SIBO , chirevo chechiitiko chinonzi small intestinal bacterial overgrowth, chiri kuongororwa sechinhu chinokonzera kukanganisa bowel syndrome (IBS ). Kufanana nezvinhu zvakawanda zvine chokuita neBS, nyaya yeSIBO kuva dambudziko guru iri rakaoma uye inoratidzirwa nekukakavadzana munyika yeBS tsvakurudzo . Iyi yakajeka yeSIBO sezvo ine chokuita neBib inogona kukubatsira kusarudza kana ichi chinhu chaunofanira kutaura nachiremba wako pamusoro.
SIBO chii?
SIBO ndeyekuunganidza kwekuwandisa kwegomba mabhakitiriya mumukati muduku. Chero mamiriro ezvinhu anokanganisa kufamba kwakakwana kana kufamba kwemukati mudumbu kunogona kuitisa kuSIBO. Chirwere cheCrohn uye chirwere chepamuviri chepakutanga chiri pakati pezviitiko zvinowedzera kukanganisa kweSIBO.
SIBO inowanikwa sei?
Pamusana pekutambudzika kuita zvirevo zvakananga zvemukati mudumbu kuti uongorore kuvapo kwebhakitiriya, muedzo unozivikanwa se hydrogen breath test (HBT) inoshandiswa. Varwere vanopiwa sarudzo, yakadai sa lactulose, kunwa, uye zvino mweya wokufema unopiwa kuti uongorore kuvapo kwegesi, zvakadai sedhydrogen kana methane. Mune munhu ane hutano, mumwe haafaniri kutarisira kuona chero hydrogen kana methane mufema kusvikira maawa maviri apfuura, nguva inofanirwa kutora kuti lactulose iende kumatumbo makuru apo yaizoitwa nemaabhakitiriya, nokudaro kusunungura iyo gas.
Gesi yakanaka inowanikwa mukati memaminitsi makumi mana ekunwa mhinduro inopa uchapupu hwokuti mabhakitiriya akakwirira mumugwagwa wekudya, kureva pamucheto wemukati muduku.
SIBO Nyaya yeBS
Ichokwadi kuti kuvhara chiratidzo chiratidzo chinowanikwa kune vanorwara neBIB, pasinei nokuti kuvimbiswa kana kubudisa chirwere sechiratidzo chikuru, kwakaita kuti vatsvakurudzi vatsvake chinetso chinowanzoitika.
Mukuwedzera, kunyange zvazvo IBS varwere vanowanzotaura nezvezvokudya zvakadai sekukonzera zviratidzo, hapana tsvakurudzo yakajeka inobatsira ichi.
Uchapupu hunoratidza kuti SIBO inogona kuva chikonzero chinokonzerwa neBS inobva mune zvitsva zviviri zvakawanikwa. Yokutanga ndeyekuti vamwe vatsvakurudzi vakaona kuti zvakanyanya zvikuru varwere veBS vane HBT yakanaka kupfuura vanhu vasina hanya, zvichida kuratidza SIBO sechinetso. Chechipiri ndekutsvakurudza kuwana kuti varwere vazhinji vanoona kuderera kukuru kwezviratidzo zveBS mushure mokuedzwa kwemaitiro chaiwo emishonga inorwisa mabhakitiriya. Izvozvo zvinorwisa mabhakitiriya hazvipindi mukati mudumbu uye saka zvinowanikwa kuita chero mabhakitiriya angangodaro ari mudumbu duku.
SIBO nyanzvi inotsvaga kutsanangura kuti sei mabhakiteriya achiguma munzvimbo isina kunaka. Mucheche muduku ane "vhudzi rinonatswa" -kufamba kwemasumbu mumucheka unoshumira kubvisa chidumbu chiduku nguva dzose. Inofungidzirwa kuti kuora mwoyo kwechikwata ichi chinogona kukonzera kuchengetedzwa kwebhakitiriya. Imwe nyanzvi ndeyekuti gastroenteritis inogona kukuvadza mitsipa inokonzera chiito ichi chokuchenesa, chiitiko chinogona kutsanangura chiitiko chemashure ekutapukira IBS . Inofungidzirwawo kuti kushushikana kunogona kuderedza kushanda kwematumbu aya, nekutsanangura ukama huri pakati pekunetseka neBS .
SIBO nyanzvi inoedza kuenzanisa kuti IBS inogona kuzviratidza pachedu sehuvha kana kuvhara. Kufunga ndeyokuti marudzi akasiyana emabhakitiriya uye zvinopisa izvo zvinobereka zvinogadzirisa zvakasiyana pamvura inoshandiswa . Zvimwe zvidzidzo zvakaona kuti varwere vanoratidzira huwandu hwakawanda hwemethane vane mikana yekuwana kuvhiringidzika, asi zvirwere-vanonyanya kurwara vanoratidzira huwandu hwakawanda hwehydrogen.
Inotaridzirwawo kuti SIBO inogona kunge iri iyo yechokwadi inokonzera fructose uye zvimwe kusagadzikana kwehuga .
The Controversy
Kunyangwe shanduro yeSIBO inoratidzika kusungira IBS mukanaka yakanaka, vatsvakurudzi vakawanda havakwanisi.
Pane humwe hutsoropodzi hukuru hwetano. Chikonzero chakanyanya ndechokuti HBT haisi kuonekwa seye chivimbo chakavimbika nekuda kwekukwirira kwekukanganisa. Zvinonyanya kukosha ndeyekuti iyo yakakwirira yeSIBO uye kubudirira kwemishonga inorwisa mabhakitiriya semishonga inoratidzwa mune zvidzidzo zvakagadzirwa neSIBO vanyori havana kumbogara vachidzokororwa nevamwe vatsvakurudzi. Kunetseka kunowanikwawo maererano nekushandiswa kwenguva refu kwemishonga inorwisa mabhakitiriya, zvikurukuru iyo inopa chokwadi chokuti IBS ndiyo mamiriro ezvinhu asingagumi.
The Bottom Line
Sezvaunogona kuona, hukama pakati peSIBO neBIB hunoramba husina kunaka. Kubvumirana kukuru kunoita sekuti SIBO inogona kunge iri dambudziko rechechi ye-sub-set yevanorwara IBS uye kuti rumwe rudzi rwemishonga inorwisa mabhakitiriya, Rifaximin, ine tsvakurudzo yakawanda yekutsvakurudza yekubudirira kwayo maererano nekuderedza kuputika nekurwara. Tariro, kutsvakurudza kwakaenderera mberi kuchajekesa nyaya, pamwe nekuuya nemishonga yakachengeteka uye inoshanda.
Unofanira kutaura nachiremba wako nezvekutora HBT yeSIBO? Zvichipa chokwadi chokuti SIBO inoratidzika seyo nyaya yevamwe varwere veBS uye kuti mishonga inorwisa mabhakitiriya inogona kuunza kuregererwa kwechiratidzo, SIBO inogona kunge yakakodzera kuongororwa zvakare, kunyanya kana kuvhara chikamu chikuru chechiratidzo chako.
Sources:
American College of Gastroenterology IBS Task Force "An Evidence Based Based Position Statement on the Management of Irritable Bowel Syndrome" American Journal of Gastroenterology 2009: S1-S35.
Lin, H. "Kubata Kwakawanda Kwebhakitiriya Kwemakumbo: Chimiro Chokunzwisisa Irritable Bowel Syndrome" Journal of the American Medical Association 2004 292: 852-858.
Pimentel, M. "A New IBS Solution" Health Point Press 2006.
Quigley, E. "Gut Bakteria uye Irritable Bowel Syndrome" International Foundation yeKushanda Kwemakumbo Kushushikana Kwemashoko.