Uvavanyo lwe-asidi esiswini

Uvavanyo lwe-asidi esiswini lusetyenziselwa ukulinganisa isixa se-asidi esiswini. Ikwalinganisa inqanaba leasidi kwimixholo yesisu.

Uvavanyo lwenziwa emva kokuba ungakhange utye okwethutyana ukuze ulwelo lube luphela esiswini. Isisu esiswini sisuswa ngombhobho ofakwa esiswini nge-esophagus (umbhobho wokutya).

Ihomoni ebizwa ngokuba yigastrin inokufakwa emzimbeni wakho. Oku kwenzelwa ukuvavanya amandla eseli esiswini ukukhupha i-asidi. Iziqulatho zesisu emva koko ziyasuswa kwaye zihlalutywe.

Uya kucelwa ukuba ungatyi okanye usele iiyure ezi-4 ukuya kwezi-6 phambi kovavanyo.

Unokuba ungonwabi okanye uziva ubambe njengoko ityhubhu ifakwa.

Umboneleli wakho wezempilo unokucebisa olu vavanyo ngezi zizathu zilandelayo:

• Ukujonga ukuba ayasebenza na amayeza okuthintela isilonda
• Ukujonga ukuba ngaba izinto ziyabuya na zivela emathunjini amancinci
• Ukuvavanya unobangela wezilonda

Umthamo oqhelekileyo wesisu esiswini yi-20 ukuya kwi-100 ml kunye ne-pH i-asidi (1.5 ukuya ku-3.5). La manani aguqulwa abe yimveliso yeasidi eyiyo kwiiyunithi zeemilliequivalents ngeyure nganye (mEq / hr) kwezinye iimeko.

Qaphela: Uluhlu lwamaxabiso aqhelekileyo lungahluka kancinci kuxhomekeka kwilebhu eyenza uvavanyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Iziphumo ezingaqhelekanga zingabonisa:

• Ukunyuka kwamanqanaba e-gastrin kunokubangela ukwanda kwe-asidi kwaye kunokukhokelela kwizilonda (iZollinger-Ellison syndrome).
• Ubukho benyongo esiswini bubonisa ukuba izinto ziyaxhaswa kumathumbu amancinci (duodenum). Oku kunokuba yinto eqhelekileyo. Kungenzeka kwakhona emva kokuba inxenye yesisu isuswe ngotyando.

Kukho umngcipheko omncinci wokubekwa kwetyhubhu ngombhobho womoya nakwimiphunga endaweni yokungena kwi-esophagus nakwisisu.

Uvavanyo lwe-Gastric acid secretion

• Uvavanyo lwe-asidi esiswini

IChernecky CC, iBerger BJ. Uvavanyo lwe-Gastric acid secretion (uvavanyo lwe-gastric acid yokukhuthaza). Ku: IChernecky, CC, iBerger BJ, ii-eds. Iimvavanyo zaselebhu kunye neenkqubo zokuqonda isifo. Umhla wesi-6. ISt Louis, MO: Elsevier Saunders; Ngo-2013: 549-602.

ISchubert ML, uKaunitz JD. Ukufihla isisu. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 50.

UVincent K. Gastritis kunye nesifo sezilonda. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier; Ngo-2019: 204-208.