He aha te Whakatipuranga Pūkahukahu Pakupaku (SIBO)? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te whakatipuranga pūkahukahu pakupaku, ko te SIBO rānei, ka puta ina tupu nui rawa ngā pūkahukahu i roto i tō pakupaku iti, i te wā kaore rātou e noho tika i reira i te maha nui. Whakaarohia he rite ki te haere mai o ngā manuhiri ki te rūma he i tō whare.

Ko tō pakupaku iti te nuinga o te wā he iti ngā pūkahukahu kei roto, ki te whakataurite ki tō pakupaku nui. Ki te pakaru tēnei taurite, ka taea e ēnei pūkahukahu atu te whakaroa i te tukunga kai o tō tinana me te tango i ngā matūkai, ka āhei ai ngā tohumānga kore pai o te pūnaha kai, ka pā kino ai ki tō oranga o ia rā.

He aha ngā tōmhanga o te Whakatipuranga Pūkahukahu Pakupaku?

Ko ngā tōmhanga o te SIBO te nuinga o te wā he rite ki ētahi atu āhuatanga o te pūnaha kai, ka uaua ai te kite i te tīmatanga. Ko ngā tohu tino noa ka pōtae ki te tukunga kai o tō pūnaha kai me te whakaputa hau.

Ko ēnei ngā tōmhanga matua ka pā atu ki a koe:

• Te pupū me te whānuitia o te kopu, ina koa i muri i te kai
• Te nui o te hau me te pupuhi i te rā katoa
• Te mamae o te kopu, te kopu rānei, te nuinga o te wā i te pito o runga o te kopu
• Te ruaki, ka wai rānei, ka ngawha rānei
• Te kōpuku i etahi wā
• Te ruaki, ina koa i muri i ngā kai
• Te ahua o te makona i muri i te kai iti

Ka kite pea koe i ētahi tohu iti ake e pā ana ki te kore o te tango matūkai. Ka uru atu ki ēnei te ngenge kore whakamaarama, te ngoikore, aha atu rānei ngā tohu pērā i ngā kuihi pakaru, te ngākau rānei, ki te roa te āhuatanga.

Ko ētahi tāngata ka pā atu ki te mea e kiia nei ko te "mōhiotanga o te roro" - te uaua ki te aro atu, ki te whakaaro mārama rānei. Ahakoa kaore pea tenei e pā ana ki tō kopu, he kaha ake te hononga i waenga i tō pūnaha kai me te mahi o te roro i te whakaaro o te nuinga o te iwi.

He aha ngā take o te Whakatipuranga Pūkahukahu Pakupaku?

Ka puta te SIBO ina pakaru ngā tikanga horoi tūturu o tō pakupaku iti, ka taea ai e ngā pūkahukahu te tupu i te wā kaore rātou e tika.

Ko ngā take taketake tino noa ko ēnei:

• Te whakaheke o te nekehanga o te pakupaku (nekehanga), te nuinga o te wā mai i ngā āhuatanga pērā i te mate huka, te hypothyroidism rānei
• Ngā raruraru hanganga pērā i ngā hononga o te pakupaku mai i te pokanga o mua
• Ngā mate pūnaha mate e pā ana ki te mahi o te kopu
• Te whakamahinga roa o ngā kaiwhakaiti waikawa (rākau rongoā whakaiti waikawa)
• Te mate celiac, te mate Crohn rānei
• Te pokanga o te puku o mua, te tango pakupaku rānei
• Te mate pancreatitis roa e pā ana ki te whakaputa o ngā enzyme kai

I etahi wā ka puta te SIBO i muri i te mate kai, te gastroenteritis rānei. Ka taea e te mate tuatahi te whakarahi i ngā uaua e whakahaere ana i te nekehanga o te pakupaku, ka hanga ai i te taiao ka taea ai e ngā pūkahukahu te tupu nui ahakoa kua ora te mate taketake.

I ngā take onge, ko ngā raru hanganga pērā i ngā ngoikoretanga o te pakupaku, te diverticulosis o te pakupaku iti, ngā āhuatanga rānei e pā ana ki te waahanga ileocecal ka taea te awhina i te tupu nui o ngā pūkahukahu mā te hanga i ngā putea ka taea ai te kohikohi pūkahukahu.

Nōhea te haere ki te taote mō te Whakatipuranga Pūkahukahu Pakupaku?

Me whakaaro koe ki te haere ki te kaiwhakarongo hauora ki te pā ana koe ki ngā tohumānga o te pūnaha kai e kore e mutu ana, e whakaroa ana rānei i ō mahi o ia rā, i tō kounga o te ora rānei. Ahakoa he mea noa te pupū, te hau rānei, ko ngā tohumānga e kore e mutu ana e tika ana kia arohia.

Whakaritea he whakatau ki te kite koe i ngā tohumānga e roa atu ana i ngā wiki torutoru, ina koa ki te kino haere rānei, ki te ngaro taimaha rānei. Ka taea e tō taote te awhina i te whakatau he aha ngā tohumānga e pā ana ki te SIBO, ki ētahi atu āhuatanga o te pūnaha kai rānei.

Rapua te tiaki hauora tere ake ki te whanake koe i te mamae o te kopu nui, te ruaki e kore e mutu ana, ngā tohu o te maroke, ki te kite rānei koe i te toto i roto i tō paru. Ka taea e ēnei tohumānga te tohu i ngā raruraru, i ētahi atu āhuatanga nui rānei e hiahia ana ki te tiaki tere.

He aha ngā take morearea mō te Whakatipuranga Pūkahukahu Pakupaku?

Ka taea e ētahi āhuatanga hauora me ngā āhuatanga o te ora te whakapiki i tō tūponotanga ki te whanake i te SIBO. Ka taea e te mārama ki ēnei take morearea te awhina i a koe me tō taote ki te tupato ki te āhei o te tohumānga.

Ko ngā āhuatanga hauora e whakapiki pinepine ana i te morearea o te SIBO ko ēnei:

• Te mate huka, ina koa ki te uaua te whakahaere i te huka toto
• Te hypothyroidism, ngā mate thyroid rānei
• Ngā mate pūkahukahu mumura pērā i te mate Crohn
• Te mate celiac, ahakoa kei te whai i te kai kore gluten
• Te scleroderma me ētahi atu mate hononga kiko
• Te mate whatukuhu roa
• Te cirrhosis ate

Ka taea hoki e te tau te whakauru, i te mea ko ngā tāngata neke atu i te 65 tau te pakeke pea ka nui ake te morearea na te huringa o te whakaputa waikawa o te puku me te nekehanga o te pakupaku e puta ana i te pakeketanga. Heoi, ka taea e te SIBO te pā ki ngā tāngata o te tau katoa, tae atu ki ngā tamariki.

Ko ngā pokanga o te kopu o mua, ina koa ngā mea e pā ana ki te puku, ki te pakupaku rānei, ka taea te whakarereke i te hanganga noa me te whakapiki i te morearea. Ko te whakamahinga roa o ētahi rongoā, ina koa ngā mea e whakaiti ana i te waikawa o te puku, e pā ana rānei ki te nekehanga o te kopu, ka taea hoki te awhina i te tupu nui o ngā pūkahukahu i te wa roa.

He aha ngā raruraru pea o te Whakatipuranga Pūkahukahu Pakupaku?

Ki te kore e maimoatia te SIBO mo te wā roa, ka taea e ngā pūkahukahu nui te whakaroa i te kaha o tō tinana ki te tango tika i ngā matūkai nui. Ka taea e tenei te arahi ki ētahi raruraru āwangawanga e pā atu ana ki te kore ngāwari o te pūnaha kai.

Ko ngā raruraru tino noa ko ēnei:

• Te kore o te huaora B12, ka arahi ai ki te mate toto me ngā tohumānga neurological
• Te kore o ngā huaora ngawari ngako (A, D, E, K)
• Te mate toto ngenge rino
• Te kore o te pūmua i ngā take nui
• Te ngaro o te mātotoru o te wheua na te kore o te tango kārati me te huaora D
• Te ngaro taimaha kore hiahia

I ngā take onge, ka taea e te SIBO nui te arahi ki ngā raruraru nui ake pērā i ngā raruraru ate na te mea ka tomo ngā pūhui pūkahukahu ki roto i te toto, te nui ake rānei o te urutau o te pakupaku ka taea te whakaoho i ngā whakautu pūnaha mate.

Ko te rongo pai ko te maimoatanga tika, ko ēnei raruraru te nuinga o te wā ka taea te whakahoki, ka taea hoki e tō tinana te whakahoki i ō kaha tango matūkai noa. Ko te mohiotanga me te maimoatanga wawe ka awhina i te aukati i ēnei hua nui ake ki te whanake.

Me pēhea te whakatau i te Whakatipuranga Pūkahukahu Pakupaku?

Ko te whakatau i te SIBO te nuinga o te wā e whakauru ana i ngā whakamātautau manawa motuhake e ine ana i ngā hau e whakaputahia ana e ngā pūkahukahu i roto i tō pakupaku iti. Kaore ēnei whakamātautau e kino, a ka taea te mahi i roto i te tari o tō taote, i te kāinga rānei me te kete whakamātautau.

Ko te huarahi whakatau tino noa ko te whakamātautau manawa hydrogen. Ka inu koe i te otinga kei roto te lactulose, te glucose rānei, ka manawa atu ki roto i ngā pūnaha kohikohi i ngā wā motuhake. Ki te tupu nui ngā pūkahukahu i roto i tō pakupaku iti, ka whakakōkō ratou i te huka ka whakaputa i te hau hydrogen ka puta mai i tō manawa.

Ka taea hoki e tō taote te tono i ngā whakamātautau toto ki te tirotiro i ngā kore o te huaora, i ngā tohu rānei o te kore tango e taea ai te tohu i te SIBO. I etahi wā, ka taea e ratou te tūtohutia ngā rangahau whakaahua, te endoscopy rānei ki te rapu i ngā raruraru hanganga e taea ai te awhina i te tupu nui o ngā pūkahukahu.

Ko te tukanga whakatau i etahi wā ka roa na te mea ka taupokina ngā tohumānga o te SIBO ki ētahi atu āhuatanga o te pūnaha kai. Ko tō kaiwhakarongo hauora pea ka ui i ngā pātai taipitopito mō ō tohumānga, mō tō hītori hauora, me ētahi rongoā e inu ana koe ki te awhina i te whakakotahi i te whakaahua katoa.

He aha te maimoatanga mō te Whakatipuranga Pūkahukahu Pakupaku?

Ko te maimoatanga o te SIBO te nuinga o te wā e aro ana ki te whakaiti i te tupu nui o ngā pūkahukahu me te whakautu i ētahi atu āhuatanga e taea ai te awhina i tōna whanaketanga. Ko te huarahi te nuinga o te wā e whakauru ana i ngā rongoā antibiotic i whiriwhiria motuhake mō tōna whai hua i roto i te pakupaku iti.

Ko ngā whiringa maimoatanga noa ko ēnei:

• Rifaximin, he rongoā antibiotic e mahi ana i roto i ngā pakupaku
• Metronidazole, ina koa mō ngā take e pā ana ki ētahi momo pūkahukahu
• Te rongoā antibiotic whakakotahi mō ngā take uaua ake
• Ngā maimoatanga antimicrobial otaota hei whiringa ki ngā rongoā antibiotic noa
• Ngā whakarerekētanga kai ki te whakaiti i ngā puna kai pūkahukahu
• Ngā rongoā prokinetic ki te whakapai ake i te nekehanga o te pakupaku

Ko te roa o te maimoatanga te nuinga o te wā mai i te 10 ki te 14 rā mō ngā rongoā antibiotic, ahakoa ko ētahi tāngata pea ka hiahia ki ngā akoranga roa ake, ki ngā maimoatanga whakahokia rānei. Ka tirotirohia e tō taote tō whakautu ka whakaritea te huarahi kia rite ki te hiahia.

Ko te whakautu i ngā āhuatanga taketake he mea nui ano mō te angitu roa. Ka uru pea tenei ki te whakapai ake i te whakahaere i te huka toto i te mate huka, te maimoatanga i ngā mate thyroid, te whakahaere rānei i ētahi atu āhuatanga i awhina i te tupu nui o ngā pūkahukahu i te tīmatanga.

Me pēhea te whakahaere i ngā tohumānga i te kāinga i te wā e maimoatia ana te Whakatipuranga Pūkahukahu Pakupaku?

I te wā e maimoatia ana te SIBO, ka taea e ētahi whakarerekētanga kai me te oranga te awhina i te whakahaere i ngā tohumānga me te tautoko i tō ora. Ka mahi ēnei huarahi me te maimoatanga hauora, kaore rānei e whakakapi.

Whakaarohia te whai i te kai iti-FODMAP mo te wā poto, i te mea ka whakaitihia e ia ngā kāreti e taea te whakakōkō e whāngai ana i ngā pūkahukahu i roto i tō pakupaku iti. Ko te tikanga tenei te whakaiti i ngā kai pērā i ngā aniana, te karika, ngā pi, ētahi hua, me ngā hua witi mō te wā e whakatauhia ana e tō kaiwhakarongo hauora.

Ko te kai iti ake, te maha atu rānei o ngā kai ka taea te awhina i te whakaiti i te kawenga ki tō pūnaha kai me te whakaiti i ngā tohumānga pērā i te pupū me te kore ngāwari. Whakamātauria te kai māori me te ngau pai ki te awhina i te tukunga kai me te whakaiti i te nui o te kai kore i tukuna e tae atu ki ngā pūkahukahu i roto i tō pakupaku iti.

He mea nui te noho makona, ina koa ki te pā ana koe ki te ruaki. Ko te nekehanga ngawari pērā i te hikoi i muri i ngā kai ka taea te awhina i te whakaoho i te nekehanga o te pakupaku hauora. Ko ētahi tāngata ka kite ka taea e ngā enzyme kai e tangohia ana me ngā kai te awhina i te whakapai ake i te tukunga kai i te wā maimoatanga.

Me pēhea te aukati i te Whakatipuranga Pūkahukahu Pakupaku?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te SIBO, ina koa ngā mea e pā ana ki ngā āhuatanga hauora taketake, he kaupae ka taea e koe te tango ki te whakaiti i tō morearea ki te whanake, ki te hokinga mai rānei o te tupu nui o ngā pūkahukahu.

Ko te whakahaere tika i ngā āhuatanga hauora taketake tētahi o ngā kaupae aukati tino nui. Ka uru atu ki ēnei te pupuri i ngā taumata huka toto pai ki te mate huka koe, te maimoatanga tika i ngā mate thyroid, me te mahi tahi me tō rōpū hauora ki te whakapai ake i te maimoatanga mō ētahi atu āhuatanga o te pūnaha kai pea kei a koe.

Kia tupato ki te whakamahinga rongoā roa, ina koa ngā kaiwhakaiti waikawa puku mō te reflux waikawa. Ahakoa he kaupapa nui ēnei rongoā, korero ki tō taote mēnā ka hiahia koe ki te whakahaere tonu i a rātou, mēnā rānei he whiringa atu e tika ana mō tō āhuatanga.

Ko te pupuri i te hauora pai o te pūnaha kai mā te kai tōtika, te mahi tinana noa, me te whakahaere i te ahotea ka taea te tautoko i te nekehanga o te kopu hauora me te taurite o ngā pūkahukahu. Heoi, kia mahara ko ētahi tāngata pea ka nui ake te tūponotanga ki te SIBO na ngā take kei tua atu i tō mana whakahaere, na kaua e whakahe ki a koe ki te whanake ahakoa ō ngā kaha pai.

Me pēhea te whakarite mō tō whakatau ki te taote?

Ko te haere mā te whakarite ki tō whakatau ka taea te awhina i tō taote ki te mārama pai ake ki ō tohumānga me te whakawhanake i te mahere maimoatanga whai hua. Tīmata mā te pupuri i te rātohu tohumānga taipitopito mo te wiki kotahi i mua atu i tō haerenga, te tuhi i te wā e puta ai ngā tohumānga me tō rātou hononga ki ngā kai.

Tuhia ngā rongoā me ngā taapiri katoa e inu ana koe i tēnei wā, tae atu ki ngā hua-a-te-kāinga me ngā rongoā otaota. Me mohio tō taote ki ngā rongoā antibiotic kua inu koe i te wā tata nei, i te mea ka taea e ēnei te pā ki ngā hua whakamātautau me ngā whakatau maimoatanga.

Whakaritea tētahi rārangi o ngā pātai mō tō āhuatanga, ngā whiringa maimoatanga, me te aha e tatari ana i te wā ora. Kaua e whakaroa ki te ui mō ngā whakarerekētanga kai, te roa o te maimoatanga, ngā tohu rānei e taea ai te tohu kaore te maimoatanga e mahi ana kia rite ki te tumanako.

Kawe mai ngā korero mō tō hītori whānau o ngā āhuatanga o te pūnaha kai me ētahi atu pokanga o te kopu, i ngā mate nui rānei. Ka taea e ēnei korero papamuri te awhina i tō taote ki te mārama ki ngā take taketake me te whakarite i te maimoatanga ki tō āhuatanga motuhake.

He aha te mea nui mō te Whakatipuranga Pūkahukahu Pakupaku?

Ko te SIBO he āhuatanga e taea te maimoatanga e puta ana ina tupu nui ngā pūkahukahu i roto i tō pakupaku iti, ka puta ai ngā tohumānga kore pai o te pūnaha kai, ka taea te whakaroa i te tango matūkai rānei. Ahakoa ka taea e ngā tohumānga te whakararuraru me te pā ki tō kounga o te ora, he maimoatanga whai hua kei te wātea.

Ko te matua mō te whakahaere angitu kei roto i te whakatau tika mā ngā whakamātautau motuhake, te maimoatanga tika me ngā rongoā antibiotic, i ētahi atu rongoā rānei, me te whakautu i ētahi atu āhuatanga e taea ai te awhina i te tupu nui o ngā pūkahukahu. Ko te nuinga o te iwi ka kite i te whakapainga nui me te maimoatanga, ahakoa ko ētahi pea ka hiahia ki te whakahaere tonu.

Kia mahara ka taea e ngā tohumānga o te SIBO te taupokina ki ētahi atu āhuatanga o te pūnaha kai, na te mahi tahi me te kaiwhakarongo hauora mohio he mea nui mō te whakatau tika me te maimoatanga whai hua. Me te huarahi tika, ka tatari koe ki te hoki ki te hauora pai o te pūnaha kai me te whakapai ake i te oranga katoa.

Ngā pātai e ui pinepinetia ana mō te Whakatipuranga Pūkahukahu Pakupaku

Ka hoki mai te SIBO i muri i te maimoatanga?

Ae, ka taea te hokinga mai o te SIBO, ina koa ki te kore e whakautu tika i ngā āhuatanga taketake i awhina i tōna whanaketanga. Ka rerekē ngā reiti hokinga mai, engari ko te nuinga o te iwi ka kite i te whakaora roa me te maimoatanga tika me te whakahaere i ngā take awhina. Ka tūtohu pea tō taote i ngā whakamātautau whai muri, i ngā rautaki pupuri rānei ki te aukati i te hokinga mai.

E hia te roa o te wa ki te pai ake i muri i te tīmatanga o te maimoatanga SIBO?

Ko te nuinga o te iwi ka tīmata te kite i te whakapainga i ngā tohumānga i roto i te wiki tuatahi o te maimoatanga antibiotic, ahakoa ka roa pea ngā wiki ki ngā marama kia mutu rawa. Ko ētahi tohumānga pērā i te pupū me te hau te nuinga o te wā ka pai ake i te tīmatanga, ahakoa ka roa pea te whakatika i ngā kore o te huaora.

He rite te SIBO ki te IBS?

Ko te SIBO me te mate pūnaha kai ngāwari (IBS) he āhuatanga rerekē, ahakoa ka taea te taupokina o rātou tohumānga, ka puta tahi rānei i etahi wā. Ko te SIBO e whakauru ana i te tupu nui o ngā pūkahukahu e taea te kite mā te whakamātautau manawa, ko te IBS he mate mahi e whakatauhia ana i runga i ngā tohumānga. Ko ētahi take o te IBS pea he SIBO kaore i whakatauhia.

Ka taea e te kai anake te whakaora i te SIBO?

Ahakoa ka taea e ngā whakarerekētanga kai te awhina i te whakahaere i ngā tohumānga me te tautoko i te maimoatanga, ko te kai anake te nuinga o te wā kaore e ranea ki te whakakore i te tupu nui o ngā pūkahukahu rawa. Ko te nuinga o ngā take e hiahia ana ki te maimoatanga antibiotic, ki te maimoatanga antimicrobial rānei me ngā whakarerekētanga kai. Heoi, ko te whakahaere kai tonu he wāhanga nui o ngā rautaki maimoatanga me te aukati.

He aha te rerekētanga i waenga i te SIBO me te SIFO?

Ko te SIBO e pā ana ki te tupu nui o ngā pūkahukahu, ko te SIFO (Small Intestinal Fungal Overgrowth) e whakauru ana i te tupu nui o ngā harore pērā i te Candida i roto i te pakupaku iti. Ka taea e ngā mea e rua te whakaputa i ngā tohumānga rite, engari e hiahia ana rātou ki ngā maimoatanga rerekē. Ko te SIFO te nuinga o te wā e hiahia ana ki ngā rongoā antifungal, kaore rānei i ngā rongoā antibiotic, a ka taea e te whakatau te whakauru i ngā tikanga whakamātautau rerekē.