Mea Kākau: Roger Morrison
Lā O Ka Hana: 2 Kepakemapa 2021
HōʻAno Hou I Ka Lā: 15 Nowemapa 2024
Anonim
He aha ka achlorhydria, nā kumu, nā ʻōuli a me nā lāʻau - Ola Kino
He aha ka achlorhydria, nā kumu, nā ʻōuli a me nā lāʻau - Ola Kino

Anter

ʻO Achlorhydria kahi hanana i hōʻike ʻia e ka ʻole o ka hydrochloric acid (HCl) hana ʻia e ka ʻōpū, e hoʻonui ana i ka pH kūloko a alakaʻi i ke ʻano o nā ʻōuli i hiki ke hōʻoluʻolu ʻole no ke kanaka, e like me ka nausea, ʻōpū o ka ʻōpū, nāwaliwali a me nā reflux gastroesophageal. .

Hiki i kēia kūlana ke loaʻa i kekahi mau kumu, akā pili pinepine ʻia ia me ka maʻi mau loa e ka maʻi bacteria. Helicobacter pylori (H. pylori), akā hiki ke hana ʻia ma ke ʻano he hopena o ka hoʻohana ʻana i nā lāʻau a i ʻole nā ​​maʻi autoimmune. Ma muli o nā kumu like ʻole o ka achlorhydria, hiki ke hoʻololi i ka mālama ʻana e like me ke kumu, he mea nui e hana ʻia e like me ka ʻōlelo a ka gastroenterologist i mea e hoʻomaikaʻi ai nā hōʻailona.

Nā kumu o achlorhydria

Hoʻokumu pinepine ʻia ʻo Achlorhydria e ka atrophy ʻōpū, a pili pinepine ʻia i ka gastritis autoimmune a me ka gastritis mau, a pili pū kekahi i ka maʻi ma ka maʻi koʻohune. H. pylori. Hoʻohui ʻia, hiki i ka achlorhydria ke kumu ʻia e nā maʻi autoimmune, ka hoʻohana ʻana i nā lāʻau e hōʻemi i ka acidity o ka ʻōpū a me ka hypothyroidism, no ka laʻana.


ʻOi aku ka maʻamau o kēia kūlana i ka poʻe i ʻoi aku ma mua o 60 a ua hana i nā kaʻina hana ma ka ʻōpū.

Nā hōʻailona nui

Pili nā ʻōuli a me nā ʻōuli o ka achlorhydria i ka loaʻa ʻole o ka waikawa hydrochloric a me ka kiʻekiʻe o ka ʻōpū pH, a aia paha:

  • Nualea;
  • Reflux;
  • Hōʻoluʻolu o ka ʻōpū a me ka pehu ʻana;
  • Nāwaliwali;
  • Ka maʻi pākī a i ʻole ka paʻa paʻa;
  • Hoʻoemi i ka lawe ʻana o nā meaola e like me ka calcium, folic acid, hao a me nā huaora C a me D, me ka malnutrative hiki ke hiki;
  • Lilo ka lauoho;
  • Indigestion;
  • Kaumaha emi.

Eia hou, e like me ka achlorhydria ka ʻole o ka intrinsic factor hoʻokuʻu ʻia e nā hunaola parietal o ka ʻōpū he mea maʻamau ia, he mea maʻamau no ka mea e hoʻomōhala i ka anemia pernicious, ʻo ia kekahi ʻano anemia i hōʻike ʻia e ka hemahema o ka wikamina B12. ʻO kēia no ka mea ʻo ka intrinsic factor ke kuleana no ka paepae ʻana i ka omo ʻana o kēia wikamina i loko o ke kino. E aʻo pehea e ʻike ai i ka anemia makehewa.


ʻO kekahi ʻano anemia e hiki i nā poʻe me ka achlorhydria ke hoʻomōhala ʻo ka anemia deficience o ka hao, a ʻo ia hoʻi ka anemia deficience o ka hao, ʻoiai kōkua pū kekahi me ka waikawa hydrochloric i ke kaʻina hana omo hao.

He aha ka ʻokoʻa ma waena o hypochlorhydria a achlorhydria?

ʻAʻole like me achlorhydria, ʻike ʻia ka hypochlorhydria e ka hōʻemi o ka hana o ka waikawa hydrochloric. ʻO ia, hiki i nā ʻōpū o ka ʻōpū ke hana a hūnā iā HCl i loko o ka ʻōpū, akā naʻe i nā liʻiliʻi, ʻo ia ka mea e hoʻonui ai i ka pH o ka ʻōpū a alakaʻi i ke ʻano o nā hōʻailona a me nā ʻōuli i hiki ke hōʻoluʻolu ʻole. E aʻo hou aʻe e pili ana i ka hypochlorhydria.

Pehea e hana ai i ka lāʻau

Hoʻololi ka mālama ʻana i ka achlorhydria e like me ke kumu a, no laila, he mea nui e hōʻike ke kanaka i nā hōʻailona āpau i hōʻike ʻia i ka gastroenterologist a i ʻole ka mea hana maʻamau a hana pū i nā hoʻokolohua i noi ʻia, no ka mea he hiki i ke kauka ke hōʻike i ka mea kūpono loa. lapaʻau.Eia nō naʻe, kaukaʻi ʻia i ke kumu, ʻaʻole hiki i ka lāʻau lapaʻau ke hoʻihoʻi piha i ka hana o ka waikawa hydrochloric, akā hiki ke hoʻonui iki i ka nui o HCl hūnā ʻia, ke ʻano o hypochlorhydria.


I ka hihia o ka achlorhydria e pili ana i ka maʻi maʻi ma H. pylori, ka hoʻohana 'ana i nā lāʻauʻalopelo e mālama ai i ka maʻi a pale i nā maʻi ʻē aʻe e hiki ke hōʻike pinepine ʻia i nā poʻe me ka achlorhydria. Inā kumu ʻia ia e ka hoʻohana ʻana o ka lāʻau, pono ke kauka e loiloi i ka hiki ke hoʻololi a hoʻomaha paha i ka lāʻau, no ka laʻana.

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