Ingabe nawe une-asidi ephansi esiswini? Lokhu kubizwa ngokuthi i-hypochlorhydria!

Ingabe uvame ukuba nokungagayi kahle ukudla, isilungulela, noma isilungulela? Sivame ukucabanga ukuthi lokhu kubangelwa yi-asidi eningi esiswini noma i-gastritis. Kodwa bewazi ukuthi noma ngabe i-asidi yesisu ayinele, okungukuthi, i-asidi ephansi, lezi zimpawu zingavela futhi ? Yilokho esikubiza ngezokwelapha ngokuthi i-hypochlorhydria. Kalula nje, lokhu kusho ukuthi ukukhiqizwa kwe-hydrochloric acid (HCl), i-asidi eyinhloko esiswini sakho, kuyancipha. Ngakho-ke, namuhla sizoxoxa ngalokhu ngokujulile.

Kuyini i-hypochlorhydria?

Kalula nje, i-hypochlorhydria ilapho isisu sakho singakhiqizi i-hydrochloric acid (HCl) eyanele. I-hydrochloric acid iwuhlobo oluyinhloko nolunamandla kakhulu lwe-asidi olukhiqizwa yisisu sethu. Ibalulekile ohlelweni lwethu lokugaya ukudla kanye namasosha omzimba ethu.

Cabanga ngakho, le-asidi isiza ukudla esikudlayo, ikakhulukazi amaprotheni, ukuthi kugaywe kahle futhi kugaywe. Kubalulekile futhi ekumuncweni kwezakhamzimba ezidingwa ngumzimba wethu, isibonelo, i-vitamin B12 kanye ne-iron. Enye into ukuthi le-asidi isiza futhi ekulawuleni amabhaktheriya namagciwane ayingozi angena esiswini sethu nokudla, futhi avikele isisu ezifweni.

Ngakho-ke, uma une-hypochlorhydria, uba nobunzima bokugaya ukudla kahle, ikakhulukazi amaprotheni. Ngokuhamba kwesikhathi, lokhu kungaholela ekuntuleni okukhulu kokudla okunomsoco . Akukhona lokho kuphela, kodwa futhi unamathuba amaningi okuthola izifo ezahlukahlukene. Lezi zifo zingalimaza kakhulu isisu sakho kanye nohlelo lonke lokugaya ukudla.

Uyini umehluko phakathi kwe-Hypochlorhydria ne-Hyperchlorhydria?

La magama amabili afana kancane, ngakho-ke angadideka. Isibonelo, elithi "Hypo-" lisho "okuncane." elithi "Hyper-" lisho "okuningi."

Lokho kusho ukuthi:

• I-Hypochlorhydria yisimo lapho isisu sikhiqiza khona i-hydrochloric acid (HCl) encane kakhulu.
• I-Hyperchlorhydria ukukhiqizwa ngokweqile kwe-hydrochloric acid (HCl) esiswini.

Abantu abaningi ezweni lakithi, uma bebona izimpawu zokuvuvukala kwesisu kanye ne-gastritis, bacabanga ukuthi imbangela ukwanda kwe-asidi yesisu, okubizwa ngokuthi i-hyperchlorhydria. Yingakho bevame ukusebenzisa imithi yokwehlisa i-asidi.

Kodwa ngokumangazayo, izimpawu ozizwa ngezinye izikhathi, njengesilungulela kanye nokunambitheka okumuncu emphinjeni wakho (i-acid reflux noma i-laryngopharyngeal reflux), kungase kube ngenxa ye-acid ephansi esiswini, noma i-hypochlorhydria!

Ukwazi kanjani lokho? Uma i-asidi yesisu iphansi, ukudla akugaywa kahle. Ngemuva kwalokho, lokhu kudla okungagaywanga kubangela ukwakheka kwama-gas bubbles ngaphakathi esiswini. Lapho la ma-gas bubbles ekhuphuka, enye i-asidi yesisu ingahamba iye emphinjeni. Khona-ke, ngisho nenani elincane le-asidi elifika emphinjeni lingakwenza uzizwe sengathi "une-asidi eningi kakhulu." Uyaqonda?

I-hypochlorhydria iyithinta kanjani imizimba yethu?

I-asidi yesisu akuyona nje into ebalulekile. Ibalulekile empilweni yethu ngezindlela eziningi.

Ingozi yokuntuleka kokudla okunempilo

Njengoba sishilo ngaphambili, imizimba yethu idinga i-asidi enhle esiswini ukuze imunce kahle amaprotheni, i-vitamin B12, kanye namanye amaminerali amaningana. Ngakho-ke, uma le-asidi iphansi, umzimba awukwazi ukuwohloka kahle futhi umunce lezi zakhi. Ngenxa yalokho, ukudla okungagayiwe kanye nokuntuleka kokudla okunempilo kwenzeka.

• Ukuntuleka kwamaprotheni kanye ne-vitamin B12 kungaholela ekuntulekeni kwe-anemia yokuntuleka kwe-iron, kanye ne-anemia yokuntuleka kwamavithamini. Lezi zimo zithinta nesimiso sethu sezinzwa.
• Ukuntuleka kwe-calcium ne-magnesium kungaholela ebuthakathakeni bamathambo, isimo esibizwa ngokuthi i-osteoporosis.

Izinkinga zesistimu yokugaya ukudla isikhathi eside

Okwesikhashana, ukuba nokudla okungagayiwe ohlelweni lwakho lokugaya ukudla kungakubangela ukungakhululeki okukhulu esiswini. Okwesikhathi eside, lokhu kungaholela ezinkingeni ezinkulu kakhulu.

Isibonelo, ukudla okungagayiwe kungabila emathunjini, okubangela ukukhula okungafuneki kwamagciwane emathunjini amancane. Lokhu kubizwa ngokuthi "Ukukhula Okukhulu Kwamagciwane Emathunjini Amancane (SIBO)``.

Akukhona lokho kuphela, lapho i-asidi yesisu incipha, amabhaktheriya avamile afana ne-'H. pylori' nawo angakhula ngaphandle kokulawulwa. Leli bhaktheriya le-'(H. pylori)' liyimbangela enkulu yesifo sohudo esingamahlalakhona kanye nesifo sesilonda se-peptic.

Kungani kwenzeka i-hypochlorhydria? Yiziphi izimbangela eziyinhloko?

Kunezizathu eziningana eziyinhloko zalesi simo:

I-gastritis engapheli

Lesi yimbangela evame kakhulu ye-hypochlorhydria. I-Atrophic gastritis yisimo lapho amangqamuzana akhipha i-asidi esiswini efa kancane kancane futhi angasebenzi. Lokhu kwenzeka ngenxa yokuvuvukala kwesisu isikhathi eside, okwaziwa ngokuthi i-chronic gastritis. Kunezimbangela eziningi ze-chronic gastritis. Izibonelo zifaka phakathi ukutheleleka ngamagciwane (ikakhulukazi i-H. Pylori), ukuphuza utshwala ngokweqile, kanye nezinye izifo zokuzivikela komzimba.

Ukutheleleka kwe-H. pylori

Lokhu ukutheleleka okuvame kakhulu kwamagciwane. Ngokwezibalo ezithile, cishe ingxenye yabantu emhlabeni inalesi sifo. Abanye abantu bangaba naleli gciwane emizimbeni yabo ngaphandle kwezimpawu. Kodwa kwabanye abantu, leli gciwane likhula ngokushesha emizimbeni yabo, liphazamisa ukukhiqizwa kwe-asidi esiswini, futhi ngokuhamba kwesikhathi, kunciphisa inani le-asidi. Okumangazayo ukuthi ukwehla kwe-asidi esiswini kudala nendawo enhle yokuthi i-bacterium `(H. pylori)` ikhule.

Ukusetshenziswa okuqhubekayo kwemithi yokwehlisa i-asidi

Ukusetshenziswa isikhathi eside kwemithi efana nama-antacid, ama-H2 receptor blockers, ikakhulukazi ama-proton pump inhibitors (ama-PPI) nakho kuyimbangela enkulu yokwehla kwe-asidi esiswini.

Cabanga nje, unesishiso esiqhubekayo. Ngakho-ke uya ekhemisi bese uthatha umuthi we-gastritis (mhlawumbe ama-PPI). Ngemva kwesikhashana, ukuvuvukala kuyaphela. Kodwa uma uqhubeka uthatha le mithi iminyaka eminingi ngaphandle kweseluleko sezokwelapha, izindlala esiswini sakho ezikhiqiza i-asidi ngokwemvelo zingase zingasebenzi kancane kancane. Yilapho uqala khona ukuba ne-hypochlorhydria. Eqinisweni, imithi efana nama-PPI yayivunyelwe ekuqaleni ukusetshenziswa kwesikhathi esifushane kuphela. Kodwa manje inikezwa kabanzi ezimweni ezingamahlalakhona njenge-GERD (isifo se-gastroesophageal reflux) kanye nesishiso esishisayo, ngezinye izikhathi ngokungadingekile.

Ezinye izizathu

Ngaphezu kwalezi zizathu eziyinhloko, kungase kube nezinye izici eziningana ezihilelekile:

• Ukuguga: Njengoba siguga, amaseli emzimbeni wethu nawo ayaguga. Ngokuhamba kwesikhathi, amaseli akhiqiza i-asidi esiswini nawo angaqala ukufa.
• Ukucindezeleka Okungapheli: Lokhu akugcini nje ngokucindezeleka okuncane esibhekana nakho nsuku zonke. Kodwa uma unezinga eliphezulu lokucindezeleka okungapheli, kungathinta nokukhiqizwa kwe-asidi esiswini.
• Ukuhlinzwa Kwesisu: Kuyaziwa ukuthi okunye ukuhlinzwa kwesisu, njengokuhlinzwa kwesisu, kungathinta ukukhiqizwa kwe-asidi esiswini.

Ziyini izimpawu ze-hypochlorhydria?

Izimpawu zalesi simo zingahlukaniswa zibe izingxenye ezimbili.

Izinkinga zokugaya ukudla okungazelelwe

Lezi izimpawu zokuqala ezibonakala:

• Ubuhlungu besisu
• Ukuqunjelwa kwesisu, ukuqunjelwa
• Ukwakheka kwegesi
• Uhudo (ukuhlanza)
• Ukuqunjelwa
• Ukudlulisa ukudla okungagayiwe ngendle
• Ukubuyela emuva, isilungulela

Izimpawu zokuntuleka kokudla okunempilo isikhathi eside

Uma i-hypochlorhydria iqhubeka, ukuntuleka kokudla okunempilo nakho kungabangela izimpawu ezifana nalezi:

• Izinzipho ziyaphuka kalula, ziba buthakathaka
• Ukulahlekelwa izinwele
• Isikhumba esikhanyayo
• Ukukhathala okuvamile, ukukhathala
• Ubuthakathaka bomzimba
• Ukuba ndikindiki, umuzwa wokudabuka emilenzeni
• Ukulahlekelwa yinkumbulo
• Ikhanda elibuhlungu

Yiziphi izici eziyingozi ze-hypochlorhydria?

Ubani onamathuba amaningi okuba nalesi simo?

• Kulabo abaneminyaka engaphezu kwengu-65 ubudala
• Abantu abaphuza imithi yokwehlisa i-asidi njengemithi yokunciphisa i-asidi noma ama-PPI isikhathi eside
• Kulabo abanesifo se-'H. pylori'
• Kulabo abake baba ne-gastritis noma izilonda zesisu ngaphambilini
• Kulabo abaye bahlinzwa isisu

Ngingazi kanjani ukuthi ngine-asidi ephansi esiswini?

Izimpawu ze-hypochlorhydria – okungukuthi, izinkinga zokugaya ukudla, ukuntuleka kokudla okunempilo, ngisho nokutheleleka ngamagciwane – kungaba izimpawu zezinye izimo eziningi. Ngakho-ke, ukuba nalezi zimpawu zodwa akusho ukuthi une-hypochlorhydria. Lena yimbangela eyodwa kuphela engaba khona. Kodwa-ke, uma unezici eziningana eziyingozi okukhulunywe ngazo ngaphambili, ungase usole ukuthi unale nkinga.

Kodwa-ke, ayikho indlela yokwazi ngokuqinisekile ukuthi lesi simo sikhona noma cha ngaphandle kokuhlolwa kwe-asidi esiswini.

Isivivinyo esilula ongasenza ekhaya - isivivinyo se-baking soda

Lena indlela elula ongayizama ekhaya. Inkolelo-mbono yalokhu ukuthi uma i-baking soda (i-sodium bicarbonate) ihlangana ne-asidi yesisu, ikhiqiza igesi ye-carbon dioxide (`CO2`). Le gesi ikwenza ufune ukuya endlini yangasese ngokushesha.

Indlela yokukwenza:

1. Kufanele kwenziwe esiswini esingenalutho (ngaphandle kokudla).

2. Hlanganisa ithisipuni le-baking soda engxenyeni yengilazi yamanzi (cishe ama-ounces ama-4), uvuselele kahle, bese uphuza. Uma amanzi ebanda, kungcono.

3. Bese ubona ukuthi kuthatha isikhathi esingakanani ukufika eGudus.

Ithiyori ithi: Uma ungakhiphi indle kungakapheli imizuzu emithathu kuya kwemihlanu, kusho ukuthi awunayo i-asidi eyanele esiswini sakho.

Okubalulekile: Lokhu akulona ukuhlolwa okunembile okungu-100%. Kodwa kungakunikeza umbono othile. Uma uthola umphumela omuhle ekuhlolweni kwasekhaya okufana nalokhu, kungcono ukubona udokotela ofanelekayo ukuze akunike iseluleko.

Ukuhlolwa okwenziwa odokotela

Udokotela wakho uzolalela izimpawu zakho, umlando wezokwelapha, futhi ahlole umzimba. Uma esola ukuthi une-hypochlorhydria, angancoma olunye lwezivivinyo eziningana zokuhlola amazinga e-asidi esiswini sakho.

Lezi ezinye zezivivinyo eziyinhloko ezisetshenziswayo:

• Ukuhlolwa kwe-pH kwe-Heidelberg: Kulokhu kuhlolwa, ugwinya i-capsule encane equkethe i-radio transmitter. Ilinganisa i-pH yesisu sakho. Ngemva kokulinganisa i-pH yakho evamile, unikezwa isisombululo se-baking soda ukuze usiphuze ukuze unciphise i-asidi yesisu sakho. Ngemuva kwalokho, udokotela ulinganisa ukuthi kuthatha isikhathi esingakanani ukuthi isisu sakho sibuyele ezingeni laso elijwayelekile le-asidi. Lokhu kuvumela udokotela wakho ukuthi abone ukuthi isisu sakho sikhiqiza futhi sikhipha i-asidi kahle kangakanani.
• Ukuhlolwa kwe-SmartPill:I-SmartPill futhi iyisidluliseli esingenantambo osigwinyayo. Esikhundleni sokulinganisa i-pH njengesivivinyo se-Heidelberg, ilinganisa ngqo izinga le-asidi esiswini sakho.
• Ukuhlolwa kwentambo yesisu: Kulesi sivivinyo, i-capsule enamathiselwe entanjeni iyagwinywa bese isuswa ngemva kwemizuzu eyi-10 ngokuyibamba ngentambo. Intambo ihlolwa ngephepha le-pH. Ngokuvamile, isisu esiphilile sine-pH engu-1 kuya ku-2. Lokhu kusho ukuthi sine-asidi kakhulu (i-pH engu-0 iyona ene-asidi kakhulu). Uma une-hypochlorhydria, i-asidi yesisu sakho ingaba ne-pH engu-3 kuya ku-5. Uma i-pH iphakeme kuno-5, kuyisimo esibi. Lokhu kubizwa ngokuthi i-achlorhydria . Lokhu kusho ukuthi isisu sakho cishe asinayo i-hydrochloric acid (HCl).

Uma ukuhlolwa kwakho kuqinisekisa ukuthi une-hypochlorhydria, udokotela wakho angase futhi acele ukuhlolwa okwengeziwe ukuhlola ukuntuleka kokudla okunempilo noma ukutheleleka ngamagciwane. Lonke lolu lwazi luzosetshenziselwa ukudala uhlelo lokwelashwa olufanele wena.

Iphathwa kanjani i-hypochlorhydria?

Uma kwelashwa lokhu, kucatshangelwa izici ezintathu eziyinhloko:

1. Ukwelapha imbangela eyisisekelo

Uma udokotela wakho ekwazi ukuthola imbangela ye-hypochlorhydria yakho, isinyathelo sokuqala ukwelapha leyo mbangela. Lokhu kungase kuhilele ukushintsha imithi yakho, ukwelapha isimo esiyisisekelo, noma ukwelapha ukutheleleka ngamagciwane ngama-antibiotic.

2. Ukwengezwa kwe-Hydrochloric acid (HCl)

Ukuze welaphe ukuntuleka kwe-hydrochloric acid, udokotela wakho angase ancome isithasiselo se-HCl okufanele usithathe ekudleni. Isibonelo, isithasiselo esibizwa ngokuthi i-Betaine hydrochloride. Lezi zithasiselo ze-HCl zivame ukuza ne-enzyme ebizwa ngokuthi i-Pepsin. Lezi zithasiselo zisiza inqubo yakho yokugaya ukudla. Ngezinye izikhathi, uma usebenzisa lezi zithasiselo, ukukhiqizwa kwe-asidi esiswini sakho kubuyela kancane kancane esimweni esijwayelekile, futhi ungayeka ukuthatha lezi zithasiselo. Nakuba lezi zitholakala ngaphandle kwemithi kadokotela, azifanele wonke umuntu. Ngakho-ke ungazizami wedwa ngaphandle kokukhuluma nodokotela.

3. Ukuhlinzeka ngezithako zokudla okunempilo

Uma isisu sakho esiphansi sine-asidi ebangela okunye ukuntuleka kokudla okunempilo, njenge-iron, i-calcium, noma i-vitamin B12, udokotela wakho angase ancome izithako ezizosiza ekugcwaliseni lezo zakhi.

Ingabe i-hypochlorhydria ingelapheka?

Ezimweni eziningi, lesi simo singaguqulwa noma selashwe ngempumelelo ngezithasiselo ze-HCl. Kodwa-ke, kubaluleke kakhulu ukubhekana nezimbangela eziyisisekelo.Uma unesifo, ukugula, noma isimo sokuvuvukala, kungabangela izinkinga eziqhubekayo - hhayi nje i-hypochlorhydria, kodwa nezinye izinkinga. Ngakho-ke, kubalulekile ukuhlolwa okuphelele kwezokwelapha ngaphambi kokuqala ukwelashwa ngezithasiselo ze-HCl. Udokotela wakho angakusiza ngendlela efanele ukwelapha imbangela ye-hypochlorhydria kanye nemiphumela yayo, njengokuntuleka kokudla okunempilo okuthile.

Yikuphi ukudla okufanele abantu abane-asidi ephansi esiswini?

Ukudla kuphela akukwazi ukubuyisela amazinga e-asidi esiswini sakho. Kodwa-ke, lawa macebiso angasiza ekwenzeni ukugaya kwakho kube lula uma uphila ne-hypochlorhydria:

• Yidla amaprotheni kuqala ekudleni: Ukudla ukudla okucebile ngamaprotheni (njengenhlanzi, inyama, amaqanda, udali) ekuqaleni kokudla kusiza ekukhuthazeni ukukhiqizwa kwe-asidi esiswini.
• Yeka ukuphuza amanzi: Gwema ukuphuza amanzi noma ezinye iziphuzo okungenani imizuzu engama-30 ngemva kokudla. Lokhu kunikeza isisu sakho isikhathi esengeziwe sokukhiqiza i-asidi nokugaya amaprotheni.
• Yidla ukudla okuqukethe ama-probiotic: Ukudla ukudla kwama-probiotic njenge-yogurt, i-miso, ne-sauerkraut kungasiza ekwandiseni inani lamagciwane amahle emathunjini akho futhi kulawule amagciwane amabi.
• Gwema ukudla okunamafutha amaningi nokudla okucutshungulwe: Lokhu kudla kunzima ukukugaya futhi akuqukethe izakhamzimba eziningi.
• Qaphela kakhulu ukudla kwakho uma ungumdli wemifino: Ukushoda okuningi kokudla okunempilo (amaprotheni, i-iron, i-calcium, i-vitamin B12) okuhlobene ne-acid ephansi esiswini kutholakala emikhiqizweni yezilwane (inyama, inhlanzi, imikhiqizo yobisi). Uma ungumdli wemifino, qiniseka ukuthi uthola lezi zakhi ezivela ezithasiselo noma kwezinye ukudla okufanele. Ingxube ye-shake yezempilo esezingeni elihle ingaba yindlela elula yokwenza lokhu.
• Yidla ukudla okuncane bese ukuhlafuna kahle: Ukuze unike uhlelo lwakho lokugaya ukudla ithuba elihle kakhulu lokuphula nokugaya ukudla kahle, yidla ukudla okuncane kunokudla okukhulu ngesikhathi esisodwa. Futhi, hlafuna futhi ugwinye ukudla kwakho kahle.
• Yidla ukudla kwakho kokugcina amahora amabili kuya kwamathathu ngaphambi kokulala: Nikeza umzimba wakho isikhathi esanele sokugaya ukudla ngaphambi kokulala.

Ekugcineni, into ebaluleke kakhulu okufanele uyikhumbule!

I-Hypochlorhydria, noma i-asidi ephansi esiswini, yisimo esivame kakhulu kodwa esingaxilongwa kahle kunalokho esikucabangayo. Izimpawu ezifana nokushisa kwenhliziyo kanye nokushisa kwenhliziyo okuvame ukuphambaniswa ne-asidi ephezulu esiswini (i-Hyperchlorhydria) kungenzeka ukuthi zibangelwa yi-asidi ephansi esiswini.

Imithi esetshenziselwa ukwandisa i-asidi esiswini ingasiza ekunciphiseni i-asidi esiswini futhi ibhebhethekise izinkinga zokugaya ukudla.

Ngakho-ke, ukuxilongwa nokuhlolwa ngokucophelela kubalulekile ukuze ukwelashwa kuphumelele.Ukuhlolwa kwezokwelapha kungasiza ekunqumeni ukuthi une-asidi ephansi noma ephezulu esiswini, kanye nezinye izici ezibalulekile ezingase zithinte izimpawu zakho. Ngolwazi olufanele, udokotela wakho angakusiza ukuthi wakhe uhlelo lokwelapha ukubhekana nezimbangela nemiphumela ye-hypochlorhydria. Ngakho-ke, uma unezinye zalezi zimpawu, qiniseka ukuthi ufuna iseluleko sezokwelapha.

I- Hypochlorhydria, i-asidi yesisu, i-hydrochloric acid, ukugaya ukudla, ukuntuleka kokudla okunempilo, ukuvuvukala kwesisu, i-gastritis, i-SIBO, i-H. pylori, ama-PPI