Ukukhukhulwa kwamagciwane amancane emathunjini (SIBO) yisimo sempilo lapho inani eliningi kakhulu lokugwinya amabhaktheriya likhona emathunjini amancane. Uma kucatshangwa ukuthi yisimo esingavamile, ucwaningo olusanda kuvela lubonisa ukuthi aluhloliswanga odokotela.
I-diagnosis ye- syndrome evuthayo (IBS), lapho eqinisweni inkinga yangempela yi-SIBO.
Esinye isimo ukuveza ukuthi izimpawu ezivela ku-SIBO kuya kwesifo esiyinhloko esibangele ukuthuthukiswa noma ukugcinwa kwe-SIBO, lapho i-SIBO ikhona khona kanye nalokhu kugula.
Ukuhlukanisa i-SIBO ku-IBS nezinye izimo zezempilo kuyinselele. I-SIBO ihlanganyela izimpawu zayo nezinye izifo futhi ayikho izimpawu zayo ezihlukile. Nakuba izilinganiso zihlukahluka kakhulu kuzo zonke izifundo zocwaningo, i-SIBO itholakale ukuthi ikhona enombolweni ephakeme kakhulu yabantu abaye babhekwa ne-IBS. Izinga eliphakeme kakhulu lokukhula kwe-SIBO nazo zitholakale kubantu asebekhulile, abantu abanesifo se-celiac abangabonakali ngenxa yokudla okungenamsoco, kanye nabantu abane- cirrhosis yesibindi .
Ngenxa yokuthi i-SIBO ingafaka izimpawu ezivela emnene (ukubhubangela kwesisu), kuya ekuhluphekeni (ukungapheli komsoco), kubalulekile ukuba khona kwayo kubonakale.
Kulesi sihloko, uzofunda ngezibonakaliso eziyisisekelo nezimpawu ze-SIBO. Uma usola ukuthi i-SIBO ingase ibe ngemuva kwezimpawu zakho, kufanele ulethe udokotela wakho ukukhathazeka ngokuhlolwa okufanele kanye nokwelashwa.
Izimpawu ze-SIBO
Izimpawu ze-SIBO zingahluka kumuntu oyedwa kuya kwesinye.
Futhi njengoba ubona, izimpawu zayo eziningi zifana kakhulu (uma kungenjalo) kulokho kwe-IBS:
- Ukuvimbela kwesisu
- Ukuhlukaniswa kwesisu (kuhamba ngokubi njengoba usuku luqhubeka)
- Ubuhlungu besisu
- Uhudo olungapheli, ngezinye izikhathi ngokuphuthumayo
- Igesi elingaphezu kwamathumbu emathunjini
- I-nausea
- Izingozi zemvula
Ukuze uqhubeke udaka amanzi uma kuziwa ku-SIBO kukhona ukuthi izibonakaliso nezimpawu zayo zingahlukahluka ngokwezinhlobo ezithile zamabhaktheriya akhona emathunjini amancane.
Ungazi kanjani Uma Akuyona IBS?
Nakuba izimpawu zalezi zinkinga ezimbili zifana kakhulu, kunezinto ezihlukile. Esinye isibonakaliso esingenzeka ukuthi inkinga ingaba yi-SIBO ngokungafani ne-IBS ukuthi uma ukubhuqa kwakho kuqala kungakapheli amaminithi angu-90 ngemuva kokudla okuthile. Ukucabanga lapha ukuthi kuthatha cishe amaminithi angu-90 ukudla ukuze kufinyelele emathunjini amakhulu. Ngakho uma ukuqhuma kwenzeka ngaphambi komzuzu wamaminithi angu-90, kungase kubonise ukuthi amabhaktheriya ngaphakathi emathunjini amancane anesibopho.
Ukukhathala, ubuthakathaka, nokulahlekelwa isisindo yizimpawu zamacala aphezulu kakhulu e-SIBO angajwayelekile kubantu abane-IBS.
I-SIBO ejulile kanye Nezinkinga Zokudla
Ezimweni ezinzima kakhulu futhi ezimbi kakhulu, i-SIBO ingaba negalelo ezinkingeni zokumunwa kwamavithamini nezinye izakhi ezibangelwa ukuhluleka kokudla okunomsoco.
I-Malabsorption ingenzeka uma i-SIBO ibangela umonakalo omkhulu kakhulu kwi- villi efaka izindonga zamathumbu amancane . Ukuntuleka kokudla okunempilo kungaholela ezinkingeni zempilo ezibalulekile, ngakho-ke kubalulekile ukuthi i-SIBO, uma ikhona, ibonakale iphinde iphathwe. Uma uke wabhekana nokulahlekelwa isisindo okungavumelani eceleni kwezimpawu zamathumbu, kubalulekile ukuthi ulethe udokotela wakho izimpawu zakho ukuze uthole isifo esifanele sokuthola i-diagnostic kanye nokwelapha.
Nazi ezinye zezinkinga zokudla okunomsoco ezihlotshaniswe nokuba khona kwe-SIBO.
I-carbsorption ye-carbohydrate: Kunezindlela eziningana ezikhona lapho i-SIBO ingabangela ukuphazamiseka kwama-carbohydrate.
Okokuqala ukuthi i-SIBO ingabangela ukugaya okungakapheli kwama-carbohydrate ngamabhaktheriya akhona emathunjini amancane. I-SIBO nayo icatshangelwa ukuthi ibangele ukungasebenzi kulezinyunyana ezithintekayo ukwephula ama-carbohydrate ukuze kungene emanzini ngenxa yengozi e-villi. Futhi ekugcineni, abantu abane-SIBO nabo bangase baqale ukuvimbela ukudla kwabo kwe-carbohydrate ngomzamo wokugwema ukuvimbela, uhudo, nezinye izimpawu.
Amaprotheni ama-malabsorption: Umonakalo we-villi kusuka ku-SIBO ungabangela ukuncipha kwamathumbu amancane ukuba athole amaprotheni emzimbeni.
I-malabsoption yamafutha : Amafutha okushisa okubangelwa yi-SIBO kucatshangwa ukuthi ayenzeka ngenxa yokuthi amabhaktheriya avela emathunjini amancane aphule i-bile acids engabangela ukuwohloka nokunciphisa amafutha. Lawa aphule phansi i-bile acids acatshangwa ukuthi atholakala engxenyeni ephakathi emathunjini amancane (i jejunum) kunokuba ingxenye yokugcina yamathumbu amancane (i-ileum) lapho amavithamini amanama-soluble, afana namavithamini A, D , E, no-K, bekungavame ukufakwa.
Ngakho-ke, ama-malabsorption amafutha ayizinkinga ikakhulukazi njengoba kungabangela ukungabi khona kwamavithamini. Ngenhlanhla, ucwaningo luye lwabonisa ukuthi kuphela ezimweni ezingavamile kakhulu ukugula okukhulayo kuvela kulezi zinkinga.
I-malabsorption yamafutha ngokuvamile inesibonakaliso esicacile sokuthi singabangela izitshalo ezihambayo . Izitshalo zingase zibheke njengamafutha futhi zingahle zithole iphunga elimnandi.
Ukuntula kwe-Vitamin B-12 : Ukuba khona kwe-SIBO kuphakamisa ingozi yomuntu ngenxa yokuntuleka kwe-B-12 ngoba amabhaktheriya emathunjini amancane asebenzisa i-vitamin ngokwabo, ngakho-ke i-vitamin ayitholakali emzimbeni wakho ukuze ungene. Ukwehluleka okunjalo kungabangela ukuhlinzekwa kwezinzwa ze-paripheral neuropathy. Kungabangela futhi ukuthi i-anemia ye-megaloblastic (amangqamuzana egazi abomvu avuliwe) noma i-normocytic anemia (inani elibomvu lesisindo segazi).
Ukuntuleka kwe-Iron : I-SIBO ingabangela futhi i-anemia ngenxa yokuntuleka kwensimbi. Kuthiwa ukuthi insimbi ayitholanga kahle ngenxa yomonakalo owenziwe amabhaktheriya avela ku-villi ngaphakathi kwamathumbu amancane.
Ukuntuleka kwe-Vitamin D : Ukuba khona kwe-SIBO kuye kwahlotshaniswa nobungozi obukhulu be- osteoporosis . Lokhu kubambisana kucatshangwa ukuthi kungumphumela we-SIBO obangelwa ubunzima be-vitamin D.
Okunye ukuphuluka kwamavithamini: Kube khona imibiko yecala labantu abahlangabezana nobunzima be-vitamin E kanye nesigameko esisodwa somuntu obhekene nobumpumputhe ubusuku obunobuncithakalo obuthakathaka ku-SIBO.
Izimo zezeMpilo ezandisa ingozi yakho ye-SIBO
Ukucwaninga okuphazamisayo kuye kwaveza izifo ezihlukahlukene ezingahle zibe khona eceleni kwe-SIBO . Lesi simo esingaba khona singase sibe ngoba isifo ngokwazo sakha izimo ze-SIBO zokuthuthukisa. Uma unalokhu okulandelayo futhi izimpawu zakho zilokhu zimbi nakunakekelwa ukwelashwa, ungase ufune ukukhuluma nodokotela wakho mayelana nokukuhlola nge-SIBO:
- Isifo se-Celiac (naphezu kokunamathela ekudleni okungenalutho kwe-gluten)
- I-pancreatitis engapheli
- Isifo sikaCrohn
- Isifo sikashukela
- Scleroderma
Okufanele Ukwenze Uma Usolwa SIBO
Uma ulwazi osulifunde lapha namhlanje luye lwakwenza ucabange ukuthi mhlawumbe i-SIBO idlala indima ezimpawu zakho, kufanele uhlele i-aphoyintimenti yokukhuluma nodokotela wakho mayelana nalokhu okushiwo.
I-SIBO itholakale ngokusebenzisa ukuhlolwa kokuphefumula noma nge-biopsy ethathwe esikhathini sokuphela kwe-endoscopy. Nakuba ukuhlolwa kokuphefumula kungenasidingo encane, kunezinye izinto ezikhathazayo mayelana nokusebenza kwayo ngokukhomba ngokunembile ukutholakala noma ukungabi khona kwe-SIBO.
Uma i-SIBO itholakele ukuba khona, udokotela wakho uzosebenza nawe ohlelweni lokulashwa . Uma kukhona ukugula okuyisisekelo esibekwe izimo ze-SIBO ukuthuthukisa, ukubhekana nalokhu kugula kuyoba okugxilwe ngokuyinhloko. Kwezinye izimo, ukuhlolwa kwamagciwane aphikisayo okuhloswe ngawo ekuqedeni amabhaktheriya ngaphakathi emathunjini amancane kungase kuqinisekiswe. Udokotela wakho angabuye ahlole futhi ancome ukungenelela kunoma yikuphi ukutholakala kwevithamini okwamanje.
> Imithombo:
> Bohm M, Siwiec RM, Wo JM. "Ukuxilongwa Nokuphathwa Kwemithi Yokwelashwa Okuncane Emathunjini Emathunjini Emathunjini Omzimba" Ukudla okunomsoco ku-Practice Clinic 2013; 28 (3): 289.299.
> Bures J, Cyrany J, Kohoutova D, et al. "Umzimba wezinhlungu ezincane wamathumbu emathumbu emathunjini." I- World Journal of Gastroenterology 2010; 16 (24): 2978-2990.
> U-E E, Shaw C, Whelan K, Andreyev H. "Isihloko sokubukeza: ukwanda okukhulu kwamagciwane emathumbu - ukusabalalisa, izici zomtholampilo, ukuhlolwa kwamanje nokuthuthukiswa kokuhlola, kanye nokwelashwa" I- Alimentary Pharmacology and Therapeutics 2013; 38 (7): 674-688 .
> Salem A, Roland BC "Inqwaba Yokugaya Amagciwane Emathunjini Omzimba (SIBO)" Journal of Gastrointestinal & Digestive System 2014; 4: 225