Kodi mumadziwa kuti m'mimba mwanu muli mabakiteriya abwino ndi oipa? Malinga ngati awiriwa ali bwino, thanzi lathu limakhala bwino. Koma nthawi zina, makamaka mukamwa maantibayotiki amphamvu, mabakiteriya onse abwinowa amachotsedwa ndipo mabakiteriya oipa amayamba kulamulira. Pamenepo ndi pomwe mumayamba kukhala ndi mavuto akulu monga kuvutika m'mimba ndi kutsegula m'mimba komwe kumatenga masiku ambiri. Chifukwa chake, lero tikambirana za chithandizo chachilendo koma chogwira mtima chomwe chingaperekedwe nthawi ngati izi.
Kodi kuyika ndowe m'mimba n'chiyani?
Dzinali lingamveke lachilendo pang'ono, koma ndi njira yosavuta komanso yasayansi. Mwachidule, chithandizochi chimaphatikizapo kuyika ndowe ya munthu wathanzi m'matumbo a munthu wodwala .
Taganizirani za munda womwe wadzaza ndi udzu. Kuti mundawo ukhalenso wabwino, tifunika kuwonjezera dothi labwino, mbewu zabwino, ndi zomera zatsopano. Umu ndi momwe zilili ndi izi. Chitsanzo cha ndowe kuchokera kwa munthu wathanzi ndi "dothi labwino ndi mbewu" zomwe zili ndi tizilombo toyambitsa matenda tothandiza (microbiota) zikwizikwi zomwe zatayika m'matumbo a munthu wodwala. Tizilombo toyambitsa matenda timeneti tikalowetsedwa m'matumbo odwala, timalimbana ndi tizilombo toyambitsa matenda tomwe timawononga m'matumbo ndikubwezeretsa bwino microbiome m'matumbo.
Kodi chithandizochi chimagwira ntchito bwanji?
Matumbo athu ndi dziko laling'ono lokhala ndi tizilombo toyambitsa matenda tochuluka kwambiri. Ndi chilengedwe chosavuta kusamala. Tizilombo toyambitsa matenda ambiri timeneti ndi othandiza kwa ife, ofunikira pa thanzi lathu. Ndiwo omwe amalamulira majeremusi oopsa komanso amatiteteza ku matenda.
Komabe, mankhwala ena (makamaka maantibayotiki), matenda, ndi zinthu zina zimatha kuwononga mabwenzi abwino awa m'matumbo mwathu. Izi zimathandiza kuti tizilombo toyambitsa matenda tizikula bwino, ndipo matumbo athu aziyenda bwino. Kuyika ndowe m'mimba kumapangidwa kuti kubwezeretse kusiyana kumeneku komwe kwatayika. Tizilombo toyambitsa matenda ambiri ochokera ku ndowe yathanzi timadzazanso m'matumbo omwe ali ndi matenda, ndikubwezeretsa thanzi lake.
Ndi matenda ati omwe angachiritsidwe poika ndowe m'thupi?
Pakadali pano, chithandizochi ndi chothandiza kwambiri ndipo chikulimbikitsidwa pa matenda amodzi enieni a bakiteriya. Izi zikutanthauza kuti matenda obwerezabwereza a Clostridium difficile (CDI) . C. diff iyi ndi mabakiteriya olimba omwe nthawi zina sangalamuliridwe ndi maantibayotiki, zomwe zimayambitsa kutsegula m'mimba kwambiri. Ngati maantibayotiki alephera kuchiza matendawa, chithandizo chopatsirana ndowe chimakhala chothandiza kwambiri.
Chofunika kwambiri, mankhwalawa atsimikiziridwa kuti ali ndi matenda a C. diff okha, koma kafukufuku akupitirira.
Madokotala akufufuza ngati njira imeneyi ingakhale yothandiza pa matenda ena ambiri, chifukwa thanzi la m'mimba mwathu limakhudza mwachindunji kugaya chakudya, kagayidwe kachakudya, ndi chitetezo chamthupi.
| Matenda omwe angakhale othandiza mtsogolo (gawo lofufuza) | |
|---|---|
| Matenda a m'mimba | Matenda a Kutupa kwa Matumbo (IBD), Matenda Osasangalatsa a Matumbo (IBS) |
| Matenda a kagayidwe kachakudya | Kunenepa Kwambiri, Matenda a Shuga |
| Zochitika zina | Matenda a chifuwa cha chakudya, Matenda a Autism Spectrum Disorder (ASD), Kuvutika Maganizo, Multiple Sclerosis (MS) |
Kodi chithandizochi chimachitidwa bwanji?
Pali njira zingapo zobweretsera tizilombo toyambitsa matenda m'thupi la wodwala. Dokotala wanu adzasankha njira yoyenera kwa inu.
- Kudzera mu colonoscopy: Iyi ndi njira yomwe imagwiritsidwa ntchito kwambiri. Chubu chopyapyala chokhala ndi kamera chimayikidwa kudzera mu anus ndikudutsa m'matumbo akulu. Kenako yankho lokonzekera la ndowe limalowetsedwa mwachindunji m'matumbo kudzera mu chubu.
- Kudzera mu endoscopy: Mu izi, chubu chimayikidwa kudzera pakamwa kapena mphuno ndipo madzi amalowetsedwa m'mimba kapena m'matumbo ang'onoang'ono. Komabe, njira iyi siigwira bwino ntchito chifukwa tizilombo toyambitsa matenda timayenera kuyenda mtunda wautali kuti tikafike m'matumbo akuluakulu.
- Enema: Madzi amalowetsedwa kudzera mu chubu cholowetsedwa mu rectum. Izi zimathandiza kwambiri chifukwa tizilombo toyambitsa matenda timalowa mwachindunji m'matumbo akulu.
- Kapisozi Yomwedwa: Izi zili ngati kumeza piritsi. Pali makapisozi omwe ali ndi tizilombo touma komanso tokonzedwa bwino. Makapisozi awa adapangidwa kuti apite mwachindunji kumatumbo akulu, m'malo mosungunuka m'mimba.
Momwe mungakonzekerere chithandizo mu mawonekedwe a kapisozi
Kawirikawiri, dokotala wanu amakuuzani kuti muyambe kumwa makapisozi awa masiku awiri kapena atatu mutamaliza kumwa maantibayotiki a matenda anu a C. diff. Uwu ndi mankhwala a masiku atatu. Muyenera kumeza makapisozi anayi patsiku. Tsiku lisanafike nthawi yoti muyambe kumwa mankhwalawa, muyenera kumwa mankhwala otsekereza matumbo kuti muyeretse matumbo anu. Kenako, simuyenera kudya kapena kumwa chilichonse kwa maola pafupifupi 8 musanayambe kumwa makapisozi oyamba. Zonsezi ziyenera kuchitika monga momwe dokotala wanu walangizira .
Kodi ndowe zomwe zimafunika pa izi mumapeza kuti? Kodi ndani amene amapereka chithandizo?
Pachifukwa ichi, ndowe zimaperekedwa ndi anthu odzipereka athanzi . Woperekayo amasankhidwa pambuyo powunika mosamala kwambiri.
Musangoganiza kuti ichi ndi chinthu chomwe mungachite kunyumba. Gawo lililonse, kuyambira kwa wopereka chithandizo mpaka kwa wodwala, liyenera kuchitika moyang'aniridwa ndi dokotala komanso pamalo opanda ukhondo.
Munthuyo asanayambe kupereka magazi, amayesedwa magazi, amayesedwa ndowe, ndi zina zambiri. Izi zimafuna kuonetsetsa kuti palibe matenda omwe angafalikire kudzera mu ndowe. Aliyense amene ali ndi matenda otsatirawa sadzasankhidwa kukhala wopereka magazi.
- Matenda ena oopsa a bakiteriya (monga E. coli)
- Matenda opatsirana ndi mavairasi (monga chiwindi, HIV, COVID-19)
- Tizilombo toyambitsa matenda m'matumbo
- Ngati mwagwiritsa ntchito maantibayotiki posachedwapa
- Kugwiritsa ntchito mankhwala osokoneza bongo
- Matenda monga Matenda Otupa a M'mimba (IBD)
- Matenda a autoimmune
- Kukhala ndi mbiri ya banja la khansa
Chitsanzo cha ndowe, chomwe chimafufuzidwa mosamala motere, chimasakanizidwa ndi saline mu labu pogwiritsa ntchito njira yapadera, yosefedwa, ndikukonzedwa kukhala madzi oyera. Kapena chimaumitsidwa ndikupangidwa kukhala makapisozi.
Kodi ubwino ndi zoopsa za chithandizochi ndi ziti?
Phindu lalikulu kwa munthu amene akudwala matenda a C. diff ndi kuchuluka kwa machiritso . Mankhwalawa ndi othandiza 80% - 95% popewa matenda enaake pambuyo pa maantibayotiki. Ichi ndi chitukuko chachikulu.
Zotsatirapo Zake:
Zotsatirapo zazing'ono zimatha kuchitika kwa tsiku limodzi kapena awiri mutalandira chithandizo. Izi ndi zachilendo ndipo palibe chodetsa nkhawa nazo.
- Kutupa ndi mpweya
- Kusanza ndi kusanza
- Kusasangalala pang'ono m'mimba
- Anthu ena ali ndi malungo ndi kuzizira.
Zoopsa Zazikulu:
Pali chiopsezo chosowa kwambiri, koma chachikulu. Izi zikutanthauza kuti, kachilombo komwe kanali m'thupi la wopereka kangayambe kugwira ntchito kakalowa m'thupi la wodwala yemwe ali ndi chitetezo chamthupi chofooka. Koma kuti achepetse chiopsezochi, opereka amawunikidwa mosamala kwambiri ndipo mankhwala ovomerezeka amagwiritsidwa ntchito. Chifukwa chake,Ndikofunikira kwambiri kutsatira njira yokhayo yomwe dokotala wanu wakupatsani komanso yovomerezeka.
Zingaoneke zachilendo kwa ife kuti ndowe zingagwiritsidwe ntchito ngati mankhwala, koma kwa munthu amene wakhala akuvutika kwa miyezi yambiri ndi matenda oopsa ngati C. diff, lingaliro latsopanoli ndi chiyembekezo chachikulu.
Uthenga Wopita Nawo Kunyumba
- Kuika ndowe m'thupi ndi njira yothandiza kwambiri komanso yotetezeka yothandizira matenda a C. difficile (CDI) omwe amabwereranso.
- Izi zikuphatikizapo kulowetsa tizilombo toyambitsa matenda m'matumbo omwe ali ndi matenda ndikubwezeretsa thanzi lawo lachilengedwe.
- Pachifukwa ichi, opereka chithandizo omwe akusonkhanitsa ndowe amayesedwa mosamala kwambiri ndi dokotala. Chifukwa chake, chiopsezo chotenga matenda opatsirana chimakhala chochepa kwambiri.
- Izi sizinthu zomwe mungachitire kunyumba kapena nokha. Ziyenera kuchitika kuchipatala kapena kuchipatala motsogozedwa ndi dokotala.
- Ngati inu kapena munthu wina amene mumamudziwa ali ndi vutoli, lankhulani ndi dokotala wanu za njira iyi yothandizira kuti mudziwe zambiri.
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