Tsvaga zvinokonzera, zvinetso, uye kurapwa kwechiitiko ichi chomuviri
Achlorhydria (Yakatumidzwa: AY-klor-HY-dree-uh) kushayikwa kwehydrochloric acid mumuviri wemuviri.
Hydrochloric acid inobatsira kuchengetedza pH mazinga mujusi yegastric kuitira kuti ma enzyme anobatsira kuputsa zvokudya kuti adye uye zvinhu zvisingagoneki zvinogona kuita basa ravo. Iyo inobatsirawo kuchengetedza chakanaka chimiro chechimiro chekuchengetedza zvirwere uye utachiona kure.
Chii Chinokonzera Achlorhydria?
Kana iwe uchitambura neGERD kana kuora mwoyo, achlorhydria inofanira kuva nehanya nokuti kushandisa H2 blockers kana proton pump inhibitors (PPIs) inogona kuva chirevo chechiitiko ichi. Kutora mishonga iyi haisi iyo nzira chete iyo achlorhydria inogona kuitika. Zvimwe zvinokonzera zvinosanganisira:
- autoimmune disorders, zvakadai saSjögren's syndrome, chirwere cheshuga, uye chirwere chetachiona;
- Helicobacter pylori (H. pylori) utachiona;
- pernicious anemia;
- radiation therapy inosanganisira mudumbu;
- kana gastric inopasisa nzira iyo iyo yakawanda asidi inobudisa zvikamu zvemuviri inogona kubviswa kana kusungwa.
Achlorhydria Anozivikanwa Sei?
Nemhaka yehupenyu hwemamiriro acho ezvinhu, kukanganisika kwekudya kunogona kuitika uye kunogona kupa chiremba chiremba chako chinotungamirira kuAclorhydria diagnosis. Kunyanya, B12 uye kushaya simba kwesimbi zvakabatanidzwa nemamiriro acho ezvinhu. Apo vaiparadzana nehutano hwekusuruvara kwepamuviri, kuora kwekureruka, kugara kwechirwere chekudzivirira, zviratidzo zve reflux, uye kuvhara mumimba, chiremba wako angabva asarudza kuedza pH yemudumbu mako.
Pasinei nokuti unoonekwa kuti une aclorhydria inotsanangurwa nemigumisiro yako uye kana inoratidza:
- pH mukati mudumbu guru kupfuura 5.09 mune varume uye kupfuura 6.81 kuvakadzi;
- iyo maximal acid inokwana inopfuura 6.9 m / mole / h muvarume uye pasi pe 5.0 m / mole / h muvakadzi;
- uye chiyero che serum pepsinogen I / pepsinogen II yepasi pe2,9.
Ndezvipi Zvinetso zveAklorhydria?
Sezvambotaurwa pamusoro apa, simbi inoshaya simba rekushaya ropa uye B12 kukanganisa kunogona kuitika nechlorhydria. Chimwe chinetso chinogona kubuda nekuda kwekushayikwa uku ndechemafupa asina simba, izvo zvinogona kuguma nekuputsika, zvikurukuru muhudyu.
Imwe nyonganyonga inhengo yemukati metaplasia, apo maviri emudumbu uye sopu inoshanduka kuva mhuka inowanikwa mumatumbu. Izvi zvinozivikanwa semamiriro ezvinhu anonzi Barrett's esophagus .
Pakupedzisira, nokuti hakuna hydrochloric acid inogadzirwa mudumbu, kukwira kwebhakitiriya kunogona kuitika. Izvi zvinogona kutungamirira kuH H. plyori chirwere, icho chinogona kukonzera maronda epptic , uye inogona kukonzera kukanganisika kwemagetsi kunogona kutungamirira kumatambudziko emagetsi, zvakadai sekushanduka mune zvakaratidzwa, manzwiro, unhu, uye marati; kushaya simba mumaoko nemakumbo; kunyorera kana kupera muzvigunwe neminwe; hallucinations; uye kurasikirwa kwechirangaridzo nekudzora kufamba kwemuviri.
Aklorhydria Akabatwa Sei?
Chikonzero chako chechichlorhydria chichagadzirisa kurapa kwako nzira. Semuenzaniso, kana kushandiswa kusingaperi kwemaPPIs ndiko kuti wakagadzirisa sei chirwere ichi, danho rokutanga dhiyabhorosi angatora nderokurega iwe kutora mishonga iyi, pamwe pamwe neH2 blockers zvakare.
Kana chirwere chemotokari chiri chekupa mhosva, matanho aigona kutorwa kuti awane chiitiko ichocho mumutsara. Chaizvoizvo, hakusi imwe yakagadzirirwa kurapwa, asi chiremba wako achaziva kuti marapirwo akafananidzirei nehuwandu hwechlorhydria.
Sources
Betesh AL, Santa Ana CA, Cole JA, Fordtran JS. "IAklorhydria Inokonzera Kusakwana Kwesimbi Here?" Am J Clin Nutriti. 2015 Mbudzi; 102 (1): 9-19. doi: 10.3945 / ajcn.114.097394. Epub 2015 Mbudzi 20.
Cojocaru M et al. "Zviratidzo zveMatumbu muStestin Selfimmune Diseases." Maedica (Buchar). 2011 Jan; 6 (1): 45-51.
Divyanshoo RK et al. "Achlorhydria" Medscape. Apr 29, 2015.