Ngesiguli sakho esiphezulu esivumelanisa uC C., akufanele kube nesidingo se-bacteriotherapy ye-fecal, ngoba le ndlela yokwelashwa isetshenziselwa kuphela labo abavamile C. i-diff. Kungenxa yalezi ziguli ezifanelekela impilo zingathuthukiswa ngokuphawulekayo ngokufakelwa kwamafutha.
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Ngokujulile? I-Fecal Bacteriotherapy Ukufakelwa Ingabe Imithi Yangempela?Ukuphuza amanzi kungase kube isizathu esiyinhloko abantu abaningi abangenayo inqubo ye-bacteriotherapy ye-fecal. Uma ubhekene nezinkinga ezivamile zamathumbu, noma kunjalo, umqondo wokwamukela ukumnika umfelandawonye wenzalo uba lula ukubekezelela iziguli eziningi. Izimo eziningi ezidinga ukufakelwa kwefecal imbangela enkulu, ephindayo, futhi eqhubekayo yesifo sohudo.
Ekuqaleni, umqondo wokufakelwa kwamafecal ungabonakala njengomhlekisayo - Nokho, ngokusho kwesinye isifundo, i-bacteriotherapy ye-fecal inesilinganiso sokuphumelela esingu-91%. Kulezi ziguli ezithola ngokuphindaphindiwe ngokuphindaphindiwe kwe-C. difficile, kanye nezimpawu ezimbi kakhulu ezihambisana nayo, isici "sokunyuka" singase singabi nhlobo.
Ama-fecal transplants ayamukelwa njengendlela yokwelapha izinqubo eziningi zezifo zamathumbu. Kodwa-ke, uma isetshenziselwa ukwelapha isifo sochungechunge nesifo sofuba , ukuguqulwa kwama-fecal kubhekwa njengelashwa lokuhlola.
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Kwenzeka kanjani ukuthi ukufakelwa kwezinhlanzi kwenziwe?Isampula ye-fecal itholakala kumnikeli ngaphakathi kwamahora ayisithupha wenqubo yokufakelwa. Ihlolwe futhi ihlolwe ama-parasite emathunjini kanye nezinye izimpawu zokugula ezingase zilawule umnikezeli. Uma isampula kufanelekile, ilungiselelwe ukufakelwa kabusha, ngokuvamile ngokuxubana ngamanzi oyinyumba bese uhlunga ngokusebenzisa isihlungi sekhofi ngokuphindaphindiwe ukuze ususe ama-solids.
Lesi sampuli sishintshwa kumamukeli ngenye yezindlela ezimbili, nge- enema noma nge- tube yokudla .
Uma indlela ye-enema isetshenzisiwe, isampuli se-stool ifakwa esikhwameni se-enema noma ebhodleleni, bese ingeniswa ngaphakathi kwe-rectum lapho ibanjwa khona ngangokunokwenzeka. Lokhu kwenziwa ngokuphindaphindiwe phezu kwezinsuku ezingaphansi kwezinsuku ezingu-5 ukuya kwezingu-10, ngokuletha ngqo imifula evamile emuva emgodleni wamathumbu.
Enye indlela isebenzisa i-tube yokudla ukuze ifake isampula esitokisini ngqo emathunjini. Le tube isetshenziselwa ukondla iziguli ezingakwazi ukubekezelela izinhlobo ezijwayelekile zokudla noma ukondla tube. Ufakwe emmpumeni bese phansi ngaphakathi esiswini, bese uqhubeka uqhubekela phambili uze uqede emathunjini. Isampula yama-fec elungiselelwe ukufakelwa isingeniswa ngaphakathi kwe-tube, evumela ukuba ibekwe ngqo emathunjini.
Kwezinye izimo, izindlela zombili ze-enema nezindlela zokudla zingasetshenziswa ukubuyisela kabusha izitshalo ezijwayelekile emgqeni wokugaya.
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Izinhlanzi Ukufakelwa: Ukubuyiselwa Kwe-Autologous Flourstinalinal Flora (ARGF)Ukubuyiselwa kwemithi yamathunjini ngokuzenzakalelayo, noma i-ARGF, kuyindlela entsha efundiswa njengamanje. Kule nqubo, iziguli ezisengozini yokubhujiswa kwemifula evamile yamathumbu zinikeza isampula se-stool yabo. Isampula igcinwa, futhi uma kuyadingeka, ihlungwa bese iqhwa-yomisiwe. Isampula ihlolwe ibe i-capsule futhi iboshwe, kufana ne-ibuprofen noma enye imithi, ukuze ihambele emathunjini ngaphambi kokuqedwa. Le nqubo, njenge-enema kanye namasu we-tube yokudla, ibeka isampuli evamile ye-flora ngqo emathunjini lapho ingahle ikolonize khona.
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Ubani Ongaba Umsizi Wokutshala Ukufakelwa Kwe-Fecal?Ngokuvamile, umlingani ophilile noma isihlobo kubhekwa njengomuntu ofanelekayo wokunikela ngemali. Akukho mfuneko yokuthi umnikeli abe yisihlobo; noma yikuphi umuntu ozithandayo angase azitholele ukunikela. Umlando wezokwelapha womnikeli uzohlolwa, kanye nesimo sabo sezempilo samanje. Umnikeli kumele abe mahhala ngezifo ezithathelwanayo, njenge-hepatitis A, B neC, ne-HIV. Kumele futhi abe namahhala wezifo eziphazamisayo, ukugcoba kwemvubelo, nezinye izinkinga zokugaya okungase zinikezwe umamukeli we-fecal.
Ngaphambi komnikelo, umnikeli angacelwa ukuba athathe umbuso wama-antibiotic ukulungiselela umnikelo.
> Imithombo:
> Ukufakelwa kwe-Fecal Microbiota Yokufakelwa Kwe-Clostridium Ephindaphindiwe. ULJ Brandt, SS Reddy. Journal of Gastroenterology Clinic.
> I-Clostridium Enzima I-Colitis Yomzimba: Ichungechunge Lama-Case Olubandakanya Iziguli ezingu-18 Eziphathwa Ngama-Donor Stool Eziphathwe NgeThuthi le-Nasogastric. UJohannes, uGessert noBakker.