Ọdịdị enzyme nke Pancreatic

Ọdịdị enzyme nke Pancreatic - mmachi nzuzo ma ọ bụ ọrụ dị ala nke enzymes pancreatic, na-eduga n'ọgba aghara nke nbibi na ịmịcha nri dị na eriri afọ. Ọ na-egosipụta onwe ya dị ka mbelata ibu, flatulence, anaemia, steatorrhea, polypecal, afọ ọsịsa na polyhypovitaminosis. Ọrịa nyocha dabere na usoro nyocha maka ịmụ banyere omimi nke pancreas, na-eduzi kọlụm, na-ekpebi ọkwa nke enzymes na feces. Ọgwụgwọ gụnyere ọgwụgwọ nke ọrịa na-akpata, usoro nke oriri na-edozi ahụ, dochie anya enzymes pancreatic, yana ọgwụgwọ symptomatic.

Ozi izugbe

Enzymus pancreatic bụ otu n'ime ụdị nri ekweghị ibe nọrọ, nke na-ebilite megide mmebi nke ọrụ mkpocha ọgwụ ụjọ. Ọ gaghị ekwe omume ịchọpụta ugboro ole ezughi ezu nke ihe otiti nke puru iche, ebe ọmụmụ ihe banyere ọnọdụ a anaghị arụ ọrụ, yana ugboro ole enwere ike ịchọpụta ụkọ enzyme dị elu karịa, dịka ọmụmaatụ, ọrịa pancreatitis na-adịghị ala ala. Agbanyeghị, enweghi ike imepụta enzymes pancreatic bụ ọnọdụ dị njọ nke nwere ike ibute oke ike ọgwụgwụ na ọbụna ọnwụ nke onye ọrịa ahụ na enweghị ọgwụgwọ zuru oke. Nnyocha nyocha dị na ngalaba nke eriri afọ bụ ebumnuche nke mmepe enzyme ọgbara ọhụrụ nke nwere ike dochie ọrụ exocrine nke pancreas kpamkpam wee hụkwa usoro mgbaze nkịtị.

Enweghi ike nke arụ ọrụ exocrine pancreatic nwere ike ịbụ ọmụmụ (mkpụrụ ndụ ihe mepụtara nke na - emebi ma ọ bụ na - egbochi ihe enzymes) wee nweta, nke bụ isi na nke abụọ, nso na nke zuru oke. Enweghi nsogbu puru iche a na emebi ihe anakpo pancreas na mgbochi nke oru exocrine ya. N ’usoro nke abụọ nke ọrịa, a na-emepụta enzymes na oke zuru ezu, na-agbanyeghị, na obere eriri afọ ha na-arụ ọrụ ma ọ bụ na-arụ ọrụ ha anaghị eme.

Ihe kpatara e guzobere ụkọ akwara nke puru iche bụ ụdị ọrịa akwara ọria, ọrịa akwara, akwara na-akpata, oke ala nke pancreas n'ihi oke ibu, ịwa ahụ, nsogbu enzyme enwetara, Schwachman syndrome, agenesis ma ọ bụ hypoplasia nke gland, Johanson-Blizzard syndrome. Usoro Pathogenetic nke etolite ụkọ akwara nke exocrine gụnyere: atrophy na fibrosis nke pancreas (n'ihi ihe mgbochi, ihe ọ alcoụholicụ na-enweghị atụ, na-arịa ọrịa na-enweghị nsogbu, atherosclerosis, mgbanwe afọ na-akpata, nsogbu na-adịghị mma nke sistemụ, ọrịa shuga mellitus, ihe ndị a na-eme maka ọrịa cancer pancreatic, hemosidera). ụdị ụfọdụ nke ọrịa pancreatitis na-adịghị ala ala - syphilitic, egbu egbu, fibrous-calculous), necrosis pancreatic ( ọnwụ nke akụkụ ma ọ bụ sel niile nke pancreas), nguzobe nke okwute n’ime akwara ndị ahụ.

Secondary enzymatic pancreatic insufficiency na-amalite na mmebi nke mucous akpụkpọ ahụ nke obere eriri afọ, gastrinoma, arụmọrụ na afọ na eriri afọ, mgbochi nke enterokinase secretion, protein-enweghi ike protein, na pathology nke sistemu hepatobiliary.

Ezigbo enzyme nri nke pancreas bụ n'ihi ihe mgbochi nke enzymes na bicarbonates megide ndabere nke mbelata olu nke akụkụ parenchyma. Enweghi mmekpa ahụ yana mbelata ihe mmiri ihe ọreatụ pancụ a na-egbu egbu n’ime eriri afọ n’ihi mgbochi nke lumen nke akịrịkọ akwara na-enwe okwute, akpụ, na akpịrị.

Ọrịa nke enzyme erughi

Na onyonyo onyonyo nke ezughi oke mma nke anakpo pancreatic enzyme, nsogbu maldigestion (mgbochi nke mgbaze na eriri afọ) bụ ihe kacha mkpa. Abụba na-enweghị isi, ịbanye na lumen nke nnukwu eriri afọ, na-akpali secretion nke colonocytes - polyfecalia na afọ ọsịsa guzobere (oche tọgbọrọ chakoo, amụbawanye na olu), feces nwere isi nwa, isi awọ na agba, mmanụ mmanụ, nke na-egbu maramara. Enwere ike ịhụ ahịrị nri ndị na-adịghị eme nri na stool.

Maldigestion nke protein na-eduga na mmepe nke ụkọ ume-protein, nke oke ibu na-aga n'ihu, mmiri na-egbu, ụkọ vitamin na mineral, na-egosipụta. Iri ibu na-aga n’ihu na-emetụta nri nke na-egbochi abụba na carbohydrates, yana egwu iri nri, nke na-etolite n’ọtụtụ ndị ọrịa nwere ọrịa na-egbu ala.

Ọrịa ọgbụgba na-egbu mgbu (ọgbụgbọ, ọgbụgbọ, obi mgbawa, afọ nke afọ) nwere ike jikọta ya na nkụchi pancreatitis, yana mmetụta na-apụtaghị ìhè na -akpọ enweghị ume nke usoro mgbochi eriri afọ, mmepe nke duodeno-gastric reflux, wdg.

Ọrịa nyocha

Isi ihe dị mkpa iji kọwaa ezughi oke nke pancreatic bụ nyocha pụrụ iche (nyocha na nke enweghị atụ), a na-ejikọkarị ya na ultrasound, usoro redio na ụzọ endoscopic. Usoro nyocha dị oke ọnụ ma na-ewetara ndị ọrịa ahụ erughị ala, mana nsonaazụ ha bụ nke ezi. Nnwale na-enweghị atụ dị ọnụ ala karịa, ndị ọrịa na-anabata karịa, mana ha na-eme ka o kwe omume ịchọpụta ezughi oke nke nanị site na mbelata dị ukwuu ma ọ bụ enweghị enzymes zuru ezu.

Nnwale nyocha nzuzo nke cholecystokinin bụ usoro ọla edo maka ịchọpụta ụkọ enzyme. Usoro a dabere na mkpali nke mmiri ọgwụ akwara site na njikwa nzuzo na cholecystokinin, ndị na - esochi ụfọdụ usoro nke duodenal na nkeji 10. Nime ihe nlere enwetara, a na-acho ọrụ na ọnụego ihe nzuzo ya, a na-amụ ọkwa bicarbonates, zinc na lactoferrin. Dị ka ọ dị, mmụba na olu nke nzuzo mgbe nyocha ahụ bụ 100%, mmụba nke ọkwa bicarbonates dịkarịa ala 15%. Mmụba na oke nke nzuzo nke ihe na-erughị 40%, enweghi nke mmụba nke ọkwa bicarbonates, na-ekwu maka erughi enzyme nke pancreas. Nsonaazụ dị mma ga-ekwe omume na ọrịa mellitus, ọrịa celiac, ịba ọcha n'anya, mgbe ụdị akụkụ nke afọ gasịrị.

Nyocha nyocha nke Lund na-ezighi ezi yiri usoro gara aga, mana a na-akpali nzuzo nke iwebata nri ule n'ime nyocha. Ihe omumu a di nfe karie (ichoghi igba ogwu ojoo di oke), ma ihe o nwetara ya dabere na nhazi nri nri. Nsonaazụ nke gha agha ga-ekwe omume ma ọ bụrụ na onye ọrịa ahụ nwere ọrịa mellitus, ọrịa celiac, eriri afọ.

Prozọ enweghị atụ dabere na ntinye nke ụfọdụ ihe n’ime ahụ nke nwere ike imekọrịta ya na enzymes na mmamịrị na ọbara. Ọmụmụ ihe nke metabolic nke mmekọrịta a na - eme ka o kwe omume ịtụle ọrụ ọfụma nke ọgwụ ụjọ nke exocrine. Ule nyocha a gụnyere bentiramide, pancreato-lauryl, iodolipol, triolein na ụzọ ndị ọzọ.

Na mgbakwunye, enwere ike ikpebi ihe nzuzo nke pancreatic secretion site na ụzọ ndị na-adịghị mma: site na ogo nke nnabata plasma amino acid site na pancreas, site na nyocha nke kọlọtọ (ọdịnaya nke abụba na-anọpụ iche na ncha ga-abawanye megide ndabere nke ọkwa nke abụba nkịtị), mkpebi siri ike nke feces, fecal chymotrypsin na trypsin na elastase-1.

A na-eji usoro ịchọpụta ihe eji eme ihe (usoro nyocha nke akwara afọ, MRI, CT, ultrasound nke pancreas na sistem hepatobiliary, ERCP) iji chọpụta ọrịa dị n'okpuru na ọrịa ndị metụtara ya.

Enzyme erughi ọgwụgwọ

Ọgwụ ezughi oke nke exocrine pancreatic kwesịrị ịbụ nke zuru oke, gụnyere mmezi nke ọnọdụ nri, etiotropic na ọgwụgwọ nnọchi, ọgwụgwọ symptomatic. Etiotropic ọgwụgwọ bụ iji gbochie ọganihu nke ọnwụ nke pancreatic parenchyma. Mmezi nke omume iri nri bụ iwepu ojiji nke mmanya na anwụrụ sịga, ịba ụba nke protein na nri ka ọ bụrụ 150g / ụbọchị, belata ego nke abụba opekata mpe ahụ, yana ị vitaminsụ vitamin na usoro ọgwụgwọ. Site na nkụda mmụọ siri ike, enwere ike ịchọrọ obere nri ma ọ bụ nke zuru oke.

Isi ọgwụgwọ maka enzyme anụ ahụ na-egbu egbu bụ ihe oriri na-eri dochie anya nri afọ. Ihe na - egosi maka usoro ndochi enzyme na enweghi oke ume: steatorrhea ya na mfu nke ihe kariri 15 g nke mmanu n’igbu, ike protin na - enwe ume.

Ngwakọta enzyme Microgranular na shei na-eguzogide acid, nke a na-etinye na capsule gelatin, nwere arụmọrụ kachasị ukwuu taa - Capsule na-agbaze na afọ, na-eke ọnọdụ maka ịgwakọta nnukwu ọgwụ ọgwụ na nri. Na duodenum, mgbe ọ ruru pH nke 5.5, a na-ahapụ ọdịnaya nke granules, na-enye ọkwa zuru oke nke enzymes pancreatic na ihe ọ duụ duụ duodenal. A na-ahọpụta usoro ọgwụ iche iche n'otu n'otu, dabere n'ịdị njọ nke ọrịa ahụ, ọkwa nke pancreatic secretion. Ihe achọrọ maka ịdị mma nke usoro ọgwụgwọ iji dochie anya na ịba ụba nke usoro enzyme bụ ibu dị arọ, ibelata flatulence, na stool nkịtị.

Amụma na Mgbochi Ya

Prognosis maka ụkọ pancreatic bụ n'ihi ogo ọrịa na-esite na ogo nke mmebi ahụ metụtara paịlị. N'iburu n'uche na ụkọ nke akụrụngwa nke pensụl na - ebilite mgbe ihe dị mkpa dị na akụkụ ahụ, prognosis na - apụkarị. Ọ ga - ekwe omume igbochi mmepe nke ọnọdụ a site na nchọpụta oge na ọgwụgwọ nke ọrịa na - egbochi ọ alcoholụ alcoholụ na-a alcoholụ sịga.

Nkọwapụta anụ ahụ

Tụlee usoro na ọrụ nke pancreas. Ọ dị na oghere oghere n'etiti mpaghara nke duodenum na vertebrae nke ukwu nke ala, n’elu akụrụ, ọ dịkwa ka '' comma 'nke toro ogologo. Ogo nke ogwe toro eto sitere na 80-90 g.

Ọdịdị nke pancreas bụ ngwakọta nke ihe mgbu glandular lobes nke arịa ọbara na-agafe ma na - emechi emechi. Slices na-emepụta ihe ọ pancụ pancụ pancreatic, enzymes nke (lactase, amylase, trypsin, invertase, lipase) na-emetụta usoro nbibi nri. Ọwa gafere gland niile, nke ihe ọ theụ theụ ya na-abanye n'ime duodenum, ebe ọ na-agwakọta ya na bile ma na-enye usoro mgbaze nke eriri afọ. A na-akpọ ihe owuwu sel nke dị n’etiti lobules nwere netwọọk nwere akara akpọrọ agwaetiti Langerhans. Thesedị ndị a sitere na mkpụrụ ndụ alfa, beta na delta na-emepụta homonụ (insulin na glucagon).

Ahụ nwere usoro ndị a:

isi (obosara 2.5-3.5 cm) dabara nke ọma na bend nke duodenum,
Akụkụ akụkụ atọ (2.5 cm) dị n'akụkụ aka ekpe nke ọkpụkpụ azụ rue oghere ahụ,
olu
ọdụ ube (3 cm), nke bụ isi okirikiri nke gland.

Ebe ọnya na-emekpa mmadụ ahụ, anyị ga-akọwa n'okpuru.

Ọrụ ahụ

A na -emepụta pancreas, dị ka anyị kwurula, na-amịpụta mmiri pịkụl. N'ime duodenum, nri na-akụda steeti dị mkpa maka ịnwe mmiri. Nke a na - eme n ’ikike nke hydrolytic digestive enzymes nke pancreas, bụ ndị na - ahụ maka njikọta nke ihe oriri na mmiri.

Ihe ọ juiceụụ Pancreatic nwere hydrolases, nke na-arụ ọrụ dị iche iche. E kere ha ụzọ anọ:

Lipase bụ enzyme nke na - akụda abụba n'ime ihe ndị mejupụtara: glycerin na acids ndị nwere abụba. Ọ na - enye ọnya nke vitamin A, E, D, K.
Ihe nchebe (chymotrypsin, carboxypeptidase, trypsin), na - eme ka enzymes ndị na - emebi ihe nchebe na amino asịd.
Carbohydrases (amylase, maltase, lactase, invertase), dị mkpa maka nbibi nke carbohydrates na glucose.
Nucleases bụ enzymes nke na-akụda nucleic acid ma mepụta usoro nke mkpụrụ ndụ ihe nketa ha.

Thekpụrụ maka ịrụ ọrụ nke pancreas dị mgbagwoju anya. A na - amalite ime enzymes na ego achọrọ ruo nkeji iri abụọ na ise mgbe nri gachara. Ọzọkwa, ọ dabere na ịta abụba, protein na carbohydrates dị na ya. Na ọnụnọ nke bile, imepụta ihe ọ pancụ pancụ pancreatic na enzymes nwere ike iru awa iri na abụọ.

Ọrụ endocrine

A na-arụ ọrụ endocrine nke gland site na insulocytes - sel pụrụ iche nke agwaetiti nke Langerhans. Ha na-achịkọta ọtụtụ homonụ: thyroliberin, c-peptide, somatostatin, insulin, gastrin, glucagon.

Enweghi ike imu ihe nkari

Ọ bụ otu n’ime nsonaazụ ndị na-ebutekarị ọrịa anụ ahụ, ọkachasị ma ọ bụrụ na ọrịa ọrịa na-adịghị ala ala mara ụdị ọrịa a.

Otu ihe puru iche nke enweghi nkpochapu oria a na - acho bu ihe wedata na ihe ndi ozo n’enye nri (malabsorption) n’ihi uto nke maldigestion - mmebi nke imebi nri n’ime ihe ndi di nma maka usoro ngwu. A na-akpọkwa ọrịa a ụkọ enzyme. N’agbanyeghi otutu oria di otua n’etiti ndi mmadu nile, emeputa enzymes ezughi oke dika onodu ojoo nke puru ime ka ike gwusi ma oburu n’onye oria ma oburu na elebara ya anya.

Iche-iche

Enweghi nkwekorita nke Exocrine bu ihe emeputara (oria ihe omumu nke na emebi ma obu mechie nzuzo nke enzymes) na udiri ha nwetara. Na mgbakwunye, pathology nwere ike ịbụ nke mbụ na nke abụọ, bụrụ onye zuru oke ma ọ bụ onye ikwu.

Ihe na - akpata ezughị ezu nke exocrine bụ mmebi nke gland na mbelata nke ọrụ exocrine ya. Na ụdị ọrịa nke abụọ, a na-emepụta enzymes n'ọtụtụ zuru oke, mana ịgbalite ya anaghị eme na obere eriri afọ.

Ebumnuche maka mmepe nke pathology

Isi ihe mere maka mmepe nke exocrine pancreatic insufficiency nke ihe bụ isi gụnyere ụdị ọ bụla nke pancreatitis na-adịghị ala ala, cystic fibrosis, cancer pancreatic, mmebi nke pancreas na oke oke ibu, ihe ndị metụtara ịwa ahụ na ọnya afọ, Schwahman's syndrome, ụkọ enzyme nke congenital, enweghi ike Ezigbo ma ọ bụ hypoplasia nke ahụ, yana ọrịa Johanson.

Ihe ndị na - akpata pathogenetic na - akpata enweghi umeji nke exocrine gland gụnyere:

fibrosis na atrophy akụkụ (n'ihi ihe ọ ofụholicụ na-egbu egbu, ihe mgbochi, nke na-enweghị ọnụ ọgụgụ ma ọ bụ nke pensụl, atherosclerosis, erighị nri na-edozi ahụ, mgbanwe afọ na-akpata, hemosiderosis, ọrịa shuga mellitus),
pancreatic cirrhosis (tụlere nsonaazụ nke ụdị ụfọdụ nke ọrịa pancreatitis: fibro-calculous, aholicụrụma, syphilitic),
necrosis pancreatic (ọnwụ nke mkpụrụ ndụ gland),
nguzobe nke akwara di na aru.

Secondary exocrine insufficiency na ọnya nke mucous akpụkpọ nke obere eriri afọ, mgbe arụ ọrụ na afọ na eriri afọ, ya na gastrinoma, belatara secretion nke enterokinase, pathologies nke usoro ịba ọcha n'anya, enweghi ike protein.

Enzyme enzyme nke gland zuru oke bụ n'ihi mkpochapụ nke mmiri nke bicarbonates na enzymes megide mmalite nke mbelata ogo olu. Ihe na-akpata ezughị oke bụ ihe ọ juiceụ juiceụ na-egbu site na mmiri ihe ọreatụ pancụ na-egbu mgbu na eriri afọ n'ihi mgbochi nke glands nke oghere nke gland nwere akpụ, okwute, na ọnya.

A na - enweta ihe mgbu pancreatic n'ihi ọnwụ nke mkpụrụ ndụ parenchyma. N'ebe ndị a, a na-etolite akwa anụ ahụ. A na - akpọ usoro dị otu a na nkà mmụta ọgwụ na fibrosis, ọ na - edugakwa na mmepe nke ụkọ mmiri exocrine.

Ka anyị chọpụta ebe ihe nrịankụ na-ewute mmadụ. Ihe kacha mkpa na eserese banyere ọrịa a bụ ọrịa maldigestion, nke emere na mgbochi nke mgbaze na eriri afọ. Abụba na-enweghị isi na eriri afọ na-akpali mmepụta nke colonocytes - afọ ọsịsa na polyphecal na-eto, feces na-enweta isi ọyị, isi awọ, elu ya na-egbu maramara ma na mmanụ. Ahụ ike nri na-achọghị ka nwekwara ike ịdị na oche oche.

Ihe ndị na-enye protein ike na-eme ka a ghara inwe ike protein, bụ́ nke mmiri akpịrị na-egosipụta, ịtalata ibu na-aga n’ihu, erughi ihe ndị metụtara ya na vitamin, anaemia. Ibelata oke ahụ na-emetụta oke nri na -eme ka carbohydrates na abụba, yana egwu iri nri, nke etinyere n'ọtụtụ ndị ọrịa nwere ọrịa na-egbu ala.

Ihe mgbaàmà nke enweghi ike ọgwụgwụ nke ihe na-egbu bu ihe adighi uto. Mmebi nke motility gastric (ọnya dyspeptik, mmetụta nke afọ ojuju) nwere ike ịbụ n'ihi mbibi nke pancreatitis na nsonaazụ nke nkụzu ume nke nkụda mmụọ n'ihi mgbanwe nke usoro eriri afọ, ihe na-eme mgbagha duodeno-gastric reflux.

Ọrịa Pancreatitis dị ka ihe na-akpata ọrịa

Ọrịa na-adịghị ala ala bụ isi ihe na-eduga na ụkọ enzyme. Nke a bụ ọnya mgbu nke ọrịa mkpali na nke na-emebi ihe, na-eduga n'ịrụ ọrụ. Kedu ihe nsonaazụ nke pancreatitis, mmadụ ole na ole maara. Site na mkpocha ahụ nke ọrịa, ihe mgbu na-apụta na afọ na hypochondrium, enwere mgbaàmà dyspeptik, nrịanrịa nke ọnya na anụ ahụ.

Isi ihe kpatara ọrịa pancreatitis okenye (koodu maka ICD-10 K86) bụ cholelithiasis na ị alcoholụbiga mmanya ókè, nke bụ ihe na-egbu egbu na parenchyma nke akụkụ a. Na cholelithiasis, usoro mkpali bụ nsonaazụ nke ọrịa site na ọnya ọnya ọnya biale na gland site na arịa lymphatic, mmepe nke ma ọ bụ mgbatị bile na gland.

Zọ ichekwa ọrịa a si mee ihe. Usoro ọgwụgwọ a dabere na ụkpụrụ ndị a:

achọrọ nri
enweghi ike ikpu ekpu okpu,
A ga-ewepụ ihe mgbu
Ekwesịrị igbochi nsogbu.

Na ọgwụgwọ nke pancreatitis, ọ dị mkpa ịhapụ ị alcoholụ mmanya, ojiji nke ọgwụ nwere ike imebi ihe na pancreas (ọgwụ nje, antidepressants, sulfonamides, diuretics: hypothiazide na furosemide, anticoagulants na-adịghị mma, indomethacin, brufen, paracetamol, ọtụtụ glucocorticoids).

Nsonaazụ nke pancreatitis nwere ike ịdị iche: ọdịda nke exocrine gland ọdịda, jaundice mgbochi, ọbara mgbali elu, ọrịa (parapancreatitis, ọnya afọ, cellulite retroperitoneal, mbufụt nke ọnya biliary), ọbara ọgbụgba n'ime. Site na mmepe nke ọrịa a, ọrịa shuga, oke ibu, na ọrịa kansa.

Ọgwụ ọgbụgba

Ọgwụgwọ ezughi oke na-adịkarị ụkọ. Ọ gụnyere mmezi nke ọnọdụ nri, nnọchi na ọgwụgwọ etiotropic, yana ọgwụgwọ Symptomatic. Ebumnuche ọgwụ Etiotropic bụ igbochi ọganihu nke ọnwụ glandular cell. Imezi etu esi ebi ndu bu wezuga mmanya na anwuru. A na-enwekwa mmụba na ụba protein na nri, mbelata oke abụba, na ị ofụ vitamin.

Isi usoro ọgwụgwọ maka hr. pancreatitis bu ntinye nke enzymes (maka ndu). Steatorrhea na-enwe ihe karịrị 15 g nke abụba kwa ụbọchị, ụkọ protein na-aga n'ihu bụ ihe ngosipụta maka iji dochie ọgwụ na enzymes.

Microgranular enzyme na membranes na-eguzogide acid na capsules gelatin, nke na-agbaze na afọ, kachasị arụ ọrụ, na-enye ọnọdụ maka ịgwakọta nnukwu nsogbu ọgwụ na nri. A na-ahọpụta usoro ọgwụ dị iche iche n'otu n'otu ma dabere n'ịdị njọ nke ọrịa ahụ, ọrụ nke nzuzo pancreatic.

Pesdị nke ezughi oke na ihe ịrịba ama

Pathologies nke pancreas bụ ụdị 4.

Enweghi oke nke mpụta nzuzo nke enzymes pancreatic.
Enweghi ike imu ihe nkari.
Enzyme erughi na ihe ọ juiceụ ofụ nke afọ.
Mbelata nke homonụ glucose, lipocaine na glucagon nke obere akụkụ nke endocrine.

N'ihi ụkọ ihe nzuzo nke mpụta, enwere mbelata nke ọrụ ihe nzuzo pụrụ iche na-emebi ihe ndị dị na anụ ahụ na-emetụta ngwa ngwa ma ọ bụ ihe mkpofu nke mmiri nri n'ime mgbanwe na eriri afọ n'ihi mkpụmkpụ nke nsị n'ihi ụkwara ahụ dị, fibrosis. Mgbe etre enzyme arụ ọrụ, ihe nzuzo na-enweta njupụta na viscosity, nri anaghị emebi emebi. Ọ bụrụ n ’ụzọ dị warara banye n’ime eriri afọ, ihe enzyme a ezughị ezu na-abịa, nke anaghị anagide ọrụ ha dịka achọrọ.

Nke ihe ịrịba ama di iche:

enweghi ike anabatacha oriri nke oriri eji egbu egbu ma na - esi nri,
mmetụta nke ịdị arọ na mpaghara afọ,
iwe iwe
colic n'ime afọ, na-agbapụta.

N'ihi mbelata nke protein gbaa ụka, nke a na - eduga n'ịbepụta nke:

mkpụkpu ume
anaemia
adighị ike na ahụ
ike ọgwụgwụ
tachycardia.

A na-egosipụta ụkọ enzyme ọgwụ nke Exocrine na-egosipụta na mbelata nke arụpụta ihe ọ juiceụ pancụ pancreatic, nke ọ bụ maka ebumpụta ụwa mmadụ na-arụ ọrụ nke eriri afọ.

A malitere usoro a site na mgbaàmà ndị a:

afọ mgbu
ọgbụgbọ
ikwa-aru na akuku afọ,
oke gas na eriri afọ,
eriri afọ nke eriri afọ.

Ocdị nke dị nso nke pancreas na-eme:

ikwu dị ka amaara site na ụzọ enweghị ike ịgbanwe agbanwe, iguzosi ike n'ezi ihe nke pancreas anaghị agbanwe agbanwe, ọrịa na - abụkarị nsonaazụ nke pancreas ma ọ bụ mmebi nke nzuzo. A na-ahụkarị ya na nwata,
nsogbu zuru oke - a na - ebugharị nezrosis nke acini, fibrosis nke anụ ahụ nke anụ ahụ, mbelata na mmepụta enzymes pancreatic. Ọ na-etolite n'ihi nsonaazụ na-adịghị ala ala na nnukwu ọrịa nke pancreatitis, cystic fibrosis, Schwachmann-Diamond syndrome.

A na-egosipụta ike dị ala nke enzymes site na nri nri.

Ire.
Ahụ erughị ala
Vomiting
Isi na-esi isi ike.
Ọnwụ mmiri n’ahụ.
Adịghị Ike.

Ihe kachasị dị ịrịba ama nke adịghị ike enzyme bụ mgbanwe dị na stool. Onye ọrịa na-amụba ugboro ugboro nke bowel mmebi, feces nwere oke abụba, asachapụ apụ, oche nwere isi awọ na putrefactive isi.

N'ihe banyere nsogbu endocrine, ụdị a dị ize ndụ, ebe ọ bụ na ọ na-ebute mmepe nke ọgba aghara na arụ ọrụ nke anụ ahụ na nsonaazụ na-enweghị atụ. Site n'ịgbanwe mmepụta insulin, ọrịa shuga na-amalite. N'ime ihe mgbaàmà bụ isi nke na-egosi enweghị homonụ insulin, enwere:

ịba ụba glucose ọbara mgbe ị risịrị nri,
mmetụta akpịrị ịkpọ nkụ
ugboro ugboro
nwanyi itching.

Mgbe arụpụta glucagon na-ebelata, onye ọrịa na-eme mkpesa banyere adịghị ike, nkụda mmụọ, ihe mgbochi na nsọtụ ya, ọnọdụ ụbụrụ na-akpata ahụ, enweghị uche.

Na-akpata

Nmebi nke enzymes pancreatic nke ụdị abụọ:

Gendị ọmụmụ a mụrụ - n'ihi nkwarụ mkpụrụ ndụ ihe nketa nke mebiri ma gbochie enzymes gland a na-emepụta.
Acdị nweta - na-egosikarị onwe ya n'ihi ọrịa na-efe efe ma ọ bụ n'ihi erighị ihe na-edozi ahụ.

Na mgbakwunye, adịghị ike enzyme kewara: n'ime isi na nke abụọ, nsogbu nke nsogbu na nsogbu zuru oke.

Mmepe nke nsogbu izizi ka amalitere n’ihi ọrịa nke na-ebilite na parenchyma nke akụkụ ahụ ma na-eduga ná nkwụsị nke ọrụ ya. Usoro nke abụọ ihe dị iche - a na - emepụta enzymes na olu achọrọ, mana ịbanye na eriri afọ, site na ihe ndị amabeghị anaghị arụ ọrụ.

Ihe ndị nwere ike ibute mmepe nke usoro ọgbụgba.

Ọrịa na-adịghị ala ala nke pancreatitis.
Arụ na pancreas.
Oké ibu, nke na-eduga n’inweta sel nke abụba n’akpụ anụ ahụ.
Ọrụ.
Ọrịa Schwachmann, Johanson-Blizzard.

Ọtụtụ mgbe, ihe na - akpata ụkọ exocrine na - arụ ọrụ na afọ na eriri afọ. Na mgbakwunye, nsogbu ahụ na-ebilite site na ị ofụbiga nri dị iche iche ókè, nke a na-eduga na enweghi ike ngbanye na nri anụ ahụ yana mmụba nke mmanya.

Mgbaàmà abụghị njikọ kachasị eji eme nchọpụta. Iji kọwaa ụdị mmebi ma chọpụta ụzọ ọgwụgwọ, a na-eme ọtụtụ nyocha.

Ihe kpatara nsogbu nke exocrine aghara dị n’ọdịdị nke ọrịa na-eso akpata mbelata nha nke mkpụrụ ndụ glandular nke gland, bụ ndị na-ahụ maka njikọta nke nzuzo.

N'ime ihe ndị bụ isi na mmepe nke nsogbu enzymatic, enwere:

anya nke oria
mmetụta ọjọọ nke ọgwụ eji na ọgwụgwọ nke ọrịa ụfọdụ,
nmeghari akuko
ihe omume dysbiosis.

Site na enweghi enzymes pancreatic, a na-egosipụta ihe mgbaàmà site na ọrụ pancreatic iwe.

A na-eme ihe dị ala nke endocrine n'ihi mmerụ ahụ dị iche iche na-emetụta gland, ọdịdị nke mmebi emebi anụ ahụ ya.

Ọrịa

Iji dozie ọrụ n'ọtụtụ pancreas ma kpochapụ mgbanwe, a na-eduzi ọgwụgwọ dabere na ụdị adịghị ala. Na ọnụnọ nke pancreatitis, mgbe ekpughere ihe mgbaàmà nke pathology, ebe ọ na-ewute ya, a na-eme ọgwụgwọ ahụ site n'enyemaka nke ọgwụ ọgwụ multienzyme, na-edochi ihe ndị enzyme na-efu.

Ọ bụrụ na ihe kpatara enweghị enzymes nwere ya na gastritis na-adịghị ala ala n’ime okenye, ọrịa akwara, ọrịa shuga na ọrịa ndị ọzọ, a na-eji ọgwụ eme ihe na-eweghachi ọnụego enzymes nri n’ime ahụ.

A na-eme nhọrọ nke ọgwụ maka ọgwụgwọ nke erughi enzyme nke gland bụ otu, dabere na njiri anụ ahụ.

Iji dozie ọnọdụ ahụ, achọrọ nri, nke ebum n’obi ịchịkwa glucose na-eme ọbara, n'ọgwụ nke ọgwụ enyere onye ọrịa. Ihe oriri onye ọrịa dị obere, ruo ugboro isii kwa ụbọchị. Ihe oriri ahụ bụ ị vegetablesụ inine, ọka nke bara ụba na carbohydrates, nri protin.

Mgbe ọrụ enzyme belatara, a na-enye ọgwụ ndị na-eme ka ike nri digesive, kwụsie gburugburu alkaline.

N'ihe banyere njuju nke enzymatic ụkọ na ọrịa shuga, a na-eji ọgwụ ndị belata shuga ma ọ bụ injections agwọ ọrịa gland.

Gịnị bụ ihe a

Enzymatic ụkọ bụ ụdị nri anagide nri, mmepe nke na - apụta n'ihi mmerụ ọrụ arụ ọrụ na - eme pancormic pancreatic. A na-achọpụta ọrịa a na ndị mmadụ karịa ka ọ na - arịa ọrịa na - adịghị ala ala, ma ogologo oge nwere ike ime n'enweghị ihe mgbaàmà siri ike.

Mana nke a bụ ihe egwu dị na ọnọdụ a, ebe ụkọ enzymatic bụ ọrịa dị oke njọ, nke na-enweghị ọgwụgwọ zuru oke nwere ike ibute mbelata nke anụ ahụ na ọbụna ọnwụ. Na iji gbochie nchoputa nke nsogbu ndị a site na ụkọ nke enzymes pancreatic n'ime ahụ, ndị dọkịta na-atụ aro ka emee nyocha ogwu na-eme afọ 1-2 ọ bụla.

Enzymatic ọdịda bụ nke ụdị abụọ: congenital na enwetara. Ọkpụkpụ nke akụrụngwa na - ebilite megide ntụpọ nke mkpụrụ ndụ ihe nketa na - akpaghasị ma ọ bụ gbochie mmepụta enzymes. Acqudị ọrịa ahụ enwetara na-abụkarị n'ihi ọrịa pancreatic (dịka ọmụmaatụ, nwere ọrịa ọrịa pancreatitis) ma ọ bụ nsogbu na-adịghị mma.

Ọzọkwa, ụkọ enzyme na-eme:

ụlọ akwụkwọ praịmarị na nke abụọ
ikwu na zuru oke.

Akpa ọdịda dara megide ndabere nke usoro pathological na parenchyma nke gland, na-eduga na mgbochi nke ọrụ exocrine ya. Ihe mmeghari nke abuo nwere usoro mmepe di iche. Site na usoro a, pancreas na-emepụta enzymes zuru ezu, mana na-abanye obere eriri afọ, maka ihe ụfọdụ anaghị emegharị ha.

N'ikwu okwu kpọmkwem, olee ihe ndị nwere ike ịkpalite mmepe nke ọrịa a, yabụ, ihe ndị a nwere ike ịmata ọdịiche:

Schwachman na Johanson-Blizzard syndrome,
mgbu na-adịghị ala ala,
Ọrịa cancer akpa ume
cystic fibrosis,
oke ibu, nke ike mkpụrụ ndụ na-amalite na-edobe na anụ ahụ nke gland,
ihe ogwugwo
hypoplasia nke pancreatic.

Ọzọkwa, mmepe nke ụkọ enzyme nwere ike ime megide ndabere nke:

pancreatic atrophy ma ọ bụ fibrosis,
pancreatic cirrhosis,
pancreatic necrosis,
na-edobe ihe ndị dị na nkume n'ihe na-egbu palms.

Dị ka omume ahụike gosipụtara, ụkọ enzyme na-abụkarị nsonaazụ pancreatitis (igbochi, ihe ọ alcoụholicụ na-enweghị atụ, na enweghị usoro), ebe ọ bụ na usoro pathologies na-arụ ọrụ na akwara pancreas n'oge mmepe ya, na-ebute atrophy na fibrosis nke gland. Agbanyeghị, ọnọdụ ndị a nwekwara ike ịkpasu ọrịa ndị ọzọ, dịka ọmụmaatụ, atherosclerosis na ọrịa shuga.

Dị ka o kwesịrị ịdị, ihe oriri nke onye ọrịa na-arụ ọrụ dị mkpa na mmepe nke ụkọ enzyme. Anụ a na-eme ka ọ nwee ọrụ nke enzymes n'oge nri ga-abanye na esophagus. Ọ bụrụ na ọ karịrị akarị ma ọ bụ nwee ihe mejupụtara ya, igwe anaghị enwe oge iji mepụta enzymes dị mkpa maka mgbari ya, n'ihi nke ọ na - amalite ibu dị ike, na - eduga na imebi ọrụ ya. Maka nke a, ndị dọkịta na-akwado ike ka mmadụ niile nyochaa nri ha site na-eri naanị nri dị mma ma wezuga iri nri.

Secondary insuffure Ọtụtụ mgbe na-etolite na ndị a:

yana ọnya dị iche iche nke obere eriri afọ,
gastrinoma
ezughi oke njikọ nke enterokinase,
enweghi ike protein
pathologies nke gallbladder, imeju na bile ducts.

Ejiri ụdị pathology zuru oke bụ ihe mgbochi nke ọrụ exocrine na njikọ nke bicarbonates n'ihi dystrophy nke parenchyma nke gland. Enweghi mmekpa ahụ bụ ihe na - ebute ihe mgbochi nke oghere nke akwara na - akpata nsonaazụ nke ịbanye n'ihe ọ processụ pancụ pancreatic n'ime obere eriri afọ. Nke a na - eme, dịka iwu, mgbe okwute, ọnya ma ọ bụ akpịrị na - apụta na oghere nke gland.

Mgbaàmà nke ọrịa

Usoro mgbaze ahụ na-agbagha n'ihi enweghị enzymes pancreatic, nke na-akpata ọrịa a na-akpọ maldigestion syndrome (igbochi ọrụ ngwa nri na eriri afọ). Ọ na-egosipụta onwe ya n'ihu ọnụnọ nri na-enweghị atụ na feces ma ọ bụ ihe nwere ụba abụba dị n'ime ha, n'ihi na feces na-amị amị na mmanụ.

Mgbe abụba na-enweghị afọ na-abanye eriri afọ, ha na-eme ka njikọ nke colonocytes, na-eme ka e nwee polypecal na afọ ọsịsa. N'okwu a, stool ahụ malitere ihi ure nke nwa afọ ma nweta isi awọ.

Mmebi dị otú ahụ nke ọrụ digestive nke eriri afọ na-eduga na mmepe nke ụkọ protein, nke na-egosipụtakarị ụkọ vitamin, akpịrị ịkpọ nkụ na anaemia. Ọzọkwa, ọnọdụ a na-egosipụta oke mbelata nke oke ahụ. Ọtụtụ ihe na-emetụta ọnụego ibulata:

nri kacha sie ike na oke mmụba nke oriri nke abụba na carbohydrates,
ọnụnọ mmadụ na-atụ egwu iri nri, nke na - apụtakarị na ọrịa pancreatitis.

Onye ọrịa ahụ nwekwara ike ịnata mgbaaka ndị a nke erughi enzyme:

vomiting
obi mgbawa
ọgbụgbọ
mmetụta nke ịdị arọ na afọ.

Mgbaàmà nke ọrịa

Ihe mgbaàmà nke enweghị enzymes pancreatic bụ nke akara ndị a na-egosipụta:

oche gbajiri, ọtụtụ mgbe zoro ezo na mmiri mmiri,
adịghị ike nke akụkụ ahụ niile
agụụ
gas bara ezigbo uru,
mbelata nke ukwu nke onye ọrịa, ya na mbelata n’omume ya.
ọgbụgba ugboro ugboro
oke mgbu na afọ.

A na-ahụta otu ihe dị mkpa nrịba nke enzyme ụkọ enzyme bụ mgbanwe dị na oche onye ọrịa. Dịka anyị kwurula n’elu, ọ bụ akpọnwụ mmiri bụ ihe e ji mara ọrịa a, nwere isi isi ya akọwapụtara nke ọma.

Ọgwụ Ọgwụ Enzyme Encmement Pancreatic

Mgbe ọ natasịrị nsonaazụ niile dị mkpa nke nnwale na nyocha ahụ, dọkịta ahụ ga-enwe ike ị drugsụ ọgwụ ndị dị mkpa nke nwere ike ịkọwa enweghị enzymes nri dị mkpa. Maka ọgwụgwọ nke ọrịa a, a na-eji ụdị ọgwụ dịgasị iche iche eme ihe, ya bụ: enzyme na ọgwụ mgbochi.

Nke ikpe mbu, n'ihi ị suchụ ọgwụ ọjọọ ndị a, onye ọrịa ahụ nwere ike ịnata enzyme ndị ahụ niile ezughi oke n'ahụ ahụ ya. Banyere nke abụọ, iji ọgwụ ndị dị otú ahụ nwere ike iwepu nsonaazụ dị iche iche nke mmepụta enzyme nke ụmụ amaala.
Kedu otu esi agwọ ọrịa ahụ? Iji mesoo erughi enzyme, ndị ọkachamara na-ede ọgwụ ndị a:

Pancreatin bu ogwu nke enwetara site na ahihia anụ. Ihe mejupụtara ọgwụ a gụnyere trypsin na amylase. Iwere ọgwụ a dị mkpa n’oge iwetulata acidity nke ihe ọ juiceụ inụ ahụ n’ime afọ nke onye ọrịa, yana ịba ọcha n’ahụ na ụfọdụ nsogbu ndị ọzọ na-agbari n’ime mgbaze.
Festal bụ ọgwụ nwere ụfọdụ enzymes na enzymes dị mkpa. Ọgwụ a nwere ike melite usoro nri niile ma mee ka ahụ erughị ala n’akpa nwa.
Oraza bụ ọgwụ, nke gụnyere enzymes niile dị mkpa. Edere ojiji eji ya egbochi ọrụ nke glands.

Ọ bụrụ na onye ọrịa nwere oke homonụ zuru oke, mgbe ahụ, a na-eji usoro enzyme dị ka:

Pantripine bụ ọgwụ nwere ike belata ihe dị nta nke enzymes proteolytic. N'oge ọgwụgwọ onye ọrịa na ọgwụ a, ọ dị mkpa iji nlezianya nyochaa amylases nke ọ bụghị naanị n'ọbara onye ọrịa, kamakwa na mmamịrị ya.
Aprotinin bụ ọgwụ polypeptide nke nwere ike imebi nnukwu ọrụ nke enzymes n'oge niile.

Na mgbakwunye na ọgwụ ndị dị mkpa nke ndị ọkachamara ruru eru gwara onye ọrịa ahụ, ọ ga-agbasokwa nri pụrụ iche.

A na-ahọpụta ọgwụ na nri n’otu n’otu maka onye ọrịa ọ bụla, ebe a na-elebara agwa ya niile anya.

Dọkịta na-adọrọ uche ndị mmadụ ịnabata ọgwụ ụfọdụ.

Cheta na ị ofụ ọgwụ, yana iri nri, bụ otu n'ime ụzọ dị mkpa ị ga - esi enweta mgbake na mgbake nke anụ ahụ.

Nnukwu ọnya akwara bụ nnwale dị ezigbo njọ maka onye ọ bụla zutere ya. Ọ bụ ya mere, mgbe egosipụtara ihe mgbaàmà mbụ nke ọrịa a, ị kwesịrị ịkpọtụrụ onye ọkachamara ga-enyere gị aka idozi nsogbu ahụ ozugbo.

Ihe Na-akpata Nsogbu

Ahụ na-emepụta enzymes pụrụ iche n'ime ahụ, na-enweghị nke ọ na-agaghị ekwe omume ime usoro nke nri. Mgbe ụfọdụ, ọ na - akpaghasị ịrụ ọrụ akwara na-agbada ma na-ebelata ọnụ ọgụgụ ihe ndị mepụtara, a na-akpọ ọdịda nke akwara. Isi ihe kpatara mmepe ọnọdụ n’arụ nwere ike ịbụ ihe ndị a:

mmebi nke anụ ahụ mejupụtara anụ ahụ,
omume nke erughi vitamin na ahu,
Mbelata protein nke ọbara,
haemoglobin dị ala na sel ọbara,
nri na-adịghị mma, na-eduga n'ịrụ arụ n'ime ahụ.

Na mgbakwunye na ebumnuche ndị edepụtara maka nsogbu nke nsogbu, a ka nwere ọtụtụ ọnụọgụ ndị nwere ike imetụta nguzozi nke njọ na gland. N'ọnọdụ ụfọdụ, mmadụ ketara eketa na-arụ nnukwu ọrụ na mmepe nke glitches na glands. N'ọnọdụ ndị dị otú a, ọbụlagodi mgbe ị na-ebi ndụ dị mma na nri na-edozi ahụ, nsogbu na pancreas na-eme. Ọdịda nke gland nwere ike ibute ụdị ọrịa dị iche iche.

Ọrịa Organ

Ruo taa, a na-ahụ ụzọ maka arụmọrụ ụzọ anọ. Ofdị nsogbu ọ bụla nwere njiri mara ụfọdụ. Mainzọ nke arụ dara arụ bụ:

obubu ibu,
igba obubu,
ụkọ enzyme
ezughi ezu nke endocrine.

Ofdị ọgba aghara nke ọ bụla nwere njiri mara nke ya. Imebi arụ ọrụ ahụ bụ ọnọdụ anaghị atọ ụtọ.

Iji guzosie ihe na-emezighị emezi n’ahụ ma chọpụta ụdị ezughi oke, ọ dị mkpa iji nyocha nyocha pụrụ iche n'okpuru nlekọta nke ọkachamara ahụike.

Mgbe nyochachara na nyocha ahụ, ọkachamara ahụike ahụ mere nyocha nke ọma ma depụta usoro ọgwụgwọ kwesịrị ekwesị, ebumnuche nke ya bụ ime ka ọrụ nke pancreas rụọ ọrụ.

Ihe kachasị dị na ọrụ ahụ bụ ọdịda nke ọrụ nzuzo. N’etiti ụdị dị iche iche ezughi oke, a na - ewere ụdị exocrine ezughi oke, nke mejupụtara n’enweghị ihe nzuzo dị na mmejuputa usoro ngwu, ka a na-ahụta nke kachasị. Defdị nke ụkọ a na - ebilite n'ihi mbelata nke ọnụ ọgụgụ mkpụrụ ndụ na - akpata ọrụ nke nzuzo.

Mmepe nke ezughi oke exocrine

Nzuzo nke di na nzuzo, dika nsogbu ndi ozo di na aru, nwere otutu akara aka na ngosiputa nke puru igosiputa n ’odidi ahu nke mebiri emebi. Ihe mgbaàmà nke ezughi ezu nke oria exocrine nwere ndi a:

anabataghị abụba na nri na-ekpo ọkụ,
ihe dị ka afọ na -arụ n’afọ mgbe ị risịrị nri na abụba na-egbu egbu nke ahụ n’anụchaghị ahụ.
ọnụnọ nke ihe oriri na-eme ka ihe oriri sie ike,
bloating
ọdịdị nke colic na afọ
ihe mgbu n’ọkpụkpụ.

Na mgbakwunye na akara ndị edepụtara, ọrịa gland na-ama ihe na-egosi na ihe omume obi na-arịwanye elu, mgbatị akwara, mkpụmkpụ ume, ndọpụ iche na sistemụ ahụ na -eme ka arụ ọrụ ọbara, akpụkpọ akpọnwụ na ụfọdụ ndị ọzọ. Ihe mere nrịba ama ndịa bụ n’ihi enweghị abụba na abụba dị n’ime ahụ. N'ihi mmebi nke digestibility ha, nsogbu na - apụta na - eweta oke mgbakasị ahụ, karịrị ọrịa ahụ n'onwe ya.

Ihe na-akpata nsogbu nke pancreatic

Ndị ọkachamara n'ịgwọ ahụike chọpụtara ọtụtụ ihe na-eduga n'ọrịa ọrịa pathologies na gland. Dabere na mmetụta dị n'ahụ ahụ n'ihi ihe dị iche iche, ụfọdụ ihe mebiri amalite. Ihe ndị kpatara mmepe nke ime ihe bụ ihe ndị a:

belata mbelata nke glandular gland,
mpụta nke nzuzo n'ime oghere nke duodenal,
enweghi nnabata nke enzymes na nhazi nke nri.
iji usoro ọgwụgwọ ụfọdụ ọgwụ.

Mainzọ kachasị iji mee ka ọria na-edozi pensụl bụ ịnọgide na-enwe ezigbo nri. Thekpụrụ dị mkpa maka ịnọgide na-enwe ihe oriri na-edozi ahụ, na-atụnye ụtụ na nhazi nke anụ ahụ, bụ:

iji obere nri oriri, nke ọnụ ọgụgụ nri na-abawanye ma na -ebelata oke nri ị na-eri n'otu oge,
na -emechi oke oriri nke abuba riri,
igbochi iri nri mgbe emesịrị, tupu alakpu ụra na etiti abalị,
ị toụ mmanya nwere mmanya na-egbu egbu.

A na-achịkwa ngwaahịa enyere ka eri eri nke ndị ọkachamara ahụike na-abịa na-enyocha nri onye ọrịa. Maka amachibidoro iji abụba oriri anụmanụ, a ga-eji nri akụ nwere nke abụba akwụkwọ nri dochie ya. Otutu akwukwo nri na nkpuru osisi ka etinyere n’ime nri. Maka ndị na-ata ahụhụ site na nsị exocrine, nri nwere carbohydrate na-ebute ihe a na-ebute na nri, nke a ga-emerịrị n'ọtụtụ zuru oke iji nyere anụ ahụ aka ịlụ ọgụ. Isi ihe achọrọ bụ ịnweta carbohydrates site na nri dị mma, ọ bụghị site na Graham.

Site na ntụgharị zuru oke na nri sitere na ihe ọkụkụ, a ga-enwe ike ịbawanye ụba n'ime eriri afọ.

Na mgbakwunye na nri nri, onye ọrịa nwere ụdị ọgba aghara a kwesịrị iji ọgwụ mee ihe na usoro ọgwụgwọ, nke a na-eme iji weghachi ọrụ nke akụkụ ahụ. Medicationsdị ọgwụ a gụnyere Creon, Pancreatin, Mezim na ụfọdụ ndị ọzọ. Ọtụtụ mgbe, a na -e nweta ọgwụ ndị dị otu oge na nri ahụ, ọ bụrụ na ihe ịtụnanya a mere, aga-eri nri bran.

Mmepe nke ụdị exocrine ọdịda

Enweghi nkwe nkpo nke oria akuko bu udiri arua, nke ekpughere site na enweghi nkpuru ihe omuma nke glandular for digestion.

Ihe mgbaàmà nke mmepe nke nsogbu a bụ:

ukpa nri,
ụba gas na afọ,
imebi usoro nke guzobe feces,
na obi gị ụra
ọdịdị nke mmetụta nke ike ọgwụgwụ.

Ihe ndị na-emebi iwu nwere ike ịbụ ihe ndị a:

ọgba aghara nwere ike ibute site na mgbanwe ndị agbanweghi,
nsogbu n’ọrụ afọ,
dysfunction nke duodenum,
nsogbu gallbladder,
nsogbu iri nri
ị alcoholụbiga mmanya ókè
ụnwụ nri.

Ọgwụgwọ ụdị ọrịa a na - amalite site na ịchọpụta ihe na-ebute mmepe ya. Ọ bụrụ na ihe kpatara mmebi ahụ bụ ihe oriri ma ọ bụ ị alcoholụbiga mmanya ókè, mgbe ahụ ọ dị mkpa ịmalite ịmalite idozi nri onye ọrịa ma wezuga mmanya mmanya.

Ọrịa dị na pancreas n'ime ụmụaka bụ ihe dị egwu, ebe ọ bụ na ọrụ na-arụ ọrụ nke akụkụ ahụ dị mkpa na-eduga n'ọrịa dị egwu na akwara ụmụaka. Ọdịda na pancreas na-eduga n'ọrịa metabolic, mgbanwe ndị dị otú a nwere ike ibute ọgba aghara na mmepe nwata.

Zọ ọgwụgwọ

A na - ahọrọ usoro ọgwụgwọ nke erughi enzyme n'otu n'otu ma dabere n'ọtụtụ ihe:

na-akpata ọrịa,
ogo nke pathology.

Ọ bụrụ na enzyme erughi bụ nsonaazụ nke mmepe nke oncology, cysts ma ọ bụ cholelithiasis, usoro ọgwụgwọ bụ isi bụ ịwa ahụ iji wepu neoplasms. N'oge ịwa ahụ, a ga-ewepụ ya neoplasms na akụkụ nke pancreas nke ha kpụrụ.

Ọ bụrụ na ihe kpatara mmepe nke ụkọ enzyme metụtara yana ọria ya na ọrịa pensụl, ọrịa shuga ma ọ bụ ọrịa ọzọ enwere ike ịgwọ ọgwụ, ha anaghị etinye aka na ịwa ahụ. N'okwu a, a na-eji ọgwụ eme ihe na-eweghachi ọkwa nke enzymes diges na ahụ mmadụ. Ndị a gụnyere:

A na-ahọpụta ọgwụ ndị a n’otu n’otu, dabere n’otú mmadụ si arụ ọrụ nke ahụ. Dịka iwu, usoro ọgwụ ndị a sitere na usoro anụ ehi na-achịkwa, nke nwere enzymes diges. Ma ọ bụrụ na onye ọrịa nwere ihe nfụkasị ahụ maka ọgwụ ndị ahụ, a na-enye ọgwụ mgbochi ya. Ma ha na-eme ihe na-adịghị mma karịa ọgwụ anụmanụ sitere, n'ihi ya edepụtara ha n'ọtụtụ dị elu.

N'akụkụ ọgwụgwọ ọgwụ, nri (tebụl ọgwụgwọ 5.) Bụ iwu, nke na-enye gị ohere belata ibu na pancreas ma nye ya oge iji gbakee. Nri a wepuru na nri onye oria:

abuba na nri n’abali,
chọkọleti na koko
ice cream
Anụ na azụ nwere abụba,
olu
mefulụ anụ
Pịkụl
marinade
nri mkpọ
ntụ ịme achịcha,
kọfị siri ike na tii,
ihe ọ carbonụ carbonụ karama na mmanya na-aba n’anya.

Dọkịta kwesịrị ịkọwa n’ụzọ zuru ezu ihe ekwere ka iri nri na-enweghị enzyme yana ihe na-adịghị. Ma ọ dị oke mkpa ịgbaso ndụmọdụ ya, ebe ọnọdụ ọnọdụ onye ọrịa ahụ ga-esite na nke a.