Ukubhekisisa Ukwehla Kwebhaktheriya Okuncane Kwamazinyo Emathunjini Omzimba
Abacwaningi bathola ukuthi inqwaba yezinambuzane zamathumbu emathumbu (SIBO) ithinta abantu abaningi kunalokho okucatshangwa ngaphambilini. Eqinisweni, kulinganiselwa ukuthi inani eliyisibonakaliso labantu abaye lahlolwa ukuthi banezinhlungu zesifo sofuba (IBS) empeleni bane-SIBO.
I-SIBO yisimo sempilo lapho kunezinhlobo eziningi zebhaktheriya emathunjini amancane.
(Emzimbeni onempilo, ukutholakala kwamagciwane amaningi ngaphakathi emathunjini amancane kufanele kube okuncane kakhulu, kunabantu abaningi bebhaktheriya ezinjalo ezikhona emathunjini amakhulu.) I-SIBO ingabangela izimpawu ezihlukahlukene-kuhlanganise, ngokweqile, ukwehluleka kokudla okunomsoco . Kuvame ukutholakala ngokuhlolwa kokuphefumula, nakuba ezinye izindlela zitholakala .
Uma utshelwe udokotela wakho ukuthi unayo i-SIBO, uzoqinisekiswa ukuthi uyisimo esingaphatha. Kulesi sihloko uzofunda ngezindlela uSIBO okwamanje eziphathwa ngayo, kanye nezinye izinketho ezingaphenywa. Lolu lwazi luyoba usizo kuwe njengoba usebenza nodokotela wakho ukwakha uhlelo lokwelapha.
1) Ukwelashwa kwama-antibiotic
Okwamanje, ukwelashwa kwe-"standard standard" ye-SIBO kusetshenziswa imithi yama-antibiotic ehlose ukunciphisa ukwanda kwamagciwane emathunjini amancane. Lezi mithi nazo zicatshangwa ukuthi zinciphise noma yikuphi ukuvuvukala kwesibindi samathumbu amancane angase abangele ukubhebhetheka kokudla okunomsoco.
Ngeshwa, isayensi ngemuva kokusetshenziswa kwama-antibiotic ku-SIBO isesencane. Abacwaningi bayaqaphela ukuthi okuningi kudingeka ukuthi bafunde ukuthi yiziphi izinhlobo zama-antibiotic ezilungile kumuntu ngamunye, nokuthi yiziphi izilinganiso kanye nobude bezokwelapha ezizosebenza kakhulu.
Okwamanje, i-antibiotic eyinhloko esetshenziswayo i- Xifaxan .
Ucwaningo lubonisa ukuthi i-Xifaxan ingaba yimpumelelo ekwelapheni i-SIBO, iningi leziguli ezizuza ekwelapheni. I-Xifaxan iye yaboniswa ukuqeda izinhlobo ezihlukahlukene zezinhlamvu zamabhaktheriya. Emilenzeni eminingi yezokwelapha, kuye kwafakazelwa ukuthi kusebenza kangcono kune-placebo kanye nezinye izinhlobo zama-antibiotics ekuthuthukiseni izimpawu nemiphumela yokuhlolwa komphefumulo. Kodwa-ke, abacwaningi baqhubeka bephenyisisa ukusebenza kwamanye ama-antibiotic ukuze bavulele amathuba okuthola ukwelashwa okusebenzayo.
Emzimbeni, i-Xifaxan ayifakwe engxenyeni yegazi, ngaleyo ndlela iyancipha imiphumela emibi futhi ikhulise ikhono layo lokusebenza ngokuqondile kuma-bacteria akhona ngaphakathi emathunjini amancane. Futhi ngokungafani nemithi eminingi yama-antibiotic okungenzeka ukuthi ube nayo, i-Xifaxan ayinayo iningi emthelela kubhaktheriya ngaphakathi emathunjini amakhulu ngakho-ke akufanele ikubangele izimpawu zamathumbu noma izifo zesilonda okungenzeka wazibonela ngezifundo zangaphambili zama-antibiotic ajwayelekile . Ngokuvamile, i-Xifaxan ibhekwa njengomuthi ophephile, nakuba imiphumela emibi engavamile ibikwe.
Njengoba kushiwo ngenhla, kunjengoba manje akukho ukuvumelanisa ngokujwayelekile mayelana nokuthi ukulinganisa nokulinganisela okuhle kangakanani ukusebenzisa i-Xifaxan.
Ezingweni eziningi zokwelashwa, ama-dosage aphezulu aboniswe ukuthi asebenza kangcono kunamazinga aphansi. Ekusebenzeni komtholampilo, i-Xifaxan ivame ukuchazwa ngezifundo zamasonto amabili, ngezifundo eziphindaphindiwe ezibekiwe njengoba kudingeka. Kumele kuqashelwe ukuthi, kusukela ekuqaleni kuka-2017, i-Xifaxan ayizange ivunywe yi-FDA yokwelashwa kwe-SIBO (nakuba ivunyelwe ukwelashwa kwesifo sohudo olukhulu kakhulu lwe-IBS kanye nesifo sohudo). Ngakho-ke, ukuchaza i-Xifaxan ye-SIBO kubhekwa njengokusetshenziswa kwe-"off-label".
Naphezu kwezinga eliphezulu lempumelelo ye-Xifaxan, i-SIBO ibuyele kabusha, ngakho-ke iziguli zivame ukudinga izifundo eziningi zokunakekelwa okwanele.
Kwabanye, i-antibiotic engaphezu kweyodwa ingahle ibekwe ngesikhathi esifanayo. Kwabanye, ukubhekana nezinkinga zezokwelapha ezisemqoka noma ukushintsha imikhuba yokudla nemikhuba yokuphila kungadingeka.
2) I-Address Address Issues
Ukwelashwa kwama-antibiotic njengoba kukhulunywe ngenhla kuyindlela eyinhloko yokwelapha i-SIBO kubantu abangenawo imbangela eyimbangela yalesi simo. Kodwa-ke, ngezinye izikhathi kunenkinga yezempilo engaphansi okudingeka ixazululwe ukuze kuqedwe noma yini ekhuthaza ukugcwala kwamabhaktheriya emathunjini amancane. Le nkinga eyinhloko ingaba isifo noma kungase kube into ethinta isakhiwo samathumbu amancane ngokwawo.
Izifo ezithintekayo: Ezinye izibonelo zezifo ezisemqoka ezifaka isandla ekusungulweni kwe-SIBO zihlanganisa lezo ezonakalisa i-motility (isivinini) esiswini noma emathunjini amancane, njenge- gastroparesis noma i- dysmotility encane. Lezi zingelashwa ngemithi yeprokinetic.
Esinye isibonelo yisifo se-celiac , njengoba sekutholwe ukuthi abantu abanesifo se-celiac basengozini ephakeme ye-SIBO. Kulaba bantu ngabanye, ukunamathela ngokuqinile ekudleni okungenalo i-gluten (okubalulekile empilweni yabo!) Kungasiza ekuthuthukiseni izimpawu.
Ukukhubazeka kwesakhiwo: Lokhu okulandelayo yizibonelo zeziphambeko zesakhiwo ezingasiza ekuthuthukiseni i-SIBO. Ezinye zalezi ziphutha zingalungiswa ngokusebenzisa ukuhlinzwa.
- Amalokhi aphuphuthekile
- Ukuvinjelwa kwesisu
- I-Diverticula ikhona emathunjini amancane
- I-fistula
- Isifo samathumbu amancane
- Izibalo
I-SIBO ingahle ihlangane nalabo abaye babhekana ne- colectomy (ingxenye engaziwa ngokuthi yi-subtotal), ngenxa yokulimala okungenzeka kube khona kwe-valve ileocecal okungavumela ukuthi amabhaktheriya asekoloniki abuyele emuva emathunjini amancane. Ngaphezu kwalokho, ukwehlisa ingxube yokuhlanza emathunjini emathunjini amancane, ngenxa ye-colectomy, ingabeka isiteji sokuthi amabhaktheriya akwandise.
Imiphumela emibi yemithi : Kwezinye izimo, imithi esetshenziselwa ukwelapha inkinga yempilo ehlukile ingase ibe negalelo ezimweni ezikhuthaza i-SIBO. Ukuyeka ukusetshenziswa kwabo kungasiza ukunciphisa izimpawu ze-SIBO. Le mithi ihlanganisa:
- Imithi ye-opiate (ngokuvamile eqondiswe ubuhlungu)
- I-Proton pump inhibitors (i-PPIs) (evame ukushiwo i-GERD)
3) Ukungenelela Kwezondlo
Ukungenelela kokudla kwe-SIBO kuhloswe ukuthi kulungiswe ukuhluleka kokudla okunomsoco noma ukubhekana ngqo ne-SIBO ngokusebenzisa ukusetshenziswa kokudla okuthile.
Ukubhekana Nezidingo Zokunakekelwa Kwempilo: Uma uthola ukuthi unesifo se-SIBO, kufanele usebenze nodokotela wakho ukuze ubone futhi ulungise noma yikuphi ukuhluleka kokudla okunomsoco. Izithako kufanele zithathwe nganoma yimaphi noma amavithamini namaminerali alandelayo uma kutholakala ukuntuleka:
- I-Vitamin A
- I-Vitamin B12
- I-Vitamin D
- I-Vitamin E
- I-calcium
- I-Magnesium
Uma udokotela wakho ekholelwa ukuthi i- steatorrhea kanye / noma olunye uhlobo lwe-fat malabsorption lukhona, bangase batuse ukuthi uthathe isandiso se-enzyme ye-pancreatic .
Ukudla okuyi-Elemental: Ukudla okuyisisekelo kuhilela ukuvinjelwa okuphelele kokudla kokusungulwa kokudla okunoketshezi oluthile. Abanye abasebenza ngezempilo bahlolisisa ukusetshenziswa kokudla okuyisisekelo njengendlela engeyona yezidakamizwa yokuphatha i-SIBO. Ucwaningo olulodwa lwezokwelapha lwaqhutshwa lapho iningi labathintekayo lathola ukunciphisa izimpawu, kanye nokujwayelekile kokuhlolwa kokuphefumula, emva kwamasonto amabili ekudleni kokuqala.
Ngokusobala, ucwaningo olwengeziwe luzodinga ukuqhutshwa ukuze lubone ukuthi lokhu okukukhuni ukulandela ukudla kuyindlela yokwelapha ephumelelayo ye-SIBO. Kunconywa ukuthi ungazami lokhu ekhaya ngokubunjwa ngokwenziwe ngenxa yobungozi bokuntuleka kokudla okunomsoco, okungafaka impilo yakho engozini.
I-Low-FODMAP Diet: Ukudla okuphansi kwe-FODMAP kwaklanyelwe ukunciphisa izimpawu ze-IBS ngokuvimbela okwesikhashana ukusetshenziswa kwama-FODMAP, ama-carbohydrate atholakala ekudleni okujwayelekile okungabangela izimpawu ze-IBS. Nge-SIBO, izinhlobo ezimbili ezihlukahlukene ze- FODMAP , i-lactose ne-fructose, zingase zibe nokushaywa indiva ngenxa yokuvuvukala emgqeni wamathumbu amancane. Ngaphandle kwalaba ababili, amanye ama-FODMAP angabanjwanga angavotshwa ngamabhaktheriya ahlala ngokungalungile emathunjini amancane, okuholela ekuqhumeni nezinye izimpawu zokugaya.
Ngakho-ke, ukudla okuphansi kwe-FODMAP kungase kube usizo ku-SIBO ngoba ukwehlisa ukusetshenziswa kwe-carbohydrate kungase "kulambile" amabhaktheriya emathunjini amancane. Kodwa-ke, njengamanje akukho zifundo zokwelashwa ngale ndaba. Ngendlela efanayo, ukuphumelela kokudla okuphansi kwe-FODMAP kubantu abanayo i-IBS kungase kubhekiselwe kwabanye ekusebenzeni kokudla ku-SIBO engakaze itholakale, kodwa futhi kusukela manje, lokhu kuyicabangela nje.
Akuyona into eyaziwa ngokuqondene nokudla okuphansi kwe-FODMAP kumuntu okwamanje othatha ama-antibiotics ku-SIBO. Kucatshangwa ukuthi ukudla kunganciphisa ukuphumelela kwemithi yokwelapha ngenxa yokubeka ama-bacteria ibe dormancy. Ngakho-ke, ngokuvamile kunconywa ukuba umuntu adle ukudla okujwayelekile ngenkathi elwa nemithi elwa namagciwane bese elandela ukudla okuphansi kwe-FODMAP ngemuva kokuba inkambo yezokwelapha iphethwe njengendlela yokuvimbela ukuphindaphinda kwe-SIBO esikhathini esizayo.
Njengoba ubona ngokucacile, indima yokudla ekuqaleni, ukugcinwa kanye nokuphathwa kwe-SIBO ihlala ingacaciswanga kahle. Sethemba ukuthi ucwaningo oluqhubekayo luzoveza ulwazi oluwusizo mayelana nokuxhumana phakathi kokudla kanye ne-SIBO.
Ikusasa le-SIBO Ukwelashwa
Njengoba i-SIBO inikelwa ukunakekelwa okwengeziwe kocwaningo, kungenzeka ukuthi ukwelashwa okusha kuzovela. Ucwaningo oluthile oluthokozisayo luwukuthuthukiswa kobuchwepheshe obuphambili obunikeza ikhono lokukhomba ngokunembile ukutholakala nohlobo lwamabhaktheriya akhona emathunjini omncane omuntu. Okwamanje, ukwelashwa kwalesi sigaba yizo zonke izinto ezibhekwa kuzo ukuze zivikeleke futhi ziphumelele ku-SIBO.
Ama-Herbal Formulations
Kukhona isifundo esisodwa esishicilelwe lapho kutholakala khona ukwakheka kwamakhemikhali ukuthi okungenani kuphumelele njenge-Xifaxan yokwelapha i-SIBO. Ama-Herbal formulations nawo afaka isithembiso njengendlela yokugwema imiphumela emibi yemithi yama-antibiotic, yokwelapha labo abaphikisana nabo abaphikisana namagciwane, kanye / noma ukuvimbela ukuphindaphinda kwe-SIBO.
Imithi ye-Prokinetic
Njengoba kucatshangwe ngenhla, imithi yokwelashwa, esetshenziselwa abantu abanenkinga yokukhulelwa kwamathumbu, ingaba usizo ekuphatheni i-SIBO. Ucwaningo lokuqala luveza ukuthi ukusetshenziswa kwala mithi kungasiza kakhulu kulabo abakwa-SIBO abakhona eceleni kwe- scleroderma . Imithi enjalo ibhekwa ukuthi iyasiza kuSIBO, njengoba ikhulisa amandla emvuthwandaba omncane we "emswakalweni" wokuhlanza amathumbu ukugeza amabhaktheriya.
Ama-probiotics
Ngokwalokho, ama-probiotic supplements angase abe usizo ekuphatheni i-SIBO ngoba baye baboniswa ukuthi banomthelela omuhle ekwenzeni amabhaktheriya, ukuthuthukisa impilo yegumbi lokugaya, nokwehlisa ukuvuvukala. Kodwa-ke, ucwaningo olubalulekile ekusebenzeni kwama-probiotics ekunakekeleni i-SIBO lisho.
Ukuvimbela Ukuphindaphinda
Njengoba kuphawuliwe ngenhla, naphezu kokuxazulula okuphumelelayo kwe-SIBO ngokusebenzisa i-Xifaxan, ingozi yokuphindaphinda ingaba phezulu kakhulu. Akuyona into eyaziwa ngokuthi ngabe izifundo ezilandelanayo noma ezihleliwe zemithi yama-antibiotic zingasiza ekuvimbeleni ukubuyela emuva. Kusukela manje, inkambo ekhuthazwayo yesenzo iyinqubo lapho abantu bashintsha khona ukudla kwabo emva kohlobo lwemithi elwa namagciwane njengendlela yokuzama ukugcina izimpawu ngcono, nokuthatha izifundo eziphindaphindiwe ze-antibiotic njengoba kudingeka.
Njengoba kukhonjisiwe ngenhla, ukuqonda ukuthi lokho ukuguqulwa kokudla kuzobukeka kubumpofu. Kungaba usizo ukulandela ukudla okuphansi kwe-FODMAP okwesikhashana. Kungasiza futhi ukugwema ukudla okuqukethe amathanga amnandi afana ne-aspartame, i-saccharin, ne-sorbitol, ephethe amandla okusebenzisana nama-bacteria avela emathunjini amancane. Uma uthola, ngokusebenzisa ukuhlolwa kokuphefumula noma ukupheliswa kokuphefumula, ukuthi une- lactose ukungabekezelelani noma i- fructose malabsorption , ungase ufune ukugwema ukudla okuqukethe lawa ushukela ngesizathu esifanayo.
> Imithombo:
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