Kusintha kwa Fecal: Chinsinsi Chothandizira Kukhala Ndi Thanzi Labwino?

Zamkati

• Kodi kumuika chimbudzi ndi chiyani?
• Zimatheka bwanji?
• Zojambulajambula
• Mankhwala
• Nasogastric chubu
• Makapisozi
• Kodi zimayambitsa zovuta zina?
• Kodi chopondapo chimachokera kuti?
• Ubwino wake wochiza matenda a C. Diff ndi uti?
• Nanga bwanji phindu pazinthu zina?
• Matenda owopsa am'mimba (IBS)
• Zilonda zam'mimba (UC)
• Matenda achilengulengu (ASD)
• Kuchepetsa thupi
• Ndani sayenera kukhala ndi chimbudzi?
• Kodi malingaliro a FDA ndi ati?
• Nanga bwanji za kusanjika kwazinyalala za DIY?
• Mfundo yofunika

Kodi kumuika chimbudzi ndi chiyani?

Kuika chimbudzi ndi njira yomwe imasamutsira chopondapo kuchokera kwa woperekayo kupita kupepala la m'mimba (GI) la munthu wina pofuna kuchiza matenda kapena vuto. Amatchedwanso fecal microbiota transplant (FMT) kapena bacteriotherapy.

Iwo akukhala otchuka kwambiri pamene anthu azolowera kudziwa kufunikira kwa m'matumbo microbiome. Lingaliro lakapangidwe kazinyalala ndikuti amathandizira kuyambitsa mabakiteriya opindulitsa kwambiri mu tsamba lanu la GI.

Komanso, mabakiteriya othandizawa amatha kuthandizira kuthana ndi zovuta zosiyanasiyana, kuchokera ku matenda a GI kupita ku autism spectrum disorder (ASD).

Zimatheka bwanji?

Pali njira zingapo zopangira chimbudzi, iliyonse ili ndi zabwino zake.

Zojambulajambula

Njirayi imapereka kukonzekera kwa chopondapo m'matumbo anu akulu kudzera pa colonoscopy. Nthawi zambiri, chubu cha colonoscopy chimakankhidwa kudzera m'matumbo anu onse. Phukusi likamachoka, limayika m'matumbo mwanu.

Kugwiritsa ntchito colonoscopy kuli ndi mwayi wololeza madotolo kuti awone m'matumbo anu akulu omwe angawonongeke chifukwa cha vuto.

Mankhwala

Monga njira ya colonoscopy, njirayi imayika kumuika mwachindunji m'matumbo anu akulu kudzera mu enema.

Mutha kufunsidwa kuti mugone chammbali pomwe thupi lanu lakumtunda likukwezedwa. Izi zimapangitsa kuti kubzala kufikire matumbo anu mosavuta. Kenako, mafuta opaka ma enema amalowetsedwa modekha mu rectum yanu. Kuika, komwe kuli m'thumba la enema, kumaloledwa kutuluka kulowa mu rectum.

Kuika kwa fecal koperekedwa ndi enema kumakhala kovuta kwenikweni komanso kotsika mtengo poyerekeza ndi ma colonoscopies.

Nasogastric chubu

Pochita izi, kukonzekera chopondapo madzi kumaperekedwa m'mimba mwanu kudzera pa chubu lomwe limadutsa mphuno zanu. Kuchokera m'mimba mwako, chidacho chimapita m'matumbo ako.

Choyamba, mudzapatsidwa mankhwala oletsa mimba yanu kuti isatulutse asidi yomwe ingaphe zamoyo zothandiza pakukonzekera.

Kenako, chubu chimayikidwa m'mphuno mwanu. Asanachite izi, katswiri wazachipatala adzawona kuyikika kwa chubu pogwiritsa ntchito ukadaulo wazithunzi. Akakhazikika bwino, amagwiritsa ntchito sirinji kuti asunthire kukonzekera kudzera mu chubu ndikulowa m'mimba mwanu.

Makapisozi

Imeneyi ndi njira yatsopano yopangira ndowe zomwe zimaphatikizapo kumeza mapiritsi angapo okhala ndi chopondapo. Poyerekeza ndi njira zina, ndizovuta kwambiri ndipo zimatha kuchitika kuofesi yazachipatala kapena ngakhale kunyumba.

A 2017 anayerekezera njirayi ndi colonoscopy mwa akulu omwe amabwerezabwereza Clostridium difficile matenda. Capsule sinawoneke ngati yothandiza kuposa colonoscopy poteteza kupewa matenda obwerezabwereza kwa milungu ingapo ya 12.

Komabe, njira iyi yomezera makapisozi imafunika kuphunzira mozama kuti mumvetsetse momwe imagwirira ntchito komanso chitetezo.

Kodi zimayambitsa zovuta zina?

Kutsatira kumuika chimbudzi, mutha kukhala ndi zovuta zina, kuphatikiza:

• Kusapeza bwino m'mimba kapena kuphwanya
• kudzimbidwa
• kuphulika
• kutsegula m'mimba
• belching kapena flatulence

Lumikizanani ndi omwe amakuthandizani nthawi yomweyo ngati ululu ukukulira kapena mukumvanso:

• kutupa kwam'mimba kwambiri
• kusanza
• magazi mu mpando wanu

Kodi chopondapo chimachokera kuti?

Choponyera chomwe chimagwiritsidwa ntchito poika chimbudzi chimachokera kwa omwe amapereka thanzi labwino. Kutengera ndondomekoyi, chopondacho chimapangidwa ngati madzi kapena choumitsidwa.

Ofuna kupereka ndalama ayenera kukumana ndi mayesero osiyanasiyana, kuphatikizapo:

• kuyezetsa magazi kuti aone ngati ali ndi chiwindi, HIV, ndi zina
• mayeselo ndi zikhalidwe kuti ayang'ane tiziromboti ndi zizindikilo zina

Opereka nawonso amawunika kuti awone ngati:

• adamwa maantibayotiki m'miyezi isanu ndi umodzi yapitayi
• ali ndi chitetezo chamthupi chovuta
• khalani ndi mbiri yakugonana pachiwopsezo chachikulu, kuphatikizapo kugonana popanda chotchinga
• analandira mphini kapena kuboola thupi m'miyezi isanu ndi umodzi yapitayo
• kukhala ndi mbiri yogwiritsa ntchito mankhwala osokoneza bongo
• posachedwapa apita kumayiko omwe ali ndi matenda opatsirana ambiri
• ali ndi matenda a GI osachiritsika, monga matenda am'matumbo

Mutha kukumana ndi mawebusayiti omwe amapereka zonyansa potumiza. Ngati mukuganiza zovekera kwachimbudzi, onetsetsani kuti mukugwira ntchito ndi omwe amakuthandizani kuti muwone ngati mukupeza zitsanzo kuchokera kwa omwe amapereka.

Ubwino wake wochiza matenda a C. Diff ndi uti?

C. kusiyanaMatendawa amadziwika kuti ndi ovuta kuchiza. Za anthu omwe amalandira mankhwala opha tizilombo a C. kusiyana Matendawa apitilira kukhala ndi matenda obwereza. Komanso, kukana kwa maantibayotiki mkati C. kusiyana yakhala ikuwonjezeka.

C. kusiyana Matendawa amachitika pakakhala kuchuluka kwa mabakiteriya am'magawo anu a GI. Malinga ndi American College of Gastroenterology, 5 mpaka 15 peresenti ya achikulire athanzi - ndi 84.4% ya akhanda akhanda ndi makanda athanzi - ali ndi kuchuluka kwa C. kusiyana m'matumbo mwawo. Sizimayambitsa mavuto komanso zimathandiza kuti mabakiteriya azikhala m'matumbo.

Komabe, mabakiteriya ena m'matumbo mwanu nthawi zambiri amasunga kuchuluka kwa C. kusiyana poyang'anira, kuteteza kuti isayambitse matenda. Kuthira kwankhuku kumatha kuthandizanso kubweretsanso mabakiteriyawa mu tsamba lanu la GI, kuwalola kuti ateteze kuchuluka kwa tsogolo lawo C. kusiyana.

Kafukufuku wambiri omwe alipo okhudza kugwiritsa ntchito ndowe pochizira C. kusiyana Matendawa ndi ochepa. Komabe, ambiri apanga zotsatira zofananira zomwe zikuwonetsa kuchiritsa koposa.

Nanga bwanji phindu pazinthu zina?

Akatswiri akhala akufufuza posachedwa momwe ma feteleza angathandizire pamavuto ena komanso mavuto azaumoyo, kuphatikiza zovuta zina za GI. Pansipa pali chithunzi cha kafukufukuyu mpaka pano.

Ngakhale zina mwa zotsatirazi zikulonjeza, pakufunikabe kafukufuku wina wambiri mderali kuti mudziwe kuthekera ndi chitetezo chazakudyetsa zonyowa pazogwiritsidwa ntchitozi.

Matenda owopsa am'mimba (IBS)

Kafukufuku waposachedwa wamaphunziro asanu ndi anayi apeza kuti kuziika kwachimbudzi kumathandizira kusintha kwa IBS mwa omwe atenga nawo mbali. Komabe, maphunziro asanu ndi anayiwo anali osiyana kwambiri pamalingaliro awo, kapangidwe kake, ndi kuwunika kwawo.

Zilonda zam'mimba (UC)

Mayesero anayi anali kuyerekezera kuchuluka kwa kukhululukidwa kwa UC mwa anthu omwe adalandilidwa ndowe motsutsana ndi placebo. Omwe adalandila zonyansa anali ndi chikhululukiro cha 25%, poyerekeza ndi 5% ya omwe ali mgulu la placebo.

Kumbukirani kuti kukhululukidwa kumatanthauza nthawi yopanda zizindikiritso. Anthu omwe ali ndi UC omwe akukhululukidwa amatha kupitiliza kukhala ndi zotulukapo zamtsogolo kapena zizindikilo.

Matenda achilengulengu (ASD)

Zing'onozing'ono zidapeza kuti kuchuluka kwakanthawi konyamula kwanyengo komwe kumatha milungu isanu ndi iwiri kapena isanu ndi itatu kumachepetsa zizindikiritso za ana omwe ali ndi ASD. Zizindikiro zamakhalidwe a ASD zimawonekeranso kuti zikuyenda bwino.

Kusintha uku kudawonekabe patatha milungu isanu ndi umodzi atalandira chithandizo.

Kuchepetsa thupi

Posachedwapa mbewa zimakhudza magulu awiri: m'modzi amadyetsa zakudya zamafuta ambiri pomwe wina amadyetsa mafuta abwinobwino ndikuyika pulogalamu yazolimbitsa thupi.

Mbewa pa zakudya zamafuta kwambiri zimalandira zochokera kuchimbudzi kuchokera pagulu lachiwiri. Izi zimawoneka kuti zimachepetsa kutupa ndikusintha kagayidwe kake. Adazindikiranso tizilombo tating'onoting'ono tomwe timakhudzana ndi izi, ngakhale sizikudziwika momwe zotsatirazi zingatanthauzire anthu.

Werengani zambiri za kulumikizana pakati pa kulemera ndi m'matumbo mabakiteriya.

Ndani sayenera kukhala ndi chimbudzi?

Kuika zonyansa sikuvomerezeka kwa anthu omwe ali ndi chitetezo chokwanira chifukwa cha:

• mankhwala omwe amaletsa chitetezo cha mthupi
• HIV
• Matenda owopsa a chiwindi, monga chiwindi
• kumuika kwaposachedwa kwapafupa

Kodi malingaliro a FDA ndi ati?

Pomwe kafukufuku wokhudzana ndi kuponyedwa kwachimbudzi akulonjeza, Food and Drug Administration (FDA) sanawavomereze kugwiritsidwa ntchito kulikonse ndipo amawona ngati mankhwala ofufuzira.

Poyambirira, madokotala omwe amafuna kugwiritsa ntchito zipsinjo zachimbudzi amayenera kulembetsa ku FDA asanagwiritse ntchito njirayi. Izi zimakhudza kuvomereza kwakanthawi komwe kumalepheretsa ambiri kugwiritsa ntchito ndowe.

A FDA adatsitsimutsa chofunikira ichi pakuika zonyansa zomwe zimafunikira kuti zibwererenso C. kusiyana matenda omwe sanayankhe maantibayotiki. Koma madokotala amafunikirabe kufunsira ntchito zilizonse kunja kwa izi.

Nanga bwanji za kusanjika kwazinyalala za DIY?

Intaneti yodzaza ndi momwe mungapangire zonyansa kunyumba. Ndipo ngakhale njira ya DIY ikhoza kumveka ngati njira yabwino yoyendera malamulo a FDA, nthawi zambiri si lingaliro labwino.

Nazi zifukwa zingapo izi:

• Popanda kuwunika moyenera kwa omwe akupereka chithandizo, mutha kukhala mukuziyika pachiwopsezo chotenga matenda.
• Madokotala omwe amaika zonyansa ali ndi maphunziro ochulukirapo momwe angapangire chopondapo pokonzekera kumuika.
• Kafukufuku wazotsatira zazitali komanso chitetezo chazakudya zonyansa akadali zochepa, makamaka pazinthu zina kupatula C. kusiyana matenda.

Mfundo yofunika

Kusintha kwazinyalala ndi njira yabwino kwambiri yochizira matenda osiyanasiyana. Masiku ano, amagwiritsidwa ntchito poyambira kuchitira mobwerezabwereza C. kusiyana matenda.

Akatswiri akamaphunzira zambiri zakusintha kwachimbudzi, atha kukhala njira yazinthu zina, kuyambira pazovuta za GI kupita kuzinthu zina zachitukuko.