SIBO , maganin yanayin da ake kira ƙananan kwayar cutar kwayar cutar, ana bincike ne a matsayin mai yiwuwa na cututtukan ciwon jijiyar zuciya (IBS ). Kamar abubuwa masu yawa da suka danganci IBS, batun batun SIBO shine matsalar da ke cikin mahimmanci kuma alama ce ta wasu rikice-rikice a duniya na bincike na IBS . Wannan bita na SIBO dangane da IBS zai iya taimaka maka ka yanke shawara idan wannan abu ne da ya kamata ka fada wa likitanka.
Mene ne SIBO?
SIBO shine haɗuwa da ƙwayar ƙwayoyin cuta a cikin ƙananan hanji. Duk wani yanayin da ya saɓawar hanyar wucewa ko motsi na ƙananan hanji zai iya sanya shi zuwa SIBO. Kwayar Crohn da ciwon ciki na ciki a baya sun kasance cikin halayen haɗari don ci gaban SIBO.
Yaya aka gano SIBO?
Saboda wahalar da ke yi na kwayoyin halitta na ƙananan hanji don tantancewa game da kwayoyin cutar, ana amfani da gwajin da aka fi sani da jarrabawar hydrogen gwaji (HBT). Ana ba wa marasa lafiya bayani, irin su lactulose, sha, sannan kuma an gwada gwajin numfashi don fuskantar gas, irin su hydrogen ko methane. A cikin mutum mai lafiya, mutum bazai sa ran ganin kowane hydrogen ko methane a cikin numfashi har sai sa'o'i biyu ya wuce, lokaci mai kimanin lokacin da lactulose zai yi tafiya zuwa babban hanji inda za a magance shi da kwayoyin cutar gas.
Kyakkyawan sakamako na gas a cikin minti 90 na shan maganin ya bada hujjar kwayoyin da suka fi girma a cikin tarin kwayar halitta, watau a matakin ƙananan hanji.
Ka'idar SIBO na IBS
Gaskiyar cewa shafewa wata alamace ce ga wadanda ke fama da cutar ta IBS, ko da kuwa ko maƙarƙashiya ko cututtuka a matsayin alamacciyar alama, ya jagoranci masu bincike su nema matsalar matsala.
Bugu da ƙari, kodayake marasa lafiya na IBS suna nuna alamun abinci musamman don haifar da bayyanar cututtuka, babu wani binciken da aka yanke akan hakan.
Shaidar cewa SIBO na iya zama dalilin da ya dace da IBS ya fito ne daga manyan mahimman bayanai guda biyu. Na farko shi ne cewa wasu masu bincike sun gano cewa mafi mahimmancin marasa lafiya na IBS suna da HBT mai kyau fiye da mutanen da ba a taɓa gani ba, watakila nuna SIBO a matsayin matsala. Na biyu shine bincikar binciken cewa mutane da yawa marasa lafiya suna ganin karuwar yawancin cututtuka na IBS bayan shawo kan maganin rigakafi. Wadannan maganin rigakafi ba su shawo kan ciki kuma saboda haka suna samuwa don yin aiki a kan kowane kwayoyin cuta wanda zai iya jingina a cikin ƙananan hanji.
Ka'idar SIBO tana neman bayyana dalilin da yasa kwayoyin cuta ke ƙare a wuri mara kyau. Ƙwararrun ƙwayar tana da "motsin tsarkakewa" na halitta - motsi na tsokoki a cikin rufin da ke bautar da ƙananan hanji a lokaci na lokaci. Anyi zaton cewa lalacewar wannan ƙwayar tsoka zai iya haifar da riƙe kwayoyin. Ɗaya daga cikin ka'idar ita ce, yaduwar gastroenteritis na iya lalata tsokoki da ke da alhakin wannan aikin tsarkakewa, wani yiwuwar da zai iya bayyana abin da ke faruwa na IBS . Har ila yau an yi tunanin cewa damuwa zai iya jinkirta aikin waɗannan tsokoki, don haka ya bayyana dangantakar tsakanin danniya da IBS .
Ka'idar SIBO ta yi ƙoƙarin yin lissafin gaskiyar cewa IBS na iya nuna kanta kamar yadda zazzaɓi ko ƙuntatawa. Tunanin shine cewa kwayoyin halitta daban-daban da nauyin da suke samarwa suna da tasiri daban-daban a kan motility . Wasu nazarin sun gano cewa marasa lafiya da ke nuna yawancin methane sun iya samun kwarewar jiki, yayin da masu ciwon sukari suna nuna karfin hydrogen.
Har ila yau an san cewa SIBO na iya zama ainihin dalilin da ya haifar da fructose da sauran sukari rashin haƙuri.
Wannan rikici
Kodayake ka'idar SIBO ta bayyana cewa za ta haɗa IBS a cikin kunshin mai kyau, yawancin masu bincike ba su yarda ba.
Akwai manyan maganganu masu yawa na ka'idar. Babban mahimmanci shi ne, ba a ganin HBT a matsayin abin dogara ba saboda ƙimar ɓataccen kuskure. Mafi muhimmancin gaske shi ne gaskiyar cewa yawan kudaden SIBO da nasarar maganin maganin maganin rigakafi a matsayin magani da aka gani a binciken da masu gudanar da SIBO ke gudanarwa ba a koyaushe ma sauran masu bincike suka yi musu ba. Har ila yau akwai damuwa dangane da amfani da maganin rigakafin amfani da dogon lokaci, musamman ma da gaskiyar cewa IBS yana da yanayin tare da hanya mai mahimmanci.
Layin Ƙasa
Kamar yadda kake gani, dangantakar dake tsakanin SIBO da IBS ya kasance mummunan rauni. Kwararren babban ra'ayi ya nuna cewa SIBO na iya zama matsala mai mahimmanci ga wani ɓangaren marasa lafiya na IBS da kuma irin wannan nau'in kwayoyin halitta, Rifaximin, yana da mafi yawan goyon bayan bincike don tasirinsa a kan rage ragewa da kuma zawo. Da fatan, ci gaba da bincike zai bayyana batun, kuma ya zo tare da jiyya lafiya da inganci.
Ya kamata ku yi magana da likitan ku game da daukar HBT ga SIBO? Ganin cewa SIBO ya zama batun batun wasu marasa lafiya na IBS da gaskiyar cewa kwayoyin cutar zasu iya kawo taimako na alama, mai yiwuwa SIBO ya cancanci ƙarin bincike, musamman idan bloating wani ɓangare ne na ɓangaren hoto.
Sources:
Kwalejin Amirka na Gastroenterology ICT Task Force "Dokar Bayyanaccen Bayanai game da Gudanar da Ciwo na Ciwo na Bikin Ƙara" Journal of the American Gastroenterology 2009: S1-S35.
Lin, H. "Ƙarƙashin ƙwayar cuta ta cikin ƙananan cuta: Tsarin Mahimmanci na Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙarƙashin Ƙara" Aikin Jarida na Ƙungiyar Ƙwararrun Amurka ta Amirka 2004 292: 852-858.
Pimentel, M. "A New IBS Magani" Lafiya Point Latsa 2006.
Quigley, E. "Gut Bacteria and Irritable Bowel Syndrome" Ƙungiyar Ƙasa ta Duniya don Harkokin Gastrointestinal Disorders Fact Sheet.