Ingaba isisu sakho sisoloko sigcwele igesi? Isenokuba yi-SIBO (i-Small Intestinal Bacterial Overgrowth)

Ngaba uhlala uziva ngathi isisu sakho sigcwele igesi, sidumbile, kwaye sidumbile? Ngaba ngamanye amaxesha uneentlungu ezinkulu zesisu okanye ukungakhululeki emva kokutya? Abantu abaninzi bacinga ngezi zinto njengezinto eziqhelekileyo, njenge "gastritis," kodwa ngamanye amaxesha kunokubakho imeko yempilo ebalulekileyo emva koku esingathethi kakhulu ngayo, kodwa esingathethi kakhulu ngayo. Yiloo nto siyibiza ngokuba yi-SIBO, emele i-Small Intestinal Bacterial Overgrowth. Nangona igama liyinkimbinkimbi kancinci, ibali lilula kakhulu. Namhlanje, siza kuthetha ngale nto ngokucacileyo nangendlela onokuyiqonda.

Kalula nje, yintoni i-SIBO?

Igama elithi SIBO limele "ukukhula kakhulu kwebhaktheriya yamathumbu amancinci." Kulungile, ngoku masiyihlalutye kancinci le nto.

Sineebhaktheriya ezininzi ezihlala kwinkqubo yethu yokugaya ukutya, ingakumbi emathunjini amakhulu. Oku kuqhelekile kwaye kusempilweni. Ezi bhaktheriya zinceda kakhulu imizimba yethu. Nangona kunjalo, kwimeko ebizwa ngokuba yi-SIBO, ezi bhaktheriya (okanye ezinye iintlobo zeebhaktheriya) ziqala ukukhula ngokugqithisileyo emathunjini ethu amancinci . Amathunjini amancinci adla ngokuba yindawo apho kukho iibhaktheriya ezimbalwa kakhulu. Kuxa kukho iibhaktheriya ezininzi kakhulu apho iingxaki ziqala khona.

Cinga ngale ndlela. Upheka ekhitshini kwaye wonwabise iindwendwe kwigumbi lokuhlala. Imbiza yenkunkuma ingaphandle kwendlu. Kodwa khawucinge ukuba kuya kwenzeka ntoni ukuba imbiza yenkunkuma iphelela ekhitshini? Ikhitshi lonke liyangcola, linuke, kwaye awukwazi ukwenza nantoni na. Yiloo nto eyenzekayo kumathumbu ethu amancinci ane-SIBO. Iintsholongwane ezifanele ukuba zisemathumbu amakhulu zihlala kumathumbu amancinci zize ziqale ukutya ukutya apho.

Oku kukhula kakhulu kweebhaktheriya kubilisa ukutya esikutyayo, ingakumbi iicarbohydrate , kwaye kuvelisa igesi eninzi. Yiyo loo nto ibangela ukudumba kunye negesi. Ayipheleli apho, kodwa ezi bhaktheriya zikwatya izondlo ezifunekayo emizimbeni yethu, njengevithamini B12. Zikwatshabalalisa neetyuwa ze-bile, ezinceda ekugayeni amafutha. Isiphumo sayo yonke le nto kukuba ukutya akugaywa kakuhle, izondlo azigaywa ngumzimba, kwaye kuvela iimpawu ezahlukeneyo ezingathandekiyo.

Uyazi njani ukuba une-SIBO? Zithini iimpawu?

Iimpawu ze-SIBO zihlala zifana nezezinye iimeko zesisu, ingakumbi i-IBS (Irritable Bowel Syndrome). Ngoko ke ngamanye amaxesha kunokuba nzima ukuzifumanisa. Kodwa ukuba unenye okanye ngaphezulu kwezi mpawu, kubalulekile ukuba nexhala.

Ngaba kukho utshintsho kwisihlalo nge-SIBO?

Ewe, i-SIBO inokubangela utshintsho oluthile kwindle ngenxa yokungafunxwa kwamafutha.

• Indle enamafutha okanye enuka kakubi: Indle inokuba neoyile kwaye ivumba kakhulu kunesiqhelo kuba amafutha aphuma engagaywanga.
• Indle edada emanzini: Ngamanye amaxesha indle ingadada emanzini.
• Ezinye iinguqu:Kunokubakho utshintsho olufana nokuba indle ibe lulwelo olungaphezulu kunesiqhelo, ukuphuma nencindi, ukuphuma kuncinci njengepensile, okanye ukuphuma kuqine njengebhola.

Kutheni sifumana i-SIBO? Zithini izizathu?

Imizimba yethu inendlela emangalisayo yokulawula ubungakanani beebhaktheriya emathunjini ethu amancinci. Ukuze i-SIBO ikhule, enye okanye ezingaphezulu kwezi ndlela kufuneka ziphazamiseke. Kunokubakho izizathu ezininzi zoku. Masizihlukanise zibe ziinxalenye ezahlukeneyo.

Ezinye izinto ezonyusa umngcipheko we-SIBO

• Ukwaluphala: I-asidi yesisu kunye nokuhamba kwamathumbu kunokuncipha kancinci ngokwendalo njengoko sikhula.
• Ezinye iimeko zonyango: Abantu abaneengxaki ezifana nesifo seswekile, i-lupus, isifo se-celiac, isifo sikaCrohn, kunye ne-IBS basengozini enkulu yokuhlaselwa yi-SIBO.
• Ubuthathaka benkqubo yomzimba yokuzikhusela: Abantu abaneenkqubo zomzimba zokuzikhusela ezibuthathaka banokuba nobunzima bokulawula iintsholongwane.

Zeziphi ukutya ezingalunganga kumntu one-SIBO?

Ngamafutshane, ukutya okuthandwayo kwezi ntsholongwane zingafunekiyo emathunjini amancinci ziicarbohydrate. Ukuba ubapha ukutya abakuthandayo, baya kukhula ngakumbi, bavelise igesi engaphezulu, kwaye babenze mandundu iimpawu zakho. Ngoko ke, xa unyanga i-SIBO, "ukulambisa" ezi ntsholongwane yenye yeendlela.

Ukutya okwandisa iimpawu zezi:

• Iswekile kunye neelekese: Zonke iintlobo zeswekile, iziselo ezimnandi, iikeyiki, iibhisikithi.
• Iziqhamo kunye nemifuno enesitatshi: Ezinye iziqhamo (ezifana nama-apile, amapere), izinto ezifana neetapile, iibhatata ezimnandi.
• Ubisi kunye nokutya kobisi:
• Iinkozo: Izinto ezininzi ezifana nesonka, ipasta, iinoodles.

Yingakho oogqirha ngamanye amaxesha bexelela abantu abane-SIBO ukuba balandele iindlela ezikhethekileyo zokutya, ezifana nokutya okuphantsi kwe-FODMAP .

Kuza kwenzeka ntoni ukuba i-SIBO ayinyangwa?

I-SIBO ayisiyo nje igesi esiswini. Ukuba ayinyangwa, inokukhokelela kwiingxaki ezinkulu.

• Ukungondleki: Ukungondleki kunokwenzeka kuba umzimba awufunxi kakuhle amafutha, iiproteni kunye neecarbohydrate ekutyeni.
• Ukunqongophala kweevithamini: Ukunqongophala kwevithamini B12 kunokwenzeka ngokukodwa. Oku kunokukhokelela kwi-anemia kunye neengxaki zenkqubo yemithambo-luvo.
• Ukunqongophala kwe-calcium: I-calcium ayifunxwa kakuhle, nto leyo enokubangela i-osteoporosis okanye amatye ezintso ngokuhamba kwexesha.

Ugqirha uyixilonga njani i-SIBO?

Ukuba ugqirha wakho urhanela i-SIBO emva kokumamela iimpawu zakho nokuphonononga imbali yakho yezonyango, kukho iimvavanyo ezininzi zokuqinisekisa oko.

• Uvavanyo Lokuphefumla: Le yindlela ephambili nelula yokufumanisa i-SIBO. Kolu vavanyo, unikwa isiselo esineswekile (i-lactulose okanye i-glucose) kwaye ucelwe ukuba uvuthele ibhaluni rhoqo kangangeeyure ezininzi. Amanqanaba eegesi ze-hydrogen kunye ne-methane ekuphefumleni kwakho ayalinganiswa. Ukuba kukho iibhaktheriya ezininzi kakhulu emathunjini amancinci, ziya kutya esi siselo sineswekile kwaye zivelise ezi gesi zimbini. Ukuba amanqanaba ezi gesi ekuphefumleni kwakho aphezulu kunenqanaba elithile, kunokuqinisekisa ukuba une-SIBO.
• Ezinye iimvavanyo:
• Uvavanyo lwegazi: Jonga izinto ezinje ngokungabikho kweevithamini okanye i-anemia.
• Uvavanyo lwendle: Jonga ukuba akukho mafutha angagaywanga kwindle.
• Uvavanyo lweMifanekiso: Ngamanye amaxesha uvavanyo olufana ne-endoscopy lunokwenziwa ukuze kubonwe ukuba kukho ingxaki yesakhiwo emathunjini.

Ziziphi iindlela zonyango ze-SIBO?

Xa benyanga i-SIBO, oogqirha bagxila kwizinto ezintathu eziphambili.

1. Ukulawula ukukhula kweebhaktheriya: Oku kwenziwa ikakhulu ngokunika uhlobo oluthile lwe-antibiotic. La mayeza abulala iibhaktheriya ezingafunekiyo emathunjini amancinci.

2. Ukunyanga iingxaki: Ukuba unesiphene sesondlo, uza kunikwa izongezo zevithamini kunye neeminerali.

3. Nyanga unobangela oyintloko: Le yeyona nto ibalulekileyo. Unobangela oyintloko we-SIBO kufuneka ufunyanwe kwaye unyangwe. Ngaphandle koko, nokuba ii-antibiotics zinika uncedo lwexeshana, i-SIBO inokubuya. Umzekelo, ukuba kukho ukunqongophala kokuhamba kwamathumbu, amayeza (iiarhente zokuhamba) anokunikwa ukunceda kuyo. Ukuba kukho ingxaki yesakhiwo, kunokufuneka utyando.

Uyithintela njani i-SIBO ukuba ingabuyi?

Kuqhelekile ukubona iimpawu ze-SIBO zibuya emva kweenyanga ezimbalwa emva kokuba ikhosi yee-antibiotic iphelile, ngoko ke ezi zibalulekile njengesisombululo sexesha elide.

• Nyanga unobangela oyintloko: Thetha nogqirha wakho kwaye uqhubeke nonyango lwesizathu esiyintloko se-SIBO.
• Ukulawula ukutya: Ukulandela ukutya okune-carbohydrate encinci kunokunceda ukulawula ukukhula kweebhaktheriya.
• Iiprobiotics:Emva kokuthatha amayeza okubulala iintsholongwane, iiprobiotic zinokunceda ekuzaliseni iintsholongwane ezilungileyo emathunjini akho. Nangona kunjalo, ngokuqinisekileyo kufuneka uthethe nogqirha wakho ngaphambi kokuba uzisebenzise, ​​njengoko kwezinye iimeko, iiprobiotic zinokwenza iimpawu ze-SIBO zibe zimbi ngakumbi.

Okokugqibela, ukuba unale mpawu, kubaluleke kakhulu ukubona ugqirha ofanelekileyo ukuze ufumane uxilongo oluchanekileyo kwaye ungazithathi nje ngokuba "yi-gastritis." I-SIBO yimeko enokunyangeka ukuba inyangwa ngokufanelekileyo.