Hoʻokomo ka hana pancratic Exocrine ma muli o ka hana o nā acinus. Hoʻopau nā puna o kēia hana hana i ka wai pancreatic.
Hoʻohui i ka hana exocrine, hana ka pancreas i kahi hana endocrine, ka mea e hui ai i ka hana o nā hormones i hoʻopili i ka hoʻoponopono ʻana i nā hana kūlohelohe o ke kino.
ʻO nā hormones nui i hana ʻia e ka pancreas he insulin, glucagon, somatostatin, he peptide varoactive a me ka pancreatic polypeptide.
Ma muli o ka hana exocrine, hana ke kino i kahi o 1,5-2 lita o nā wai o ka digestive e loaʻa nei nā enzyme i loko o ke kaʻina hana ʻana.
Wahi a ka ʻōnaehana wai, lawe ʻia nā wai pancreatic i loko o ka lumen duodenal.
Ka mea e pono ai ka hoʻoneʻe ʻana o ka wai o loko o ka ʻōiwi:
- ka pōmaikaʻi e hoʻohiolo i nā meaʻala e hoʻomake ai i nā meaʻai;
- wai
- Nā bicarbonate ions, e hoʻopili i ka alkalization o ka wai ʻōpū o ke komo ʻana i ka duodenum me ka ʻai o ka ʻōpū.
ʻO ka huna ʻia o nā enzyme e hoʻoponopono ʻia e nā hormones i hana ʻia i loko o nā ʻōpū a me ka ʻōpū.
ʻO ka hoʻohui ola e lawaiʻa ana i ka hoʻoponopono hormonal o ka hana hana a ka kīʻaha:
- Cholecystokinin.
- Kūlokoā.
- Gastrin.
ʻO kēia mau māhele bioactive a pau e hānai i ka hana ʻana o ka hana pancreatic.
Hoʻololi ʻia ka hana ʻana o nā hormone a pane i ke kū ʻana o nā pā o ka ʻōpū ma ke ʻano he kikoʻe o nā pā o ka pūpū a me nā ʻāpana o kona hoʻopiha ʻana iā lākou i ka meaʻai. Hoʻokomo ʻia ka hoʻouluʻana o nā hormones e nā pancreatic wai, kahi i komo i loko o nā pāʻai ma hope o ka ʻai ʻana.
Nā hana ʻimi a pancreatic
ʻO kekahi o nā hana nui, ʻo ia ka hana ʻana i nā enzyme pancreatic.
Hāʻawi kēia mau kaomi i ka hoʻokaʻina ʻana o nā ʻano meaʻai like ʻole.
Nā kumuhana i hana ʻia e ka pancreas i kekahi mau hui.
ʻO ka hui helu nui o nā enzyme he proteases. ʻO ka hoʻonui pinepine ʻia o kēia ʻano o nā enzyme pancreatic ma muli o nā ʻano like ʻole o nā protein.
ʻO nā enzymes proteolytic e hoʻoili i nā hoʻohui pūmua me nā mea ikaika aʻe e pili ana i kēia:
- kakalimpe;
- ʻaʻā elastase;
- trypsin;
- kalalapala.
Eia ka mea i hoʻopili ʻia, hao ka mea:
- Lipase - kahi hoʻohui e wāwahi ai i nā momona.
- ʻO Amylase kahi hana ikaika e hoʻokaʻawale i nā polysaccharides.
- ʻO nā nuklea kahi paʻakikī o nā enzyme e hōʻoia i ka wehe ʻana o nā waikona nukle.
Inā he pilikia ka hana ʻana o nā ʻāpana o ka pancreatic wai, nā ʻano hewa ʻole o nā kino kūwaho e mālama ʻia, ka mea e hoʻopiʻi ʻia ai ka ʻai piha ʻana o nā meaʻai a me nā maʻi metabolic.
ʻO nā hanaʻole i ka hoʻouluʻana o nā enzymes e alakaʻi i ka hoʻomohalaʻana o ka lawa o ka pancreatic exocrine.
Hōʻino ʻia ka hana exocrine pancreatic
ʻO ke kumu o nā hana function exocrine pancreatic ʻo ia ka hoʻomohala ʻana o nā maʻi ʻōpū. ʻO ka pinepine pinepine ka mea i hele mai i kēia kūlana ma muli o ka nāwī o ka kiko i nā pancreatitis aʻeha paha a ke kaumaha paha ke hele ʻana o ka maʻi ʻaʻa.
Hoʻopilikia ka hana o Exocrine i ka hapa nui o nā poʻe maʻi me ka maʻi pancreatitis maʻi.
Ua hōʻoia i ka pili ʻana i ka ʻepekema hōʻike ʻana ma waena o ka hiki ʻana o ka hōʻole ʻole, ka uahi a me ka maʻi pancreatitis.
ʻO nā kumu ʻē aʻe o ka hoʻomohala ʻana o ka maʻi penei:
- ʻO ka neoplasm oncological i nā umauma o nā kelepona.
- Hoʻopau i kahi hana mahele o kahi ʻāpana o ka papa.
- ʻO ka uluʻana o nā blockage o nā kumu papa pancreatic.
- Ke hoʻomohala ʻana o ka copaac enteropathy.
- ʻO ka holoʻana o kahi maʻi Crohn.
- ʻO ka holomua o ka pancreatitis autoimmune.
- Naʻi maʻi mellitus.
- ʻO ka hoʻolālāʻana i ke kino o Zollinger-Ellison.
- ʻO nā kūlana postoperative ma hope o ka hoʻomaʻamaʻa ʻana i ka haki kūwili ʻana.
- ʻO ka hoʻomohala ʻana o ka maʻi hoʻokele.
ʻO kekahi kumu nui no ka holomua o ka pancreatic insufficiency ka holomua i ka kino o ka mea maʻi o ka cystic fibrosis a i nā cystic fibrosis, kahi kaʻina hana genetically i hoʻopaʻa ʻia ai ke kūkulu ʻana i kahi mānoanoa ākea a viscous e hoʻopili ana i nā puna o ka pancreas a me bronchioles i ʻike ʻia i loko o nā digestive and respiratory system.
ʻO ka hōʻailona nui o ka hana hewa i loko o ke kino he indigestion a me ke ʻano o nā maʻi dyspeptic.
Hōʻike ʻia kēia kūlana me ka hōʻike ʻana o nā hōʻailona nui:
- polyfecals;
- nā kīwaha pinepine a hāwau;
- ke ʻano o ka momona i nā feces;
- ka hopena o ka pua pinepine ʻana;
- mea kaumaha.
I ka hihia o ka hoʻolālāʻana o ka nele o ka endocrine, hoʻomohala ka mea maʻi i ka mellitus maʻi mellitus. ʻOi aku ka maʻalahi o kēia ʻano maʻi o ka maʻi maʻi ma mua o ka maʻi diabetes. ʻO kēia ma muli o kaʻoiaʻiʻo ʻaʻole nā pūnaewele āpau o nā kahakai o Langerhans.
ʻO ka pinepine, ʻo nā mea maʻi ma hope o ka wā e koi ai i ka hoʻomaka ʻana o nā dosis hou o ka insulin.
I kekahi mau pilikia, ka mea i hoʻololi i ke kiʻekiʻe o ka glucose koko me ka hoʻohana ʻana i kahi lāʻau kūikawā a me nā lāʻau lapaʻau hypoglycemic kūikawā.
Nā hōʻailona a me ke nānā ʻana i ka maikaʻi o exocrine
ʻO ke kūlana o ka lawaʻole hikiʻole ke paʻakikī i kahi maʻi. ʻO kēia ke kumu o ka maʻi āpau o kēia ʻano kuʻuna i ka like me nā hōʻailona o nā maʻi ʻē aʻe, ma waena o nā maʻi āpau e like me ka maʻi bowel syndrome, nā ulia peptic, cholelithiasis, nā hana maʻi i loko o ka ʻōpū a me nā mea ʻē aʻe he nui.
ʻO ka hōʻike maʻamau maʻamau o ka hala ʻole o ka hana exocrine ka mea e loaʻa mai ana i ka maʻi maʻamau a me ka pohō.
ʻO kekahi hōʻailona ʻē aʻe o nā pathology paha ka hoʻomohala ʻana o ka hypovitaminosis, i hōʻike ʻia i loko o nā kui palupalu a me ka lauoho.
ʻO ka pilikia o ka nānā ʻana i kahi kūlana patological e kū nei ma ka mea ʻaʻole i kū ʻole a hiki i ke neʻe ʻana o ke io a hiki i 90% o kāna mau hana hana. I loko o kēia manawa, ʻaʻole hōʻike ka mea maʻi i nā maʻi a he kīpē maʻamau.
No ka hōʻoia a hōʻoia paha i ka maʻi maʻi, ua hōʻike ʻia kekahi mau hōʻike lāʻau hoʻohālikelike, me nā:
- ʻO ka loiloi Fecal.
- ʻO kahi hōʻike koko no ke kō me ka ukana.
- Hoāʻo koko no nā huaora a me nā momona momona.
- Hoāʻo koko no ke kō.
Hoʻohui ʻia, hana ʻia nā tomography i hoʻohui ʻia, e hiki ai iā ʻoe ke maopopo i ke kumu o ka loaʻa ʻana o nā pilikia pathological i ka hana o ka wahī.
Hoʻomaʻamaʻa a me ka pale ʻana i nā patology
Pono ke ʻano o ke ʻano maʻi no ka hoʻomaka ʻana ma hope o ka loaʻa ʻana o ka maʻi.
ʻO ke ala nui o ka mālamaʻana ke ʻano o ka ʻoihana hoʻololi me nā enzyme pancreatic.
Ma ke kaʻina hana o ka hoʻololiʻana, hoʻohana nui ʻia nā ʻano lāʻau like ʻole. Aia kēia mau lāʻau lapaʻau i nā kinohi pancreatic nui a, ma kekahi mau manawa, nā mea hoʻohui ʻokoʻa.
ʻO nā lāʻau lapaʻau i hoʻohana ʻia he hana lipolytic, amylolytic a me proteolytic.
Eia kēia mau lāʻau lapaʻau e loaʻa mai ana penei:
- Hoʻopuka
- Mezim;
- Panzinorm;
- Hana ʻia;
- Kahi
- Pangrol a me kekahi.
ʻO ka hoʻohana ʻana o ka hoʻokani hoʻololi e hiki ai iā ʻoe ke wehe i ka pancreas, kahi i hāʻawi ʻia i kona hoʻoponopono. ʻAʻole hoʻihoʻi ka lāʻau lapaʻau i ka hoʻihoʻi ʻana i ka hana o nā mea, akā e hiki iā ʻoe ke kākoʻo i ke kino o ka mea maʻi i ka lōʻihi.
Hoʻokani ʻia ka hana kūikawā i ka mālama ʻana i nā pathology e ka ʻike ʻana i ka pono kūpono a me ke ola kino.
ʻO ka pinepine, ʻo ka mea kauka i hele aku ai e hōʻike i ka pale ʻana i ke kaumaha, kāpae i ka ulaula a me ka inu ʻona, a hoʻohuli i ka ʻai momona.
Eia kekahi, e pono ai e kaupaona i ka mea ʻai a i kaupalena i ka ʻai ʻana o ka momona momona a lawe i nā haʻawina momona, ʻoi aku ka nui o nā vitamin A, D, E a me K.
Hōʻike ʻia ke ʻano a me nā hana o ka pancreas i ke wikiō ma kēia ʻatikala.
