Mmebi nke ihe nzuzo dị n'ime ya

Ekwesiri ime omumu banyere intracecretory nke pancreas n'okwu nile mgbe echere oria obula. Ọmụmụ ihe a gụnyere ịtụle mmamịrị maka shuga na ịchọpụta ọkwa glucose ọbara. Mbelata ma ọ bụ ịkwụsị kpamkpam nke imepụta insulin na-eduga n'ịbelata glycogen na imeju na mbelata na mkpokọta glucose site na mkpụrụ ndụ. N’ihi nke a, glucose na-agbakọ n’ime ọbara (hyperglycemia) ma bido ịmịpụta ya na mmamịrị (glucosuria). N'otu oge ahụ, nsogbu ndị miri emi nke nitrogen na abụba metabolism na-ewere ọnọdụ, n'ihi ngwaahịa ndị na-ezighi ezi nke mmebi abụba (acetone, acetoacetic na R-hydroxybutyric acid) nwere ike ịgbakọ n'ọbara. Nke a na - eduga na acidosis, na - eso nnukwu nsogbu na ahụ niile.

Mgbagha metabolic ndị a bụ njirimara njirimara nke ọrịa shuga mellitus n'ihi nrụpụta insulin ezughi oke na agwaetiti Langerhans.

Agbanyeghị, ya na ọrịa ndị ọzọ siri ike na nke na-adịghị ala ala nke pancreas (nnukwu ọrịa necrosis, etuto, akwara na ọrịa na-adịghị ala ala, wdg), ọ bụ ezie na ọ bụghị oge, glucosuria na hyperglycemia na-eme, na-egosi imebi ọrụ intrasecretory nke pancreas.

N'inwe ogo dị nro nke ọrụ a, glucosuria nwere ike ọ gaghị adị, mana ọ nwere ike ịpụta mgbe ọ nwesịrị ule 100 g shuga (nke a na-akpọ alimentary glucosuria). N'otu aka ahụ, ọkwa shuga dị n'ọbara nwere ike ịbụ nke nkịtị yana obere nsogbu na ọrụ pancreas intracecretory. N'ọnọdụ nke abụọ, a na-achọpụta mmebi iwu a mgbe enwetara nke a na-akpọ usoro nri mgbe enyechara onye nnwale ahụ 50-100 g shuga na-ebu ọnụ. Dịka anyị kwuworo, na onye ahụike, ọkwa shuga ọbara nke mụbara mgbe nke a laghachiri na ọnụ ọgụgụ mbụ. N'ọnọdụ ezughi oke ọrụ intracecretory nke pancreas, a na-enweta ụdị a na-akpọ ụdị shuga n'ụkpụrụ shuga, nke a na-egosipụta, nke mbụ, site na mmụba dị elu na ọkwa shuga ọbara, nke abụọ, site na nlọghachi azụ na ọnụ ọgụgụ mbụ.

Enwere ike iwere ụdị shuga dị n'ọbara shuga dị ka ihe akaebe nke arụ ọrụ intracecretory arụ ọrụ naanị ma ọ bụrụ na arụ ọrụ imeju na-achịkwa metabolism metabolism.

A na-ekpebi mmebi nke mpụta ihe nke pancreas site na inyocha ihe dị na duodenal, ọbara, mmamịrị na eriri afọ.

Ọmụmụ ihe dị n’ime duodenal mejuputara na mkpebi nke ọgwụ enzymes dị n’ime ya.

Iji nweta ihe dị duodenal, jiri nyocha obere (duodenal) ma ọ bụ nyocha abụọ, otu n'ime oghere nke kwesịrị ịdị na afọ, na nke ọzọ na duodenum. Nyocha a na-eme ka mgbapụta nke afọ na nke na-eme ka a na -emechi ma na -eme ka amachibidoro ihe ọricụricụ gastric na duodenal. Site n'enyemaka nke ịmara, a na-ahapụ ihe a na-akpọ "ihe ọ juiceụtụ na-egbu egbu", nke a na-ewepụta na-enweghị mkpali nzuzo, na mmiri ọ juiceụ juiceụ, nke a na-ewepụta mgbe iwebata mkpasu iwe dị iche iche. Dika eji eme ihe iwe: hydrochloric acid, ether, secretin. A na-agbanye 30 ml nke HCL mmiri ọkụ 0,5% site na nyocha otu oge (dịka B. I. Holstein) ma ọ bụ nkeji 20-30 ọ bụla na obere akụkụ ruo awa 2-3 (dịka E. B. Zakrzhevsky) si kwuo. A na-ewebata Ether site na nyocha na ego nke 2-3 ml (dị ka Kach si kwuo). Ihe kachasị mma gbasara anụ ahụ na - eme ka ọgwụ a na - egbochi bụ bụ secretin, nke a na - achịkwa ya n'ime otu kilogram nke kilogram 1 (ọ naghị arụ ọrụ mgbe enwere nyocha.) Site na nchịkwa obere akụkụ nke hydrochloric acid, yana nhazi nchịkwa nke nzuzo, a na-ewere ọdịnaya duodenal kwa minit 10-20 maka awa 1.5-2.

Mgbe ngwụcha ọmụmụ a, iji ihe nzuzo, a na-elekọta pancreosimin (1.5 nkeji kwa 1 n'arọ nke anụ ahụ), nke na-akpali ọrụ enzyme nke pancreas (nzuzo na - eme ka ọrụ ahụ sọzị enzyme), a na - anakọkwa ihe duodenal ahụ maka otu elekere 1 kwa minit 10-20 ọ bụla.

A na - ejikwa ya eme ihe dị ka ihe na - eme ka mmiri ọgwụ ụjọ, mmiri ara ehi, abụba, urocholil, insulin, wdg.

Na mpaghara anakọtara nke ihe ọ theụ beforeụ ahụ tupu iwebata mkpali na ntụtụ ọ bụla na-esochi, a na-ekpebisi olu, akụrụngwa anụ ahụ, ọrụ enzymatic na alkalin carbonate.

Site na enzymes pancreatic dị na duodenal na-ekpebisi ike: diastase (amylase), lipase na trypsin. A na - enye usoro maka ọmụmụ ihe dị na duodenal maka ọdịnaya nke enzymes na akwụkwọ ntuziaka pụrụ iche na ụzọ nyocha nke biochemical.

Na ọrịa nke pancreas, enwere mgbanwe na akụrụngwa anụ ahụ nke ihe ọ pancụ pancụ pancreatic, ọrụ nke enzymes ya na mgbanwe nke alkalinity carbonate nke ọdịnaya duodenal.

Di oke nkpa maka nyocha nke ikike nrụgide ma ọ bụ mmachi nke ductus Wirsungianus bụ ngbanwe nke ọnya afọ na ọbara na mmamịrị. Site na ihe mgbochi zuru ezu ma ọ bụ akụkụ ya nke akwara mmiri, mmiri nke mmiri ọgwụ a na-abanye na duodenum siri ike ma ọ bụ kwụsị kpamkpam. N'ihi ya, a na-abanye enzymes ihe ọ juiceụ pancụ pancreatic n'ime ọbara, nke yiri Billeubin bile na-abanye n'ime ọbara n'oge mkpọchi d. choledochus. Themata oke enzymes n'ime ọbara na-eduga ná mpụta nke ukwuu na mmamịrị ahụ. Na-ekpebikarị na mkpebi siri ike nke mkpụrụ osisi di na mmamịrị.

Ọnọdụ nke apịtị dị

A na-echere akụkụ ahụ n'ime apịtị, dị n'azụ afọ, dị n'akụkụ duodenum 12 n'ogo nke vertebrae nke elu azụ. N'ime amụma ahụ n’elu mgbidi afọ, ọ dị sentimita ise 5-10 n’agbata otubo. Ihe ejiri mara akụkụ ahụ bụ akụkụ tubular, mejupụtara akụkụ atọ - isi, ahụ na ọdụ.

Isi nke akụkụ ahụ dị na bend nke duodenum, akụkụ nke ikpeazụ na-ekpuchi isi n'ụdị nke akpukpọ uhie. Site n'ahụ ya, a na-eme ya site na furrow, nke ya na veranal vene n'ime ahụ.

A na-enye gland ahụ ọbara site na akwara akwara, a na-ebute mmiri nke mmiri site na akwara olu.

Ihe dị na aru ahu nke pancreas:

• A na-eke ahụ ahụ n’ọtụtụ akụkụ - akụkụ ihu, ala na azụ azụ, n’otu aka ahụ na-amata n'ọnụ ya.
• Akụkụ ihu dị na kọntaktị na mgbidi nke afọ.
• Akụkụ azụ dị n'akụkụ oghere dị n'ọkpụkpụ azụ, ọkpụkpụ ọbara nke spine na-agafere ya.
• Akụkụ dị ala dị n'okpuru mgbọrọgwụ nke colon transverse.

Ọdụ apịtị na - erute n'ọnụ ụzọ nke spleen, a na-eduzi ya ma ala. Ihe mejuputara aru ahu mejuputara aru aru abuo na aru oru ma obu n’ime ya. Ndabere nke anụ ahụ bụ obere akụkụ, nke ndị na - ekwu okwu nke anụ ahụ na - ejikọ.

Bulọ nke ọ bụla nwere akụkụ nke ya maka iwepu ya. Ha na - emekọrita, n'ihi nke etolitekọri akwara, nke na - agafe akụkụ ahụ niile. N'akụkụ aka nri nke isi, ọ na-emeghe n'ime duodenum 12, na-ejikọ na dule bile. Nke a bụ otu ihe nzuzo nke pancreas si abanye eriri afọ.

N’agbata otu mkpụrụ ndụ dị n’okpuru ebe a na-akpọ agwaetiti nke Langerhans. Ha enweghị usoro ọgwụgwọ a na - apụ apụ, agbanyeghị, ha nwere ụdọ akwara ọbara, nke na-enye gị ohere izochi insulin na glucagon ozugbo n'ime ọbara.

Kedu ka esi edozi gland?

Iwu nchịkwa nke pancreatic nzuzo na-apụta dị ka usoro dị ọtụtụ. Nnukwu mmetụta na arụ ọrụ nke mkpụrụ ndụ ndị nwere ike izochi enzyme ndị dị mkpa bụ ndị steeti nke sistemụ akwara ozi na-arụ ọrụ.

Nnyocha e mere na-egosi na ụdị nri, isi nri, ma ọ bụ ịkọwa ya naanị na-eduga n'ịba ụba nke ọrụ pancreatic. Mmetụta a sitere na ọrụ nke sistemụ akwara autonomic.

Ngalaba parasympathetic nke akwara site na irighiri akwara na-abawanye ọrụ nke akwara dị n’ime. N'otu oge ahụ, usoro ọmịiko na-elekwasị anya na mbelata.

Na usoro nke arụ ọrụ, enwere nnukwu ihe ejiri mara ihe ọ juiceụricụ gastric. Ọ bụrụ na acid na-aba n’ime ya, ọ na-ahụ ka ọ na-agbatị aka, nke a na-eduga n’inwekwu ọnya.

N'otu oge ahụ, ịgbatị usoro nke duodenum yana mmụba nke acidity na lumen ya na-eduga na mmepe nke ihe ndị na-akpali pancreas. Ihe ndị a gụnyere:

Usoro gland dị n’ahụ nwere ike ọ bụghị naanị ịkpali, kamakwa igbochi ọrụ ya. Mmetụta a na-emetụta sistemụ ọmịiko na homonụ - glucagon, somatostatin.

Ígwè nwere ike imezigharị na nri ụbọchị. Ọ bụrụ na carbohydrates na-eri nri, mgbe ahụ ihe nzuzo nzuzo nwere amylase nke ukwuu, ma ọ bụrụ na nri nwere ọtụtụ protein protein, a na-emepụta trypsin, ebe a na-eri nri ndị nwere abụba, a na-amịpụta lipase.

Ọrụ digestive

Ọrụ Exocrine nke a na-eme na ya bụ imepụta ihe ọ pancụ pancụ pancreatic. Ọ synthesized 500-1000 ml nke ya kwa ụbọchị. Ọ mejupụtara ogige enzyme, nnu na mmiri nkịtị.

Enzymes nke a na-eme site na gland na-akpọ proenzymes. A na-emepụta ha n'ụdị adịghị arụ ọrụ. Mgbe nri banye na duodenum, homonụ na-amalite izo ya ezo, site na nke a na - eme ka ụdọ mmiri dị n'ahụ, nke na - eduga na ịgbalite enzymes.

Ihe mkpali dị ike bụ hydrochloric acid, nke, mgbe ọ banyere eriri afọ, na-akwalite uto nke nzuzo na pancreosimine - ha na-emetụta njikọ nke enzymes:

• Amylase na-eme ka mmebi nke carbohydrates.
• Trypsin so na mgbaze nke protein protein, nke bidoro n’afọ.
• Lipase na-enyere aka wezuga abụba ndị enweela ihe otite sitere na gallbladder.

Ihe ọ Panụ Panụ Pancreatic nwekwara ihe ndị dị n’ime ala n’ụdị nnu nnu, na-enye aka na mmeghachi alkaline. Nke a dị mkpa iji wee mee ka ihe acidic mejupụtara nri si na afọ pụta, wee mepụta ọnọdụ dị mma maka nnabata nke carbohydrates.

Ọrụ intracecretory nke anụ ahụ na - ahụ maka ịhapụ homonụ ndị dị ka insulin na glucagon n'ime ahụ. A na-emepụta ha site na otu mkpụrụ ndụ na - agbasa n'etiti ọdụ, enweghị pepeles - agwaetiti nke Langerhans. Homonụ ọrụ:

1. A na-achọpụta ntọhapụ insulin na sel beta. Nke a hormone na-ahụ maka usoro nke carbohydrate na abụba usoro ke idem. N'okpuru mmetụta nke ihe mejupụtara ahụ, glucose na-abanye n'ime anụ ahụ na sel, n'ihi nsonye shuga na-ebelata.
2. A na-emepụta Glucagon site na mkpụrụ ndụ alfa. Na nkenke, homonụ ahụ bụ ọgwụ mgbochi insulin, ya bụ, ọ bụ iji bulite ọdịnaya shuga dị n’ahụ mmadụ. Mkpụrụ ndụ Alfa sokwa na njikọ nke lipocaine, nke na-egbochi imeju abụba.

A na-achịkwa nzuzo nke adrenaline si gland adrenal site na ịta shuga. Na-emegide nzụlite steeti hypoglycemic (glucose dị ala), a na-ahụpụta mmepụta adrenaline reflex, nke na-eme ka mmụba nke ọdịnaya shuga.

A na - eme ihe a na akpo di na nmekorita nri ndi ozo. Mkpuchi ma ọ bụ mmebi ọ bụla na-emetụta usoro mgbaze ahụ niile.

Ngosipụta nke amamịghe nke pancreatic enzyme erughi

Iwe na mmezu nke enzymes, mbelata ọrụ ha na erughi ha bụ nsonazụ nke ụdị ọrịa na-egbu ala. Ọrịa a na-eji nwayọ nwayọ na anụ ahụ glandular, n'ihi nke a na-eji dochie anụ ahụ dochie ya.

Enwere ọtụtụ ihe kpatara ọrịa pancreatitis. Agbanyeghị, ọtụtụ mgbe usoro a na-ahụ n’ahụ na-abụ ị consumptionụbiga ihe ọholicụholicụ na-aba n’anya ókè. N'etiti etiologies ndị ọzọ, nri na-adịghị mma, ọrịa na-egbu egbu (cholecystitis), ọrịa na-efe efe, na ojiji nke ọgwụ ụfọdụ.

Mpecha nke trypsin, amylase na lipase na-eduga na nnukwu arụ ọrụ na usoro nri.

Ihe mgbaàmà nke ọrịa akwara afọ:

• Mgbu n'ime oghere aka ekpe n'ime hypochondrium, nke na-etolite mgbe erichara nri. Mgbe ụfọdụ ihe mgbu ahụ anaghị emetụta nri.
• Mbelata ma ọ bụ nwecha agụụ.
• Ọrịa digestive n'ụdị ọgbụgbọ, afọ ọsịsa, vomiting ugboro.
• Na-asọ n’afọ, afọ.
• Agba na agbanwe agbanwe nke feces na-agbanwe.

Mkpebi ịdị ike na ịdị ike nke ngosipụta ụlọ ọgwụ na-ekpebi ogo nke mmebi. N'ihi mgbaze na-adịghị mma, a na-ahụta ụkọ nke ihe ndị na-edozi ahụ, na foto ụfọdụ, nsogbu nke metabolic na-eduga n'ọrịa ndị ọzọ - osteochondrosis, osteoarthrosis, atherosclerosis of the ọbara.

Ọ bụrụ n ’enweghị ụkọ nke lipase, mgbe ahụ akara ndị a bụ ndị a:

1. N'ime anụ ahụ nwere oke oke abụba.
2. Liquid ahịhịa nke oroma ma ọ bụ odo.
3. Oche di mmanu mmanu.

N'ọnọdụ ụfọdụ, ọ bụ naanị abụba mmiri na-apụ apụ n'enweghị feces. Ọ bụrụ na amylase ezughi oke, mgbe ahụ onye ọrịa anabataghị nri nke monosaccharides na disaccharides. Enweekwa tebụl mmiri, mmịnye nke ezighi ezi n'ime obere eriri afọ, nke afọ ọsịsa na - esochi oke ibu.

Site na ụkọ trypsin, a na-ahụ ọria na-adịghị ala ala ma ọ bụ nke siri ike - achọpụtara ọdịnaya nke nitrogen na akwara ike na feces. Ihe eji mara nwa nwoke bu isi uto, ihe ana - eme adighi nma.

Ebe ọ bụ na usoro nke ikewa nri adịghịzi emebi, ọbụlagodi na nri nri na-edozi ahụ, ndị ọrịa na-efunahụ ike, ụkọ vitamin na ihe ndị dị n’ime ala, akpọnwụ akpukpọ anụ ahụ, adịghị n ’efere efere ahụ, na ntutu.

Site na imepụta enzymes dị ala site na gland, a na-atụ aro iji ọgwụ dochie anya. Ma ihe osisi nke ihe ọkụkụ enweghị ike ịkwụ ụgwọ maka ọdịda ngwa ngwa.

Kedu ka esi agwọ ígwè?

Ọgwụ ọgwụgwọ bụ n’ihi ọrịa ndị akọwapụtara. Ibu ọnụ buru ibu na ndabere maka ihe akọwapụtara akọwapụtaghị ihe ọ bụla akọwapụtara na-ebu ọnụ site na ibu ọnụ. Ebe ọ bụ na nke a na-enyere aka belata mmepụta ihe ọ ofụ juiceụ, n'ihi nke a, a na-ebunyela ihe dị n'ime ahụ.

Dị ka ọ na-adịkarị, ndị ọrịa na-ebu ọnụ nke pensụl na-ebu ọnụ nwere ike ịnagide ya, ebe ọdịmma ha na-akawanye njọ, enwere mgbu mgbu oge niile. A na-ahapụ ya ị drinkụ mmiri ịnweta na-enweghị gas ma ọ bụ ofe na-enweghị ike nke anụ ọhịa.

Ebumnuche ebumnuche nke ọgwụgwọ ọrịa ọsịsọ bụ igbochi nsogbu na nbibi ya n'ime usoro ọgbụgba. A na-atụ aro ọgwụ ndị na-egbu mgbu na ọgwụ enzymatic na-enyere aka belata secretion.

Na mbu, a na-ewebata ha n’ime ahu mmadu site na akwara. Mgbe onye ọrịa nwere ọganihu na ọdịmma, ọ nwere ike ịmalite ị medicationsụ ọgwụ n'ụdị mbadamba ihe. Iji belata ihe mgbu na nnukwu oge, ịnwere ike itinye ice cream na pancreas.

Ọgwụ maka ọgwụgwọ nke pancreas:

• Ọgwụ antispasmodics maka ibelata ihe mgbu. Imirikiti ndị ọkachamara n'ịgwọ ọrịa na-ede Papaverine, No-shpu, Drotaverin.Ọ bụrụ na mgbu ahụ na-agafeghị oke, mgbe ahụ, a na-eji Ibuprofen. Ọgwụ ikpeazụ n’otu oge ahụ nwere ọgwụ mgbochi mkpali na nyocha.
• Ọgwụ antacid na-enyere aka belata ihe mgbu, igbochi mgbakasị ahụ na ọnya akpụkpọ ahụ mucous. Ejiri n'ụdị edozi na gels nke na-enyere aka wepu hydrochloric acid. Ndị nnọchi anya otu ahụ - Zoran, Ranitidine.

Iji belata mmepụta nke enzymes diges, a na-eji Contrical. Maka ọgwụgwọ nke ọrịa pancreatitis na-adịghị ala ala, a chọrọ ọgwụgwọ enzyme iji kwado ọrụ nke anụ ahụ dị n'ime, melite usoro nke mgbaze nri. Edere Mezim, Pancreatin, Creon.

Aria aria di aru ma di nma, ya mere odi nkpa idozi onwe ya anya. Iji ihe ọcoụcoụ na-egbu egbu eme ihe na àgwà iri nri na-adịghị mma nwere ike ibute ọrịa pancreatitis - ọrịa siri ike na nke na-adịghị ala ala, okwute dị na ọrịa ahụ, mellitus ọrịa shuga, necrosis ma ọ bụ adenocarcinoma na ọrịa pancreatic, na ọrịa ndị ọzọ.

A tụlere owuwu na ọrụ nke pancreas na vidiyo n'isiokwu a.