o c h lig id a n a h o r g a tu ta d ig a n o g kriq la r o kn ikki b a r m o q li ic h a k yarasi
va se k r e ts iy a n in g k u c h a y is h i u c h u n xarak terlid ir.
H a z m a ’zo la ri kasalligida is h ta h a pasayishi ( s u r u n k a li gastrit,
m e ’d a ch iq ish jo y in in g to ra y ish i), is h ta h a k u c h a y ish i yoki susayishi
m u m k i n . I s h t a h a n i n g b u t u n l a y y o kq o lis h i — a n o r e k s i y a o kt k ir
g a s tr itd a va o s h q o z o n o ‘s m a s id a k u z a tila d i. M e ' d a - i c h a k y ara
k asa llik larid a is h ta h a s a q la n a d i, lek in b e m o r o g kr i q d a n q o ‘rqib
o v q a t y e m a y d i. I s h ta h a b u z ilg a n d a o v q a tn i t a n l a b yeyish xo h ish i
kuzatiladi, o ‘t k ir gastrit va o s h q o z o n o ‘s m a sid a b e m o r y o g kli o v q a t-
lar, g o ‘s h tn i k o krgisi k e lm a y d i. A k s in c h a , u l a r d a yeb b o klm a y d ig a n
m o d d a l a r n i yeyish ishtiyoqi t u g ‘iladi ( o h a k , gilvata).
Kekirish kardial q is m o c h iq b o l g a n d a o s h q o z o n n i n g qisqarishi
n atijasid a v u ju d g a keladi. H id siz , h a v o b ila n kekirish (aero fa g iy a)
h a v o y u tg a n d a k u za tilad i. U u z o q d a n h a m eshitilib tu ra d i. G a z li
kekirish o s h q o z o n d a g i o v q a tn in g a c h is h i d a n kelib c h iq a d i. H id siz
ga z b ila n kekirish k a r b o n a t a n g id rid ajralib c h i q q a n d a kuza tilad i.
P a la g kd a tu x u m h id ig a o kx sh a sh k e kirish u z o q tu r ib q o lg a n oq silla r
p a r c h a lin is h i n atijasid a s o d ir b o kladi. Kislotali kekirish o s h q o z o n
shirasi ishlab c h iq a r ilis h k u c h a y g a n d a , o kt su y u q lig in in g o s h q o -
z o n g a tu sh ish i n atijasida yoki kislotalilik o s h g a n d a kuza tilad i.
Q iz ig a n y o g k hidiga o kx sh a sh k e kirish kislotalilik k a m a y g a n d a
y o k i e r k i n x l o r i d k i s l o t a k a m a y g a n d a , o s h q o z o n u z o q v a q t
b o ksh a m a y tu rg a n d a va u n d a h a r xil o rg a n ik kislotalar hosil b o klganda
k u z a tila d i.
Z a r d a b o klish (jig’ild o n q a y n a s h i) k o kp i n c h a kislotalilik o sh ib
k e tg a n d a k u za tilad i, a m m o u kislotalilik p asa y ib k e t g a n d a h a m ,
h a tto o s h q o z o n shirasida erkin xlorid kislota b o ‘lm a g a n d a h a m paydo
b o i i s h i m u m k in . K o kp i n c h a z a r d a qilish q iz ilo kn g a c h n in g pastki
qism ida va achishish sezgisi bilan kechadi. Kardiya sohasida joylashgan
sfin k te rn in g yetish m o v ch ilig i va sh u tufayli m e ’dadagi su y u q lik n in g
y e tis h m o v c h ilig i tu fayli m e ’d a d a g i s u y u q lik n in g q i z i l o ‘n g a c h g a
q ay tib ch iq ish i z a r d a b o l i s h i g a sab a b b o kladi.
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