Kuyini iHypochlorhydria?
-Delile
Ukubuka konke
I-Hypochlorhydria ukuntuleka kwe-hydrochloric acid esiswini. Uketshezi lwesisu lwenziwa nge-hydrochloric acid, ama-enzyme amaningana, kanye nokwembesa kwamafinyila okuvikela ulwelwesi lwesisu sakho.
I-Hydrochloric acid isiza umzimba wakho ukuthi wehle, ugaye, futhi uthathe izakhamzimba ezinjenge-protein. Futhi iqeda amabhaktheriya namagciwane esiswini, ivikela umzimba wakho ekuthelelekeni.
Amazinga aphansi e-hydrochloric acid angaba nomthelela omkhulu ekhonweni lomzimba lokugaya kahle nokumunca izakhamzimba. Uma ingalashwa, i-hypochlorhydria ingadala ukulimala kohlelo lwesisu (GI), ukutheleleka, kanye nezinkinga eziningi ezingapheli.
Izimpawu
Izimpawu ze-asidi ephansi yesisu zihlobene nokugaya okungakhubazekile, ukwanda kokuthambekela kokutheleleka, nokuncipha kokuncipha kwezakhamzimba ekudleni. Izimpawu zingafaka:
- ukuqunjelwa
- ukubhoboza
- isisu esibuhlungu
- isicanucanu lapho uthatha amavithamini nezithako
- isilungulela
- isifo sohudo
- igesi
- ufisa ukudla ungalambile
- ukugaya ukudla
- ukulahleka kwezinwele
- ukudla okungenakuphikiswa esitulweni
- izinzipho ezibuthakathaka
- ukukhathala
- Ukutheleleka kwe-GI
- ukushoda kwe-iron anemia
- ukushoda kwamanye amaminerali, njengevithamini B-12, i-calcium, ne-magnesium
- ukuntuleka kwamaprotheni
- izingqinamba zezinzwa, njengokundikindiki, ukushoshozela, kanye nezinguquko zombono
Izimo eziningi zezempilo ezingamahlalakhona ziye zahlotshaniswa namazinga aphansi e-asidi esiswini. Lokhu kufaka izimo ezifana:
- lupus
- komzimba
- isifuba somoya
- izingqinamba ze-thyroid
- induna
- ukhwekhwe
- eczema
- isisu
- izifo ezingapheli zokuzivikela komzimba
- ukukhumuzeka kwamathambo
- i-anemia eyingozi
Izimbangela
Ezinye zezimbangela ezivame kakhulu ze-asidi yesisu ephansi zifaka:
- Ubudala. IHypochlorhydria ivame kakhulu njengoba ukhula. Abantu abangaphezu kweminyaka yobudala engama-65 kungenzeka kakhulu ukuthi babe namazinga aphansi e-hydrochloric acid.
- Ukucindezeleka. Ukucindezeleka okungapheli kunganciphisa ukukhiqizwa kwesisu esiswini.
- Ukuntuleka kwamavithamini. Ukushoda kwamavithamini e-zinc noma e-B kungaholela nase-asidi yesisu ephansi. Lokhu kushiyeka kungabangelwa ukungadli ngokwanele noma ukulahleka kwezakhi zomzimba ekucindezelekeni, ekubhemeni, noma ekuphuzeni utshwala.
- Imithi. Ukuthatha ama-antacids noma imishanguzo enikezwe ukwelapha izilonda kanye ne-acid reflux, njengama-PPIs, isikhathi eside kungaholela nase-hypochlorhydria. Uma uthatha le mithi futhi ukhathazekile ukuthi unezimpawu ze-acid ephansi yesisu, khuluma nodokotela wakho ngaphambi kokwenza ushintsho emithini yakho.
- H. Pylori. Ukutheleleka nge H. Pylori kuyimbangela evamile yezilonda zesisu. Uma ishiywe ingalashwa, ingaholela ekunciphiseni i-asidi esiswini.
- Ukuhlinzwa. Ukuhlinzwa kwesisu, njengokuhlinzwa kwe-gastric bypass, kunganciphisa ukukhiqizwa kwesisu esiswini.
Izici zobungozi
Izici zobungozi be-hypochlorhydria zifaka:
- engaphezu kweminyaka engama-65 ubudala
- amazinga aphezulu okucindezeleka
- ukusetshenziswa okuqhubekayo komuthi owehlisa i-acid esiswini
- ukuntuleka kwamavithamini
- ukuba nokutheleleka okubangelwa H. pylori
- ukuba nomlando wokuhlinzwa kwesisu
Uma unemibuzo noma ukukhathazeka mayelana nezimpawu zakho noma izinto ezinobungozi zokukhiqizwa kwesisu esiphansi, khuluma nodokotela wakho. Bangasiza ukuthuthukisa uhlelo lokwelashwa olulungele wena.
Ukuxilongwa
Ukunquma ukuthi unayo yini i-hypochlorhydria, udokotela wakho uzoqedela ukuhlolwa ngokomzimba futhi athathe umlando ngempilo yakho nezimpawu zakho. Ngokuya ngalolu lwazi, bangahlola i-pH (noma i-asidi) yesisu sakho.
Izimfihlo zesisu zivame ukuba ne-pH ephansi kakhulu (1-2), okusho ukuthi ine-asidi kakhulu.
Isisu sakho i-pH singakhombisa okulandelayo:
I-pH yesisu | Ukuxilongwa |
Ngaphansi kuka-3 | Jwayelekile |
3 kuye ku-5 | I-Hypochlorhydria |
Kukhulu kuno-5 | I-Achlorhydria |
Abantu abane-achlorhydria cishe abanayo i-asidi esiswini.
Abantu asebekhulile nezinsana ezizalwe ngaphambi kwesikhathi bavame ukuba nezinga eliphakeme kakhulu lesisu pH kunesilinganiso.
Udokotela wakho angenza nokuhlolwa kwegazi ukuze afune ukushoda kwe-iron anemia noma okunye ukushoda kwezakhi.
Ngokuya ngokuhlolwa kwabo nobukhulu bezimpawu zakho, udokotela wakho angakhetha ukukudlulisela kuchwepheshe we-GI.
Ukwelashwa
Ukwelashwa kwe-hypochlorhydria kuzohluka ngokuya ngesizathu nobukhulu bezimpawu.
Abanye odokotela bancoma indlela ebhekiswe kakhulu ekuguqulweni kokudla kanye nakwizithasiselo. Isengezo se-HCl (i-betaine hydrochloride), esivame ukuthathwa ngokuhlangana ne-enzyme ebizwa nge-pepsin, ingasiza ukukhulisa i-asidi yesisu.
Udokotela wakho futhi angancoma izithasiselo ze-HCI ukusiza ukuxilonga i-hypochlorhydria uma ukuxilongwa kwakho kungacaci. Ukuthuthuka kwezimpawu ngenkathi ukwelekelelwa kungasiza udokotela wakho ukuthola lesi simo.
Uma i H. pylori ukutheleleka kuyimbangela yezimpawu zakho, inkambo yama-antibiotics ingabekwa ngudokotela wakho.
Uma isimo sezempilo esiyisisekelo siyimbangela ye-asidi ephansi yesisu, udokotela wakho angakusiza ukuphatha lesi simo nezimpawu zaso.
Udokotela wakho angakusiza futhi ukuphatha imishanguzo yakho futhi ukhethe indlela engcono kakhulu yokwelashwa uma imishanguzo efana nama-PPIs ibangela izimpawu ze-acid ephansi yesisu.
Umbono
IHypochlorhydria ingadala izinkinga ezinkulu kakhulu zezempilo uma ishiywe ingalashwa. Uma unezinguquko ekugayeni noma izimpawu ezikukhathazayo, kubalulekile ukubona udokotela wakho ngokushesha. Udokotela wakho angakusiza unqume ukuthi une-hypochlorhydria, futhi akuphathe noma akusize uphathe imbangela eyimbangela. Kungenzeka ukwelapha izimbangela eziningi ze-hypochlorhydria futhi uvimbele izinkinga ezinkulu.