Ubuwazi ukuthi amathumbu akho aqukethe amabhaktheriya amahle namabi? Uma nje lawa amabili elingana, impilo yethu ilungile. Kodwa ngezinye izikhathi, ikakhulukazi uma uthatha ama-antibiotic aqinile, wonke lawa mabhaktheriya amahle ayaphela futhi amabhaktheriya amabi aqala ukuthatha indawo yawo. Yilapho uqala khona ukuba nezinkinga ezinkulu njengokuphazamiseka kwesisu kanye nesifo sohudo esihlala izinsuku eziningi. Ngakho-ke, namuhla sizokhuluma ngokwelashwa okungajwayelekile kodwa okuphumelelayo kakhulu okunganikezwa ngezikhathi ezinjengalezi.
Kuyini ukufakelwa indle?
Leli gama lingase lizwakale lingavamile, kodwa inqubo elula kakhulu, yesayensi. Kalula nje, lokhu kwelashwa kuhilela ukufaka isampula encane yendle evela kumuntu ophilile ebhodweni lomuntu ogulayo .
Cabanga ngengadi egcwele ukhula. Ukuze leyo ngadi ichume futhi, sidinga ukwengeza inhlabathi enhle, imbewu enhle, nezitshalo ezintsha. Kunjalo-ke ngalokhu. Isampula yendle evela kumuntu ophilile "inhlabathi enhle nembewu" equkethe izinkulungwane zezinambuzane eziwusizo (i-microbiota) ezilahlekile emathunjini omuntu ogulayo. Lapho lezi zinambuzane ezinhle zifakwa emathunjini anesifo, zilwa namagciwane ayingozi lapho futhi zibuyisele ibhalansi ye-microbiome emathunjini.
Lokhu kwelashwa kusebenza kanjani?
Amathumbu ethu ayizwe elincane elihlalwa yizigidigidi zamagciwane. Kuyindawo ebucayi. Iningi lala magciwane liyasisiza, libalulekile empilweni yethu. Yiwo alawula amagciwane ayingozi futhi asivikele ezifweni.
Kodwa-ke, eminye imithi (ikakhulukazi ama-antibiotic), izifo, nezinye izinto zingabhubhisa laba bangane abahle emathunjini ethu. Lokhu kuvumela amagciwane amabi ukuthi achume, futhi ibhalansi emathunjini iphazamiseke. Ukufakelwa indle kuklanyelwe ukubuyisela lokhu kuhlukahluka okulahlekile. Izinkulungwane zamagciwane amahle avela kusampula yendle enempilo zigcwalisa amathumbu agulayo, zibuyisele impilo yawo.
Yiziphi izifo ezingalapheka ngokufakelwa indle?
Njengamanje, lokhu kwelashwa kusebenza kakhulu futhi kunconywa ekuthelelekeni okukodwa kwebhaktheriya. Okungukuthi, ukutheleleka kwe-Clostridium difficile (CDI) okuphindaphindiwe . Le C. diff iyibhaktheriya enenkani ngezinye izikhathi engakwazi ukulawulwa ngama-antibiotic, okubangela uhudo olubi kakhulu. Lapho ama-antibiotic ehluleka ukwelapha ukutheleleka, ukwelashwa kokufakelwa indle kusebenza kahle kakhulu.
Okubalulekile, lokhu kwelashwa kuye kwafakazelwa kuphela ukuthi kuthinta ukutheleleka kwe-C. diff, kodwa ucwaningo luyaqhubeka.
Odokotela bacwaninga ukuthi le ndlela yokwelapha ingaba usizo yini kwezinye izifo eziningi, ngoba impilo yamathumbu ethu ithinta ngqo uhlelo lwethu lokugaya ukudla, i-metabolism, kanye nesistimu yethu yokuzivikela komzimba.
| Izifo ezingaba usizo esikhathini esizayo (isigaba socwaningo) | |
|---|---|
| Izifo zesistimu yokugaya ukudla | Isifo Samathumbu Esivuvukalayo (IBD), I-Irritable Bowel Syndrome (IBS) |
| Izifo ze-Metabolic | Ukukhuluphala, Isifo Sikashukela |
| Ezinye izimo | Ukungezwani nokudla, i-Autism Spectrum Disorder (ASD), Ukucindezeleka, i-Multiple Sclerosis (MS) |
Kwenziwa kanjani lokhu kwelashwa?
Kunezindlela eziningana zokufaka lawa ma-microorganism emzimbeni wesiguli. Udokotela wakho uzonquma indlela engcono kakhulu kuwe.
- Ngokusebenzisa i-colonoscopy: Lena yindlela evame ukusetshenziswa kakhulu. Ipayipi elincane elinekhamera elinamathiselwe lifakwa nge-anus bese lidlula emathunjini amakhulu. Isixazululo sendle esilungisiwe sibe sesidluliselwa ngqo emathunjini ngepayipi.
- Ngokusebenzisa i-endoscopy: Kulokhu, kufakwa ithubhu ngomlomo noma ekhaleni bese kufakwa uketshezi esiswini noma emathunjini amancane. Kodwa-ke, le ndlela ayiphumeleli kahle ngoba amagciwane kufanele ahambe ibanga elide ukuze afinyelele emathunjini amakhulu.
- I-Enema: Uketshezi lufakwa ngepayipi elifakwe e-rectum. Lokhu kusebenza kangcono ngoba ama-microorganisms angena ngqo emathunjini amakhulu.
- I-Capsule Yomlomo: Lokhu kufana nokugwinya iphilisi. Kunezikhaphu eziqukethe izinto ezincane ezomisiwe nezilungisiwe. Lawa ma-capsule aklanyelwe ukuya ngqo emathunjini amakhulu, kunokuba ancibilike esiswini.
Indlela yokulungiselela ukwelashwa ngesimo se-capsule
Ngokuvamile, udokotela wakho uzokutshela ukuthi uqale ukuthatha la ma-capsules ezinsukwini ezimbili noma ezintathu ngemuva kokuqeda ukuthatha ama-antibiotics okutheleleka kwakho kwe-C. diff. Lokhu ukwelashwa kwezinsuku ezintathu. Kuzodingeka ugwinye ama-capsules amane ngosuku. Ngosuku olungaphambi kokuqala lokhu, kuzodingeka uthathe umuthi wokuhlanza amathumbu akho. Ngemuva kwalokho, akufanele udle noma uphuze lutho cishe amahora angu-8 ngaphambi kokuthatha isethi yokuqala yama-capsules. Lokhu kufanele kwenziwe njengoba nje udokotela wakho eyalile .
Uyitholaphi indle edingekayo kulokhu? Ngubani onikelayo?
Ngenxa yale njongo, indle inikelwa yizisebenzi zokuzithandela eziphile kahle ngokuphelele . Lo mnikeli ukhethwa ngemva kwenqubo yokuhlola enzima kakhulu.
Ungacabangi nje ukuthi lokhu kuyinto ongayenza ekhaya. Isinyathelo ngasinye, kusukela kumnikeli kuya esigulini, sidinga ukwenziwa ngaphansi kokuqashwa kwezokwelapha nasendaweni engenamagciwane.
Ngaphambi kokuba abe ngumnikeli, umuntu uhlolwa igazi, ahlolwe indle, kanye nezinye izivivinyo eziningi. Lokhu kwenzelwa ukuqinisekisa ukuthi azikho izifo ezingadluliselwa ngendle. Noma ubani onezimo ezilandelayo ngeke akhethwe njengomnikeli.
- Ezinye izifo ezibangelwa amagciwane ezinzima (isib. i-E. coli)
- Ukutheleleka ngegciwane (isib. i-hepatitis, i-HIV, i-COVID-19)
- Izimuncagazi emathunjini
- Uma usanda kusebenzisa ama-antibiotic
- Ukusetshenziswa kwezidakamizwa
- Izifo ezifana ne-Inflammatory Bowel Disease (IBD)
- Izifo ezizenzakalelayo
- Ukuba nomlando womndeni womdlavuza
Isampula yendle, ehlolwa ngokucophelela ngale ndlela, ixutshwa ne-saline elebhu kusetshenziswa indlela ekhethekile, ihlungwe, bese ilungiswa ibe uketshezi oluhlanzekile. Noma iyomiswa bese yenziwa ama-capsule.
Yiziphi izinzuzo nezingozi zalokhu kwelashwa?
Inzuzo eyinhloko yomuntu ohlushwa ukutheleleka kwe-C. diff yizinga eliphezulu lokwelapha . Lokhu kwelashwa kusebenza kahle ngo-80% - 95% ekuvimbeleni ukutheleleka kabusha ngemva kwama-antibiotic. Lokhu kuyintuthuko enkulu ngempela.
Okuqhamuka uma udla imishanguzo:
Imiphumela emibi emincane ingase ivele usuku olulodwa noma ezimbili ngemva kokwelashwa. Lokhu kujwayelekile futhi akukho okufanele ukhathazeke ngakho.
- Ukuqunjelwa kanye negesi
- Isicanucanu nokuhlanza
- Ukungakhululeki okuncane kwesisu
- Abanye abantu banomkhuhlane kanye nokubanda.
Izingozi Ezinkulu:
Kukhona ingozi engavamile kakhulu, kodwa engathi sína. Okungukuthi, kungenzeka ukuthi igciwane elalilawulwa emzimbeni womnikeli lingase lisebenze uma lingena emzimbeni wesiguli esinomzimba obuthakathaka. Kodwa ukuze kuncishiswe le ngozi, abanikeli bahlolwa ngokucophelela futhi kusetshenziswa imikhiqizo evunyelwe. Ngakho-ke,Kubaluleke kakhulu ukulandela kuphela indlela enconywe futhi evunyelwe udokotela wakho.
Kungase kubonakale kungavamile kithi ukuthi indle ingasetshenziswa njengomuthi, kodwa kumuntu obesehlushwa izinyanga eziningi enesifo esibi njenge-C. diff, lo mqondo omusha uyithemba elikhulu.
Umlayezo Wokuya Nawe Ekhaya
- Ukufakelwa indle kuyindlela yokwelapha ephumelela kakhulu futhi ephephile yokutheleleka kwe-C. difficile (CDI) okuphindaphindiwe.
- Lokhu kuhilela ukufaka amagciwane anempilo emathunjini anesifo nokubuyisela ibhalansi yawo yemvelo.
- Ngenxa yale njongo, abanikeli abaqoqa indle bahlolwa kakhulu ngokwezokwelapha. Ngakho-ke, ingozi yokuthola izifo ezithelelanayo iphansi kakhulu.
- Lokhu akuyona neze into engenziwa ekhaya noma wedwa. Kumelwe kwenziwe esibhedlela noma emtholampilo ngaphansi kokuqashwa kwezokwelapha.
- Uma wena noma othile omaziyo enalesi simo, khuluma nodokotela wakho ngale ndlela yokwelapha ukuze ufunde kabanzi.
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