I-SIBO , isichazamazwi sesimo esibizwa ngokuthi ukukhukhulwa kwamagciwane amancane emathumbu, isacwaningwa njengendlela engabangela isifo sofuba esiswini (IBS ). Njengezinto eziningi ezihlobene ne-IBS, ukukhishwa kwe-SIBO njengenkinga ebalulekile kuyinkimbinkimbi futhi kubhalwe ngenye ingxabano emhlabeni we- IBS ucwaningo . Lokhu okubukeziwe kwe-SIBO ngokuphathelene ne-IBS kungakusiza ukunquma ukuthi lokhu kuyinto okufanele ukhulume nodokotela wakho mayelana nayo.
Kuyini iSIBO?
I-SIBO ukuqoqwa kwamagciwane amaningi emathunjini amancane. Noma yisiphi isimo esonakalisa ukuhamba okujwayelekile noma ukunyakaza komathumbu omncane kungakunqunywa ku-SIBO. Isifo sikaCrohn kanye nokuhlinzwa kwangasese kwesinye isikhathi kungenye yezingozi zokuthuthukiswa kwe-SIBO.
I-SIBO ihlolwe kanjani?
Ngenxa yobunzima bokusebenzisa amathrekhi aqondile emathumbu amancane ukuhlola ukuthi kukhona ama-bacterium, ukuhlolwa okuvame ukubizwa ngokuthi i- hydrogen breath test (HBT) isetshenziswa. Iziguli zinikezwa isisombululo, njenge-lactulose, ukuphuza, bese kuhlolwa ukuphefumula ukuze kuhlolwe ukutholakala kwegesi, njenge-hydrogen noma i-methane. Ngomuntu onempilo, umuntu akanakulindela ukubona noma yikuphi i-hydrogen noma i-methane ekuphefumuleni kuze kube amahora amabili, isikhathi esingazithatha ukuba i-lactulose ihambe emathunjini amakhulu lapho kuzokwenziwa khona amabhaktheriya, ngaleyo ndlela ikhulule igesi.
Umphumela omuhle wegesi obonwe ngaphakathi kwamaminithi angu-90 wokuphuza isixazululo inikeza ubufakazi bokuthi amabhaktheriya aphakeme kakhulu emgodleni wokugaya, okungukuthi emanzini amathumbu amancane.
I-SIBO Theory ye-IBS
Iqiniso lokuthi ukubhula kuyisimangaliso esijwayelekile kubantu abathintekayo be-IBS, kungakhathaliseki ukuthi ukuqotshwa noma isifo sohudo njengesifo esibaluleke kakhulu, kuye kwaholela abacwaningi ukuba babheke inkinga ejwayelekile ejwayelekile.
Ngaphezu kwalokho, nakuba iziguli ze-IBS zikhomba ukudla okuqondile njengokubangela izimpawu, akukho ucwaningo olucacile olusekela lokhu.
Ubufakazi bokuthi i-SIBO ingaba imbangela ebalulekile ye-IBS ivela ekutholeni okubili okuyinhloko. Okwokuqala ukuthi abanye abacwaningi bathole ukuthi iziguli eziningi ze-IBS zinama-HBT amahle kunabantu abangathintekile, mhlawumbe kubonisa ukuthi i-SIBO njengenkinga. Owesibili ukuhlola ukuthi iziguli eziningi zibona ukwehla okukhulu kwezimpawu ze-IBS ngemuva kokuvivinywa kwamagciwane aphikisayo. Lawa ma-antibiotic awafakwanga esiswini ngakho-ke atholakalayo ukuze enze noma yikuphi amagciwane angase ahlale emathunjini amancane.
Ithimba le-SIBO lifuna ukuchaza ukuthi kungani amabhaktheriya ephela endaweni engafanele. Amathumbu amancane anesisindo "sokuhlanza" sokwemvelo - ukuhamba kwemisipha emgodini osebenzela ukuchitha intombazane encane ngezikhathi ezithile. Kucatshangwa ukuthi ukukhubazeka kule ntshukumo yomzimba kungabangela ukugcinwa kwama-bacterium. Enye inkolelo yokuthi ukubola kwe- gastroenteritis kungalimaza imisipha ethintekayo kulesi senzo sokuhlanza, okungenzeka ukuthi kungase kuchaze isimo se -IBS esandulelayo . Kucatshangwa ukuthi ukucindezeleka kunganciphisa isenzo salezi zinhlanzi, ngaleyo ndlela kuchaza ubuhlobo phakathi kokucindezeleka ne-IBS .
Ithimba le-SIBO lizama ukulandisa ukuthi i-IBS ingazibonakalisa ngokwayo njengokungenisa isisu noma ukuqothulwa. Ukucabanga ukuthi izinhlobo ezahlukene zebhaktheriya kanye nezitshalo abazenzayo zinezimo ezihlukene emgodini womzimba . Ucwaningo oluthile luye lwathola ukuthi iziguli ezibonisa inani eliphakeme lemethane cishe zithola ukuthumba, kanti izihudo-iziguli ezivelele zibonisa izinga eliphezulu le-hydrogen.
Kubuye kuthiwa ukuthi i-SIBO ingaba yimbangela yangempela ye- fructose kanye nokunye ukubekezelelana ushukela .
Ukuphikisana
Nakuba inkolelo ye-SIBO ibonakala ihlanganisa i-IBS kwiphakheji elihle elihle, abacwaningi abaningi abaqinisekisi.
Kukhona ukugxeka okuyinhloko kwe-theory. I-critique enkulu ukuthi i-HBT ayibonakali njengesilinganiso esinokwethenjelwa ngenxa yezinga eliphakeme lephutha. Okubaluleke nakakhulu ukuthi amazinga aphakeme ka-SIBO nempumelelo yama-antibiotics njengokwelashwa okubonwe ezifundweni ezenziwa yi-SIBO theorists azizange ziphindwe njalo ngabanye abacwaningi. Ukukhathazeka futhi kukhona mayelana nokusetshenziswa kwesikhathi eside kwemithi elwa namagciwane, ikakhulukazi kunikezwa ukuthi i-IBS yinkinga enenkinga engapheli.
Okubalulekile
Njengoba ungabona, ubuhlobo phakathi kwe-SIBO ne-IBS buhlala bubukhali. Ukubambisana okuvamile kubonakala sengathi i-SIBO ingaba yinkinga eyinkimbinkimbi yesigatshana esincane seziguli ze-IBS nokuthi uhlobo oluthile lwe-antibiotic, i-Rifaximin, lunokusekela okucwaninga kakhulu kokusebenza kwalo ngokunciphisa ukubhujiswa nokuhuda. Ngethemba ukuthi ukucwaninga okuqhubekayo kuzocacisa inkinga, futhi kutholakale nokwelashwa okuphephile futhi okuphumelelayo.
Ingabe kufanele ukhulume nodokotela wakho ngokuthatha i-HBT ye-SIBO? Njengoba kunikezwa ukuthi i-SIBO ibonakala iyinkinga yezinye iziguli ze-IBS nokuthi iqiniso lokuthi i-antibiotic ingase ikhiphe ukuphazamiseka kwesibonakaliso, kungenzeka ukuthi i-SIBO ingadinga ukuphenywa okuqhubekayo, ikakhulukazi uma ukuqhuma kuyinto engxenyeni enkulu yesithombeni sakho.
Imithombo:
I-American College of Gastroenterology I-IBS Task Force "Isitatimende Esibekiwe Esikhundleni Sokuphathwa Kwe-Irritable Bowel Syndrome" I- American Journal of Gastroenterology 2009: S1-S35.
I-Lin, H. "Inqwaba Yokugaya Amagciwane Emathunjini Omzimba: I-Framework for Understanding Irritable Bowel Syndrome" I-Journal of the American Medical Association 2004 292: 852-858.
I-Pimentel, M. "Isixazululo se-IBS esisha" I-Health Point Press 2006.
I-Quigley, E. "I-Bakteria ye-Gut ne-Irritable Bowel Syndrome" I-International Foundation ye-Functional Disorders Fact Sheet.