Ts'ebetso ea "procrine pancreatic" e bakoa ke ho sebetsa ha makhopho. Lisele tsa sebopeho sena se sebetsang li hlahisa lero la pancreatic.
Ntle le ts'ebetso ea exocrine, manyeme a etsa mosebetsi oa endocrine, o hlahisang tlhahiso ea li-hormone tse amehang taolong ea tšebetso ea metabolic ea 'mele.
Lihormone tse ka sehloohong tse hlahisoang ke manyeme ke insulin, glucagon, somatostatin, peptide e hlahang ka mpeng le pancreatic polypeptide.
Ka lebaka la ts'ebetso ea exocrine, 'mele o hlahisa lilithara tse ka bang 1.5-2 tsa lero la tšilo e nang le li-enzyme tse amehang ts'ebetsong ea tšilo ea lijo.
Ho latela sisteme ea duct, lero le hlahisitsoeng la pancreatic le tlosoa ka har'a lumen ea duodenal.
Sebopeho sa lero la tšilo ea lihlapi se na le:
- Li-enzyme tse khaolang limatlafatsi tse etsang lijo;
- metsi
- li-bicarbonate ions, li kenya letsoho khokahanong ea lero la gastric le kenang duodenum hammoho le hlama ea lijo ho tsoa ka mpeng.
Secretion ea enzymes e laoloa ke lihormone tse hlahisoang ka mpeng le ka mpeng.
Lintho tse sebetsang tse etsang tšebetso ea tšebetso ea gland ke:
- Cholecystokinin.
- Sephiri.
- Gastrin.
Lintho tsena kaofela tse bioactive li kenya letsoho ho sitiseng mosebetsi oa pancreatic.
Ho hlahisoa ha lihormone ho etsoa ho arabela ho hlaha hoa marako a mpa ka lebaka la ho tebela marako a mpa le mala ha o a tlatsa ka lijo. Ho hlahisoa ha lihormone ho hlohlelletsoa ke lero la pancreatic, le kenang ka ka mateng ka mor'a ho ja.
Mesebetsi ea Pancreatic Enzyme
O mong oa mesebetsi ea mantlha ke tlhahiso ea li-enzymes tsa pancreatic.
Li-enzyme tse joalo li fana ka tšilo ea mefuta eohle ea lijo.
Li-enzyme tse hlahisoang ke manyeme ke tsa lihlopha tse 'maloa.
Sehlopha sa li-enzyme tse ngata ka ho fetisisa ke liprotheine. Ho ata ha sehlopha sena sa li-enzymes tsa pancreatic ho bakoa ke ho ba teng hoa mefuta e fapaneng ea liprotheine.
Li-enzymes tsa protheine tse silang metsoako ea protheine li kenyelletsa metsoako e latelang e sebetsang:
- chymotrypsin;
- elastase;
- trypsin;
- carboxypeptidase.
Ntle le sena, tšepe e hlahisa:
- Lipase - mochini o sollang mafura.
- Amylase ke karolo e sebetsang e arolang li-polysaccharides.
- Li-nyutlelie ke motsoako oa li-enzyme tse netefatsang ho fokotseha ha li-nucleic acid.
Haeba ho na le ho ferekana ho hlahiseng likarolo tsa lero la pancreatic, ho se sebetse hantle ha litho tse ling tsa tšilo ea lijo, ho lebisang ho keneng ka botlalo ha lijo le mathata a metabolic.
Ho sitoa ha tlhahiso ea li-enzymes ho lebisa ho nts'etsopele ea "insulin" ea pancreatic.
Tlolo ea ts'ebetso ea pancreatic ea exocrine
Sesosa sa mathata a ts'ebetso ea "procrine pancreatic" ke nts'etsopele ea maloetse a setho. Hangata, boemo bona bo hlaha ka lebaka la ho ruruha ha mesifa ho pancreatitis e mpe kapa e sa foleng, ha ts'ebetso ea ho ruruha e lebisa timetsong ea karolo ea pancreatic parenchyma.
Ts'ebetso ea Exocrine ha e ame hantle ho bakuli ba bangata ba nang le pancreatitis e sa foleng.
Khokahano e netefalitsoeng ea saense lipakeng tsa kholo ea ho hloleha, ho tsuba le pancreatitis e sa foleng.
Lisosa tse ling tsa nts'etsopele ea lefu lena e ka ba:
- Neclasm ea oncological liseleng tsa tšoelesa.
- Ho tlosoa ha lesapo la karolo ea lithane tsa seseng.
- Ho hlaha hoa blockage ea li-ducts tsa pancreatic.
- Ntshetsopele ea celiac enteropathy.
- Nts'etsopele ea lefu la Crohn.
- Tsoelo-pele ea autoimmune pancreatitis.
- Lefu la tsoekere.
- Nts'etsopele 'meleng oa Zollinger-Ellison.
- Maemo a ts'ebetso ka mor'a ts'ebetso ea opereishene.
- Nts'etsopele ea "dumping syndrome".
Lebaka le leng hape la ho haella ha pancreatic ke ho haella hoa mmele oa mokuli oa cystic fibrosis kapa cystic fibrosis, ketso e reriloeng ea liphatsa tsa lefutso moo ho thehoang secretion e teteaneng le e bonts'ang e thibelang methapo ea manyeme le bronchioles e bonoang lits'ebetsong tsa ho hlohlona le ho phefumoloha.
Letšoao le ka sehloohong la ho se sebetse hantle 'meleng ke ho kenella le ponahalo ea mathata a dyspeptic.
Boemo bona bo khetholloa ka ponahalo ea matšoao a latelang a sehlooho:
- polyfecals;
- litulo tsa khafetsa le tse hlephileng;
- ponahalo ea mafura mefuteng;
- ho hlaha hoa lipalesa khafetsa;
- ho theola boima ba 'mele.
Tabeng ea kholo ea khaello ea endocrine, mokuli o hlaolela lefu la tsoekere. Mofuta ona oa lefu la tsoekere o bonolo ho feta lefu la tsoekere la mofuta oa 1. Sena se bakoa ke taba ea hore ha se lisele tsohle tsa lihlekehleke tsa Langerhans.
Hangata, bakuli ba joalo kamora nakoana ba hloka ho hlahisoa ha tekanyetso e eketsehileng ea insulin.
Maemong a mang, ho fetoha le maemo a "glucose" a tloaelehileng ka ho sebelisa mokhoa o khethehileng oa ho ja le meriana ea hypoglycemic.
Matšoao le tšoaetso ea ho hloleha ha exocrine
Boemo ba ho haella ke ho hlile ho thata ho bo tseba. Sena se bakoa ke taba ea hore matšoao ohle a boemo bona ba methapo ea methapo a tšoana le matšoao a mafu a mang, ao ho ona ho nang le mafu a kang lefu la mokokotlo la mokokotlo, lesapo la mokokotlo, cholelithiasis, lits'oaetso tsa ts'oaetso ka mpeng le tse ling tse ngata.
Ponahatso e atileng haholo ea ho hloleha ha lets'oa la procrine ke ho ba teng ha lets'ollo le sa foleng le ho fokotsa boima ba 'mele.
Letšoao le leng la pathology e ka ba nts'etsopele ea hypovitaminosis, e bonahatsoang ka lipekere tsa brittle le tahlehelo ea moriri.
Bothata ba ho tseba hore na lefu la sethoathoa ke bofe hobane bo sa bonahale ho fihlela setho se lahleheloa ke matla a ho etsa karolo ea 90%. Ka nako ena eohle, mokuli ha a bonts'e matšoao le setoro ke se tloaelehileng.
Ho netefatsa kapa ho hanyetsa boits'oaro, ho etsoa liteko tse ngata tsa laboratori, tse kenyeletsang:
- Tlhahlobo ea fecal.
- Teko ea mali bakeng sa tsoekere e nang le mojaro.
- Teko ea mali bakeng sa livithamini le acid e mafura.
- Teko ea mali bakeng sa tsoekere.
Ntle le moo, tomography e kopantsoeng e etsoa, e u lumellang ho fumana lisosa tsa ponahalo ea pherekano ea methapo tsamaisong ea setho.
Phekolo le thibelo ea methapo ea kutlo
Phekolo ea lefu la perekisi e hlokahala hore e qale kapele kapele ka mor'a hore lefu le fumanoe.
Mokhoa o ka sehloohong oa kalafo ke kalafo e nkang sebaka ka li-enzymes tsa pancreatic.
Ts'ebetsong ea phekolo e ncha, ho sebelisoa lipalo tse ngata tse fapaneng. Meriana ena e na le li-enzymes tse ka sehloohong tsa pancreatic mme, maemong a mang, li-ingredient tse ling tse sebetsang.
Lithethefatsi tse sebelisitsoeng li na le mosebetsi oa lipolytic, amylolytic le proteinolytic.
Lithethefatsi tsena li kenyelletsa tse latelang:
- Pancreatin
- Mezim;
- Panzinorm;
- Festal;
- Kereone
- Pangrol le ba bang.
Ts'ebeliso ea kalafo e khutlisang e u lumella ho laolla manyeme, e leng se thusang ho fola. Phekolo ea ho ikatela ka boeona ha e busetse tšebetso ea setho, empa e u lumella ho tšehetsa 'mele oa mokuli nako e telele.
Karolo e ikhethang ho kalafo ea methapo ea methapo e bapaloa ke ho bolokoa hoa phepo e nepahetseng le bophelo bo botle.
Hangata, ngaka e e latelang e buella ho qoba khatello ea maikutlo, khaotsa ho tsuba le ho noa joala le ho feto-fetoha le phepo e ntle.
Ntle le moo, ho khothalletsoa ho lekanya lijo le ho fokotsa ho ja lijo tse mafura le ho nka li-supplements tsa vithamine, haholo-holo livithamini A, D, E le K.
Sebopeho le mesebetsi ea manyeme li hlalositsoe videong ena.
