Kodi ma kapamba amapanga mahomoni ati?
Zikondazo zimapangidwa ndi magawo awiri: exocrine, yomwe imangokhala 98% ya England ndi chamba - munjira yazinthu zochepa.
Idipatimenti ya endocrine imayang'anira kubisala kwa madzi am'mimba komanso kuwongolera njira zomwe zimachitika mu duodenum, komanso imakhutiritsa zam'mimba zam'mimba ndi michere.
Gawo la endocrine ndi lomwe limayang'anira kupanga mahomoni.
Ntchito ya mahormoni
Kasitomala amatulutsa mahomoni awiri - glucagon ndi insulin. Ma cell a Alpha amatenga nawo gawo popanga glucagon, ndipo ma cell a beta amatenga nawo mbali popanga insulin. Kuphatikiza pa mitundu iwiriyi ya ma cell, chitsulo chimakhalanso ndi maselo a delta omwe amapanga somatostatin.
Kodi ma kapamba amapanga mahomoni ati?
Insulin yaumunthu imagawidwa m'mitundu iwiri: yolimbikitsidwa ndi yoyambira.
Mtundu woyambira umasiyana chifukwa umalowa m'magazi osafunikira. Chitsanzo cha zotayika zotere zimatha kupanga insulin pamene chakudya sichilowa mthupi, ndiko kuti, pamimba yopanda kanthu.
Magazi a glucose wamagazi saposa 5.5 mmol / L, pomwe mulingo wa insulin uyenera kukhala 69 mmol / L.
Mtundu wokondowezedwa umayambitsidwa ndi malingaliro omwe amayamba chifukwa cha kudya zakudya komanso kulowa kwa amino acid ndi glucose m'magazi. Ntchito yachinsinsi ya timadzi timeneti timapangidwa chifukwa cha mankhwala osokoneza bongo omwe ali ndi sulfonylurea.
Kukondoweza kwa insulin kumachitika m'magawo awiri:
- Mwachidule ndikutulutsidwa kwa timadzi kwa m'magazi.
- Wosakwiya ndi kapangidwe ka timadzi tambiri.
Kuphatikiza apo, zinthu zosiyanasiyana zokhala ndi chimbudzi zimapangidwanso pano. Mndandandandawu umawonetsa zomwe ma enzymes omwe kapamba amapanga:
- Zinthu zomwe zimagwira pama protein ndi trypsin, chymotrypsin, carboxypeptidases A ndi B, elastase, ribonuclease.
- Zinthu zomwe zimatha kugaya chakudya chopatsa mphamvu: amylase, invertase, maltose, lactose.
- Zinthu zokhoza kugwetsa mafuta. Awa ndi cholineterase ndi lipase.
Zikachitika kuti kapamba satulutsa ma enzymes, kapena ngati kuperewera kwawo kulipo, pali enzyme yolumikizidwa ndi matenda opatsirana.
Udindo wamahomoni
Udindo wa kapamba pakupanga insulin ndi glucagon ndikuwongolera kagayidwe kazakudya ndi lipid metabolis, komanso kukhudzanso kugawa kwa shuga kuchokera m'madzi am'magazi kupita ku minofu.
Ntchito yake yayikulu ndi kapangidwe ka lipocaine, kamene kamagwira ntchito yoletsa ndi kusintha maselo a chiwindi.
Pankhani ya kuperewera kovuta, kapamba akapanda kupanga zokwanira izi, kuperewera kwa mahomoni kumayambira pakugwira ntchito kwa thupi, komwe kumachitika chifukwa chongopeza, komanso zolakwika zobadwa nazo.
Kusakhalapo kapena kusowa kwambiri kwa somatostatin kumabweretsa kubwera kwa zosokonezeka zosiyanasiyana mu thupi ndi kusokonezeka muyezo wa kagayidwe kachakudya.
Kodi insulin imapangidwa bwanji
Pazomwe ma kancon amapanga, kukhazikitsa mafuta kagayidwe m'thupi lonse kumapangidwa.
Ngakhale asanapangidwe ndi insulin, pazomwe amapanga maselo a beta, thunthu la proinsulin limabisidwa. Yokha, si mahomoni. Njira yotembenukira kwake imachitika mothandizidwa ndi Golgi zovuta, komanso kupezeka kwa mankhwala ena apadera a enzymatic. Pambuyo pa kusintha kwake pakapangidwe ka maselo, amasintha kukhala insulin. Kenako kubwezeretsanso kwake kumachitikanso, komwe kumakunkhunizidwa ndikukutumiza, komwe kumachotsedwa pokhapokha pakufunika thandizo ngati thupi litumiza zizindikilo.
Ngati zapezeka pazambiri zake m'magazi, izi ziyenera kuonedwa ngati chizindikiro kuti thupi silimakana kubisalira kwa mahomoniwa, komwe kumalumikizidwa ndi kusatha kwa ma receptors omwe amachititsa kagayidwe kazachilengedwe kuti azindikire ndikuwononga ngoziyi. Zotsatira zake, matenda omwe amatchedwa shuga amayamba kukula. Zotsatira zake ndikuti mafuta omwe amalowa mthupi samakonzedwa kapena kuyamwa, ndichifukwa chake kuyesa kwa magazi kumawonetsa shuga wambiri wamwazi.
Zizindikiro zakuwoneka kwa matenda otere popanda kuyesa ndi ludzu lochulukirapo, lomwe limalumikizidwa ndi kuthekera kwa glucose kuyamwa chinyezi. Izi zikutanthauza kuti silisankhidwe m'magazi, limapangitsa kuchepa thupi.
Zomwe zimapangitsa kuti amasulidwe a insulin
Zikondazo zimatulutsa ma enzymes ndi mahomoni, mosamala kwambiri kumva kusintha kochepa kwa shuga m'magazi. Chifukwa cha izi, zimapereka zizindikilo kwa thupi kuti ziyambe kupanga mapangidwe a insulini yambiri kapena zokhudzana ndi kufunika kwake ndikuchepetsa ndikutumiza kumalo osungira.
Matenda a shuga akayamba, mabowo a endocrine gland amasintha komanso amasokoneza ntchito zomwe zimachitika. Pamenepa, kwa odwala matenda ashuga pali mndandanda wazinthu zomwe zimapangidwa kuti zigwiritsidwe chifukwa cha shuga wambiri, zomwe thupi silingathe kupirira nazo. Izi ndi makeke ndi maswiti, uchi, zopatsa mphamvu zamafuta, komanso shuga wabwino. Kuchuluka kwa shuga m'magazi kumabweretsa kutsika kwambiri kwa ma cell a beta omwe amachititsa kuti insulini ipangidwe, ndipo kungayambitse kufa kwawo kotheratu.
Zikondazo zimatulutsa glucagon m'maselo a alpha. Zomwe zimapanga matumbo zimatulutsa timadzi tating'onoting'ono timene timapangidwanso ndi adrenaline synergist. Hormone ya pancreatic iyi imayang'anira kuwongolera njira ya lipolysis ndi kuthamanga kwake, komanso imakhudzanso mwachindunji glycogenolysis m'chiwindi.
Ntchito yofunikira kwambiri ya kapamba m'thupi la munthu ndikobisalira kwa mahomoni osiyanasiyana omwe amachititsa kuti chakudya chikhale ndi chimbudzi.
Kapangidwe kake ka ntchito ya chiwalo
Nkhope ndiyo ndulu yayikulu kwambiri pa zonse zomwe zili m'thupi la munthu. Imakhala ndi mawonekedwe ndipo ili kumbuyo kwa m'mimba, moyandikana ndi duodenum ndi ndulu. Kutalika kwake mwa munthu wamkulu ndi 13-20 cm, ndipo kulemera kwake kumakhala pafupifupi 60-80 g.
Mphepoyi imakhala ndi zigawo zitatu zikuluzikulu - mutu, thupi ndi mchira, pomwe zilumba zambiri zimapezeka, zobisika ndi zinthu zina zamagaya ndi mahomoni. Kuphatikiza apo, m'mapangidwe amtunduwu mumakhalanso mathero amanjenje ndi ganglia, ziwiya ndi zimbudzi, zomwe zimatsimikizira kutuluka kwa michere yam'mimba ndi zinthu zina zakanyumba zopangidwa mu duodenum.
Popeza kuti kuli zisumbu zambiri zapa pancreatic ndipo onse amachita ntchito zawo, gululi lagawidwa pawiri:
Gawo la Endocrine
Mu gawo la endocrine pali zisumbu zambiri, zomwe zimagawika pancreatic ndi zisumbu za Langerhans. Kusiyana kwawo sikungokhala ma cellular, komanso morphological komanso physicochemical. Zisumbu za Langerhans zimakhala ndi ma cell a endocrine omwe amachititsa kuti mahomoni ena azikhala, popanda izi, kayendetsedwe ka kagayidwe kachakudya mu thupi kamakhala kosatheka.
Ndipo tikalankhula za zomwe ma pancreas amapanga, kapena makamaka, zisumbu zake za Langerhans, ndiye kuti zotsatirazi ziyenera kufotokozeredwa:
Potere, ma cell onse a endocrine a kapamba ali ndi kusiyana kwawo ndi mayina:
- Ma cell a Alfa. Amakhala pafupifupi 20% ya chiwerengero chonse cha maselo a pancreatic. Ntchito yawo yayikulu ndikupanga glucagon.
- Maselo a Beta. Amapanga kuchuluka kwakukulu kwa chiwonetserocho ndipo amakhala 70% ya maselo onse omwe ali m'gululi. Ntchito yawo ndikupanga insulini, yomwe imayambitsa kuphwanya ndi kunyamula glucose m'mizimba ya thupi. Komabe, ngakhale ndizochuluka, maselo a beta ndi omwe ali osatetezeka kwambiri. Mothandizidwa ndi zinthu zoyipa (ukalamba, zizolowezi zoyipa kudya, ndi zina), magwiridwe antchito awo amakhala operewera ndipo amawonongeka, chomwe chimayambitsa mavuto osiyanasiyana azaumoyo.
- Maselo a Delta. Chiwerengero chawo ndizochepa kwambiri. Amangokhala ndi 5-10% yokha ya kuchuluka kwa ma cell a pancreatic. Kutenga nawo gawo popanga somatostatin.
- Maselo a PP. Amakhala ndi gawo laling'ono la kapamba (pafupifupi 2-5%) ndipo amathandizira kuphatikiza polanceptide ya pancreatic.
Mbali yodzikongoletsa
Gawo lokakamiza la kapamba limakhala ndi ma ducts omwe amachokera mu michere yonse yamatumbo yomwe imalowa mu duodenum. Kuphatikiza apo, kuchuluka kwa ma ducts awa ndi kwakukulu. Amakhala pafupifupi 95% ya kuchuluka konse kwa zofunitsa.
Ma cell omwe amapanga exocrine pancreas ali ndi ntchito yofunika kwambiri. Ndi iwo omwe amapanga kaphatikizidwe ka madzi a kapamba, omwe ali ndi michere yofunikira pakukodola chakudya ndi mayamwidwe abwinobwino a michere.
Pancreatic timadzi ntchito
Mu thupi laumunthu, ma mahomoni osiyana ndi kapamba amapangidwa ndipo ntchito zawo, ndizosiyana. Hormoni iliyonse imakhala yapadera, ndipo kusowa kwa imodzi mwa izo kumabweretsa zovuta zosiyanasiyana.
Hormone iyi ndi m'gulu la mahomoni a polypeptide omwe ali ndi zovuta kupanga. Insulini imakhala ndi maunyolo awiri, omwe amalumikizidwa ndi milatho yama mankhwala.
Hormon ya pancreatic iyi imagwira ntchito zofunika kwambiri. Kuchita kwake kumapangitsa kuti shuga azikhala ndi shuga ndikumagawa glucose m'mankhwala opepuka ndi kuwagawira maselo ndi minyewa ya thupi, potero amawakwaniritsa ndi mphamvu yofunikira pakuchita bwino.
Kuphatikiza apo, insulin imapereka mawonekedwe mu minofu ndi chiwindi cha glycogen, yomwe imapanganso kudzera mu zochita zina za glucose. Thupi ili (glycogen) ndilofunikanso m'thupi la munthu, chifukwa limapereka mphamvu zake ngati pali shuga (mwachitsanzo, komanso kuchuluka kwa thupi).
Komanso, ndikuthokoza insulini kuti glycogenolysis ndi glyconeogeneis sizichedwa kuchepa, zomwe zimalepheretsa kugwira ntchito kwa chiwalochi. Ndipo insulin imakhudzanso machitidwe owonongeka kwa mafuta, osaloleza kuti isweke mosafunikira, komanso imalepheretsa mapangidwe a matupi a ketone m'thupi.
Homoni wina yemwe kapamba amapanga. Ilinso m'gulu la mahomoni a polypeptide, koma ilinso ndi amino acid ochepa. Glucagon magwiridwe antchito ndi insulin. Ndiye kuti, ntchito yake ikufuna kuthana ndi ma lipids mu minofu ya adipose komanso kuwonjezereka kwa kuchuluka kwa shuga m'magazi, zomwe zimachitika ndi maselo a chiwindi. Komabe, ngakhale izi zili, glucagon samalolanso kuchuluka kwa shuga m'magazi kukwera kuposa zofunikira, kudziteteza.
Koma musaiwale kuti kapamba amatulutsa mahomoni ena omwe amathandizanso kuchepetsa matenda a shuga. Ndipo zimaphatikizapo cortisol, adrenaline ndi mahomoni okula. Komabe, mosiyana ndi mahomoni awa, glucagon imaperekanso kuwongolera kwa cholesterol yamagazi ndikuthandizira kubwezeretsa maselo owonongeka a chiwindi. Nthawi yomweyo, glucagon amalimbikitsa kuchotsa kwa mchere kuchokera mthupi, womwe umayikidwa m'malo olumikizirana mafupa ndi impso, ndikupanga mtundu wa madipoziti, zomwe zimatsogolera ku mawonekedwe a edema.
Glucagon, ngakhale imasokoneza insulin, imakhala ndi gawo lofunikira mthupi. Ndi kuchepa kwake, magwiridwe antchito a kapamba amasokonezeka ndipo zoopsa zopezeka ndi zotupa zoyipa mkati mwake zimachulukanso kangapo.
Somatostatin
Hormone iyi ilinso polypeptide. Ntchito yake yayikulu ndikuwunikira kuchuluka kwa mahomoni ena a pancreatic. Popeza ngati zopinga zawo sizichitika, kuchuluka kwama mahomoni ena kumaonekera m'thupi, komwe kumakhudzanso thanzi.
Kuphatikiza apo, somatostatin imathandizira kuti muchepetse kupanga ma enzymes am'mimba ndi bile, zomwe ndizofunikanso kwambiri, chifukwa ngati zimapangidwa mosalekeza, izi zidzatsogolera ku ma pathologies akulu kuchokera m'matumbo am'mimba, omwe ali ndi pancreatitis, gastritis, matenda a zilonda zam'mimba, etc.
Pancreatic hormone secretion chisokonezo
Thupi laumunthu limapangidwa mozama. Ndipo njira zonse zomwe zimachitika mmalo mwake sizinaphunzire mpaka pamapeto pake. Komabe, gawo la kapamba ndi mahomoni ake ladziwika kwa nthawi yayitali. Popanda iwo, njira yothandiza yogaya chakudya ndi kagayidwe kachakudya imakhala yosatheka.
Munthu akakhala ndi kuchepa kwamapangidwe am'madzi a pancreatic, amayamba kupanga matenda osiyanasiyana omwe amadziwika ndi:
- kupweteka kwa hypochondrium,
- kuphwanya mpando
- kumva kuwawa m'mimba,
- kuchuluka kwa mpweya,
- kusowa tulo komanso mantha okwanira,
- kusanza ndi kusanza
- kamwa yowuma, etc.
Ngati chisonyezo chimodzi chikuwoneka kuti chikulepheretsa kugwira ntchito kwamphamvu, ndikofunikira kuti:
- zamankhwala amwazi
- kusanthula kwa magazi ndi mkodzo,
- gastroendoscopy,
- ultrasound yam'mimba,
- CT, etc.
Ngati, malinga ndi zotsatira za kuyesedwa, kutsika kwazosakhazikika kwa mahomoni apachifungo, kukonzekera kwa mahomoni kumayendetsedwa ndikuwonetsetsa kuti kutsirizika kwawo ndikudziwika kwa njira zogaya chakudya ndi kagayidwe kachakudya. Koma pambali pawo, chithandizo chowonjezeranso chimagwiritsidwa ntchito, zomwe zimapangitsa kuti kuthetseratu zomwe zimayambitsa matenda m'thupi. Zina mwazomwe zingakhale ndi mankhwala othana ndi kutupa, antispasmodics, ndi blockers a receptor osiyanasiyana, etc.
Tiyenera kumvetsetsa kuti kapamba ndiye gawo lalikulu la chimbudzi. Ntchito yake ndi yovuta komanso yosatetezeka, chifukwa chake ayenera kutetezedwa kuyambira ali ana, kuyang'anira kudya kwake mosamala ndikupewa mayesero osiyanasiyana mwanjira ya mowa kapena kusuta. Kupatula apo, zonsezi zitha kutulutsa kapamba mosavuta mu ntchito, zomwe zingawononge chida chonse cha thupi.
Kodi chitsulo chimagwira ntchito bwanji?
Chiwalo chimagawika m'magawo awiri - ichi exocrine ndi endocrine. Onsewa amatumikira kukwaniritsa ntchito zawo. Mwachitsanzo, gawo la exocrine limakhala gawo lalikulu la kapamba ndipo limagwira ntchito kuti ipangitse madzi a m'mimba, omwe ali ndi ma enzyme ambiri ofunikira pakugaya chakudya (corboxypeptidase, lipase, trypsin, etc.).
Mapulogalamu a endocrine amapezeka tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono totsekemera totsegulira tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tating'ono tambiri ". Ntchito yawo ndikugawana mahomoni omwe ndiofunika kuti akhalepo, omwe amatenga gawo mwachindunji mu mafuta, chakudya komanso mapuloteni a protein.Koma ntchito za kapamba sizimathera pomwepo, popeza chiwalochi, chophatikiza mahomoni ena, chimatulutsa chakudya cham'mimba, chimagwira nawo gawo lakumaphwando kwa chakudya komanso kukondoweza kwake. Kutengera ndi momwe kapamba angagwirire bwino, thanzi la anthu limatha kusiyanasiyana.
Kapangidwe ka gland ndi "zisumbu za Langerhans"
Gulu la zinthu zopangidwa
Ma hormone onse opangidwa ndi pancreatic gland amalumikizana kwambiri, chifukwa chake kuphwanya kapangidwe ka imodzi mwazomwe zimatha kudzetsa matenda owopsa mthupi ndi matenda omwe amafunika kuthandizidwa kwa moyo wanu wonse.
Zikondazo zimatulutsa mahomoni otsatira:
- insulin
- glucagon,
- somatostatin,
- pancreatic polypeptide,
- vaso-peptide,
- amylin,
- centropnein,
- gastrin
- vagotonin,
- kallikrein
- lipocaine.
Matenda a pancreatic
Iliyonse yamahomoni omwe ali pamwambawa imagwira ntchito yake, potero imayendetsa kagayidwe kazinthu m'thupi la munthu, komanso imakhudza kugwira ntchito kwamakina osiyanasiyana.
Udindo wa kapamba m'mimba
Kufunika kwachipatala kwamafuta a pancreatic
Ngati ndi mahomoni opangidwa ndi kapamba, zonse ndizomveka, ndiye kuti ndizofunikira zomwe amachita, zonse ndizovuta kwambiri. Ganizirani mahomoni aliwonse opindika.
Mwa mahomoni onse omwe kapamba amapanga, insulin imadziwika kuti ndi yayikulu. Zimathandizira kuchepetsa misempha ya magazi. Kukhazikitsa kwa njirayi kumachitika chifukwa cha njira zotsatirazi:
- kutsegula kwa nembanemba am'maselo, chifukwa momwe maselo amthupi amayambira kuyamwa bwino,
Ntchito ya insulin m'thupi
Zindikirani! Kukhalapo kwa kuchuluka kwa insulini m'magazi kumalepheretsa kukula kwa atherosulinosis, kumachepetsa cholesterol "yoyipa" ndikuletsa kulowa kwa mafuta acids mu dongosolo lamagazi.
Kutengera ndi ntchito zomwe zimachitika, glucagon moyenerera imatha kutchedwa kuti antagonist wa insulin. Ntchito yayikulu ya glucagon ndikuwonjezera kuchuluka kwa shuga m'magazi, omwe amapezeka chifukwa cha ntchito zotsatirazi:
- kutsegula kwa gluconeogenesis (kupanga shuga m'magazi osapangidwa ndi calcium),
- mathamangitsidwe a ma enzyme, chifukwa pomwe pakutha kwa mafuta kuchuluka kwa mphamvu kumawonjezeka,
- pali kusweka kwa glycogen, yemwe kenako amalowa m'magazi.
Popeza glucagon ndi mtundu wa peptide wa mahomoni mu kapangidwe kake, imayang'anira ntchito zambiri ndipo kuchepa kwa chiwerengero chake kungasokoneze kugwira ntchito kwamakina ambiri.
Pancreatic Polypeptide
Tinazindikira kuti mahomoniwa sanakhalepo kalekale, akatswiri asanaphunzirepo zonse machitidwe ake ndi njira zothandizira thupi lathu. Zimadziwika kuti pancreatic polypeptide imapangidwa pakudya chakudya chokhala ndi mafuta, mapuloteni ndi glucose. Imagwira ntchito zotsatirazi:
- kutsitsa kuchuluka kwa zinthu zopangidwa ndi michere yokugaya,
- kutsika kwa minofu kamvekedwe ka ndulu,
- kupewa kutulutsidwa kwa bile ndi trypsin.
Zindikirani! Malinga ndi kafukufuku wambiri, pancreatic polypeptide imalepheretsa kuwononga zinyalala za bile ndi pancreatic enzymes. Ndi kuchepa kwa mahomoni awa, njira za metabolic mthupi zimasokonekera.
Vaso-Interior Peptide
Chodabwitsa cha timadzi ta neuropeptide iyi ndikuti imatha kupangika osati ndi kapamba, komanso maselo am'mimba ndi ubongo, matumbo ang'ono ndi ziwalo zina. Ntchito zazikuluzikulu za peptide ya vaso-kwambiri zikuphatikiza:
- Matenda a kapangidwe ka pepsinogen, glucagon ndi somatostatin,
- Kuchepetsa kuyamwa kwa madzi ndi makoma a matumbo aang'ono,
- kutsegula njira biliary,
- kaphatikizidwe ka michere ya kapamba,
- kusintha magwiridwe antchito a pancreatic gland kwathunthu, zomwe zimathandiza kuwonjezera kuchuluka kwa ma bicarbonates.
Komanso, peptide yamphamvu kwambiri imathandizira kayendedwe ka magazi m'makoma a ziwalo zamkati, makamaka, matumbo.
Ntchito yake yayikulu ndikukulitsa kuchuluka kwa ma monosaccharides, omwe, nawonso, amateteza thupi ku glucose wambiri m'magazi. Amylin amathandizanso pakupanga somatostatin, kuchepa thupi, kusintha kwa reninangiotensin-aldosterone dongosolo ndi glucagon biosynthesis. Izi sizinthu zonse zachilengedwe zomwe amylin amafunikira (mwachitsanzo, zimathandizira kuchepetsa kulakalaka).
Centropnein
Chinthu china chopangidwa ndi kapamba. Ntchito yake yayikulu ndikuwonjezera lumen ya bronchi ndikuyambitsa ntchito yopumira. Kuphatikiza apo, zinthu zomanga thupi izi zimaphatikizira kuphatikizika kwa oxygen ndi hemoglobin.
Lipocaine Centropnein. Vagotonin
Thupi longa mahomoni lopangidwa ndi m'mimba ndi kapamba. Gastrin imathandizira kuti magayidwewo akhale ambiri, kutsegulira kwa kapangidwe ka puloteni wa puloteni (pepsin) komanso kuchuluka kwa m'mimba.
Tcherani khutu! Kukhalapo kwa gastrin mthupi kumathandizanso kugaya kwamatumbo (imatchulidwanso kuti "yotsatira"), yomwe imatheka chifukwa chachulukitsa cha secretin, somatostatin ndi mahomoni ena a peptide a m'matumbo ndi kapamba.
Gastrin - ndi chiyani
Cholinga chachikulu cha chinthu ichi ndi kukhazikika m'magazi komanso kuthamangitsa magazi. Komanso vagotonin amachepetsa ntchito ya glycogen hydrolysis mu minofu minofu ndi chiwindi.
Vagotonin amakhala ndi shuga m'magazi
Kallikrein
Chinthu china chopangidwa ndi pancreatic gland. Munthawi yomwe kallikrein ili mu kapamba, imagwira ntchito, koma italowa duodenum, timadzi timene timagwira, ndikuwonetsa mphamvu zake zamagulu a shuga.
Kuchita kwa timadzi timene timateteza kuti tisadwale m'mimba monga chiwindi, zomwe zimachitika chifukwa cha kuyambitsa kwa mafuta acids ndi phospholipids. Lipocaine imathandizanso kusintha kwa zinthu zina za lipotropic, kuphatikizapo choline ndi methionine.
Njira Zodziwitsira
Kuphwanya kupanga kwa mahomoni amodzi a pancreatic gland kungayambitse matenda osiyanasiyana omwe samakhudzana ndi kapamba, komanso ziwalo zina zamkati. Zikatero, thandizo la gastroenterologist limafunikira, yemwe asanapereke njira yothandizira, ayenera kufufuza mozama kuti adziwe zoyenera. Njira zotsatirazi ndizomwe zimachitika pang'onopang'ono chifukwa cha kupweteka kwa kapamba.
Kuzindikira matenda a kapamba
Gome. Kudziwitsa za kapamba.
Dongosolo dzina | Kufotokozera |
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Kuunika kwa Ultrasound ndi njira imodzi yodziwika komanso yothandiza yofotokozera matenda a kapamba ndi ziwalo zina zamkati. Ndi chithandizo chake, ndizotheka kudziwa neoplasms, cysts, mawonekedwe a miyala kapena kukula kwa njira yotupa. | |
Mukukonzekera kwa endo-ultrasonography, minofu ya kapamba imatha kuunikidwa kuti musinthe ma pathological. Komanso, pogwiritsa ntchito njirayi, dokotala amawunika ma lymph node, ngati pakufunika. | |
Njira yodziwira matenda a pancreatic gland, monga mothandizidwa ndi tomography mungathe kuwona njira za atrophic, pseudocysts ndi ma neoplasms osiyanasiyana. | |
Mwa njirayi, kuwunika kwakukulu kwa minofu ya pancreatic kumachitika. Ndi chithandizo chake, mutha kuzindikira njira yotupa ndikuwona ngati zilonda zopunduka kapena zowoneka bwino zayamba kupangika. | |
Kuyesa kwa magazi ndi mkodzo | Kutengera ndi zotsatira za mayesowa, mutha kudziwa kuchuluka kwa amino acid, bilirubin mwachindunji, seromucoid ndi zinthu zina zomwe zikuwonetsa kukula kwa matenda. |
Pakufufuza kwamankhwala opangira ndowe, dokotala amatha kudziwa ma protein, mafuta, minofu kapena ulusi - zonsezi zimawonetsa kuphwanya kapamba. |
Zindikirani! Kuphatikiza pa njira zodziwonera pamwambapa, dokotala atha kukulemberanso njira ina - kuyesa kwamwazi wamagazi. Mosiyana ndi kuwunika kofala, kuyezetsa magazi a biochemical kumakupatsani mwayi woti muzitha kudziwa matenda opatsirana, komanso mtundu wawo.
Zomwe zimayambitsa kusalingana kwa mahomoni
Monga taonera kale, mahomoni azinthu zofunikira kwambiri pakubowoleza. Ngakhale kuphwanya kochepa komwe kaphatikizidwe kamene kamayambitsa kumatha kubweretsa zovuta zazikulu (matenda, kusakwaniritsidwa kwa machitidwe ena kapena ziwalo, ndi zina).
Dongosolo la endocrine laumunthu
Ndi kuchuluka kwa mahomoni a pancreatic gland, mwachitsanzo, kupangidwe koyipa (nthawi zambiri motsutsana ndi maziko a kuchuluka kwa glucagon) kapena glycemia (wokhala ndi insulin yambiri m'magazi) kumatha kuchitika. Ndizotheka kudziwa kuti kapamba ikugwirira ntchito moyenera komanso ngati kuchuluka kwa mahomoni ndikwabwinobwino, pokhapokha atayeza mayeso. Ngozi ili m'lakuti matenda ambiri omwe amayambitsidwa ndi kuchepa kapena kuchuluka kwa mahomoni amatha kuchitika popanda chisonyezo chilichonse. Koma kuphwanya malamulo kumatha kuwonedwa ndikuwunika zochita za thupi lanu kwakanthawi.
Norm, hypo- ndi hyperglycemia
Choyamba, muyenera kulabadira mfundo izi:
- kutsika kwamawonedwe owoneka,
- kudya kwambiri (wodwalayo sangadye kwambiri),
- kukodza pafupipafupi
- kutuluka thukuta kwambiri
- ludzu lalikulu ndi kamwa yowuma.
Udindo wamahisitiri apachifwamba pakugwira ntchito kwa thupi la munthu sungathe kuchepetsedwa, chifukwa ngakhale ndi kusokonezeka pang'ono mu kapangidwe ka mahomoni awa, ma pathologies akulu amatha kukhala. Chifukwa chake, tikulimbikitsidwa ngati njira yodziwira yoyeserera yoyeserera ndi madokotala kuti tipewe zovuta zapanchipi. Ndikokwanira nthawi 1-2 pachaka kukafunsira kwa dokotala kuti amupime pafupipafupi kuti asangotaya matenda osiyanasiyana a mu pancreatic gland, komanso mavuto ena ndi kugaya chakudya. Ndikulimbikitsidwanso kukayezetsa apo ndi madotolo ena, mwachitsanzo, ndi dotolo wamano, dermatologist, neuropathologist.