Ciwon ƙwayar cuta (SIBO): menene shi, alamomi da magani

Wadatacce

• Babban bayyanar cututtuka
• Yadda za a tabbatar da ganewar asali
• Matsaloli da ka iya haddasawa
• Yadda ake yin maganin
• 1. Amfani da maganin kashe kwayoyin cuta
• 2. Canje-canje a cikin abinci
• 3. Shan maganin rigakafi

Ciwon ƙwayar ƙwayar ƙwayar ƙwayar cuta a cikin ƙananan hanji, wanda aka sani da taƙaitaccen SBID, ko kuma a Turanci SIBO, yanayi ne wanda ke samun ci gaba mai yawa na ƙwayoyin cuta a cikin ƙananan hanji, wanda ya kai ƙima daidai da adadin ƙwayoyin cuta da ke cikin babban hanji.

Kodayake kwayoyin cuta suna da mahimmanci wajen narkar da abinci da kuma shan abubuwan gina jiki, amma idan sun wuce gona da iri suna iya haifar da matsalolin hanji, wanda hakan kan haifar da alamomi kamar yawan gas, yawan jin ciki na ciki, ciwon ciki da yawan gudawa, alal misali. Kari akan haka, ta hanyar sauya shan abubuwan gina jiki a cikin wasu mutane, hakan na iya haifar da rashin abinci mai gina jiki, koda kuwa mutum na cin abinci yadda ya kamata.

Wannan ciwo yana iya warkewa kuma ana iya magance shi, a yawancin lokuta, tare da canje-canje a cikin abinci da salon rayuwa, amma kuma yana iya haɗawa da yin amfani da maganin rigakafi wanda likitan ciki ya tsara.

Babban bayyanar cututtuka

Yawan kwayoyin cuta a cikin karamar hanji na iya haifar da alamomi kamar:

• Ciwon ciki, musamman bayan cin abinci;
• Jin dadi koyaushe na kumburin ciki;
• Lokacin gudawa, an cakuda shi da maƙarƙashiya;
• M ji na rashin narkewar abinci;
• Wucewar iskar gas din hanji.

Kodayake ciwon na iya haifar da lokaci na gudawa da maƙarƙashiya, ya fi zama ruwan dare ga mutum ya kamu da cutar gudawa.

A cikin mawuyacin hali na SBID, hanji na iya rasa wani ɓangare na ƙarfinsa don ɗaukar abubuwan gina jiki kuma, don haka, yanayin rashin abinci mai gina jiki na iya bayyana, koda kuwa mutumin yana cin abinci da kyau. Lokacin da wannan ya faru, mutum na iya fuskantar yawan gajiya, rage nauyi da ma rashin jini.

Yadda za a tabbatar da ganewar asali

Hanyar da aka fi amfani da ita don tabbatar da cutar rashin ƙarfin ƙwayar ƙwayar ƙwayar cuta a cikin ƙananan hanji shine a yi gwajin numfashi, wanda a ciki ake tantance adadin hydrogen da methane da ke cikin iska mai iska. Wannan saboda, yawan ƙwayoyin cuta a cikin ƙananan hanji suna fitar da wannan nau'in gas ɗin a cikin adadin da ya dara wanda ake ɗauka na al'ada. Sabili da haka, gwajin numfashi hanya ce da ba ta kai tsaye ba don gano yiwuwar SBID.

Don yin wannan gwajin kuna buƙatar yin azumi na awanni 8 sannan kuma ku je asibiti don fitar da numfashi a cikin bututu. Bayan haka, mai aikin ya ba da ruwa na musamman wanda dole ne a sha shi, kuma daga wannan lokacin, ana tara sauran abubuwan fitar a cikin sabbin bututu kowane awa 2 ko 3.

Yawanci, mutanen da ke da SBID suna fuskantar ƙaruwa a yawan hydrogen da methane a cikin iska mai iska a kan lokaci. Kuma idan hakan ta faru, ana ɗaukar sakamakon mai kyau. Duk da haka, idan gwajin bai tabbata ba, likita na iya buƙatar wasu gwaje-gwaje, musamman cire samfurin ruwan da ke cikin ƙananan hanji, don tantancewa, a cikin dakin gwaje-gwaje, adadin ƙwayoyin cuta.

Matsaloli da ka iya haddasawa

Wasu dalilan da ka iya zama asalin SBID sune canje-canje a cikin samar da sinadarin na ciki, lahanin anatomical a cikin karamar hanji, canje-canje a cikin pH a cikin ƙananan hanji, canje-canje a cikin garkuwar jiki, canje-canje a cikin motsar ciki, canje-canje a enzymes da commensal kwayoyin cuta.

Hakanan wannan ciwo na iya kasancewa da alaƙa da amfani da wasu magunguna, kamar su masu hana motsa jiki na proton, masu hana motility motsa jiki da wasu magungunan rigakafi.

Bugu da ƙari, wannan ciwo na iya kasancewa da alaƙa da wasu cututtuka, kamar su kwayar cutar gastroenteritis, cututtukan celiac, cutar Crohn, ƙarancin acid na ciki, gastroparesis, lalacewar jijiya, cirrhosis, hauhawar jini ta hanyar ƙofa, cututtukan hanji, hanyoyin da kewayewa ko wasu tiyata, misali.

Yadda ake yin maganin

Maganin wannan ciwo ya kamata masanin gastroenterologist ya jagoranta, duk da haka, yana iya zama dole a bi masanin abinci mai gina jiki. Wannan saboda, magani na iya haɗawa da:

1. Amfani da maganin kashe kwayoyin cuta

Mataki na farko wajen kula da SBID shine sarrafa adadin ƙwayoyin cuta a cikin ƙananan hanji kuma, sabili da haka, ya zama dole ayi amfani da maganin rigakafi, wanda mai maganin ciki ya tsara, amma wanda yawanci shine Ciprofloxacin, Metronidazole ko Rifaximin.

Kodayake a mafi yawan lokuta ana iya amfani da maganin rigakafin a yanayin kwayoyi a ciki, lokacin da ciwon ke haifar da rashin abinci mai gina jiki ko rashin ruwa a jiki, yana iya zama wajibi a zauna a asibiti na fewan kwanaki, don karɓar magani ko kuma don ciyar da iyaye, wanda shine yi kai tsaye a cikin jijiya.

2. Canje-canje a cikin abinci

Abincin da zai iya warkar da SBID ba a san shi ba tukuna, duk da haka, akwai wasu canje-canje a cikin abincin da yake da alama ya sauƙaƙe alamun, kamar:

• Ku ci ƙananan abinci ko'ina cikin yini, ku guji cin abinci tare da abinci mai yawa;
• Guji abinci da abin sha mai yawan sikari;
• Guji abincin da ya bayyana don yin mummunan bayyanar cututtuka, kamar abinci mai laushi ko lactose.

Bugu da kari, likitoci da yawa sun kuma nuna cewa bin abinci irin na FODMAP, wanda ke cire abincin da ke shan kumburi a cikin hanji don haka ba su da nutsuwa sosai, na iya zama manufa don saurin kawar da alamun. Duba yadda ake yin nau'in FODMAP.

3. Shan maganin rigakafi

Kodayake har yanzu ana buƙatar ƙarin nazari don tabbatar da ingancinsa, amfani da maganin rigakafi da alama yana taimakawa hanji don sake daidaita ƙirar fure ta ƙasa, rage ƙarancin ƙwayoyin cuta.

Koyaya, ana iya shayar da rigakafi ta hanyar halitta ta hanyar abinci, ta abinci mai ƙanshi kamar yogurt, kefir ko kimchi, misali.