Yini i-achlorhydria, izimbangela, izimpawu nokwelashwa

-Delile

• Izimbangela ze-achlorhydria
• Izimpawu eziyinhloko
• Uyini umehluko phakathi kwe-hypochlorhydria ne-achlorhydria?
• Yelashwa kanjani

I-Achlorhydria yisimo esivezwa ukungabikho komkhiqizo we-hydrochloric acid (HCl) ngesisu, okwandisa i-pH yendawo futhi okuholele ekuveleni kwezimpawu ezingangamphathi kahle umuntu, njengokucanuzela kwenhliziyo, ukuqunjelwa esiswini, ubuthakathaka kanye ne-reflux yegastroesophageal .

Lesi simo singaba nezimbangela eziningana, kepha kuvame ukuhlotshaniswa nokutheleleka okungapheli yigciwane. I-Helicobacter pylori (H. pylori), kepha kungenzeka futhi ngenxa yokusetshenziswa kwemithi noma izifo ezizimele. Ngenxa yezimbangela ezahlukahlukene ze-achlorhydria, ukwelashwa kungahluka ngokuya ngesizathu, kubalulekile ukuthi kwenziwe ngokuya ngesincomo se-gastroenterologist ukuze kube nokuthuthuka kwezimpawu.

Izimbangela ze-achlorhydria

I-Achlorhydria ivame ukubangelwa i-atrophy yesisu, futhi ivame ukuhlobene ne-autoimmune gastritis kanye ne-gastritis engapheli, futhi ivame ukuhlobene nokutheleleka ngegciwane H. pylori. Ngaphezu kwalokho, i-achlorhydria ingadalwa yizifo ezizimele, ukusetshenziswa kwezidakamizwa ukunciphisa i-asidi esiswini kanye ne-hypothyroidism, ngokwesibonelo.

Lesi simo sivame kakhulu kubantu abaneminyaka engaphezu kwengama-60 futhi asebevele benziwa izinqubo zokuhlinzwa esiswini.

Izimpawu eziyinhloko

Izimpawu nezimpawu ze-achlorhydria zihlobene nokungabikho kwe-hydrochloric acid nesisu esiphakeme se-pH, futhi kungahle kube khona:

• Isicanucanu;
• I-Reflux;
• Ukungakhululeki esiswini nokuvuvukala;
• Ubuthakathaka;
• Uhudo noma ukuqunjelwa;
• Ukwehlisa ukumuncwa kwezakhamzimba njenge-calcium, i-folic acid, i-ayoni namavithamini C no-D, okungenzeka kungondleki;
• Ukulahleka kwezinwele;
• Ukuqunjelwa;
• Ukwehla kwesisindo.

Ngaphezu kwalokho, njenge-achlorhydria ukungabi bikho kokukhishwa kwangaphakathi kwamaseli weparietal esiswini kuvamile, kujwayelekile nokuthi umuntu athuthukise i-anemia eyingozi, okuwuhlobo lwe-anemia olubonakala ngokuntuleka kwe-vitamin B12. Lokhu kungenxa yokuthi i-intrinsic factor nayo inesibopho sokukhuthaza ukumuncwa kwale vithamini emzimbeni. Funda ukuthi ungayibona kanjani i-anemia eyingozi.

Olunye uhlobo lwe-anemia abantu abangahlakulela i-achlorhydria yi-iron defence anemia, eyaziwa nangokuthi i-iron defence anemia, ngoba i-hydrochloric acid nayo iyasiza kwinqubo yokumunca i-iron.

Uyini umehluko phakathi kwe-hypochlorhydria ne-achlorhydria?

Ngokungafani ne-achlorhydria, i-hypochlorhydria ibonakala ngokuncipha kokukhiqizwa kwe-hydrochloric acid. Lokho wukuthi, amangqamuzana esisu asakwazi ukukhiqiza nokufihla i-HCl esiswini, noma kunjalo ngamanani amancane, abangela nokuthi i-pH yesisu inyuke futhi iholele ekubonakaleni kwezimpawu nezimpawu ezingakhululeki neze. Funda kabanzi nge-hypochlorhydria.

Yelashwa kanjani

Ukwelashwa kwe-achlorhydria kuyahluka ngokuya ngesizathu, ngakho-ke, kubalulekile ukuthi umuntu abike zonke izimpawu ezethulwe kudokotela wesisu noma kudokotela jikelele futhi enze zonke izivivinyo eziceliwe, njengoba kungenzeka ukuthi udokotela akhombise okufanelekile ukwelashwa.Kodwa-ke, ngokuya ngesizathu, ukwelashwa kungahle kungakwazi ukubuyisela ngokuphelele ukukhiqizwa kwe-hydrochloric acid, kepha kunalokho kukwazi ukwandisa kancane inani le-HCl elifihliwe, elibonisa i-hypochlorhydria.

Endabeni ye-achlorhydria ehlobene nokutheleleka nge H. pylori, kungakhonjiswa ukusetshenziswa kwama-antibiotic ukwelapha ukutheleleka nokugwema ezinye izifo ezingenzeka kaningi kubantu abane-achlorhydria. Uma kwenzeka kubangelwa ukusetshenziswa kwemithi, udokotela kufanele ahlole ukuthi kungenzeka yini ukushintsha noma ukumisa umuthi, ngokwesibonelo.