Nakuba indima yesiguli esincane samathumbu emathumbu (i-SIBO) emangcwabeni angamangalisa (i-IBS) ayisacacile ngokuphelele, odokotela abengeziwe bayaxilongwa nge-SIBO kuziguli zabo ze-IBS, kanye nokuhlinzeka ngemithi ye-antibiotics. Lesi sihloko siphendula imibuzo evame kakhulu ukuthi iziguli ze-IBS zinayo nge-SIBO.
1. Kuyini iSIBO?
I-SIBO iyisimo esizwakalayo sokukhukhulwa kwamagciwane amancane emathumbu.
Esimweni sokugaya ukudla okunempilo, inani lokugoma amabhaktheriya atholakala ngaphakathi emathunjini amancane liphansi kakhulu. I-SIBO ikhonjelwa uma kunesilinganiso esiningi ngokweqile amabhaktheriya ngaphakathi emathunjini amancane. I-SIBO ivame ukuphumela kokungajwayelekile okuvamile noma ukugula kokugaya. Muva nje, i-SIBO ibizwa ukuthi iyimbangela yezimpawu ze- IBS kwezinye iziguli ze-IBS.
2. Ngingazi kanjani ukuthi i-IBS yami i-SIBO ngempela?
Izimpawu eziningi ze-SIBO zifana nalezo ze-IBS:
- Ubuhlungu besisu
- Ukuvimbela
- Ukuhlukana
- Uhudo
- Flatulence
Ezinye iziguli ze-SIBO nazo zithola ukuphuthuma kokukhulelwa , ukungahlambuluki kwe-fecal , kanye / noma isicanucanu. Nakuba i-SIBO ibonakala kaningi kwiziguli ezine- IBS-D , i-SIBO ingabonakala kuziguli ezine- IBS-C .
3. SIBO itholakale kanjani?
Nakuba kunemibuzo mayelana nokusebenza kwayo, amacala amaningi we-SIBO atholakala ngokusebenzisa ukusetshenziswa kwe- hydrogen (noma i-methane) yokuhlola umoya . Uzocelwa ukuba uphuze isisombululo soshukela bese uhlinzeka amasampula wokuphefumula kwakho ngezikhathi ezehlukene.
Uma i-hydrogen noma imethane itholakele kungakapheli amaminithi angu-90, i-SIBO izotholakala. Ubude besikhathi buyisihluthulelo - ngoba ngokuvamile kwakuzothatha amahora amabili isisombululo soshukela sokuya emathunjini amakhulu, noma yikuphi ukuphakama kulezi gesi ngaphambi kwalokho kuphakamisa ukuthi ushukela lwenziwa ama-bacteria ngaphakathi kwamathumbu amancane.
Kubantu abane-SIBO, i-hydrogen emoyeni kungenzeka ukuthi ihlotshaniswe ne-IBS-D, kuyilapho imethane ingase ikhiqizwe abantu abane-IBS-C.
I-SIBO ingahlolwa ngokucacile ngokusebenzisa isampula yesampula esithathwe ngokuqondile emathunjini akho amancane ngokusebenzisa ukusetshenziswa kwe- endoscopy .
4. Kufanele ngihlolwe i-SIBO?
Kufanele ukhulume nodokotela wakho mayelana nokuthi kungenzeka ukuthi unayo i-SIBO futhi ubone ukuthi kufanele uhlole ukuphefumula. Ezinye izimpawu ukuthi i-SIBO ingase idlale indima kumpawu zakho ze-IBS ihlanganisa:
- Uthola igesi bese uvinjelwa kungakapheli amaminithi angu-90 ngemuva kokudla.
- Isisu sakho sithandwa kakhulu njengoba usuku lwakho luqhubeka.
- Ubonile ukuthuthukiswa kwezimpawu zakho ze-IBS uma uthathe ama-antibiotics esikhathini esidlule.
5. I-SIBO iphathwa kanjani?
Uma udokotela wakho ekutholile ukuthi unesimo se-SIBO, indlela oyinhloko yokwelashwa ukusebenzisa uhlobo oluthile lwemithi elwa namagciwane (bheka, " Ama-Antibiotics for IBS "). Uhlobo lwe-antibiotic olukhethwe ukwelashwa kwe-SIBO lungazange lungene ngaphakathi esiswini futhi ngaleyo ndlela luya emathunjini amancane lapho lungakwazi ukuqeda khona noma yikuphi ukutholakala kwamagciwane lapho. Nakuba ngabe ama-antibiotic anjalo abonisiwe ukuthi ayasebenza, ayikavunyelwe yi-FDA ukuze asebenzise ku-IBS.
Kubalulekile futhi ukuqaphela ukuthi i-SIBO ingahle iphinde ivele ngisho nangemva kokuba uphethwe ngempumelelo ekuqaleni.
6. Uma nginayo i-SIBO, lokhu kusho ukuthi anginayo i-IBS?
Uma uthola ukuthi unesifo se-SIBO, kusho ukuthi udokotela wakho kungenzeka ukuthi ubone imbangela yezimpawu zakho ze-IBS. Ngokwelashwa okuphumelelayo, kufanele uthole ukukhululeka ezinkalweni zakho eziningi ze-IBS.
7. I-SIBO ibucayi kangakanani?
Nakuba kwezinye izimo ezinzima, i-SIBO ingaholela ezimpawu ezimbi ezihlobene nokuntuleka kokudla okunomsoco, ngokuvamile akuyona into yeziguli ze-IBS ezine-SIBO. Ngokuvamile, i-SIBO iholela ezimpawu ezingathandeki futhi ezingadingekile kodwa ayibeka ingozi empilweni yakho yonke, futhi ayikho kwezinye izifo.
I-SIBO ngeke ifinyeze ukuphila kwakho.
8. Uma ngithatha ama-antibiotics, ingabe izinzwa zami zokudla zizophela?
Mhlawumbe. Uma i-SIBO iyimbangela yezibonakaliso zakho zokugaya ukudla hhayi ukuzwela kokudla , khona-ke kukhona ithuba elihle lokuthi ukuqeda amabhaktheriya emathunjini amancane ngokusebenzisa ukusetshenziswa kwama-antibiotic kungakuvumela ukuba udle ukudla okudlulele ngaphambilini okwakuqala ukudla kwakho. Ngakolunye uhlangothi, kungenzeka ukuba nozwela ekudleni okuthile okuhlukile kwesenzo amabhaktheriya ngaphakathi emathunjini amancane. Uma usuqedile inkambo yakho yama-antibiotics, ungase uphonsele inselelo ngokudla okunzima okubuhlungu ukuze ubone ukuthi uthola kanjani uhlobo lokuphendula. Lesi seluleko sithinta kuphela ukuzwela ukudla; ungalokothi uphonse inselele ukudla okukudla okuziwayo kokudla kwakho.
9. Yini okufanele ngidle i-SIBO?
Okumangalisa ukuthi kukhona ulwazi oluncane kakhulu olukhona mayelana nokuthi yini okufanele umuntu adle ngenkathi ukwelashwa kwama-antibiotic nangaphezulu. Kunezinye izibonakaliso ukuthi kungcono ukudla ukudla okuvamile, ngenani eliphakeme lama-carbohydrate, ngesikhathi sokuthatha imithi yokwelapha ukuze kunezinqwaba zamabhaktheriya atholakalayo ukuze i-antibiotic isebenze. Kuye kwaphakanyiswa nokuthi ukulandela ukudla okuphansi kwe-FODMAP uma i-SIBO isusiwe kungasiza ngokunciphisa ingozi yokuphindwa kabusha.
Isici esibalulekile sendima yokudla ku-SIBO sibhekene nesikhathi sokudla. Lokhu kungenxa yendima ye-"intambo yokuhlanza" emathunjini amancane, into eyenzeka phakathi kokudla. Njengengxenye yenqubo yokugaya okunempilo, imisipha egqoke amathumbu amancane, ngezikhathi ezithile ayenalutho emathunjini amancane okuqukethwe kwawo. Umbono we-SIBO we-IBS ukhombisa ukuthi ukukhubazeka kwengqikithi yokuhlanza kubangela ukwanda kwamabhaktheriya ngaphakathi emathunjini amancane. Lokhu kuphazamiseka komsebenzi wegagasi lokuhlanza kuye kwachazwa ukuthi kungenxa yokunciphisa kwesenzo semisipha ngenxa yokucindezeleka kwengqondo noma kungumphumela wokulimala emisipha kusukela ekugqibeleni kwe- gastroenteritis . Ukuze ukwandise ukutakula kwakho kusuka ku-SIBO, kuphakanyiswa ukuba ukhawule ekudleni okungenani kathathu ngosuku, ukuhlinzeka ngezimo ezifanele ukuze uvunguvungu lokuhlanza lwemvelo lusebenze.
10. Ingabe ama-probiotics angasiza i-SIBO?
Ucwaningo olusetshenziselwa ukusetshenziswa kwama- probiotics we-SIBO lunqunyelwe futhi alukakabonakali inzuzo ecacile. Kungaba ngcono ukugwema ukuthatha isithako se-probiotic kuze kube yilapho usuqede inkambo yakho yama-antibiotic. Udokotela wakho usesimweni esihle kakhulu sokukukwazisa ngokuthi ngabe kufanele uthathe isithasiselo se-probiotic noma cha.
Imithombo:
Bohm, M. Siwiec, R. & Wo, J. "Ukuxilongwa Nokuphathwa Kwemithi Encane Yokugaya Amagciwane Emathunjini Omzimba Emtholampilo Wokusebenza Emtholampilo 2013 28: 289-299.
I-Dukowicz, A., uLacy, B. & Levine, G. "Inqwaba Yokunciphisa Amagciwane Emathunjini Omzimba: Isibuyekezo Esibucayi" I- Gastroenterology & Hepatology 2007 3: 112-122.
I-Pimentel, M. " Isixazululo se-IBS esisha " I-Health Point Press 2006.