Ukuhlolwa kwesisu esiswini

Ukuhlolwa kwe-asidi esiswini kusetshenziselwa ukukala inani le-asidi esiswini. Ibuye ilinganise izinga le-asidi kokuqukethwe kwesisu.

Ukuhlolwa kwenziwa ngemuva kokuthi ungadlile isikhashana ngakho-ke uketshezi yilokho okusele esiswini. Uketshezi lwesisu lususwa ngepayipi elifakwa esiswini nge-esophagus (ipayipi lokudla).

I-hormone ebizwa ngokuthi i-gastrin ingajovwa emzimbeni wakho. Lokhu kwenziwa ukuvivinya ikhono lamaseli esiswini ukukhipha i-asidi. Okuqukethwe yisisu kuyasuswa bese kuhlaziywa.

Uzocelwa ukuthi ungadli noma uphuze amahora amane kuya kwayisithupha ngaphambi kokuhlolwa.

Ungase ube nokungahambi kahle noma umuzwa wokuxina njengoba ithubhu ifakwa.

Umhlinzeki wakho wezokunakekelwa kwempilo angancoma lokhu kuhlolwa ngalezi zizathu ezilandelayo:

• Ukuhlola ukuthi ingabe imithi elwa nezilonda iyasebenza yini
• Ukubheka ukuthi ngabe impahla ibuya yini emathunjini amancane
• Ukuhlola imbangela yezilonda

Umthamo ojwayelekile woketshezi lwesisu ungama-20 kuya ku-100 mL kanti i-pH ine-asidi (1.5 kuye ku-3.5). Lezi zinombolo ziguqulelwa ekukhiqizweni kwe-asidi uqobo ngamayunithi ama-milliequivalents ngehora (mEq / hr) kwezinye izimo.

Qaphela: Amabanga wamanani ajwayelekile angahluka kancane ngokuya ngelebhu elenza isivivinyo. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Imiphumela engajwayelekile ingakhombisa:

• Amazinga akhuphukile we-gastrin angadala ukukhululwa okukhulu kwe-asidi futhi kungaholela ezilondeni (iZollinger-Ellison syndrome).
• Ukuba khona kwenyongo esiswini kubonisa ukuthi izinto ziyasekelwa kusukela emathunjini amancane (i-duodenum). Lokhu kungajwayelekile. Kungenzeka futhi ngemuva kokukhishwa kwengxenye yesisu ngokuhlinzwa.

Kukhona ubungozi obuncane bokuthi ithubhu libekwe ngopayipi lomoya lize liye emaphashini esikhundleni sokungena emphinjeni nasesiswini.

Ukuhlolwa kwemfihlo ye-Gastric acid

• Ukuhlolwa kwesisu esiswini

IChernecky CC, iBerger BJ. Ukuhlolwa kwemfihlo ye-Gastric acid (isivivinyo sokukhuthaza i-acid esiswini). Ku: Chernecky, CC, Berger BJ, ama-eds. Ukuhlolwa Kwelabhoratri Nezinqubo Zokuxilonga. Umhlaka 6. ISt Louis, MO: Elsevier Saunders; 2013: 549-602.

USchubert ML, uKaunitz JD. Ukuvalwa kwesisu. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 50.

UVincent K. Gastritis nesifo sezilonda. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier; 2019: 204-208.