ʻO ka ulu nui ʻana o ke koʻohune (SIBO): he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hōʻoia ai i ke kuhi
• Nā kumu kūpono
• Pehea e hana ai i ka lāʻau
• 1. Hoʻohana o nā antibiotic
• 2. Nā hoʻololi i ka papaʻai
• 3. Lawe i nā probiotics

ʻO ka maʻi o ka ulu koʻohune i loko o ka ʻōpū liʻiliʻi, i ʻike ʻia e ka acronym SBID, a i ʻole ma ka ʻōlelo Pelekania SIBO, kahi ʻano e ulu nui ai ka maʻi bacteria i loko o ka ʻōpū liʻiliʻi, e hōʻea ana i nā waiwai e like me ka nui o nā maʻi i loaʻa i ka ʻōpū nui.

ʻOiai he mea nui ka bacteria no ka ʻai ʻana o ka meaʻai a me ka omo ʻana o nā meaola, ke nui lākou hiki ke hana i nā pilikia o ka ʻōpū, kahi hopena i nā ʻōuli e like me ka nui o ke kinoea, ka manaʻo mau o ka ʻōpū momona, ka ʻeha o ka ʻōpū a me ka diarrhea mau, no ka laʻana. Hoʻohui ʻia, ma ka hoʻololi ʻana i ka omo ʻana o nā meaola i kekahi mau kānaka, hiki i ka hopena ke loaʻa ka ʻai pono ʻole, ʻoiai inā e ʻai pono ke kanaka.

Hiki ke mālama ʻia kēia maʻi maʻi a hiki ke mālama ʻia, i nā manawa he nui, me nā loli o ka papaʻai a me ka nohona, akā hiki ke hoʻopili pū ʻia me ka hoʻohana ʻana i nā lāʻau ʻaloʻalo i kuhikuhi ʻia e ka gastroenterologist.

Nā hōʻailona nui

ʻO ke kū nui ʻana o ka bacteria i loko o ka ʻōpū liʻiliʻi hiki ke hana i nā ʻōuli e like me:

• ʻEha o ka ʻōpū, ʻoiai ma hope o ka ʻai ʻana;
• ʻIke mau o ka ʻōpū pehu;
• Nā wā diarrhea, interspersed with constipation;
• Manaʻo pinepine i ka digestion maikaʻi ʻole;
• Hoʻonui i nā kinoea ʻōpū.

ʻOiai hiki i ka maʻi ke hana i nā wā o ka maʻi pākī a me ka paʻa paʻa, ʻoi aku ka maʻamau o ke kanaka e loaʻa i ka maʻi diarrhea mau.

I nā hihia ʻoi loa loa o ka SBID, lilo paha ka ʻōpū i kahi ʻāpana o kona hiki ke omo i nā meaola a, no laila, ʻike ʻia kahi kūlana malnutrisy, ʻoiai inā e ʻai pono ke kanaka. Ke hiki kēia, hiki i ke kanaka ke lohi i ka luhi nui, ka pohō kaumaha a me ka anemia.

Pehea e hōʻoia ai i ke kuhi

ʻO ke ala i hoʻohana nui ʻia e hōʻoia ai i ke kuhi o ka maʻi bacteria i loko o ka ʻōpū liʻiliʻi e hana i kahi hōʻike hanu, kahi e loiloi ai i ka nui o ka hydrogen a me ka methane i loko o ka ea i lawe ʻia. ʻO kēia no ka mea, ʻo ka nui o nā koʻohune i loko o ka ʻōpū liʻiliʻi e hoʻokuʻu i kēia ʻano kēpau i kahi nui i ʻoi aku i ka mea i manaʻo ʻia he maʻamau. No laila, ʻo ka hoʻāʻo hanu kahi ala hoʻopōkole a kuhikuhi ʻole e hoʻomaopopo ai i kahi hihia kūpono o SBID.

E hana ai i kēia hoʻāʻo pono ʻoe e hoʻokē ʻai no 8 mau hola a laila e hele i ka haukapila e hemo i loko o kahi ʻōmole. Ma hope o kēlā, hāʻawi ka mea ʻenehana i kahi wai kūikawā e pono e inu a, mai kēlā manawa, ʻohiʻohi ʻia nā ʻeleu ʻē aʻe i nā paipu hou i kēlā me kēia 2 a 3 mau hola.

ʻO ka maʻamau, ʻike ka poʻe me SBID i ka hoʻonui o ka nui o ka hydrogen a me ka methane i ka ea i waho o ka manawa. A ke kū kēlā, manaʻo ʻia ka hopena he maikaʻi. Eia nō naʻe, inā ʻaʻole paʻa ka hōʻike, hiki i ke kauka ke noi i nā hoʻokolohua ʻē aʻe, keu hoʻi i ka hemo ʻana o kahi hāpana o ka wai i loaʻa i loko o ka ʻōpū liʻiliʻi, e nānā ai, ma ke keʻena hoʻokolohua, ka nui o nā bacteria.

Nā kumu kūpono

ʻO kekahi mau kumu ma ke kumu o ka SBID he hoʻololi i ka hana o ka gastric acid, nā hemahema anatomical i loko o ka ʻōpū liʻiliʻi, nā loli i ka pH i loko o ka ʻōpū liʻiliʻi, nā hoʻololi i ka ʻōnaehana pale, nā loli i ka neʻe o ka gastrointestinal, nā hoʻololi o nā enzymes a me maʻi koʻohune commensal.

Hiki ke pili pū ʻia kēia maʻi maʻi i ka hoʻohana ʻana i kekahi mau lāʻau, e like me nā mea pale proton pump, nā anti-motility agents a me kekahi mau antibiotic.

Hoʻohui ʻia, pili paha kēia maʻi i kekahi mau maʻi, e like me viral gastroenteritis, maʻi celiac, maʻi ʻo Crohn, nā pae acid acid haʻahaʻa, gastroparesis, nā ʻeha nerve, cirrhosis, hypertension portal, syndrome bowel irritable, nā kaʻina hana me kāpae a i ʻole kekahi mau ʻoki ʻana, no ka laʻana.

Pehea e hana ai i ka lāʻau

Pono e alakaʻi ʻia kahi lāʻau no kēia maʻi e ka gastroenterologist, eia nō naʻe, he mea pono nō paha e ukali me kahi nutrististist. ʻO kēia no ka mea, komo pū paha ka mālama ʻana:

1. Hoʻohana o nā antibiotic

ʻO ka hana mua i ka mālama ʻana iā SBID ka mālama ʻana i ka nui o nā koʻohune i loko o ka ʻōpū liʻiliʻi, a no laila, pono e hoʻohana i kahi antibiotic, i kuhikuhi ʻia e ka gastroenterologist, akā ʻo ka mea maʻamau ʻo Ciprofloxacin, Metronidazole a i ʻole Rifaximin.

ʻOiai i ka hapanui o nā hihia hiki ke hoʻohana ʻia ka lāʻau antibiotic i ke ʻano o nā pila i, ke hana nei ka maʻi maʻi i ka malnutr a i ʻole ka make wai, pono paha e noho i ka haukapila no kekahi mau lā, e loaʻa ai ke serum a i ʻole e hana i ka hanai makua, ʻo ia hana pololei i ka aa.

2. Nā hoʻololi i ka papaʻai

ʻAʻole ʻike ʻia kahi papaʻai hiki ke hoʻōla iā SBID, eia nō naʻe, aia kekahi mau loli i ka papaʻai e like me ka hoʻoliʻiliʻi o nā ʻōuli, e like me:

• E ʻai i nā meaʻai liʻiliʻi a puni ka lā, e pale ana i nā pāʻina me nā meaʻai he nui loa;
• Hōʻalo i nā meaʻai a me nā mea inu me ke kiʻekiʻe o ke kō;
• Hōʻalo i nā meaʻai e hōʻike ana i nā hōʻailona ʻoi aku ka maikaʻi, e like me ka gluten a me nā meaʻai lactose.

Hoʻohui ʻia, hōʻike pū kekahi mau kauka i ka ukali ʻana i ka papa ʻaina FODMAP, kahi e hoʻoneʻe ai i nā meaʻai i loko o ka ʻōpū a no laila ʻaʻole ʻemi iki, hiki ke kūpono no ka hōʻoluʻolu koke ʻana i nā ʻōuli. E ʻike pehea e hana ai i kahi hānai ʻano FODMAP.

3. Lawe i nā probiotics

ʻOiai ʻoi aku ka nui o nā noi e pono ai e hōʻoia i kona pono, ʻo ka hoʻohana ʻana i nā probiotics me he mea lā e kōkua i ka ʻōpū e kaulike hou i kāna flora kūlohelohe, e hoʻemi ana i ka nui o nā bacteria.

Eia nō naʻe, hiki ke ʻai kūlohelohe i nā probiotics ma o ka meaʻai, ma o nā meaʻai hū e like me yogurt, kefir a i ʻole kimchi, o kahi laʻana.