Fecal microbiota transplantation (FMT) iri kuongororwa senzira inobatsira yekurapa kwezvinetso zveutano zvakasiyana-siyana, zvikurukuru chirwere cheClostridium difficile . FMT inzira yekuvandudza hutano hwepoloni kuburikidza nekuiswa kwehupfumi huri nehutano hwakasiyana-siyana hwegout bacteria . Sezvo zvakanyanya kufungidzirwa zvakapiwa basa rekugadzirisa mabhakitiriya muBS , zvinoratidzika kuti zvakasikwa kufungidzira kana FMT ingadai iri mushonga unoshanda weBS.
Ngatitarisei kuti FMT chii, kuti inoshanda sei, uye ndeipi tsvakurudzo yakafukura pamusoro pekubatsira kwayo kweBS.
Chii chinonzi FMT?
FMT, inozivikanwawo seBacteriotherapy, ndiyo nzira iyo nyanzvi yezvinyama kubva kune munhu ane hutano inotamirwa muhutachiva hwemunhu wekurwara. Kazhinji yenguva, kutenderera uku kunowanikwa panguva yekolonoscopy , uye zvishoma nezvishoma kuburikidza nokushandiswa kweememas. Mune maitiro akawandisa, mashoko acho anogona kuendeswa achishandisa bhuru rinopinda mumukati muduku .
FMT yave ichifarira kugamuchirwa kwekuwedzera sechisarudzo chakasiyana-siyana pamusana pekuita kwayo kubudirira mukurapa C kusiyana , asiwo nokuti masayendisiti ari kuramba achiisa pfungwa pane iyo inonzi gut dysbiosis inowedzera mumatambudziko akawanda ehutano. FMT inoratidzika seyakakosha kushandiswa kwemishonga inorwisa mabhakitiriya, prebiotics, uye maitiro anonzi probiotics ekuvandudza utano hwehutano, nekuda kwekuti nyaya yakanaka yefecal ine mhando dzakasiyana-siyana dze "shamwari" dzebhakitiriya.
FMT Inotora Chii?
Sezvambotaurwa pamusoro apa, FMT yava ndiyo yekutanga kurapwa kweC kusiyana , zvikurukuru mumamiriro ekudzokazve. Tsvakurudzo dzeScience dziri kuitwa kuti dziongorore FMT semushonga unobudirira we:
- Zvirwere zvinokonzera kupisa
- Zvirwere zvinodzivirira
- Chirwere cheshuga
- Metabolic syndrome
- Kuwedzera muviri
Chii Chinobatanidzwa MuFMT?
FMT haigoni kuitika pasina vabatsiri.
Vanhu vanoongororwa kuti vatsigire kuti vane hutano hwakanaka. Vapei vanopa stool samples izvo zvino zvinoshandiswa mukugadzirira nzira. Kazhinji sampuli itsva dzinoshandiswa, kunyange zvazvo dzimwe tsvakurudzo dziri kuitwa pamusoro pekushanda kwemafuta akaoma.
Sezvakakurukurwa pamusoro apa, FMT inogona kuitwa necolonoscopy, nasal tube, kana enema. Iko-colonoscopy sarudzo inoda zvakafanana " prep " seyendarama yemakolonoscopy, kuitira kuchenesa kunze kwekoroni.
Zvimwe zvinokonzerwa neFMT zvinowanzova zviratidzo zvishoma-kwenguva pfupi zviratidzo zvekudya - kana kusipo. Mimwe migumisiro yakakomba haigoneki uye inowanikwa neyero imwechete seyese colonoscopy, nasal tube kana inema nzira.
Nemhaka yokuti mubatsiri anobva kune mumwe munhu, pane zvinokonzerwa nezvinokonzerwa nehutachiona hunoparidzirwa nevanobatsiri kuti vagamuchire kuburikidza neshoko (sezvipo zvekupa ropa, vasati vatarisa zvakakwana zvakaiswa munzvimbo). Vanachiremba nevatsvakurudzi vari kuwedzera kuongorora mazano nemitemo yekuderedza dambudziko iri.
Unogona FMT Kubatsira IBS?
Pfungwa ye FMT yeBHS inonakidza. Dysbiosis, chirwere chisina kunaka chemuviri michina yakave yakabatanidzwa kune zvinetso zvekunyengera uye kuonekwa kwechirwere chinokonzera zviratidzo zveBS. Kana FMT yaizobatsira kugadzirisa dysbiosis, inotevera kuti varwere vaizoona kuderera kwezviratidzo.
Kutsvakurudza pamusoro pe FMT yeBIB ndiyo kutanga asi kuvimbisa. Chidzidzo chiduku chinosanganisira varwere 13 chete vakanga vasina kupindura mishonga yekodzero yeBS, vakaratidza kuti nzira iyi yakabatsira kuderedza zviratidzo kune zvinopfuura zviviri kubva kune zvitatu zvevatori vechikamu - nekuvandudzika kunoonekwa muzviratidzo zvakasiyana-siyana zvinoumba IBS. Chimwe chidzidzo chave chakabudiswa umo varwere 45 vane chirwere chisingaperi chisingabatanidzi vakabatwa ne FMT uye fecal enema infusions. Chimwe chinokwana 89% chevatori vechikamu chakashuma kunonoka kwekuvhara, kubvisa uye kurwadziwa mumimba. 30 varwere vakadzoka zvakare mumwedzi 9 kusvika ku19 mushure mekuita.
Pakati paava 30, 60% vaiva nehutachiona hwekufamba asi vasina kushandisa mazai.
The Bottom Line
Parizvino, ndiyo nzira zvakare kare mumutambo kutora chero mhedziso pamusoro peMFT kuva yakashandiswa kurapa kweBS. Zvichava zvinonakidza kuona kana kutsvakurudza kwemazuva anotevera kunotsigira kutanga kwakanaka kutsvakurudza kutsvaga. Chii chingave chakakosha kuziva kuti kana nzira yacho inokwanisa kupa pachena zvakajeka pane mamwe maitiro ekurapa kuitira kuti zviite kuti zvikwanise nguva yayo uye kusimbisa kuti haina kutakura chero nguva inokosha kana nguva refu yekuchengetedza njodzi.
Sources:
Aaronadis, O. & Brandt, L. "Intestinal Microbiota uye Efficacy yeFecal Microbiota Transplantation muzvirwere Zvemakumbo" Gastroenterology & Hepatology 2014 10: 230-237.
Aine dambudziko, T., Brandt, L. & Paramsothy, S. "Kurapa Faecal Microbiota Kuiswa: Nhasi Mamiriro Ezvinhu uye Mazuva Ekupedzisira Mazuva Ano " Maonero Ezvino muGastroenterology 2014 30: 97-105.
Anoshayiwa, T., Paramsothy, S. & Agrawal, G. "Fecal Microbiota Transplantation: Zviratidzo, Nzira, Uchapupu, uye Zvamangwana" Mhemberero dzezvino Gastroenterology 2013 15: 337.
Malnick, S. & Melzer, E. "Human Microbiome: Kubva Kumubhedha Kusvikira Kumubhedha" World Journal of Gastrointestinal Pathophysiology 2015 6: 79-85.
Rossen, N., etal. "Fecal Microbiota Transplantation seNorth Therapy muGastroenterology: Ongororo Yakarongeka." World Journal of Gastroenterology 2015 21: 5359-5371.