Kunyange zvazvo rutivi rwemudumbu rwebhakitiriya rinoputika (SIBO) mukutsamwa kwechirwere chirwere (IBS) hachiri pachena zvachose, vanachiremba vanowanzoona SIBO muvarwere vavo veBS, pamwe nekupa mishonga yechirwere chemishonga inorwisa mabhakitiriya. Ichi chinyorwa chinopindura mibvunzo inowanzobatwa nevarwere veBS pamusoro peSIBO.
1. Chii chinonzi SIBO?
SIBO inotsanangurwa nechepamusoro bhakitiri bhakitiriya.
Muhutano hwehutano hwakanaka, huwandu hwegomba mabhakitiriya akawanikwa mukati memukati maduku yakadzika kwazvo. SIBO inorapwa kana pane zvakawanda zvinowedzera mabhakitiriya mukati memukati maduku. SIBO inowanzova mugumisiro wemamwe maitiro asina kufanana kana chirwere chekudya. Munguva pfupi yapfuura, SIBO yakave yakarongerwa kuti inogona kuita chikonzero chezviratidzo zveBS kune vamwe varwere veBS.
2. Ndingaziva sei kana IBS yangu iri chaizvo SIBO?
Zvakawanda zvezviratidzo zveSIBO zvakafanana neyaBS:
- Marwadzo emudumbu
- Bloating
- Kusiyana
- Diarrhea
- Flatulence
Vamwe varwere veSIBO vanoonawo kukurumidza kurwara , fecal incontinence , uye / kana kushungurudzika. Kunyange zvazvo SIBO ichionekwa kakawanda mune varwere vane IBS-D , SIBO inogona kuonekwa kune varwere vane IBS-C .
3. SIBO inowanikwa sei?
Kunyange zvazvo pane mibvunzo pamusoro pechiratidzo chayo, maitiro akawanda eSIBO anowanikwa kuburikidza nekushandiswa kwe hydrogen (kana methane) kufema kufema . Iwe uchabvunzwa kunwa shuga remhinduro uye zvakare kupa mienzaniso yekufema kwako panguva dzakasiyana-siyana.
Kana hydrogen kana methane ichionekwa mukati memaminitsi 90, SIBO ichaonekwa. Nguva yakareba inokosha - sezvo inowanzotora maawa maviri kuti sarudzo yegadziriswe yekuita nzira yayo kumatumbo makuru, chero upi noupi hukwira mumaji aya isati yasvika iyo inoratidza kuti shuga yakaitwa nemaabhakitiriya mukati memukomana muduku.
Mune vanhu vane SIBO, hydrogen mumhepo inowanzobatanidzwa neBS-D, apo methane inogona kubudiswa nevanhu vane IBS-C.
SIBO inogona kunyatsojekeswa kuburikidza nokushandiswa kwemuenzaniso unotorwa wakananga kubva pamucheto wako muduku kuburikidza nekushandiswa kwekupedzisira .
4. Ndinofanira kuongororwa SIBO here?
Iwe unofanirwa kutaura nechiremba wako pamusoro pehutano hwaunayo SIBO uye kuti uone kana iwe uchifanira kuongororwa nemweya. Zvimwe zviratidzo zvinoratidza kuti SIBO inogona kuita basa muzviratidzo zveBS zvinosanganisira:
- Iwe unowana gesi uye kuputika mukati memaminitsi 90 mushure mekudya.
- Mimba yako inowedzera kuwedzerwa sezvo zuva rako richienderera mberi.
- Iwe wakaona kuvandudzwa muzviratidzo zvako zveBS kana watora ma antibiotics munguva yakapfuura.
5. SIBO inobatwa sei?
Kana chiremba wako akawana kuti iwe une SIBO, maitiro ekutanga ekurapwa ndiko kushandiswa kweimwe rudzi rwemishonga inorwisa mabhakitiriya (ona, " Mishonga inorwisa mabhakitiriya yeBS "). Mhando yemishonga inorwisa mabhakitiriya yakasarudzwa kuitira kurapwa kweSIBO ndeye isingaiti mudumbu uye naizvozvo inoita nzira yayo kumucheche muduku umo inokwanisa kubvisa mabhakitiriya ose anowanikwa ikoko. Kunyange zvazvo mishonga inorwisa mabhakitiriya yakaratidzwa kuti inoshanda, haisati yabvumirwa neDAA kuti ishandiswe muBS.
Zvakakoshawo kuziva kuti SIBO inogonazve kuitika kunyange mushure mokunge mave nekubudirira kurapwa pakutanga.
6. Kana ndine SIBO, izvi zvinoreva here kuti handina IBS?
Kana iwe uine chirwere cheSIBO, zvinoreva kuti chiremba wako angangodaro akacherechedza chinokonzera zviratidzo zvako zveBS. Nekubudirira kurapwa, unofanirwa kuwana ruzivo kubva kune dzakawanda zvezviratidzo zveBS.
7. SIBO yakakomba sei?
Kunyangwe mune mamwe maitiro akaoma, SIBO inogona kutungamirira kuzviratidzo zvakakomba zvine chokuita nekushaya kukwana kwezvokudya, izvi hazvirevi kuti ndezvipi kuvarwere veBS vane SIBO. Kazhinji, SIBO inotungamirira kuchiratidzo chisingafadzi uye chisingadiwi asi haisi mungozi kuhutano hwako hwose, uye haitungamiri kune dzimwe zvirwere.
SIBO haisi kupfupisa hupenyu hwako.
8. Kana ndikatora mishonga inorwisa mabhakitiriya, zvandinoda kudya zvekudya zvichapera here?
Zvichida. Kana SIBO inokonzera zviratidzo zvako zvekudya uye kwete kushushikana kwezvokudya , ipapo pane mukanano wakanaka kuti kupedza mabhakitiriya mumudumbu muduku kuburikidza nokushandiswa kwemishonga inorwisa mabhakitiriya kunogona kukubvumira kudya zvimwe zvekudya izvo zvakamboita kuti zvive zvokudya zvako. Kune rumwe rutivi, zvinokwanisika kuva nekunzwisiswa kune zvimwe zvokudya zvinoparadzaniswa nezvinoitwa bhakitiriya mukati memukati maduku. Kana wati wapedza maitiro ako emishonga inorwisa mabhakitiriya, unogona kuzvidzora nezvokudya zvinotambudza kuti uone kuti unonzwa sei. Zano iri rinongoratidzika nekunzwa kwezvokudya; usambopikisa zvokudya izvo zvinozivikanwa zvekudya zvinokonzera iwe.
9. Ndinofanira kudyei nokuda kweSIBO?
Zvinoshamisa kuti pane ruzivo rwakanyanya ruzhinji rwunowanikwa kune izvo munhu anofanira kunge achidya panguva yekurapa maantibioti uye kupfuura. Pane zvimwe zvinoratidza kuti zvakanakisisa kudya kudya kwemazuva ose, nehuwandu hwemagidhahydrates, panguva yekutora mishonga inorwisa mabhakitiriya kuitira kuti kune mabhakiteriya akawanda anowanikwa kuti mishonga inorwisa mabhakitiriya iite. Izvo zvave zvataurwawo kuti kutevera zvokudya zvakaderera-FODMAP kana SIBO ichinge yabviswa ingabatsira pamagariro ekuderedza dambudziko rekudzoka.
Chimwe chinhu chinokosha chebasa rekudya muSIBO rine chokuita nenguva yekudya. Izvi zvinokonzerwa nebasa remukati mutsva we "tsvina yekuchenesa," chinhu chinoitika pakati pezvokudya. Sezvimwe chikamu chekuita kwehutano hwakanaka, hutumbu hunovhara musikana muduku, nguva nenguva unodurura musana muduku wezviri mukati. SIBO nyanzvi yeBS inoratidza kuti kuora mwoyo kweganda rinonatswa kunokonzera kupararira kwebhakitiriya mukati memukomana muduku. Uku kuora mwoyo kwebasa rekutsvaira kwakagadziridzwa kuti kunokonzerwa nekuderera kwechiito chemisungo nekuda kwemagariro ezvepfungwa kana chikonzero chekukuvadza kumisungo kubva kune gastroenteritis . Kuti uwedzere kupora kwako kubva kuSIBO, zvinoratidzirwa kuti uzvidzivirire kune zvikafu zvitatu pazuva, kupa hutano hwakanaka hwehupenyu hwekunatswa kwemavara kuti hushande.
10. Ko mapurobioti anogona kubatsira SIBO here?
Tsvakurudzo yazvino kushandiswa kweprobiotics yeSIBO inogumira uye haisati yakaratidza pachena-cut cut. Zvingave zvakanakisisa kudzivisa kutora probiotic supplement kusvikira wapedza nguva yako yemishonga inorwisa mabhakitiriya. Chiremba wako ari munzvimbo yakanakisisa yekukurudzira iwe kana kuti iwe haufaniri kutora probiotic supplement.
Sources:
Bohm, M. Siwiec, R. & Wo, J. "Kuziva uye Kutungamira Kwechidiki Chekuita Bhakitiriya Kuwedzerwa Kwezvokudya Muzvipatara Zvidzidzo 2013 28: 289-299.
Dukowicz, A., Lacy, B. & Levine, G. "Kuwedzera kweBhakiteriya Kwemakumbo: Kuongorora Kwakakwana" Gastroenterology & Hepatology 2007 3: 112-122.
Pimentel, M. " A New IBS Solution " Health Point Press 2006.