Fumana izizathu, iingxaki, kunye nonyango lwesimo sesisu
I-Achlorhydria (ivakaliswe: i-AY-klor-HY-dree-uh) ukungabikho kwe- hydrochloric acid kwisisu sesisu.
I-Hydrochloric acid inceda ukugcina amazinga e-pH kwiisisiti zesisu ukuze i-enzymes eyanceda ukuphuka ukutya ibe yinto enokutya kunye nezinto ezingenakunokuthi zenze umsebenzi wazo. Kwakhona kunceda ukugcina indawo efanelekileyo yokugcina isifo kunye nokusuleleka.
Yintoni eyenza iAclorhydria?
Ukuba ufumana i-GERD okanye i-heartbreaking, i-achlorhydria kufuneka ibe yinkxalabo kuba usebenzisa ii- block block okanye i-proton pump inhibitors (i-PPIs) ingaba ngumcebisi kule mqathango. Ukuthabatha la mayeza akuyona yodwa indlela i-achlorhydria inokwenzeka ngayo. Ezinye izizathu ziquka:
- izifo ezihamba ngokuzenzekelayo, njengeSjögren's syndrome, isifo sikashukela, nesifo se-thyroid;
- U-Helicobacter pylori (H. pylori) usulelo;
- i-anemia ephazamisayo;
- unyango lwe-radiation olubandakanya isisu;
- okanye iinkqubo zokusondeza isisu apho iindawo ezinkulu zokuvelisa i-acid zesisu zisuswe okanye ziboshwe.
UAklorhydria Ufumanisa Njani?
Ngenxa yobume besimo, ukungaphumeleli kwondlo kungenzeka kwaye kunokunika izikhokelo zamagqirha ezikhokelela kwi-aclorhydria diagnostic. Ngokukodwa, i-B12 kunye nokungaphumeleli kwintsimbi kuye kwaxhunyaniswa kwimeko. Xa bebambisana neembali zokungaxhamli komzimba, ukulahleka kwesisindo, ukunyakaza kwamathumbu rhoqo, iimpawu ze-reflux, kunye nokuqhaqha kwesisu, ugqirha unokugqiba ukuvavanya i-pH yesisu sakho.
Ingaba ufumaniswe ukuba une-achlorhydria imiselwe kwiziphumo zakho kwaye ukuba zibonisa:
- i-pH kwisisu esingaphezu kwama-5.09 kumadoda kunye no-6.81 kwabasetyhini;
- ukuphuma kwe-asidi engaphezulu kwama-6.9 m / i-mole / h kumadoda kwaye ngaphantsi kwe-5.0 m / i-mole / h kubasetyhini;
- kunye nomlinganiselo we-serum pepsinogen I / pepsinogen II engaphantsi kwama-2.9.
Ziziphi iingxaki zeAklorhydria?
Njengoko kuchazwe ngentla, inkunkuma ye-anemia ne-B12 engenakwenzeka ingenzeka nge-achlorhydria. Enye inkxalabo enokuvela ngenxa yezinto eziphosakeleyo zingamathambo abuthathaka, oku kunokubangela ukuba i-fractures, ingakumbi i-hip.
Enye inkxalabo yimizimba ye-intestinal metaplasia, apho izicubu zesisu kunye ne-esophagus ziguqula zibe zicubu ezifumaneka emathunjini. Oku kwaziwa njengemeko ebizwa ngokuba yi- Barrett's oopopus .
Ekugqibeleni, kuba kungekho i-hydrochloric acid ekhiqizwayo esiswini, i-bacterial overgrowth ingenzeka. Oku kuninzi kunokukhokelela kwi-H. plyori ukusuleleka, oku kunokubangela izilonda zamapulpers , kwaye kunokubangela ukungaphumeleli kwamandla angakhokelela kwiingxaki ze-neurological, ezinjengeenguqu kwimibono, imizwelo, ubuntu kunye ne-gait; ubuthathaka kwiingalo nasemilenzeni; ukubetha okanye ukuphazamiseka kwizinzwane neminwe; iingcamango; kunye nokulahlekelwa kwememori nokulawula ukunyakaza komzimba.
UAklorhydria Uthathwa Njani?
Isizathu sakho se-achlorhydria siya kugqiba indlela yakho yokwelapha. Ngokomzekelo, ukuba ukusetyenziswa okungapheliyo kwePPIs yindlela oyenzile ngayo le meko, isinyathelo sokuqala ugqirha wakho angathatha ukuyeka ukuba uthathe la mayeza, kwaye mhlawumbi i-block block.
Ukuba i-dismune ye-autoimmune ityala, amanyathelo angathathwa ukuze afumane loo mqathango kumgca. Ngokwenene, akukho nonyango yokwenza unyango olulodwa, kodwa ugqirha uya kukwazi ukuba unyango olunjani ngolu hlobo lwe-achlorhydria.
Imithombo
Betesh AL, Santa Ana CA, Cole JA, Fordtran JS. "Ngaba iAklorhydria Ingumthombo weNtsimbi?" Am J Clin Nutrition. 2015 Jul; 102 (1): 9-19. i-doi: 10.3945 / ajcn.114.097394. Epub 2015 Meyi 20.
Cojocaru M et al. "Ukubonakaliswa kwezilwanyana kwiiNkqubo eziMzimbeni eziPhezulu." Maedica (Buchar). 2011 uJan; 6 (1): 45-51.
I-Divyanshoo RK et al. "Achlorhydria" iMedscape. NgoMatshi 29, 2015.