Maantibiotiki ndi mabakiteriya amoyo omwe ndi abwino kwa m'mimba mwa micobiota motero ndi thanzi. Ndi nthawi ziti pomwe amawonetsedwa m'makanda ndi ana? Kodi ali otetezeka? Zinthu zoyankhira.

Ma Probiotic ndi mabakiteriya amoyo omwe amapezeka mumitundu yosiyanasiyana yazinthu:

• Chakudya;
• mankhwala;
• zowonjezera zakudya.

Mitundu ya Lactobacillus ndi Bifidobacterium ndiyo yomwe imagwiritsidwa ntchito ngati maantibiotiki. Koma pali ena monga yisiti Saccharomyces cerevisiae ndi mitundu ina ya E. coli ndi Bacillus. Mabakiteriya amoyowa amatha kukhala ndi thanzi labwino popanga nkhokwe m'mimba ndikusunganso maluwa am'mimba. Ili ndi nyumba zamoyo mabiliyoni ambiri ndipo limathandizira kugaya chakudya, kagayidwe kachakudya, chitetezo chamthupi komanso minyewa.

Kuchita kwa maantibiotiki kumadalira kupsyinjika kwawo.

Ma Probiotic amapezeka ngati zowonjezera (zomwe zimapezeka kuma pharmacies) mu zamadzimadzi kapena makapisozi. Amapezekanso mu zakudya zina. Zakudya zomwe zili ndi maantibiotiki achilengedwe ndi awa:

• yoghurts ndi milk thovu;
• zakumwa zoziziritsa kukhosi monga kefir kapena kombucha;
• yisiti ya mowa;
• mkate wowawasa;
• nyemba;
• sauerkraut yaiwisi;
• tchizi wabuluu monga tchizi wabuluu, roquefort ndi omwe ali ndi rind (camembert, brie, etc.);
• ndi miso.

Mkaka wina wamkaka umalimbikitsidwanso ndi maantibiotiki.

Khanda ndi mwana wathanzi, ma probiotic supplementation sofunikira chifukwa m'matumbo mwawo ma microbiota ali kale ndi mabakiteriya onse oyenera kuti agwire bwino ntchito. Komabe, zinthu zina zimatha kusokoneza maluwa am'mimba mwa mwanayo ndikufooketsa thanzi lake:

• kumwa maantibayotiki;
• kusintha kwa zakudya;
• kufooketsa chitetezo chamthupi;
• chimfine cha m'mimba;
• kutsegula m'mimba.

Ma Probiotic supplementation atha kulangizidwa kuti abwezeretse bwino. Mu lipoti lofalitsidwa pa Disembala 3, 2012 ndikusinthidwa pa June 18, 2019, Canadian Pediatric Society (CPS) inalemba ndikunena za kafukufuku wasayansi wogwiritsa ntchito maantibiotiki mwa ana. Nazi malingaliro ake.

Pewani kutsegula m'mimba

DBS imasiyanitsa kutsekula m'mimba komwe kumakhudzana ndikumwa maantibayotiki kutsekula m'mimba koyambira. Pofuna kupewa matenda otsekula m'mimba omwe amabwera chifukwa cha maantibayotiki, Lactobacillus rhamnosus GG (LGG) ndi Saccharomyces boulardii ndi omwe angakhale othandiza kwambiri. Ponena za kupewa matenda otsekula m'mimba opatsirana, LGG, S. boulardii, Bifidobacterium bifidum, Bifidobacterium lactis ndi Lactobacillus reuteri zitha kuchepetsa kuchepa kwa makanda osayamwitsa. Kuphatikiza kwa Bifidobacterium breve ndi Streptococcus thermophilus kungateteze kuchepa kwa madzi m'thupi komwe kumayambitsidwa ndi kutsegula m'mimba.

Chitani matenda otsekula m'mimba opatsirana

Maantibiotiki amatha kuwonetsedwa kuti athetse matenda otsekula m'mimba mwa ana. Makamaka, amachepetsa nthawi yotsekula m'mimba. Mtundu wovuta kwambiri ungakhale LGG. CPS imanena kuti "mphamvu zawo zimadalira kupsyinjika ndi kuchuluka kwake" komanso kuti "phindu la maantibiotiki limawoneka bwino kwambiri pomwe mankhwala ayambitsidwa mwachangu (mkati mwa maola 48)".

Chitani matenda aang'ono

Zomwe zimapangidwa m'matumbo microbiota zimakhulupirira kuti zimalumikizidwa ndi kupezeka kwa colic mwa makanda. Zowonadi, ana omwe amakonda kukhala ndi colic ali ndi microbota yocheperako mu lactobacilli kuposa ena. Kafukufuku awiri wasonyeza kuti L reuteri imachepetsa kwambiri kulira kwa makanda omwe ali ndi colic. Kumbali inayi, maantibiotiki sanatsimikizire kuti ndi othandiza pochiza khanda lachinyamata.

Pewani matenda

Powonjezera chitetezo cha mthupi komanso kupezeka m'matumbo kwa tizilombo toyambitsa matenda, maantibiotiki angathandize kuchepetsa matenda opatsirana opitis, otitis media ndi kumwa maantibayotiki kuti awachiritse. Maantibiotiki omwe awonetsedwa kuti ndi othandiza pamaphunziro angapo ndi awa:

Pewani matenda atopic ndi matupi awo sagwirizana

Ana omwe ali ndi atopic dermatitis ali ndi matumbo a microbiota omwe salemera kwambiri mu lactobacilli ndi bifidobacteria kuposa ana ena. Komabe, kafukufuku waposachedwa sanathe kuwonetsa zopindulitsa za lactobacilli supplementation popewa matendawa kapena hypersensitivity ku zakudya mwa ana.

Chitani dermatitis ya atopic

Kafukufuku wamkulu atatu adatsimikiza kuti mankhwala a maantibiotiki sanakhale ndi zotsatira zabwino pa eczema ndi atopic dermatitis mwa ana.

Kuchiza matumbo osakwiya

Kafukufuku wambiri wasonyeza kuti mitundu ya Lactobacillus rhamnosus GG ndi Escherichia coli imathandizira kuchepetsa zizindikilo zamatenda opweteka. Koma zotsatirazi zikuyenera kutsimikiziridwa ndi maphunziro ena.

Kugwiritsa ntchito maantibiotiki achilengedwe (omwe amapezeka mchakudya) ndiabwino kwa ana. Pazakudya zolimbikitsidwa ndi maantibiotiki, ndibwino kuti mufufuze kwa dokotala musanapereke kwa mwana wanu chifukwa amatsutsana ndi ana omwe ali ndi chitetezo chamthupi chofooka ndi matenda kapena mankhwala.

Ponena za kuthekera kwawo, zimatengera kupsinjika ndi matenda omwe angachitike. "Koma ma probiotic aliwonse omwe mumagwiritsa ntchito, muyenera kupereka ndalama zokwanira," imaliza CPS. Mwachitsanzo, zowonjezera zowonjezera zimakhala ndi mabakiteriya osachepera mabiliyoni awiri pa kapisozi kapena mlingo wa mankhwala owonjezera.