Chii Chaunofanira Kuziva Nezve Yakakwira Dumbu Acid

Zvemukati

• Chii chinogona kukonzeresa mudumbu acid?
• Ndezvipi zviratidzo?
• Ndeipi mhedzisiro yeakakwira mudumbu acid?
• Pane zvinhu zvine njodzi here?
• Ndedzipi nzira dzekurapa?
• Chinokosha

Dumbu rako basa nderekubatsira kugaya chikafu chaunodya. Imwe nzira yainoita izvi kuburikidza nekushandiswa kwedumbu acid, inozivikanwawo segastric acid. Chinhu chikuru chemudumbu acid ihydrochloric acid.

Iyo yekumusoro yedumbu rako inowanzo viga mudumbu acid. Chakavanzika ichi chinodzorwa zvese nemahomoni uye neyako system yetsinga.

Dzimwe nguva dumbu rako rinogona kuburitsa rakawandisa mudumbu acid, izvo zvinogona kutungamira kune akati wandei asingafadzi zviratidzo.

Chii chinogona kukonzeresa mudumbu acid?

Kune akati wandei mamiriro anogona kutungamira kune yakakwira dumbu acid. Kazhinji, aya mamiriro anotungamira mukuwedzeredza kwehomoni gastrin. Gastrin ihormone inotaurira mudumbu rako kuti ibudise yakawanda mudumbu acid.

Zvimwe zvezvikonzero zvinowanzoitika zvinosanganisira:

• Kudzokorodza asidhi hypersecretion: H2 blockers imhando yemishonga inogona kudzikisa mudumbu acid. Dzimwe nguva, vanhu vanobva pamushonga uyu vanogona kuve nekuwedzera kwemudumbu acid. Pane humbowo hwekuti izvi zvinogona zvakare kuitika mushure mekuuya kubva kune proton pump inhibitors (PPIs), kunyangwe ichi chiri.
• Zollinger-Ellison chirwere: Nechiitiko chisingawanzoitika, mamota anonzi gastrinomas fomu mupancreas uye ura hudiki. Gastrinomas inoburitsa yakakwira gastrin, iyo inokonzeresa mudumbu acid.
• Helicobacter pylori hutachiona:H. pylori rudzi rwehutachiona hunogona kukonzeresa dumbu uye hunokonzera maronda. Vamwe vanhu vane H. pylori hutachiona hunogona zvakare kuve neakakwira mudumbu acid.
• Gastric nzira yekubuda. Kana nzira inotungamira kubva mudumbu ichienda mudumbu ura yakavharwa, inogona kukonzeresa mudumbu acid.
• Kusingaperi itsvo kutadza: Mune zvimwe zviitiko zvisingawanzoitika, vanhu vane itsvo kutadza kana avo vari kurapwa dialysis vanogona kuburitsa yakakwira gastrin, zvichitungamira mukuwedzera kugadzirwa kwemudumbu acid.

Izvo zvakakoshawo kuti uzive kuti dzimwe nguva chikonzero chaicho cheakakwira mudumbu acid hachigone kuzivikanwa. Kana chikonzero chemamiriro acho chisingakwanise kutsanangurwa, zvinonzi idiopathic.

Ndezvipi zviratidzo?

Zvimwe zviratidzo zvekuti iwe unogona kunge uine yakakwira mudumbu acid zvinosanganisira:

• kusagadzikana kwemudumbu, uko kunogona kuve kwakaipisisa padumbu risina chinhu
• kusvotwa kana kurutsa
• kuzvimba
• chirungurira
• manyoka
• kuderera kwechido
• kusanzwisisika kuonda

Zviratidzo zveakakwira mudumbu acid zvakafanana zvikuru kune zveimwe mamiriro ekugaya.

Iyo inogara iri zano rakanaka kuti uone chiremba wako kana iwe ukakudziridza zvinoramba zvichingodzokorodza zviratidzo zvekugaya. Chiremba wako anogona kushanda newe kuti ubatsire kuongorora chinokonzera zviratidzo zvako uye kugadzira chirongwa chekurapa.

Ndeipi mhedzisiro yeakakwira mudumbu acid?

Kuva nezinga rakakwira remudumbu acid kunogona kuwedzera njodzi yako yekukudziridza mamwe mamiriro ane hukama nemudumbu. Izvi zvinosanganisira:

• Peptic maronda: Peptic ulcers zvironda zvinogona kukura kana gastric acid yatanga kudya kunze kwekumhara kwedumbu rako.
• Gastroesophageal Reflux chirwere (GERD): GERD mamiriro mune iyo dumbu acid inodzokera kumusoro kwako.
• Kubuda ropa mudumbu: Izvi zvinosanganisira kubuda ropa chero munzira yako yekugaya.

Pane zvinhu zvine njodzi here?

Zvimwe zvezviitiko zvinogona kuisa njodzi mukukudziridza yakakwira mamimba edumbu acid anosanganisira:

• Mishonga: Kana iwe ukatora mishonga kudzikisa dumbu acid kugadzirwa uye wozobva pakurapwa, unogona kukura uchikwirisa mudumbu acid. Nekudaro, izvi zvinowanzo gadzirisa zvega nekufamba kwenguva.
• H. pylori hutachiona: Kuva neanoshingaira H. pylori hutachiona hutachiona mudumbu rako hungatungamira mukuwedzera kwemudumbu acid.
• Genetics: Vanenge makumi maviri neshanu kusvika makumi matatu muzana yevanhu vane gastrinomas - mamota ayo anowanikwa mupancreas kana duodenum - vane nhaka yehunhu inonzi inonzi endocrine neoplasia mhando 1 (MEN1).

Ndedzipi nzira dzekurapa?

Yakakwira mudumbu acid inowanzo kurapwa neprotein pombi inhibitors (PPIs). Iyi mishonga inoshanda kudzikisa dumbu acid kugadzirwa.

PPIs dzine anopfuura H2 blockers. Dzinowanzopihwa nemuromo, asi dzinogona kupihwa neIV mune zvakakomba zviitiko.

Kana yako yakakwira mudumbu asidhi inokonzerwa ne H. pylori hutachiona, iwe unozopihwa maantibayoti pamwe nePPI. Mishonga inorwisa mabhakitiriya inoshanda kuuraya mabhakitiriya apo iyo PPI ichabatsira kudzikisa kugadzirwa kwemudumbu asidi.

Dzimwe nguva kuvhiyiwa kunogona kukurudzirwa, sekubvisa gastrinomas muvanhu vane Zollinger-Ellison syndrome. Pamusoro pezvo, vanhu vane maronda akakomba vangangoda kuvhiyiwa kuti vabvise chikamu chedumbu (gastrectomy) kana vagus nerve (vagotomy).

Kana kuora moyo kuri chimwe chezviratidzo zvako, unogona kuita shanduko yekudya kuti ubatsire kudzikisa zviratidzo zvako:

• kudya zvidiki uye kakawanda kudya
• kutevera chikafu chakaderera-carb
• kudzikisira kunwa kwako doro, caffeine, uye zvinwiwa zvine kabhoni
• kudzivisa chikafu chinoita kuti chirungurira chiwedzere

Chinokosha

Dumbu rako acid rinokubatsira iwe kupaza uye kugaya chikafu chako. Dzimwe nguva, yakakwira kupfuura yakajairwa huwandu hwedumbu acid inogona kugadzirwa. Izvi zvinogona kutungamira kuzviratidzo senge kurwadziwa kwepamuviri, kuda kurutsa, kubhowa, uye kurwadziwa kwechirungurira.

Kune zvikonzero zvinoverengeka zveakakwira mudumbu acid. Mienzaniso inosanganisira H. pylori hutachiona, Zollinger-Ellison syndrome, uye mhedzisiro yemhedzisiro kubva pakurapa kwemishonga.

Kana ikasiiwa isingarapwe, mudumbu mudumbu midhi inogona kutungamira kumatambudziko senge maronda kana GERD. Ona chiremba wako kana iwe ukagadzira chero zviratidzo zvekuzeya izvo zvinoramba zvichiramba, zvichidzokororwa, kana zvine chekuita.