Ke manaʻo pinepine nei hoʻi ʻoe ua piha kou ʻōpū i ke kinoea, pehu, a pehu? Loaʻa iā ʻoe i kekahi manawa ka ʻeha nui o ka ʻōpū a i ʻole ka ʻoluʻolu ʻole ma hope o ka ʻai ʻana? Manaʻo ka poʻe he nui kēia mau mea he mau mea maʻamau, e like me ka "gastritis," akā i kekahi manawa aia paha kahi kūlana olakino koʻikoʻi ma hope o kēia ʻaʻole mākou e kamaʻilio nui e pili ana, akā ʻaʻole mākou e kamaʻilio nui e pili ana. ʻO ia ka mea a mākou e kapa nei ʻo SIBO, ʻo ia hoʻi ke kū nei no ka Small Intestinal Bacterial Overgrowth. ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa ka moʻolelo. I kēia lā, e kamaʻilio maopopo mākou e pili ana i kēia a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka SIBO?
ʻO SIBO ke kū nei no "ka ulu nui ʻana o ka bacteria intestinal liʻiliʻi." ʻAe, i kēia manawa e wāwahi iki kākou i kēia.
He nui nā bacteria e noho ana i loko o kā mākou ʻōnaehana hoʻoheheʻe, ʻoiai hoʻi i loko o ka ʻōpū nui. He mea maʻamau a olakino hoʻi kēia. Kōkua nui kēia mau bacteria i ko mākou kino. Eia nō naʻe, i loko o kahi kūlana i kapa ʻia ʻo SIBO, hoʻomaka kēia mau bacteria (a i ʻole nā ʻano bacteria ʻē aʻe) e ulu nui i loko o kā mākou ʻōpū liʻiliʻi . ʻO ka ʻōpū liʻiliʻi kahi maʻamau kahi i kakaikahi loa ai nā bacteria. ʻO ia ka wā e nui loa ai nā bacteria e hoʻomaka ai nā pilikia.
E noʻonoʻo i kēia ʻano. Kuke ʻoe i loko o ka lumi kuke a hoʻokipa i nā malihini ma ka lumi hoʻokipa. Aia ka ʻōpala ma waho o ka hale. Akā e noʻonoʻo i ka mea e hana ʻia inā pau ka ʻōpala i loko o ka lumi kuke? Lilo ka lumi kuke holoʻokoʻa i lepo, pilau, a ʻaʻole hiki iā ʻoe ke hana i kekahi mea. ʻO ia ka mea e hana ʻia i ko kākou ʻōpū liʻiliʻi me SIBO. Noho nā bacteria e pono ai i loko o ka ʻōpū nui i loko o ka ʻōpū liʻiliʻi a hoʻomaka e ʻai i ka meaʻai ma laila.
ʻO kēia ulu nui ʻana o ka bacteria e hoʻoulu i ka meaʻai a mākou e ʻai ai, ʻoiai hoʻi nā kalapona , a hana i ka nui o ke kinoea . ʻO ia ke kumu o ka pehu ʻana a me ke kinoea. ʻAʻole wale ia, akā ʻai pū kēia mau bacteria i nā meaʻai e pono ai ko mākou kino e omo, e like me ka huaora B12. Hoʻopau pū lākou i nā paʻakai bile, e kōkua ana i ka hoʻoheheʻe ʻana i nā momona. ʻO ka hopena hope loa o kēia mau mea a pau, ʻaʻole i hoʻoheheʻe pono ʻia ka meaʻai, ʻaʻole i omo ʻia nā meaʻai e ke kino, a kū mai nā ʻano hōʻailona maikaʻi ʻole.
Pehea ʻoe e ʻike ai inā he SIBO kou? He aha nā hōʻailona?
Hoʻohālikelike pinepine nā hōʻailona o SIBO me nā maʻi ʻōpū ʻē aʻe, ʻoiai ʻo IBS (Irritable Bowel Syndrome). No laila hiki ke paʻakikī ke ʻike i kekahi manawa. Akā inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, he mea nui e hopohopo.
| Hōʻailona | Wehewehena |
|---|---|
| Pehu ʻana | Manaʻo o ka piha a me ka ʻōpū piha ma hope o ka ʻai ʻana. Hiki ke hoʻonui ʻia kēia i ka hala ʻana o ka lā. |
| ʻEha ʻōpū | ʻEhaʻeha e like me ke kuʻi ʻana i loko o ka ʻōpū a i ʻole he ʻeha ʻōpū wale nō. |
| Kinoea nui loa (Kinoea) | Ka hele pinepine ʻana o ka ea a i ʻole ka manaʻo piha i ke kinoea i loko o ka ʻōpū. |
| Ka maʻi kahe a i ʻole ka paʻa ʻana o ka ʻōpū | Loaʻa paha i kekahi poʻe ka maʻi pākī mau. Loaʻa paha i kekahi ka paʻa ʻana o ka ʻōpū. I kekahi manawa e hoʻololi like paha nā mea ʻelua. |
| Ka luaʻi | Manaʻo e like me ʻoe e luaʻi ana. |
| Ka pohō kaumaha i manaʻo ʻole ʻia | Ma muli o ka mimi pono ʻole ʻia o ka meaʻai, hiki ke pohō ke kaumaha. |
| Luhi | Ka luhi nui a me ka luhi ma muli o ka nele i nā meaʻai. |
Aia kekahi loli i nā ʻōpala me SIBO?
ʻAe, hiki i ka SIBO ke hana i kekahi mau loli i ka ʻōpū ma muli o ka malabsorption momona.
- ʻAila a pilau paha nā ʻōpala: Hiki ke ʻaila ʻia nā ʻōpala a ʻoi aku ka ikaika o ke ʻala ma mua o ka mea maʻamau no ka mea ua hoʻokuʻu ʻia ka momona me ka ʻole o ka ʻeli ʻia.
- Noho lana i ka wai: I kekahi manawa hiki i ka noho ke lana i ka wai.
- Nā hoʻololi ʻē aʻe:Aia paha he mau loli e like me ka lilo ʻana o ka ʻōpala i mea wai ma mua o ka maʻamau, ka hele ʻana me ka mucus, ka hele ʻana me ka lahilahi e like me ka penikala, a i ʻole ka hele ʻana me ka paʻakikī e like me ka pōpō.
No ke aha mākou e loaʻa ai iā SIBO? He aha nā kumu?
He ʻano hana kupaianaha ko ko kākou kino e kāohi ai i ka nui o nā bacteria i loko o ko kākou ʻōpū liʻiliʻi. No ka ulu ʻana o SIBO, pono e hoʻopilikia ʻia kekahi a ʻoi aku paha o kēia mau ʻano hana. Nui nā kumu no kēia. E hoʻokaʻawale kākou iā lākou i kekahi mau ʻāpana.
| Kumu | Wehewehena |
|---|---|
| 1. Nā loli i nā kaʻina hana kemika | |
| ʻAkika ʻōpū haʻahaʻa | He pale pale ka waikawa ʻōpū e pepehi ana i nā bacteria makemake ʻole e hele mai me ka meaʻai. Ke haʻahaʻa ka waikawa (hypochlorhydria), hiki i nā bacteria ke komo maʻalahi i loko o ka ʻōpū liʻiliʻi. Hiki ke hana ʻia kēia e ka maʻi H. pylori a i ʻole ka hoʻohana lōʻihi ʻana i nā lāʻau gastritis e like me PPI. |
| Kekahi mau lāʻau lapaʻau | ʻO ka hoʻohana pinepine ʻana i nā lāʻau antibiotics, narcotics, a me nā lāʻau hoʻemi waikawa o ka ʻōpū hiki ke hoʻopilikia i ke kaulike ma waena o nā bacteria maikaʻi a maikaʻi ʻole i loko o ka ʻōpū. |
| 2. Nā loli i nā kaʻina hana mīkini | |
| ʻO ka dysmotility o ka ʻōpū liʻiliʻi | Loaʻa i ko kākou ʻōpū kahi "nalu hoʻomaʻemaʻe" e hoʻokuke ana i nā ʻōpala meaʻai a me nā bacteria i mua. Inā ʻaʻole hana pono kēia neʻe ʻana, hiki i nā bacteria ke paʻa a ulu. Hiki i nā maʻi e like me ka gastroparesis a me ka hypothyroidism ke kumu i kēia. |
| Nā pilikia kūkulu i loko o ka ʻōpū liʻiliʻi | ʻO nā mea e like me nā pipili i hana ʻia e ke ʻoki ʻana o ka ʻōpū, nā mea e ālai ana i loko o nā ʻōpū, a i ʻole nā ʻeke liʻiliʻi (diverticulosis) e hana ʻia ana i loko o ka paia o ka ʻōpū hiki ke hoʻopili i ka bacteria ma kahi hoʻokahi a ulu maʻalahi. |
Nā kumu ʻē aʻe e hoʻonui ai i ka pilikia o SIBO
- Ka ʻelemakule: Hiki ke emi iki ka waikawa o ka ʻōpū a me ka neʻe ʻana o ka ʻōpū i ko kākou wā ʻelemakule.
- Nā kūlana olakino ʻē aʻe: ʻO ka poʻe me nā kūlana e like me ka maʻi diabetes, lupus, maʻi celiac, maʻi a Crohn, a me IBS e piʻi nui ana ka pilikia o ka hoʻomohala ʻana i ka SIBO.
- ʻŌnaehana pale kino nāwaliwali: ʻO ka poʻe me nā ʻōnaehana pale kino nāwaliwali e loaʻa paha ka pilikia i ka kaohi ʻana i ka bacteria.
He aha nā meaʻai maikaʻi ʻole no kekahi me SIBO?
ʻO ka mea nui, ʻaʻole ka meaʻai ke kumu nui o SIBO. Eia nō naʻe, i ka wā e loaʻa ai iā ʻoe ka SIBO, hiki i nā meaʻai āu e ʻai ai ke hoʻonui a hoʻemi paha i kāu mau hōʻailona.
I ka ʻōlelo maʻalahi, ʻo ka meaʻai punahele a kēia mau bacteria makemake ʻole ʻia i loko o ka ʻōpū liʻiliʻi ʻo ia nā kalapona. Inā ʻoe e hānai iā lākou i kā lākou meaʻai punahele, e ulu nui lākou, e hana i nā kinoea hou aʻe, a e hoʻonui i kāu mau hōʻailona. No laila, i ka wā e mālama ai iā SIBO, ʻo ka "pōloli" ʻana i kēia mau bacteria kekahi hoʻolālā.
ʻO nā meaʻai e hoʻonui pinepine ai i nā hōʻailona:
- Kōpaʻa a me nā mea ʻono: ʻO nā ʻano kōpaʻa a pau, nā mea inu ʻono, nā keke, nā biscuits.
- Nā huaʻai a me nā mea kanu starchy: Kekahi mau huaʻai (e like me nā ʻāpala, pea), nā mea e like me ka ʻuala, ka ʻuala.
- Waiū a me nā meaʻai waiū:
- Nā palaoa: He nui nā mea e like me ka berena, pasta, noodles.
ʻO ia ke kumu e haʻi pinepine ai nā kauka i nā poʻe me SIBO e hahai i nā papaʻai kūikawā, e like me ka papaʻai Low FODMAP .
He aha ka mea e hana inā ʻaʻole mālama ʻia ʻo SIBO?
ʻOi aku ka SIBO ma mua o ke kinoea i loko o ka ʻōpū. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia koʻikoʻi.
- ʻAi ʻole: Hiki ke loaʻa ka ʻai ʻole no ka mea ʻaʻole i hoʻopili pono ke kino i nā momona, nā protein, a me nā kalapona i ka meaʻai.
- Nā hemahema o ka wikamina: Hiki ke loaʻa ka hemahema o ka wikamina B12 . Hiki i kēia ke alakaʻi i ka anemia a me nā pilikia o ka ʻōnaehana nerve.
- Ka nele o ka calcium: ʻAʻole i hoʻopili pono ʻia ka calcium, hiki ke alakaʻi i ka osteoporosis a i ʻole nā pōhaku puʻupaʻa i ka hala ʻana o ka manawa.
No laila, ʻaʻole pono e waiho ʻia ka SIBO me ka mālama ʻole ʻia. I ka wā lōʻihi, hiki iā ia ke alakaʻi i nā pilikia olakino koʻikoʻi.
Pehea e ʻike ai ke kauka i ka SIBO?
Inā kānalua kāu kauka iā SIBO ma hope o ka hoʻolohe ʻana i kāu mau hōʻailona a me ka nānā ʻana i kāu mōʻaukala olakino, aia kekahi mau hoʻokolohua e hōʻoia iā ia.
- Hoʻāʻo Hanu: ʻO kēia ke ala nui a maʻalahi hoʻi e ʻike ai i ka SIBO. Ma kēia hoʻāʻo, hāʻawi ʻia ʻoe i kahi mea inu kō (lactulose a glucose paha) a noi ʻia e puhi i loko o kahi pōpō i nā manawa maʻamau no kekahi mau hola. Ana ʻia nā pae o nā kinoea hydrogen a me methane i loko o kou hanu. Inā nui loa nā bacteria i loko o ka ʻōpū liʻiliʻi, e ʻai lākou i kēia mea inu kō a hana i kēia mau kinoea ʻelua. Inā ʻoi aku ke kiʻekiʻe o nā pae o kēia mau kinoea i loko o kou hanu ma mua o kekahi pae, hiki iā ia ke hōʻoia he SIBO kou.
- Nā hoʻokolohua ʻē aʻe:
- Nā hoʻāʻo koko: E nānā i nā mea e like me ka nele o nā wikamina a i ʻole ka anemia.
- Nā hoʻāʻo ʻana i ka noho: E nānā i ka momona i ʻeli ʻole ʻia i loko o ka noho.
- Nā Hoʻāʻo Kiʻi: I kekahi manawa, hiki ke hana ʻia kahi hoʻāʻo e like me ka endoscopy e ʻike ai inā he pilikia kūkulu i loko o ka ʻōpū.
He aha nā lāʻau lapaʻau no SIBO?
I ka mālama ʻana iā SIBO, nānā nā kauka i ʻekolu mau mea nui.
1. Ke kāohi ʻana i ka ulu ʻana o ka bacteria: Hana nui ʻia kēia ma ka hāʻawi ʻana i kahi ʻano antibiotic kūikawā. Hoʻopau kēia mau lāʻau i ka bacteria makemake ʻole ʻia i loko o ka ʻōpū liʻiliʻi.
2. Ka mālama ʻana i nā pilikia: Inā nele ʻoe i nā meaʻai, e hāʻawi ʻia ʻoe i nā mea hoʻohui huaora a me nā mineral.
3. E mālama i ke kumu kumu: ʻO kēia ka mea nui loa. Pono e loaʻa a mālama ʻia ke kumu kumu o SIBO. A i ʻole, ʻoiai inā hāʻawi nā antibiotics i ka hōʻoluʻolu manawa pōkole, hiki ke hoʻi hou mai ʻo SIBO. No ka laʻana, inā nele ka neʻe ʻana o ka ʻōpū, hiki ke hāʻawi ʻia nā lāʻau lapaʻau (nā mea neʻe) e kōkua iā ia. Inā he pilikia kūkulu, pono paha ke ʻoki kino.
Pehea e pale ai i ka hoʻi hou ʻana mai o SIBO?
He mea maʻamau ka ʻike ʻana i nā hōʻailona SIBO e hoʻi mai ana i kekahi mau mahina ma hope o ka pau ʻana o ka papa antibiotic, no laila he mea nui kēia mau mea ma ke ʻano he hopena lōʻihi.
- E mālama i ke kumu kumu: E kamaʻilio me kāu kauka a hoʻomau i ka mālama ʻana no ke kumu kumu o SIBO.
- Kaohi ʻana i ka ʻai: Ma muli o ka ʻai haʻahaʻa-kalapona e hiki ke kōkua i ka kaohi ʻana i ka ulu ʻana o ka bacteria.
- Nā Probiotics:Ma hope o kahi papa o nā antibiotics, hiki i nā probiotics ke kōkua i ka hoʻopiha hou ʻana i nā bacteria maikaʻi i loko o kou ʻōpū. Eia nō naʻe, pono ʻoe e kamaʻilio me kāu kauka ma mua o ka hoʻohana ʻana iā lākou, no ka mea, i kekahi mau hihia, hiki i nā probiotics ke hoʻonui i nā hōʻailona SIBO.
ʻO ka mea hope loa, inā loaʻa iā ʻoe kēia mau hōʻailona, he mea nui loa ia e ʻike i ke kauka kūpono no kahi hōʻoia pololei a ʻaʻole e hoʻokuʻu wale iā lākou he "gastritis." ʻO SIBO kahi kūlana e hiki ke ho'ōla ʻia inā mālama pono ʻia.
Leka Lawe-Home
- ʻAʻole wale ka SIBO i ke kinoea i loko o ka ʻōpū, he maʻi ia i hoʻokumu ʻia e ka ulu nui ʻana o ka bacteria i loko o ka ʻōpū liʻiliʻi.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka pehu pinepine ʻana, ka ʻeha o ka ʻōpū, ka maʻi palū, a i ʻole ka paʻa ʻana.
- Aia paha kekahi kumu ʻē aʻe no ka SIBO (e.g., ka neʻe ʻana o ka ʻōpū maikaʻi ʻole, nā maʻi ʻē aʻe). He mea nui e mālama i kēlā kumu.
- Hiki i nā hoʻokolohua maʻalahi e like me ka hoʻāʻo hanu ke hōʻoia inā he SIBO kāu.
- Mai hoʻōla ponoʻī a lawe paha i nā lāʻau lapaʻau i kūʻai ʻia ma ke kūʻai aku. E ʻike mau i kāu kauka no ka ʻōlelo aʻo kūpono a me ka mālama ʻana.
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