A bɛ se ka kɛ ko a bɛ mɔgɔ kabakoya dɔɔnin ka miiri ko mɔgɔ wɛrɛ ka nɔgɔ bɛ kɛ ka mɔgɔ wɛrɛ ka bana furakɛ, tiɲɛ tɛ? Nka nin ye furakɛli fɛɛrɛ ɲumanba ye min bɛ kɛ furakɛli la bana jugu dɔw la. Bi an bɛna kuma nin furakɛli fɛɛrɛ kabakoma in kan, nka a nafa ka bon kosɛbɛ, n’o bɛ wele ko nɔgɔbanakisɛ cili (FMT).
Nɔgɔ cili ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, o ye ka mɔgɔ kɛnɛman dɔ ka banakɔtaa dɔɔni ta k’a don bana dɔ bɛ mɔgɔ min na, o ka kɔnɔbara la. O bɛ se ka kɛ ko a man di. Nka banakisɛfagalan nafama miliyɔn caman bɛ sɔrɔ banakɔtaa kɛnɛman na (microbiota). Ni o fɛnɲɛnama misɛnniw donna kolotuguda bananen na, u bɛ se ka kabakow kɛ walasa k’a kɛnɛya segin a cogo kɔrɔ la.
Sisan, dɔgɔtɔrɔw fanba bɛ nin furakɛli in fɔ ka kɛ banakisɛfagalan jugumanw furakɛli ye banakɔtaa la. Nin jiginni in bɛ banakisɛ ɲuman caman ci walasa ka banakisɛ juguw kɛlɛ, banakɔtaa minnu bɛ bana bila banakɔtaa bananenw na. Ni o banakisɛ ɲumanw banna, banakisɛfagalanw (gut microbiome) balansi bɛ segin an banakɔtaa kɔnɔ.
O bɛ baara kɛ cogo di? Mun bɛ kɛ an kɔnɔbara kɔnɔ?
Aw ye miiri aw kɔnɔbara la iko nakɔ cɛɲi. Nin nakɔ in kɔnɔ, jiri ɲumanw (banakisɛ ɲumanw) bɛ yen an mago bɛ minnu na, ani jiri juguw (banakisɛ juguw). Ni fɛn bɛɛ bɛ balansi la, nakɔ in cɛ ka ɲi, o kɔrɔ ye ko an kɛnɛyara.
Nka an bɛ fura minnu ta, kɛrɛnkɛrɛnnenya la banakisɛfagalanw, bana dɔw, ani fɛn wɛrɛw bɛ se ka nakɔ in kɔnɔ jiri ɲuman caman faga. Mun bɛ kɛ o tuma na? Binjuguw walima banakisɛ juguw bɛ nakɔ bɛɛ minɛ ka jɛnsɛn joona. O tuma de la an kɔnɔbara bɛ kɛ balanbaliya ye ani an bɛ bana.
Nɔgɔ cili bɛ i n’a fɔ ka nakɔ dɔ sɛnɛ kokura, binjuguw falen don min na, ka na ni jiri kɛnɛman ba caman ye (banakisɛ ɲumanw). Nin banakisɛ ɲuman kura ninnu bɛ ɲɔgɔn sɔrɔ ni banakisɛ juguw ye, u bɛ u kɔlɔsi, ka balansi kɛnɛman segin kɔnɔbara la.
Nin furakɛli in bɛ kɛ bana sugu jumɛnw de kama?
Sisan, nin furakɛli fɛɛrɛ in bɛ ɲɛ kosɛbɛ, wa a jirala ko a bɛ C. difficile banakisɛ segin-segin (CDI) furakɛ, o ye banakɔtaa banakisɛ suguya dɔ ye min bɛ sɔrɔ banakisɛ C. difficile fɛ, min kunbɛnni ka gɛlɛn hali ni banakisɛfagalanw ye.Tuma dɔw la, ni banakisɛfagalanw ma se ka nin bana in kunbɛn, nɔgɔ cili bɛ ɲɛ sɔrɔ cogo kabakoma na.
Nka, dɔgɔtɔrɔw ni dɔnnikɛlaw dalen b’a la ko nin furakɛli fɛɛrɛ in bɛ se ka nafa sɔrɔ bana caman wɛrɛw la. Sabula fɛnɲɛnama misɛnnin minnu bɛ an banakɔtaa la, olu tɛ nɔba bila an ka dumunikɛcogo dɔrɔn na, nka u bɛ nɔba bila an ka farikoloɲɛnajɛ ni farikolo tangacogo fana na. O la, ɲininiw bɛ senna walasa k’a dɔn n’a bɛ se ka bana caman wɛrɛw furakɛ.
| Bana wɛrɛ minnu na Fecal Transplant furakɛli bɛ ka ɲinini kɛ | |
|---|---|
| Dumunikɛcogo banaw | - Banakɔtaa min bɛ mɔgɔ funu (IBD) . - ``Banakɔtaa jugumanba (IBS)''. |
| Farikoloɲɛnajɛ banaw | - Bonyakojugu - Sugunɛbana - Jabɛti |
| Ko wɛrɛw | - Dumunikɛbaliya - ``Autisme spectre disorder (ASD)''. - Jɔrɔ ni degun - `Sklerose multiple (MS)` |
Nɔgɔ bɔli bɛ kɛ cogo di? Fɛɛrɛ jumɛnw bɛ yen?
Fɛɛrɛ caman bɛ yen walasa ka nin banakɔtaa kɛnɛman in don banabagatɔ ka kɔnɔbara la. Aw ka dɔgɔtɔrɔ bɛna fɛɛrɛ sugandi min bɛ bɛn aw ka ko ma kosɛbɛ.
| Furakɛli kɛcogo | Ɲɛfɔli nɔgɔman |
|---|---|
| Kolonkɔni (kolonoscopie). | Tubabu finman min bɛ ni kamera ye (kolonɔskɔpi) bɛ don kɔnɔbara la ka tɛmɛ banakɔtaa belebele fɛ. Nin tubabufura in fɛ, banakɔtaa ji bɛ se ka pikiri kɛ banakɔtaa la. Nin ye fɛɛrɛ ye min bɛ kɛ ka caya ani min bɛ ɲɛ sɔrɔ. |
| Endoscopie supérieure (Endoscopie supérieure) ye | Tubabu (endoscope) bɛ don kɔnɔbara walima banakɔtaa fitini kɔnɔ da walima nugu fɛ. Nka, o fɛɛrɛ in tɛ ɲɛ kosɛbɛ barisa banakisɛ misɛnniw ka kan ka taama jan kɛ banakɔtaa fitini kɔnɔ sani u ka se banakɔtaa la. |
| Enɛma (Enema) ye | Nɔgɔji bɛ don tubabufura fitini dɔ fɛ min bɛ don kɔnɔbara la. O fɛɛrɛ in bɛ ɲɛ ka tɛmɛ barisa banakisɛ misɛnniw bɛ taa banakɔtaa la. FDA ye fura fɔlɔ min dabɔ Ameriki, n’o ye Fecal Transplant ye, o bɛ di o cogo la. |
| Kapisi dawolo la | Nin ye fɛɛrɛ kura ye min ka nɔgɔn. Aw bɛ furakisɛw munumunu, nɔgɔmugu jalenw ni nɛnɛma bɛ minnu na ni ji ye. Nin furakisɛ ninnu dabɔra walasa u kana wuli fo ka se banakɔtaa ma. |
Aw bɛ banakɔtaa sɔrɔ min furakɛli in kama?
O kama, nɔgɔ bɛ lajɛ ka bɔ bolomafaraw la minnu kɛnɛman don kosɛbɛ (donbagaw) . Sani u ka mɔgɔ dɔ sugandi ka kɛ dɛmɛbaga ye, u bɛ furakɛli sɛgɛsɛgɛliw kɛ minnu ka gɛlɛn kosɛbɛ. U b’a lajɛ ko banakisɛfagalan walima banatumu si tɛ o tigi ka banakɔtaa la 100%.
Nɔgɔjibɔlen kɔfɛ, a bɛ ci laboratuwari la, ka a saniya, ka a ɲagami ji la i n’a fɔ kɔgɔ, ka a sama, ka a kɛ ji ye. Tuma dɔw la, o bɛ kɛ nɛnɛ na walasa ka kɛ kɔfɛ, walima ka a ja ka kɛ furakisɛw ye.
Jɔn tɛ se ka kɛ banakɔtaa dibaga ye?
O bɛna hakilina di aw ma sɛgɛsɛgɛli hakɛ min bɛ kɛ sani mɔgɔ ka banakɔtaa ka don mɔgɔ wɛrɛ la. Nin cogoya ninnu bɛ mɔgɔ si tɛna sugandi ka kɛ dɛmɛbaga ye.
- Ni aw ye banakisɛfagalanw ta kɔsa in na.
- Ni banakisɛfagalan faratilen wɛrɛw bɛ yen i n’a fɔ `E. coli`.
- Ni banakisɛw bɛ aw la i n’a fɔ sugunɛbilenni, sidabana, walima COVID-19.
- Ni parazitiw bɛ banakɔtaa la.
- Ni aw bɛ dɔrɔgu ta.
- Ni banakɔtaa funubana (IBD) walima farikolo tangalanw bɛ aw la.
- Ni kansɛri bana bɛ denbaya kɔnɔ mɔgɔ dɔ la.
Nin furakɛli in nafa ni a farati jumɛnw bɛ a la?
Nafaba min bɛ o la
Nin furakɛli in bɛ se ka kɛ 80% fo 95% ka C. diff banakisɛw bali minnu bɛ segin ka na. Nin ye jigiyaba ye nin bana in na, bana min ye fanga dɔgɔya fo hali banakisɛfagalanw ma se k’a kunbɛn.
A kɔlɔlɔw ni farati minnu bɛ a la
Dimi misɛnniw bɛ se ka kɛ tile kelen walima tile fila furakɛli kɔfɛ.
- Kɔnɔboli, kɔnɔboli
- Dusukunnata walima fɔɔnɔ
- Kɔnɔdimi
- Sumaya ni farigan bɛ mɔgɔ dɔw la
A ka ca a la, olu man jugu, wa u bɛ ban tile fila ɲɔgɔn kɔnɔ.
Farati min ka jugu kosɛbɛ , o ye a bɛ se ka kɛ, hali ni a man teli kosɛbɛ, ko banakisɛ jugu dɔ min tun bɛ kɔlɔsi a dibaga farikolo la, o bɛ se ka don a sɔrɔbaga farikolo fanga dɔgɔyalen na, ka banakisɛ bila a la. Nka walasa ka o farati dɔgɔya, dɛmɛbagaw bɛ sɛgɛsɛgɛ kosɛbɛ ani ka banakɔtaa saniya ka ɲɛ kosɛbɛ. O farati ka dɔgɔn kosɛbɛ ni fura minnu dagalen don, minnu bɛ kɛ bi.
Hali ni o furakɛli in bɛ se ka kɛ kabako ye, dɔnniya caman bɛ a kɔfɛ. O ye misali ɲuman ye min b’a jira cogo min na banakisɛ misɛnnin minnu bɛ an farikolo la, olu bɛ se ka nɔ bila an ka kɛnɛya la. Banabagatɔ minnu bɛ C. diff bana na, o ye furakɛli ye min bɛ u ka ɲɛnamaya Changer tiɲɛ na.
Take-Home cikan
- Nɔgɔ cili bɛ se ka kɛ kabako ye, nka u ye furakɛli ye min bɛ se ka kɛ kosɛbɛ bana jugumanw na i n’a fɔ C. diff min bɛ segin ka kɛ.
- O ye ka ‘banakisɛ ɲumanw’ don mɔgɔ kɛnɛman ka nɔgɔ la ka don banabagatɔ banakɔtaa la, ka banakisɛw balansi segin yen.
- Nɔgɔ minnu bɛ kɛ ka furakɛli kɛ, olu bɛ sɛgɛsɛgɛli gɛlɛnba kɛ walasa ka a dɔn ni bana si tɛ u la, o la, aw bɛ aw janto kosɛbɛ lakana siratigɛ la.
- Nin tɛ fɛn ye i bɛ se ka min kɛ so kɔnɔ. Nin ye furakɛli kɛrɛnkɛrɛnnen ye min bɛ kɛ dɔgɔtɔrɔso walima dɔgɔtɔrɔso la dɔgɔtɔrɔw fɛ minnu bɛ se kosɛbɛ.
- Ni aw walima aw dɔnbaga dɔ bɛ banakɔtaa segin-ka-bɔnyew fɛ, banakisɛfagalanw tɛ minnu kunbɛn, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ furakɛlicogo in kan.
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