Thola izimbangela, izinkinga, kanye nokwelashwa kwalesi simo sesisu
I-Achlorhydria (Ukukhulunywa: I-AY-klor-HY-dree-uh) ukungabi khona kwe- hydrochloric acid emanzini esiswini.
I-Hydrochloric acid isisiza ukugcina amazinga e-pH emajusi wezinyosi ukuze ama-enzyme asisiza ukuphula ukudla zibe izinto ezinokugaya futhi ezingenakudliwa zingenza umsebenzi wazo. Kubuye kusize ukugcina nje imvelo eyi-acidic efanele ukugcina izifo nokutheleleka kude.
Yini Ebangelwa I-Achlorhydria?
Uma uhlushwa yi-GERD noma i-heartburn, i-achlorhydria kufanele ibe nokukhathazeka ngoba ukusebenzisa i- H2 blockers noma i-proton pump inhibitors (i-PPIs) ingaba isandulela kulesi simo. Ukuthatha le mithi akuyona yodwa indlela i-achlorhydria engenzeka ngayo. Ezinye izimbangela zihlanganisa:
- izifo ezizenzekelayo, njenge-Sjögren's syndrome, isifo sikashukela, nesifo se-thyroid;
- U-Helicobacter pylori (H. pylori) ukutheleleka;
- i-anemia enonya;
- ukwelashwa kwamafutha okubandakanya isisu;
- noma izinqubo zokugwedla ezinomzimba lapho i-asidi enkulu yokukhiqiza izingxenye zesisu ingasuswa noma iboshelwe.
I-Achlorhydria Ithola Kanjani?
Ngenxa yobunjalo besimo, ukungabi nokudla okunomsoco kungenzeka futhi kungase kuhlinzekwe izifo zakho zokwelapha eziholela ekuxilongweni kwe-achlorhydria. Ngokuqondile, i-B12 ne-iron deficiency ziye zaxhunyaniswa nesimo. Lapho bebambisana nomlando wesisu esiswini, ukulahlekelwa isisindo, ukunyakaza kwesibindi njalo, izimpawu ze-reflux, nokuvimbela kwesisu, udokotela wakho angase anqume ukuhlola i-pH yesisu sakho.
Kungakhathaliseki ukuthi uthola ukuthi une-achlorhydria inqunywa imiphumela yakho futhi uma ibonisa:
- i-pH esiswini ngaphezu kuka-5.09 emadodeni futhi ngaphezulu kuka-6.81 kwabesifazane;
- umkhiqizo omkhulu wama-asidi ongaphansi kuka-6.9 m / i-mole / h emadodeni futhi ngaphansi kuka-5.0 m / i-mole / h kubesifazane;
- futhi isilinganiso se-serum pepsinogen I / pepsinogen II engaphansi kuka-2.9.
Yiziphi Izinkinga Ze-Achlorhydria?
Njengoba kuphawuliwe ngenhla, ukutholakala kwe-anemia ne-B12 engenamaphutha kungenziwa nge-achlorhydria. Enye ingqinamba engase ivele ngenxa yalezi zintfo ziyizintuthwane ezibuthakathaka, ezingabangela ukwehlukana, ikakhulukazi kwe-hip.
Enye inkinga i-metaplasia yamathumbu, lapho izicubu zesisu kanye nesiguli ziguqula zibe izicubu ezitholakala emathunjini. Lokhu kwaziwa njengesimo esibizwa ngokuthi i- Barrett's oophagus .
Okokugcina, ngoba kungekho hydrochloric acid ekhiqizwa esiswini, ukuqubuka kwamabhaktheriya kungenzeka. Lokhu kukhula kungaholela ku-H. plyori ukutheleleka, okungabangela izilonda ze-peptic , futhi kungabangela ukwehluleka kwamakhambi okungabangela izinkinga ze-neurological, ezifana nezinguquko embonweni, imizwelo, ubuntu, kanye ne-gait; ubuthakathaka ezandleni nasemilenzeni; ukubopha noma ukuphazamiseka ezinzwaneni naseminwe; izindlu; nokulahlekelwa kwememori nokulawula ukunyakaza komzimba.
I-Achlorhydria ithathwa kanjani?
Isizathu se-achlorhydria yakho sizonquma indlela yakho yokwelapha. Isibonelo, uma ukusetshenziswa okungapheli kwama-PPIs yilokho okwakusungula le nkinga, isinyathelo sokuqala udokotela wakho angathatha ukuyeka ukuthi uthathe le mithi, futhi mhlawumbe ne-H2 blockers.
Uma i-autoimmune disorder iphoyisa, izinyathelo zingathathwa ukuze uthole leso simo emgqeni. Ngokuyinhloko, ayikho inketho yokwelapha oyedwa kuphela, kodwa udokotela wakho uzokwazi ukuthi iziphi izinyathelo ezihambisana ne-version yakho ye-achlorhydria.
Imithombo
Betesh AL, Santa Ana CA, Cole JA, Fordtran JS. "Ingabe i-Achlorhydria iyimbangela yokuntula kwe-Iron?" I-Am J Clin Nutr. 2015 Jul; 102 (1): 9-19. doi: 10.3945 / ajcn.114.097394. I-Epub 2015 Meyi 20.
Cojocaru M et al. "Ukubonakaliswa kwamathumbu emitholampilo e-Autoimmune System". UMedica (uBuchar). 2011 Jan; 6 (1): 45-51.
I-Divyanshoo RK et al. "I-Achlorhydria" i-Medscape. Apr 29, 2015.