Kodi mulinso ndi asidi wochepa m'mimba? Izi zimatchedwa hypochlorhydria!

Kodi nthawi zambiri mumakhala ndi vuto la kusagaya bwino chakudya, kutentha pamtima, kapena kutentha pamtima? Nthawi zambiri timaganiza kuti izi zimachitika chifukwa cha asidi wambiri m'mimba kapena gastritis. Koma kodi mukudziwa kuti ngakhale palibe asidi wokwanira m'mimba, kutanthauza kuti asidi wochepa, zizindikirozi zimathanso kuchitika ? Ndicho chimene madokotala amati hypochlorhydria. Mwachidule, izi zikutanthauza kuti kupanga hydrochloric acid (HCl), asidi wamkulu m'mimba mwanu, kumachepa. Chifukwa chake, lero tikambirana za izi mwatsatanetsatane.

Kodi hypochlorhydria ndi chiyani?

Mwachidule, hypochlorhydria imachitika pamene m'mimba mwanu simupanga hydrochloric acid (HCl) yokwanira. Hydrochloric acid ndiye mtundu waukulu komanso wamphamvu kwambiri wa asidi wopangidwa ndi m'mimba mwathu. Ndi wofunikira kwambiri pa kugaya chakudya komanso chitetezo chathu chamthupi.

Taganizirani izi, asidi uyu amathandiza kuti chakudya chomwe timadya, makamaka mapuloteni, chigayidwe bwino. Ndiwofunikanso kuti thupi lathu lizitenga michere yomwe imafunikira, mwachitsanzo, vitamini B12 ndi chitsulo. Chinanso n'chakuti asidi uyu amathandizanso kulamulira mabakiteriya ndi mavairasi oopsa omwe amalowa m'mimba mwathu ndi chakudya, ndikuteteza m'mimba ku matenda.

Choncho, ngati muli ndi vuto la hypochlorhydria, mumavutika kugaya chakudya bwino, makamaka mapuloteni. Pakapita nthawi, izi zingayambitse kusowa zakudya zokwanira . Sikuti zokhazo, komanso mumakhala ndi mwayi wopeza matenda osiyanasiyana. Matendawa amatha kuwononga kwambiri m'mimba mwanu komanso m'mimba mwanu.

Kodi kusiyana pakati pa Hypochlorhydria ndi Hyperchlorhydria ndi kotani?

Mawu awiriwa ndi ofanana pang'ono, kotero amatha kusokonezeka. Mwachitsanzo, "Hypo-" amatanthauza "zochepa." "Hyper-" amatanthauza "zochulukirapo."

Izi zikutanthauza:

• Hypochlorhydria ndi vuto lomwe m'mimba mumatulutsa asidi wochepa kwambiri (HCl).
• Hyperchlorhydria ndi kuchuluka kwa hydrochloric acid (HCl) m'mimba.

Anthu ambiri m'dziko lathu, akamaona zizindikiro za kutupa m'mimba ndi gastritis, amaganiza kuti chifukwa chake ndi kuchuluka kwa asidi m'mimba, komwe kumatchedwa hyperchlorhydria. Ichi ndichifukwa chake nthawi zambiri amagwiritsa ntchito mankhwala ochepetsa asidi.

Koma zodabwitsa, zizindikiro zomwe nthawi zina mumakumana nazo, monga kutentha pamtima ndi kukoma kowawa pakhosi panu (acid reflux kapena laryngopharyngeal reflux), zitha kukhala chifukwa cha asidi yochepa m'mimba, kapena hypochlorhydria!

Kodi mumadziwa bwanji zimenezo? Pamene asidi m'mimba ali ochepa, chakudya sichigayidwa bwino. Kenako, chakudya chosagayidwachi chimayambitsa thovu la mpweya mkati mwa m'mimba. Thovu la mpweyali likakwera, asidi wina m'mimba amatha kuyenda m'mimba kupita ku mmero. Kenako, ngakhale asidi wochepa amene amafika pakhosi angakupangitseni kumva ngati muli ndi "asidi wochuluka." Kodi mukumvetsa?

Kodi hypochlorhydria imakhudza bwanji thupi lathu?

Asidi wa m'mimba si chinthu chongochokera m'thupi chabe. Ndi wofunika kwambiri pa thanzi lathu m'njira zambiri.

Kuopsa kwa kusowa zakudya m'thupi

Monga tanenera kale, matupi athu amafunika asidi wabwino m'mimba kuti azitha kuyamwa bwino mapuloteni, vitamini B12, ndi michere ina ingapo. Chifukwa chake, asidi uyu akachepa, thupi silingathe kuyamwa bwino michereyi. Zotsatira zake, chakudya chosagayidwa komanso kusowa kwa zakudya m'thupi kumachitika.

• Kusowa kwa mapuloteni ndi vitamini B12 kungayambitse kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa ayoni, komanso kuchepa kwa magazi m'thupi chifukwa cha kusowa kwa mavitamini. Matendawa amakhudzanso mitsempha yathu.
• Kusowa kwa calcium ndi magnesium kungayambitse kufooka kwa mafupa, matenda otchedwa osteoporosis.

Mavuto a m'mimba kwa nthawi yayitali

Kwa kanthawi kochepa, kukhala ndi chakudya chosagayidwa m'mimba kungakupangitseni kusasangalala kwambiri m'mimba. M'kupita kwa nthawi, izi zingayambitse mavuto aakulu.

Mwachitsanzo, chakudya chosagayidwa chingavunde m'matumbo, zomwe zimapangitsa kuti mabakiteriya ayambe kukula mosafunikira m'matumbo ang'onoang'ono. Izi zimatchedwa ``Small Intestine Bacterial Overgrowth (SIBO)``.

Sikuti zokhazo, asidi m'mimba akachepa, mabakiteriya wamba monga `H. pylori` amathanso kukula mosalamulirika. Mabakiteriya a `(H. pylori)` amenewa ndi omwe amachititsa kwambiri gastritis yosatha komanso matenda a zilonda zam'mimba.

Kodi nchifukwa chiyani hypochlorhydria imachitika? Kodi zifukwa zazikulu ndi ziti?

Pali zifukwa zazikulu zingapo zomwe zimayambitsa vutoli:

Matenda a gastritis osakhazikika

Ichi ndiye chifukwa chofala kwambiri cha hypochlorhydria. Matenda a gastritis a atrophic ndi matenda omwe maselo omwe amatulutsa asidi m'mimba amafa pang'onopang'ono ndipo sagwira ntchito. Izi zimachitika chifukwa cha kutupa kwa m'mimba kwa nthawi yayitali, komwe kumadziwika kuti chronic gastritis. Pali zifukwa zambiri zomwe zimayambitsa matenda a gastritis osatha. Zitsanzo zake ndi matenda a bakiteriya (makamaka H. Pylori), kumwa mowa mopitirira muyeso, ndi matenda ena odziteteza ku matenda a autoimmune.

Matenda a H. pylori

Uwu ndi matenda ofala kwambiri a bakiteriya. Malinga ndi ziwerengero zina, pafupifupi theka la anthu padziko lonse lapansi ali ndi matendawa. Anthu ena amatha kukhala ndi bakiteriyayu m'thupi lawo popanda zizindikiro zilizonse. Koma mwa anthu ena, bakiteriyayu amakula mofulumira m'thupi lawo, zomwe zimasokoneza kupanga asidi m'mimba, ndipo pakapita nthawi, zimachepetsa kuchuluka kwa asidi. Chodabwitsa n'chakuti, kuchepa kwa asidi m'mimba kumapangitsanso malo abwino kuti bakiteriya `(H. pylori)` ikule.

Kugwiritsa ntchito mankhwala ochepetsa asidi nthawi zonse

Kugwiritsa ntchito mankhwala kwa nthawi yayitali monga mankhwala oletsa asidi, H2 receptor blockers, makamaka proton pump inhibitors (PPIs) ndi chifukwa chachikulu cha kuchepa kwa asidi m'mimba.

Tangoganizirani, mumakhala ndi kutentha pamtima kosalekeza. Choncho mumapita ku pharmacy ndikumwa mankhwala a gastritis (mwina ma PPI). Patapita kanthawi, kutupa kumachepa. Koma ngati mupitiliza kumwa mankhwalawa kwa zaka zambiri popanda upangiri wa dokotala, tiziwalo ta m'mimba mwanu tomwe timatulutsa asidi mwachibadwa timatha kuchepa pang'onopang'ono. Pamenepo ndi pomwe mumayamba kukhala ndi hypochlorhydria. Ndipotu, mankhwala monga ma PPI poyamba ankaloledwa kugwiritsidwa ntchito kwakanthawi kochepa kokha. Koma tsopano amaperekedwa kwambiri pa matenda osatha monga GERD (gastroesophageal reflux disease) ndi kutentha pamtima, nthawi zina mosafunikira.

Zifukwa zina

Kuwonjezera pa zifukwa zazikulu izi, zinthu zina zingapo zitha kukhalapo:

• Kukalamba: Pamene tikukalamba, maselo m'thupi lathu amakalambanso. Pakapita nthawi, maselo omwe amapanga asidi m'mimba amathanso kuyamba kufa.
• Kupsinjika maganizo kosatha: Izi sizikutanthauza kupsinjika pang'ono komwe timakumana nako tsiku lililonse. Koma ngati muli ndi nkhawa yosatha komanso yokwera, zingakhudzenso kupanga asidi m'mimba.
• Opaleshoni ya m'mimba: N'zodziwika kuti maopaleshoni ena a m'mimba, monga opaleshoni ya m'mimba, amatha kusokoneza kupanga asidi m'mimba.

Kodi zizindikiro za hypochlorhydria ndi ziti?

Zizindikiro za vutoli zitha kugawidwa m'magawo awiri.

Mavuto a m'mimba mwadzidzidzi

Zizindikiro zoyamba kuoneka ndi izi:

• Kupweteka m'mimba
• Kutupa m'mimba, flatulence
• Kupanga mpweya
• Kutsegula m'mimba (kusanza)
• Kudzimbidwa
• Kupereka chakudya chosagayidwa kudzera m'ndowe
• Kupuma Pachifuwa, Kutentha M'mimba

Zizindikiro za kusowa zakudya kwa nthawi yayitali

Ngati kusowa kwa chlorhydria kukupitirira, kusowa zakudya m'thupi kungayambitsenso zizindikiro monga:

• Misomali imasweka mosavuta, imafooka
• Kutaya tsitsi
• Khungu lotumbululuka
• Kutopa pafupipafupi, kutopa
• Kufooka kwa thupi
• Kusanza, kumva kuwawa m'miyendo
• Kutaya kukumbukira
• Mutu

Kodi ndi zinthu ziti zomwe zimayambitsa hypochlorhydria?

Ndani amene ali ndi mwayi waukulu wokhala ndi vutoli?

• Kwa iwo omwe ali ndi zaka zoposa 65
• Anthu omwe amamwa mankhwala ochepetsa asidi monga mankhwala oletsa asidi kapena ma PPI kwa nthawi yayitali
• Kwa iwo omwe ali ndi matenda a 'H. pylori'
• Kwa iwo omwe kale anali ndi gastritis kapena zilonda zam'mimba.
• Kwa iwo omwe adachitidwa opaleshoni ya m'mimba

Ndingadziwe bwanji ngati ndili ndi asidi wochepa m'mimba?

Zizindikiro za hypochlorhydria - kutanthauza mavuto am'mimba, kusowa zakudya, komanso matenda a bakiteriya - zitha kukhala zizindikiro za matenda ena ambiri. Chifukwa chake, kukhala ndi zizindikiro izi zokha sizitanthauza kuti muli ndi hypochlorhydria. Ichi ndi chifukwa chimodzi chokha. Komabe, ngati muli ndi zifukwa zingapo zomwe zatchulidwa kale, mutha kuganiza kuti muli ndi vutoli.

Komabe, palibe njira yodziwira ngati vutoli lilipo kapena ayi popanda mayeso a asidi m'mimba.

Mayeso osavuta omwe mungachite kunyumba - mayeso a baking soda

Iyi ndi njira yosavuta yomwe mungayesere kunyumba. Chiphunzitso cha izi ndi chakuti pamene baking soda (sodium bicarbonate) iphatikizidwa ndi asidi m'mimba, imapanga mpweya wa carbon dioxide (`CO2`). Mpweya uwu umakupangitsani kufuna kupita kuchimbudzi mwachangu.

Momwe mungachitire izi:

1. Iyenera kuchitidwa pamimba yopanda kanthu (popanda kudya).

2. Sakanizani supuni imodzi ya soda mu theka la galasi la madzi (pafupifupi ma ounces 1.5), sakanizani bwino, ndipo imwani. Madzi ozizira kwambiri, ndi bwino kumwa.

3. Kenako onani nthawi yomwe ingatenge kuti mukafike ku Gudus.

Chiphunzitso ndi ichi: Ngati simutulutsa ndowe mkati mwa mphindi zitatu kapena zisanu, zikutanthauza kuti mulibe asidi wokwanira m'mimba mwanu.

Chofunika: Iyi si mayeso olondola 100%. Koma ingakupatseni lingaliro. Ngati mwapeza zotsatira zabwino kuchokera ku mayeso apakhomo ngati awa, ndi bwino kupita kwa dokotala woyenerera kuti akupatseni upangiri.

Mayeso ochitidwa ndi madokotala

Dokotala wanu adzamvetsera zizindikiro zanu, mbiri yanu ya zamankhwala, ndikukupimirani thupi. Ngati akukayikira kuti muli ndi vuto la hypochlorhydria, angakulimbikitseni mayeso angapo kuti muwone kuchuluka kwa asidi m'mimba mwanu.

Izi ndi zina mwa mayeso akuluakulu omwe amagwiritsidwa ntchito:

• Kuyesa kwa pH kwa Heidelberg: Mu mayeso awa, mumameza kapisozi kakang'ono komwe kali ndi chotumizira wailesi. Kamayeza pH ya m'mimba mwanu. Mukayesa pH yanu yachibadwa, mumapatsidwa baking soda kuti mumwe kuti muchepetse asidi m'mimba mwanu. Kenako, dokotalayo amayesa nthawi yomwe imatenga kuti m'mimba mwanu mubwerere ku mulingo wake wa asidi. Izi zimathandiza dokotala wanu kuona momwe m'mimba mwanu mukupanga komanso kutulutsa asidi bwino.
• Mayeso a SmartPill:SmartPill ndi chotumizira chopanda waya chomwe mumameza. M'malo moyesa pH monga momwe Heidelberg adayesera, imayesa mwachindunji kuchuluka kwa asidi m'mimba mwanu.
• Kuyesa kwa chingwe cha m'mimba: Mu mayeso awa, kapisozi womangiriridwa ku chingwe amamezedwa kenako amachotsedwa patatha mphindi 10 pomugwira ndi chingwecho. Kenako chingwecho chimayesedwa ndi pepala la pH. Nthawi zambiri, m'mimba yathanzi imakhala ndi pH ya 1 mpaka 2. Izi zikutanthauza kuti imakhala ndi asidi wambiri (pH ya 0 ndiye acid wambiri). Ngati muli ndi hypochlorhydria, asidi m'mimba mwanu akhoza kukhala ndi pH ya 3 mpaka 5. Ngati pH ili yokwera kuposa 5, ndi vuto lalikulu. Izi zimatchedwa achlorhydria . Izi zikutanthauza kuti m'mimba mwanu mulibe hydrochloric acid (HCl).

Ngati mayeso anu atsimikizira kuti muli ndi hypochlorhydria, dokotala wanu angakupatseninso mayeso ena kuti aone ngati muli ndi vuto la zakudya kapena matenda a bakiteriya. Zonsezi zidzagwiritsidwa ntchito popanga dongosolo la chithandizo lomwe likugwirizana ndi inu.

Kodi hypochlorhydria imachiritsidwa bwanji?

Pochiza izi, mfundo zitatu zazikulu zimaganiziridwa:

1. Kuchiza chifukwa chachikulu

Ngati dokotala wanu akudziwa chomwe chimayambitsa vuto la hypochlorhydria yanu, choyamba ndi kuchiza vuto limenelo. Izi zingaphatikizepo kusintha mankhwala anu, kuchiza vuto linalake, kapena kuchiza matenda a bakiteriya ndi maantibayotiki.

2. Kuonjezera asidi wa hydrochloric (HCl)

Pofuna kuchiza kusowa kwa hydrochloric acid, dokotala wanu angakulangizeni kuti mutenge HCl yowonjezera pakudya. Mwachitsanzo, yowonjezera yotchedwa Betaine hydrochloride. Ma HCl awa nthawi zambiri amabwera ndi enzyme yotchedwa Pepsin. Ma HCl awa amathandiza kugaya chakudya. Nthawi zina, mukagwiritsa ntchito izi, kupanga asidi m'mimba mwanu kumabwerera mwakale, ndipo mutha kusiya kumwa ma add-on awa. Ngakhale kuti awa amapezeka pamtengo wotsika, si oyenera aliyense. Choncho musayese nokha popanda kulankhula ndi dokotala.

3. Kupereka mankhwala othandizira kusowa zakudya m'thupi

Ngati asidi wochepa m'mimba mwanu wayambitsa kusowa kwa zakudya zina monga chitsulo, calcium, kapena vitamini B12, dokotala wanu angakulangizeni zowonjezera kuti zithandize kubwezeretsanso zakudyazo.

Kodi hypochlorhydria ingachiritsidwe?

Nthawi zambiri, vutoli limatha kuthetsedwa kapena kuchiritsidwa bwino ndi mankhwala owonjezera a HCl. Komabe, ndikofunikira kwambiri kuthana ndi zomwe zimayambitsa.Ngati muli ndi matenda, matenda, kapena kutupa, zingayambitse mavuto osatha - osati hypochlorhydria yokha, komanso mavuto ena. Chifukwa chake, ndikofunikira kuyesedwa kwathunthu kuchipatala musanayambe kulandira chithandizo ndi zowonjezera za HCl. Dokotala wanu angakuthandizeni bwino kuchiza chomwe chimayambitsa hypochlorhydria ndi zotsatira zake, monga kusowa kwa zakudya zinazake.

Kodi zakudya zoyenera anthu omwe ali ndi asidi ochepa m'mimba ndi ziti?

Kudya kokha sikungabwezeretse kuchuluka kwa asidi m'mimba mwanu. Komabe, malangizo awa angathandize kuti kugaya chakudya kwanu kukhale kosavuta mukakhala ndi hypochlorhydria:

• Idyani mapuloteni poyamba pa chakudya: Kudya zakudya zokhala ndi mapuloteni ambiri (monga nsomba, nyama, mazira, ndi nyemba) kumayambiriro kwa chakudya kumathandiza kuti asidi m'mimba apangidwe.
• Chedwetsani kumwa madzi: Pewani kumwa madzi kapena zakumwa zina kwa mphindi zosachepera 30 mutadya. Izi zimapatsa m'mimba mwanu nthawi yochulukirapo yopanga asidi ndi kugaya mapuloteni.
• Idyani zakudya zokhala ndi ma probiotics: Kudya zakudya zopatsa thanzi monga yogurt, miso, ndi sauerkraut kungathandize kuwonjezera kuchuluka kwa mabakiteriya abwino m'matumbo mwanu ndikuletsa mabakiteriya oipa.
• Pewani zakudya zokhala ndi mafuta ambiri komanso zopangidwa ndi zinthu zina: Zakudya zimenezi n'zovuta kuzigaya ndipo zili ndi zakudya zochepa.
• Samalani kwambiri ndi zakudya zanu ngati ndinu wosadya nyama: Zakudya zambiri zoperewera (mapuloteni, chitsulo, calcium, vitamini B12) zomwe zimakhudzana ndi kuchepa kwa asidi m'mimba zimapezeka muzinthu zopangidwa ndi nyama (nyama, nsomba, mkaka). Ngati ndinu wosadya nyama, onetsetsani kuti mwapeza michere iyi kuchokera ku zowonjezera zakudya kapena zakudya zina zoyenera. Kusakaniza bwino kwa zakudya zopatsa thanzi kungakhale njira yosavuta yochitira izi.
• Idyani zakudya zazing'ono ndipo muzitafuna bwino: Kuti chakudya chanu chikhale ndi mwayi wabwino wogaya bwino ndikugaya bwino, idyani zakudya zazing'ono m'malo modya zazikulu nthawi imodzi. Komanso, tafunani ndikumeza chakudya chanu bwino.
• Idyani chakudya chanu chomaliza maola awiri kapena atatu musanagone: Patsani thupi lanu nthawi yokwanira yogaya chakudya musanagone.

Pomaliza, chinthu chofunika kwambiri kukumbukira!

Hypochlorhydria, kapena asidi wochepa m'mimba, ndi vuto lofala kwambiri koma silipezeka bwino kuposa momwe timaganizira. Zizindikiro monga kutentha pamtima ndi kutentha pamtima zomwe nthawi zambiri zimasokonezedwa ndi asidi wochuluka m'mimba (Hyperchlorhydria) zitha kukhala chifukwa cha asidi wochepa m'mimba.

Mankhwala omwe amagwiritsidwa ntchito powonjezera asidi m'mimba angathandize kuchepetsa asidi m'mimba ndikuwonjezera mavuto am'mimba.

Choncho, kuzindikira ndi kuyezetsa mosamala ndikofunikira kuti chithandizo chikhale chopambana.Mayeso azachipatala angakuthandizeni kudziwa ngati muli ndi asidi wochepa m'mimba kapena wochuluka, komanso zinthu zina zofunika zomwe zingakhudze zizindikiro zanu. Ndi chidziwitso choyenera, dokotala wanu angakuthandizeni kupanga dongosolo la chithandizo chothana ndi zomwe zimayambitsa ndi zotsatira za hypochlorhydria. Chifukwa chake, ngati muli ndi zizindikiro izi, onetsetsani kuti mwapeza upangiri wa dokotala.

Hypochlorhydria , asidi m'mimba, hydrochloric acid, kugaya chakudya, kusowa zakudya m'thupi, kutupa m'mimba, gastritis, SIBO, H. pylori, PPIs