Bɔku tɛm yu kin fil bak se yu bɛlɛ ful-ɔp wit gas, i dɔn blo, ɛn i dɔn blo? Sɔntɛnde yu kin gɛt bad bad bɛlɛ pen ɔ yu nɔ kin fil fayn afta yu dɔn it? Bɔrku pipul kin tink bɔt dis as nɔrmal tin, lɛk "gastritis," bɔt sɔmtɛm kin gɛt wan rili impɔtant wɛl bɔdi kɔndishɔn biɛn dis wae wi nɔr kin tɔk bɔt bɔrku, bɔt wae wi nɔr kin tɔk bɔt bɔrku. Na dat wi kin kɔl SIBO, we tinap fɔ Smɔl Intestinal Bacterial Overgrowth. Pan ɔl we di nem kɔmplikt smɔl, di stori rili simpul. Tide, wi go tɔk bɔt dis klia wan ɛn di we we yu go ɔndastand.
Fɔ tɔk am simpul wan, wetin na SIBO?
SIBO tinap fכ "smכl intestinal baktri dεm we de כvagrכw." Okay, naw mek wi brok dis dɔŋ smɔl.
Wi gɛt bɔku bɔku baktri dɛm we de liv na wi dijestiv sistɛm, mɔ na di big intestinal. Dis na tin we rili nɔmal ɛn i kin mek pɔsin gɛt wɛlbɔdi. Dɛn bɔdi ya kin ɛp wi bɔdi bad bad wan. Bɔt pan wan kɔndishɔn we dɛn kɔl SIBO, dɛn baktri ya (ɔ ɔda kayn baktri dɛm) kin bigin fɔ gro pasmak na wi smɔl intestinal . di sכmכl intestכn na ples we bכku bכku bכku bכku bכku dεm de. Na we baktri dɛn bɔku pasmak, na in di prɔblɛm kin bigin.
Tink bɔt am dis we. Yu kin kuk na di kichin ɛn ɛnjɔy di gɔst dɛn na di living rum. Di dɔti bɔks de na do na di os. Bɔt imajin wetin go apin if di dɔti bɔks dɔn na di kichin? Di wan ol kichin kin dɔti, i kin swɛt, ɛn yu nɔ kin ebul fɔ du ɛnitin. Na dat kin apin to wi smɔl intestin wit SIBO. di baktri dεm we fכ de na di big intestכn de setul na di sכmכl intestכn εn bigin fכ it di it we de de.
Dis we baktri dɛn de gro pasmak, dat de mek di it we wi de it, mɔ di kabɔhaydrɛt , fεm ɛn i de mek bɔku bɔku gas . Na dat kin mek pɔsin blo ɛn gɛt gas. Nɔto dat nɔmɔ, dɛn baktri ya kin it tin dɛn bak we wi bɔdi nid fɔ tek, lɛk vaytamɛn B12. Dɛn kin pwɛl di bayl sɔl dɛn bak, we kin ɛp fɔ dayjɛst di fat. Di ɛnd rizulyt fɔ ɔl dis na dat di it nɔ de digest fayn, di bɔdi nɔ de tek di tin dɛn we de insay di bɔdi, ɛn difrɛn difrɛn sayn dɛn we nɔ fayn kin apin.
Aw yu go no if yu gɛt SIBO? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Bɔku tɛm di sayn dɛm fɔ SIBO kin tan lɛk ɔda kayn sik dɛm we de na di bɛlɛ, mɔ di IBS (Irritable Bowel Syndrome). So sɔntɛnde i kin at fɔ no if i gɛt dis sik. Bɔt if yu gɛt wan ɔr mɔr pan dɛn sik ya, i impɔtant fɔ wɔri.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Fɔ blo | Fɔ fil se yu ful-ɔp ɛn ful-ɔp na yu bɛlɛ afta yu dɔn it. Dis kin bɔku as di de de go. |
| Pɔsin we de fil pen na di bɛlɛ | Pen we tan lɛk kramp na di bɛlɛ ɔ jɔs bɛlɛ at. |
| Gas we pasmak (Gas) . | Di briz we de pas ɔltɛm ɔ fil se gas ful-ɔp na di bɛlɛ. |
| Dayarɛa ɔ Kɔnstipɛshɔn | Sɔm pipul dɛn kin gɛt dayarɛa ɔltɛm. Ɔda pipul dɛn kin gɛt kɔnstipɛshɔn. Sɔntɛnde, dɛn ɔl tu kin chenj chenj. |
| Vɔmit | Fɔ fil lɛk se yu go vɔmit. |
| We yu nɔ bin want fɔ lɔs yu wet | Bikɔs it nɔ de tek di it fayn, dat kin mek i nɔ gɛt bɔku bɔku bɔdi. |
| Taya | Taya pasmak ɛn taya bikɔs yu nɔ gɛt bɛtɛ tin fɔ it. |
Yu tink se chenj de na di stɔl wit SIBO?
Yes, SIBO kin mek sɔm chenj dɛn na di stɔl bikɔs ɔf di fat malabsorption.
- Stɔl we gɛt ɔyl ɔ we de smɛl: Stɔl kin gɛt ɔyl ɛn i kin smɛl tranga wan pas aw i kin smɛl bikɔs di fat kin kɔmɔt na di bɔdi we dɛn nɔ digest.
- Stɔl we de flɔt insay wata: Sɔntɛnde, stɔl kin flɔt insay wata.
- Ɔda chenj dɛn we dɛn dɔn mek:chenj kin de lεk di stכl we de kכmכt pas aw i kin bi, pas wit mכkus, pas tin lεk pensil, כ pas tranga wan lεk bכl.
Wetin mek wi kin gɛt SIBO? Wetin na di tin dɛn we kin mek i apin?
Wi bɔdi gɛt fayn fayn we fɔ kɔntrol di bɔku bɔku baktri dɛn we de na wi smɔl intestinal. Fɔ mek SIBO divɛlɔp, wan ɔ mɔ pan dɛn mɛkanism ya fɔ pwɛl. Bɔku rizin dɛn kin de fɔ dis. Lɛ wi sheb dɛn to difrɛn pat dɛn.
| Rizin | Tɔk bɔt |
|---|---|
| 1. Chenj dεm na di kεmikכl prכsεs dεm | |
| Lɔw bɛlɛ asid | Asid na di bɛlɛ na tin we de protɛkt pɔsin we de kil di bɔdi we dɛn nɔ want we de kam wit it. we di asid sכmtεm (hypochlorhydria), baktri dεm kin izi fכ go insay di sכmכl intestin. Dis kin bi bikɔs ɔf H. pylori infεkshɔn ɔr yus fɔ lɔng tɛm gastritis mɛrɛsin lɛk PPI. |
| Sɔm mɛrɛsin dɛn | If yu yuz antibayɔtik, nakotik, ɛn mɛrɛsin dɛn we de ridyus di asid na yu bɛlɛ ɔltɛm, dat kin mek yu nɔ balans bitwin gud ɛn bad baktri dɛn we de na di bɔdi. |
| 2. Chenj dεm na di mεkanikal prכsεs dεm | |
| Smɔl intestin dismɔtiliti | wi intestinal dεm gεt "klin wev" we de push di it dεm εn baktri dεm fכ fכd. if dis muvmεnt nכ apin fayn, baktri dεm kin stכk εn gro. Kכndishכn dεm lεk gastroparesis εn haypotayroydism kin mek dis. |
| Struktכral prכblεm dεm na di sכmכl intestכn | tin dεm lεk di adheshon we dεn kכz fכ כpεrayshכn na di bכdi, di tin dεm we de ambɔg di intestinal dεm, כ sכm sכm paus dεm (diverticulosis) we de fכm na di intestinal wכl kin mek baktri dεm stכk na wan ples εn gro izi wan. |
Ɔda tin dɛn we de mek di risk fɔ gɛt SIBO bɔku
- We wi de ol: di asid we de na di bɛlɛ ɛn di we aw di bɔdi de muv kin go dɔŋ smɔl as wi de ol.
- Ɔda mɛrɛsin sik dɛm: Pipul dɛm wae gɛt sik lɛk dayabitis, lupus, celiac disease, Crohn’s disease, ɛn IBS kin gɛt mɔ risk fɔ gɛt SIBO.
- Di imyun sistɛm we wik: Pipul dɛn we gɛt wikɛd imyun sistɛm kin gɛt prɔblɛm fɔ kɔntrol di baktri dɛm.
Us it dɛn bad fɔ pɔsin we gɛt SIBO?
Di impɔtant tin na dat, it nɔto di men tin we kin mek pɔsin gɛt SIBO. Bɔt, wans yu gɛt SIBO, di it dɛm wae yu de it kin ɔl tu inkrisayz ɔr de ridyus yu sik dɛm.
Fɔ tɔk am simpul wan, di it we dɛn bɔdi we dɛn nɔ want na di smɔl intestinal kin lɛk pas ɔl na di it we dɛn kɔl kabɔhaydrɛt. If yu gi dɛn di it dɛn we dɛn lɛk, dɛn go gro mɔ, mek mɔ gas, ɛn mek yu sik dɛn wɔs. So, we yu de trit SIBO, "starving" dis baktri dεm na wan stratεji.
Fɔd dɛm wae kin mek yu gɛt mɔr sik na:
- Shuga ɛn swit: Ɔl kayn shuga, swit drink, kek, biskit.
- Frut ɛn vɛjitebul dɛn we gɛt stach: Sɔm frut dɛn (lɛk apul, pia), tin dɛn lɛk pɔt, swit pata.
- Milk ɛn it dɛn we dɛn kin mek wit milk:
- Grens: Bɔku tin dɛn lɛk bred, pasta, nuts.
Dis na di rizin we mek sɔm tɛm dɛn kin tɛl pipul dɛn we gɛt SIBO fɔ fala spɛshal it dɛn, lɛk di it we dɛn kɔl Low FODMAP .
Wetin kin apin if dɛn nɔ trit SIBO?
SIBO nɔto jɔs gas we de na di bɛlɛ. If dɛn nɔ trit am, i kin mek i gɛt siriɔs prɔblɛm dɛn.
- Malnutrishɔn: Malnutrishɔn kin apin bikɔs di bɔdi nɔ de tek di fat, prɔtin, ɛn kabɔhaydrɛt dɛn we de insay it fayn fayn wan.
- Vitamin dεfisεns: Vitamin B12 dεfisεns spεshal kin apin. Dis kin mek yu nɔ gɛt blɔd ɛn yu gɛt prɔblɛm wit yu nervɔs sistɛm.
- Calcium deficiency: Calcium nɔ de absɔb fayn fayn wan, we kin mek yu gɛt ɔstioporosis ɔ kidni ston as tɛm de go.
So, SIBO nɔto wan sik we dɛn nɔ fɔ lɛf fɔ trit. As tɛm de go, i kin mek wi gɛt siriɔs wɛlbɔdi prɔblɛm.
Aw dɔktɔ kin no se i gɛt SIBO?
If yu dɔktɔ sɔspɛkt SIBO afta i dɔn lisin to yu sik ɛn rivyu yu mɛdikal histri, sɔm tɛst dɛn de fɔ kɔnfirm am.
- Breath Test: Dis na di men ɛn simpul we fɔ no SIBO. Insay dis tɛst, dɛn kin gi yu drink we gɛt shuga (laktuloz ɔ glukɔs) ɛn dɛn kin aks yu fɔ blo insay balyɔn ɔltɛm fɔ sɔm awa. Dɛn kin mɛzhɔ di lɛvɛl dɛn we di haydrojɛn ɛn mitin gas dɛn de na yu briz. If bɔku bɔku baktri dɛn de na di smɔl intestinal, dɛn go it dis drink we gɛt shuga ɛn mek dɛn tu gas ya. If di lεvεl dεm fכ dεn gas dεm ya na yu brith hכy pas wan sכm lεvεl, i kin kכnfכm se yu gεt SIBO.
- Ɔda tɛst dɛn:
- Blɔd tɛst: Chɛk fɔ tin dɛn lɛk we yu nɔ gɛt bɛtɛ vaytamɛn ɔ we yu nɔ gɛt blɔd.
- Test fɔ di stɔl: Chɛk fɔ si if di fat we nɔ dayjɛst de na di stɔl.
- Imej Tεst dεm: sכmtεm dεn kin du tεst lεk εndoskopi fכ si if strכkchכral prכblεm de na di intestin.
Wetin na di tritmɛnt dɛm fɔ SIBO?
We dɛn de trit SIBO, dɔktɔ dɛn kin pe atɛnshɔn pan tri men tin dɛn.
1. Fɔ kɔntrol di baktri dɛm we de gro: Dɛn kin du dis mɔ bay we dɛn gi wan spɛshal kayn antibayɔtik. Dɛn mɛrɛsin ya kin kil baktri dɛm we dɛn nɔ want na di smɔl intestinal.
2. Fɔ trit prɔblɛm dɛn: If yu nɔ gɛt bɛtɛ tin fɔ it, dɛn go gi yu vaytamɛn ɛn minral sɔpɔtmɛnt.
3. Trit di ɔndalayn kɔz: Dis na di tin we impɔtant pas ɔl. Di ɔndalayn kɔz fɔ SIBO nid fɔ fɛn ɛn trit. If nɔto dat, ivin if antibayɔtik de gi pɔsin fridɔm fɔ sɔm tɛm, SIBO kin kam bak. fכ egzampl, if di intestinal motility nכ de, dεn kin gi mεdikeshכn (motility agents) fכ εp wit am. If prɔblɛm de na di strɔkchɔ, dɛn kin nid fɔ du ɔpreshɔn.
Aw yu de mek SIBO nɔ kam bak?
I kɔmɔn fɔ si SIBO simptom dɛn kam bak sɔm mɔnt afta di antibayɔtik kɔs dɔn, so dɛn tin ya impɔtant as sɔlv fɔ lɔng tɛm.
- Trit di ɔndalayn kɔz: Tɔk to yu dɔktɔ ɛn kɔntinyu fɔ trit di ɔndalayn kɔz fɔ SIBO.
- Fɔ kɔntrol di it: If yu fala it we nɔ gɛt bɔku kabɔhaydrɛt, dat kin ɛp fɔ kɔntrol di bɔdi we di baktri de gro.
- Probayɔtiks:Afta yu dɔn tek wan kɔs fɔ antibayɔtik, probayotik kin ɛp fɔ ful-ɔp di gud baktri dɛm na yu gut. Bɔt yu fɔ rili tɔk to yu dɔktɔ bifo yu yuz dɛn, bikɔs insay sɔm kes dɛm, probayotik kin mek di SIBO simptom dɛn wɔs.
Fɔ dɔn, if yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ we kwalifay fɔ mek dɛn no di sik kɔrɛkt wan ɛn nɔ jɔs dismis dɛn as "gastritis." SIBO na wan sik wae kin mɛn if dɛn trit am fayn.
Mɛsej we dɛn kin kɛr go na os
- SIBO nɔto jɔs gas we de na di bɛlɛ, na mɛrɛsin we kin kam bikɔs baktri dɛn kin gro pasmak na di smɔl intestinal.
- Nɔ ignore sɔm sayn dɛm lɛk fɔ blo ɔltɛm, bɛlɛ pen, dayarɛa, ɔ kɔnstipɛshɔn.
- כda כndalayn kכz kin de fכ SIBO (e.g., pwεl bכdi muvmεnt, כda sik dεm). I rili impɔtant fɔ trit da kɔz de.
- Simpul tɛst lɛk brith tɛst kin kɔnfɔm if yu gɛt SIBO.
- Nɔ tek mɛrɛsin fɔ yusɛf ɔ tek mɛrɛsin we yu nɔ de bay. Ɔltɛm go to yu dɔktɔ fɔ gɛt di rayt advays ɛn tritmɛnt.
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