Siza i-microbiome ye-Cesarean-Born Baby
Umzimba wakho wakhiwe ngamaseli amaningi. Zonke zomzimba wakho, hhayi nje ngaphakathi. Amanye alawa maseli ayingxenye yakho, amanye amaseli amabhaktheriya ahlala emzimbeni wakho nasesikhumba sakho. Abantu abaningi sebezwile ukuthi amabhaktheriya ahlala emathunjini futhi asisize sidle ukudla. Nasi isibonelo: Mhlawumbe uye wabhekana nenkinga amabhaktheriya akho into enjengokutheleleka kwemvubelo emva kwemithi elwa namagciwane.
Yilapho ama-antibiotics aphinde aphazamise amabhaktheriya amahle awenza ukugcina umzimba wethu uhlole, ngaleyo ndlela kubangele ukugqama kwemvubelo.
UJoshua Lederberg uqale wachaza i-microbiome "ukukhombisa umphakathi wezinto eziphilayo ze-commensal, symbiotic, kanye ne-pathogenic microorganms ezihlanganyela ngokoqobo isikhala somzimba wethu futhi ziye zazinganakwa njengezici zempilo nezifo. Wathola umklomelo weNobel ngomsebenzi wakhe. Okokuqala, kufanele uqonde ukuthi isikhathi eside kakhulu sicabanga ukuthi lesi sizalo sasimvelo oyinyumba futhi lokhu kwashintsha kuphela uma kunokutheleleka kwe-sac amniotic noma uterine. Ucwaningo lwakamuva kanye nezifundo zesilwane sangaphambilini esisibonise ukuthi lokhu kungase kungabi yiqiniso, nakuba singakabonakali ukuthi ingane ikhonjiwe kanjani ekukhulelwe noma uma kunjalo. Uma kwenzeka, kungenzeka kube nge-placenta. Lokho esikwaziyo ukuthi njengoba amanzi ephuka emsebenzini futhi ingxenye enkulu yenqubo yenzeke lapho ingane idlula emkhathini, umntwana uhlangana nama-bacterium.
Lapho umntwana ezalwa, isikhumba sikhumba ukuxhumana nomama, kusiza inqubo iqhubeke. Abaningi abazalwa ngesigaba se- cearean balahlekelwa lezi zinyathelo ezimbili zokugcina ngokuphelele.
Ucwaningo
Ucwaningo lusitshengisa ukuthi izingane ezizalwe yibhedi le-laarean zihlanganisa ukukhula kwezinga lokukhuluphala, i-asthma, isifo se-celiac kanye nohlobo lwesifo sikashukela esikhathini esizayo ekuphileni kwabo.
Lolu cwaningo lubonisa ukuthi umehluko emkhatsini wezinto eziphilayo ezincane ezitholakala emanzini. Lena yodwa inkolelo yokuthi kungani ingozi yalezi zimo iphezulu ezinganeni ezinikezwa yi-cearean.
Ngakho-ke, usiza kanjani izinsana ezizalwa yi-cearean ngokuntuleka kwezinhlobonhlobo zamagciwane? UDkt. Michelle Bennett uncoma ukuthatha ama-swabs wesisindo kumama futhi uwabeke phezu komzimba nasemlonyeni wengane ukusiza ukubuyisela ukulinganisela okulinganiselwe kwabantwana abazalwa yi-cearean. Lolu lwazi lwabelwana futhi emhlanganweni wamuva we-American Society for Microbiology ngeqembu labanye odokotela.
Seeding Inqubo Insana
UDkt. Maria Gloria Dominguez-Bello, uprofesa ohlanganyelwe ohlelweni lwe-Human Microbiome Programle e-NYU School of Medicine, wanikeza imiphumela yangaphambili yalowo cwaningo. Unezinyathelo ezinhlanu zokwenza lokho okubizwa ngokuthi i-inoculum noma "ukuhlwanyela" usana.
- Sampula amabhaktheriya omama.
- I-padze idijithi ifakwa ebesini lomama cishe ihora.
- Susa i-gauze ngaphambi kwe-cearean.
- Ukuveza umntwana osanda kuzalwa. (Qala ngomlomo usana, ubuso babo, nomzimba wonke.)
- Sampula amabhaktheriya wasana.
Kumele kuqashelwe ukuthi lokhu kungokomama abangenayo igciwane lesandulela ngculaza, kanye neqembu le-B elibizayo.
Ngenkathi lesi akusona isisombululo esiphelele, ibuyisela kancane kancane amabhaktheriya avela kumama kumntwana esifundweni esincane esenziwe ngaphambilini. Ucwaningo oluningi luqhutshwa futhi luzoqhubeka ngokusho kukaDkt Dominguez-Bello.
Ngenxa yokuthi isacwaningwa akuyona into evamile, kepha abanye abasebenza ngodaba benza isicelo sabo kubazali noma ngenxa yolwazi lwabo lwesifundo. Uma lokhu kuyinto ongathanda ukuyenza emva kokuyeka kwakho, qiniseka ukuthi ukhuluma nodokotela wakho bese uyifaka ohlelweni lwakho lokubeletha .
Enye indlela yokwandisa ama-bacteria ngokwemvelo ukuthi unesikhumba esiningi sokukhumbuza umama ngemva kokuzalwa. Nakuba abacwaningi bengakholelwa ukuthi lokhu kuyi-noma / noma isiphakamiso, kodwa kokubili.
Imithombo:
Azad, MB, Konya, T., Maughan, H., Guttman, DS, Field, CJ, Chari, RS, Kozyrskyj, AL (2013). I-Gut microbiota yezingane ezinempilo eCanada: amaphrofayli ngemodi yokulethwa nokudla kwezinsana ezinyangeni ezine. I-Canadian Medical Association Journal, 185 (5), 385-394. doi: 10.1503 / cmaj.121189
Abathengisi, J., Thijs, C., Vink, C., Stelma, FF, Snijders, B., Kummeling, I., Stobberingh, EE (2006). Izinto ezithinta ukuhlanganiswa kwe-Microbiota yama-Intestinal e-Early Childhood. Izifo zengqondo, 118 (2), 511-521. i-doi: 10.1542 / imigqa.2005-2824
I-Goldberg, C. Ucwaningo: I-Can-Canal Bacalia Yokuzalwa Ingasiza C-Section Babies? http://commonhealth.wbur.org/2014/06/birth-canal-bacteria-c-section Kugcine ukutholakala ngoJulayi 18, 2015
I-Hyde MJ, Modi N. Imiphumela yesikhathi eside yokuzalwa ngesigaba se-caesarean: icala lokuhlolwa okungahleliwe okulawulwa ngokungahleliwe. I-Hum Hum Ekuqaleni. 2012 Dec; 88 (12): 943-9.
U-Romano-Keeler, J., no-Weitkamp, J.-H. (2015). Amathonya omama ekukhuleni kwamakhompiyutha kanye nokuthuthukiswa kwamagciwane. Ucwaningo lwezingane, 77 (0), 189-195. http://doi.org/10.1038/pr.2014.163
Ingoma, SJ, iDominguez-Bello, MG, & Knight, R. (2013). Yeka indlela ukulethwa kwemodi nokudla kungabangela kanjani umphakathi we-bacterial in the gut of baby. I-Canadian Medical Association Journal, 185 (5), 373-374. doi: 10.1503 / cmaj.130147