Ukuqina Kwabakthriya Esisu Esincane (SIBO)? Izimpawu, Izimbangela, Nokwelapha

Ukuqina kwabakthriya esisu esincane, noma i-SIBO, kwenzeka lapho kubakhona khona abakthriya abaningi kakhulu esiswini sakho esincane lapho abavamile khona ngobuningi obukhulu. Cabanga ngakho njengokuba nezihambi ezihlala isikhathi eside kakhulu ekamelweni elingalungile endlini yakho.

Isisu sakho esincane sivame ukuba nabakthriya abambalwa uma kuqhathaniswa nesisu sakho esikhulu. Uma leli qili lokulinganisela liphazamiseka, laba bakthriya abengeziwe bangaphazamisa indlela umzimba wakho ohlanza ngayo ukudla futhi uthathe izondlo, okuholela ezimpawu ezingathandeki zokugaya ukudla ezingathinta impilo yakho yansuku zonke.

Ziyini izimpawu zokuqina kwabakthriya esiswini esincane?

Izimpawu ze-SIBO zivame ukuzwakala zifana nezinye izimo zokugaya ukudla, okwenza kube nzima ukuzibona ekuqaleni. Izimpawu ezivamile zivame ukubandakanya indlela isisu sakho esiphatha ngayo ukudla nokukhiqizwa kwegesi.

Nazi izimpawu eziyinhloko ongazihlangabezana nazo:

• Ukuqina kwesisu nokuqina kwesisu, ikakhulukazi ngemuva kokudla
• Igesi nokuqhuma kwesisu okungaphezulu usuku lonke
• Ubuhlungu noma ukugcwala kwesisu, ngokuvamile esiswini esiphezulu
• Ukuhlanza, okungaba namanzi noma olukhulu
• Ukuvimbela ezinye izimo
• Ukuphefumula, ikakhulukazi ngemuva kokudla
• Ukuzizwa ugcwele ngokungavamile ngemuva kokudla okuncane

Ungase futhi uqaphele ezinye izimpawu ezingabonakali kahle ezihlobene nokungenwa kwemfuyo embi. Lokhu kungafaka ukukhathala okungachazeki, ubuthakathaka, noma ngisho nezimpawu ezifana nezinzipho ezicwengekile noma izinwele ezinciphile uma isimo sibe khona isikhathi eside.

Abanye abantu bahlangabezana nalokho okubizwa ngokuthi “ukuhlupheka kwengqondo” - ubunzima bokuhlala uqaphile noma ukucabanga ngokucacile. Nakuba lokhu kungabonakala kungahlobene nesisu sakho, uxhumano phakathi kwesisu sakho nengqondo yakho luqinile kunalokho abantu abaningi abakwaziyo.

Yini ebangela ukuqina kwabakthriya esiswini esincane?

I-SIBO ithuthukiswa lapho izindlela zokuhlambulula zemvelo zesisu sakho esincane ziyephukile, ivumela abakthriya ukuba bande lapho abafanele khona. Isisu sakho sivame ukuba nezindlela eziningi zokugcina inani labakthriya lilawulwa.

Izimbangela eziyinhloko ezivamile zifaka:

• Ukuhamba kancane kwesisu (ukuhamba), ngokuvamile okuvela ezimweni ezifana nesifo sikashukela noma i-hypothyroidism
• Izinkinga zokwakheka ezifana nokunamathela kwesisu okuvela ekuhlinzweni kwangaphambili
• Izifo zesimiso somzimba esithinta umsebenzi wesisu
• Ukusetshenziswa okuqhubekayo kwe-proton pump inhibitors (imithi yokunciphisa i-acid)
• I-Celiac disease noma i-Crohn's disease
• Ukuhlinzwa kwesisu kwangaphambili noma ukususa isisu esincane
• I-pancreatitis ehlala njalo eithinta ukukhiqizwa kwe-enzyme yokugaya ukudla

Ngezinye izikhathi i-SIBO ingathuthuka ngemuva kokudla okubangela ukusabela okubi noma i-gastroenteritis. Ukutheleleka kokuqala kungalimaza izicubu eziqondisa ukuhamba kwesisu, kudala indawo lapho abakthriya bangakhula khona ngisho nangemva kokuthi isifo sokuqala siphelile.

Ezimeni ezingavamile, ukungapheleli kokwakheka njengokungalingani kwesisu, i-diverticulosis yesisu esincane, noma izimo eziqondene ne-ileocecal valve zingase zifaka isandla ekuqineni kwabakthriya ngokudala izikhwama lapho abakthriya bangabuthana khona.

Nini okufanele ubona udokotela ngokuqina kwabakthriya esiswini esincane?

Kufanele ucabange ukuya kudokotela uma uhlangabezana nezimpawu ezihlala njalo zokugaya ukudla eziphazamisa imisebenzi yakho yansuku zonke noma ikhwalithi yempilo. Nakuba ukuqina kwesisu noma igesi okungavamile kuyinto evamile, izimpawu eziqhubekayo zidinga ukunakekelwa.

Hlela i-aphoyintimenti uma uqaphela izimpawu ezihlala izinsuku ezingaphezu kwamasonto ambalwa, ikakhulukazi uma ziya ziba zimbi noma uma uhlangabezana nokunciphisa isisindo okungalindelekile. Udokotela wakho angakusiza aqonde ukuthi izimpawu zakho zingahlobene ne-SIBO noma enye isimo sokugaya ukudla.

Funani ukunakekelwa okusheshayo kwezokwelapha uma uthuthukisa ubuhlungu obukhulu besisu, ukugabha okuqhubekayo, izimpawu zokulahlekelwa amanzi emzimbeni, noma uma uqaphela igazi emathunjini akho. Lezi zimpawu zingase zibonise izinkinga noma ezinye izimo ezinkulu ezidinga ukunakekelwa okusheshayo.

Ziyini izinto ezingase zikhulise amathuba okuqina kwabakthriya esiswini esincane?

Izimo zezempilo ezithile nezimo zokuphila zingase zikhulise amathuba akho okuthuthukisa i-SIBO. Ukuqonda lezi zinto ezingase zikhulise amathuba kungakusiza wena nodokotela wakho ukuba niqaphele amathuba uma izimpawu zivele.

Izimo zezempilo ezivame ukwandisa ingozi ye-SIBO zifaka:

• Isifo sikashukela, ikakhulukazi uma ukulawulwa kweswekile yegazi kuye kwaba inselele
• I-Hypothyroidism noma ezinye izifo ze-thyroid
• Izifo ezilwelayo zesisu ezifana ne-Crohn's disease
• I-Celiac disease, ngisho nalapho ulandela ukudla okungenayo i-gluten
• I-Scleroderma nezinye izifo zezicubu ezihlanganayo
• I-Chronic kidney disease
• I-Liver cirrhosis

Ubudala bungase futhi bube nomthelela, njengoba abantu abangaphezu kweminyaka engama-65 bangase babe sengozini enkulu ngenxa yenguquko ekukhiqizweni kwe-acid yesisu nokuhamba kwesisu okuvela ngokwemvelo ngokuguga. Noma kunjalo, i-SIBO ingathinta abantu banoma yimiphi iminyaka, kufaka phakathi izingane.

Ukuhlinzwa kwesisu kwangaphambili, ikakhulukazi lokho okuhilela isisu noma isisu esincane, kungashintsha ukwakheka okuvamile futhi kukhulise ingozi. Ukusetshenziswa isikhathi eside kwemithi ethile, ikakhulukazi leyo eunciphisa i-acid yesisu noma eithinta ukuhamba kwesisu, kungase futhi kufake isandla ekuqineni kwabakthriya ngokuhamba kwesikhathi.

Ziyini izinkinga ezingase zenzeke ngenxa yokuqina kwabakthriya esiswini esincane?

Uma i-SIBO ingalashwa isikhathi eside, abakthriya abengeziwe bangaphazamisa ikhono lomzimba wakho lokungenisa izondlo ezibalulekile ngokufanele. Lokhu kungase kuholele ezinkingeni eziningi ezinkulu ezingaphezu kokungakhululeki kokugaya ukudla.

Izinkinga ezivamile zifaka:

• Ukwehluleka kwe-vitamin B12, okuholela e-anemia nasezimpawu zezinzwa
• Ukwehluleka kwe-vitamin ezihlala emafutheni (A, D, E, K)
• I-Iron deficiency anemia
• Ukondleka okungaphansi kwe-protein ezimweni ezinkulu
• Ukwehluleka kwamathambo ngenxa yokungenwa okungaphansi kwe-calcium ne-vitamin D
• Ukunciphisa isisindo okungalindelekile

Ezimeni ezingavamile, i-SIBO eqinile ingase iholele ezinkingeni ezinkulu ezifana nezinkinga zesibindi ngenxa yezinto eziyingozi zabakthriya ezingena egazini, noma ukwanda kokungena kwesisu okungase kubangele ukusabela kwesistimu yomzimba.

Izindaba ezinhle ukuthi ngokwelashwa okufanele, lezi zinkinga zivame ukulungiseka, futhi umzimba wakho ungabuyisela amandla awo okuthatha izondlo ngokujwayelekile. Ukuqaphela nokwelashwa kwasekuqaleni kusiza ukuvimbela lezi zimpikiswano ezinkulu ezingase zithuthuke.

I-SIBO ihlonishwa kanjani?

Ukuhlola i-SIBO ngokuvamile kuhilela ukuhlolwa kwegesi okukhethekile okuqapha igesi ekhiqizwa abakthriya esiswini sakho esincane. Lezi zivivinyo azinazo izinkinga futhi ngokuvamile zingase zenziwe ehhovisi lika-dokotela wakho noma ekhaya nge-kit yokuhlola.

Indlela evamile yokuhlola yi-hydrogen breath test. Uzophuza isisombululo esina-lactulose noma i-glucose, bese uphefumula emathubeni okuqoqa ngezikhathi ezithile. Uma abakthriya beqina esiswini sakho esincane, bazophakamisa ushukela futhi bakhiqize i-hydrogen gas ebonakala ephefumulweni lakho.

Udokotela wakho angase futhi a-ode ukuhlolwa kwegazi ukuhlola ukwehluleka kwe-vitamin noma izimpawu zokungenwa okungaphansi okuye kubonise i-SIBO. Ezinye izikhathi, bangase bancoma izifundo zokubonisa noma i-endoscopy ukubuka izinkinga zokwakheka ezingase zifake isandla ekuqineni kwabakthriya.

Inqubo yokuhlola ngezinye izikhathi ingathatha isikhathi ngoba izimpawu ze-SIBO zihlangana nezinye izimo zokugaya ukudla. Umhlinzeki wakho wezempilo uzokuhlanganisa imibuzo eningiliziwe mayelana nezimpawu zakho, umlando wezokwelapha, nanoma iyiphi imithi oyithathayo ukuze akusize uhlanganise yonke indaba.

Yini ukwelashwa kwe-SIBO?

Ukwelashwa kwe-SIBO ngokuvamile kugxile ekuqedeni ukuqina kwabakthriya ngenkathi kulungiswa noma iyiphi isimo esingase sibe yimbangela yokuqina kwabakthriya. Indlela ngokuvamile ihilela ama-antibiotic akhethiwe ngokukhethekile ngenxa yokuphumelela kwawo esiswini esincane.

Izinketho zokwelapha ezivamile zifaka:

• I-Rifaximin, i-antibiotic esebenza ikakhulukazi emathunjini
• I-Metronidazole, ikakhulukazi ezimweni ezihilela izinhlobo ezithile zabakthriya
• Ukwelashwa ngama-antibiotic okuhlanganisiwe ezimweni ezinzima kakhulu
• Ukwelashwa ngezitshalo zokulwa nezifo njengezinye izindlela zama-antibiotic ajwayelekile
• Ukushintsha kokudla ukuze kuncishiswe imithombo yokudla yabakthriya
• Imithi ye-prokinetic ukuthuthukisa ukuhamba kwesisu

Isikhathi sokwelashwa ngokuvamile sihlala kusukela ezinsukwini eziyi-10 kuya kweziyi-14 zama-antibiotic, nakuba abanye abantu bangase badinge izikhathi ezide noma ukwelashwa okuphindaphindwayo. Udokotela wakho uzolandelela impendulo yakho futhi alungise indlela ngokufanele.

Ukubhekana nezimo eziyinhloko kubalulekile ngokulinganayo ukuphumelela isikhathi eside. Lokhu kungase kuhilele ukulungisa ukulawulwa kweswekile yegazi esifweni sikashukela, ukwelapha izifo ze-thyroid, noma ukuphatha ezinye izimo ezazisebenza ekuqineni kwabakthriya ekuqaleni.

Ungaphatha kanjani izimpawu ekhaya ngesikhathi sokwelashwa kwe-SIBO?

Ngesikhathi uthola ukwelashwa kwe-SIBO, ukushintsha kokudla nokuziphatha kungasiza ekulawuleni izimpawu nasekusekeleni impilo yakho. Lezi zindlela zisebenza kanye nokwelashwa kwezokwelapha kunokuba zikushintshe.

Cabanga ukulandela ukudla okune-FODMAP ephansi okwesikhashana, njengoba kunciphisa ama-carbohydrate ahlanzayo aondla abakthriya esiswini sakho esincane. Lokhu kusho ukulinganisela ukudla okunjengengcongo, i-garlic, ama-beans, izithelo ezithile, nemikhiqizo ye-wheat isikhathi esiqinisekisiwe ngumhlinzeki wakho wezempilo.

Ukudla okuncane, ukudla okuvamile kungasiza ekuqedeni umthwalo esiswini sakho futhi kunciphisa izimpawu ezifana nokuqina kwesisu nokungakhululeki. Zama ukudla kancane futhi uhlume kahle ukuze uthuthukise ukugaya ukudla futhi unciphise inani lokudla okungagayiwe okufinyelela kubakthriya esiswini sakho esincane.

Ukugcina umzimba ugcwele amanzi kubalulekile, ikakhulukazi uma uhlangabezana nokuhlanza. Ukuhamba okuthambile njengokuhamba ngemuva kokudla kungasiza ekuqhubeni ukuhamba kwesisu okunempilo. Abanye abantu bathola ukuthi ama-enzyme okugaya ukudla athathwe ngesikhathi sokudla angasiza ekuthuthukiseni ukugaya ukudla ngesikhathi sokwelashwa.

Ukuqina kwabakthriya esiswini esincane kungavikeleka kanjani?

Nakuba ungakwazi ukuvimbela zonke izimo ze-SIBO, ikakhulukazi lezo ezihlobene nezimo zezempilo eziyinhloko, kunezinyathelo ongazithatha ukuze unciphise ingozi yakho yokuqina kwabakthriya noma ukuphindaphinda.

Ukuphatha izimo zezempilo eziyinhloko ngokuphumelelayo kuyinye yezinyathelo ezibaluleke kakhulu zokuvimbela. Lokhu kuhilela ukugcina amazinga eswekile yegazi elawulwa kahle uma une-diabetes, ukwelapha izifo ze-thyroid ngokufanele, nokusebenza neqembu lakho lezokwelapha ukuze uthuthukise ukwelashwa kwanoma iyiphi isimo sokugaya ukudla onayo.

Qaphela ukusetshenziswa kwemithi isikhathi eside, ikakhulukazi i-proton pump inhibitors ye-acid reflux. Nakuba le miithi inezinjongo ezibalulekile, xoxa nodokotela wakho ukuthi udinga yini ukuqhubeka uyisebenzisa isikhathi eside noma uma kunezindlela ezinye ezingase zifanele isimo sakho.

Ukugcina impilo enhle yokugaya ukudla ngokudla okulinganiselayo, ukuzivocavoca njalo, nokulawula ukucindezeleka kungasekele ukuhamba kwesisu okunempilo nokuqina kwabakthriya. Noma kunjalo, khumbula ukuthi abanye abantu bangase babe sengozini enkulu ye-SIBO ngenxa yezinto ezingaphezu kokulawula kwabo, ngakho ungazilaphi uma kuvela ngisho noma uzama konke okusemandleni akho.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yokuya kudokotela?

Ukuza ulungile e-aphoyintimenti yakho kungasiza udokotela wakho ukuthi aqonde kangcono izimpawu zakho futhi akhe uhlelo lokwelapha oluphumelelayo. Qala ngokugcina idayari eningiliziwe yezimpawu okungenani isonto ngaphambi kokuya kwakho, uqaphele ukuthi izimpawu zivele nini nobuhlobo bazo nokudla.

Bhala yonke imithi kanye nezinye izinto ozithathayo, kufaka phakathi imikhiqizo yokuthengwa ngaphandle komthetho kanye nemithi yemvelo. Udokotela wakho uzodinga ukwazi nganoma yimaphi ama-antibiotic owawuthathe muva nje, njengoba lokhu kungathinta imiphumela yokuhlola nezisombululo zokwelapha.

Lungisa uhlu lwemibuzo mayelana nesimo sakho, izinketho zokwelapha, nokuthi yini okulindelekile ngesikhathi sokuphulukana. Unganqikazi ukubuza mayelana nokushintsha kokudla, isikhathi eside sokwelashwa, noma yiziphi izimpawu ezingase zibonise ukuthi ukwelashwa akusebenzi njengoba kulindelekile.

Letha ulwazi mayelana nomlando womndeni wakho wezimo zokugaya ukudla nanoma yikuphi ukuhlinzwa kwesisu kwangaphambili noma izifo ezinkulu. Lolu lwazi lwesizinda lungasiza udokotela wakho ukuthi aqonde izimbangela ezingase zibe khona futhi alungise ukwelashwa ngesimo sakho esithile.

Yini eyinhloko mayelana nokuqina kwabakthriya esiswini esincane?

I-SIBO iyisimo esingelashwa esenzeka lapho abakthriya beqina esiswini sakho esincane, bebangele izimpawu ezingathandeki zokugaya ukudla futhi mhlawumbe bahlanganise ukungenwa kwezondlo. Nakuba izimpawu zingase zibe nzima futhi zithinte ikhwalithi yempilo yakho, ukwelashwa okuphumelelayo kukhona.

Ukuphumelela kokuphatha kuqala ekuhlolweni okufanele ngokuhlola okukhethekile, ukwelashwa okufanele ngama-antibiotic noma ezinye izindlela zokwelapha, nokubhekana nanoma yiziphi izimo eziyinhloko ezingase zibe yimbangela yokuqina kwabakthriya. Abantu abaningi babona ukuthuthuka okukhulu ngokwelashwa, nakuba abanye bangase badinge ukuphathwa okuqhubekayo.

Khumbula ukuthi izimpawu ze-SIBO zingase zihlangane nezinye izimo zokugaya ukudla, ngakho ukusebenza nomhlinzeki wezempilo onolwazi kubalulekile ekuhlolweni okuchane kanye nokwelashwa okuphumelelayo. Ngenhlanhla efanele, ungalindela ukubuyela empilweni enhle yokugaya ukudla nokwenyuka kokuphila kahle.

Imibuzo evamile mayelana nokuqina kwabakthriya esiswini esincane

Ingabe i-SIBO ingabuya ngemuva kokwelashwa?

Yebo, i-SIBO ingabuya, ikakhulukazi uma izimo eziyinhloko ezazisebenza ekuthuthukiseni kwayo zingalungiswa ngokufanele. Amanani okuphindaphinda ahlukahlukene, kodwa abantu abaningi bathola impumuzo yesikhathi eside ngokwelashwa okufanele nokuphathwa kwezinto ezibangela.

Kuthatha isikhathi esingakanani ukuzizwa kangcono ngemuva kokuqala ukwelashwa kwe-SIBO?

Abantu abaningi baqala ukuqaphela ukuthuthuka ezimpawini ngesonto lokuqala lokwelashwa ngama-antibiotic, nakuba ukulungiswa okuphelele kungathatha amasonto ambalwa kuya ezinyangeni. Ezinye izimpawu ezifana nokuqina kwesisu negesi ngokuvamile ziyathuthuka kuqala, kuyilapho ukwehluleka kwezondlo kungathatha isikhathi eside ukulungisa.

Ingabe i-SIBO ifana ne-IBS?

I-SIBO ne-irritable bowel syndrome (IBS) ziyizimo ezahlukene, nakuba zingaba nezimpawu ezihlangene futhi ngezinye izikhathi zenzeke ndawonye. I-SIBO ihilela ukuqina kwangempela kwabakthriya okungatholakala ngokuhlola igesi, kuyilapho i-IBS iyisifo esisebenza esihlolwa ngokusekelwe ezimpawini. Ezinye izimo ze-IBS zingase zibe yi-SIBO engakahlonishwa.

Ingabe ukudla kuphela kungelapha i-SIBO?

Nakuba ukushintsha kokudla kungasiza ekulawuleni izimpawu nasekusekeleni ukwelashwa, ukudla kuphela ngokuvamile akwanele ukuqeda ukuqina kwabakthriya ngokuphelele. Izimo eziningi zidinga ukwelashwa ngama-antibiotic noma ukwelashwa okulwa nezifo kanye nokushintsha kokudla. Noma kunjalo, ukuphathwa kokudla kuhlala kuyisigaba esibalulekile kokubili ukwelashwa nezindlela zokuvimbela.

Uyini umehluko phakathi kwe-SIBO ne-SIFO?

I-SIBO ibhekisela ekuqineni kwabakthriya, kuyilapho i-SIFO (Small Intestinal Fungal Overgrowth) ihilela ukuqina kwamagciwane afana ne-Candida esiswini esincane. Zombili zingase zibangele izimpawu ezifanayo, kodwa zidinga ukwelashwa okuhlukile. I-SIFO ngokuvamile idinga imithi yokulwa namagciwane kunokuba kube ama-antibiotic, futhi ukuhlolwa kungase kuhilele izindlela zokuhlola ezahlukene.