I pum hi gas a khat reng em? SIBO (Small Intestinal Bacterial Overgrowth) a ni thei bawk.

I pum pawh gas a khat a, a pum a puak a, a puak ang maiin i inhriat fo bawk em? Chaw ei zawhah a chang chuan pum na nasa tak emaw, nuam lo emaw i nei thin em? Mi tam tak chuan hengte hi thil pangngai angin an ngai a, "gastritis" tih ang chi te, mahse a chang chuan hemi hnuaiah hian hriselna dinhmun pawimawh tak, kan sawi tam loh, mahse kan sawi tam loh a awm thei. Chu chu SIBO kan tih chu a ni a, chu chu Small Intestinal Bacterial Overgrowth tihna a ni. A hming hi a buaithlak deuh a, mahse a thawnthu erawh a awlsam hle. Vawiin hian he thu hi chiang tak leh i hriatthiam theih dan tur angin kan sawi dawn a ni.

A awlsam zawngin SIBO hi eng nge ni?

SIBO hi "small intestinal bacterial overgrowth" tihna a ni. Okay, tunah chuan hei hi tlem han titawp ila.

Kan chaw ei kawngah hian bacteria tam tak kan nei a, a bik takin kan intestine lian takah hian a nung reng a ni. Hei hi thil pangngai tak leh hrisel tak a ni. Heng bacteria te hian kan taksa a pui nasa hle. Mahse, SIBO an tih dinhmunah chuan heng bacteria (a nih loh leh bacteria chi dang) te hi kan small intestine -ah hian an lo thang tam lutuk tan thin . Small intestine hi bacteria tlemte awmna hmun a ni tlangpui. Bacteria tam lutuk hian harsatna a intan thin.

Hetiang hian han ngaihtuah teh. Kitchen-ah chaw i siam a, living room-ah mikhualte i ti lawm bawk. Bawlhhlawh bawm chu in pawnah a awm a. Mahse, bawlhhlawh bawm chu kitchen-ah a tawp a nih chuan eng nge thleng ang tih han ngaihtuah teh? Kitchen pum pui chu a bawlhhlawh a, a rimchhia a, engmah i ti thei lo. Chu chu SIBO nei kan small intestine-ah pawh a thleng thin. Intestine lian chhunga awm tur bacteria te chu small intestine ah an awm a, chutah chuan chaw chu an ei tan thin.

Hetianga bacteria lo pung lutuk hian kan ei tur, a bik takin carbohydrates , chu a ti hmin a, gas tam tak a siam chhuak bawk . Chu chu bloating leh gas thlentu a ni. Chu mai ni lovin, heng bacteria te hian kan taksain a lakluh mamawh nutrients, vitamin B12 te pawh an ei ve bawk. Tin, bile salt te pawh an tichhia a, chu chuan thau a digest thei a ni. Heng zawng zawng atanga a tawp ber chu chaw ei tur a hmin tha lo va, eitur tha tak tak taksain a hip lut lo va, natna lan chhuah dan duhawm lo chi hrang hrang a lo chhuak thin.

Engtin nge SIBO i nei tih i hriat theih ang? Eng nge a lan chhuah dan?

SIBO natna lan chhuah dan hi chaw kawng dang, a bik takin IBS (Irritable Bowel Syndrome) nen a inang fo thin. Chuvangin a chang chuan hriat harsa tak a ni thei. Mahse heng symptoms pakhat emaw a aia tam emaw i neih chuan ngaihtuah a pawimawh.

SIBO hmang hian stools inthlak danglamna a awm em?

Ni e, SIBO hian thau malabsorption vangin stool-ah danglamna engemaw zat a thlen thei.

• Thinrim emaw, rimchhia emaw: Thlu chu a hriak thei a, a tlangpui aia rim a nam zawk thei a, a chhan chu thau hi ei lohvin a chhuak thin.
• Tuiah bawlhhlawh a inphah: A chang chuan bawlhhlawh hi tuiah a inphah thei bawk.
• Hrilhfiahna dangte chu:Thil danglam a awm thei a, chu chu stool chu a tlangpui aia tui a lo ni thei a, mucus nen a pass out a, pencil ang maia a pas out a, ball ang maia a pass out bawk.

Engvangin nge SIBO kan neih? A chhante chu engte nge ni?

Kan taksa hian kan small intestine-a bacteria awm zat control theihna tur mechanism mak tak a nei a. SIBO a lo thang zel theih nan heng mechanism pakhat emaw a aia tam emaw hi tihchhiat a ngai a ni. Hei hi chhan tam tak a awm thei. Hmun engemaw zatah then ila.

SIBO vei theihna tipungtu thil dangte

• Tar: Kan tar chhoh zel chuan stomach acid leh intestinal motility hi a pianphungah a tlahniam deuh thei.
• Damdawi lam thil dang: Diabetes, lupus, celiac disease, Crohn’s disease, leh IBS ang chi natna nei te chu SIBO vei theihna a sang hle.
• Immune system chak lo: Immune system chak lo nei te chuan bacteria control harsa an ti thei.

SIBO vei tan eng eitur nge tha lo?

A awlsam zawngin, heng bacteria duh loh zawng zawng, small intestine-a ei tur duh ber chu carbohydrates a ni. An chaw duh ber i pek chuan an thang lian zawk ang a, gas an siam tam ang a, i natna lan chhuah dan pawh a tizual ang. Chuvangin, SIBO enkawl hian heng bacteria te hi "riltam" hi strategy pakhat a ni.

Chaw natna lan chhuahna tipung tlangpui chu:

• Sugar leh sweets: Sugar chi hrang hrang, sweet drinks, cake, biscuit.
• Thei leh thlai starchy: Thei thenkhat (apple, pears ang chi), thil chi hrang hrang, potato, sweet potato.
• Bawnghnute leh bawnghnute atanga siam ei tur:
• Thlai: Thil tam tak chhang, pasta, noodles te.

Hei vang hian doctor-te chuan SIBO vei te chu ei leh in tur bik, Low FODMAP diet ang chi zawm turin an hrilh fo thin.

SIBO hi enkawl loha dah a nih chuan eng nge thleng ang?

SIBO hi pum chhunga gas chauh ni lovin a tam zawk. Enkawl loh chuan harsatna lian tham tak a thlen thei a ni.

• Malnutrition: Malnutrition hi taksain ei tur a thau, protein leh carbohydrates te a hip dik loh vang a ni thei.
• Vitamin tlakchhamna: A bik takin Vitamin B12 tlakchhamna a awm thei. Hei hian thisen tlakchhamna leh nervous system lama harsatna a thlen thei a ni.
• Calcium tlakchhamna: Calcium hi a hip lut tha lo a, hei hian hun kal zelah ruh natna emaw, kal (kidney stone) emaw a thlen thei a ni.

Engtin nge doctor hian SIBO hi a hriat theih ang?

I doctor chuan i natna lan chhuah dan a ngaihthlak hnu leh i medical history a enfiah hnua SIBO a rinhlelh chuan test engemaw zat a awm a, chu chu finfiah theih a ni.

• Breath Test: Hei hi SIBO hriat theihna kawng ber leh awlsam ber a ni. He test-ah hian sugary drink (lactulose emaw glucose emaw) pek i ni a, darkar engemaw zat chhung chu balloon-ah a hun taka thlawh tir turin an ti che a ni. I thawk chhunga hydrogen leh methane gas awm zat chu teh a ni. Small intestine-ah hian bacteria a tam lutuk chuan he in tur thlum hi an ei ang a, heng gas pahnih hi an siam chhuak ang. I thawk chhunga heng gas te hi level engemaw zat aia sang a nih chuan SIBO i nei tih a nemnghet thei a ni.
• Test dangte chu:
• Thisen test: Vitamin tlakchhamna emaw thisen tlakchhamna emaw ang chi thilte enfiah thin ang che.
• Stool test: Stool-a thau ei loh (undigested fat) awm leh awm loh enfiah thin ang che.
• Imaging Tests: A châng chuan endoscopy ang chi test hmangin intestine-ah structural problem a awm leh awm loh enfiah theih a ni.

SIBO hi eng enkawlna nge ni?

SIBO enkawl hian doctor-te chuan thil pawimawh pathum an ngaihtuah ber a ni.

1. Bacteria than dan control: Hei hi antibiotic chi khat bik pek hmanga tih a ni ber. Heng damdawi te hian small intestine-a bacteria duh loh te chu a that thin.

2. Harsatna enkawl dan: Nutritional deficiency i neih chuan vitamin leh mineral supplement pek i ni ang.

3. A chhan bulpui enkawl: Hei hi a pawimawh ber a ni. SIBO awm chhan bulpui ber chu zawn chhuah leh enkawl a ngai a ni. Chutiang a nih loh chuan antibiotics hian hun eng emaw chen a tidam thei a nih pawhin SIBO hi a lo kir leh thei a ni. Entirnan, intestinal motility tlakchhamna a awm chuan a pui turin damdawi (motility agents) pek theih a ni. Structural problem a awm chuan surgery a ngai mai thei.

Engtin nge SIBO lo kir leh lo turin i ven theih ang?

Antibiotic course zawh hnu thla engemaw zat hnuah SIBO symptoms lo kir leh hi hmuh tur a awm fo a, chuvangin hengte hi hun rei tak chhunga solution atan a pawimawh hle.

• A chhan bulpui ber enkawl rawh: I doctor nen inbia la, SIBO awm chhan bulpui enkawl chhunzawm rawh.
• Diet control: Carbohydrate tlem eitur zawm hian bacteria thanna control nan a pui thei a ni.
• Probiotics te chu: 1.1.Antibiotics course khat i ei hnuah probiotics hian i gut chhunga bacteria tha tak takte chu a tikhat leh thei a ni. Mahse, i hman hmain i doctor i biak hmasak phawt a ngai a, a then phei chuan probiotics hian SIBO symptoms a ti na zual thei a ni.

A tawp berah chuan heng symptoms te hi i neih chuan doctor thiam tak hmuh a pawimawh hle a, "gastritis" tia hnawl mai mai a pawimawh hle. SIBO hi a enkawl dan tha a nih chuan tihdam theih a ni.