Cov kev tshawb fawb ntxaib qhia tau hais tias kim thiab nrov probiotics yuav tsis zoo rau kev kho 'mob plab' hauv cov menyuam yaus.
Gastroenteritis lossis feem ntau hu ua 'mob khaub thuas' cuam tshuam ntau lab tus menyuam yaus thoob ntiaj teb. Nws yog tshwm sim los ntawm kab mob, kab mob los yog kab mob parasites thiab txawm hais tias nws tsis yog kab mob ua rau lub neej tab sis nws yog lub nra hnyav rau kev kho mob vim nws yog ib qho ua rau muaj mob hauv tsev kho mob. Tsis muaj kev kho mob sai rau cov menyuam yaus mob plab plab tshwj tsis yog muab cov kua dej rau menyuam yaus los tiv thaiv lub cev qhuav dej, thiab qee yam tshuaj rau xeev siab thiab so kom txaus. Txij li thaum tsis muaj kev kho kom raug, cov kws kho mob tau sau ntawv probiotics nyob rau hauv kev kho cov me nyuam uas muaj mob gastroenteritis.
Kev nkag siab tob dua ntawm microbiome - ntau lab tus phooj ywg cov kab mob, kab mob, fungi thiab lwm yam - uas ntseeg tau tias muaj txiaj ntsig zoo rau tib neeg lub cev tau txhawb kev loj hlob ntawm probiotics. Probiotics feem ntau muaj kev nyab xeeb cov kab mob tseem hu ua 'tus phooj ywg' lossis 'zoo' cov kab mob uas xav tias yuav tawm tsam plab. kab mob. Lawv ntseeg tau tias yuav rov qab muaj cov kab mob zoo li qub hauv peb lub plab zom mov thiab lawv kuj txhawb peb txoj kev tiv thaiv kab mob los ntawm kev txhim kho peb lub cev tiv thaiv kab mob. Ntau qhov kev tshawb fawb me me tau pom tias probiotics yuav pab tau tab sis cov txiaj ntsig zoo li no tau txwv.
Probiotics tsis zoo tom qab tag nrho?
Txoj kev kawm tshiab muaj zog1 luam tawm nyob rau hauv Tshiab hais Journal ntawm cov tshuaj, koom nrog 1,000 tus menyuam yaus (3 lub hlis txog 4 xyoos) ua pov thawj thawj zaug tias probiotics yuav tsis yog qhov zoo tshaj plaws lossis muaj txiaj ntsig zoo tshwj xeeb tshaj yog rau cov menyuam yaus. Cov kws sau ntawv tsom los tsim cov pov thawj tseeb rau lossis tawm tsam kev siv cov probiotics hauv cov menyuam mos thiab cov menyuam yaus uas muaj mob plab hnyuv. Cov kws tshawb fawb tau soj ntsuam cov tshuaj probiotics feem ntau hu ua Lactobacillus rhamnosus GG (LGG) uas muaj cov qauv tsim nyog rau cov menyuam mos thiab menyuam yaus. Txoj kev tshawb no koom nrog 971 cov menyuam yaus uas tau txais kev kho mob ntau dua 3 xyoos txij li xyoo 2014 txog 2017 ntawm cov chaw kho mob xwm txheej ceev ntawm thaj chaw kho mob sib txawv thoob plaws Tebchaws Meskas. Cov menyuam yaus raug xaiv yog tias lawv pom cov tsos mob ntawm plab hnyuv xws li cov quav xoob, ntuav, raws plab lossis kab mob plab hnyuv. Qhov xwm txheej ua ntej yog tias lawv tsis tau noj cov tshuaj probiotics tsawg kawg 2 lub lis piam dhau los.
Ib nrab ntawm cov menyuam yaus raug xaiv kom tau txais probiotic LGG ob zaug ib hnub rau tsib hnub, lwm tus tau noj cov placebo zoo ib yam. Tsis tas li ntawd, cov me nyuam tau txais kev kho mob raws li tus qauv. Cov kws tshawb fawb lossis cov niam txiv tsis paub txog lub sijhawm no cov menyuam twg tau txais cov tshuaj probiotics. Nws tau pom tias txhua tus menyuam yaus tau pom cov tsos mob zoo ib yam thiab zoo tib yam - txawm tias lawv tau muab cov tshuaj probiotics lossis cov placebo - piv txwv li txhua tus menyuam yaus muaj raws plab tau ob hnub. Kev sib piv ntawm cov me nyuam mos thiab cov me nyuam me kuj tau ua. Cov neeg mob uas tau noj cov tshuaj probiotics tau kuaj xyuas seb puas mob plab los ntawm tus kab mob lossis kab mob. Cov probiotic kuj tau kuaj nws tus kheej kom huv si thiab lub zog. Cov kws tshawb fawb los tsuas yog ib qho kev txiav txim siab - probiotic LGG tsis muaj qhov sib txawv. Cov tshuaj probiotic tsis pab cuam tshuam rau ntuav lossis raws plab.
Hauv kev kawm thib ob2 ua nyob rau hauv Canada kuj luam tawm nyob rau hauv Cov Xov Xwm Tshiab Hais Txog Cov Tshuaj, 886 tus menyuam yaus (hnub nyoog 3 hlis txog 2 xyoos) uas muaj mob plab tau txais kev kawm tsib hnub ntawm probiotic uas muaj Lactobacillus rhamnosus R001 thiab Lactobacillus helveticus R0052 lossis placebo (feem ntau muab hauv South Asia). Hauv txoj kev tshawb no tseem tsis tau pom qhov sib txawv ntawm ob pawg ntawm cov menyuam yaus uas tau muab probiotics lossis placebo.
Cov kev tshawb fawb ntxaib no hauv Canada thiab hauv Tebchaws Meskas tau txiav txim siab tias ob hom tshuaj probiotics uas tau sim tsuas yog tsis cuam tshuam rau cov menyuam yaus thiab yog li nws tuaj yeem txiav txim siab tias cov tshuaj probiotics yuav tsum tsis txhob siv rau kev mob plab los ntawm kws kho mob lossis niam txiv ntawm lawv tus kheej. Cov kws kho mob yuav tsum txiav txim siab tag nrho ntawm cov pov thawj no thiab yuav tsum koom nrog tib yam hauv cov tswv yim cuam tshuam rau kev mob plab menyuam yaus. Txawm li cas los xij, cov kws sau ntawv qhia meej tias lawv cov kev tshawb fawb yog hais txog cov txiaj ntsig ntawm ob lub npe nrov probiotics ntawm gastroenteritis hauv cov menyuam yaus thiab nws tsis tau hais tias probiotics yuav tsum raug tshem tawm tag nrho rau txhua yam. Txawm hais tias muaj kev nyab xeeb, probiotics tseem kim thiab tsis tsim nyog 'cov tshuaj muaj cov kab mob' thiab nws yog qhov zoo dua rau cov menyuam yaus noj zaub mov zoo xws li yogurt, txiv hmab txiv ntoo lossis zaub.
Cov kev tshawb fawb no kuj tseem ceeb heev rau kev txhim kho kev tshem tawm cov tshuaj uas tsis muaj txiaj ntsig. Probiotics raug muag kom ua tau zoo rau txhua yam mob - los ntawm kev noj qab haus huv rau kev rog thiab lub plawv thiab rau kev puas hlwb. Qhov no yog kev lag luam ntau lab daus las; Txawm li cas los xij, cov kws tshaj lij hais tias yuav tsum muaj kev tswj hwm nruj dua nyob ib puag ncig probiotics vim lawv tuaj yeem noj cov tshuaj noj uas txwv tsis pub muaj kev pom zoo tsis zoo li lwm cov tshuaj hauv khw muag khoom. Thiab feem ntau ntawm kev tshawb fawb txog kev ua tau zoo ntawm probiotics yog me me thiab txwv tsis pub thiab tsis muaj qhov tseeb thiab tsis muaj cov pov thawj muaj zog. Yog li ntawd, xav txog qhov muaj koob meej ntawm probiotics, yuav tsum muaj kev tshawb fawb loj, zoo, muaj kev ywj pheej thiab muaj zog zoo li cov no los mus rau txhua qhov kev txiav txim siab.
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{Koj tuaj yeem nyeem cov ntawv tshawb fawb thawj zaug los ntawm nyem rau ntawm DOI qhov txuas tau muab hauv qab no hauv cov npe ntawm cov khoom raug suav nrog}
Qhov (s)
1. Schnadower D et al. 2018. Lactobacillus rhamnosus GG versus Placebo for Acute Gastroenteritis in Children. N Engl J Med.. https://doi.org/10.1056/NEJMoa1802598
2. Freedman SB et al. 2018. Multicenter Trial of a Combination Probiotic for Children with Gastroenteritis. N Engl J Med. 379. https://doi.org/10.1056/NEJMoa1802597
Lus raug kaw.