Iwe iwe kana chiremba wako wakafunga kuti kuongororwa kwemuviri webhakitiriya wepestina (SIBO) sechinotsanangurwa chezvirwere zvako zvepachimara zvisingaperi here? Kuongorora kwakabuda kunoratidza kuti SIBO ndiyo chirwere chisingazivikanwi icho kuvapo kunofanira kuonekwa kana kutongerwa kunze kwevanhu vari kurwara nekuputika uye matambudziko.
Sezvo pane kune marapirwo anowanika kuSIBO, kuziva kuti kuvepo kwayo kunovhura suo rekununurwa kwezviratidzo.
Chiremba wako ane zvinhu zvitatu zvinosarudzwa zvaanogona kukurudzira kwauri kuti uone SIBO. Pano iwe unodzidza zvishoma pamusoro pekusarudza kwega, izvo zvaunoda kuita mushure mekuedzwa kuti uvandudze kururama kwayo, uye chii chaunotarisira kubva pamuedzo pachako.
Ndiani Anofanira Kuedzwa kuSIBO?
Pamusana pekushushikana kwekuti vanhu vakawanda havazivikanwi sevanenge vaine shungu dzechirwere chirwere (IBS), vatsvakurudzi vari kurumbidza kuti ani nani ari kuine zvirwere zvisingaperi zvekucheka, kurwadziwa kwepamuviri, uye chirwere ichifanira kuongororwa SIBO. SIBO inofanirawo kutarisirwa kune ani zvake ari kuratidza zviratidzo zvekushaya simba kwekudya.
SIBO kuongororwa kunorudzirwawo kune ani zvake ari kutambura kuwedzera kwezviratidzo zvehupenyu huno hutano pasinei nekurapa kwakakwana: chronic pancreatitis , Crohn's disease uye scleroderma . Pakupedzisira, SIBO kuongororwa inokurudzirwa kune ani zvake ane chirwere ichi , asi anoramba achiona zviratidzo pasinei nekuchengetedza kwakanaka kune kudya kweguten.
Kufuridza Kuedza
Kuongorora kumapfupa ndiko kuedza kusingaiti kushandiswa kunoshandiswa nenzira yakajeka senzira yekuongorora kana kutonga kunze SIBO. Chiyero chinoshanda nekuedza kuvepo kwehydrojeni kana methane mumhepo pane imwe nguva mushure mekunge munhu anwa mvura ine shuga remhinduro, yakadai seglucose kana lactulose.
Kuvapo kwehydrogen mumhepo yekufema isati yasvika maminitsi 90 inofungidzirwa kuratidzira kuti mabhakitiriya aripo mumucheche muduku sezvo vari kusangana neshuga yakadyiwa uye kubudisa hydrogen kana methane, iyo inobva yanyongedzwa kuburikidza nemweya. Iyi nguva yakatemwa yakavakirwa pachokwadi chokuti inotora maawa maviri ega shuga yakagadzirwa kuti ifike kumatenda emakiteriya aripo mukati memukati makuru, iyo iyo makoloni inofanirwa kuve.
Pasinei nekushandiswa kwaro kwakanyanya, kunetseka pamusoro pehutano hwemhepo yekufema kweSIBO yakasimudzwa. Chimwe chezvinonyanya kunetseka ndechokuti muedzo unobereka zvizhinji zvakawanda zvenhema mitsva, zvikurukuru kune vanhu vanokurumidza kufamba nguva yezvokudya kuburikidza nekugadzirisa chirongwa, kana mhinduro dzisina kururama, zvichida kune vanhu vane gastroparesis (kunonoka kubudisa mudumbu).
Mukuwedzera, hapana chibvumirano pamusoro pemitemo yakanakisisa yekuita chiyero, uye hapana kubvumirana pamusoro pokuti zviyero zvegesi zvinowanikwa mufema zvinoumba chiitiko chekuedza. Asi pasinei nezvipingamupinyi izvi, kuve nyore uye kuchengeteka kwemuedzo ndezvikonzero zvikonzero nei ino ndiyo nzira yakakurumbira yekuedza SIBO.
Nzira Yokugadzirira SIBO Breath Test
Chokutanga pane zvose, iwe uchada kusarudza nzvimbo yekuedza iyo inoedza zvose kuvapo kwehydrogen uye methane. Kana wangoita kudaro, chiremba wako kana nzvimbo yekuongorora pachako pachako ichakupa mirayiridzo yakananga sekuti vanoda kuti iwe ugadzirire sei kuedza. Zvakakosha kuti iwe uite mazano avo zvakanyatsogadzirisa kukodzera kwezviwanikwa zvako. Heano mimwe mirayiridzo inogona kukurudzirwa kwauri:
- Mwedzi umwe usati wapfuura: Usashandise chero mishonga yekuchenesa yekoloni (yakadai yakashandiswa pamberi pekolonoscopy ).
- Mavhiki maviri apfuura: Usatora chero mishonga inorwisa mabhakitiriya kana mapurobioti.
- Rimwe vhiki yapfuura: Usashandise chero mishonga , fiber supplement kana stool softeners .
- Maawa makumi maviri asati apfuura: Dzivisa kudya kwakasimba kweakagidhyidrates uye kudya, kunyanya chingwa chezviyo zvakakwana kana pasasita. Unogona kudya hove yakabikwa kana chika, chingwa chichena kana rizi, mbatata, uye kofi uye tei. Kana uri kutora mishonga kune GERD, kurukura kana iwe usingafaniri kuramba uchitora mishonga mumazuva anotungamirira kusvika kuedza. Kazhinji zvinokurudzirwa kuti urege kushandiswa kwemishonga yeprokinetic, asi kuti iwe unogona kupfuurira nemishonga yePPI.
- 12 maawa asati: Usadya kana kunwa chero chinhu. Izvi zvinosanganisira gum uye candy. Kana iwe uri muputa usasvuta. Usashandisa muviri, sezvo kurovedza muviri kunogona kukanda zvibereko zvekuedza.
Zvaunotarisira Paunenge uchipinda muSIBO Breath Test
Kana muedzo uchitanga, unogona kubvunzwa kushambidza muromo wako ne mouthwash kuti ubvise nzvimbo yeipi mabhakitiriya angave aripo. Iwe uchazobvunzwa kuti upe muenzaniso wokufema wekufema, kazhinji kuburikidza nekuputira bhoron. Iwe uchazobvunzwa kunwa chiduku chemvura ine glucose kana lactulose.
Maminitsi gumi nerimwe nemashanu uchakumbira kuti upe mumwe muenzaniso wokufema kuburikidza nekuputira bhoron. Kana semuenzaniso wewaini ine glucose, unogona kutarisira kuti muedzo upedze kwemaawa maviri. Kana mienzaniso inoshandiswa mvura iri lactulose, unogona kutarisira kuedza kupedza maawa matatu.
Jejunal Aspiration (Muenzaniso Wakatorwa Panguva Yepamusoro Endoscopy)
Zvimwe zvinopesana, asi zvinofungidzirwa zvakanyatsonaka kuti uongorore SIBO kupfuura kufema kufema, ndiyo inonzi "jejunal aspiration." Iyi nzira inoitika panguva yekupedzisira uye inoda kuti mienzaniso yemvura inotorwa kubva pakati nepakati chikamu chemukati mako mudumbu. Muenzaniso wacho unobva wakagadzirwa uye unoongororwa nokuda kwekuvapo kwebhakitiriya.
Jejunal aspiration haiwanzoshandiswa. Kupera kwayo ndeyekuti inodhura, nguva inopedza, uye iyo inowanzoonekwa yakachengeteka, ichiri kutakura njodzi dzakawanda kupfuura kufema mweya. Nzira iyi inewo kukwana kwayo maererano nekunyatsoziva kuvepo kweSIBO.
Izvo zvisina kunaka zvinogona kuitika nokuti kuwedzera kwebhakitiriya kune imwe nzvimbo yakasiyana kubva pane iyo iyo yamuenzaniso yakatorwa (somuenzaniso, zvichienderera mberi mumukomana muduku). Zvimwe zvikonzero zvekutsvaga kwekutsvaga kwekutsvaira zvinosanganisira muenzaniso usingakoshi zvakakwana kana kuti tsika yakashandiswa yaiva imwe umo mamwe mabhakitiriya asingakure.
Chinhu chenhema chinogona kuitika kana samuenzaniso yakasvibiswa nemhaka yebhakitiriya iri mumuromo, pane zvishandiso zvinoshandiswa, kana kuburikidza nehurombo kutonga samuenzaniso. Uye muchiito chechipatara chiito kunze kwekuongorora zvitsvakurudzo, vanachiremba vangangodaro vanogona kutora muenzaniso kubva ku duodenum, chikamu chekutanga chemukati mudumbu, zvakasiyana ne jejunum. Pasinei nezvose izvi zvisingakwanisi, vatsvakurudzi vazhinji vanoona jejunal aspiration se "chiyero chegoridhe" chekuongorora SIBO.
Nzira Yokugadzira Yejjunal Aspiration
Chiremba wako kana nzvimbo yekuongorora ichakupa mirayiridzo yekuti unofanira kuitei kuti ugadzirire chinangwa chekuda. Zvingangodaro kuti mirayiridzo iyo ichafanana nemirairo yekufema mweya. Misiyano bedzi iyo inogona kunge ichitaura kwauri kana iwe une gastroparesis . Muchiitiko ichocho, sezvo zvichigona kukurudzirwa kuti iwe uite zvinodhaka zvemafuta kwemazuva matatu isati yasvika.
Zvaunotarisira Pakupinda muJejunal Aspiration
Chiyero chichaitika kuhofisi yako yechiremba kana pane imwe nzvimbo yekuedza. Kutanga nzira yacho, vatariri vanogona kuiswa mumuviri wako kuitira kuti chiremba wako arambe akatarira nezvesimba rako, kufara kwemwoyo, uye kuwedzera kweropa. An IV ingangove yakatangwa uye iwe uchawana sedation ine simba inokuzorodza iwe, asi ingasakuisa zvachose.
Zvadaro, chirwere chinotyisa chinenge chichitswa pamutsipa wako. Ipapo imwe tsvina inopinza ichaiswa pasi pasi pako. Iwe hauzokwanisi kutaura, asi iwe unenge uchikwanisa kufema. Chiremba wako achazotora samuti yemvura inobva mumutsipa wako muduku uchishandisa catheter inoshuva.
Kana imwe nzira yapera, bhuti richabviswa pamutsipa wako. Kana imwe nguva yapera, unogona kuzorora kwekanguva kubvumira anesthesia kuvhara. Zvakakosha kuziva kuti nokuti nzira inoda kugara, iwe haungabvumirwi kutengesa pamba kumba mushure mokuedzwa.
Nokuda kwezuva rose rekuedzwa iwe unofanira kuchengeta basa rako kusvika padiki. Vamwe vanhu vanotambura nemigumisiro yakaipa yakadai sekusuruvara, kubvisa, kupwanya, kana kuora mukati mehuro. Kana ukawana chero zviratidzo zvakakomba, zvisingaiti, kana zvinoshungurudza (zvakadai sokurutsa kana kukonzera ropa), unofanira kufonera chiremba wako pakarepo.
Kuedza Mishonga
Nzira yakajairika yekuti vanachiremba vaongorore kuvapo kweSIBO ndeyekushandiswa kwemuedzo weSIBO mishonga. Kurudzirwa kwechiratidzo nokukurumidza kwaizoreva kuti SIBO aivepo.
Mishonga inowanzoshandiswa yeSIBO ndeye Xifaxan , iyo inonzi antibiotic. Xifaxan yakasiyana nekuwanda kwemishonga inorwisa mabhakitiriya yaunonyatsoziva sezvo isingapindi muviri mudumbu rako. Pane kudaro, inoshanda munzvimbo yako pane mabhakitiriya ose angave ari mudumbu rako duku.
Kunyange zvazvo sezviripo pasina maitiro ekuisa mari uye nguva, vanachiremba vanogona kusarudza kutevera mazano eDAA ekushandiswa kweXifaxan mukurapa kwehurwere inonyanya kukosha yeBS (IBS-D). Iyi mitemo inorayira kuti mishonga inotorwa kwemavhiki maviri, uye inodzorerwazve imwe imwe kana maviri vhiki.
Sezvo nedzimwe nzira mbiri, pane kukwana ne "chirongwa chekurapa" chinosvika. Kune imwe, sezvaunogona kuona, hapana mazano ekuti ma antibiotics anofanira kuiswa sei. Pano panewo mazano kune izvo zvinonzi zvakanaka kupindura mishonga. Zvose izvi hazvizivikanwe zvinoreva kuti iwe unogona kunge uchitora zvishoma kana zvishoma kudarika mishonga.
Ramangwana reSIBO Kuedza
Vatsvakurudzi vari kushanda pakunzwisisa zviri nani kweSIBO pachavo, uyewo nzira yekuvandudza kushanda kwekuongorora nzira yekuongororwa. Zvinotarisirwa kuti mune ramangwana, vanachiremba vachakwanisa kunyatsoziva kusangana kwaSIBO, kusanganisira kutsanangura kuti ndeapi mabhakitiriya ari kuwedzera musikana muduku wega woga uye kugovera zviratidzo zvavo.
> Kwakabva:
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> Bures J, Cyrany J, Kohoutova D, et al. "Small intestinal bacterial overgrowth syndrome." World Journal of Gastroenterology 2010; 16 (24): 2978-2990.
> Nyaya yekuongorora: madumbu emukaka akawandisa - kupararira, zvipatara zvinowanikwa, zvino uye nekuvandudzira kuongororwa, uye kurapwa " Zvokudya Pharmacology uye Therapeutics 2013; 38 (7): 674-688 .
> Salem A, Roland BC "Kubata Kwebhakitiriya Bhakitiriya (SIBO)" Journal of Gastrointestinal & Digestive System 2014; 4: 225