Yintoni i-achlorhydria, oonobangela, iimpawu kunye nonyango

Umxholo

• Oonobangela be-achlorhydria
• Iimpawu eziphambili
• Nguwuphi umahluko phakathi kwehypochlorhydria kunye neachlorhydria?
• Unyango lwenziwa njani

I-Achlorhydria yimeko ebonakaliswa kukungabikho kwemveliso ye-hydrochloric acid (HCl) esiswini, inyusa i-pH yendawo kwaye ikhokelele ekubonakaleni kweempawu ezinokungonwabi emntwini, ezinje ngesicaphucaphu, ukuqunjelwa sisisu, ubuthathaka kunye ne-gastroesophageal reflux .

Le meko inokubangela izizathu ezininzi, nangona kunjalo ihlala inxulunyaniswa nosulelo olungapheliyo yintsholongwane. Helicobacter pylori (H. pylori), kodwa inokwenzeka ngenxa yokusetyenziswa kwamayeza okanye izifo ezenzekelayo. Ngenxa yezizathu ezahlukeneyo ze-achlorhydria, unyango lunokwahluka ngokwesizathu, kubalulekile ukuba lwenziwe ngokwesindululo se-gastroenterologist ukuze kuphuculwe iimpawu.

Oonobangela be-achlorhydria

I-Achlorhydria ihlala ibangelwa yi-atrophy yesisu, kwaye ihlala inxulumene nesifo sokuzimela komzimba kunye nesifo esingapheliyo, kwaye ihlala inxulumene nosulelo yintsholongwane H. pylori. Ukongeza, i-achlorhydria inokubangelwa zizifo ezizimele, ukusetyenziswa kwamachiza ukunciphisa isisu esiswini kunye ne-hypothyroidism, umzekelo.

Le meko ixhaphake kakhulu kubantu abangaphezulu kweminyaka engama-60 kwaye sele benze iinkqubo zotyando esiswini.

Iimpawu eziphambili

Iimpawu kunye neempawu ze-achlorhydria zinxulumene nokungabikho kwe-hydrochloric acid kunye nesisu esiphakamileyo se-pH, kwaye kunokubakho:

• Isicaphucaphu;
• Reflux;
• Ukungahambi kakuhle esiswini nokudumba;
• Ubuthathaka;
• Urhudo okanye ukuqhina;
• Ukwehlisa ukufunxeka kwezakhamzimba ezinjenge calcium, folic acid, isinyithi kunye neevithamini C no D, ukungondleki kunokwenzeka;
• Ukulahleka kweenwele;
• Ukutya;
• Ukuhla ukusinda.

Ukongeza, njenge-achlorhydria ukungabikho kokukhutshwa kwento ngaphakathi kwiiseli zeparietal zesisu kuyinto eqhelekileyo, kukwaqhelekile ukuba umntu ahlakulele i-anemia eyingozi, eluhlobo lwe-anemia ebonakaliswa kukusilela kwe-vitamin B12. Kungenxa yokuba into yangaphakathi ikwanoxanduva lokukhuthaza ukufunxwa kwale vithamini emzimbeni. Funda indlela yokuchonga i-anemia eyingozi.

Olunye uhlobo lwe-anemia olunokuthi luphuhliswe ngabantu abane-achlorhydria kukusilela kwe-iron anemia, ekwabizwa ngokuba yi-iron defence anemia, kuba i-hydrochloric acid ikwanceda kwinkqubo yokufunxa i-iron.

Nguwuphi umahluko phakathi kwehypochlorhydria kunye neachlorhydria?

Ngokungafaniyo ne-achlorhydria, i-hypochlorhydria ibonakaliswa kukuhla kwemveliso ye-hydrochloric acid. Oko kukuthi, iiseli zesisu zisakwazi ukuvelisa kunye nokufihla i-HCl esiswini, nangona kunjalo ngexabiso elincinci, elikwabangela ukuba i-pH yesisu inyuke kwaye ikhokelele ekubonakaleni kweempawu kunye neempawu ezingonwabi kwaphela. Funda ngakumbi malunga nehypochlorhydria.

Unyango lwenziwa njani

Unyango lwe-achlorhydria luyahluka ngokonobangela kwaye, ke ngoko, kubalulekile ukuba umntu anike ingxelo ngazo zonke iimpawu eziboniswe kugqirha wesisu okanye ugqirha jikelele kwaye enze zonke iimvavanyo eziceliweyo, njengoko kunokwenzeka ukuba ugqirha abonise eyona ifanelekileyo. unyango.Nangona kunjalo, kuxhomekeke kwisizathu, unyango alunakho ukubuyisela ngokupheleleyo ukuveliswa kwehydrochloric acid, kodwa kunokuba lukwazi ukunyusa kancinci inani le-HCl efihliweyo, ebonisa uphawu lwehypochlorhydria.

Kwimeko ye-achlorhydria enxulumene nosulelo ngu H. pyloriUkusetyenziswa kwee-antibiotics ukunyanga usulelo kunye nokuphepha ezinye izifo ezinokuthi zenzeke rhoqo kubantu abane-achlorhydria zingabonakaliswa. Kwimeko apho kubangelwa kukusetyenziswa kwamayeza, ugqirha kufuneka avavanye ukuba kunokwenzeka ukutshintsha okanye ukumisa iyeza, umzekelo.