Ko kuva neecliac kukwidza ngozi yako yeSIBO?
Apo iwe unotanga kuonekwa kuti une chirwere checelac , unogona kunge une tariro-uye unotarisira-kuti kudya kwe-gluten kuchagadzirisa zvinetso zvako zvekudya. Zvisinei, zvidzidzo uye uchapupu hwehutachiona hunoratidza kuti haisi nyore nguva dzose-muchokwadi, chikamu chikuru chevanhu vane chirwere chechiliac vanoramba vachiona zviratidzo kunyange mushure mokunge vasaenda gluten .
Pane zvikonzero zvingangodaro zvezviitiko izvi zvinoramba zvichiramba, zvose zvaunogona kuva nazvo mukuwedzera kune chirwere cheliacac: chirwere chekudya reflux (GERD) , chinokanganisa bowel syndrome (IBS) , uye chirwere chinoputika chirwere (IBD) .
Uyewo, zvimwe zvirwere zvisiri zvekudya zvinowanikwa kune vanhu vane chirwere chechiliac, chakadai sechirwere chetachiona , chinogona kukonzera zviratidzo zvekudya.
Ichi chinokonzera chirwere chechiliac (chirwere chechiliac icho hachigadziri pasinei nekudya kweguten-isinawo) chinogona kukonzera zviratidzo zvinoramba zvichiramba, kunyange zvazvo zvisingawanzoitiki. Uye zvechokwadi, zvinononoka kudya gluten -uyewo zvishoma zvishoma zve gluten- zvinogona kutungamirira kunhu hwakanaka . Izvo zvinosuruvarisa zvakajairika.
Asi imwe tsanangudzo inogona kuenderera mberi kwezviratidzo izvo dzimwe nguva dzinogona kubhururuka pasi pe radar iduku duku yebhakitiriya inowedzera (SIBO). SIBO inogona kukonzera chirwere, kurwadziwa kwepamuviri, uye kuputika pamwe nekunyunyuta uye gasi rakawandisa. Izvozvo zvinonzwika sezviratidzo zvako here? Kana zvakadaro, verenga pa.
Chii Chaicho Chaizvo SIBO?
Nhengo dzose dzekudya dzinosanganisira mabhakitiriya ... akawanda mabhakitiriya. Izvi zvisiriyoni zvezvipenyu zviduku, zvakawanda zvayo zvinowanikwa mumukati mako makuru, zvinokubatsira kugadzira zvokudya zvako uye kunyange kubereka mavitamini, zvakadai sevhitamini K uye biotin.
Utumbo wako muduku hunoitawo mabhakitiriya, asi zvakasiyana-siyana uye mune zvishoma zvishoma kupfuura mumatumbo ako makuru. SIBO inowanikwa apo mabhakitiriya anowanzogara mukati mako mumatumbo ako makuru anotamira kumusoro kumukomana wako muduku owedzera.
Kana mabhakitiriya aya achikura pavasingafaniri, anogona kukonzera zviratidzo zvose zvekudya, uye mumatambudziko akaoma, SIBO inogona kukonzera kushayikwa kwevhithamini nemuviri.
SIBO inonetsa kuongorora zvakanaka, uye zviratidzo zvevanhu hazviiti nguva dzose kupindura zvakanaka kurapwa.
SIBO naCeliac: Chii chinonzi Connection?
Sezvaunogona kunge uchiziva, chirwere chechiliac chinoitika apo muviri wako wechirwere chekudzivirira muviri unopindura zvisina kururama kune proteine gluten, inowanikwa muchero, bhari, uye rye. Apo mumwe munhu ane nyuchi dzinokonzera kusviba, masero avo eropa anokonzera muromo wemukati wavo muduku, zvichiita kune izvo zvinonzi villous atrophy . Kunyange zvazvo chirwere chechiliac chichibva pamagadzirirwo ako, inokanganisa muviri wako wose, ichigadzira zviratidzo kwose kwose kubva pane chirwere chako chekudya kusvika kune uropi uye ganda rako.
Zvichakadaro, zviratidzo zveSIBO zvinomirira zviratidzo zvekudya zvechirwere chechiliac zvinenge zvakakwana. Kutaura zvazviri, SIBO chaizvo inogona kukonzera kuora mwoyo kwekurohwa , hutumbu hwemucheche hunowanzoonekwa mune avo vane chirwere ichi. Kunyanya zvikuru SIBO inogona kukonzera kuneta uye kuora muviri, izvo zvinowanzoonekwa mune chirwere chisina kuongororwa chinonzi chitunha chemuviri chemuviri chinoparadza zviduku zviduku zvemukati.
Saka unogona sei kuudza zvinhu zviviri izvi zvakasiyana?
Kuti uongorore chirwere ichi, chiremba vanowanzoshandisa kuongorora ropa kuti vaongorore zviratidzo zvinoratidza kuti muviri wako unopindurwa sei neprotheni ye gluten.
Iyi miedzo, pamwe chete nemishonga inonzi endoscopy inobvumira chiremba wako kutarisa zvakananga pamucheche wako wechipfuva, anogona kunyatsoziva chirwere chechiliac.
SIBO, panguva iyi, inorwara kuburikidza nekufema kwekufema , kunyange zvazvo vanachiremba vanogonawo kushandisa endoscopies. Kuita kuti zvinhu zviwedzere kuoma, pane humwe humwe uchapupu hwokuti mweya yekufema haugone kushanda zvose zvakanaka kuti uongorore SIBO kune vanhu vane chirwere ichi.
Hungu, Iwe Unogona Kuva Nezvose
Zvinokwanisika kuva nechirwere cheliacac uye SIBO panguva imwechete, izvo zvinoita kuti kududza zviratidzo zvavo zvive zvakanyanya kuoma. Ichokwadi, kumwe kutsvakurudza kunoratidza kuti SIBO inogona kuve yakakurumbira kudarika kuenzanisira mune vanhu vane chirwere cheecliac, kunyanya kune vanhu vane zviratidzo zvekudya zvisingagadziri pane kudya kweguten-pasina.
Zvisinei, vamwe vatsvakurudzi vakakanda kusava nechokwadi pamhedziso iyoyo.
Imwe nyanzvi yemabhuku ekurapa pamusoro peSIBO uye chirwere chechiliac, icho chaisanganisira zvidzidzo gumi zvakasiyana, zvakawana kuti chimwe chechishanu chevanhu vane celiac chaivawo neSIBO.
Kuongorora ikoko kwakawana kuti 28 kubva muzana yeavo vane chirwere chechiliac avo vakaramba vachiine zviratidzo pasinei nekutevera kudya kwe-gluten-nokungwarira kwakange kwave kuonekwa neSIBO. Zvichakadaro, 10 muzana chete yevaya vane celiac vane zviratidzo zvakasimudzwa pamararamiro asina guten vakaonekwa kuti vane SIBO.
Kunyange zvakadaro, sezvo vatsvakurudzi vezvechiremba vachiongorora kuti vangani vanhu vane celiac vangave vane SIBO, hazvisi pachena nei chiitiko ichi chikave chakakwirira. Imwe nyanzvi inotsanangurwa inosanganisira chirwere chemuviri, iyo ndiyo kufamba kwezvokudya kuburikidza nehutachiwana chako. Vanhu vane chirwere chechiliac vanogona kuva nekukurumidza-kudarika-yakasarudzwa kana kuti kunonoka-kudarika-yakasununguka motility, kana dzimwe nguva kunyange inononoka-kudarika-yakasununguka motility mune chikamu chekudya kwayo (somuenzaniso, mudumbu) inosanganiswa nekukurumidza-kupfuura-yakajairika kushandiswa mune chimwe chikamu (somuenzaniso, mumutoni). Zvinetso nemukumbo zvinoshandiswa zvinogona kutungamirira mabhakitiriya kukura kwavasingafaniri.
SIBO Inotarirwa Sei muCeliac Disease?
Kana iwe wakamboongororwa neSIBO, chiremba wako kunyanya achapa mhando yehutachiona hunonzi rifaximin. Iyi antibiotic, iyo inoshandiswawo kubata chirwere chemufambi, haisi kunyatsogadzikana nemuviri, izvo zvinoreva kuti inoshanda zvinenge zvichishanda mumugwagwa wako wekudya.
Zvisinei, havasi vose vanoona kuregererwa kubva pamishonga inorwisa mabhakitiriya. Chimwe chidzidzo chakawana kuti vanhu vane chirwere chechiliac avo vakaonekwa kuti vane SIBO uye vakazobatwa ne rifaximin havana kuona humwe huri nani mukudzivirira kwavo kwekudya kubva pamishonga inorwisa mabhakitiriya. Icho chidzidzo chaisanganisira vanhu makumi maviri nevashanu vaine celiac avo vakatora mishonga inorwisa mabhakitiriya, uye vakazvienzanisa nevanhu 25 vane celiac vakatora placebo.
Pane humwe uchapupu hwokuti probiotics inogona kubatsira muSIBO (panewo tsvakurudzo yepakutanga inosanganisira probiotics uye chirwere chechiliac ). Saka kana chiremba wako akakuwana iwe neSIBO asi kurapwa ne rifaximin kusina kubatsira zvakakwana, unogona kufunga pamusoro pekuedza maitiro embioti-kungoita kuti uve nechokwadi chekutenga marita asina guten.
SIBO hainzwisisiki zvakadaro, saka zvakaoma kuziva nekubata vanhu vanogona kuva nayo. Sezvo nguva ichienderera mberi, tinofanira kunge tine ruzivo rwakawanda pamusoro pezvinhu zvinoshanda muSIBO uye zvisingaiti, izvo zvichabatsira munhu wese, kusanganisira avo vane zvose SIBO uye chirwere cheliacac.
> Sources:
> Chang MS uye al. Mutsva weRifaximin uye Kuwedzera kweBhakiteriya Mukusakadza Kuteerera Kwechirwere Chidiki. Kurapa Kwokurapa muGastroenterology . 2012 Jan; 5 (1): 31-6.
> Losurdo G. et al. Kubata Kwebhakitiriya Kwebhakitiriya uye Dambudziko reCeliac: Ongororo Yakarongeka nePooled-Data Analysis. Neurogastroenterology uye Motility . 2017 Feb 12.
> Tursi A. Matumbo Mashoma Masangano muCeliac Disease. Zvinyorwa zveKliniki Gastroenterology . 2004 Sep; 38 (8): 642-5.