Overview
Kuduku kwebhakitiriya yebhakitiriya yakawanda (SIBO) chirwere chehutano chakambofungidzirwa kuti chinetso chisingawanzoitiki. Munguva pfupi yapfuura, vatsvakurudzi vave vachifunga nezvekubatana kweSIBO uye zvinetso zvakasiyana-siyana zvehutano. Muchidimbu ichi, iwe uchadzidza kuti ndezvipi zviitiko zvakatsvakurudzwa izvo zvinogona kusimudzira ngozi yako yekuvandudza SIBO.
Iwe unogona kushandisa izvozvi ruzivo kuti uzarure kukurukurirana nachiremba wako pamusoro pekuti kana kwete here zvine musoro kuti iwe uedzwe uye zvichida wakazobatwa kuSIBO.
Chii SIBO?
SIBO inorapwa kana pane nhamba yakawedzera yebhakitiriya, uye / kana kuchinja mumhando dzebhakitiriya, iripo mumukati mako. Kazhinji kuvapo kwebhakitiriya mumukomana muduku kwakanyanya kudarika, zvakasiyana nemabhakitiriya akawanda akagara mumatumbo makuru. Izvi zvinoshandiswa muhuwandu uye maita mabhakitiriya zvinogona kukonzera zvakananga zviratidzo, somuenzaniso, zvakanyanya matumbo emagetsi , kana kuti zvinokonzera zviratidzo zvisiri izvo nekudzivirira mishonga yaunodya kubva pakunyatsopinda mumuviri wako.
SIBO inofungidzirwa kuti inoitika nekuda kwekuparara kwemuviri wemitemo yekuzvidzivirira iyo inowanzochengetedza uwandu hwebhakitiriya mumatumbo maduku pazinga rakaderera. Kune zvinhu zvakasiyana-siyana zvinogona kukonzera kuparara uku, somuenzaniso, kuchinja muzinga reasidhi yemudumbu, kuderera kwema enzymes akabudiswa nepancreas , kana maitiro uye mashanduko ekuchinja.
SIBO inoramba isinganzwisisiki uye inokonzera kukanganisa kuongororwa. Izvi zvinokonzerwa kuti chikamu chiripo nezvinetso nehutano hwezvino maitiro ekuedza . Mukuwedzera, mumitsva inotsvakurudza, vanhu vane hutano vakawanikwa vakave nezvikwata zvepamusoro zvebhakitiriya mumatumbo maduku vasina zviratidzo zvinokonzera zviromatology.
Izvo zvichitaurirwa, SIBO inofungidzirwa kuti haina kunyanya kuongororwa uye saka inoshungurudzika sechikamu chinokonzera zviratidzo izvo vanhu vangave vari kutarisana nazvo.
Zviratidzo
Zviratidzo zveSIBO zvinogona kusiyana zvakasiyana. Mune zvimwe zviitiko zviratidzo zvingasava zvishoma kana kuti zvinonzi kune mamwe matambudziko ehutano. Zvisinei, zviratidzo zvinowanzoitika zvinosanganisira:
- Marwadzo emudumbu
- Bloating
- Kuramba kwezuva
- Kuwedzerwa mumatumbo gasi
- Nausea
- Kusakwana kwezvokudya
- Kuonda
Associated Conditions
SIBO hazvirevi kuti imire chete. Mamiriro ezvinhu ekuvandudzirwa kweSIBO anogona kunge ari chikonzero chechirwere kana SIBO pachayo inogona kuumba dambudziko rehutano rinopfuurira. Mune zvimwe zviitiko zvakanyanyisa, pane "chicken neyei" mamiriro ezvinhu pakati peSIBO nedzimwe chirwere, umo chirwere chimwe nechimwe chinowedzera pakugadzirisa kweimwe. Heano mamwe mararamiro ehutano ayo ave arikutarisa kwevanotsvakurudza veSIBO:
Gastroesophageal reflux chirwere (GERD): Tsvakurudzo yakaratidza kuti vanhu vane GERD vari pangozi yakakura yekusimudzirwa kweSIBO. Izvi hazvifungidziri kuti ndezvikonzero nekuda kweGERD pachako, asi pane kuderera mumudumbu weAidhi semugumisiro wenguva refu yekushandisa kweproton pump inhibitors (PPIs) .
Irritable bowel syndrome (IBS): IBS uye SIBO vane maitiro akawanda ekubatana mukati mezviratidzo, zvisinei kuti ukama huri pakati pemasara maviri hahuna kujeka.
Zvinotendwa kuti rimwe di-seti yevanhu vanoonekwa kuti vane IBS chaizvoizvo vane SIBO uye naizvozvo iSIBO inokonzera kusagadzikana kwepachivi zviratidzo. Vamwe vatsvakurudzi vanotenda kuti ndiko kusakosha kweBHS inotanga danho rekusimbiswa kweSIBO.
Chirwere cheCeliac: Vanotsvakurudza vari kuona kuti chirwere chechiliac chingakonzera njodzi yevanhu yekuvandudza SIBO. Inotarisirwa kuti kana isingagumi kuputika pamubhedha wemukomana muduku, kana kuti kunonoka motility mukati memukati maduku, kana kuti zvose, inotanga danho rekuwedzera kwebhakitiriya. Kana munhu ane chirwere chechiliac ane zviratidzo zvepamuviri zvinoramba zvichiramba pasinei nekutevera zvakasimba kudya kwemajuten, zvinokurudzirwa kuti zviongororwe nekuda kweSIBO uye zvadaro zvinorapwa zvakakodzera.
Chirwere cheCrohn: Vanotsvakurudza vanofungidzira kuti vakawanda vanenge 25% yevanhu vane Crohn's disease vanogonawo kuva neSIBO, vane ngozi yakawanda inowanikwa kune avo vakavhiyiwa nokuda kwechirwere chechirwere chechirwere. Kutonga SIBO kunogona kuva kwakakosha sezvo SIBO inogona kuongororwa zvisina kufanira sehuwandu hwechirwere che Crohn pachayo pachayo.
Chirwere cheshuga: Vanotsvakurudza vakawana kuti vanhu vane chirwere cheshuga kwenguva refu vari pangozi yekuti vave neSIBO. Zvinofungidzirwa kuti kuva nechirwere cheshuga kunogona kukuvadza kushanda kwegadziriro yegadzire uye nekudaro kugadzirisa mamiriro ayo SIBO inokura. Kana uine chirwere cheshuga uye uine zviratidzo zvepachiviri, inogona kunge iri pfungwa yakanaka kutaura nachiremba wako pamusoro pekuedzwa kweSIBO, zvikurukuru sezvo kusanganiswa kwechirwere cheshuga neSIBO kunogona kutungamirira ku malabsorption yezvinhu zvinokosha zvinovaka.
Zvimwe Utano Zvigaro Kuve Kuongororwa kweSangano neSIBO
Sezvauchaona nehuwandu hunotevera, kune matambudziko akawanda ehutano ayo vatsvakurudzi vave vachitsvaga pamusoro pekukwanisa kubatana ne SIBO:
- Matambudziko anatomenho mumutsipa muduku (semuviri kana kubata)
- Chronic pancreatitis
- Chirwere chisingaperi chinokonzera kuvhiringidzika
- Cirrhosis
- Cystic fibrosis
- Zvirwere zvinokanganisa maitiro ezvirwere zvemuviri, kusanganisira HIV / AIDs
- Fibromyalgia
- Hypothyroidism
- Matenda eurologic (eg Parkinson's disease uye muscular dystrophy)
- Radiation enteropathy
- Scleroderma
- Short bowel syndrome
Link to Aging
Hapana nhaurirano pamusoro pezvinhu zvinokonzera njodzi yeSIBO yakapedzeredzwa pasina kunyatsoona kuti kukwegura pachako kunomutsa dambudziko reSIBO. Izvi zvinofungidzirwa kuti ndezvikonzero, muchidimbu, kugoverwa kwemaitiro ose ekufambisa kwekudya kwekudya. Iyi njodzi inowedzera kana munhu akashandisa maPIs kwenguva yakareba kana kuti akave nekuvhiyiwa kwepamusoro kwepamuviri. Kune vanhu vakwegura, SIBO inogona kukonzera malabsorbtion yezvakakwana uye kurasikirwa kwekureruka kunotevera.
Kuziva
Kana uine humwe hwehutano huri pamusoro apa uye iwe unonetseka nekuenderera mberi kwezviratidzo zvepamuviri, zvingave zvakakodzera nguva yako kuti utaure nechiremba wako nezvekuongororwa nokuda kwekuvapo kweSIBO.
Kune nzira nhatu dzinokosha dzekuedza SIBO-kuburikidza nekushandiswa kweHyrogen breath breathing , kuburikidza nekuedza kuenzanisa kwechirwere mumucheche muduku wakatorwa panguva yekupedzisira , kana kuburikidza nemuedzo wemishonga inorwisa mabhakitiriya . Nzira imwe neimwe inobatsira uye inopera, kunyange zvazvo shanduro yakananga nzira kuburikidza ne endoscopy inonzi inonyanya kuvimbika.
Nhau dzakanaka ndeyokuti mune dzakawanda zvekutsvakurudza kwakaongororwa SIBO mumapoka evanhu vane matambudziko ehutano chaiwo, kubata SIBO yakabudirira mukuderedza zviratidzo zvayo.
Kurapa
Kubva ikozvino, kunyanya kurapwa kweSIBO ndiko kushandiswa kwemishonga inorwisa mabhakitiriya isingasviki pamwero wemudumbu uye saka inoshanda zvakananga pamabhakitiriya mukati memukomana muduku. Zvinogona kutora mapurogiramu maviri emavhiki maviri emishonga SIBO isati yabviswa. Kana wapedza kutora mishonga, chiremba wako anokurudzira kuti uite zvakaderera-FODMAP yezvokudya kuti udzivise kudzokorora kweSIBO.
Vamwe masayendisiti ari kuongorora kubudirira kwekushandiswa kwezvokudya zvepakutanga mukutaura SIBO. Izvi zvinosanganisira kuva pane kudya kwakachena, kunwa chimiro chakasiyana chekudya. Zvisinei, sezvo ichi chikafu chakaoma kuchengetedza, kunyange chekukurudzirwa kwevhiki mbiri, iyi inenge isingashandiswi kurapa nzira.
Shoko Rinobva
Pasinei nekuwedzera kwekutsvaga kwekutsvakurudza, SIBO inoramba isingazivikanwi uye inosangana nebulous diagnosis. Zvakakosha kuziva kuti panguva ino, kunzwisisa kwedu kukosha kwayo, kuedza, uye kurapwa kwakanyanya kure.
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