Iko Kunokonzera Mwoyo Kwako Mishonga Kunokonzera IBS Yako Here?
Zvingaita here kuti mishonga yako yekubata kuve yakakonzera zviratidzo zvako zveBS ? Vatsvakurudzi vari kutarisa ukama huripo pakati pekushandiswa kweproton pump inhibitors (PPIs) uye madumbu emakumbo akawandisa (SIBO). Sezvo SIBO inofungidzirwa kuti ndicho chikonzero chemamwe maitiro eBS , chero hukama huri pakati pevatatu hwakakosha kutarisa.
Chii Chinonzi PPIs?
PPIs imishonga inoshanda kuburikidza nekuderedza chisimbiso chemukati acid.
Izvo zvinorayirwa kuitira kurapwa kwehutano hwakasiyana-siyana, kusanganisira gastroesophageal reflux chirwere (GERD) uye peptic ulcers. Kunyange zvazvo maPPI akawanda achida mishonga, pane zvimwe zviri kupfuura-the-counter. Izvi zvinotevera mienzaniso yePPIs:
- Aciphex
- Dexilent
- Kapidex
- Nexium
- Prevacid
- Prilosec
- Protonix
- Zegerid
Kunyange zvazvo maPPIs anowanzofungidzirwa kuti akachengeteka, anokonzera ngozi shomanana yepineumonia, pamwe chete nehutachiona hwehutachiwana hweC difficile .
Chii SIBO?
SIBO inzvimbo iyo mune zvakawanda zvakakwana zvegate mabhakitiriya mukati memukati maduku . Aya mabhakitiriya anobata ma carbohydrates iwe waunodya, zvichiita kuti kuviriswa nekuputika mukati memukati. Zviratidzo zveSIBO zvinosanganisira:
- Marwadzo emudumbu
- Bloating
- Diarrhea
- Kusiyana
- Flatulence
Kubatana pakati peBIB neSIBO kunoramba kuchikakavadzana. Izvi zvinokonzerwa mune chimwe chikamu, kutambudzika nechinonyatsozivikanwa cheSIBO.
Chimwe chinonyatsojekesa chinogona kuitwa kuburikidza nokutora mhando chaiyo yemaitiro, zvisinei, mukuita, varwere vanowanzoonekwa kuti vari kushandisa hydrogen breath test , zvishoma zvisingasviki, asi zvishoma kudarika. Kunyange zvazvo vamwe vanofungidzira zvakasiyana zvakanyanya maererano nekubatana pakati peBS neSIBO, zvinowanzoitika kuti SIBO inobatanidzwa mundima imwechete yevarwere veBS.
Rimwe dambudziko nderokuti havasi vose vanobvumirana neSIBO iyo chirwere. Vanhu vazhinji vanogona kuva nehupupu hweSIBO pasina zviratidzo. Nokudaro SIBO haisati yakanyatsonzwisiswa uye yakawanda inogona kutaurwa pamusoro payo ndeyekuti inofanirwa kushandiswa pane imwe nguva kuti iongorore zviratidzo zvemunhu.
Tsvakurudzo pamusoro pekubatanidza kunogona kuitika pakati pePII Kushandisa uye SIBO
Dzidziso yokuti PPI inoshandiswa pakuita mukusimudzirwa kweSIBO inobva pakuziva kuti mudumbu asidi chimwe chezvinhu zvinoshanda kudzivirira kuwandisa kwebhakitiriya mumukomana muduku. Nokudaro, kuderera kwemuviri weAIDS kunokonzerwa nekushandiswa kwePPI, asi kushanda kurapa kupisa kwepfungwa nemaronda, zvinogona kunge zvichikonzera matambudziko mumvura mukudya .
Zvechokwadi, tsvakurudzo yakawana kuti kuderera mumudumbu weAIDS kunogona kuwedzera huwandu hwebhakitiriya mudumbu duku. Izvo hazvisi zvakajeka, ndezvokuti kuwedzera uku kunoguma nekuvandudzwa kweSIBO uye zviratidzo zvayo.
Mune imwe chidzidzo, inenge hafu yevarwere vakabata PPIs kwenguva yakareba vakaedzwa zvakanaka kune SIBO. Zviratidzo zvavo zvakaramba zvichiwedzera zvakanyanya kwenguva, uye zviratidzo zvinotanga zvinyorova kwemwedzi mitanhatu yekutanga, asi kuwedzera kusvika pakuenzanisa uye kwakanyanya kwenguva.
Kuvhara uye kubudisa zvirwere ndizvo zvakatanga kuzivikanwa zviratidzo, asi rutivi rwechidiki rwevarwere rwuri kuratidza kuvhiringidzika uye kurwadziwa mumimba.
Muchidzidzo chiduku, vanhu avo vakanga vasina GERD (NERD) isiri iyo uye vasina kuudza chero zviratidzo zvemuviri vakapiwa PPI kwemwedzi mitanhatu. Mushure memavhiki masere ekurapa, inenge hafu yevarwere vakanyunyuta pamusoro pokuputika, asi nhamba shomanana dzichinyunyuta pamusoro pekunyengera, kurwadziwa mumimba, uye kubuda. Mushure memwedzi mitanhatu yekurapa, anenge aine chikamu chechina chevarwere vakaedzwa kuti vawane SIBO nemhepo yekufema, uye anenge chikamu chimwe chechishanu chevarwere vakawana nzira yeBS diagnostic .
Meta-tsanangudzo panyaya iyi yakawanikwa kuti pane uchapupu hwePPI / SIBO inoshandiswa mune zvidzidzo zvakashandisa tsika dzechiedza kuti dziongorore SIBO, asi kwete mune avo vakashandisa mweya yekuedza. Zviri pachena, kutsvakurudza kwakawanda kunodiwa, pamwe nekuwedzera kuwirirana maererano nezvokuti SIBO inowanikwa sei.
The Bottom Line
Kusvikira SIBO inonzwisiswa zviri nani, kana kuti kujekesa kwakajeka kuongororwa kwakagadziridzwa, hazvigoni kugumisa kuti chero upi hwePPI / SIBO / IBS huripo. Kana uchinetseka pamusoro pekubatana pakati pePPI neBBS, kurukurai nyaya nechiremba wenyu.
Sources:
Enzanisa, D., etal. "Migumisiro yenguva refu yePPI kurapa pakubudisa zviratidzo zvemuviri uye SIBO." European Journal of Clinical Investigation 2011 41: 380-386.
Johnson, D. & Oldfield, E. "Zviitiko Zechikamu Zvakataurirana uye Matambudziko Anogara Muproton Pump Inhibitor Kushandisa: Kuparadzira Uchapupu" Clinical Gastroenterology uye Hepatology 2013 11: 458-464.
Tarira, W. & Walter, W. "Proton Pump Inhibitor Kushandisa uye Dambudziko reKudukuka KweBhakiteriya Dzakadzama: Meta-analysis" Clinical Gastroenterology uye Hepatology 2013 11: 483-490.
Lombardo, L., et.al. "Kuwedzerwa Kwakawanda Kwechidiki Chakanyanya Kuwedzera Bhakitiriro MuProteton Pump Inhibitor Therapy" Clinical Gastroenterology uye Hepatology 2010 8: 504-508.
Minocha, A. & Adamec, C. (2011) The Encyclopedia of the Digestive System uye Digestive Disorders (2nd Ed.) New York: Facts on File.