Cudurka kaadiheystu wuxuu noqon karaa Dhibaato Dheer oo loogu talagalay dadka haysta J-Pouch
Waa Maxay Cudurka Faafka?
Kabuubisku waa xaalad saameyn ku yeelan karta dadka qaada jeeb-yada (qalabka isnadaamis -anastomosis [IPAA]) ee loogu talagalay xannuunka ulcerative. Farsamooyinka cirridka lama garanayo, waxaana loo maleynayaa in ay ku jiri karto noocyo kala duwan oo cudur ah. Waa dhibaatada ugu caansan ee dadka leh j-pouches.
Calaamadaha lagu daaweyn karo bukaanshaha waxaa ka mid ah:
- dhaqdhaqaaqyo isdaba joog ah oo degdeg ah
- calool-xanuun caloosha ah
- dhiig baxsan
- qandho
Calaamaduhu waxay sida caadiga ah ka jawaabaan daaweynta antibiyootigyada laakiin waxay ku soo noqon karaan qiyaastii laba meelood laba dadka bukaanka ah. Qiyaastii 10% bukaanjiifku waxay la kulmaan cirridka soo noqnoqda oo aan ka jawaabin daaweynta antibiyootigga. Noocyada soo noqnoqda ee bukaanshaha ayaa sababi kara hoos u dhaca tayada nolosha dadka qaba jajaanka.
Helitaanka daaweynta cirridka, gaar ahaan wakhtiga saxda ah qalliinka kadib, waa mid aad muhiim u ah. Qof kasta oo qaliinka uurjiifka ku dhacay waa inuu la xiriiraa dhakhtarkiisa isla markiiba marka calaamaduhu u muuqdaan "off" oo ay jiraan calaamadaha xanuunka, qandhada, iyo dhiigga saxarada.
Waa maxay sababta Cudurka Probiotic?
Cilmi baadhayaashu waxay ogaadeen in dadka qaba cirbadku ay leeyihiin bakteeriyado faa'iido leh, oo ah lactobacilis iyo bifidobacteria, oo ah habka dheef-shiidka. Tallaabada xigta ee macquul ah waxay ahayd in la sameeyo tijaabooyin si loo ogaado in kordhinta bakteeriyada faa'iidada leh ee habka dheef-shiidka ay gacan ka geysan karto hagaajinta calaamadaha bukaanka.
Cabbirada bakteeriyadan faa'iido leh waxaa lagu magacaabaa "probiotics" waxaana laga yaabaa inay ku jirto noocyo kala duwan oo ah noocyada bakteeriyada nool.
Caddaynta Isticmaalka Probiotics
Laba jeerna indho-indhobeel ah, tijaabo xakameyn ah ayaa la sameeyay si loo arko haddii isku-darka jeermiska lyophilized-afar nooc oo Lactobacillus ah , saddex nooc oo Bifidobacterium ah iyo hal muruqa Streptococcus - (oo loo yaqaan VSL # 3) ayaa kaa caawin kara in la yareeyo calaamadaha caabuqa.
Hal tijaabo ayaa la ogaaday in 9 bilood ka dib, 85% bukaannada qaata VSL # 3 ma aysan dareemin dib-u-dhac balaadhan. Dhammaan 20 bukaanno oo qaada placebo ayaa dib u soo noqday. Dambi labaad, 85% bukaannada qaata VSL # 3 ma aysan dareemin dib-u-soo-kabasho ka dib hal sano oo daaweyn ah. Dhamaan dadka bukaanka ah ee qaata placebo ayaa soo noqnoqday. Natiijooyinka labada cilmi-baariseed waxay bixiyaan taageero wanaagsan oo ah probiotics oo ay ku jiraan noocyada noocyada bakteeriyada qaarkood ay caawin karaan dadka qaba jeeb-yada kuwaas oo leh cirbadeynta soo noqota.
Daraasad kale, 16 ka mid ah 23 bukaan oo qaba firiiric yar oo firiiric ah, ayaa dib loo dhigay ka dib afar toddobaad ee qiyaasta tallaalka VLS # 3. Inkasta oo qorayaasha daraasadu ay soo gabagaboobeen in gooyooyinka la yiraahdo "probiotics" ay wax ku ool u yihiin cilad sahlan, waxay ku baaqayaan baaritaan dheeraad ah.
Cadaadisyo badan ayaa tijaabiyay qaababka kale ee probiotic, oo ay ku jiraan Lactobacillus rhamnosus GG iyo Lactobacillus acidophilus oo ay la socdaan Bifidobacterium lactis . Daraasadahan waxay muujin waayeen in gumeysigaasi uu saameyn wanaagsan ku yeeshay bukaanshaha firfircoon; hase yeeshee, hal tijaabo ayaa muujisay in LRhamnosus GG ay waxtar u leedahay dib-u-dhigidda foosha ugu horeysay ee bukaan-jiifka marka daaweynta la bilaabay isla markiiba ka dib markii qalliinka j-jakin .
Khadadka hoose
Inkasta oo caddaynta caafimaadku ay ku yar tahay mowduuca probiotics, waa caddaalad ah in la sheego in inta hindhisada la yiraahdo probiotics ay ku caawin karto sii wadida xanuunka, maahan inay caawimaad ka qaataan daweynta xanuunka ba'an.
Dhakhtarkaagu wuxuu awoodi doonaa inuu kaa caawiyo sidii aad u ogaan lahayd goorta probiotics ay faa'iido u tahay cirridka, iyo sidoo kale alaabada la isticmaalo, iyo inta la qaadanayo.
Qodobbada Muhiimka ah ee Xusuusta:
- Probiotics waxaa laga yaabaa inay ku caawiso daaweynta xanuunka ka dib marka cillad laga daaweeyo antibiyootiko ama dib u dhigista bilawga ah ee cirridka
- Probiotics weli ma cadeeynin wax ku ool ah daawaynta xanuunka daran ee boogaha
- Waxaa muhiim ah in laga hadlo isticmaalka probiotics dhakhtarka si loo hubiyo in nooca iyo qiimaha saxda ah la qaato
- Caddeymaha isticmaalka probiotics weli ma dhammeystirna, iyo natiijooyinka daraasaddaha mustaqbalka waxay badali karaan isticmaalka probiotics ee cirrid
> Ilo:
Faa'iidada ka hortagga boogaha ee bukaanka ayaa daaweyn jiray anastomosis fuuq-baxa ah: oo ah falanqeyn miisaaniyadeed ee tijaabooyinka kiliinikada. " Dig dig Sci. May 2008. 53: 1278-1284.
> Gionchetti P, Rizzello F, Morselli C, Poggioli G, Tambasco R, Calabria C, Brigidi P, Vitali B, Straforini G, Campieri M. "Probiotics qadar sare ah ee daaweynta durugsan firfircoon. " Dis Colon Rectum Dec 2007 50: 2075-2082.
> Gionchetti P, Rizzello F, Venturi A, et al. "Bacteriotherapy afka ah sida daaweynta dayactirka ee bukaanka qaba xanuunka joogtada ah: laba-indho la ', tijaabo xakameyn xakameynaya." Gastroenterology. 2000 119: 305-309.
> Gosselink MP, Schouten WR, van Lieshout LM, Hop WC, Laman JD, Ruseler-van Embden JG. "Dib u dhac ku yimaada bilawga ugu horeeya ee cirbadeynta qaadashada afka laga qaato ciribtirka probiotic Lactobacillus rhamnosus GG. " Dis Colon Rectum. Jun 2004 47: 876-884.
> Kuisma J, Mentula S, Jarvinen H, et al. "Saamaynta Lactobacillus Rhamnosus GG on caabuqa dillaaca iyo xayawaanka microbial." Aliment Pharmacol Ther. 2003 17: 509-515.
> La soo qaado KO, Line PD, Aabakken L, et al. "Qiimaynta bararaha xuubka iyo wareegga si looga jawaabo probiotics ee bukaanada loo isticmaalo lafa-daboolka ilkaha ee anastomosis for colitis ulcerative" Scande G Gastroenterol. 2003 38: 409-414.
> Liu Z1, Song H, Shen B. "Kabuubis: Ka hortagga iyo daaweynta." Currin Clin Nut Maqnaansho Metap . 2014 Sep; 17: 489-495.
> Mimura T, Rizzello F, Helwig U, et al. "Marka la qaato daawada qiyaasta sare ee" probiotic therapy "(VSL # 3) si loo xakameeyo daaweynta caabuqa ama dib-u-ceshad . 2004 53: 108-114.
> Ruush-van Embden JG, Schouten WR, van Lieshout LM. "Cafisku: natiijada microbial dengesance?" Gut. 1994 35: 658-664.