Ukugqithisa kweebhakteria ezincinci

Ukukhula okuncinci kwintsholongwane yimeko apho inani elikhulu kakhulu leebacteria likhula emathunjini amancinci.

Uninzi lwexesha, ngokungafaniyo namathumbu amakhulu, ithumbu elincinci alinayo inani elikhulu leentsholongwane. Iibhaktheriya ezigqithisileyo kumathumbu amancinci zinokusebenzisa izakhamzimba ezifunekayo emzimbeni. Ngenxa yoko, umntu unokungondleki.

Ukonakala kwezakhamzimba yi-bacteria engaphezulu nako kunokonakalisa ulusu lwamathumbu amancinci. Oku kunokwenza kube nzima nangakumbi ukuba umzimba uthathe izondlo.

Imiqathango enokubangela ukwanda kwebhakteria kumathumbu amancinci kubandakanya:

• Iingxaki zezifo okanye zotyando ezenza iipakethi okanye izithintelo emathunjini amancinci. Isifo seCrohn yenye yezi meko.
• Izifo ezikhokelela kwiingxaki zentshukumo emathunjini amancinci, njengesifo seswekile kunye ne-scleroderma.
• Ukungabikho komzimba, okufana noGawulayo okanye i-immunoglobulin.
• Isifo esifutshane samathumbu sibangelwe kukususwa kotyando kwamathumbu amancinci.
• I-diverticulosis encinci yamathumbu, apho incinci, kwaye ngamanye amaxesha iisaka ezinkulu zenzeka ngaphakathi kwangaphakathi lwamathumbu. Ezi ngxowa zivumela iibacteria ezininzi ukuba zikhule. Ezi ngxowa zixhaphake kakhulu kumathumbu amakhulu.
• Iinkqubo zotyando ezenza ilogo yamathumbu amancinci apho iibacteria ezingaphezulu zinokukhula. Umzekelo luhlobo lweBillroth II lokususa isisu (gastrectomy).
• Ezinye zeengxaki zesifo sengqondo esiswini (IBS).

Ezona mpawu zixhaphakileyo zezi:

• Ukugcwala kwesisu
• Iintlungu zesisu kunye neekram
• Ukuqhawula
• Urhudo (amaxesha amaninzi amanzi)
• Ukukhawuleza

Ezinye iimpawu zingabandakanya:

• Isitulo esinamafutha
• Ukuhla ukusinda

Umboneleli wakho wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga nembali yakho yezonyango. Uvavanyo lunokubandakanya:

• Uvavanyo lwekhemesti yegazi (efana nenqanaba lealbhamu)
• Gcwalisa ubalo lwegazi (CBC)
• Uvavanyo lwamafutha e-fecal
• Endoscopy encinci yamathumbu
• Amanqanaba eVitamin egazini
• Amathumbu amancinci amathumbu okanye inkcubeko
• Uvavanyo olukhethekileyo lokuphefumla

Injongo kukunyanga unobangela wokugqithisa kwebhakteria. Unyango lunokubandakanya:

• Amayeza okubulala iintsholongwane
• Amayeza akhawulezisa intshukumo yamathumbu
• Ulwelo olungena ngaphakathi (IV)
• Isondlo esinikezwa nge-vein (isondlo esipheleleyo se-parenteral-TPN) kumntu ongondleki

Ukutya okungenayo i-lactose kunokuba luncedo.

Iimeko ezinzima zikhokelela kukungondleki. Ezinye iingxaki ezinokubakho zibandakanya:

• Ukuphelelwa ngamanzi emzimbeni
• Ukopha kakhulu okanye ezinye iingxaki ngenxa yokuswela iivithamini
• Isifo sesibindi
• Osteomalacia okanye i-osteoporosis
• Ukudumba amathumbu

Ukugqithisa - iibhaktheriya zamathumbu; Ukwanda kwebhakteria - amathumbu; Ukwanda kwebacteria emathunjini amancinci; SIBO

• Ndibonise uthando

U-El-Omar E, uMcLean MH. Gastroenterology. Ku: Ralston SH, ID Penman, Strachan MWJ, Hobson RP, ii-eds. Imigaqo kaDavidson kunye nokuSebenza kweyeza. Umhla we-23. IPhiladelphia, PA: Elsevier; I-2018: isahluko 21.

I-Lacy BE, iDiBaise JK. Ukwanda kwebacteria emathunjini amancinci. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 105.

UManolakis CS, uRutland TJ, uDi Palma JA. Ukwanda kwebacteria emathunjini amancinci. Ku: McNally PR, ed. Iimfihlo ze-GI / zeSibindi kunye. Umhla we-5. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl 44.

ISundaram M, uKim J. Isifo esifutshane samathumbu. Ku: Ewe CJ, ed. Utyando lwe-Shackelford lwe-Alimentary Tract. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 79.