Kuduku kwebhakitiriya yebhakitiriya yakawanda (SIBO) chirwere chehutano umo mune zvakawanda zvakanyanya zvegate mabhakitiriya aripo mumucheche muduku. Pane imwe nguva kufungidzirwa kuti inenge isingawanzoitiki, kutsvakurudza kwakabuda kune dzimwe nyika kunoratidza kuti haina kunyatsozivikanwa nechiremba.
Izvo zvinogona kunge zvisingazivikanwi ndezvomunhu anotsamwisa bowel syndrome (IBS), apo chaizvoizvo dambudziko rechokwadi iSIBO.
Chimwe chiitiko ndechokureva kuti zviratidzo zvinokonzerwa neSIBO kune chirwere chepakutanga chinokonzera kukura kana kugadziriswa kweSIBO, apo SIBO iripo chaiye pamwe chete nechirwere ichocho.
Kusiyanisa SIBO kubva kuBS uye mamwe mamiriro ezvinhu ehutano kwakaoma. SIBO inogovera zviratidzo zvayo nezvimwe zvinetso uye hazvipi nehumwe zviratidzo zvayo zvakasiyana. Kunyange zvazvo kuongororwa kunowirirana zvakasiyana-siyana kubva kune zvidzidzo zvekutsvakurudza, SIBO yakawanikwa iripo mune imwe nhamba yakashamisa yevanhu vakaonekwa kuti vane IBS. Zvinoshamisa kuti kuwanda kwehuwandu hwehuwandu hweSIBO hwakawanikwawo kune vanhu vakwegura, vanhu vane chirwere chechiliac vane zviratidzo zvisingabviswi nemafuta asina kudya, uye vanhu vane chirwere chechiropa .
Nokuti SIBO inogona kuwedzera zviratidzo kubva pane zvinyoro (kubata pamuviri), kusvika kune zvakanyanya (kusakwana kwezvokudya), zvinokosha kuti kuvapo kwayo kuve kuonekwa.
Muchidimbu ichi, iwe uchadzidza pamusoro pezviratidzo zvekutanga uye zviratidzo zveSIBO. Kana iwe uchifungidzira kuti SIBO inogona kunge iri shure kwezviratidzo zvako, unofanirwa kuunza zvinetso zvako kune chiremba wako kuti uongorore zvakanaka uye kurapwa.
Zviratidzo zveSIBO
Zviratidzo zveSIBO zvinogona kusiyana kubva kune mumwe munhu kune imwe.
Uye sezvamunoona, zviratidzo zvaro zvakawanda zvakafanana (kana zvisingafani) kune izvo zveBS:
- Abdominal bloating
- Abdominal distension (inowedzera kuipa sezvo zuva richienderera mberi)
- Marwadzo emudumbu
- Kuramba kwezuva, dzimwe nguva nekukurumidza
- Kuwedzerwa mumatumbo gasi
- Nausea
- Njodzi dzomumhepo
Kuti uwedzere kudha mvura iyo kana iri kuuya kuSIBO kune chokwadi chokuti zviratidzo zvayo uye zviratidzo zvinogona kusiyana maererano nemhando dzakasiyana dzebhakitiriya dziripo mudumbu duku.
Ungadzive Sei Kana Iyo Isisiri IBS?
Kunyange zvazvo zviratidzo zvematambudziko maviri zvakafanana, pane zvimwe zvakasiyana. Chimwe chiratidzo chingaita kuti dambudziko ringangodaro riri SIBO kusiyana neBS nderipi kana kubvongodza kwako kunotanga mukati memaminitsi makumi mapfumbamwe mushure mokudya chimwe chinhu. Kufunga apa ndiko kuti zvinotora anenge 90 maminiti kuti zvokudya zviwane kusvika mumukumbo mukuru. Saka kana kuputika kuchiitika musati maminetsi makumi mapfumbamwe, zvinogona kuratidza kuti mabhakitiriya mukati memukati maduku ane mutoro.
Kuneta, kushaya simba, uye kuora kurasikirwa zviratidzo zvezviitiko zvakaoma zveSIBO izvo zvisingawanzozivikanwa nevanhu vane IBS.
Yakanyanya SIBO uye Kushayikwa Kwezvokudya
Mune dzimwe nharaunda dzakanyanya uye dzakaoma, SIBO inogona kukonzera zvinetso nehuwandu hwevhithamini nemamwe mishonga inokonzera kukanganisa kwekudya.
Malabsorption inogona kuitika apo SIBO inokonzera kukanganisa kwechidiki kune villi inopinza masvingo emukomana muduku . Kukanganisa kwezvokudya kunogona kutungamirira kune zvinetso zvehutano zvakakosha, saka zvinokosha kuti SIBO, kana iripo, ionekwe uye inorapwa. Kana wakambosangana nekurasikirwa kwekureruka kwemajeri pamwe nemukati mazviratidzo, zvinokosha kuti iwe uunze zviratidzo zvako kune chiremba wako kuti uwane hutano hwakanaka uye chirongwa chekurapa.
Heano zvimwe zvekushaya kwekudya izvo zvakambobatanidzwa nekuvapo kweSIBO.
Carbohydrate malabsorption: Kune nzira dzakawanda dzinogona kuitika umo SIBO inogona kukonzera malabsorption yemakhahydrates.
Chokutanga ndechekuti SIBO inogona kukonzera kudya kwenguva isati yasvika yemakhahydrates nemabhakitiriya anowanikwa mudumbu duku. SIBO inofungidzirwa kuti inokonzera kusagadzikana mumakemikari anokonzera kuputsa makhahydrates kuti awane muropa nekuda kwekukuvara muvillioni. Uye pakupedzisira, vanhu vane SIBO vanogonawo kuvhara kudya kwavo kweglupuhydrate mukuedza kudzivisa kubvongodza, chirwere, nemamwe zviratidzo.
Maprotini malabsorption: Kuparara kwevillioni kubva kuSIBO kunogona kukonzera kuti kuderedzwa kwemukati mutsva kunakire mapuroteni mumuviri.
Fat malabsoption : Fat malabsorption inokonzerwa neSIBO inofungidzirwa kuti inoitika nokuti mabhakitiriya anowanikwa mumucheche muduku anobvisa bile acids iyo inokonzera kuparara uye kudira mafuta. Izvozvo zvakaputsika bile acids zvino inofungidzirwa kuti inowanikwa mukati memucheto muduku (jejunum) panzvimbo pechikamu chekupedzisira chemukati madiki (the ileum) iyo iyo mavhithamini anogadzirisa mafuta, zvakadai sevitamini A, D , E, uye K, kazhinji vaizobatwa.
Fat malabsorption ndiyo inonyanya kunetseka sezvo inogona kukonzera kukanganisa kwevhithamini idzi. Nenzira yakajeka, tsvakurudzo yakaratidza kuti muzviitiko zvisingawanzoitiki zvirwere zvinokura zvichibva pakukanganisa uku.
Fat malabsorption inowanzova nechiratidzo chekujekesa chiri pachena kuti inogona kukonzera kusvetuka . Zvigadziko zvinogonawo kutarisa mafuta uye zvinogona kunyanya kunhuwa.
Vitamin B-12 inoshaya : Kuvapo kweSIBO kunosimudza mumwe mukana wekushayikwa kweB-12 nokuti mabhakitiriya ari mudumbu maduku anoshandisa vitamini pachavo, uye naizvozvo vitamini haisipo mumuviri wako kuti uwane. Kushaya kwakadaro kunogona kukonzera kukanganisa kweuropathy. Inogonawo kukonzera megaloblastic anemia (yakawedzerwa masero matsvuku eropa) kana normocytic anemia (pasi tsvuku tsvuku yeropa).
Kushayiwa kwesimbi : SIBO inogonawo kukonzera chirwere chemahyamu nekuda kwekushaya simba kwesimbi. Inotungidzirwa kuti iron haina kunyanya kunyatsokonzerwa nekuda kwekukuvadza kwakaitwa nemaabhakitiri anouya ku villi mukati memukati kaduku.
Vitamin D kukwana : Kuvapo kweSIBO kwave kuchibatanidzwa nehuwandu hwehutachiona hwehutano. Iyi kushamwaridzana inofungidzirwa kuti ndeye chikonzero cheSIBO-chakakonzerwa nehuwandu hwe vitamini D.
Zvimwe mavitamini kukanganisa: Pakave nenyaya dzevanhu vanoona vitamin E yekushaya simba syndromes uye imwe nyaya yenyaya yemunhu akawana upofu hweusiku kubva kushayikwa kwevhitamin A kuvepo pamberi peSIBO.
Utano Mamiriro Ezvo Anowedzera Ngozi Yako yeSIBO
Kubva kutsvaga tsvakurudzo kwakaona zvirwere zvakasiyana-siyana zvinogona kuvapo pamwe neSIBO . Iyi huripo-huri hurumende inogona kuva nokuti chirwere pachacho chinomisa mamiriro ezvinhu eSIBO kukura. Kana uine chimwe chezvinhu zvinotevera uye zviratidzo zvako zvave zvichiramba zvichiwedzera pasinei nekurapwa, ungada kutaura nachiremba wako nezvekuedza kwako SIBO:
- Chirwere cheCeliac (pasinei nekuchengetedza kudya kwe-gluten)
- Chronic pancreatitis
- Chirwere cheCrohn
- Chirwere cheshuga
- Scleroderma
Zvaunofanira Kuita Kana Iwe Unotya SIBO
Kana ruzivo rwawakamboverenga pano nhasi rwakaita kuti ufunge kuti zvichida SIBO iri kutamba chikamu muzviratidzo zvako, unofanirwa kuronga hurongwa hwokutaura nachiremba wako pamusoro penyaya.
SIBO inowanikwa kuburikidza nekushandiswa kwekufema mweya kana kuti kuburikidza nebiopsy yakatorwa munguva ye endoscopy. Kunyange zvazvo kufema kuedza kusinganzwisisiki, kune zvimwe zvinetso maererano nehutano hwayo mumashoko ekunyatsoziva kuvepo kana kusavapo kweSIBO.
Kana SIBO inowanika kuvapo, chiremba wako achashanda newe pane chirongwa chekurapa . Kana pane chirwere chakakonzerwa nechigadziro cheSIBO kukura, kutarisa chirwere ichocho chichava chinonyanya kutarisa. Kune dzimwe nguva, kuedzwa kwemishonga inorwisa mabhakitiriya inotarisirwa kubvisa mabhakitiriya mukati memukati maduku kunogona kubvumirwa. Chiremba wako anogonawo kuongorora uye kukurudzira kupindira kwehupi huripo hwema vitamini.
> Sources:
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