Ukugqama kwamabhaktheriya emathunjini amancane kucatshangwa ukuthi yisimo esingase sibe khona iminyaka ngaphandle kokubonisa izimpawu ezibonakalayo. Isimo esingabonakali emithi yokwelapha, ukukhukhulwa kwamagciwane amancane emathunjini amancane kuhlotshaniswa nezinkinga zokugaya okungapheli ezifana negesi, ukubhuka, isifo sohudo, kanye / noma ukuqotshwa. Abantu bangatshelwa ukuthi bane- syndrome ecasulayo (IBS).
Ngokwesibonelo, isifundo sabacwaningi abakwaCedars-Sinai Medical Center eCalifornia sahlola abantu abangu-202 abahlangabezana nesimo sokuhlonza isifo sofuba esiswini futhi babanikeza ukuhlolwa kwe-bacterial overgrowth ebizwa ngokuthi i-lactulose hydrogen test.
Abacwaningi bathole ukuthi abantu abangu-157 (20%) abanamaphesenti angu-78 babene-bacterial overgrowth. Lapho amabhaktheriya amathumbu angasetshenziswanga aqedwe, izimpawu ze-IBS zithuthukile ezingamaphesenti angu-48 zezihloko, ikakhulukazi isifo sohudo kanye nobuhlungu besisu.
Akubona nje abantu abanezibonakaliso ezinjenge-IBS ezinokuphelela kwamabhaktheriya. Izimpawu ezingezona zokugaya ezifana nokuntuleka kwamandla kungase kube ukukhathazeka okuyinhloko. Abanye abasebenzisa izidakamizwa abathile bakholelwa ukuthi kungabandakanyeka ekukhulekeleni okungapheli kwesifo somzimba, i-fibromyalgia, isifo somzimba, i-arthritis, i-lupus, izifo ezizimele, isifo sikashukela, nezinye izimo ezingapheli.
Sibutsetelo
Ama-bacterium emathunjini amancane angabangela ukungenwa kahle kwezakhi.
Ama-bacteria angabangela amafutha ama-malabsorption ngenqubo ebizwa nge-bile acid deconjugation. Ukwamukelwa kwe-carbohydrate kungathinteka futhi kubangele ukuvutshelwa kwe-carbohydrate emathunjini nasegesi, ukubhubhisa, ubuhlungu, ama- mucous esitokisini , izitshalo ezinomuncu kanye negesi, kanye nesifo sohudo. Ngokwezinye izindlela zokwelapha, amaswidi nama-starchy foods abangela izimpawu ezimbi kakhulu.
Izinto ezinobuthi ezinobuthi ezikhiqizwa amabhaktheriya zingalimaza amangqamuzana emathumbu futhi zivimbele ukungena, okwenza kube nokuntuleka komsoco, ukudla okunomsoco nokubekezelelana, nokusebenza komzimba wokugaya ukudla okunamandla.
Izimbangela
Amathumbu amancane ngokuvamile anezinombolo ezincane zamabhaktheriya. Kodwa-ke, abanye abasebenzisa imithi ehlukile bakholelwa ukuthi izici ezithile zingase zithuthukise ukukhula kwamagciwane amaningi.
- Ukunciphisa umkhuhlane emathunjini amancane: kubangelwa ushukela owedlula ngokweqile, ukucindezeleka okungapheli, nezimo ezifana nesifo sikashukela, i-hypothyroidism ne-scleroderma.
- I-Hypochlorhydria: njengoba abantu bekhula, isibalo se-asidi esiswini siyakwazi ukuyibeka phansi. Uma kune-esiswini esiswini esingaphansi, amabhaktheriya angase abe nokwanda. Ukusetshenziswa ngokweqile kwama-antiacids kucatshangwa ukuthi kuholele ekugqibeni kwebhaktheriya.
- Ukukhubazeka kwesakhiwo emathunjini amancane: ukuhlinzwa kwesisu esiswini, isisu esincane samathumbu, isisu esiyimpumputhe, ukuvimbela emathunjini, kanye ne-Crohn's disease fistula yizinye zezici ezakhiwe ezingase zihileleke ekukhuleni kwamagciwane.
- Ezinye izimbangela ezibandakanya ukutholakala kwamagciwane, ukucindezeleka, imithi ethile efana ne-steroids, ama-antibiotic, namaphilisi okulawula ukuzalwa, i-fibre yokudla enganele, kanye nokuntuleka kwe-enzyme ye-pancreatic.
Izimpawu
- Ukuvimbela esiswini kanye negesi emva kokudla
- Ubuhlungu
- Ukuqokwa
- Izitshalo eziphuthumayo noma isifo sohudo: Ucwaningo luye lwathola u-48% kuya ku-67% wabantu abanesifo sohudo esingapheli, sine-bacterial overgrowth.
- Izitshalo ezinomsoco, ezipholile ezithinta isitsha
- Ukukhathala: i-anemia ye-megaloblastic ngenxa ye-vitamin B12 malabsorption
- Ukucindezeleka
- Ukuntula okunomsoco naphezu kokuthatha izithako
- Ukulahlekelwa kwesisindo
- Ubuhlungu besisu
- I-mucous in izihlalo
- Ukuvinjelwa kakhulu nge-carbs, i-fibre, kanye noshukela
Izifo Zemvelo
Ngenxa yokuntuleka kocwaningo, kancane kancane uyaziwa ngalesi simo. Nakuba izidakamizwa ezingelamithi ye-antimicrobial zingase zibekwe, isimo asihlale sihlonishwa ngemithi.
Uma ubona izimpawu, kubalulekile ukukhuluma nodokotela wakho. Ukuzitholela nokugwema noma ukubambezela ukunakekelwa okujwayelekile kungaba yingozi empilweni yakho.
Ngokwezinye izindlela zokwelapha, kunezingxenye ezintathu ekunakekeleni kwemvelo kwe-bacterial overgrowth:
- Ukudla: Ukudla okuncane kwe-carbohydrate
- Ukuqeda amabhaktheriya angenabuhlobo emathunjini amancane usebenzisa ama-herbs afana namafutha e-peppermint aqoshiwe.
- Esikhundleni: Ukukhuphuka kwamabhaktheriya kuyonakalisa amabhaktheriya anobungane (" ama-probiotics ") kanye nama-enzyme yokugaya.
Ama-Herbal Supplements
Amafutha we-peppermint aqoshiwe angomunye wemithi ejwayelekile kakhulu ye-intestine ye-bacterial overgrowth. Inkambo yokwelapha ivame izinyanga ezi-1 kuya kwezingu-6. I-dose ejwayelekile yamafutha we-peppermint enama-enteric i-capsules esisodwa kuya kwamabili kathathu ngosuku, ethathwe phakathi kokudla ngilazi yamanzi. Imiphumela emibi ingabandakanya ukuqubuka kwenhliziyo, ukushisa kwama-rectal, nokugubha okumnandi.
Amanye ama-antimicrobial we-herbal asetshenziselwa ukwelapha ngokweqile amabhaktheriya angafaka:
- Imbewu yamagilebhisi iyathathwa : abantu abangathandi ukuthatha ama-capsules, imbewu yamagilebhisi ekhishwe ingatholakala efomini. Engeza amaconsi ambalwa egumbini lamanzi futhi uphuze phakathi kokudla
- Ama-capsules amafutha e-Oregano
- Ugaliki
- I-Berberine: i- goldenseal , i-Oregon amagilebhisi
- Ukukhishwa kweqabunga lomnqumo
- Pau d'arco
Ukudla
Ngenkathi yokwelapha, abanye abasebenzisa imithi ngokuvamile batusa ukuba bahambe ekudleni okuvimbela ukudla okune-sweet and starchy. Ukudla okunjalo yi-carbohydrates ekhethekile, evikela amagilebhisi, imifino yemifino, kanye neminye imifino, futhi yadalwa ukubhekana nokuphazamiseka kokugaya okufana nokukhukhulwa kwamagciwane, isifo se-Crohn, nesifo sofuba esiswini .
- I-Medium Chain Triglycerides: Ngokungafani namafutha avamile, okungenzeka ukuthi umuntu obhekene ne-bacterial overgrowth angase akwazi ukufana, i-triglyceride yamakhamera aphakathi nawo adonsa ngqo ngaphandle kwesidingo se-enzyme yokugaya. I-triglycerides ye-Medium chain, njengamafutha kakhukhunathi, kuvame ukuphakanyiswa kubantu abane-overgrowth ye-bacterial noma noma yiluphi uhlobo lwe-malabsorption.
- Ama-enzyme okugaya: I-digestive enzyme supplements ingase isekele ama-enzyme okugaya umzimba kuze kube yilapho umsebenzi ubuyiselwa. Kufanele kuthathwe ngaphambi kokudla. Okuningi mayelana ne- enzyme yokugaya .
- Amavithamini namaminerali okungenzeka ahluleke kubantu abane-overgrowth abandakanya i-vithamini B12, i-magnesium, i-calcium, insimbi, i-zinc, ithusi, i-vitamin A, D, E, K.
- Ama-probiotics: kudingeka adlulisele amabhaktheriya enempilo emathunjini. I-Lactobacillus plantarum ne-lactobactillus GG yizinhlobo ezithile eziye zasetshenziselwa ukunqwabelana kwamagciwane.
Ukuhlola
Isivivinyo "sezingeni elijwayelekile legolide" kufanele sithathe amasiko ezinambuzane ezincane zamathumbu.
I-Lactulose hydrogen ukuhlolwa kokuphefumula: Isivivinyo esivame kakhulu yi-lactulose hydrogen breath test ngoba ayifuni kakhulu. I-Lactulose iyishukela elingenakuqhathaniswa elivuthayo uma kunezinambuzane zamathumbu, okwenza kube nokukhiqizwa kwe-hydrogen. Uma kukhona ukukhuphuka kwamagciwane, amazinga e-hydrogen okuzila ukudla azoba phezulu. Ngaphezu kwalokho, ngemuva kokugcoba i-glucose, kuyoba nokunyuka okukhulu kwe-hydrogen.
Ezinye izivivinyo ukuhlolwa kwe-schilling (ngenxa yokuntuleka kwe-vitamin B12). Ukulandelana okuncane okulandelayo kungenziwa ukufuna izinkinga zesakhiwo.
Esinye sezimpikiswano ezisemqoka ekukhuleni kwamagciwane kungase kungabi nesisu esiswini esanele, okuthiwa i-hypochlorhydria. Isisu se-stomach ngokwemvelo siyancipha ngokweminyaka.
Izimo ezihlobene
- I-leaky gut syndrome
- Ukuntuleka kwe-Vitamin kanye ne-mineral
- I-non-alcoholic steatohepatitis (NASH)
- Isifo sokuphelelwa yisikhathi esingapheli
> Imithombo
> Kerlin P, Wong L. Breath ukuhlolwa kwe-hydrogen ekukhuleni kwamagciwane omathumbu amancane. I-Gastroenterology. 1988 Oct; 95 (4): 982-8.
> Pimentel, Mark, Chow, Evelyn J. & Lin, uHenry C. Ukuqedwa kwamandla amaningi amathumbu emathumbu emathumbu kunciphisa izimpawu zesifo sofuba esiswini. I-American Journal of Gastroenterology 2000, 95 (12), 3503-3506.
> Lichtman SN, Keku J, Schwab JH, uSartor RB. Ukulimala okwehliswayo okuhambisana nokugwedla kwamagciwane ezincane kwamagundane kuvinjelwa yi-metronidazole ne-tetracycline. I-Gastroenterology. 1991 Feb; 100 (2): 513-9.
> Shindo K, Machida M, Miyakawa K, Fukumura M. I-syndrome ye-cirrhosis, i-achlorhydria, i-overgrowth encane yebindi emathunjini, namafutha ama-malabsorption. Am J Gastroenterol. 1993 Dec; 88 (12): 2084-91.
> Teo, Marcus, Chung, Stephen, Chitti, Lauri, Tran, Cuong, Kritas, Stamatiki, Butler, Ross, Cummins, Adrian. Ukukhukhulwa kwamagciwane okuncane kakhulu kubangelwa yisifo sohudo esingavamile. Journal of Gastroenterology and Hepatology 2004; 19 (8), 904-909.
> de Boissieu D, Chaussain M, Badoual J, Raymond J, Dupont C. Ukukhukhulwa kwamabhakede ezincane ezinganeni ezinesifo sohudo esingapheli, ubuhlungu besisu, noma kokubili. J Pediatr. 1996 Feb; 128 (2): 203-7.
> UJeffery S. Meyers, MD, u-Eli D. Ehrenpreis, MD, noRobert M. Craig, uMnyango Omncane Wamazinyo Emathunjini Omzimba. Izinketho zamanje zokwelapha ku-Gastroenterology 2001, 4: 7-14
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