Sibutsetelo
Ukukhuphuka kwamagciwane omzimba omncane emathunjini (SIBO) yisimo sempilo esake sicatshangwa ukuthi siyinkinga engavamile. Muva nje, abacwaningi bebegxile ekuxhumaneni phakathi kwe-SIBO kanye nezinkinga ezihlukahlukene zezempilo. Kulesi sihloko, uzofunda ukuthi yiziphi izimo eziphenywe ezingabangela ingozi yokuthuthukisa i-SIBO.
Khona-ke ungasebenzisa lolu lwazi ukuvula ingxoxo nodokotela wakho ngokuthi ngabe kungenangqondo yini ukuthi uhlolwe futhi mhlawumbe uphathwe nge-SIBO.
Kuyini i-SIBO?
I-SIBO itholakala uma kunenani elikhulayo lama-bacteria, kanye / noma izinguquko ezinhlotsheni zamabhaktheriya, ezitholakala emathunjini akho amancane. Ngokuvamile ukuba khona kwamabhaktheriya emathunjini amancane kuncane kakhulu, ngokungafani namanani amaningi amabhaktheriya ahlala emathunjini amakhulu. Lezi zinguquko emanzini kanye nokwenza amabhaktheriya kungabangela ngqo izimpawu, isibonelo, igesi lomzimba ongaphezu kwamathumbu , noma ukubangela izimpawu ngokungaqondile ngokuvimbela izakhi ozondla ngokuzifaka kahle emzimbeni wakho.
I-SIBO kucatshangwa ukuthi iyenzeka ngenxa yokwehla kwamasistimu okuzivikela emzimbeni ukuthi ngokuvamile agcine inani le-bacterium emathunjini amancane ezingeni eliphansi. Kukhona izinto ezihlukahlukene ezingabangela lokhu kuphazamiseka, isibonelo, izinguquko ezingeni le-asidi yesisu, ukwehla kwe- enzyme ekhishwe yi-pancreas , noma izinguquko zesakhiwo kanye nesimo se-anatomical.
I-SIBO ihlala isifo esiyinkimbinkimbi esingaqondakali futhi esiyinkinga. Lokhu kungenxa yokuthi kunezinkinga ngokuqinisekiswa kwezinqubo zokuhlola zamanje . Ngaphezu kwalokho, emibhalweni yocwaningo, abantu abaphilile baye bathola ukuthi banamazinga aphakeme amabhaktheriya emathunjini amancane ngaphandle kwempawu ezenzekayo.
Lokho kuthiwa, i-SIBO icatshangwa ukuthi ingaphenywa kangako futhi ingakhohlwa njengengxenye ebangela izimpawu abantu abangase babe nazo.
Izimpawu
Izimpawu ze-SIBO zingahlukahluka kakhulu. Kwezinye izimo izimpawu zingase zibe zincane noma zithathwe kwezinye izinkinga zempilo. Noma kunjalo, izimpawu ezijwayelekile zihlanganisa:
- Ubuhlungu besisu
- Ukuvimbela
- Uhudo olungapheliyo
- Igesi elingaphezu kwamathumbu emathunjini
- I-nausea
- Ukuntuleka kokudla okunomsoco
- Ukulahlekelwa kwesisindo
Izimo ezihlanganisiwe
I-SIBO ayimi yodwa. Izimo zokuthuthukiswa kwe-SIBO zingabangela isifo noma i-SIBO ngokwayo ingadala inkinga yezempilo eqhubekayo. Kwezinye izimo ezimbi kakhulu, kukhona isimo "sezinkukhu neqanda" phakathi kwe-SIBO nesinye isifo, lapho isifo ngasinye sinomthelela ekugcineni kwesinye. Nazi ezinye izimo zezempilo ezibheke phambili abacwaningi be-SIBO:
Isifo se-reflux se-gastroesophageal (GERD): Ucwaningo luye lwabonisa ukuthi abantu abaneGERD basengozini enkulu yokuthuthukiswa kwe-SIBO. Lokhu akucatshangwa ukuthi kungenxa ye-GERD ngokwayo, kodwa kunalokho kunciphisa esiswini se-asidi njengomphumela wokusebenzisa isikhathi eside kweproton pump inhibitors (PPIs) .
I-irritable bowel syndrome (i-IBS): I- IBS ne-SIBO sinomsebenzi omkhulu wokubambisana ngokwezimpawu, kepha ubuhlobo phakathi kwalezi zinsana azicacile.
Kukholelwa ukuthi i- sub-set ethile yabantu abatholakala ukuthi bane-IBS empeleni babe ne-SIBO ngakho-ke yi-SIBO elandela izimpawu ezingenangqondo zamathumbu. Abanye abacwaningi bakholelwa ukuthi kungukuthi ukusebenza kwe-IBS okubeka isiteji ekuthuthukiseni i-SIBO.
Isifo se-Celiac: Abacwaningi bathola ukuthi isifo se-celiac singakhuphula ingozi yomuntu yokuthuthukisa iSIBO. Kuthiwa ukuthi ukuvuvukala okungapheli emgodini omncane wezinambuzane, noma ukuhamba kancane emathunjini amancane, noma kokubili, kubeka isiteji sokukhuphuka kwamabhaktheriya. Uma umuntu onesifo se-celiac enezibonakaliso zesisu eziqhubekayo naphezu kokulandela ukudla okunomsoco okukhululekile, kunconywa ukuba zihlolwe ngokuba khona kwe-SIBO bese ziphathwa ngendlela efanele.
Isifo sikaCrohn: Abacwaningi balinganisela ukuthi abantu abangaphezu kuka-25% abantu abanesifo sikaCrohn nabo bangaba ne-SIBO, benengozi ephezulu ebonakala kulabo abahlinzwa ngokugula kwesifo sofuba. Ukulawula i-SIBO kungabalulekile njengoba i-SIBO ingahle ihlukunyezwe njenge-flare-up of the Crohn's disease ngokwayo.
Isifo sikashukela: Abacwaningi bathole ukuthi abantu abanesifo sikashukela besikhathi eside basengozini yokuba ne-SIBO. Kucatshangwa ukuthi ukuba nesifo sikashukela kungalimaza ukusebenza kwesistimu yokugaya futhi ngaleyo ndlela kubeke izimo lapho i-SIBO iqala khona. Uma unesifo sikashukela futhi futhi ubona izimpawu zamathumbu, kungaba umqondo omuhle ukukhuluma nodokotela wakho mayelana nokuhlolwa kwe-SIBO, ikakhulukazi njengoba inhlanganisela yesifo sikashukela ne-SIBO ingaholela ekubhubhiseni kwemithi ebalulekile.
Ezinye izimo zempilo eziphenywe ngenhlangano ye-SIBO
Njengoba uzobona ngohlu olulandelayo, kunezinkinga ezihlukahlukene zezempilo abacwaningi abaphenyo mayelana nokuxhumana okungenzeka ku-SIBO:
- Izinkinga ezithinta isisu emathunjini amancane (isb. Isisu noma ukubambelela)
- I-pancreatitis engapheli
- Amathumbu amancane angagqamile amanga
- I-cirrhosis
- I-cystic fibrosis
- Izifo ezonakalisa isimiso somzimba sokuzivikela, kubandakanya i-HIV / AID
- I-Fibromyalgia
- I-Hypothyroidism
- Izifo ze-neurologic (isib. I-Parkinson's disease kanye ne-muscular dystrophy)
- I-radiation enteropathy
- Scleroderma
- Isifo samathumbu esifushane
Xhumanisa ekuguga
Ayikho ingxoxo yezici zobungozi ze-SIBO ephelele ngaphandle kokuqaphela ukuthi ukuguga ngokwayo kuphakamisa ingozi ye-SIBO. Lokhu kucatshangwa ukuthi kufanele, ngokwengxenye, ekunciphiseni ukuhamba kwenqubo yokugaya ukudla. Le nengozi iphakanyisiwe uma umuntu esebenzise ama-PPIs isikhathi eside noma esebenze ukuhlinzwa kwangaphambili kwamathumbu. Kubantu abadala, i-SIBO ingaholela ku-malabsorbtion yezakhi kanye nokulahlekelwa kwesisindo esilandelayo.
Ukuxilongwa
Uma unezimo zempilo ezibalwe ngenhla futhi ulwa nezibonakaliso eziqhubekayo zamathumbu, kungakufanelekile ukuba uxoxe nodokotela wakho mayelana nokuhlolwa kwe-SIBO.
Kunezindlela ezintathu eziyinhloko zokuhlola i-SIBO-ngokusebenzisa ukuhlolwa kwe- hydrogen breath , ngokusebenzisa amasampula wokuhlola oketshezi emathunjini amancane athathwa ngesikhathi sokuphela kwe - endoscopy , noma ngokusebenzisa isilingo se- antibiotics . Indlela ngayinye inezinzuzo zayo kanye nokulinganiselwa kwayo, yize indlela yokwenza isampula ngqo ngokusebenzisa i-endoscopy kubhekwa njengokwethenjelwa kakhulu.
Izindaba ezinhle ukuthi eziningi zezifundo zocwaningo eziye zahlola iSIBO emaqenjini abantu abanezinkinga ezithile zempilo, ukuphatha i-SIBO kuphumelele ekunciphiseni izimpawu zayo.
Ukwelapha
Kusukela manje, ukwelashwa okuyinhloko kwe-SIBO kusetshenziswa imithi elwa namagciwane engaxhunyiwe ezingeni lesisu ngakho-ke yenza ngokuqondile kuma-bacteria ngaphakathi kwamathumbu amancane. Kungathatha izifundo eziningi zeviki ezimbili ngaphambi kokuba i-SIBO iqedwe. Uma usuqedile ukuthatha imithi, udokotela wakho uncoma ukuthi ulandele ukudla okuphansi kwe-FODMAP ukuze uvimbele ukuphindaphinda kwe-SIBO.
Abanye ososayensi baphenya ngokuphumelela kokusetshenziswa kokudla okuyisisekelo ekubhekiseni iSIBO. Lokhu kuhilela ukudla okunomsoco, ukuphuza ukuklama okunomsoco othize. Kodwa-ke, njengoba lokhu kungukudla okulukhuni ukulondoloza, ngisho nokuphakanyiswa kwamasonto amabili kunconywa, lokhu kungaba yindlela yokwelashwa engavamile kakhulu.
Izwi elivela
Naphezu kokuqhutshwa kwamuva kwocwaningo, i-SIBO ihlala isifo esiyimfihlakalo nesiyinkimbinkimbi. Kubalulekile ukuqaphela ukuthi ngalesi sikhathi, ukuqonda kwethu ukubaluleka kwayo, ukuhlolwa, kanye nokwelapha akude kakhulu ukuphelela.
> Imithombo:
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> 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 .
> Pimentel, M., et.al. "Ukudla okuyizinsuku eziyisishiyagalolunye (14-Elemental Diet) kuphumelela kakhulu ekuqondiseni ukuhlolwa kwe-Lactulose Breath Test" 2004 49: 73-77. Izifo ze-Digestive and Sciences
> Salem A, Roland BC "Inqwaba Yokugaya Amagciwane Emathunjini Omzimba (SIBO)" Journal of Gastrointestinal & Digestive System 2014; 4: 225