Kuwedzera kwebhakitiriya (SIBO): chii icho, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Zvinogona kukonzerwa
• Kurapwa kunoitwa sei
• 1. Kushandisa mishonga inorwisa mabhakitiriya
• 2. Shanduko mukudya
• 3. Kutora mapurobioti

Iyo syndrome yekukura kwebhakitiriya mumudumbu mudiki, inozivikanwawo nechidimbu SBID, kana muChirungu SIBO, mamiriro ezvinhu mune kukura kwakanyanya kwebhakitiriya mumudumbu mudiki, ichisvika kuhunhu hwakafanana neuwandu hwehutachiona huripo ura hwakakura.

Kunyangwe mabhakitiriya akakosha kugaya chikafu nekudyiwa kwemanyuturu, kana akawandisa anogona kukonzera matambudziko emukati, izvo zvinoguma nezviratidzo senge rakawandisa gasi, kugara uchinzwa dumbu rakadzivirirwa, kurwadziwa mudumbu uye kugara uchirwara, semuenzaniso. Uye zvakare, nekushandura kunwiswa kwezvinovaka muviri mune vamwe vanhu, zvinogona kukonzeresa kushaya zvinovaka muviri, kunyangwe kana munhu achidya zvakanaka.

Iyi chirwere inorapika uye inogona kurapwa, muzviitiko zvakawanda, neshanduko mukudya uye nemararamiro, asi inogona zvakare kusanganisira kushandiswa kwemishonga inorwisa mabhakitiriya yakatemwa nagastroenterologist.

Zviratidzo zvikuru

Kuvapo kwakanyanya kwebhakitiriya mumatumbo madiki kunogona kukonzera zviratidzo zvakadai se:

• Belly kurwadziwa, kunyanya mushure mekudya;
• Kugara uchinzwa dumbu rakazvimba;
• Dhairrhea nguva, inopindirana nekuzvimbirwa;
• Kakawanda kunzwa kwekutadza kugaya;
• Kuwanda kwematumbo emukati.

Kunyangwe hosha yacho ichigona kukonzeresa manyoka nekuzvimbirwa, zvinowanzoitika kuti munhu ave nemanyoka asingaperi.

Mune zviitiko zvakakomba zveSBID, ura hunogona kurasikirwa nechimwe chikamu chekugona kutora zvinovaka muviri uye, nekudaro, mamiriro ekushaya chikafu anogona kuoneka, kunyangwe kana munhu achidya zvakanaka. Kana izvi zvikaitika, munhu wacho anogona kuneta zvakanyanya, kurasikirwa uremu uye kunyangwe kupererwa neropa.

Maitiro ekusimbisa kuongororwa

Nzira yakanyanya kushandiswa yekusimbisa kuongororwa kwehutachiona hwakawanda kukura mudumbu ura kuita kuyedza kufema, umo huwandu hwehydrogen uye methane iripo mumhepo yakabuditswa inoongororwa. Izvi zvinodaro nekuti, kuwanda kwebhakitiriya mumatumbo madiki kunoburitsa gasi remhando iyi muhuwandu hwakakwira kupfuura izvo zvinofungidzirwa zvakajairwa. Nekudaro, iyo yekufema bvunzo inzira isinga pindire uye isiri-yakanangana yekuziva inogona kuitika nyaya yeSBID.

Kuti uite bvunzo iyi unofanirwa kutsanya kwemaawa masere wozoenda kukiriniki kunobuditsa mweya muchubhu. Mushure meizvozvo, nyanzvi inounza chakakosha chinwiwa chinofanira kunge chakadhakwa uye, kubva panguva iyoyo, mamwe maexcel anounganidzwa mumachubhu matsva maawa maviri kana matatu.

Kazhinji, vanhu vane SBID vanoona kuwedzera kwehuwandu hwehydrogen uye methane mumhepo yakaburitswa nekufamba kwenguva. Uye kana izvozvo zvikaitika, mhedzisiro yacho inoonekwa seyakanaka. Nekudaro, kana bvunzo isina kukwana, chiremba anogona kukumbira kumwe kuyedzwa, kunyanya kubviswa kwesampuli yemvura irimo mudumbu, kuongorora, murabhoritari, huwandu hwehutachiona.

Zvinogona kukonzerwa

Zvimwe zvikonzero zvinogona kuve kwakatangira iyo SBID shanduko mukugadzirwa kwe gastric acid, anatomical kuremara mudumbu ura, shanduko mu pH mudumbu ura, shanduko mune immune system, shanduko mune yemudumbu motility, shanduko mu enzymes uye commensal mabhakitiriya.

Iyi syndrome inogona zvakare kuve nekuenderana nekushandiswa kwemimwe mishonga, senge proton pump inhibitors, anti-motility agents uye mamwe maantibayoti.

Uye zvakare, iyi syndrome inogona kunge iine hukama nezvimwe zvirwere, zvakaita sehutachiona gastroenteritis, chirwere checeliac, chirwere cheCrohn, yakadzika mudumbu acid mazinga, gastroparesis, kukuvara kwetsinga, cirrhosis, portal hypertension, anogumbuka ura syndrome, maitiro kudarika kana kumwe kuvhiya, semuenzaniso.

Kurapwa kunoitwa sei

Kurapa kweiyi syndrome kunofanirwa kutungamirwa neye gastroenterologist, zvisinei, zvinogona zvakare kuve zvakafanira kutevedzera neyehutano. Izvi imhaka yekuti, kurapwa kunogona kusanganisira:

1. Kushandisa mishonga inorwisa mabhakitiriya

Nhanho yekutanga yekurapa SBID kudzora huwandu hwehutachiona mumudumbu mudiki uye, nekudaro, zvinofanirwa kushandisa mushonga unorwisa mabhakitiriya, unorayirwa nagastroenterologist, asi unowanzo kuve Ciprofloxacin, Metronidazole kana Rifaximin.

Kunyangwe mune dzimwe nguva mishonga inorwisa mabhakitiriya inogona kushandiswa muchimiro chemapiritsi mukati, apo chirwere ichi chiri kukonzera kushomeka kwekudya zvinovaka muviri kana kushaya mvura mumuviri, zvingave zvakafanira kugara muchipatara kwemazuva mashoma, kugamuchira serum kana kugadzira kudya kwevabereki. kuitwa zvakananga mutsinga.

2. Shanduko mukudya

Kudya kunokwanisa kurapa SBID hakusati kwazivikanwa, zvisinei, pane zvimwe shanduko mukudya zvinoita kunge zvinoderedza zviratidzo, zvakaita se:

• Idya zvidiki zvidiki mukati mezuva rese, uchidzivirira chikafu chine chikafu chakawandisa;
• Dzivisa chikafu uye zvinwiwa zvine shuga yakawanda;
• Dzivisa chikafu chinoratidzika kuita kuti zviratidzo zviwedzere, senge gluten kana lactose chikafu.

Uye zvakare, vanachiremba vakati wandei zvakare vanoratidza kuti kutevera chikafu cheFODMAP-chinobvisa chikafu chinoviriswa mumatumbu uye nekudaro chisina kunyudzwa, chingave chakanakira kudzikisira zviratidzo. Ona maitiro ekuita rudzi rweFODMAP kudyisa.

3. Kutora mapurobioti

Kunyangwe hazvo zvidzidzo zvichiri kudiwa kuratidza kushanda kwayo, kushandiswa kwemapurobioti kunoratidzika kunge kunobatsira ura kugadzirisa zvakare maruva ayo echisikigo, zvichideredza kuwanda kwebhakitiriya.

Nekudaro, mapurobioti anogona zvakare kumedzwa zvakasikwa kuburikidza nechikafu, kuburikidza nezvikafu zvakaviriswa senge yogati, kefir kana kimchi, Semuyenzaniso.