He mea kupanaha paha ke manaʻo e hoʻohana ʻia ana ka ʻōpala o kekahi e mālama i ka maʻi o kekahi, ʻeā? Akā, he ʻano lapaʻau kūpono loa kēia i hoʻohana ʻia i ka lāʻau lapaʻau no kekahi mau maʻi koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻano lapaʻau kupanaha akā koʻikoʻi loa, i kapa ʻia ʻo ka fecal microbiota transplantation (FMT).
He aha ke ʻano o ka hoʻoili ʻana o ka feces?
I ka ʻōlelo maʻalahi, pili kēia i ka lawe ʻana i kahi laʻana liʻiliʻi o ka ʻōpala o ke kanaka olakino a hoʻokomo iā ia i loko o ka colon o kekahi me ke ʻano maʻi. He mea ʻoluʻolu ʻole paha kēia. Akā, aia i loko o kahi laʻana ʻōpala olakino nā miliona o nā microorganisms pono (microbiota). Ke hoʻokomo ʻia kēia mau microorganisms i loko o kahi colon maʻi, hiki iā lākou ke hana i nā mea kupanaha e hoʻihoʻi i kona olakino.
I kēia manawa, ʻōlelo nui nā kauka i kēia lāʻau lapaʻau ma ke ʻano he lāʻau lapaʻau no nā maʻi bacteria koʻikoʻi i loko o nā ʻōpū. Hoʻouna kēia hoʻoili ʻana i kahi nui o nā bacteria maikaʻi e hakakā i nā bacteria ʻino, nā bacteria e hoʻoulu ai i nā maʻi i loko o nā ʻōpū maʻi. Ke pau kēia mau bacteria maikaʻi, hoʻihoʻi ʻia ke kaulike o ka ʻōnaehana microbial (gut microbiome) i loko o ko kākou mau ʻōpū.
Pehea kēia e hana ai? He aha ka mea e hana nei i loko o ko kākou ʻōpū?
E noʻonoʻo i kou ʻōpū e like me kahi māla nani. Ma kēia māla, aia nā mea kanu maikaʻi (bacteria maikaʻi) a mākou e pono ai, a me nā mea kanu maikaʻi ʻole (bacteria maikaʻi ʻole). Inā kaulike nā mea āpau, nani ka māla, ʻo ia hoʻi ke olakino nei mākou.
Akā, ʻo kekahi o nā lāʻau lapaʻau a mākou e lawe nei, ʻoiai nā antibiotics, kekahi mau maʻi, a me nā kumu ʻē aʻe e hiki ke pepehi i nā mea kanu maikaʻi he nui i loko o kēia māla. He aha ka mea e hana ʻia a laila? ʻO nā nāhelehele, a i ʻole nā bacteria ʻino, e lawe ma luna o ka māla holoʻokoʻa a pālahalaha koke. ʻO ia ka manawa e lilo ai ko mākou ʻōpū i mea kaulike ʻole a maʻi mākou.
Ua like ka hoʻoili ʻana o ka ʻōpala me ke kanu hou ʻana i kahi māla i piha i nā nāhelehele, e lawe mai ana i nā tausani o nā mea kanu olakino (bacteria maikaʻi). Hoʻokūkū kēia mau bacteria maikaʻi hou me nā bacteria ʻino, mālama iā lākou, a hoʻihoʻi i kahi kaulike olakino i loko o ka ʻōpū.
He aha ke ʻano o nā maʻi e hoʻohana ʻia ai kēia lāʻau lapaʻau?
I kēia manawa, ʻo kēia ʻano lapaʻau ka mea i hōʻoia ʻia a holomua loa e mālama i ka maʻi C. difficile (CDI) hou, kahi ʻano maʻi ʻōpū i hoʻokumu ʻia e ka bacteria C. difficile, he paʻakikī ke kaohi ʻia me nā antibiotics.I kekahi manawa, ke hiki ʻole i nā antibiotics ke kaohi i kēia maʻi, loaʻa nā hopena holomua kupaianaha i nā hoʻoili fecal.
Eia nō naʻe, manaʻoʻiʻo nā kauka a me nā ʻepekema he hiki ke hoʻohana pono ʻia kēia ʻano lapaʻau no nā maʻi ʻē aʻe he nui. No ka mea, he hopena nui nā microorganism i loko o ko kākou ʻōpū ʻaʻole wale i kā kākou ʻōnaehana hoʻoheheʻe ʻana, akā, i kā kākou metabolism a me ka ʻōnaehana pale. No laila, ke hana ʻia nei ka noiʻi e ʻike inā hiki iā ia ke mālama i nā maʻi ʻē aʻe he nui.
| Nā kūlana ʻē aʻe e noiʻi ʻia nei ka mālama ʻana i ka Fecal Transplant | |
|---|---|
| Nā maʻi o ka ʻōnaehana hoʻoheheʻe | - Maʻi ʻōpū mumū (IBD) - ``ʻO ka maʻi ʻōpū huhū (IBS)`' |
| Nā maʻi metabolic | - Momona - Maʻi akepaʻa - Maʻi diabetes |
| Nā kūlana ʻē aʻe | - Nā maʻi ʻaleka meaʻai - ``Maʻi Autism Spectrum (ASD)`' - Hopohopo a me ke kaumaha - `Māʻihaʻi Nui (MS)` |
Pehea e hana ʻia ai kahi hoʻoili ʻōpala? He aha nā ʻano hana?
Aia kekahi mau ala e hoʻokomo ai i kēia hāpana ʻōpala olakino i loko o ka ʻōpū o ka mea maʻi. E koho kāu kauka i ke ʻano hana kūpono loa no kou kūlana.
| ʻAno lapaʻau | He wehewehe maʻalahi |
|---|---|
| Kolonoskopi | Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (colonoscope) ma o ka anus a hoʻouna ʻia ma ka ʻōpū nui. Ma o kēia ʻōmole, hiki ke hoʻokomo pololei ʻia ka wai o ka ʻōpala i loko o ka ʻōpū. ʻO kēia ke ʻano i hoʻohana pinepine ʻia a kūleʻa hoʻi. |
| Endoscopy luna | Hoʻokomo ʻia kahi paipu (endoscope) i loko o ka ʻōpū a i ʻole ka ʻōpū liʻiliʻi ma o ka waha a i ʻole ka ihu. Eia nō naʻe, ʻaʻole holomua kēia ʻano hana no ka mea pono nā microorganism e hele i kahi lōʻihi ma o ka ʻōpū liʻiliʻi ma mua o ka hiki ʻana i ka ʻōpū nui. |
| ʻEnema | Hoʻokomo ʻia ka wai fecal ma o kahi paipu liʻiliʻi i hoʻokomo ʻia i loko o ka rectum. ʻOi aku ka holomua o kēia ʻano hana no ka mea hele pololei nā microorganism i ka ʻōpū nui. ʻO ka huahana mua i ʻāpono ʻia e ka FDA ma ʻAmelika Hui Pū ʻIa, ʻo Fecal Transplant, ua hāʻawi ʻia ma kēia ʻano. |
| Kapule waha | ʻO kēia ke ʻano hana hou loa a maʻalahi hoʻi. ʻOe ke ale i nā pila i loaʻa nā microorganism fecal maloʻo a paʻahau me ka wai. Ua hoʻolālā ʻia kēia mau pila e noho paʻa ʻole a hiki i ko lākou hiki ʻana i ka ʻōpū nui. |
Ma hea ʻoe e loaʻa ai ka ʻōpala no kēia lāʻau lapaʻau?
No kēia kumu, hōʻiliʻili ʻia ka ʻōpala mai nā mea manawaleʻa olakino loa (nā mea hāʻawi) . Ma mua o ke koho ʻana i kekahi ma ke ʻano he mea hāʻawi, hana lākou i kahi moʻo o nā hoʻokolohua lapaʻau koʻikoʻi loa. Hōʻoia lākou ʻaʻohe 100% o nā mea maʻi a i ʻole nā huakini maʻi i loko o ka ʻōpala o kēlā kanaka.
Ma hope o ka hōʻiliʻili ʻia ʻana o ka hāpana ʻōpala, hoʻouna ʻia i kahi keʻena hoʻokolohua, hoʻomaʻemaʻe ʻia, kāwili ʻia me kahi wai e like me ka saline, kānana ʻia, a hana ʻia i wai. I kekahi manawa ua hoʻopaʻahau ʻia kēia no ka hoʻohana ʻana ma hope, a hoʻomaloʻo ʻia a hana ʻia i mau capsules.
ʻO wai ka mea kūpono ʻole e lilo i mea hāʻawi noho?
E hāʻawi kēia iā ʻoe i kahi manaʻo no ka nui o ka hoʻāʻo ʻana ma mua o ka hoʻoili ʻia ʻana o ka lepo o ke kanaka i loko o kekahi kanaka ʻē aʻe. ʻAʻohe mea me nā kūlana ma lalo nei e koho ʻia ma ke ʻano he mea hāʻawi.
- Inā ua hoʻohana koke ʻoe i nā antibiotics.
- Inā he mau maʻi bacteria ʻē aʻe e like me 'E. coli'.
- Inā loaʻa iā ʻoe nā maʻi viral e like me ka hepatitis, HIV, a i ʻole COVID-19.
- Inā he mau parasites i loko o ka ʻōpū.
- Inā ʻoe e hoʻohana i nā lāʻau lapaʻau.
- Inā loaʻa iā ʻoe ka maʻi ʻōpū mumū (IBD) a i ʻole nā maʻi autoimmune.
- Inā he moʻolelo o ka maʻi kanesa kekahi o ka ʻohana.
He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?
ʻO ka pōmaikaʻi nui
He 80% a 95% ka maikaʻi o kēia lāʻau lapaʻau i ka pale ʻana i nā maʻi C. diff e kū hou mai ana. He manaʻolana nui kēia no kēia maʻi, ka mea i hoʻonāwaliwali loa ʻia a ʻaʻole hiki i nā lāʻau antibiotic ke kaohi iā ia.
Nā hopena ʻaoʻao a me nā pilikia
Hiki ke loaʻa kahi ʻeha iki i hoʻokahi a ʻelua paha lā ma hope o ka mālama ʻana.
- ʻŌpū pehu, flatulence
- Ka luaʻi a i ʻole ka luaʻi
- ʻEha ʻōpū
- Kuni a me ke anu no kekahi poʻe
ʻAʻole koʻikoʻi kēia mau mea a nalowale i loko o ʻelua lā.
ʻO ka pilikia koʻikoʻi loa , ʻo ia ka hiki, ʻoiai he mea kakaikahi loa, e hiki i kahi germ ʻino i kāohi ʻia i loko o ke kino o ka mea hāʻawi ke komo i loko o ke kino nāwaliwali o ka mea loaʻa a hoʻoulu i kahi maʻi. Akā no ka hoʻēmi ʻana i kēia pilikia, ua nānā pono ʻia nā mea hāʻawi a ua hoʻomaʻemaʻe pono ʻia nā hāpana ʻōpala. He haʻahaʻa loa kēia pilikia me nā huahana i ʻae ʻia i hoʻohana ʻia i kēia lā.
ʻOiai paha he mea ʻē ke kani ʻana o kēia lāʻau lapaʻau, nui ka ʻepekema ma hope ona. He laʻana maikaʻi loa ia o ke ʻano o ka hoʻopilikia ʻana o nā microbes liʻiliʻi i loko o ko kākou kino i ko kākou olakino. No nā poʻe maʻi e ʻeha nei i ka C. diff, he lāʻau lapaʻau hoʻololi ola maoli kēia.
Leka Lawe-Home
- He mea ʻē paha ke kani ʻana o nā hoʻoili ʻōpala, akā he lāʻau lapaʻau maikaʻi loa ia no nā maʻi koʻikoʻi e like me ka C. diff e kū hou ana.
- Hoʻokomo kēia i ka hoʻokomo ʻana i nā 'bacteria maikaʻi' mai nā ʻōpala o ke kanaka olakino i loko o nā ʻōpū o kahi kanaka maʻi, e hoʻihoʻi ana i ke kaulike microbial ma laila.
- Hoʻāʻo nui ʻia nā ʻōpala i hoʻohana ʻia no ka mālama ʻana e hōʻoia i ka ʻole o kekahi maʻi, no laila e mālama nui ʻia e pili ana i ka palekana.
- ʻAʻole kēia he mea hiki iā ʻoe ke hana ma ka home. He hana lapaʻau kūikawā kēia i hana ʻia ma kahi haukapila a i ʻole ke keʻena lapaʻau e nā kauka kūpono.
- Inā ʻeha ʻoe a i ʻole kekahi āu i ʻike ai i nā maʻi ʻōpū e hoʻi hou ana i kaohi ʻole ʻia e nā antibiotics, e kamaʻilio me kāu kauka e pili ana i kēia koho lapaʻau.
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