Pane kuchinja kwemwoyo nemapapu, kunyange maoko uye zviso; itsvo dzakapiwa, saka ndizvo zvinonzi lobes zvechiropa.
Inonzwika yakaisvonaka, asi panewo zvigaro zvinoputika.
Chigodo chekusimudza hachirevi kuvhiyiwa kana masimba ezvirwere zvekuzvidzivirira sechimiro chinoputika chinoda. Icho ndechekuponesa upenyu kune vamwe.
Chaizvoizvo hachisi sekupenga sezvinogona kurira.
Tose tine mabhakitiriya matiri, nguva dzose. Kutaura zvazviri, tinogona kunge tine mabhiriyoni zana emabhiriyoni matiri chero nguva. Izvo zvose chikamu che microbiome yedu inosanganisira mabhakitiriya paganda redu, mumatumbo edu, uye zvimwe zvikamu zvakawanda zvemuviri wedu. Mabhakitiriya anopfuura masero evanhu anenge 10: 1. Isu "chete" tine masero gumi nemamiriyoni evanhu.
Kuchinja kwakadaro kunonzi Fecal Microbiota Transplants (FMT) kana kuti Stool transplants. Izvi zvinogona kugadzirisa zvinetso zvinoitika apo mabhakitiriya mumatumbo edu haasi izvo zvavanofanira kuva. Kazhinji kune zvakawanda, zvakawanda zvakasiyana-siyana zvebhakitiriya mumagetsi edu. Ikoko kune dambudziko rakaoma rekuenzanisa mukati medu. Dzimwe nguva zvisikwa izvi zvinogona kushambidzwa nemishonga inorwisa mabhakitiriya uye zvinogona kudarika nemhando imwe chete yebhakitiriya - seC Diff (Clostridium Difficile). Chigadziko chekugadzirisa chakanyanya kushandiswa kwechiitiko chekare C Diff infections.
Chii chinonzi Clostrdium Difficile?
Clostridium difficile ( C. difficile ) ibhakitiriya inogona kukurira mumatumbo apo varwere vanopiwa maantibiotics, zvikurukuru kana vari mune zvivako zvehutano apo vamwe vane utachiwana uye kana ivo pachavo vachirwara.
Inogona kutungamirira kumarara akaipa. Izvo zvakakonzera vanenge 500 000 zvirwere muna 2011. Inowanzokonzera kudzokorora - kupfuura 80 000 muUnited States avo vane chirwere chacho chaive nacho kaviri. Pakati peavo vane utachiona, vanenge 30 000 vakafa mushure memwedzi mumwe wekuongorora kwavo neC Diff.
C Diff inogona kurapwa nemishonga inorwisa mabhakitiriya, asi kudzokorora kunowanzoonekwa uye dzimwe mimwe hazvipindi ma antibiotic.
C Diff inowanzoitika apo mabhakitiriya evanenge ari mudumbu angadaro akadzimwa nemishonga inorwisa mabhakitiriya uye maruva anoyevedza anofanira kudzoka kuti asapinda C Diff achidzokorora uye achidzokorora. Kana zvisina kudaro varwere vanogona kutambura - uye pane dzimwe nguva vanofa-kubva pamigumisiro yekuramba kwezuva.
Ndezvipembenene zvinoshandiswa kune dzimwe zvirwere here?
Pakave nedzimwe zvirwere zvekurwa kwemuviri (kusanganisira MRSA) izvo zvipembenene izvi zvakashandiswa. Sezvatinodzidza zvakawanda pamusoro pehutachiona uye basa rahwo mune hutano hwevanhu, pane tariro yekushandiswa muBlack Influmatory Bowel Disease (kusanganisira Crohn's disease), Irritable Bowel Syndrome, chirwere cheropa (zvakaoma nemazinga akawanda eammonia), zvirwere zvemagetsi, mamwe matumbo zvirwere, nezvimwe zvirwere zvakawanda. Zvisinei, pane zvakawanda zvokudzidza zvisati zvamboitika izvi zvinogona kushandiswa mune dzakawanda zvezviri mumamiriro ezvinhu aya. Ikoko kune zvidzidzo zviri kuitwa kuti zvinzwisise zviri nani nzira iyi inogona kubatsira mune zvirwere zvakadai seCrohn's , Ulcerative Colitis, uye chirwere cheropa.
Apo patinotanga kunzwisisa zvinetso zve microbiome, tinogona kunzwisisa mamwe mabasa - kunze kweC Diff treatment.
Ndiani anobata kushandiswa?
Kazhinji imba yepedyo kana nhengo yemhuri, yakadai semumwe wako, yave iri muchengeti.
Iko kune dzimwe nyika mabhandi ayo akave achigadzirisa kupa chigadziko zvakare, kunyange zvazvo pakutanga kwaive nedzimwe nyaya dzekutonga pamusoro pekushandiswa kwezvigaro mabhenji.
Vabatsiri vanosarudzwa sei?
Vopa vanopiwa ropa kuongororwa neHIV, Hepatitis A, B, C, pamwe nekushaya chirwere. Chigaro chavo chinoongororwa nekuda kwezvipembenene uye mazai eparasite uye kuwedzerwa kuverengerwa Helicobacter pylori, Giardia, Cryptosporidium, uyewo zvechokwadi C difficile.
Pakave nezviitiko zvezvirwere zvisingadiwi, zvakadai se norovirus diarrheal infections, izvo zvakapararira kuburikidza nekushandura.
Pfungwa iyi ndeyekuti mabhakitiriya awedzere, saka kuchinja kwose kunoguma nekuendesa kwebhakitiriya.
Izvozvo zvakapiwa sei?
Kune nzira dzakasiyana-siyana dzinogona kupiwa. Kunze kwenyaya yeganda rakaoma kubva mabheji, inowanzogadzirwa 'itsva' mumaawa. Inowanzovhenganiswa nemvura yakagadziriswa, yakabatanidzwa, uye inopiwa mukati maawa matanhatu zvichida kuburikidza nehuputi, kana enema, kana kuburikidza nekolonoscopy.