{"id":31334,"date":"2023-05-07T15:09:50","date_gmt":"2023-05-07T08:09:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31334"},"modified":"2023-05-07T15:09:50","modified_gmt":"2023-05-07T08:09:50","slug":"probiotics-ung-dung-trong-dieu-tri-benh-ly-tieu-hoa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/probiotics-ung-dung-trong-dieu-tri-benh-ly-tieu-hoa\/","title":{"rendered":"Probiotics: \u1ee8ng d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd ti\u00eau h\u00f3a"},"content":{"rendered":"

\u0110\u01b0\u1eddng ru\u1ed9t c\u1ee7a con ng\u01b0\u1eddi c\u0169ng l\u00e0 n\u01a1i sinh s\u1ed1ng c\u1ee7a r\u1ea5t nhi\u1ec1u lo\u00e0i vi sinh v\u1eadt kh\u00e1c nhau, h\u00ecnh th\u00e0nh h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t. H\u1ec7 sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t c\u00f3 vai tr\u00f2 r\u1ea5t quan tr\u1ecdng trong duy tr\u00ec s\u1ee9c kh\u1ecfe c\u1ee7a con ng\u01b0\u1eddi v\u00e0 trong c\u00e1c c\u01a1 ch\u1ebf sinh b\u1ec7nh h\u1ecdc c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd trong v\u00e0 ngo\u00e0i \u1ed1ng ti\u00eau h\u00f3a. Probiotics l\u00e0 nh\u1eefng vi sinh v\u1eadt c\u00f3 l\u1ee3i v\u1edbi s\u1ee9c kh\u1ecfe con ng\u01b0\u1eddi, \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng nhi\u1ec1u trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ti\u00eau ho\u00e1, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c b\u1ec7nh l\u00fd d\u1ea1 d\u00e0y ru\u1ed9t do vi\u00eam.<\/b><\/p>\n

1. \u0110\u1ecbnh ngh\u0129a v\u00e0 c\u01a1 ch\u1ebf<\/h2>\n

Probiotics \u0111\u01b0\u1ee3c hi\u1ec3u l\u00e0 nh\u1eefng vi sinh v\u1eadt c\u00f3 nh\u1eefng \u0111\u1eb7c t\u00ednh c\u00f3 l\u1ee3i cho k\u00fd ch\u1ee7. H\u1ed9i \u0111\u1ed3ng chuy\u00ean gia v\u1ec1 ph\u1ee5 gia th\u1ef1c ph\u1ea9m c\u1ee7a T\u1ed5 ch\u1ee9c L\u01b0\u01a1ng th\u1ef1c v\u00e0 N\u00f4ng nghi\u1ec7p Li\u00ean H\u1ee3p Qu\u1ed1c (FAO\/WHO) gi\u1edbi thi\u1ec7u m\u1ed9t \u0111\u1ecbnh ngh\u0129a hi\u1ec7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u v\u1ec1 probiotics – “vi sinh v\u1eadt s\u1ed1ng khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng c\u00f3 t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i cho s\u1ee9c kh\u1ecfe c\u1ee7a k\u00fd ch\u1ee7”. Ngu\u1ed3n g\u1ed1c c\u1ee7a c\u00e1c s\u1ea3n ph\u1ea9m probiotics \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng hi\u1ec7n nay th\u01b0\u1eddng \u0111\u01b0\u1ee3c nu\u00f4i c\u1ea5y t\u1eeb th\u1ee9c \u0103n, th\u01b0\u1eddng nh\u1ea5t l\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb s\u1eefa.<\/p>\n

Nh\u00ecn chung c\u01a1 ch\u1ebf m\u00e0 c\u00e1c probiotics t\u01b0\u01a1ng t\u00e1c v\u1edbi h\u1ec7 vi sinh v\u1eadt c\u1ee7a k\u00ed ch\u1ee7 v\u00e0 mang t\u1edbi nh\u1eefng t\u00e1c \u0111\u1ed9ng c\u00f3 l\u1ee3i v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh r\u00f5 r\u00e0ng. Nh\u00ecn chung c\u00f3 4 c\u01a1 ch\u1ebf ch\u00ednh \u0111\u00e3 \u0111\u01b0\u1ee3c quan s\u00e1t v\u00e0 m\u00f4 t\u1ea3: \u1ee8c ch\u1ebf s\u1ef1 ph\u00e1t ho\u1eb7c x\u00e2m l\u1ea5n qu\u00e1 m\u1ee9c c\u1ee7a c\u00e1c vi khu\u1ea9n g\u00e2y b\u1ec7nh, c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng c\u1ee7a bi\u1ec3u m\u00f4 ru\u1ed9t nh\u01b0 m\u1ed9t h\u00e0ng r\u00e0o, \u0111i\u1ec1u ch\u1ec9nh h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch t\u1ea1i ch\u1ed7, \u0111i\u1ec1u ch\u1ec9 nh\u1eadn c\u1ea3m \u0111au \u1edf ru\u1ed9t.<\/p>\n

B\u00e0i vi\u1ebft v\u1ec1 ch\u1ee7 \u0111\u1ec1 \u0111\u1ecbnh ngh\u0129a v\u00e0 ph\u00e2n lo\u1ea1i probiotics c\u00f3 tr\u00ean chuy\u00ean trang VinmecD<\/a>r.<\/p>\n

2. \u1ee8ng d\u1ee5ng c\u1ee7a probiotics trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh ti\u00eau h\u00f3a<\/h2>\n

2.1 C\u00e1c b\u1ec7nh l\u00fd ru\u1ed9t vi\u00eam<\/h3>\n
    \n
  • B\u1ec7nh Crohn: C\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u1ee7a probiotics trong b\u1ec7nh Crohn cho c\u00e1c k\u1ebft qu\u1ea3 r\u1ea5t kh\u00e1c nhau. Nguy\u00ean nh\u00e2n cho s\u1ef1 kh\u00e1c bi\u1ec7t n\u00e0y ch\u01b0a r\u00f5 r\u00e0ng, nh\u01b0ng c\u00f3 th\u1ec3 do m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nh\u01b0 c\u00e1c lo\u1ea1i probiotics kh\u00e1c nhau, ch\u1ebf \u0111\u1ed9 li\u1ec1u s\u1eed d\u1ee5ng, s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 th\u1eddi gian nghi\u00ean c\u1ee9u, \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n tham gia nghi\u00ean c\u1ee9u (m\u1ee9c \u0111\u1ed9 b\u1ec7nh, xu h\u01b0\u1edbng c\u1ee7a b\u1ec7nh v\u00e0 v\u1ecb tr\u00ed c\u1ee7a b\u1ec7nh).<\/li>\n
  • Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng: \u00a0Hi\u1ec7n ch\u01b0a c\u00f3 \u0111\u1ee7 d\u1eef li\u1ec7u thuy\u1ebft ph\u1ee5c \u0111\u1ec3 \u1ee7ng h\u1ed9 vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m probiotics trong \u0111i\u1ec1u tr\u1ecb vi\u00eam \u0111\u1ea1i tr\u00e0ng, do c\u00e1c nghi\u00ean c\u1ee9u th\u1ef1c hi\u1ec7n cho k\u1ebft qu\u1ea3 m\u00e2u thu\u1eabn. M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 lo\u00e0i probiotics \u0111\u00e3 cho th\u1ea5y ti\u1ec1m n\u0103ng trong \u0111i\u1ec1u tr\u1ecb vi\u00eam \u0111\u1ea1i tr\u00e0ng, s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n trong c\u00e1c nghi\u00ean c\u1ee9u n\u00e0y c\u00f2n \u00edt\u00a0 \u0111\u00e3 d\u1eabn \u0111\u1ebfn c\u00e1c k\u1ebft lu\u1eadn kh\u00e1c nhau v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a ch\u00fang trong vi\u1ec7c k\u00edch th\u00edch v\u00e0 duy tr\u00ec s\u1ef1 h\u1ed3i ph\u1ee5c c\u1ee7a \u0111\u1ea1i tr\u00e0ng.<\/li>\n
  • Vi\u00eam t\u00fai th\u1eeba \u0111\u1ea1i tr\u00e0ng: t\u00fai th\u1eeba c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n vi\u00eam, th\u01b0\u1eddng nh\u1ea5t l\u00e0 \u1edf \u0111\u1ecdan \u0111\u1ea1i tr\u00e0ng sigma. S\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p probiotics v\u00e0 beclomethasone cho th\u1ea5y hi\u1ec7u qu\u1ea3 \u1edf nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p.<\/li>\n
  • Vi\u00eam\u00a0 ru\u1ed9t do tia x\u1ea1: c\u00e1c nghi\u00ean c\u1ee9u ph\u00e2n t\u00edch k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng cho th\u1ea5y probiotics gi\u00fap c\u00f3 l\u1ee3i \u00edt c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng ti\u00eau ch\u1ea3y \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 s\u1eed d\u1ee5ng x\u1ea1 tr\u1ecb.<\/li>\n<\/ul>\n

    2.2 Ti\u00eau ch\u1ea3y :<\/h3>\n
      \n
    • Ti\u00eau ch\u1ea3y nhi\u1ec5m tr\u00f9ng: Vi\u1ec7c s\u1eed d\u1ee5ng probiotics trong tr\u1ebb em m\u1eafc b\u1ec7nh ti\u00eau ch\u1ea3y c\u1ea5p t\u00ednh do nhi\u1ec5m tr\u00f9ng kh\u00f4ng c\u00f3 l\u1ee3i \u00edch. S\u1eed d\u1ee5ng probiotics \u1edf ng\u01b0\u1eddi l\u1edbn m\u1eafc b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u1ea5p t\u00ednh ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh hi\u1ec7u qu\u1ea3. C\u00e1c \u0111\u00e1nh gi\u00e1 t\u1ed5ng quan c\u0169 \u0111\u00e3 ch\u1ec9 ra m\u1ed9t s\u1ef1 gi\u1ea3m \u0111\u00e1ng k\u1ec3 th\u1eddi gian b\u1ec7nh ti\u00eau ch\u1ea3y nhi\u1ec5m tr\u00f9ng v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng probiotics, tuy nhi\u00ean c\u00f3 s\u1ef1 thay \u0111\u1ed5i trong k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u n\u00e0y. Hai th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng nhi\u1ec1u trung t\u00e2m ng\u1eabu nhi\u00ean c\u1ee1 m\u1eabu l\u1edbn \u0111\u00e3 kh\u00f4ng ch\u1ec9 ra \u0111\u01b0\u1ee3c l\u1ee3i \u00edch c\u1ee7a c\u00e1c d\u00f2ng probiotic ph\u1ed5 bi\u1ebfn kh\u00e1c nhau \u0111\u1ed1i v\u1edbi ti\u1ebfn tri\u1ec3n l\u00e2m s\u00e0ng ho\u1eb7c th\u1eddi gian k\u00e9o d\u00e0i c\u1ee7a tri\u1ec7u ch\u1ee9ng \u1edf tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf nh\u1eadp vi\u1ec7n do ch\u1ea3y c\u1ea5p t\u00ednh.<\/li>\n
    • B\u1ec7nh Celiac: D\u00f9 probiotics c\u00f3 th\u1ec3 gi\u00e1n h\u00f3a ho\u1eb7c l\u00e0m thay \u0111\u1ed5i gluten v\u00e0 gliadin, h\u01a1n n\u1eefa n\u1ed3ng \u0111\u1ed9 Lactobacillus<\/em> v\u00e0 Bifidobacterium\u00a0<\/em> c\u0169ng\u00a0 gi\u1ea3m \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh celiac. Nh\u01b0ng v\u1eabn ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng r\u00f5 r\u00e0ng v\u1ec1 l\u1ee3i \u00edch c\u1ee7a probiotics trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh celiac. C\u00e1c ghi nh\u1eadn ban \u0111\u1ea7u vi\u1ec7c s\u1eed d\u1ee5ng probiotics \u0111\u01b0\u1ee3c cho l\u00e0 gi\u00fap l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/li>\n<\/ul>\n

      2.3 H\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch<\/h3>\n

      C\u00e1c b\u1eb1ng ch\u1ee9ng cho th\u1ea5y \u1ee9ng d\u1ee5ng probiotics trong qu\u1ea3n l\u00fd h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch l\u00e0 c\u00f3 l\u1ee3i, gi\u00fap t\u0103ng t\u1ef7 l\u1ec7 h\u1ed3i ph\u1ee5c. M\u1eb7c d\u00f9 c\u00e1c b\u1eb1ng ch\u1ee9ng v\u1eabn ch\u01b0a ho\u00e0n to\u00e0n thuy\u1ebft ph\u1ee5c do s\u1ef1 kh\u00f3 kh\u0103n trong thi\u1ebft k\u1ebf nghi\u00ean c\u1ee9u bao ph\u1ee7 c\u00e1c d\u1ea1ng b\u1ec7nh \u0111a d\u1ea1ng c\u1ee7a h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch.<\/p>\n

      Probiotic B. infantis<\/em> \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0\u00a0 hi\u1ec7u qu\u1ea3 h\u01a1n \u0111\u00e1ng k\u1ec3 so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c \u1edf b\u1ed1n tu\u1ea7n trong m\u1ed9t th\u1eed nghi\u1ec7m ki\u1ec3m so\u00e1t h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch. Li\u1ec1u t\u1ed1i \u01b0u c\u1ee7a probiotics n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng t\u1ecf r\u00f5 r\u00e0ng.<\/p>\n

      2.4 T\u00e1o b\u00f3n<\/h3>\n

      Nhi\u1ec1u th\u1eed nghi\u1ec7m nh\u1ecf, ng\u1eabu nhi\u00ean, ki\u1ec3m so\u00e1t gi\u1ea3 d\u01b0\u1ee3c c\u1ee7a probiotics \u1ee9ng d\u1ee5ng \u1edf b\u1ec7nh nh\u00e2n m\u1eafc t\u00e1o b\u00f3n kinh ni\u00ean m\u00e0 kh\u00f4ng c\u00f3 h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch, c\u00f9ng v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng c\u00f3 xu h\u01b0\u1edbng \u0111\u1ea1i ti\u1ec7n \u00edt, cho th\u1ea5y c\u1ea3i thi\u1ec7n t\u1ea7n s\u1ed1 \u0111i \u0111\u1ea1i ti\u1ec7n, \u0111\u1ed9 \u0111\u1eb7c c\u1ee7a ph\u00e2n v\u1edbi Bifidobacterium lactis, Lactobacillus casei, L. reuteri<\/em> v\u00e0 E. coli<\/em><\/p>\n

      \"Probiotics-co-nhieu-ung-dung\"
      Probiotics c\u00f3 nhi\u1ec1u \u1ee9ng d\u1ee5ng h\u1ee9a h\u1eb9n<\/figcaption><\/figure>\n

      Ngo\u00e0i c\u00e1c \u1ee9ng d\u1ee5ng tr\u00ean, probiotics c\u00f2n h\u1ee9a h\u1eb9n c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb ti\u00eau ch\u1ea3y li\u00ean quan \u0111\u1ebfn kh\u00e1ng sinh, vi\u00eam \u0111\u1ea1i tr\u00e0ng do nhi\u1ec5m C. difficile<\/em>, b\u1ea5t dung n\u1ea1p lactose, b\u1ec7nh n\u00e3o gan, vi\u00eam t\u1ee5y c\u1ea5p, c\u00e1c t\u00ecnh tr\u1ea1ng vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t ph\u00e1t tri\u1ec3n qu\u00e1 m\u1ee9c. Probiotics c\u0169ng c\u00f3 ti\u1ec1m n\u0103ng \u1ee9ng d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m t\u00ednh th\u1ea5m th\u00e0nh ru\u1ed9t v\u00e0\u00a0 gi\u1ea3m s\u1ea3n xu\u1ea5t c\u00e1c cytokines ti\u1ec1n vi\u00eam – c\u00f3 vai tr\u00f2 trong c\u00e1c b\u1ec7nh d\u1ecb \u1ee9ng.<\/p>\n","protected":false},"excerpt":{"rendered":"

      \u0110\u01b0\u1eddng ru\u1ed9t c\u1ee7a con ng\u01b0\u1eddi c\u0169ng l\u00e0 n\u01a1i sinh s\u1ed1ng c\u1ee7a r\u1ea5t nhi\u1ec1u lo\u00e0i vi sinh v\u1eadt kh\u00e1c nhau, h\u00ecnh th\u00e0nh h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t. H\u1ec7 sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t c\u00f3 vai tr\u00f2 r\u1ea5t quan tr\u1ecdng trong duy tr\u00ec s\u1ee9c kh\u1ecfe c\u1ee7a con ng\u01b0\u1eddi v\u00e0 trong c\u00e1c c\u01a1 ch\u1ebf sinh b\u1ec7nh h\u1ecdc c\u1ee7a […]<\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nProbiotics: \u1ee8ng d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd ti\u00eau h\u00f3a - Vinmec<\/title>\n<meta name=\"description\" content=\"Probiotics l\u00e0 nh\u1eefng vi sinh v\u1eadt c\u00f3 l\u1ee3i v\u1edbi s\u1ee9c kh\u1ecfe con ng\u01b0\u1eddi, \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng nhi\u1ec1u trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd ti\u00eau ho\u00e1, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Probiotics: \u1ee8ng d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd ti\u00eau h\u00f3a - 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