Bayani
Ƙananan kwayar cutar kwayar cutar (SIBO) wani yanayin kiwon lafiya ne da aka taba tunanin shi matsala ce mai wuya. Kwanan nan, masu bincike sun mayar da hankalinsu game da haɗin kan tsakanin SIBO da rashin lafiya da dama. A cikin wannan bayyani, za ku koyi abin da aka bincika yanayin da zai iya haifar da haɗarinku don inganta SIBO.
Hakanan zaka iya amfani da wannan bayanin don buɗe tattaunawa tare da likitanka don tabbatar da ko ko hankali ya kamata a jarraba ku kuma mai yiwuwa a sake bi da ku don SIBO.
Menene SIBO?
Ana bincikar SIBO yayin da yawan kwayoyin cuta ke ciki, da / ko canje-canje a cikin nau'in kwayoyin cuta, a cikin ƙananan ƙwayarku. Yawancin kasancewar kwayoyin cuta a cikin ƙananan hanji yana da iyakancewa, kamar yadda yake tsayayya da yawan kwayoyin da ke ciki a cikin babban hanji. Wadannan canje-canje a cikin adadin da kayan shafa kwayoyin zasu iya haifar da bayyanar cututtuka, misali, ƙananan hawan jini , ko kuma haifar da bayyanar cututtuka ta hanyar hana ƙwayar abincin da kuke ci daga kasancewa a cikin jiki.
Ana tsammanin SIBO ya faru ne saboda rashin lafiya a cikin tsarin tsaro na jiki wanda yawanci yana riƙe da ƙwayoyin cuta a cikin ƙananan hanji a ƙananan matakin. Akwai abubuwa da dama da zasu iya haifar da wannan rashin lafiya, misali, canje-canje a cikin matakin acid na ciki, yawan adadin ƙwayoyin enzymes wanda aka ba da shi ta hanyar pancreas , ko canje-canje da gyare-gyaren anatomical.
SIBO ya kasance mai ganewa da rashin fahimta. Wannan shi ne saboda ɓangare cewa akwai matsaloli tare da ingancin hanyoyin gwaji na yanzu . Bugu da ƙari, a cikin rahotanni, mutane da dama sun gano cewa suna da ƙananan kwayoyin cuta a cikin ƙananan hanji ba tare da wata alama ba.
Da aka ce, ana tunanin SIBO ne wanda ba a bincikar da shi ba saboda haka an rasa shi a matsayin abin da zai taimaka wajen bayyanar da cututtukan da mutane ke fuskanta.
Cutar cututtuka
Kwayoyin bayyanar SIBO zasu iya bambanta. A wasu lokuta bayyanar cututtuka na iya zama kadan ko an danganta su zuwa wasu matsalolin kiwon lafiya. Duk da haka, mafi yawan bayyanar cututtuka sun hada da:
- Abun ciki na ciki
- Ruwan jini
- Yanna zawo
- Jigilar hanji mai zurfi
- Jiɗa
- Abinci na gina jiki
- Asarar nauyi
Ƙungiyoyi masu dangantaka
SIBO ba dole ba ne ya tsaya kawai. Yanayin ci gaban SIBO na iya zama sakamakon cutar ko SIBO kanta zai iya haifar da matsalar kiwon lafiya mai ci gaba. A wasu lokuta masu tsanani, akwai yanayin "kaza da kwai" tsakanin SIBO da wata cuta, wanda kowace cuta ta taimaka wajen kula da ɗayan. Ga wasu sha'anin kiwon lafiyar da suka kasance na farko ga masu bincike na SIBO:
Cutar Gida ta Gastroesophageal (GERD): Bincike ya nuna cewa mutanen da ke da GERD suna da haɗari ga ci gaban SIBO. Wannan ba a zaton cewa saboda GERD kanta ba, amma karuwar yawancin ciki a ciki shine sakamakon yin amfani da dogon lokaci na proton pump inhibitors (PPIs) .
Abun daji na rashin jijiyar zuciya (IBS): IBS da SIBO suna da yawa da yawa a kan maganin bayyanar cututtuka, duk da haka dangantakar dake tsakanin su biyu ba ta sani ba.
An yi imanin cewa wasu ƙananan mutanen da aka gano tare da IBS suna da SIBO kuma haka ne SIBO wanda ke baya bayan bayyanar cututtuka. Sauran masu bincike sun yi imanin cewa rashin lafiya ne na IBS wanda ya kafa mataki don ci gaban SIBO.
Celiac cuta: Masu bincike sun gano cewa cutar celiac na iya kara yawan haɗarin mutum don inganta SIBO. An sani cewa ko dai ciwon kumburi a kan rufin ƙananan hanji, ko kuma motsa jiki a cikin ƙananan hanji, ko dukansu biyu, ya kafa mataki don farfadowa na kwayan cuta. Idan mutumin da ke da cuta na celiac yana da alamun bayyanar ciki na ciki duk da bin bin abincin mai cin abinci mara kyau, an ba da shawara cewa za a kimanta su a gaban SIBO sannan a bi su.
Kwayar Crohn: Masu bincike sunyi kiyasin cewa kashi 25 cikin dari na mutanen da ke da kwayar cutar Crohn na iya samun SIBO, tare da mafi girma haɗari da aka gani a waɗanda suka yi tiyata don cutar ciwon jini. Tsarin mulki na SIBO yana da mahimmanci yayin da SIBO za a iya ɓatar da shi a matsayin mummunar fushin cutar ta Crohn kanta.
Ciwon sukari: Masu bincike sun gano cewa mutane da ke fama da ciwon sukari na dindindin suna da hadari don samun SIBO. Ana tsammanin cewa ciwon ciwon sukari zai iya lalata tsarin aiki na tsarin narkewa kuma ya kafa yanayin da SIBO ke tasowa. Idan kana da ciwon sukari kuma ka fuskanci cututtuka na gastrointestinal, zai iya zama kyakkyawar ra'ayin yin magana da likitanka game da gwaji ga SIBO, musamman tun da hadewar ciwon sukari da SIBO zai iya haifar da malabsorption na muhimman kayan abinci.
Sauran Harkokin Kiwon Lafiyar Da Aka Bincike Ga Ƙungiya tare da SIBO
Kamar yadda zaku gani ta jerin abubuwan da ke biyo baya, akwai matsalolin kiwon lafiya da dama waɗanda masu bincike suka binciki game da hanyar haɗi da SIBO:
- Matsalar Anatomical a cikin ƙananan hanji (misali tumo ko adhesions)
- Hanyar kwanciyar hankali
- Tsarin ƙananan ƙwayar hanzarin ƙananan hanji
- Cirrhosis
- Cystic fibrosis
- Cututtuka da ke daidaitawa da tsarin rigakafi, ciki har da HIV / AIDs
- Fibromyalgia
- Hypothyroidism
- Kwayoyin cututtuka (misali cutar Parkinson da ƙwayar murya)
- Abubuwan da ke ciki
- Scleroderma
- Ƙananan ciwon ciwo
Jirga zuwa tsufa
Babu tattaunawa game da abubuwan haɗari ga SIBO cikakke ba tare da la'akari da cewa tsufa ba yakan kawo hadarin ga SIBO. Anyi zaton wannan ya zama dole ne, a wani ɓangare, don rage yawan tsarin motsa jiki. Wannan haɗari ya kara ƙarfafa idan mutum ya yi amfani da PPI na dogon lokaci ko kuma yana da tiyata na gaba. A cikin tsofaffi, SIBO zai iya haifar da malassorbtion na kayan abinci da asarar hasara mai nauyi.
Sanin asali
Idan kana da wasu sha'anin lafiyar da aka jera a sama kuma kana gwagwarmaya tare da ciwon cututtuka na gastrointestinal, zai zama darajar ka yayin da kake tattaunawa da likita game da kimantawa game da gaban SIBO.
Akwai hanyoyi guda uku don gwada SIBO-ta hanyar yin amfani da gwaji na numfashi na jini , ta hanyar gwada samfurori na ruwa a cikin ƙananan ƙwayar da aka ɗauka a lokacin endoscopy , ko kuma ta hanyar gwaji da wasu maganin rigakafi . Kowace hanya tana da amfani da iyakokinta, ko da yake hanyar samfurin samfurin ta hanyar endoscopy an dauke shi mafi yawan abin dogara.
Labari mai dadi shine a cikin yawancin binciken da suka yi nazarin SIBO a kungiyoyin da ke da wasu matsalolin kiwon lafiya, magance SIBO yana da tasiri wajen rage alamunta.
Jiyya
A halin yanzu, mafita na farko ga SIBO shine amfani da maganin rigakafin da ba'a kulawa a cikin ciki kuma saboda haka aiki a kan kwayoyin cikin ƙananan hanji. Yana iya ɗaukar darussan makonni biyu na magani kafin a kawar da SIBO. Da zarar ka gama shan magani, likita ka ba da shawara cewa ka bi abincin rage-FODMAP don hana haɓakar SIBO.
Wasu masana kimiyya suna nazarin tasiri na amfani da rage cin abinci a cikin maganin SIBO. Wannan ya shafi kasancewa a cikin abincin ruwa, shan shayarwa ta musamman. Duk da haka, saboda wannan abincin abincin mai sauƙi ne don kulawa, koda don tsawon lokaci na mako biyu, wannan zai zama wani zaɓi mai mahimmanci da ake amfani dashi.
Kalma Daga
Duk da cewa, kwanan nan, a cikin binciken, SIBO ya kasance abin ƙyama ne mai ban mamaki. Yana da muhimmanci mu fahimci cewa a wannan lokaci, fahimtarmu game da muhimmancinsa, gwaji, da kuma maganin lafiya sunyi nisa sosai.
> Sources:
> Bohm M, Siwiec RM, Duba JM. "Fahimtarwa da Gudanarwa na Ƙananan Tsarin Kwayoyin cuta na Kwayoyin cuta" Gina ta jiki a Ayyukan Clinical 2013; 28 (3): 289.299.
> Bures J, Cyrany J, Kohoutova D, et al. "Ƙananan cututtuka na kwayar cutar kanjamau." Labarin Duniya na Gastroenterology 2010; 16 (24): 2978-2990.
> Grace E, Shaw C, Whelan K, Andreyev H. "Duba labarin: ƙananan kwayoyin cutar kanjamau - ƙaddarawa, fasalin kamuwa da ƙwayoyin cuta, gwagwarmaya na yau da kullum da kuma gwagwarmayar gwaje-gwajen, da kuma magani" Magungunan Abinci da Magunguna 2013; (7): 674-688 .
> Pimentel, M., et.al. "Hanyoyin Abincin Cikin Guda 14 Yana Da Kyau a Tsarin Nuna Gwajin Lactulose Breathwu" 2004 49: 73-77. Cututtuka da cututtuka
> Salem A, Roland BC "Ƙananan Tsarin Kwayoyin cuta na Kwayoyin cuta (SIBO)" Jaridar Gastrointestinal & Digestive System 2014; 4: 225