Ukwanda kwebacteria (SIBO): kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Izimbangela ezingaba khona
• Yelashwa kanjani
• 1. Ukusetshenziswa kwama-antibiotic
• 2. Izinguquko ekudleni
• 3. Ukuthatha ama-probiotic

Isifo sokuchichima kwegciwane emathunjini amancane, esaziwa nangokuthi isifinyezo SBID, noma ngesiNgisi SIBO, yisimo lapho kukhula khona ngokweqile amagciwane emathunjini amancane, kufinyelela amanani afanayo nenani lamagciwane akhona ithumbu elikhulu.

Yize amabhaktheriya ebalulekile ekugayekeni kokudla nokumuncwa kwezakhamzimba, uma zidlulele zingadala izinkinga zamathumbu, okuholela ezinkomba ezifana negesi eyeqile, umuzwa oqhubekayo wesisu esikhukhulayo, ubuhlungu besisu kanye nohudo oluhlala njalo, ngokwesibonelo. Ngaphezu kwalokho, ngokushintsha ukumuncwa kwezakhi zomzimba kwabanye abantu, kungaholela ekungondlekeni, noma ngabe umuntu udla kahle.

Lesi sifo siyelapheka futhi singelashwa, ezimweni eziningi, ngezinguquko ekudleni nasendleleni yokuphila, kepha singafaka nokusetshenziswa kwama-antibiotic anqunywe i-gastroenterologist.

Izimpawu eziyinhloko

Ukuba khona ngokweqile kwamagciwane emathunjini amancane kungadala izimpawu ezinjenge:

• Ubuhlungu besisu, ikakhulukazi ngemuva kokudla;
• Ukuzwa okuqhubekayo kwesisu sokuvuvukala;
• Izikhathi zohudo, ezifakwe ukuqunjelwa;
• Ukuzizwa njalo kokugaya okungalungile;
• Ukweqisa kwamagesi emathumbu.

Yize lesi sifo singadala izikhathi zohudo nokuqunjelwa, kuvame kakhulu ukuthi umuntu abe nohudo olungapheli.

Ezimweni ezinzima kakhulu ze-SBID, amathumbu angalahlekelwa yingxenye yomthamo wawo wokumunca izakhamzimba futhi, ngalokho-ke, isimo sokungondleki singavela, noma ngabe umuntu udla kahle. Uma lokhu kwenzeka, lo muntu angahlangabezana nokukhathala ngokweqile, ukwehla kwesisindo ngisho nokushoda kwegazi.

Ungakuqinisekisa kanjani ukuxilongwa

Indlela esetshenziswa kakhulu yokuqinisekisa ukutholakala kwesifo sokuqhuma kwamagciwane emathunjini amancane ukwenza ukuhlolwa kokuphefumula, lapho kuhlolwa khona inani le-hydrogen ne-methane emoyeni okhishiwe. Lokhu kungenxa yokuthi, ukweqiwa kwamagciwane emathunjini amancane kukhipha lolu hlobo lwamagesi ngenani eliphakeme kunalokho okubhekwa njengokujwayelekile. Ngakho-ke, ukuhlolwa kokuphefumula kuyindlela engeyona eyokuhlasela futhi engaqondile yokuhlonza icala elingahle libe khona le-SBID.

Ukuze wenze lokhu kuhlolwa udinga ukuzila ukudla amahora ayi-8 bese uya emtholampilo uyokhipha uphume eshubhu. Ngemuva kwalokho, uchwepheshe uletha uketshezi olukhethekile okufanele luphuzwe futhi, kusukela kulowo mzuzu, amanye ama-exhales aqoqwa kumashubhu amasha njalo emahoreni amabili noma amathathu.

Imvamisa, abantu abane-SBID bathola ukwanda kwenani le-hydrogen ne-methane emoyeni ophumayo ngokuhamba kwesikhathi. Futhi lapho lokho kwenzeka, umphumela uthathwa njengothile. Kodwa-ke, uma ukuhlolwa kungagcini, udokotela angacela okunye ukuhlolwa, ikakhulukazi ukususwa kwesampula ketshezi elikhona emathunjini amancane, ukuhlola, elabhorethri, inani lamagciwane.

Izimbangela ezingaba khona

Ezinye izimbangela ezingaba umsuka we-SBID yizinguquko ekukhiqizeni i-gastric acid, ukukhubazeka kwe-anatomical emathunjini amancane, izinguquko ku-pH emathunjini amancane, izinguquko kumasosha omzimba, izinguquko ku-motility yamathumbu, izinguquko kuma-enzyme ama-bacterial commensal.

Lesi sifo singabuye sihlobene nokusetshenziswa kwemithi ethile, njenge-proton pump inhibitors, ama-anti-motility agents kanye namanye ama-antibiotic.

Ngaphezu kwalokho, lesi sifo singahle sihlobene nezinye izifo, njenge-viral gastroenteritis, isifo se-celiac, isifo sikaCrohn, amazinga aphansi esisu esiswini, i-gastroparesis, ukulimala kwemizwa, ukuqina kwesibindi, i-portal hypertension, i-irritus syndrome ukudlula noma ukuhlinzwa okuthile, isibonelo.

Yelashwa kanjani

Ukwelashwa kwalesi sifo kufanele kuqondiswe yi-gastroenterologist, noma kunjalo, kungadingeka futhi ukulandela isazi sokudla. Lokhu kungenxa yokuthi, ukwelashwa kungafaka:

1. Ukusetshenziswa kwama-antibiotic

Isinyathelo sokuqala ekwelapheni i-SBID ukulawula inani lamagciwane emathunjini amancane futhi, ngakho-ke, kuyadingeka ukusebenzisa i-antibiotic, enqunywe yi-gastroenterologist, kepha ngokuvamile eyiCiprofloxacin, Metronidazole noma iRifaximin.

Yize ezimweni eziningi i-antibiotic ingasetshenziswa ngendlela yamaphilisi ku, lapho i-syndrome ibangela ukungondleki noma ukuphelelwa amandla emzimbeni, kungadingeka ukuhlala esibhedlela izinsuku ezimbalwa, ukuthola i-serum noma ukwenza ukondla kwabazali, okuyi kwenziwe ngqo emthanjeni.

2. Izinguquko ekudleni

Ukudla okwazi ukwelapha i-SBID akukaziwa, kepha-ke, kukhona izinguquko ezithile ekudleni okubonakala kunciphisa izimpawu, njenge:

• Yidla ukudla okuncane usuku lonke, ugweme ukudla ngokudla okuningi;
• Gwema ukudla neziphuzo ezinoshukela omningi;
• Gwema ukudla okubonakala kwenza izimpawu zibe zimbi kakhulu, njengokudla kwe-gluten noma kwe-lactose.

Ngaphezu kwalokho, odokotela abaningana babuye bakhombise ukuthi ukulandela uhlobo lohlobo lokudla lwe-FODMAP, olususa ukudla okuthola ukuvutshelwa emathunjini futhi okungagxilile kangako, kungaba yinto enhle yokuqeda izimpawu ngokushesha. Bona ukuthi ungalwenza kanjani uhlobo lokondla lwe-FODMAP.

3. Ukuthatha ama-probiotic

Yize kusadingeka ezinye izifundo ukuze kufakazelwe ukusebenza kwazo, ukusetshenziswa kwama-probiotic kubonakala kusiza amathumbu ukuthi alinganise kabusha izitshalo zawo zemvelo, anciphise ukwanda kwamagciwane.

Kodwa-ke, ama-probiotic nawo angadliwa ngokwemvelo ngokudla, ngokudla okuvutshiwe okufana neyogathi, i-kefir noma kimchi, Ngokwesibonelo.