Nā hana o ka pancreas ma ke kino o ke kanaka

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ʻAʻohe wahi kūpono ʻole i ke kino o ke kanaka. A ʻōnaehana o nā ʻāpana a i ʻole nā ​​kelepona liʻiliʻi - like ko lākou waiwai.
ʻO nā kūloko olakino ke kumu o ke ola pilikia ʻole.
Akā ʻokoʻa nā kūmole i ka mau mea i loko o kahi hoʻolālā ʻoi aku ka nele o ka "makemake" no ka ho'ōla pilikino. Hoʻomaka ka hoʻomaka ʻana i hoʻokahi - a hele hewa nā mea ola holoʻokoʻa.

No laila hikiʻole i ka pancreatic dysfunction ke hopena i nā hopena weliweli o ka maʻi maʻi. A no ka mea, pau ka hormone wale nō e pau ai ka hana.

Ua aʻo hou mākou e pili ana i ka hānau ʻana o ka insulin a pehea e hana ai ka ʻoihana hormonal "Pancreas".

ʻO ka hao me nā mea huna

Hoʻekaʻaila ( Pancreas) e pili ana i ka kūnaehana ʻana, hana ikaika ia i ka hoʻowalewale ʻana a i ka hana o nā metabolism. Ua hōʻailona ʻo ia i ʻelua mau mea huna:

  • hoʻowelewua ia mea o ka pancreatic wai
  • hona

Aia ka pancreas ma ka kiko retroperitoneal o ka ʻōpū ʻeha. Aia ia ma hope o ka ʻōpū, pili pono i ka duodenum, a pākaʻi i ka pua. Hele puni ka ʻono i luna o ke poʻo o ka wahī, hana ʻehā. Mai ka hope, ʻike ka wahi i ka I-II lumbar vertebrae.

Ua hoʻokaʻawale ka ʻanomi ma kēia ʻāpana i kēia mau ʻāpana.

  • poʻo
  • kino
  • ka huelo.
I kekahi pākeke, ʻo ka lōʻihi o ka pancreas he 14 a 22 cm, ke aniani o lalo kahi 3 cm, a kau ke kino i ka 70-80 g.
Loaʻa nā kumu o nā ʻano like ʻole i ka lula a holo i loko o ka duodenum.
ʻUlaʻulaʻula ka ʻulaʻula ʻōlaʻi.

Hola pancreatic

Hālau kaʻina

ʻO ka hana exo-function o ka pancreas ka hana ʻana o nā huina e kōkua i ka hoʻokaʻawale ʻana i ka meaʻai a hoʻokaʻawale i nā protein, nā kalowa a me nā momona mai laila.

Aia ka lipase, amylase a me ka protease i loko o ka mea huna huna (waiʻai pancreatic), kahi i hana ʻia me ka acini o ka pancreas a me nā kumu wai.

  • Hoʻopau ʻo Amylase i nā māhele o ka mea i kālai ʻia
  • ʻO Trypsin, trypsinogen a me ka protease ke kuleana no nā protein
  • Hoʻokomo ka lipase i nā meaʻai momona
Acini - nā puka hoʻopulapula (100-150 micons), nona nā keʻena kahi i hoʻopaʻa ʻia (ʻoihana ʻenima) a me kahi wai hoʻomoina.
I kēlā me kēia lā, hiki i ka pancreas ke hana ma mua o ʻelua mau lita o ka wai pancreatic i ka wikiwiki o 4.7 ml i hoʻokahi minuke.
ʻO ka hōʻailona no ka hoʻoneʻe ʻana o nā enzymes ʻo ka loaʻa ʻana mai ka ʻōpū i loko o ka duodenum o nā huahana i kaʻina e ka wai ʻōpū. Hoʻohui ʻia ka hana ʻana o ka wai pancreatic ma hope o nā minuke 2-3 ma hope o ka hoʻomaka ʻana o ka ʻai a hoʻomau ʻia ma kēia ʻano mai ka 6 a hiki i 14 hola.

Mālama ka lōʻihi i ka nui a me ke ʻano o ka meaʻai. ʻOi aku ka kiʻekiʻe o ka wai o ka meaʻai e hoʻokaʻawale ʻia e nā mea huna gastric, ʻoi aku ka nui o ka wai i loaʻa ka hopena alkaline. Ma ka duodenum 12, kūʻokoʻa ia i nā (alkalizes) nā huahana digestion.

Ke hana nei ka pancreas i "ma ke kauoha", ʻo ia hoʻi, e huna ai i ka enzyme, kahi nui e koi ʻia e kaona maoli i nā meaʻai i hoʻouna ʻia mai ka ʻōpū i ka duodenum i kēlā manawa.

I ka hihia o ka synta o ke ʻano o nā enzymes, lawe ka iwi liʻiliʻi i ka hana hoʻololi. I ka manawa like, e hoʻomoʻoweliweli nā mea kālai ʻia i ka māme like ʻole, a huikala nā momona a me nā polokalamu.

Ka hana Endocrine

Mawaena o ka acini ʻO nā mokupuni pancreatic o Langerhans - ʻāpana endocrine o nā kuhi waiwai. ʻO nā ʻenehana insulin e hoʻokumu ai i kēia mau mokupuni:

  • insulin
  • nāonaona
  • somatostatin
  • vasoactive intestinal polypeptide (VIP)
  • ʻO ka polypeptide pancreatic

I loko o ka pancreas o kahi pākeke, aia ma kahi o 1-2 miliona mau pika pancreatic.

Nā maʻi pancreatic

Insulin
Ke ʻole o ka insulin, nā hana metabolic i nā umauma a pau o ka nalo i ka hoʻolālā. ʻO ke koko kahi e hoʻoweliweli ʻia ai ka piʻi ʻana o ka glucose.

Hoʻokomo ʻo Insulin i nā membranes plasma e hiki ai i ka glucose, hoʻoulu i kona oxidation (glycolysis) a me ka hoʻokumu ʻana o ke kaila o ke kino - glycogen. Mahalo i ka insulin, ke kino ikaika ʻo ke kino i nā momona a me nā protein a emi iho me ka ikaika o ka haki i nā momona a me ka glycogen hana hou mai ka meaʻai.

ʻO ka maʻamau, e hua ʻia ka insulin e like me ka pae o ka glucose i ka plasma koko. Inā nā hale ʻalani hōʻole i ka pancreas e hana i ka insulin - aia kahi type 1 diabetes mellitus (kūlohelohe nui insulin. Hoʻopilikia ʻia nā maʻi diabetes 2 like ʻole (ka nele o ka inikina insulin) inā ʻaʻole i hana pono ka inika i ka nui.

Hoʻolau
Hoʻonohonoho kēia hormon nā huakaʻi alpha pancreas, ma hope koke iho la kahi emi o ka nui o ka pona i ke koko ua hoʻopaʻa ʻia. ʻO kāna hana e kū'ē i ka insulin.

Hoʻopili ka Glucagon i ka glycogen i hōʻiliʻili i ka ate a hoʻoulu i ka ate i kona ulu hou. A ma nā mea kino ʻē aʻe a me ke koko, e hoʻonui ka nui o nā glucose i kahi mau minuke.

ʻAʻole lawa ka synthesis o ka glucoseagon i ka hypoglycemia.

Somatostatin
Hone e pale i kahi somatotropin (ulu i ka hormone). Aia nā hanana ʻepekema e ʻōlelo ana i ka wikiwiki o ka hana somatostatin e pale i ka ulu ʻana o ka tumors malignant.

I ka pancreas, hōʻemi ka hormone i ka hana o ka insulin a me ka glucagon.

Polipule Pancreatic
Aia a hiki i kēia manawa, ʻaʻole hiki ke wehe ʻia kāna hana. Manaʻo nā kānaka ʻepekema ʻo PP ke kuleana no ka "conduction" o ka lepa a no ka hoʻoponopono parasympathetic.

ʻO nā haʻawina o ke kiʻekiʻe o ka PP e ʻae iā ʻoe e hōʻike i nā maʻi like ʻole o ka pancreas.

ʻO ka pīpī polacheptide ʻōpū o Vasoactive
Hoʻomaopopo kēia polypeptide pehea "e hoʻomaha ai i nā musie maaloka i nā ʻōnaehana āpau - mai nā kīʻaha koko a hiki i sphincters.

ʻO ka maʻi mellitus a me nā pancreas

ʻO ka lawaʻole a i ʻole ka nele o ka insulin, ʻo ia hoʻi, kahi halaʻole o kāna hana, alakaʻi i ka hoʻonui o ka pae o ka glucose (gula) i ke koko i kahi pae koʻikoʻi. ʻO nā kuleana beta pancreatic ke hōʻino. Hoʻokumu ʻia kā lākou hana maikaʻi i ka hoʻomohala ʻana i ka maʻi diabetes.
Nā pilikia a me nā hemahema

  • ʻO nā maʻi o ka ʻōnaehana kūwili a me nā kīʻaha koko, ke ola ʻole kūpono, a me kahi kiʻekiʻe kiʻekiʻe o ke koʻikoʻi pili i ka pancreas, a ma muli o ka hōʻole ʻana i ka hoʻoulu ʻana i ka hormone nui.
  • Hoʻokomo ʻia ʻo Atherosclerosis i nā pilikia o ke kaomi. Hoʻomoʻa ka ola i nā kaʻina metabola.
  • ʻO nā maʻi a me nā haukolu-ʻeha ke pale aku i ka hana pancreatic.
  • ʻO ka lapalapa o ka hao a me ka hemahema o nā protein a me ka zinc e kau i ka hao i ke idle.

Hiki i nā inikini insulin maʻamau ke kōkua i ka hoʻopiʻi ʻana no ka maʻi pancreatic. Aia kahi ʻōpiopio o ka hana huna.

Kūlike nā ʻōhua ma ke ʻano o ke kaila o ka manawa, ke kāʻai a me ka haʻuki.
No kēia, ua hoʻokumu ʻia nā mea lapaʻau kūikawā: 0,5 - 1 papa no ka kg o ka nui o ka lā.
ʻO nā ala holomua o ka kōkua ʻana i nā mea maʻi me ka maʻi hānai me ka hoʻokomo ʻana i ka hana basal (hana lōʻihi) a me nā insulins hana pōkole. Hoʻokomo ʻia ka Basal i ke kakahiaka a me ke ahiahi, pōkole ma hope o kēlā me kēia pāʻina, e lawe ana i nā hāmeʻa.

Hoʻololi i ka maʻi maʻi. ʻAʻole hōʻoia nā ʻepekema i ka hiki ke hoʻihoʻi i ka hana o nā hana insulin i ka pancreas. No laila, ʻo ka pale ʻana ʻana o ka maʻi he 99% ʻoi aku ka maikaʻi ma mua o ka mālama ʻana.

Hoʻopilikia i nā maʻi pancreatic

ʻO ke kūlana mua no ka hana kūpono o ka pancreas ka maʻamau o ka meaʻai.

ʻO ke kūpono, ua ʻōlelo ʻia e kāpae i ka 80% o ka momona holoholona maʻamau. Pono kā lākou hāhai i ka aila e hana i kāna mau āpau a hoʻokuʻu i ka nui o nā enzyme. ʻO ka neʻe pinepine ʻana i ka wai pancreatic i alakaʻi i ka ʻoiaʻiʻo e hoʻomaka ka kelepaʻi e hoʻokaʻalili iā ia iho. Aia ka maʻi - lōkohu. ^ E Ha yM. Ua kapa ʻia ʻo ia hoʻi "ka maʻi ʻaluna."

Hoʻopili ka waiʻona i nā kīʻaha e hānai i ka pancreas a hoʻonāukiuki i ka make o nā pū me ka hana o ka hormone. Inā loaʻa nā kaukau no ka hoʻopiʻi nui ʻana o ka ʻawaʻawa no ka palupalu, a laila no ka pancreas he nui iki lākou e hiki ke hoʻohālikelike ʻia i loko o kahi ʻāpana. Hoʻomaʻamaʻa koʻikoʻi i nā wai paʻakikī i nā wahine. No laila, ʻōlelo pono nā poʻe loea e mālama ka poʻe mālama i kā lākou pancreas i ka wai a me ka ulaula (e like me ke ʻano o ka vasoconstrictor hana) piha.

E maʻalahi ka maʻalahi i ka gland i mea e kūpono i ka nui o nā enzyme inā e hoʻohana ʻoe i ka papa hana.
ʻO nā haʻuki, ke maluhia a me ka meaʻai e hāʻawi i nā hopena pale maikaʻi loa.
ʻO ia hoʻi, pono e ʻai ʻia kekahi mau meaʻai i kēlā me kēia manawa i ka manawa like. ʻO ka koho maikaʻi ʻoi aku ka mālama ʻana i ka nui o nā karama, nā palaka a me nā momona i loli ʻole i kēlā me kēia lā no ka ʻaina kakahiaka, ka ʻaina awakea a me ka pāʻina.

Mālama mākou i nā mea āpau a mākou e noʻonoʻo ai i kā mākou waiwai. ʻO ka manawa e hoʻohui i kahi kelima liʻiliʻi 12 kenimika i ka papa inoa o nā hale, nā kaʻa a me nā moʻokāki kālā. Manaʻo ia ua ʻoi aku ka maikaʻi o ka pancreas maikaʻi ma mua o nā puka āpau a me nā metala kūpono. I kēia manawa ʻoe e ʻike i ka nui o ia mea a me ka mea e hana ai, e ʻoi aku ka maʻalahi e mālama iā ia i ke ola hoʻokō.

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