Ndi sing'anga mmimba, ndi mlingo wa kuchimwa Kodi

Chimbudzi - ndi zovuta multistage zokhudza thupi ndondomeko imene chakudya (mphamvu ndi zakudya thupi), analandira mwa mundawo m'mimba, amaloŵamo makina ndi mankhwala mankhwala.

Makamaka ndondomeko ya chimbudzi

Chimbudzi zikuphatikizapo makina (wetting ndi umapezeka) ndi mankhwala yobwezeretsanso. The ndondomeko mankhwala zikuphatikizapo angapo masiteji yosiyanasiyana komanso yogawanika zinthu zovuta kuti zinthu chosavuta, amene ndiye odzipereka mu m'magazi.

Iwo ubwera ndi nawo lamulo la michere kuti imathandizira njira mu thupi. The catalysts opangidwa ndi zopangitsa kwa m'mimba ndi gawo timadziti ndi tochoka ndi iwo. Education michere zimatengera mtundu wa sing'anga mmimba, m'kamwa zibowo zam'mano ndi mbali zina za mundawo m'mimba wayikidwa kuti nthawi ina.

Atakhoza pakamwa, pharynx ndi kum'mero, chakudya akulowa m'mimba monga chisakanizo cha madzi ndi particulate mano zolimba. osakaniza anali mchikakamizo cha madzi muzituluka mu misa madzi ndi theka-madzi amene bwinobwino osokonezeka chifukwa makoma peristalsis. Kenako pakubwera duodenum, kumene kuli zina processing michere.

Chikhalidwe cha chakudya amadalira zimene sing'anga mkamwa ndi m'mimba unakhazikitsidwa. Mwachibadwa, mu m'kamwa zibowo zam'mano alkalescent chilengedwe. Zipatso timadziti ndi chifukwa kuchepa m'kamwa madzi pH (3.0) ndi mapangidwe malo acidic. Zamgululi zokhala ndi ammonium ndi urea (menthol, tchizi, mtedza), malovu kungachititse kuti anachita zamchere (pH 8,0).

Kapangidwe m'mimba

M'mimba - chiwalo dzenje limene chakudya awasungira, pang'ono m'mimba ndi odzipereka. Chiwalo ili mu theka chapamwamba zonse m'mimba. Ngati ife lembani mzere umodzi kupyolera Mchombo ndi nthiti, pafupifupi 3/4 la m'mimba kumanzere kwa izo. Akuluakulu, buku la m'mimba ndi pafupifupi malita 2-3. Ngakhale wonyeketsa lalikulu zedi chakudya ilo limakula, ndipo ngati anthu njala - yafupika.

The mawonekedwe a m'mimba zingasiyane malinga ndi kudzazidwa chakudya ndi mpweya komanso malinga ndi chikhalidwe cha ziwalo loyandikana: kapamba, chiwindi, intestine. Mawonekedwe a m'mimba ndi zimakhudza mmene mpanda wake.

The m'mimba ndi gawo yaitali thirakiti m'mimba. Pakhomo ndi sphincter minofu (pyloric vavu) - Gawo akusowa chakudya kuchokera kum'mero mu m'mimba. Part, pafupi ndi malo a pakhomo kholingo, wotchedwa mtima. Lamanzere lake ndi pansi m'mimba. The gawo pakati amatchedwa "thupi muzituluka."

Pakati antral (kumene) limba ndi duodenum ndi mlonda wina. kutsegula ndi kutseka ake kulamulira zikuchitika mankhwala kumasulidwa ku intestine yaing'ono.

Features ya kapangidwe ka khoma m'mimba

Linga la mmimba wodzaza ndi zigawo zitatu. Lamkati wosanjikiza - mucosa izi. Ndipamene makutu, ndi padziko lonse ali ndi zopangitsa (pali pafupifupi 35 miliyoni) yotulutsa asidi m'mimba, m'mimba michere cholinga kwa processing mankhwala chakudya. Ntchito ya zopangitsa izi Mzimuyo amene sing'anga mmimba - zamchere kapena acidic - udzakhazikitsidwe pa nthawi inayake.

Submucosa ali ndi dongosolo wokongola wakuda atagonjetsa mitsempha ndi mitsempha ya magazi.

Wosanjikiza chachitatu ndi m'chimake amphamvu kuti imakhala ulusi yosalala zofunika processing ndi Kankhani chakudya.

Kunja m'mimba yokutidwa wandiweyani chipolopolo - peritoneum.

Chapamimba madzi: kapangidwe ndi mbali

Udindo waukulu pa siteji ya chimbudzi chimagwira madzi muzituluka. The zopangitsa m'mimba ndi osiyanasiyana mu dongosolo, koma udindo waukulu mu mapangidwe chapamimba maselo madzimadzi kusewera secreting pepsinogen, acid amathiridwa ndi mucoid mankhwala (mamina).

madzi m'mimba ndi uncoloured madzi odorless kudziŵa zimene sing'anga akhale mmimba. Iye ali ndi kutchulidwa acidic. Phunziro pa kudziwika pathologies aluso Easy kudziwa malo alipo mu akusowekapo (kudya) mmimba. Izi amaganizira kuti acidity wabwinobwino wa madzi kusala kudya ndi wotsika, koma kwambiri pamene analimbikitsa katulutsidwe.

Munthu kutsatira zakudya zabwinobwino masana opangidwa malita 1.5-2.5 wa madzimadzi muzituluka. The ndondomeko zikuluzikulu zomwe amapezeka m'mimba - ndi akuwaza koyamba kwa mapuloteni. Popeza madzi chapamimba kumakhudzanso katulutsidwe wa catalysts za ndondomeko ya chimbudzi, zimaonekeratu wotani chilengedwe cha michere mimba yogwira - mu chidulo ndi.

Michere umatulutsa ndi zopangitsa kwa mucosa chapamimba

Pepsin - ndi puloteni kiyi wa madzi m'mimba, ndi kulowerera kuwonongedwa kwa mapuloteni. Chifukwa amapangidwa ndi zochita za acid amathiridwa ku kalambulabwalo wake - pepsinogen. Pepsin ndi za 95% wa chapamimba madzi akuwaza ntchito. mmene zochita zake mkulu, kunena zitsanzo zenizeni 1 g wa nkhaniyi ndi chokwanila maola awiri kudya makilogalamu 50 dzira woyera ndi mkaka curdle malita 100,000.

Mucin (chapamimba ntchofu) osakaniza zovuta zinthu chiyambi mapuloteni. Limakwirira mucosa chapamimba pamwamba lonse ndi kuteteza izo kuchokera kuwononga makina ndi ku autodigestion ya kutha kufooketsa ntchito ya acid amathiridwa, mwa kulankhula kwina - kuti n'chongoletsa.

The m'mimba ndi pano lipase - puloteni yomwe imaphwanya mafuta. Muzituluka lipase maloaktivna ndipo makamaka amakhudza mkaka mafuta.

nkhani ina lidziwe kutchulidwa - imapititsa mayamwidwe a mavitamini B _12, biermerin. Kumbukirani kuti vitamini _B12 M'pofunika kulanda hemoglobin magazi.

Udindo acid amathiridwa ku chimbudzi ndi

acid amathiridwa imayendetsa michere muzituluka ndi amathandiza chimbudzi mapulotini chifukwa imawachititsa pathupi ndi tithe kumvetsa kumasulira kwake. Komanso, amapha mabakiteriya kulowa thupi ndi chakudya. acid amathiridwa adzamasulidwa ku Mlingo yaing'ono, mosasamala chimene sing'anga m'mimba, izo kusungunuka chakudya kapena mulibe.

Koma katulutsidwe ake amadalira nthawi ya tsiku: anapereka mlingo osachepera katulutsidwe chapamimba anati nthawi kuchokera 7 mpaka 11 am, ndi pazipita - usiku. Pa chiphaso cha chakudya katulutsidwe m'mimba asidi ndi analimbikitsa ndi kuwonjezeka ntchito za vagus mitsempha chapamimba distension ndi mankhwala zigawo zikuluzikulu kukana chakudya pa mucosa lapansi.

ndi sing'anga mmimba imatengedwa muyezo, ponseponse ndi kupatuka Kodi

Ponena za zimene sing'anga m'mimba mwa munthu wathanzi, tisaiwale kuti mbali zosiyana za thupi ndi makhalidwe osiyana pH. Choncho mtengo waukulu ndi 0,86 pH, ndi osachepera - 8.3. Standard muyeso wa acidity m'mimba pa chopanda kanthu m'mimba ndi wofanana 1.5-2.0; padziko lamkati la mucous wosanjikiza chizindikiro pH 1,5-2,0, pamene akuya wosanjikiza izi - 7,0; mapeto a m'mimba zimasiyanasiyana 1,3-7,4.

Matenda a m'mimba anayamba chifukwa cha vutoli asidi ndi neyolizatsii ndipo mwachindunji amadalira mtundu wa chilengedwe mmimba. Nkofunika kuti mfundo pH nthawi zonse bwinobwino.

Yaitali hypersecretion asidi hydrochloric kapena zosalongosoka kislotoneytralizatsiya kumabweretsa mwai acidity m'mimba. Pa nthawi yomweyo kukhala ndi kudwala kwa acid.

Low acidity khalidwe la hypoacid gastritis (gastroduodenitis), khansa. Chizindikiro gastritis ndi wotsikirapo acidity ndi 5,0 pH ndi zambiri. matenda makamaka kuyambika maselo wa chapamimba mucosa manja kapena kukanika awo.

Gastritis ndi aakulu secretory akusowa

The kudwala amapezeka odwala mwauzimu ukalamba. Nthawi zambiri ndi sekondale, kuti kusiyana pa maziko a wina, isanafike matenda ake (mwachitsanzo, chosaopsa chapamimba zilonda) ndipo ndi chifukwa cha sing'anga mu m'mimba - zamchere, mu nkhani iyi.

Pa chitukuko ndi Inde matendawa amakhala ndi kusapezeka kwa seasonality bwino ndi pafupipafupi exacerbations, mwachitsanzo nthawi ya asayembekezere ndi nthawi sizimadziwika.

Zizindikiro kulephera secretory

• Zonse belching ndi kukoma yoola.
• Kunyansidwa ndi kusanza pamene pachimake.
• Anorexia (kusowa chilakolako).
• Kumverera kwa kulemera m'dera epigastric.
• Alternating m'mimba ndi kudzimbidwa.
• Flatulence, kugunda ndi kuika mu pamimba.
• Kutaya syndrome: kumverera chizungulire pambuyo ingestion zakudya zimam'patsa kuti kumachitika chifukwa polandirira msonkho chayandikira cha chyme kuchokera m'mimba mu duodenum, pa kuchepetsa ntchito muzituluka.
• kuwonda (misa kuchepetsa mpaka makilogalamu ochepa).

Gastrogennaya m'mimba bwino zimayamba ndi:

• maldigested chakudya kulowa m'mimba;
• ndi vutoli lakuthwa mu ndondomeko ya chimbudzi cha CHIKWANGWANI zakudya;
• inapita chapamimba kunali kuphwanya kutseka ntchito sphincter;
• kuphwanya ntchito bactericidal;
• kuvutika kwa kapamba.

Gastritis ndi katulutsidwe labwinobwino kapena kukwezeka

matenda ndi ambiri achinyamata. Iwo ali khalidwe chachikulu, ndiye zizindikiro adzawonekera mwadzidzidzi wodwala, poyamba, iye sanaganize m'chaching'ono anasonyeza ena ululu komanso subjectively adadzikweza wathanzi. Matendawa amapezeka ndi alternating exacerbations ndi wotopa, popanda seasonality kutchulidwa. Kudziwa matenda enieni m'pofunika kuonana ndi dokotala, kotero kuti anaika kumupima, kuphatikizapo chida.

Mu gawo pachimake, chogwidwa ndi ululu ndi syndromes dyspeptic. Ululu kawirikawiri bwino zokhudzana ndi chakuti, amene sing'anga m'mimba anthu pa nthawi ya chakudya. Ululu syndrome limapezeka pafupifupi nthawi yomweyo pambuyo chakudya. Pasanathe kusokoneza kudya ululu ina (patapita kanthawi chakudya), mwina osakaniza zace.

Zizindikiro za kuchuluka ntchito secretory

• Ululu nthawi wofatsa, nthawi zina limodzi ndi kuthamanga ndi kulemera mu epigastrium lapansi.
• zowawa mochedwa kwambiri.
• syndrome Dyspeptic akuwonetseredwa burp "wowawasa" mpweya, ndi kukoma zosasangalatsa pa kamwa, kulawa matenda, nseru, kusanza relieves ululu.
• Odwala akukumana kutentha, nthawi zina wosaneneka.
• matumbo dyspepsia syndrome anaonetsa m'mimba kapena kudzimbidwa.
• Kawirikawiri anasonyeza neurotic syndrome, yodziwika ndi waukali, kusintha maganizo, kugona, pereutomlyaemostyu.