Ðe nèsena le ɖokuiwò me hã zi geɖe be gas yɔ wò dɔgbo me fũ, wòfu, eye wòfu? Ðe wò dɔgbo vea wò vevie ɣeaɖewoɣi alo meɖea fu na wò le nuɖuɖu vɔ megbea? Ame geɖe bua nusiawo be wonye nusiwo sɔ, abe "gastritis," gake ɣeaɖewoɣi la, lãmesẽkuxi vevi aɖe ate ŋu anɔ megbe na esia si ŋu míeƒoa nu tsoe fũ o, gake míeƒoa nu tso nu geɖe ŋu o. Emae nye nusi míeyɔna be SIBO, si gɔmee nye Small Intestinal Bacterial Overgrowth. Togbɔ be ŋkɔa sesẽ vie hã la, ŋutinyaa le bɔbɔe ŋutɔ. Egbea, míaƒo nu tso esia ŋu eme nakɔ eye míase egɔme.
Kpuie ko la, nukae nye SIBO?
SIBO tsi tre ɖi na "dɔgbo suewo me dɔlékuiwo ƒe tsitsi fũu akpa." Enyo, azɔ mina míagbã esia vie.
Dɔlékui gbogbo aɖewo le mía si le míaƒe nuɖuɖumeŋusẽ me, vevietɔ le dɔgbo gã la me. Esia sɔ ŋutɔ eye wòle lãmesẽ me. Dɔlékui siawo kpena ɖe míaƒe ŋutilã ŋu ŋutɔ. Gake le nɔnɔme aɖe si woyɔna be SIBO me la, dɔlékui siawo (alo dɔlékui ƒomevi bubuwo) dzea tsitsi gɔme wògbɔa eme le míaƒe dɔgbo suea me . Zi geɖe la, dɔgbo suea nyea teƒe si dɔlékui ʋɛ aɖewo koe le. Ne dɔlékuiwo sɔ gbɔ akpa ye kuxiawo dzea egɔme.
Bu eŋu ale. Èɖaa nu le nuɖaƒe eye nèɖea modzaka na amedzrowo le xɔdɔme me. Gbeɖuɖɔgoa le aƒea godo. Gake bu nusi adzɔ ne gbeɖuɖɔgoa va wu enu ɖe dzodoƒea ŋu kpɔ? Dzodoƒe bliboa ƒoa ɖi, eʋẽna lilili, eye màte ŋu awɔ naneke o. Emae nye nusi dzɔna ɖe míaƒe dɔgbo sue si ŋu SIBO le dzi. Dɔlékui siwo wòle be woanɔ dɔgbo gã la me la nɔa dɔgbo suea me eye wodzea nuɖuɖua ɖuɖu gɔme le afima.
Dɔlékuiwo ƒe tsitsi fũ akpa sia naa nuɖuɖu si míeɖuna, vevietɔ carbohydrates , ʋãna eye wònaa gas gbogbo aɖewo dona . Emae nye nusi hea ʋuʋudedi kple gas vɛ. Menye ema ɖeɖeko o, ke boŋ dɔlékui siawo ɖua nunyiame siwo wòle be míaƒe ŋutilã naxɔ, abe vitamin B12 ene hã. Wogblẽa dze siwo le ʋumenugbagbeviɣidɔ me, siwo kpena ɖe ame ŋu wòɖua ami hã. Nusi dona tso nusiawo katã me mlɔebae nye be womeɖua nuɖuɖu nyuie o, nunyiamewo mexɔa ŋutilãa o, eye dzesi madzeameŋu vovovowo dona.
Aleke nàwɔ anya ne SIBO le ŋuwò? Nukawoe nye dzesiawo?
Zi geɖe la, SIBO ƒe dzesiwo ɖia dɔgbo ƒe dɔléle bubuwo, vevietɔ IBS (Irritable Bowel Syndrome) tɔ. Eyata ate ŋu asesẽ ɣeaɖewoɣi be woakpɔ dɔlélea. Gake ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie be nàtsi dzi.
| Dzesi si dzena | Nuɖᴐɖᴐ |
|---|---|
| Ʋuʋudedi | Seselelãme be yeƒe dɔgbo yɔ fũ eye yeƒe lãme yɔ fũ le nuɖuɖu vɔ megbe. Esia ate ŋu adzi ɖe edzi ne ŋkekea le yiyim. |
| Ƒodo ƒe vevesese | Vevesese si le abe ʋuʋudedi ene le dɔgboa me alo dɔgbo ƒe vevesese ko. |
| Gas si sɔ gbɔ akpa (Gas) . | Ya ƒe dodo enuenu alo sese le eɖokui me be gas yɔ yeƒe dɔgboa me. |
| Aɖuɖɔtoe alo Dɔmeɖui | Ðewohĩ aɖuɖɔtoetetedɔ anɔ ame aɖewo ŋu ɣesiaɣi. Ame bubuwo ate ŋu anye dɔmeɖui. Ɣeaɖewoɣi la, wo ame evea siaa ate ŋu aɖɔli wo nɔewo. |
| Xeɖeɖe | Sese le ɖokuiwò me be yeaɖe aɖuɖɔ. |
| Lolo dzi ɖeɖe kpɔtɔ le manyamanya me | Esi nuɖuɖu mexɔa lãme nyuie o ta la, ate ŋu aɖiɖi. |
| Ɖeɖiteameŋu | Ðeɖiteameŋu fũ kple ɖeɖiteameŋu le nunyiame ƒe veve ta. |
Ðe tɔtrɔ aɖe va le aɖuɖɔ me kple SIBOa?
Ẽ, SIBO ate ŋu ana tɔtrɔ aɖewo nava aɖuɖɔ me le ami ƒe dɔmawɔmawɔ nyuie ta.
- Aɖuɖɔ si me ami le alo ʋeʋẽ lilili: Aɖuɖɔ ate ŋu anye ami eye wòaʋẽ sesĩe wu alesi wònɔna ɖaa elabena ami dona le eme ne womeɖu o.
- Aɖuɖɔ si le tsia dzi: Ɣeaɖewoɣi la, aɖuɖɔ te ŋu nɔa tsi me.
- Tɔtrɔ bubuwo:Tɔtrɔwo ate ŋu anɔ anyi abe aɖuɖɔ me tsi wu alesi wònɔna ɖaa, aɖuɖɔtoe si toa eme, eƒe toto le sue abe pɛnsil ene, alo eƒe toto sesĩe abe bɔl ene.
Nukatae míexɔa SIBO? Nukawoe gbɔ wòtsona?
Mɔnu wɔnuku aɖe le míaƒe ŋutilã si be wòakpɔ dɔlékui agbɔsɔsɔme si le míaƒe dɔgbo suea me dzi. Be SIBO nate ŋu awɔ dɔ la, ele be woagblẽ mɔnu siawo dometɔ ɖeka alo esi wu nenema me. Susu geɖewo ate ŋu anɔ esia ta. Mina míama wo ɖe akpa vovovowo me.
| Susu | Nuɖᴐɖᴐ |
|---|---|
| 1. Tɔtrɔ siwo va le atikewo ƒe dɔwɔwɔ me | |
| Dɔgbo me acid si bɔbɔ ɖe anyi | Dɔgbo me acid nye ametakpɔnu si wua dɔlékui siwo womelɔ̃ o siwo va kpe ɖe nuɖuɖu ŋu. Ne acid mesɔ gbɔ o (hypochlorhydria) la, dɔlékuiwo ate ŋu age ɖe dɔgbo suea me bɔbɔe. Esia ateŋu atso H. pylori dɔlékui alo dɔgbo ƒe dɔléle ƒe atikewo abe PPIs ene zazã ɣeyiɣi didi gbɔ. |
| Atike aɖewo | Dɔlékuiwutikewo, atike muamewo, kple atike siwo ɖea dɔgbo me acid zazã enuenu ate ŋu agblẽ dɔlékui nyui kple vɔ̃ siwo le dɔgboa me ƒe dadasɔ me. |
| 2. Tɔtrɔ siwo va le mɔ̃ɖaŋununya ƒe dɔwɔwɔ me | |
| Dɔgbo suewo ƒe dɔmawɔmawɔ nyuie | "Dzadzɛnyenye ƒutsotsoe" aɖe le míaƒe dɔgbowo me si ƒoa nuɖuɖu ƒe gbeɖuɖɔwo kple dɔlékuiwo yia ŋgɔ. Ne ʋuʋu sia medzɔ nyuie o la, dɔlékuiwo ate ŋu atɔ eye woatsi. Nɔnɔmewo abe gastroparesis kple hypothyroidism ene ate ŋu ahe esia vɛ. |
| Dɔgbo suea ƒe wɔwɔme ƒe kuxiwo | Nuwo abe nusiwo léna ɖe ame ŋu le dɔgboa ƒe dɔwɔwɔ ta, mɔxenuwo le dɔgboa me, alo kotoku suewo (diverticulosis) siwo dzɔna ɖe dɔgboa ƒe gli ŋu ate ŋu ana dɔlékuiwo natsi teƒe ɖeka eye woatsi bɔbɔe. |
Nu bubu siwo nana SIBO ƒe afɔkua dzina ɖe edzi
- Tsitsi: Le dzɔdzɔme nu la, dɔgbo me acid kple dɔgbo ƒe ʋuʋu ate ŋu aɖe akpɔtɔ vie ne míele tsitsim.
- Atikewɔwɔ ƒe nɔnɔme bubuwo: Amesiwo ŋu dɔlélewo abe suklidɔ, lupus, celiac dɔléle, Crohn ƒe dɔléle, kple IBS le la le afɔku me be woaxɔ SIBO.
- Dɔlélenutsiŋutete si gbɔdzɔ: Ate ŋu asesẽ na amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ be woaɖu dɔlékuiwo dzi.
Nuɖuɖu kawoe gblẽ na amesi ŋu SIBO le?
Nu vevitɔe nye be menye nuɖuɖu koŋue hea SIBO vɛ o. Gake ne ènya xɔ SIBO ko la, nuɖuɖu siwo nèɖuna ate ŋu ana wò dzesiwo nadzi ɖe edzi alo aɖe wo dzi akpɔtɔ.
Kpuie ko la, nuɖuɖu si dɔlékui siawo siwo womedi o siwo le dɔgbo suea me lɔ̃na wue nye carbohydrates. Ne èna nuɖuɖu siwo wolɔ̃na wu wo la, woatsi geɖe wu, woaɖe gas geɖe wu, eye wò dzesiwo agblẽ ɖe edzi. Eyata ne wole SIBO dam la, dɔlékui siawo "dɔwuame" nye mɔnu ɖeka.
Nuɖuɖu siwo nana dɔlélea ƒe dzesiwo dzina ɖe edzi zi geɖee nye:
- Sukli kple nu viviwo: Sukli ƒomevi ɖesiaɖe, aha viviwo, abolo, bisiklet.
- Atikutsetsewo kple amagbe siwo me starch le: Atikutsetse aɖewo (abe akɔɖu, pears ene), nuwo abe mɔli, mɔli vivi ene.
- Notsi kple nyinotsi nuɖuɖuwo:
- Nukuwo: Nu geɖe abe abolo, pasta, noodles ene.
Esia tae ɖɔktawo gblɔna na amesiwo ŋu SIBO le ɣeaɖewoɣi be woawɔ ɖe nuɖuɖu tɔxɛwo dzi, abe nuɖuɖu si me FODMAP mesɔ gbɔ ɖo o ene .
Nukae adzɔ ne womewɔ atike na SIBO o?
Menye gas si le dɔgboa me koe SIBO nye o. Ne womewɔ atike nɛ o la, ate ŋu ahe kuxi sesẽwo vɛ.
- Nunyuimakpɔɖui: Nunyuimakpɔɖu ate ŋu adzɔ le esi ŋutilã mexɔa ami, protein, kple carbohydrates siwo le nuɖuɖu me nyuie o ta.
- Vitamin ƒe anyimanɔmanɔ: Vitamin B12 ƒe anyimanɔmanɔ koŋ ate ŋu adzɔ. Esia ate ŋu ahe ʋusɔgbɔdɔ kple lãmekawo ƒe kuxiwo vɛ.
- Calcium ƒe anyimanɔmanɔ: Calcium mexɔa lãme nyuie o, si ate ŋu ana ƒumeŋuɖui alo ayiku me kpewo nadze le ɣeyiɣi aɖe megbe.
Eyata SIBO menye dɔléle si wòle be woagblẽ ɖi manɔmee o. Le ɣeyiɣi didi aɖe megbe la, ate ŋu ahe lãmesẽkuxi sesẽwo vɛ.
Aleke ɖɔkta wɔa anya SIBO?
Ne wò ɖɔkta ke ɖi be SIBO le ŋuwò le toɖoɖo wò dzesiwo kple wò atikewɔwɔ ŋutinya me toto vɔ megbe la, dodokpɔ geɖe li woatsɔ aɖo kpe edzi.
- Gbɔgbɔ Dodokpɔ: Esiae nye mɔ vevitɔ kple bɔbɔetɔ kekeake si dzi woato anya SIBO. Le dodokpɔ sia me la, wonaa nunono si me sukli le (lactulose alo glucose) wò eye wobia tso asiwò be nàku ɖe ʋuƒo me le ɣeyiɣi vovovowo me gaƒoƒo geɖe. Wodzidzea haidrodzin kple methane ya ƒe agbɔsɔsɔ le wò gbɔgbɔ me. Ne dɔlékuiwo sɔ gbɔ ɖe dɔgbo suea me akpa la, woaɖu nunono sia si me sukli le eye woawɔ ya eve siawo. Ne ya siawo ƒe agbɔsɔsɔ le wò gbɔgbɔ me sɔ gbɔ wu agbɔsɔsɔ aɖe la, ate ŋu aɖo kpe edzi be SIBO le ŋuwò.
- Dodokpɔ bubuwo:
- Ʋudodokpɔ: Kpɔ nuwo abe vitamin ƒe veve alo ʋusɔgbɔdɔ ene ɖa.
- Aɖuɖɔ dodokpɔ: Kpɔe ɖa be ami si womeɖu o le aɖuɖɔa me hã.
- Nɔnɔmetatawo Dodokpɔwo: Ɣeaɖewoɣi la, woate ŋu awɔ dodokpɔ abe dɔgboa ƒe dɔwɔwɔ ene be woakpɔe ɖa be xɔtuɖoɖo ƒe kuxi aɖe le dɔgboa me hã.
Nukae nye atike siwo wozãna na SIBO?
Ne ɖɔktawo le SIBO dam la, woƒe susu nɔa nu vevi etɔ̃ ŋu.
1. Dɔlékuiwo ƒe tsitsi dzi ɖuɖu: Wowɔa esia koŋ to dɔlékuiwutike tɔxɛ aɖe nana me. Atike siawo wua dɔlékui siwo womelɔ̃ o le dɔgbo suea me.
2. Kuxiwo dada: Ne nunyiame ƒe veve le ŋuwò la, woana vitamin kple mineral kpeɖeŋutɔ wò.
3. Da nusi gbɔ wòtso: Esiae nye nu vevitɔ kekeake. Ele be woake ɖe nusi gbɔ SIBO tsona ŋu ahadae. Ne menye nenema o la, ne dɔlékuiwutikewo na gbɔdzɔe ame hena ɣeyiɣi aɖe gɔ̃ hã la, SIBO ate ŋu atrɔ ava. Le kpɔɖeŋu me, ne dɔgboa meʋãna o la, woate ŋu ana atikewo (nu siwo nana ame ƒe lãme ʋãna) be woakpe ɖe eŋu. Ne xɔtuɖaŋu ƒe kuxi aɖe li la, ate ŋu ahiã be woawɔ dɔ nɛ.
Aleke nàwɔ axe mɔ na SIBO be wòagatrɔ ava o?
Ebɔ be woakpɔ SIBO ƒe dzesiwo woatrɔ ava ɣleti ʋɛ aɖewo le dɔlékuiwutikewo zazã vɔ megbe, eyata esiawo le vevie abe egbɔkpɔnu si anɔ anyi ɣeyiɣi didi ene.
- Da nusi gbɔ wòtso: Ƒo nu kple wò ɖɔkta eye nàyi atike si gbɔ wòtso be SIBO tso la dzi.
- Nuɖuɖu dzi ɖuɖu: Nuɖuɖu si me carbohydrate mesɔ gbɔ ɖo o dzi wɔwɔ ate ŋu akpe ɖe ame ŋu wòaɖu dɔlékuiwo ƒe tsitsi dzi.
- Dɔlékuiwutikewo:Le dɔlékuiwutikewo zazã vɔ megbe la, probiotics ate ŋu akpe ɖe ŋuwò nàgayɔ dɔlékui nyui siwo le wò dɔgboa me. Gake ele be nàƒo nu kple wò ɖɔkta godoo hafi azã wo, elabena le go aɖewo me la, probiotics ate ŋu ana SIBO ƒe dzesiwo nagagblẽ ɖe edzi.
Mlɔeba la, ne dzesi siawo le ŋuwò la, ele vevie ŋutɔ be nàkpɔ ɖɔkta bibi aɖe be woakpɔ dɔlélea nyuie eye menye be nàgbe wo ko be "gastritis" o. SIBO nye dɔléle si woate ŋu ada ne wodae nyuie.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye gas si le dɔgboa me koe SIBO nye o, ke boŋ enye atikewɔwɔ ƒe nɔnɔme si dɔlékuiwo ƒe dzidziɖedzi fũ le dɔgbo suea me hena vɛ.
- Mègaŋe aɖaba ƒu dzesiwo abe ʋuʋudedi enuenu, dɔgbo ƒe vevesese, aɖuɖɔtoe, alo dɔmeɖui dzi o.
- Nu bubu aɖe hã ate ŋu anɔ anyi si gbɔ SIBO tsona (e.g., dɔgbo ƒe ʋuʋu nyuie o, dɔléle bubuwo). Ele vevie be woada nya ma si gbɔ wòtso.
- Dodokpɔ bɔbɔewo abe gbɔgbɔ dodokpɔ ene ate ŋu aɖo kpe edzi nenye be SIBO le ŋuwò.
- Mègada atike na ɖokuiwò alo ano atike siwo womexɔna le atikedzraƒe o. Kpɔ wò ɖɔkta ɣesiaɣi hena aɖaŋuɖoɖo kple atikewɔwɔ nyuitɔ.
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