Kodayake muhimmancin kwayar cutar kwayar cutar ta jiki (SIBO) a cikin rashin ciwo mai jiji (IBS) har yanzu ba a bayyana ba, yawancin likitoci suna bincikar SIBO a cikin marasa lafiya na IBS, tare da samar da takardar maganin maganin maganin rigakafi. Wannan labarin ya amsa tambayoyin da suka fi dacewa da marasa lafiya na IBS game da SIBO.
1. Menene SIBO?
SIBO ƙari ne ga ƙananan kwayar cutar kwayar cutar.
A cikin tsarin kwayoyi masu lafiya, adadin kwayoyin da ke cikin ƙananan hanji yana da yawa. Ana bincikar SIBO idan akwai kwayar cuta mai yawa a cikin ƙananan hanji. SIBO ne sau da yawa sakamakon sakamakon rashin ciwo ko kuma rashin lafiya. Kwanan nan, SIBO ya zama sanadiyar yiwuwar bayyanar IBS a wasu marasa lafiya na IBS.
2. Yaya zan san idan IBS shine SIBO ne?
Yawancin alamun bayyanar SIBO sune kama da na IBS:
- Abun ciki na ciki
- Ruwan jini
- Tsinkaya
- Diarrhea
- Flatulence
Wasu marasa lafiya na SIBO suna fama da gaggawa mai tsanani , rashin rashin lafiya , da / ko tashin hankali. Ko da yake ana ganin SIBO sau da yawa a marasa lafiya tare da IBS-D , za a iya ganin SIBO a marasa lafiya tare da IBS-C .
3. Yaya aka gano SIBO?
Kodayake akwai tambayoyi game da ingancinta, yawancin lokuta na SIBO ana bincikar su ta hanyar yin amfani da gwaji na numfashi na hydrogen (ko methane) . Za a umarce ku ku sha maganin sukari sannan kuma don samar da samfurori na numfashinku a kowane lokaci.
Idan an gano hydrogen ko methane a cikin minti 90, za a gano SIBO. Tsawon lokaci shine mabukaci - tun da yake za ta dauki sa'o'i biyu don maganin sukari don samun hanyar zuwa babbar hanji, kowace tashi daga cikin wadannan gas kafin wannan lokaci ya nuna cewa kwayoyin cutar sunyi amfani da sukari a cikin ƙananan hanji.
A cikin mutane tare da SIBO, hydrogen a cikin numfashi yana iya haɗuwa da IBS-D, yayin da mafi yawan mutane zasu iya samar da methane ta hanyar IBS-C.
Za'a iya gano SIBO mafi mahimmanci ta hanyar amfani da samfurin samfurin da aka kai tsaye daga ƙananan hanji ta hanyar amfani da endoscopy .
4. Ya kamata a gwada ni na SIBO?
Ya kamata ka yi magana da likitanka game da yiwuwar kana da SIBO kuma don ganin idan ya kamata ka shawo kan gwaji. Wasu alamu da cewa SIBO na iya taka muhimmiyar rawa a cikin bayyanar IBS naka sun hada da:
- Kuna samun gas da kuma shushe a cikin minti 90 bayan cin abinci.
- Abunka yana samun karuwa fiye da lokacinka.
- Kun ga cigaba a cikin bayyanarku ta IBS lokacin da kuka ɗauki maganin rigakafi a baya.
Yaya aka bi SIBO?
Idan likitanku ya gano cewa kana da SIBO, ainihin nau'i na magani shi ne amfani da wani nau'i na maganin kwayoyin (duba " Antibiotics for IBS "). Irin kwayoyin da za a zaba domin maganin SIBO shine wanda ba a raye cikin ciki ba saboda haka ya sa hanyar zuwa ƙananan hanji inda zai iya kawar da kwayoyin da yake samuwa a can. Yayinda irin wadannan maganin rigakafi sun nuna tasiri, FDA ba ta amince da su ba don amfani a IBS.
Yana da mahimmanci a san cewa SIBO zai iya sake faruwa ko da bayan an samu nasara da kyau a farko.
6. Idan ina da SIBO, shin hakan yana nufin cewa ba ni da IBS?
Idan an gano ku tare da SIBO, yana nufin cewa likitanku na iya gano dalilin da alamun bayyanarku na IBS. Tare da maganin ci gaba, ya kamata ka sami taimako daga yawancin alamomi na IBS.
7. Yaya mai tsanani shine SIBO?
Koda yake a wasu lokuta masu tsanani, SIBO zai iya haifar da mummunan cututtuka da suka shafi rashin lafiya, ba haka ba ne ga marasa lafiya na IBS da ke da SIBO. Yawanci, SIBO yana haifar da bayyanar cututtukan da ba'a so ba amma bazai haifar da haɗari ga lafiyar lafiyarka ba, kuma basa haifar da wasu cututtuka.
SIBO ba zai rage rayuwarku ba.
8. Idan na dauki maganin maganin rigakafi, shin abincin abincin na zai tafi?
Zai yiwu. Idan SIBO ya zama dalilin bayyanar cututtuka kuma ba abincin abincin ba , to, akwai kyawawan dama da ke kawar da kwayoyin cikin ƙwayar ƙwayar ta hanyar amfani da maganin rigakafin ƙwayoyi na iya ƙyale ka ka ci wasu abincin da suka samo asali a baya. A gefe guda kuma, yana yiwuwa a ji da hankali ga wasu abinci da suka bambanta daga aikin da kwayoyin ke ciki a cikin ƙananan hanji. Da zarar ka kammala aikinka na maganin rigakafi, zaka iya kalubalantar kanka da abinci mai wahalar da za a iya gani a baya don ganin irin irin abinda kake fuskanta. Wannan shawara kawai tana danganta da abincin abinci; Kada ku kalubalanci abincin da yake sanadin abincin da aka sani game da ku.
9. Me ya kamata in ci ga SIBO?
Abin mamaki shine, akwai ɗanɗanan bayani game da abin da ya kamata ya ci a lokacin maganin kwayoyin cutar da kuma bayan. Akwai wasu alamomi cewa yana da kyau a ci abinci mai cin nama, tare da adadin carbohydrates, yayin da ake shan maganin kwayar cutar don yaduwar kwayoyin da za'a iya samun kwayoyin cutar. An kuma ba da shawara cewa bin cin abinci maras saurin FODMAP sau ɗaya bayan an kawar da SIBO zai iya taimakawa wajen rage hadarin rikici.
Wani muhimmin al'amari game da rawar abinci a SIBO ya yi da lokacin da zai ci. Wannan shi ne saboda muhimmancin nau'in "wanzuwa na tsarkakewa," abin da ke faruwa a tsakanin abinci. A matsayin wani ɓangare na aiwatar da lafiyar lafiya, ƙwayoyin da ke rufe ƙwayar ƙwayar jikin, a lokaci-lokaci zubar da ƙananan hanji na abubuwan ciki. Ka'idar SIBO na IBS ta nuna cewa rashin daidaitattun bayanan kalaman tsarkakewa don bunkasa kwayoyin cuta a cikin ƙananan hanji. Wannan rashin daidaituwa akan yunkurin tsaftacewa ya dame shi ko dai ya kasance saboda jinkirin saukar da tsokar da tsokoki a sakamakon sakamakon halayyar psychosocial ko kuma sakamakon lalacewa ga tsokoki daga ƙwayar gastroenteritis . Domin inganta yawan dawo da ku daga SIBO, an nuna cewa ka rage kanka zuwa abinci guda uku a rana, don samar da yanayi mafi kyau ga zabin tsarkakewa na halitta.
10. Kwayoyin maganin iya taimaka wa SIBO?
Binciken da aka yi a yau game da amfani da kwayoyin maganin SIBO ya iyakance kuma bai riga ya nuna alamar da aka yanke ba. Zai iya zama mafi kyau don kaucewa shan kariyar probiotic har sai bayan kammala karatunka na maganin rigakafi. Kwararku yana cikin matsayi mafi kyau don ba da shawara game da ko yakamata ya kamata ka dauki karin kariyar probiotic.
Sources:
Bohm, M. Siwiec, R. & Wo, J. "Sanin lafiyar da kuma Gudanar da Ciwon Kwayoyin Cutar Kwayoyin Bacci na Ingantaccen Ciwon Jiki a cikin Harkokin Clinical 2013 28: 289-299.
Dukowicz, A., Lacy, B. & Levine, G. "Ƙananan Tsarin Kwayoyin Tsarin Laifi: Wani Nazari Mai Girma" Gastroenterology & Hepatology 2007 3: 112-122.
Pimentel, M. " A New IBS Magani " Lafiya Point Latsa 2006.