Ingabe ukuba ne-celiac iphakamise ingozi yakho ku-SIBO?
Uma uthola ukuthi unesifo se-celiac , kungenzeka ukuthi uyethemba-futhi ulindele-ukuthi ukudla okungekho gluten kuzoxazulula izinkinga zakho zokugaya ukudla. Kodwa-ke, ukucwaninga nobufakazi be-anecdotal kubonisa ukuthi akuzona ngaso sonke isikhathi ukuthi kulula-eqinisweni, amaphesenti amakhulu abantu abanesifo se-celiac bayaqhubeka bezwa izimpawu ngisho nangemva kokuhamba ngaphandle kwe-gluten .
Kunezizathu eziningana ezikhona zokuthi lezi zimpawu zokugaya izifo eziqhubekayo, konke okungenzeka ube khona ngaphezu kwesifo se-celiac: isifo se-reflux esiswini (i-GERD) , isifo sofuba esiswini (IBS) , nesifo sofuba (IBD) .
Futhi, ezinye izimo ezingezona zokugaya ezitholakala kubantu abanesifo se-celiac, ezifana nesifo segciwane , kungabangela izimpawu zokugaya ukudla.
Isifo se-celiac esicabangelayo (isifo se-celiac esingaphuthuki naphezu kokudla okungekho gluten) nakho kungabangela izimpawu eziqhubekayo, nakuba kungavamile kakhulu. Futhi-ke, ukudla i- gluten- ngenye yemali encane ye-gluten- kungaholela ekuphenduleni okubi . Ngeshwa ngivamile.
Kodwa enye incazelo engenzeka yokuqhubeka izimpawu ezingase zihambe ngezinye izikhathi ngaphansi kwe-radar yi- overgrowth encane yamagciwane emathumbu (SIBO). I-SIBO ingabangela isifo sohudo, ubuhlungu besisu, nokubhubhisa kanye nesisindo sokugcoba kanye negesi elidlulele. Ingabe lokho kuzwakale njengezimpawu zakho? Uma kunjalo, funda ku.
Yini ngempela i-SIBO?
Uhlelo lokugaya wonke umuntu lubandakanya amabhaktheriya ... amaningi amabhaktheriya. Lezi zigidigidi eziphilayo ezincane, eziningi zazo ezitholakala emathunjini akho amakhulu, zikusiza ukugaya ukudla kwakho futhi zikhiqize amavithamini, njengevithamini K ne-biotin.
Umathumbu wakho omncane uphinde unake amabhaktheriya, kodwa izinhlobo ezahlukene futhi ezincane kakhulu kunamathumbu akho amakhulu. I-SIBO ivela uma amabhaktheriya evame ukuhlala ikakhulukazi emathunjini akho amakhulu ahambela emathunjini akho amancane futhi aphindwe.
Lapho lezo zinhlamvu zikhula lapho zingakufaneleki, zingabangela zonke izinhlobo zampawu zokugaya, futhi ezimweni ezinzima kunazo zonke, i-SIBO ingaholela ekungabikho kwamavithamini nezakhi.
I-SIBO inzima ukuyihlolisisa kahle, futhi izimpawu zabantu aziphenduli ngaso sonke isikhathi ukwelashwa.
I-SIBO ne-Celiac: Uyini uxhumano?
Njengoba mhlawumbe uyazi, isifo se-celiac senzeke lapho isimiso somzimba wakho samasosha omzimba sibheka ngephutha amaprotheni gluten, esitholakala ku-wheat, barley, ne rye rye. Uma othile onama-celiac ingxube, amangqamuzana awo amhlophe egazi ahlasela umbhede wamathumbu awo amancane, okuholela ekubhekeleni lokho okubizwa ngokuthi i-atrophy eyingozi . Nakuba isifo se-celiac sisuka esimisweni sakho sokugaya, sithinta umzimba wakho wonke, ukudala izimpawu yonke indawo kusuka endleleni yakho yokugaya kuya ebuchosheni bakho nasesikhumba sakho.
Phakathi naleso sikhathi, izimpawu ze-SIBO zilinganisa izimpawu zokugaya izifo ze-celiac cishe ngokuphelele. Eqinisweni, i-SIBO ingabangela i-atrophy eyingozi , umonakalo omncane wamathumbu ngokuvamile obonakala kulabo abanesifo se-celiac. I-SIBO enamandla kakhulu ingabangela ukukhathala nokulahlekelwa isisindo, okubuye kubonakale nasifo esingahlosiwe se-celiac njengoba isimiso somzimba samasosha omzimba sibhubhisa amancane emathunjini emathumbu.
Ngakho ungayitshela kanjani lezi zimo ezimbili?
Ukuze uhlolisise isifo se-celiac, odokotela ngokuvamile basebenzisa ukuhlolwa kwegazi ukuze babheke izimpawu ezithile ezibonisa ukusabela komzimba wakho kumaprotheni we-gluten.
Lezi zivivinyo, kanye nenqubo yezokwelapha ebizwa ngokuthi i- endoscopy evumela ukuthi udokotela wakho abheke ngqo emgodini wakho wamathumbu omncane, angakwazi ukubona ngokucacile isifo se-celiac.
I-SIBO, okwamanje, itholakala ngokuhlolwa kokuphefumula , nakuba odokotela nabo bangasebenzisa i-endoscopies. Ukwenza izinto zibucayi nakakhulu, kunobunye ubufakazi bokuthi ukuhlolwa kokuphefumula kungase kungasebenzi konke okumele kutholakale i-SIBO kubantu abanesifo se-celiac.
Yebo, Ungaba Nakho Bobabili
Kungenzeka ukuthi unezifo ezimbili ze-celiac kanye ne-SIBO ngesikhathi esifanayo, okwenza ukuhlukanisa izimpawu zabo kube nzima nakakhulu. Eqinisweni, ucwaningo oluthile lubonisa ukuthi i-SIBO ingaba yinto evamile kunaleyo kubantu abanesifo se-celiac, ikakhulukazi kubantu abanokuthi izimpawu zokugaya aziphuculanga ekudleni okungenalo i-gluten.
Kodwa-ke, abanye abacwaningi baye bafakaza ngalesi siphetho.
Ukubuyekezwa kokunye kwezincwadi zezokwelapha eziseSIBO nesifo se-celiac, ezihlanganisa izifundo ezingu-11 ezahlukene, zathola ukuthi umuntu oyedwa kwabayisihlanu abane-celiac naye ube ne-SIBO.
Lokho kubuyekezwa kutholakale ukuthi amaphesenti angu-28 alabo abanesifo se-celiac abaqhubeka beba nezimpawu naphezu kokulandela ukudla okungenalutho kwe-gluten ngokucophelela futhi bekutholwe ukuthi bane-SIBO. Phakathi naleso sikhathi, kuphela amaphesenti angu-10 alabo abane-celiac abanezibonakaliso zabo ezivaliwe ekudleni okungenalutho kwe-gluten batholakala ukuthi bane-SIBO.
Noma kunjalo, njengoba abacwaningi bezokwelapha behlola ukuthi bangaki abantu abane-celiac abangase babe ne-SIBO, akucaci ukuthi kungani ingozi ingase ibe ngaphezulu. Esinye isichazamazwi esingaba khona sihilela ukukhulelwa kwamathumbu, okuyinto ukuhamba kokudla ngendlela yokugaya. Abantu abanesifo se-celiac bangase babe ne-motility esheshayo-kunokujwayelekile-ejwayelekile noma ehamba kancane-noma evamile, noma ngezinye izikhathi ngisho nokuba ne-motility kancane-kunokujwayelekile-ingxenye yengxenye yokugaya (isibonelo, esiswini) ihlangene nokusheshisa-kunokujwayelekile motility kwenye ingxenye (isibonelo, emgqeni). Izinkinga nge-motility emathunjini zingabangela amabhaktheriya ukuba akhule lapho angakufanele khona.
I-SIBO ithathwa kanjani ku-Celiac Disease?
Uma uthola ukuthi une-SIBO, cishe udokotela wakho uzobeka uhlobo oluthile lwe-antibiotic ebizwa ngokuthi i-rifaximin. Le antibiotic, ebuye isetshenziselwe ukwelapha isifo sohudo, ayizange ifakwe kahle umzimba, okusho ukuthi isebenza cishe kuphela emgatsheni wakho wokugaya.
Kodwa-ke, akubona wonke umuntu obona ukukhululeka ekunakekeleni ama-antibiotic. Ucwaningo olulodwa lwathola ukuthi abantu abanesifo se-celiac abaye babonwa ukuthi bane-SIBO bese bephathwa nge-rifaximin abazange babone noma yikuphi ukuthuthukiswa kwezimpawu zabo zokugaya ukudla kusukela emithini yama-antibiotic. Lokho kuqukethe abantu abangu-25 abane-celiac abayithatha imithi elwa namagciwane, futhi baqhathanisa nabantu abangu-25 abane-celiac abathatha indawo ye-placebo.
Kunobunye ubufakazi bokuthi ama-probiotics angase asize ku-SIBO (kunomunye ucwaningo oluqala kakhulu olubandakanya ama-probiotics nesifo se-celiac ). Ngakho-ke uma udokotela wakho ekutholile ukuthi une-SIBO kodwa ukwelashwa nge-rifaximin akusizanga ukusiza ngokwanele, ungase ucabange ngokuxoxa ngokuzama ama-probiotics-nje qinisekisa ukuthenga umkhiqizo ongenalo i-gluten.
I-SIBO ayiqondi kahle okwamanje, ngakho kunzima ukubona nokuphatha abantu abangase babe nayo. Njengoba isikhathi siqhubeka, kufanele sibe nolwazi oluthe xaxa kulokho okusebenza ku-SIBO nokuthi yini engekho, ezosiza wonke umuntu, kuhlanganise nalabo abanezinkinga zombili ze-SIBO ne-celiac.
> Imithombo:
> I-Chang MS ne-al. Ukubuyekezwa kwe-Rifaximin ne-Overgrowth yezifo ezimbi ezithinta izifo zeCeliac. Ukuthuthukiswa Kwezokwelapha ku-Gastroenterology . 2012 Jan; 5 (1): 31-6.
> Losurdo G. et al. Ukukhukhulwa Kwebhaktheriya Okuncane Kwezinambuzane kanye Nezifo Ezibucayi: Ukubuyekezwa Okuhlelekile Ne-Pooled-Data Analysis. I-Neurogastroenterology ne-Motility . 2017 Feb 12.
> Tursi A. Ukuphazamiseka Kwamathumbu Emathunjini Omzimba Wezinkinga Zama-Celiac. Journal of Gastroenterology Clinic . 2004 Sep; 38 (8): 642-5.