Ukwanda kwebacteria (SIBO): yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Izizathu ezinokubangela
• Unyango lwenziwa njani
• 1. Ukusetyenziswa kwee-antibiotics
• 2. Utshintsho kwindlela otya ngayo
• 3. Ukuthatha iiprobiotic

Isifo sokungqubana kwebhakteria emathunjini amancinci, esikwabizwa ngokuba sisigama esithi SBID, okanye ngesiNgesi SIBO, yimeko apho kukho ukukhula okuthe kratya kwebhaktheriya kumathumbu amancinci, ukufikelela kumaxabiso afana nenani leebhaktiriya ezikhoyo ithumbu elikhulu.

Nangona iibacteria zibalulekile ekwetyisweni kokutya kunye nokufunxwa kwezondlo, xa zigqithile zingabangela iingxaki emathunjini, neziphumela kwiimpawu ezinje ngegesi egqithisileyo, imvakalelo rhoqo yesisu esidumbileyo, iintlungu zesisu kunye nohudo oluqhubekayo, umzekelo. Ukongeza, ngokutshintsha ukufunxeka kwezondlo kwabanye abantu, kunokubangela ukungondleki, nokuba umntu utya ngendlela efanelekileyo.

Esi sifo siyanyangeka kwaye sinokunyangwa, kwiimeko ezininzi, kunye notshintsho kwindlela otya ngayo nakwindlela ophila ngayo, kodwa inokubandakanya nokusetyenziswa kwee-antibiotics ezichazwe ngugastrolienterologist.

Iimpawu eziphambili

Ubukho obugqithisileyo bentsholongwane emathunjini amancinci kunokubangela iimpawu ezinje:

• Intlungu yesisu, ngakumbi emva kokutya;
• Imvakalelo rhoqo yesisu esidumbileyo;
• Amaxesha orhudo, afakwe kukuqunjelwa;
• Ukuziva rhoqo kokugaya okungalunganga;
• Ukugqithisa kweegesi zamathumbu.

Nangona isifo sinokubangela amaxesha orhudo kunye nokuqhinwa, kuqhelekile ukuba umntu abe nohudo olungapheliyo.

Kwiimeko ezinzima ze-SBID, amathumbu angaphulukana nenxalenye yokufumana izakhamzimba, yiyo loo nto imeko yokungondleki inokuvela, nokuba umntu utya ngendlela efanelekileyo. Xa oku kusenzeka, umntu unokufumana ukudinwa okugqithisileyo, ukunciphisa umzimba kunye ne-anemia.

Indlela yokuqinisekisa ukuxilongwa

Eyona ndlela isetyenzisiweyo yokuqinisekisa isifo se-bacterial overgrowth syndrome emathunjini amancinci kukwenza uvavanyo lokuphefumla, apho kuvavanywa khona inani le-hydrogen kunye ne-methane emoyeni ophumileyo. Kungenxa yokuba, ukugqitha kwebhakteria kumathumbu amancinci kukhupha olu hlobo lweegesi ngesixa esiphezulu kunoko kuthathwa njengesiqhelo. Ke, uvavanyo lokuphefumla luyindlela engeyiyo eyokungenisa kunye nengathanga ngqo yokuchonga imeko enokwenzeka ye-SBID.

Ukwenza olu vavanyo kufuneka uzile ukutya kangangeeyure ezisi-8 emva koko uye ekliniki ukuya kukhupha ityhubhu. Emva koko, igcisa lihambisa ulwelo olukhethekileyo ekufuneka lisele kwaye, ukusukela ngalo mzuzu, ezinye izinto eziqokelelweyo ziqokelelwa kwiityhubhu ezintsha rhoqo emva kweeyure ezi-2 okanye ezi-3.

Ngokwesiqhelo, abantu abane-SBID banamava okwanda kwexabiso le-hydrogen kunye ne-methane kwimoya ekhutshiweyo ekuhambeni kwexesha. Kwaye xa oko kusenzeka, iziphumo zithathwa njengezintle. Nangona kunjalo, ukuba uvavanyo aluqinisekanga, ugqirha unokucela olunye uvavanyo, ngakumbi ukususwa kwesampulu yolwelo olukhoyo emathunjini amancinci, ukuvavanya, elebhu, inani leebhaktiriya.

Izizathu ezinokubangela

Abanye oonobangela abanokubakho kwimvelaphi ye-SBID lutshintsho kwimveliso ye-gastric acid, i-anatomical defects kumathumbu amancinci, utshintsho kwi-pH emathunjini amancinci, utshintsho kwi-immune system, utshintsho kwi-motility yamathumbu, utshintsho kwi-enzymes kunye Iibhaktheriya zelizwe.

Esi sifo sinokuhambelana nokusetyenziswa kwamanye amayeza, njengeproton pump inhibitors, ii-anti-motility agents kunye nezinye i-antibiotics.

Ukongeza, esi sifo sinokunxulumana nezinye izifo, ezinje nge-gastroenteritis yentsholongwane, isifo se-celiac, isifo sikaCrohn, amanqanaba asezantsi esisu esiswini, i-gastroparesis, umonakalo we-nerve, i-cirrhosis, i-portal hypertension, isifo sengqondo esisicasulayo, iinkqubo ukudlula okanye utyando oluthile, umzekelo.

Unyango lwenziwa njani

Unyango lwesi sifo kufuneka lukhokelwe yi-gastroenterologist, nangona kunjalo, kunokuba yimfuneko ukulandela ingcali yesondlo. Kungenxa yokuba, unyango lunokubandakanya:

1. Ukusetyenziswa kwee-antibiotics

Inyathelo lokuqala lokunyanga i-SBID kukulawula inani leebhaktiriya emathunjini amancinci kwaye, ke ngoko, kubalulekile ukusebenzisa isibulala-zintsholongwane, esimiselwe ngugastroenterologist, kodwa esihlala sisiCiprofloxacin, Metronidazole okanye iRifaximin.

Nangona kumaxa amaninzi iyeza lokubulala iintsholongwane linokusetyenziswa ngohlobo lweepilisi, xa isifo sibangela ukungondleki okanye ukuphelelwa ngamanzi emzimbeni, kunokuba yimfuneko ukuhlala esibhedlele iintsuku ezimbalwa, ukufumana i-serum okanye ukondla abazali, kwenziwa ngqo emthanjeni.

2. Utshintsho kwindlela otya ngayo

Ukutya okwaziyo ukuphilisa i-SBID akukaziwa, nangona kunjalo, kukho iinguqu ezithile kwindlela yokutya ebonakala ngathi iyazinciphisa iimpawu, ezinje:

• Yitya ukutya okuncinci imini yonke, uphephe ukutya ngokutya okuninzi;
• Gwema ukutya kunye neziphuzo ezinomxholo ophezulu weshukela;
• Gwema ukutya okubonakala kwenza iimpawu zibe zibi kakhulu, ezifana nokutya kwe-gluten okanye i-lactose.

Ukongeza, oogqirha abaliqela bakwabonisa ukuba ukulandela uhlobo lokutya lwe-FODMAP, olususa ukutya okufumana ukuvundiswa emathunjini kwaye ngenxa yoko kungafakwanga kangako, kunokuba yinto efanelekileyo ukukhulula ngokukhawuleza iimpawu. Jonga indlela yokwenza uhlobo lokondla lweFODMAP.

3. Ukuthatha iiprobiotic

Nangona kusafuneka uphando oluninzi ukungqina ukusebenza kwalo, ukusetyenziswa kweeprobiotic kubonakala ngathi kunceda amathumbu ukuba alungelelanise kwakhona iintyatyambo zendalo, ukunciphisa ukugqitha kwebhaktheriya.

Nangona kunjalo, iiprobiotic zinokungeniswa ngokwendalo ngokutya, ngokutya okunesonka okufana neyogathi, i-kefir okanye kimchi, umzekelo.