Okufanele Ukwazi Nge-Acid Yesisu Esiphezulu

-Delile

• Yini engadala isisu esine-asidi ephezulu?
• Ziyini izimpawu?
• Yimiphi imiphumela emibi ye-asidi ephezulu yesisu?
• Ingabe zikhona izinto eziyingozi?
• Yiziphi izinketho zokwelashwa?
• Okubalulekile

Umsebenzi wesisu sakho ukusiza ukugaya ukudla okudlayo. Enye indlela ekwenza ngayo lokhu ngokusebenzisa i-acid esiswini, eyaziwa nangokuthi i-gastric acid. Ingxenye eyinhloko yesisu esiswini yi-hydrochloric acid.

Ulwelwesi lwesisu sakho ngokwemvelo lukhipha i-asidi esiswini. Le mfihlo ilawulwa womabili ngamahomoni nohlelo lwakho lwemizwa.

Kwesinye isikhathi isisu sakho singaveza i-asidi eningi kakhulu esiswini, engaholela ezinkampanini ezimbalwa ezingemnandi.

Yini engadala isisu esine-asidi ephezulu?

Kunezimo eziningana ezingaholela ku-asidi ephezulu yesisu. Imvamisa, lezi zimo ziholela ekukhiqizweni ngokweqile kwehomoni gastrin. I-Gastrin iyi-hormone etshela isisu sakho ukuthi sikhiqize i-acid eningi esiswini.

Ezinye zezimbangela ezivame kakhulu zifaka:

• Ukuphindaphinda i-acid hypersecretion: Ama-H2 blockers awuhlobo lwemithi enganciphisa i-acid esiswini. Kwesinye isikhathi, abantu abaphuma kulo muthi bangakhuphuka esiswini i-asidi. Kunobufakazi bokuthi lokhu kungenzeka futhi ngemuva kokuphuma kuma-proton pump inhibitors (ama-PPIs), yize lokhu kunjalo.
• I-Zollinger-Ellison syndrome: Ngalesi simo esingajwayelekile, izicubu ezibizwa nge-gastrinomas form kuma-pancreas nasemathunjini amancane. I-Gastrinomas ikhiqiza amazinga aphezulu e-gastrin, abangela ukwanda kwesisu esiswini.
• I-Helicobacter pylori ukutheleleka:H. pylori uhlobo lwebhaktheriya olungakwazi ukolula isisu futhi lubangele izilonda. Abanye abantu abane- H. pylori ukutheleleka nakho kungaba ne-asidi ephezulu yesisu.
• Ukuvinjelwa kwesitolo esiswini: Lapho indlela eholela kusuka esiswini iye emathunjini amancane ivaliwe, ingaholela ekwandeni kwesisu esiswini.
• Ukwehluleka kwezinso okungamahlalakhona: Kwezinye izimo ezingavamile, abantu abanenkinga yezinso noma labo abathola i-dialysis bangakhiqiza amazinga aphezulu e-gastrin, okuholele ekukhuleni okwandayo kwesisu esiswini.

Kubalulekile futhi ukuqaphela ukuthi kwesinye isikhathi imbangela ethile ye-asidi ephezulu yesisu ayikwazi ukukhonjwa. Lapho imbangela yesimo ingenakunqunywa, ibizwa ngokuthi yi-idiopathic.

Ziyini izimpawu?

Ezinye izimpawu zokuthi ungaba ne-asidi ephezulu yesisu zifaka:

• ukungakhululeki esiswini, okungaba kubi kakhulu esiswini esingenalutho
• isicanucanu noma ukuhlanza
• ukuqunjelwa
• isilungulela
• isifo sohudo
• ukuncipha kokudla
• ukuncipha kwesisindo okungaqondakali

Izimpawu ze-asidi ephezulu yesisu ziyefana kakhulu nezinye izimo zokugaya ukudla.

Kuhlale kungumqondo omuhle ukubona udokotela wakho uma uba nezimpawu zokugaya ukudla eziphikelelayo noma eziphindaphindayo. Udokotela wakho angasebenza nawe ukusiza ukuxilonga imbangela yezimpawu zakho nokwakha uhlelo lokwelashwa.

Yimiphi imiphumela emibi ye-asidi ephezulu yesisu?

Ukuba nezinga eliphezulu le-asidi esiswini kungakhuphula ubungozi bokuthuthukisa ezinye izimo zempilo ezihlobene nesisu. Lokhu kufaka phakathi:

• Izilonda ze-Peptic: Izilonda ze-Peptic yizilonda ezingakhula lapho i-gastric acid iqala ukudla ulwelwesi lwesisu sakho.
• Isifo se-reflux se-Gastroesophageal (GERD): I-GERD yisimo lapho i-asidi yesisu ibuyela emuva esophagus yakho.
• Ukopha emathunjini: Lokhu kufaka ukopha noma kuphi endaweni yakho yokugaya ukudla.

Ingabe zikhona izinto eziyingozi?

Ezinye zezinto ezingaba yingozi yokuthuthukisa amazinga aphezulu esisu esiswini zifaka:

• Imithi: Uma uthatha imithi yokwehlisa ukukhiqizwa kwe-asidi esiswini bese uqeda ukwelashwa, ungahle uhlasele isisu esine-asidi ephezulu. Noma kunjalo, lokhu kuvame ukuzixazulula ngokwako ngokuhamba kwesikhathi.
• H. pylori ukutheleleka: Ukuba ne-active H. pylori ukutheleleka kwamagciwane esiswini sakho kungaholela ekwandeni kwesisu esiswini.
• Izakhi zofuzo: Cishe amaphesenti angama-25 kuye kwangama-30 abantu abane-gastrinomas - izicubu ezakha amanyikwe noma i-duodenum - banesimo sofuzo esizuzwe njenge-multiple endocrine neoplasia type 1 (MEN1).

Yiziphi izinketho zokwelashwa?

I-acid ephezulu yesisu ivame ukuphathwa ngama-protein pump inhibitors (ama-PPIs). Le mithi isebenza ekwehliseni ukukhiqizwa kwe-asidi esiswini.

Ama-PPI ane-H2 blocker engaphezulu. Zivame ukunikezwa ngomlomo, kepha zinganikezwa yi-IV ezimweni ezinzima kakhulu.

Uma isisu sakho esine-asidi enkulu sibangelwa i- H. pylori ukutheleleka, uzonikezwa ama-antibiotics kanye ne-PPI. Ama-antibiotic asebenza ukubulala amabhaktheriya ngenkathi i-PPI izosiza ukwehlisa ukukhiqizwa kwe-asidi esiswini.

Kwesinye isikhathi kungahle kunconywe ukuhlinzwa, njengokukhishwa kwama-gastrinomas kubantu abane-Zollinger-Ellison syndrome. Ngokwengeziwe, abantu abanezilonda ezinzima kungadingeka ukuthi bahlinzwe ukuze kususwe ingxenye yesisu (i-gastrectomy) noma i-vagus nerve (vagotomy).

Uma isilungulela singesinye sezibonakaliso zakho, ungenza ushintsho ekudleni ukusiza ukunciphisa izimpawu zakho:

• ukudla ukudla okuncane nokuvame ukwenzeka
• ukulandela ukudla okuphansi kwe-carb
• kunciphisa ukuphuza kwakho utshwala, i-caffeine, neziphuzo ezine-carbonated
• ukugwema ukudla okwenza isilungulela sibe sibi kakhulu

Okubalulekile

I-asidi yakho yesisu ikusiza ukuthi wehlise futhi ugaye ukudla kwakho. Kwesinye isikhathi, inani eliphakeme kunokujwayelekile le-asidi yesisu lingenziwa. Lokhu kungaholela ezimpawu ezinjengobuhlungu besisu, isicanucanu, ukuqunjelwa, nesilungulela.

Kunezimbangela eziningana ze-asidi ephezulu yesisu. Izibonelo zifaka H. pylori ukutheleleka, iZollinger-Ellison syndrome, kanye nemiphumela ebuyayo ekuhoxisweni kwemithi.

Uma ishiywe ingalashwa, isisu esine-asidi ephezulu kungaholela ezinkingeni ezinjengezilonda noma i-GERD. Bona udokotela wakho uma uba nezimpawu zokugaya ukudla eziphikelelayo, eziphindaphindayo, noma eziphathelene.