He aha e ʻike ai e pili ana i ka High Acom Acom

Anter

• He aha ka mea e hiki ai ke kumu i ka waikawa ʻōpū kiʻekiʻe?
• He aha nā hōʻailona?
• He aha nā hopena o ka acid acid kiʻekiʻe?
• Aia kekahi mau kumu pilikia?
• He aha nā koho lapaʻau?
• Ke laina lalo

ʻO ka hana a kou ʻōpū e kōkua i ka hoʻoulu ʻana i ka meaʻai āu e ʻai ai. ʻO kekahi ala e hana ai kēia ma o ka hoʻohana ʻana o ka waikawa ʻōpū, a ʻo ka acidic gastric kekahi i ʻike ʻia. ʻO ka mea nui o ka waikawa ʻōpū ʻo acidchchloric acid.

ʻO ka pale o kou ʻōpū e hūnā kūlohelohe i ka waikawa ʻōpū. Mālama ʻia kēia huna ʻelua e nā homone a me kāu ʻōnaehana hopohopo.

I kekahi manawa hiki i kou ʻōpū ke hoʻohua i ka nui o ka waikawa ʻōpū, a hiki ke alakaʻi i kekahi mau hōʻailona maikaʻi ʻole.

He aha ka mea e hiki ai ke kumu i ka waikawa ʻōpū kiʻekiʻe?

Nui a hewahewa nā kūlana i hiki ke alakaʻi i ka acid acid kiʻekiʻe. ʻO ka pinepine, alakaʻi kēia mau ʻano i ka hoʻonui ʻia ʻana o ka hormone gastrin. ʻO Gastrin kahi hōmona e haʻi i kou ʻōpū e hoʻohua i ka waikawa ʻōpū.

ʻO kekahi o nā kumu maʻamau e komo pū me:

• ʻO ka hypersecretion acid acid: ʻO nā H2 blockers kahi ʻano lāʻau e hiki ke hoʻemi i ka waikawa ʻōpū. I kekahi manawa, hiki i ka poʻe e hele mai ana i waho o kēia lāʻau ke hoʻonui i ka acid acid. Aia kekahi mau hōʻike e hiki nō ke hana i kēia ma hope o ka puka ʻana mai o nā mea hōʻoki proton pump (PPI), ʻoiai kēia.
• ʻO Zollinger-Ellison Syndrome: Me kēia ʻano laha ʻole, hana nā tumors i kapa ʻia ʻo gastrinomas i loko o kāu pancreas a me kou ʻōpū liʻiliʻi. Hana nā Gastrinomas i nā kiʻekiʻe o ka gastrin, kahi e hoʻonui ai i ka waikawa ʻōpū.
• Helicobacter pylori maʻi maʻi:H. pylori ʻo ia kekahi ʻano bacteria e hiki ke kolone i ka ʻōpū a hiki i ka ulcer. Kekahi poʻe me ka H. pylori maʻiʻaʻai paha i kiʻekiʻe kō waikawa.
• Keakea kūwaha Gastric: Ke ālai ʻia ke ala e alakaʻi ana mai ka ʻōpū a i ka ʻōpū liʻiliʻi, hiki i ka hopena ke hoʻonui i ka waikawa ʻōpū.
• Ka hōʻeha kīnā ʻole. I kekahi mau hanana kakaʻikahi, hiki i nā poʻe me ke kōpaʻa ʻole a i ʻole nā ​​mea e hana ana i ka dialysis ke hana i nā kiʻekiʻe o ka gastrin, e alakaʻi ana i ka hoʻonui ʻana i ka hana o ka waikawa ʻōpū.

He mea nui nō hoʻi e hoʻomaopopo i kekahi manawa ʻaʻole hiki ke ʻike ʻia kahi kumu kikoʻī o ka waikawa kiʻekiʻe o ka ʻōpū. Ke hiki ʻole ke hoʻoholo i ke kumu o kahi kūlana, ua kapa ʻia ia he idiopathic.

He aha nā hōʻailona?

ʻO kekahi mau hōʻailona e loaʻa iā ʻoe ka waikawa ʻōpū kiʻekiʻe me:

• hōʻoluʻolu o ka ʻōpū, ʻoi aku paha ka maikaʻi ma ka ʻōpū hakahaka
• nausea a luaʻi paha
• ʻōhūhū
• puʻuwai puʻuwai
• pāhoehoe
• hoʻēmi ʻai
• lilo kaumaha maopopo ʻole

ʻO nā ʻōuli o ka waikawa kiʻekiʻe o ka ʻōpū e like loa me nā ʻano digestive ʻē aʻe.

He mea maikaʻi mau ke ʻike i kāu kauka inā hoʻomohala ʻoe i mau a mau ʻole nā ​​ʻōuli digestive. Hiki i kāu kauka ke hana pū me ʻoe e kōkua i ke kuhi ʻana i ke kumu o kāu mau hōʻailona a hana i kahi hoʻolālā hoʻomalu.

He aha nā hopena o ka acid acid kiʻekiʻe?

Loaʻa i nā kiʻekiʻe o ka waikawa ʻōpū ke hoʻonui i kou makaʻu i ka hoʻomohala ʻana i nā kūlana olakino pili i ka ʻōpū. Pākuʻi ʻia kēia mau mea:

• Peptic ulcer: ʻO nā ulia peptic ka ʻeha i hiki ke hoʻomohala ke hoʻomaka ka ʻai ʻana o ka gastric acid e ʻai i ka uhi o kou ʻōpū.
• ʻO ka maʻi reflux Gastroesophageal (GERD): ʻO GERD kahi kūlana i hoʻi i ka ʻakika ʻōpū i hope i kāu esophagus.
• Kaheʻana o Gastrointestinal: Hoʻopili kēia i ke kahe ʻana ma nā wahi āpau o kāu tract digestive.

Aia kekahi mau kumu pilikia?

ʻO kekahi o nā kumuhana pilikia no ka hoʻomohala ʻana i nā kiʻekiʻe o ka waikawa ʻōpū me:

• Nā lāʻau: Inā lawe ʻoe i ka lāʻau e hoʻohaʻahaʻa i ka hana ʻana o ka ʻōpū o ka ʻōpū a laila hele mai i waho o ka mālama ʻana. Eia naʻe, hoʻoholo maʻamau kēia iā ia iho ma mua o ka manawa.
• H. pylori maʻi maʻi: Loaʻa kahi hana H. pylori hiki i ka maʻi bacteria i loko o kou ʻōpū ke alakaʻi i ka hoʻonui ʻia o ka waikawa ʻōpū.
• Nā Genetics: Ma kahi o 25 a 30 pākēneka o ka poʻe me nā gastrinomas - nā tumors e hana ana i ka pancreas a i ʻole duodenum - loaʻa kahi ʻano hoʻoilina i kapa ʻia he endocrine neoplasia ʻano 1 (MEN1).

He aha nā koho lapaʻau?

Hoʻomaʻamaʻa pinepine ʻia ʻo ka waikawa ʻōpū kiʻekiʻe me nā mea hoʻopōpō pump protein (PPI). Hana kēia mau lāʻau e hoʻohaʻahaʻa i ka hana ʻana o ka wai kōpū.

Loaʻa nā PPI ma mua o nā H2 blockers. Hāʻawi pinepine ʻia lākou ma ka waha, akā hiki ke hāʻawi ʻia e IV i nā hihia ʻoi loa.

Inā hoʻokumu ʻia kou waikawa ʻōpū kiʻekiʻe e ka H. pylori maʻi, e kuhikuhi ʻia ʻoe i nā antibiotic me kahi PPI. Hana nā antibiotic i ka make ʻana i ka bacteria a ke kōkua ka PPI i ka hana ʻana i ka waikawa ʻōpū.

I kekahi manawa koi ʻia ke ʻoki, e like me ka hemo ʻana o gastrinomas i ka poʻe me ka maʻi Zollinger-Ellison. Hoʻohui ʻia, pono paha i ka poʻe i loaʻa nā maʻi ʻehaʻeha ke ʻokiʻoki e hemo ai kahi ʻaoʻao o ka ʻōpū (gastrectomy) a i ʻole nerve nerve (vagotomy).

Inā ʻo ka puʻuwai kekahi o kāu mau ʻōuli, hiki iā ʻoe ke hoʻololi i nā papaʻai e kōkua ai i ka hōʻemi ʻana i kāu mau hōʻailona.

• e ʻai ana i nā meaʻai liʻiliʻi a ʻoi aku ka pinepine
• e ukali nei i ka papaʻai low-carb
• ke kaupalena nei i kāu lawe ʻana i ka wai ʻona, caffeine, a me nā mea inu kalapona
• e hōʻalo nei i nā meaʻai e ʻino ai ka ʻeha o ka puʻuwai

Ke laina lalo

Kōkua kou waikawa ʻōpū iā ʻoe e wāwahi a ʻai i kāu meaʻai. I kekahi manawa, hiki ke hana i kahi kiʻekiʻe ma mua o ka maʻamau o ka waikawa ʻōpū. Hiki i kēia ke alakaʻi i nā ʻōuli e like me ka ʻeha o ka ʻōpū, nausea, bloating, a me ka puʻuwai puʻuwai.

Nui nā kumu o ka waikawa ʻōpū kiʻekiʻe. Pākuʻi ʻia nā laʻana H. pylori maʻi, Zollinger-Ellison Syndrome, a me nā hopena rebound mai ka haʻalele ʻana o ka lāʻau.

Inā haʻalele ʻole ʻia, hiki i ka waikawa ʻōpū kiʻekiʻe ke alakaʻi i nā pilikia e like me ka ulcer a i ʻole GERD. E ʻike i kāu kauka inā hoʻomohala ʻoe i nā hōʻailona digestive e hoʻomau, hoʻomau hou, a e pili ana paha.