Ma Enzymes amafunikira kuti muchepetse chakudya cholowa m'thupi ndikuchotsa michere yofunika mzinthuzo. Salivary, kapamba ndi chikhodzodzo cha ndulu zitha kuyambitsa kutulutsa. Chifukwa cha izi, munthu amadzazidwa ndi ziwalo zonse zamkati zothandiza kufufuza zinthu.
Ngati mulibe ma enzymes okwanira, chakudya cham'mimba chimasokonekera. Chakudya pamenepa sichitha kuthyola, chimayamba kudzikundikira ndikukulitsa kwambiri matumbo.
Physology ya munthu wathanzi ndiwakuti ma protein a protein amaphatikizika ndikulowetsa matumbo ang'onoang'ono. Chifukwa chake, chakudya chimagwidwa ndi kugwidwa, zinthu zake zimaphwanyidwa, kenako zimasinthidwa kukhala mavitamini ndi amino acid, uku ndi ntchito yamigazi.
Kodi ma kondomu amapanga michere yanji
Thupi laumunthu limapangidwa mwanjira yoti chamoyo chilichonse chimagwira ntchito yake. Zikondamoyo zimagwira ntchito molumikizana ndi chikhodzodzo cha ndulu.
Pamene bile ili m'matumbo aang'ono, ntchito ya ma enzymes imayambitsa. Kenako, duodenum imadzaza ndi madzi a pancreatic. Izi zimakhala ndi ntchofu, madzi, mabicarbonate ndi michere, zomwe zimathandiza kuchepetsa acidity yam'mimba.
Ma enzymes akuluakulu opangidwa ndi kapamba ndi amylase, lipase ndi proteinase. Palinso mitundu ina ya zinthu zothandiza.
- Nuc tafadhali amatenga nawo gawo limodzi la ma nikic acid, DNA ndi RNA, omwe amapanga chakudya.
- Protease monga mawonekedwe a elastase imathandizira kugwetsa mapuloteni onenepa ndi elastin. Ma Trypsins ndi ma chymotrypsins, monga chapamimba chapamimba, amapukusira chakudya mapuloteni. Zomwe zimaphatikizidwanso m'mimba ndi carboxypeptidases.
- Amylases kagayidwe kachakudya kagayidwe, kugaya glycogen ndi wowuma.
- Steapsins amathandizira kuthana ndi mafuta.
- Lipase imakhudzanso mwachindunji ndi triglycerides; mafutawa amaphatikizidwa ndi bile, omwe chiwindi chimatulutsa m'matumbo a lumen.
Mapuloteni amathandizira kuphwanya mapuloteniwo kukhala ma peptides, pambuyo pake, pogwiritsa ntchito carboxypeptidase, zigawo zosavuta zimasinthidwa kukhala amino acid ndikuphatikizidwa m'matumbo ang'onoang'ono. Chiwerengero cha michere yotereyi chimachepera ndi zaka, ndipo msambo wawo umatha kuchepa chifukwa cha matenda opatsirana.
Ma amylase amathandizira pakuwonongeka kwa zovuta zam'mimba kapena ma polysaccharides kupita ku dextrin ndi maltose. Pambuyo pake, mapangidwe osavuta a shuga - glucose ndi fructose, omwe amalowetsedwa m'matumbo. Ma amylase ambiri amawonedwa mu kapamba, ndipo ma enzymewo amapezekanso m'matumbo a salivary.
Malilime amasokoneza mamolekyulu amafuta, ndikupanga glycerin ndi mafuta acids. Pamaso chimbudzi chisanachitike, mafuta amawonongeka ndi bile acid. Komanso ma enzymes amenewa amasintha mavitamini E, D, A, K kukhala mphamvu.
Kuphatikiza pa kuyamwa kwa michere, michere ya kapamba imakhudzidwa ndimayendedwe a metabolic ndi kutembenuka, kuwongolera shuga.
Komanso chiwalo chamkati chimatha kupanga zinthu za mahomoni zomwe zimayang'anira maselo achilengedwe.
Pancreatic Imper
Nthawi zambiri, kapamba amasokonezeka pomwe munthu sayang'anitsitsa thanzi lake ndikukhala ndi moyo wopweteketsa. Makamaka, matenda am'mimba amatha kukula ngati wodwala amadya zakudya zopanda thanzi, samadya pa ndandanda, ndikuledzera.
Mwa zisonyezo zilizonse zokayikitsa komanso zomverera zowawa, muyenera kukaonana ndi gastroenterologist, kukafufuzidwa kwathunthu kuti mudziwe chomwe chimasokoneza kwenikweni m'thupi.
Ngati malamulo a kudya mokwanira samatsatiridwa, dokotala nthawi zambiri amawazindikira pancreatitis. Matendawa amatha kukhala ndi mawonekedwe owopsa kapena osachiritsika.
- Matenda owopsa a matendawa amakula ngati kapamba sakugwira ntchito moyenera, ndipo ma enzyme omwe amapangidwa amakhala atangoyambitsa dongosolo. Zotsatira zake, kugawanitsa gland palokha kumayamba. Munthu amamva kupweteka kwambiri pamimba, kutentha thupi, kusanza, kukhumudwa m'mimba. Ndikofunika kufunafuna chithandizo chamankhwala munthawi yake kuti mupewe zovuta.
- Matenda a kapamba amayamba pang'onopang'ono, wodwalayo mwina sakudziwa za kukhalapo kwa matendawa. Munthawi imeneyi, minyewa ya kapamba imasowa, chiwalo chamkati sichimapanga ma enzyme oyenera. Panthawi imeneyi, matenda ashuga nthawi zambiri amakula chifukwa chosowa insulin.
Zizindikiro zamtundu uliwonse wa kapamba zimatsatiridwa ndi belching, flatulence, kutsegula m'mimba, kupweteka kwa kapamba.
Popewa kukula kwamavuto, ndikofunikira kuyamba kuchiza matendawa munthawi yake, chizindikiritso choyamba cha kapamba.
Pancreatic enzyme assay
Kuti adziwe zam'magazi, dokotala amayeza kuyesa kwa magazi am'mwazi, mkodzo ndi seramu yamagazi amawunikiranso. Cholinga chachikulu chodziwitsira matenda ndikuwona mulingo wa lipase, elastase ndi amylase. Kuyesedwa kwa magazi kwa ma enzymes a chiwindi kumachitidwanso.
Seramu amylase yomwe imakonda kuphunziridwa. Ngati kafukufuku wa enzymatic akuwonetsa kuchuluka kwa amylase yoposa 130, nthawi zambiri munthu amadwala chifuwa cham'mimba. Pazowonetsa 0-130, mavuto muntchito ya kapamba amawululidwa. Ngati chizolowezi chimaperekedwa patatha mayeso atatu odziwitsa, mawonekedwe a pancreatitis kapena m'matumbo amtundu wapezeka.
Seramu yamagazi imagwiritsidwa ntchito kudziwa milingo ya lipase. Zikondazo zikawonongeka, kuchuluka kwa ma enzymes kumatha kuwonjezeka ndi 90 peresenti. Ngati mulingo wabwinobwino, ndipo amylase akapitilira, munthuyo mwina ali ndi matenda osiyanasiyana.
Pogwiritsa ntchito biochemistry, dokotalayo amazindikira matendawa ndikusankha njira zofunikira zochizira. Kuti mupeze zolondola, kutsimikiza kwa milingo ya michere kumachitika m'mimba yopanda kanthu m'mawa.
Ngati ndi kotheka, kuwunika ndowe ndi mkodzo kumachitidwanso.
Mankhwala
Masiku ano ogulitsa ndikusankha mitundu yonse yamankhwala omwe amathandizira kuchiritsa kapamba. Zotsatira zazikulu za mankhwalawa ndizobwezeretsanso ma enzyme omwe akusowa.
Mankhwala ali ndi kusiyana, kutengera kapangidwe kake, njira yopangira ndi mawonekedwe omasulidwa. Zopangira zazikulu ndi nguluwe kapena nguluwe.
Palinso mankhwala omwe amaphatikizapo bile. Koma kukonzekera kwa enzyme imeneyi kumapangidwa mu chifuwa chachikulu cha chiwindi, hepatitis, zilonda zam'mimba komanso kusagwira ntchito kwa duodenum, kutupa ndi matumbo ena a m'mimba.
- Musanayambe kumwa mankhwalawo, thupi ndi kapamba zimayenera kukonzekera mankhwala a enzyme. Kuti muchite izi, gwiritsani ntchito mankhwala osokoneza bongo a analveric Papaverin, No-Shpa, Drotaverin, omwe amachepetsa ululu. Kuphatikiza apo, amagwiritsa ntchito ma pinkiller osiyanasiyana.
- Ngati matendawa apezeka mwa mwana, dokotalayo amamulembera mankhwala apadera a ana kapena amasankha mlingo woyenera malinga ndi msinkhu wa wodwalayo. Pochiza ana, mankhwalawa amaphatikizidwa ndi mkaka kapena madzi akumwa.
- Enzymes za pancreatic ndi gawo lamapiritsi ambiri monga Mezim-Forte, Abomin, Creon, Festal, Digestal, Betaine, Enzistal, Panzinorm, Penzital ndi ena.
- Masiku ano, pogulitsa mungapeze ma enzymes a chomera, mafangayi kapena ma virus, wodwala amatha kusankha mankhwala atagwirizana ndi dokotala. Kukonzekera ndi ma enzymes amadzimadzi kumakhala kosasinthasintha kwamadzimadzi, motero amatha kusakanikirana bwino ndi chakudya komanso kumizidwa mwachangu.
Kuphatikiza pa kumwa mapiritsi, njira ya mankhwalawa imaphatikizaponso kutsatira zakudya zapadera zosiyidwa. Wodwalayo amaloledwa kudya zakudya zamafuta ochepa popanda kuwonjezera nyama, porridge ndi michere. Kuphatikiza apo, tikulimbikitsidwa kumwa pafupifupi malita awiri patsiku lamadzi amchere amchere.
Ngati munthu ali ndi prancine pancreatic kuchepa, mankhwala Pancreatin ndi mankhwala. Amagwiritsidwa ntchito ngati dysbiosis, zilonda zam'mimba, pomwe msuzi wam'mimba umakhala ndi kuchuluka kwa hydrochloric acid ndi pepsin, matenda apakhungu kapena matenda am'mimba, komanso kuchepa kwa enzyme.
Kuti muwonjezere ntchito ya kapamba ndikupangitsa kupanga michere, mankhwala amagwiritsidwa ntchito omwe amakhala ndi pacreatin, hemicellulase, bile acid ndi zina. Chifukwa cha izi, ntchito zam'mimba ndi chindulu cha ndulu zimakhudzidwa, ndipo mapangidwe a mpweya m'matumbo amachepa. Chithandizo chotere chimayikidwa ngati zizindikirozo zikuyenda limodzi ndi kuseketsa, kupindika, kudzimbidwa.
Zambiri pancreatic ntchito zimaperekedwa mu kanema munkhaniyi.
