Yini ukufakelwa kwendle futhi kwenziwa kanjani?

-Delile

• 1. I-Pseudomembranous colitis
• 2. Isifo samathumbu esivuthayo
• 3. Isifo samathumbu esingathukuthele
• 4. Ukukhuluphala ngokweqile nezinye izinguquko emzimbeni
• 5. I-Autism
• 6. Izifo zemizwa
• Okunye ukusetshenziswa okungenzeka
• Ukufakelwa kwenziwa kanjani

Ukufakelwa kabusha kwendle yindlela yokwelashwa evumela ukudluliselwa kwendle isuke kumuntu onempilo iye komunye umuntu onezifo ezihlobene namathumbu, ikakhulukazi ezimweni ze-pseudomembranous colitis, ebangelwa ukutheleleka ngamagciwaneIClostridium difficile, kanye nesifo samathumbu esivuthayo, njengesifo sikaCrohn, okuyisithembiso futhi ekwelapheni ezinye izifo, ezinjenge-irritable bowel syndrome, ukukhuluphala ngokweqile ngisho ne-autism, isibonelo.

Inhloso yokufakelwa kabusha kwendle ukulawula i-microbiota yamathumbu, okuyiqoqo lamagciwane angenakubalwa ahlala ngokwemvelo emathunjini. Kubalulekile ukuthi le microbiota iphilile, ngokudla okune-fiber futhi igweme ukusetshenziswa kwama-antibiotic ngokungadingekile, ngoba ayithinti nje kuphela impilo yamathumbu, kepha ingaba nemiphumela ekwakhiweni kwezifo zomzimba, zemetabolic kanye ne-neurological.

Thola ukuthi yiziphi izimbangela nokuthi ungakugwema kanjani lokhu kungalingani emifuleni yamathumbu ku-Intestinal Dysbiosis.

EBrazil, irekhodi lokuqala lokufakelwa komlomo kwenziwa ngo-2013, esibhedlela i-Israelita Albert Einstein, eSão Paulo. Kusukela lapho, kukhonjisiwe, nangaphezulu, ukuthi ukufakelwa indle kungasiza ekwelapheni izifo eziningana, njenge:

1. I-Pseudomembranous colitis

Kuyinkomba enkulu yokufakelwa kabusha kwendle, ebonakala ngokuvuvukala nokutheleleka kwamathumbu ngamagciwaneIClostridium difficile, ethelela kakhulu abantu abalaliswe ezibhedlela besebenzisa ama-antibiotic, njengoba isebenzisa ngokunenzuzo ukuqedwa kwamagciwane emathunjini anempilo ukuze kuxazululwe.

Izimpawu eziyinhloko ze-pseudomembranous colitis umkhuhlane, ubuhlungu besisu kanye nohudo oluqhubekayo, kanti ukwelashwa kwayo kuvame ukwenziwa ngemithi elwa namagciwane efana neMetronidazole noma iVancomycin. Kodwa-ke, ezimweni lapho amabhaktheriya emelana khona, ukufakelwa kabusha kwe-fecal kufakazelwa ukuthi kuyasebenza ekulinganiseni ngokushesha izimbali zamathumbu nokuqeda ukutheleleka.

Thola imininingwane eyengeziwe mayelana nokuxilongwa nokwelashwa kwe-pseudomembranous colitis.

2. Isifo samathumbu esivuthayo

Isifo sikaCrohn kanye nesilonda esilimaza ulwelwesi yizona zinhlobo eziyinhloko zezifo ezivuthayo zamathumbu, futhi yize kungaziwa kahle ukuthi zibangelwa yini, kuyaziwa ukuthi, ngaphezu kwethonya lamasosha omzimba, kungahle kube khona isenzo samabhaktheriya angenampilo emathunjini ekuthuthukiseni lezi zifo.

Ngakho-ke, ukwenza ukufakelwa kwendle kungasebenza ukuthuthukisa noma kubangele ukuthethelelwa okuphelele kwesifo sikaCrohn, ikakhulukazi ezimeni ezinzima noma ezinzima ukwelashwa.

3. Isifo samathumbu esingathukuthele

I-irritable bowel syndrome ibonakala inezimbangela eziningana, njengokushintsha kwesistimu yezinzwa zamathumbu, ukuzwela kokudla, izakhi zofuzo nesimo somqondo, kodwa-ke, kukhonjisiwe ukuthi, ngokwengeziwe, izimbali zamathumbu zinomthelela ekubeni khona kwazo.

Ngakho-ke, ezinye izivivinyo zamanje zikhombisile ukuthi ukufakelwa kabusha kwendle kuthembisa kakhulu ukwelashwa okusebenzayo kwalesi sifo, yize kusadingeka izivivinyo ezengeziwe ukuqinisekisa ukuthi kungenzeka kube nokwelashwa yini.

4. Ukukhuluphala ngokweqile nezinye izinguquko emzimbeni

Kuyaziwa ukuthi izitshalo zamathumbu zingashintshwa kubantu abakhuluphele, futhi kunezinkomba zokuthi la magciwane aguqula indlela umzimba osebenzisa ngayo amandla ekudleni, ngakho-ke, kungenzeka ukuthi lokhu kungaba ngesinye sezimbangela zobunzima ukuncipha emsimbeni.

Ngakho-ke, ucwaningo luye lwabona ukuthi kungenzeka ukwelapha ukukhuluphala kanye nezinye izinguquko ezinquma isifo se-metabolic ngokufakelwa kwe-fecal, okufana nomfutho wegazi ophakeme, ukumelana ne-insulin, ukwanda kweshukela egazini, i-cholesterol kanye ne-triglycerides ephakeme, kepha kusadingeka okuningi. ucwaningo lokufakazela ukuthi lolu hlelo kufanele lube kanjani nokuthi lukhonjiselwe bani.

Ngaphezu kwalokho, kufanele kukhunjulwe ukuthi ukudla okunothe ngoshukela namafutha, futhi kunefayibha encane, kungenye yezimbangela ezinkulu zokwehliswa kwezimila zamathumbu nokusinda kwamagciwane ayingozi, ngakho-ke, akukho phuzu lokuba ukufakelwa kwendle uma kungekho kudla okuthanda ukusinda kwamagciwane amahle.

5. I-Autism

Kwaphawulwa, ocwaningweni lwesayensi, ukuthi iziguli ezine-autism ezithola ukufakelwa kwendle zinokuthuthuka kwezimpawu, kepha-ke, ezinye izifundo zisadingeka ukuphetha ngokuthi kukhona ukuxhumana kanye nomthelela wale nqubo yokwelashwa kwe-autism .

6. Izifo zemizwa

Omunye umsebenzi othembisayo wokufakelwa kabusha kwendle kungenzeka ukwelapha nokunciphisa izimpawu zezifo zemizwa ezinjenge-multiple sclerosis, i-myoclonic dystonia nesifo sikaParkinson, njengoba kube nokuxhumana okubalulekile phakathi kwezimbali zamathumbu nemisebenzi yomzimba neyomqondo.

Okunye ukusetshenziswa okungenzeka

Ngaphezu kwezifo esezibalwe ngenhla, ukufakelwa indle kuye kwafundwa ekwelapheni nasekulawuleni ezinye izifo, njenge-hepatitis engalapheki, i-hepatic encephalopathy, izifo ze-immune hematological, njenge-thrombocytopenic purpura, kanye nokwelashwa kwezifo ezijwayelekile ezibangelwa amagciwane amelana nawo.

Ngakho-ke, ngaphandle kokuthi i-fecal therapy yenziwa iminyaka eminingi kwezokwelapha, ukutholakala kwamandla ayo wangempela kwezempilo kusesanda kwenzeka, futhi kuyadingeka ukuthi izifundo zobudokotela zisazifakazela zonke lezi zithembiso.

Ukufakelwa kwenziwa kanjani

Ukufakelwa kabusha kwendle kwenziwa ngokwethula indle enikelayo yomnikeli esigulini. Ngalokhu, kubalulekile ukuqoqa cishe ama-50 g endle yabanikeli, okumele ihlaziywe ukuze kuqinisekiswe ukuthi awanawo amagciwane IClostridium difficile noma ezinye izimuncagazi.

Ngemuva kwalokho, indle ihlanjululwa ngosawoti bese ibekwa emathunjini esiguli, ngokusebenzisa ithubhu le-nasogastric, i-enema eyi-rectal, i-endoscopy noma i-colonoscopy, futhi kungadingeka isilinganiso esisodwa noma ngaphezulu, kuya ngesifo eselaphiwe nobukhali bokuvuvukala kwamathumbu.

Inqubo ivame ukushesha futhi awuzwa buhlungu noma ukungaphatheki kahle.