I-Pouchitis Ingaba Inkinga Yesikhathi Esindayo Kwabantu Abano-J-Pouch
Kuyini i-Pouchitis?
I-Pouchitis yisimo esingathinta abantu abane- j-poch (i-pouch-anal anal anastomosis [IPAA]) ukuhlinzeka ngokulonda kwe-ulcerative. Indlela yokwenza i-pouchitis ayiqondakali kahle, futhi kucatshangwa ukuthi ingafaka izinhlobo eziningana zezifo. Yinkinga ejwayelekile kunazo zonke kubantu abane-j-isikhwama.
Izimpawu ze-pouchitis zingabandakanya:
- ukunyakaza okuphindaphindiwe futhi okuphuthumayo
- ukukhulelwa kwesisu
- ukuphuma kwegazi
- umkhuhlane
I-Pouchitis isabela ngokujwayelekile ekwelashweni ngama-antibiotic kodwa ingahle iphinde ibe yizingxenye ezimbili kwezintathu zeziguli. Iziguli ezingaba ngu-10% zithola i-pouchitis ephindaphinda engaphenduli ekwelapheni kwama-antibiotic. Lezi zinhlamvu eziphindaphindiwe ze-pouchitis zingabangela ukwehla kwekhwalithi yokuphila kubantu abane-j-poch.
Ukuthola ukwelashwa kwe-pouchitis, ikakhulukazi esikhathini esifanele ngemva kokuhlinzwa, kubaluleke kakhulu. Noma ubani oye wahlinzwa ngokuhlinzwa isikhwama kufanele axhumana nodokotela wakhe lapho nje isikhwama sibonakala "siphume" futhi kukhona izimpawu zobuhlungu, umkhuhlane kanye negazi esitokisini.
Kungani Ama-Probiotics Ayosiza?
Abacwaningi bathola ukuthi abantu abahlangabezana ne-pouchitis banamabhaktheriya ambalwa abalulekile, okungukuthi i-lactobacilli ne-bifidobacteria, endleleni yabo yokugaya. Isinyathelo esilandelayo esilandelayo kwakuwukuqhuba izilingo ukubona ukuthi ukwandisa amabhaktheriya anenzuzo emkhakheni wokugaya kungasiza ekuthuthukiseni izimpawu ze-pouchitis.
Izithako zalawo maqabunga azuzayo zibizwa ngokuthi "ama-probiotics" futhi zingabandakanya izinhlobo ezihlukahlukene zokuphila kwamabhaktheriya.
Ubufakazi Bokusebenzisa I-Probiotics
Izilingo ezimbili eziphethwe yi-doublebo blind, i-placebo zenziwa ukuze zibone ukuthi ngabe inhlanganisela yama-bacterium aphilisiwe-izinhlobo ezine zeLacbabacillus , izinhlobo ezintathu ze- Bifidobacterium kanye nohlobo olulodwa lwe- Streptococcus - (olubizwa nge-VSL # 3) lingasiza ekuqedeni izimpawu ze-pouchitis.
Esinye isilingo sitholile ukuthi ngemva kwezinyanga ezingu-9, iziguli ezingu-85% ezithatha i-VSL # 3 azizange ziphinde ziphinde ziphinde ziphinde ziphinde zibuyele emuva. Zonke iziguli ezingu-20 ezathola i-placebo zathola ukuphindaphindiwe. Esivivinyweni sesibili, iziguli ezingu-85% ezithatha i-VSL # 3 azizange ziphinde zibuyele emuva konyaka owodwa wezokwelapha. Konke kodwa esinye seziguli ezithola i-placebo sabuyela emuva. Imiphumela yalezi zifundo ezimbili inikeza ukusekelwa okuhle ukuthi ama-probiotics aqukethe izinhlobo ezithile zamabhaktheriya angase abe usizo kulabo bantu abane-j-poches abaphethe i-pouchitis ephindaphindiwe.
Kwesinye isifundo, iziguli ezingu-16 kwezingu-23 ezine-pouchitis ezinomthelela, ezinomusa zithole ukukhishwa ngemuva kwamasonto amane we-dose high VLS # 3. Ngesikhathi abalobi besifundo bephetha ngokuthi ama-probiotics asebenza kahle nge-pouchitis emnene, afuna ucwaningo oluthe xaxa.
Izilingo eziningi ziye zahlola ezinye izinhlobo ze-probiotic, kuhlanganise noLactobacillus rhamnosus GG noLactobacillus acidophilus kanye ne- Bifidobacterium lactis . Lezi zifundo azibonanga ukuthi la ma-probiotics anomthelela omuhle kwi-pouchitis esebenzayo; Kodwa-ke, isilingo esisodwa sabonisa ukuthi i- rhamnosus GG yayiwusizo ekubambezelekeni kokuqala kwe-pouchitis lapho ukwelashwa kuqalwa ngokushesha ngemuva kokuhlinzwa kwe-j-poch .
Okubalulekile
Nakuba ubufakazi bezokwelapha bukhulu kakhulu ngesihloko sama-probiotics, kulungile ukusho ukuthi nakuba ama-probiotics angasiza ekugcineni ukuxolelwa, akuzona ngempela ukusiza ekwelapheni i-pouchitis.
Udokotela wakho uzokwazi ukukusiza ukuthi unqume ukuthi ama-probiotics ayasiza yini e-pouchitis, kanye nokuthi imuphi umkhiqizo ozowusebenzisa, nokuthi kungakanani okufanele uthathe.
Amaphuzu Okubalulekile Okufanele Akukhunjulwe:
- Ama-probiotics angase abe usizo ukugcina ukuxolelwa emva kwe-pouchitis uphathwe ngama-antibiotic noma ekubambezelekeni kokuqala kwe-pouchitis
- Ama-probiotics angakabonakali ewusizo ekwelapheni i-pouchitis enamandla, enamandla
- Kubalulekile ukuxoxa ngokusetshenziswa kwama-probiotics nodokotela ukuqinisekisa ukuthi uhlobo olufanele namanani athathwa
- Ubufakazi bokusetshenziswa kwama-probiotics abukakapheli, futhi imiphumela yezifundo zesikhathi esizayo ingashintsha ukusetshenziswa kwama-probiotics for pouchitis
> Imithombo:
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