Zvinganzwika sezvisinganzwisisike kufunga kuti tsvina yemumwe munhu iri kushandiswa kurapa chirwere chemumwe munhu, handiti? Asi iyi inzira yekurapa inoshanda zvikuru inoshandiswa mukurapa zvirwere zvakakomba. Nhasi tichataura nezvenzira iyi yekurapa inoshamisa asi yakakosha zvikuru, inonzi fecal microbiota transplantation (FMT).
Chii chinonzi kuisirwa tsvina?
Zvichitaurwa zviri nyore, izvi zvinosanganisira kutora sampuli diki yetsvina yemunhu ane hutano woiisa muura hwemunhu ane chirwere. Izvi zvinganzwika sezvisingafadzi. Asi sampuli yetsvina ine hutano ine mamiriyoni etupukanana tunobatsira (microbiota). Kana tupukanana utwu tukaiswa muura hwemunhu ane chirwere, tunogona kuita zvinoshamisa kuti tudzorere hutano hwacho.
Parizvino, vanachiremba vanonyanya kukurudzira kurapwa uku sekurapa hutachiona hwakakomba hwemabhakitiriya muura. Kuisirwa uku kunotumira huwandu hwakawanda hwemabhakitiriya akanaka kurwisa mabhakitiriya akaipa, anokonzera zvirwere muura hune chirwere. Kana mabhakitiriya aya akanaka apera, kuenzana kwehurongwa hwemabhakitiriya (gut microbiome) mukati meura hwedu kunodzorerwa.
Izvi zvinoshanda sei? Chii chinoitika mukati medumbu redu?
Funga nezvedumbu rako sebindu rakanaka. Mubindu iri, mune zvirimwa zvakanaka (mabhakitiriya akanaka) zvatinoda, nezvirimwa zvakaipa (mabhakitiriya akaipa). Chero bedzi zvese zviri muchiyero, bindu rakanaka, zvinoreva kuti tine hutano hwakanaka.
Asi mimwe mishonga yatinotora, kunyanya mishonga inorwisa mabhakitiriya, zvimwe zvirwere, nezvimwe zvinhu zvinogona kuuraya zvirimwa zvakanaka zvakawanda mubindu iri. Chii chinoitika ipapo? Masora, kana kuti mabhakitiriya akaipa, anotora bindu rese opararira nekukurumidza. Ndipo patinotadza kuenzana uye tinorwara.
Kudyara tsvina kwakafanana nekudyarazve bindu rakazara nemasora, zvichiunza zviuru zvezvirimwa zvine hutano (mabhakitiriya akanaka). Mabhakitiriya matsva aya akanaka anokwikwidzana nemabhakitiriya akaipa, anoachengetedza, uye anodzorera chiyero chakanaka mudumbu.
Mushonga uyu unoshandiswa kuzvirwere zverudzii?
Parizvino, nzira iyi yekurapa yakabudirira zvikuru uye yakaratidzwa kuti inorapa hutachiona hweC. difficile (CDI) hunodzokororwa, rudzi rwehutachiona hwemudumbu hunokonzerwa nebhakitiriya C. difficile, iyo yakaoma kudzora kunyangwe nemishonga inorwisa mabhakitiriya.Dzimwe nguva, kana mishonga inorwisa mabhakitiriya ikatadza kudzora hutachiona uhwu, kuiswa tsvina kunobudirira zvinoshamisa.
Zvisinei, vanachiremba nemasayendisiti vanotenda kuti nzira iyi yekurapa inogona kubatsira kune zvimwe zvirwere zvakawanda. Nekuti tupukanana turi muura hwedu tune simba guru kwete chete pakugaya kwedu, asiwo pametabolism yedu uye masoja emuviri. Saka, tsvakiridzo iri kuenderera mberi yekuona kana ichigona kurapa zvimwe zvirwere zvakawanda.
| Zvimwe zvirwere zviri kuongororwa pakurapa kwetsvina | |
|---|---|
| Zvirwere zvekugaya chikafu | - Chirwere cheIBD (IBD) - "Irritable Bowel Syndrome (IBS)" |
| Zvirwere zvemuviri | - Kufuta - Chirwere chechiropa - Chirwere cheshuga |
| Mamwe mamiriro ezvinhu | - Kurwara nechikafu - "Dambudziko reAutism Spectrum (ASD)" - Kunetseka uye Kuora Mwoyo - `Multiple Sclerosis (MS)` |
Kuisirwa tsvina kunoitwa sei? Ndedzipi nzira dzinoshandiswa?
Kune nzira dzakasiyana-siyana dzekuisa tsvina iyi ine hutano muura hwemurwere. Chiremba wako achasarudza nzira yakakodzera mamiriro ako ezvinhu.
| Nzira yekurapa | Tsananguro iri nyore |
|---|---|
| Colonoscopy | Chubhu yakatetepa ine kamera (colonoscope) inopinzwa nepaburi remudumbu yopfuudzwa nemuura hukuru. Kuburikidza nechubhu iyi, mvura yetsvina inogona kupinzwa zvakananga muura. Iyi ndiyo nzira inonyanya kushandiswa uye inobudirira. |
| Endoscopy Yepamusoro | Chubhu (endoscope) inopinzwa mudumbu kana muura hudiki kuburikidza nemuromo kana mhino. Zvisinei, nzira iyi haibudiriri zvakanyanya nekuti tupukanana tunofanira kufamba rwendo rurefu kuburikidza neura hudiki tisati tasvika muura hukuru. |
| Enema | Mvura yetsvina inopinzwa kuburikidza nechubhu diki inopinzwa murectum. Nzira iyi inobudirira zvikuru nekuti tupukanana tunoenda zvakananga muura hukuru. Chinhu chekutanga chakatenderwa neFDA muUnited States, Fecal Transplant, chinopihwa nenzira iyi. |
| Kapisiyumu Yemuromo | Iyi ndiyo nzira itsva uye iri nyore. Unomedza mapiritsi ane utachiona hwakaomeswa, hwakaomeswa nechando nemvura. Mapiritsi aya akagadzirirwa kuti asanyungudike kusvika asvika muura hukuru. |
Unowanepi chigaro chekurapa uku?
Nechinangwa ichi, tsvina inotorwa kubva kuvanhu vane hutano hwakanaka (vanopa) . Vasati vasarudza mumwe munhu semupi, vanoongororwa zvakanyanya. Vanoona kuti hapana utachiona kana utachiona hunokonzera zvirwere mutsvina yemunhu iyeye.
Mushure mekunge tsuro yatorwa, inotumirwa kurabhoritari, yocheneswa, yosanganiswa nemvura yakaita semunyu, yosefetwa, yogadzirwa mvura. Dzimwe nguva inoomeswa kuti ishandiswe gare gare, kana kuomeswa yogadzirwa makapisi.
Ndiani asingakodzeri kuva mupi wechigaro?
Izvi zvichakupa pfungwa yekuti kuongororwa kwakawanda sei kunoitwa usati waisa tsvina yemunhu mune mumwe munhu. Hapana munhu ane mamiriro anotevera achasarudzwa semupi weropa.
- Kana wakashandisa mishonga inorwisa mabhakitiriya nguva pfupi yadarika.
- Kana paine zvimwe zvirwere zvine njodzi zvakaita se 'E. coli'.
- Kana uine hutachiona hwakaita sehepatitis, HIV, kana COVID-19.
- Kana paine tupukanana muura.
- Kana uchishandisa zvinodhaka.
- Kana uine chirwere chemudumbu chinozvimba (IBD) kana chirwere chemuviri chinodzivirira muviri.
- Kana paine munhu mumhuri ane nhoroondo yekenza.
Ndezvipi zvakanakira uye njodzi dzekurapa uku?
Chinhu chikuru chakanakira
Kurapa uku kunoshanda ne80% kusvika 95% mukudzivirira kudzoka kwezvirwere zveC. diff. Iyi itarisiro huru yechirwere ichi, icho chave chichinetsa zvekuti kunyange mishonga inorwisa mabhakitiriya yakatadza kuchidzora.
Migumisiro nenjodzi
Kusagadzikana kudiki kunogona kuitika kwezuva rimwe kana maviri mushure mekurapwa.
- Dumbu rinozvimba, flatulence
- Kusvotwa kana kurutsa
- Kurwadziwa kwedumbu
- Fivha nechando kune vamwe vanhu
Izvi hazviwanzo kuva zvakanyanya uye zvinopera mumazuva maviri.
Njodzi huru ndeye mukana, kunyange zvazvo usingawanzoitiki, wekuti utachiona hune njodzi hwaidzorwa mumuviri wemupi hunogona kupinda mumuviri wemupi husina simba hwokonzera hutachiona. Asi kuderedza njodzi iyi, vanopa vanoongororwa nokungwarira uye sampuli dzetsvina dzinocheneswa zvakanaka. Njodzi iyi yakaderera zvikuru nezvigadzirwa zvinotenderwa kushandiswa nhasi.
Kunyangwe kurapwa uku kunganzwika sekusinganzwisisike, kune sainzi yakawanda iri shure kwayo. Muenzaniso wakanaka wekuti tupukanana tudiki turi mumiviri yedu tunogona kukanganisa sei hutano hwedu. Kune varwere vanotambura neC. diff, uku kurapa kunochinja hupenyu zvechokwadi.
Mharidzo Yekuenda Nayo Kumba
- Kuisirwa tsvina kunogona kunzwika kusinganzwisisike, asi inzira inoshanda zvikuru yekurapa zvirwere zvakakomba zvakaita seC. diff inodzokororwa.
- Izvi zvinosanganisira kuisa 'mabhakitiriya akanaka' kubva mutsvina yemunhu ane hutano muura hwemunhu anorwara, zvichidzoreredza kuenzana kwehutachiona ipapo.
- Masampuli etsvina anoshandiswa pakurapa anoongororwa zvakasimba kuti ave nechokwadi chekuti haana chirwere chipi zvacho, saka kungwarira kukuru kunotorwa panyaya yekuchengetedzeka.
- Izvi hazvigone kuitwa kumba. Uku kuvhiyiwa kwechiremba kwakaitwa muchipatara kana kiriniki navanachiremba vane hunyanzvi.
- Kana iwe kana mumwe munhu waunoziva achitambura nezvirwere zvemudumbu zvinoramba zvichiitika zvisingarapike nemishonga inorwisa mabhakitiriya, taura nachiremba wako nezvesarudzo iyi yekurapa.
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