Yini i-Hypochlorhydria, Izimpawu, Izimbangela Eziphambili Nokwelapha
-Delile
I-Hypochlorhydria yisimo esivezwa ukwehla kokukhiqizwa kwe-hydrochloric acid (HCl) esiswini, okwenza isisu i-pH sikhuphuke futhi kuholele ekubonakaleni kwezimpawu ezithile ezifana nesicanucanu, ukuqumba, ukubopha, ukungakhululeki esiswini kanye nokushoda kokudla okunempilo .
I-Hypochlorhydria ivame ukwenzeka njengomphumela wesisu esingalapheki, esiba njalo kakhulu kubantu abaneminyaka engaphezu kwengama-65, abavame ukusebenzisa ama-antacids noma amakhambi e-reflux, abasanda kuhlinzwa isisu noma abanegciwane ngenxa yegciwane I-Helicobacter pylori, odume ngelika H. pylori.
Izimpawu zeHypochlorhydria
Izimpawu ze-hypochlorhydria zivela lapho i-pH yesisu iphakeme kunokujwayelekile ngenxa yokushoda kwamanani afanele we-HCl, okuholela ekubonakaleni kwezimpawu nezimpawu ezithile, okuyizona eziyinhloko:
- Ukungakhululeki esiswini;
- Ukuqhuma;
- Ukuvuvukala;
- Isicanucanu;
- Uhudo;
- Ukuqunjelwa;
- Ukukhathala ngokweqile;
- Ubukhona bokudla okungadliwe endle;
- Ukukhiqizwa kwegesi okwandisiwe.
I-Hydrochloric acid ibalulekile enqubeni yokugaya ukudla futhi, esimweni se-hypochlorhydria, njengoba ingekho i-asidi eyanele, ukugaya kuyancipha. Ngaphezu kwalokho, i-HCl ibalulekile enqubeni yokumunca ezinye izakhamzimba esiswini, kanye nokulwa nezinye izinto ezincane ezibangela izifo. Ngakho-ke, kubalulekile ukuthi i-hydrochloric acid ikhiqizwe ngobuningi obuhle, igweme izinkinga.
Izimbangela eziyinhloko
Izimbangela ze-hypochlorhydria ziyahlukahluka, zivame kakhulu njengomphumela wesifo esibuhlungu esingalapheki, ikakhulukazi lapho ukutholakala kwegciwane kuqinisekiswa H. pylori, okuholela ekwehleni kwenani le-asidi ekhona esiswini futhi kwandisa ubungozi bezilonda zesisu, okwandisa ukuqina kwezimpawu.
Ngaphandle kwalokho kungenzeka ngenxa yesisu nokutheleleka nge H. pylori, I-hypochlorhydria nayo ingenzeka ngenxa yokuxineka ngokweqile futhi njengomphumela weminyaka, kuvame kakhulu ukubonwa kubantu abaneminyaka engaphezu kwengama-65 ubudala. Kungenzeka futhi ngenxa yokuntuleka kokudla okunomsoco kwe-zinc, ngoba i-zinc iyadingeka ekukhiqizeni i-hydrochloric acid.
Ukusetshenziswa kwezidakamizwa zokuvikela esiswini impilo yonke, noma ngabe kunconywe ngudokotela, kungaholela ku-hypochlorhydria, kanye nokusebenza kokuhlinzwa kwesisu, njengokuhlinzwa kwe-gastric bypass, lapho kuguqulwa khona isisu namathumbu. ukwehla kwe-asidi esiswini. Qonda ukuthi kudlula ini esiswini nokuthi kwenziwa kanjani.
Kunjani ukuxilongwa
Ukuxilongwa kwe-hypochlorhydria kufanele kwenziwe ngudokotela ojwayelekile noma i-gastroenterologist ngokususelwa ekuhloleni kwezimpawu nezimpawu ezethulwe ngumuntu, kanye nomlando wabo womtholampilo. Ngaphezu kwalokho, ukuqedela ukuxilongwa, kuyadingeka ukwenza ezinye izivivinyo, ikakhulukazi isivivinyo esivumela ukukalwa kwe-pH yesisu. Imvamisa, i-pH yesisu ifinyelela ku-3, kepha ku-hypochlorhydria i-pH iphakathi kuka-3 no-5, ngenkathi ise-achlorhydria, ebonakala ngokungabikho kokukhiqizwa kwe-asidi esiswini, i-pH ingaphezulu kwe-5.
Ukuhlolwa okukhonjiswe ngudokotela nakho kubalulekile ukukhomba imbangela ye-hypochlorhydria, njengoba kungenzeka ukuthi ukwelashwa kuhloswe kakhulu. Ngakho-ke, ukuhlolwa kwegazi kufanele kuyalwe ukuthi kuhlolwe ikakhulu inani le-iron ne-zinc egazini, ngaphezu kokwenza ukuhlolwa kwe-urease ukukhomba amabhaktheriya. H. pylori. Qonda ukuthi ukuhlolwa kwe-urease kwenziwa kanjani.
Ukwelashwa kwe-hypochlorhydria
Ukwelashwa kunconywa udokotela ngokusho kwembangela ye-hypochlorhydria, futhi ukusetshenziswa kwama-antibiotic kungakhonjiswa, uma kwenzeka kubangelwa H. pylori, noma ukusetshenziswa kwe-HCl supplements kanye ne-enzyme pepsin, ngoba ngale ndlela kungenzeka ukwandisa i-asidi yesisu.
Ngaphezu kwalokho, kubalulekile ukuthi umuntu azame ukukhululeka, ngoba ingcindezi engapheli nayo ingaholela ekwehleni kwe-asidi esiswini, futhi abe nokudla okunempilo futhi okunempilo. Uma kwenzeka ukuthi i-hypochlorhydria ingenxa yokushoda kwe-zinc, ukusetshenziswa kwe-zinc supplement kunganconywa futhi ukuze ukukhiqizwa kwe-asidi esiswini kwenzeke. Uma umuntu esebenzisa izivikeli zesisu, isibonelo, udokotela angancoma ukumisa umuthi kuze kukhiqizwe ukukhiqizwa kwe-asidi esiswini.