Ogow sababaha, dhibaatooyinka, iyo daaweynta xaaladdan caloosha
Achlorhydria (Caanaha: AY-klor-HY-dree-uh) waa maqnaansho ah acid hydrochloric in cabitaanka caloosha.
Hydrochloric acid waxay ka caawisaa sidii ay u ilaalin lahayd heerarka pH ee miirafka caloosha si ay enzymes u caawiso in ay cunto u jajabiso cuntada maadooyinka dheefshiidka iyo nuugo leh waxay qaban karaan shaqadooda. Waxa kale oo ay ka caawisaa sidii loo ilaalin lahaa jawiga asiidhka ah ee ku habboon si loo ilaaliyo cudurka iyo caabuqa.
Maxaa keena Achlorhydria?
Haddii aad qabtid GERD ama miyir-beeleed, achlorhydria waa in ay ahaato mid walaac ah sababta oo ah isticmaalka H2-blockers ama koronto-ilaaliyaha maskaxda (PPIs) ayaa noqon kara hor-u-marin xaaladdan. Qaadashada daawooyinkan ma aha qaabka kaliya ee achlorhydria ay dhici karto. Sababaha kale waxaa ka mid ah:
- xanuunada mareenka, sida Sjögren's syndrome, sonkorowga, iyo cudurada thyroid;
- Infekshanka Hilicobacter pylori (H. pylori);
- Dhiig-baxa aan caadiga ahayn;
- daweynta shucaaca ee ku lug leh caloosha;
- ama habka guntimaha guntiga ah halkaasoo qaybaha ugu weyn ee aaladaha caloosha ee caloosha laga saaro ama laga saaro.
Sidee Ayuu Achlorhydria Loo Ogaa?
Sababtoo ah xaaladda dabiiciga ah, nafaqo darrada ayaa dhici karta waxayna ku siin kartaa tilmaamaha dhakhtarkaaga oo u horseeda baaritaanka achlorhydria. Gaar ahaan, B12 iyo macdanta birta ayaa lala xiriiriyay xaaladda. Marka ay la socdaan taariikhda calool xanuun, miisaan lumis, dhaqdhaqaaqa joogtada ah, calaamadaha celinta, iyo xanuunka caloosha, dhakhtarkaaga ayaa markaa go'aan ka gaari kara inuu tijaabiyo pH ee calooshaada.
Haddii lagaa helayo achlorhydria waxaa go'aamiya natiijooyinkaaga iyo haddii ay muujiyaan:
- pH ee caloosha ka weyn 5.09 ragga iyo ka weyn 6.81 dumarka;
- wax soo saarka asaasiga ah ee ka yar 6.9 m / mole / h ragga iyo in ka yar 5.0 m / mole / h ee haweenka;
- iyo saamiga serum pepsinogen I / pepsinogen II ee ka yar 2.9.
Maxay yihiin Dhibaatooyinka Achlorhydria?
Sida kor ku xusan, dhiig-yaraanta macdanta birta iyo qadarinta B12 ayaa ku dhici kara achlorhydria. Mid ka mid ah dhibaatooyinka soo bixi kara sababtoo ah cilladahaasi waa lafo beelid, taas oo keeni karta jabka, gaar ahaan misigta.
Dhibaato kale waa metaplasia mindhicirka, halkaas oo unugyada caloosha iyo hunguriga ku baddalaan unugyada laga helo mindhicirka. Tan waxaa loo yaqaan xaalad la yiraahdo Barrett ee hunguriga .
Ugu dambeyn, sababtoo ah ma jirto saliid kiimiko ah oo la soo saaro caloosha, waxaa dhici karta in bakteeriyadu kordhiso. Xanuunkani wuxuu u horseedi karaa infakshanka H. plyori, kaas oo sababi kara boogaha lafdhabarta , wuxuuna keeni karaa nafaqo yar yar oo keeni karta dhibaatooyinka neerfaha, sida isbedelka aragtida, niyadda, shakhsiyadda, iyo guitarka; tabardarnaanta gacmaha iyo lugaha; tingling ama kabuubyo suulasha iyo faraha; quruxda; iyo luminta xusuusta iyo xakamaynta dhaqdhaqaaqa jirka.
Sidee loo daaweeyaa Achlorhydria?
Sababta achlorhydria-gaaga ayaa go'aamisa waddadaada daaweynta. Tusaale ahaan, haddii isticmaalka joogtada ah ee PPIs ay yihiin sidaad u sameysay xaaladaas, talaabada koowaad ee dhakhtarkaagu waa inuu joojiyaa markaad qaadato daawooyinkaas, iyo sidoo kale H2 xannibaadaha sidoo kale.
Haddii uu jiro kaneeco aan bini-aadanimo ahayn oo lagu eedeynayo, tallaabooyin ayaa loo qaadi karaa si loo helo xaaladdan. Asal ahaan, ma jiro hal daaweyn oo la doorto, laakiin dhakhtarkaagu wuxuu ogaan doonaa daaweynaha ku haboon qaybtaada achlorhydria.
Ilaha
Betesh AL, Santa Ana CA, Cole JA, Fordtran JS. "Ma Achlorhydria waa Sababta Ba'an ee birta?" Am J Clin Nutr. 2015 Jul; 102 (1): 9-19. doi: 10.3945 / ajcn.114.097394. Epub 2015 2015 May 20.
Cojocaru M et al. "Muuqaalka dheef-shiid kiimikaadka ee Cudurrada Nolol-badbaadinta ah ee Cusbitaalka." Maedica (Buchar). 2011 Jan; 6 (1): 45-51.
Divyanshoo RK et al. "Achlorhydria" Medscape. Apr 29, 2015.