Cancreas ndi chiwalo chofunikira chomwe chimayang'anira magwiridwe antchito oyenera a m'mimba ndi endocrine. Zimalimbikitsa kutulutsidwa kwa glucagon, insulin ndi somatostatin - mahomoni omwe akukhudzidwa ndi metabolism. Chifukwa cha magawo a madzi a pancreatic, thupi limasweka ndikufotokozera chakudya chomwe chikubwera.
Pancreatic Enzymes ndi chimbudzi
Zikondwererozi zimagwira monga chimba chachikulu m'mimba. Maukizi a chiwalochi amalowa mu duodenum, komwe ndi gawo loyamba la matumbo ochepa. Ma ducts amenewa amasamutsa ma enzoni a pancreatic kumalo okugaya, komwe mapuloteni, mafuta ndi chakudya zimawonongeka.
Gawo lazopusa la kapamba limatulutsa:
- Bicarbonates, omwe amapanga malo amchere mu duodenum kuti athetse hydrochloric acid omwe amatulutsidwa ndi m'mimba;
- Ma elekitirodi ndi madzi;
- Kupukusa michere.
Ma pancreatic enzymes, amatha kugawidwa m'magulu:
Lipase, yomwe imakhudzidwa ndi kuthana ndi mafuta kupita ku mafuta acids ndi glycerol. Izi zimathandiza kukonza kuyamwa mu magazi a zinthu zomwe zimalowa m'mimba.
Amilazu, yomwe imakhudzidwa ndi kuthyololoka kwa ma starter kupita ku oligosaccharides. Kuphatikiza apo, michere ina yokugaya imasokoneza zinthu zomwe zimapangitsa kuti pakhale shuga, zomwe ndizofunikira kuti zitheke mphamvu. Mluza umalowa m'thupi mwa kulowa m'magazi.
Mitengo, omwe agawidwa kukhala pepsins ndi chymotrypsins, carboxypeptidase, elastase. Ma pessins ndi ma chymotrypsin amatenga nawo gawo pakusweka kwa mapuloteni kupita ku ma peptides. Kupitilira apo, carboxypeptidase imagwiritsa ntchito peptides ku amino acid, omwe amakometsedwa ndi thupi. Ma enzyme a Elastase amaphwanya elastin ndi mitundu ina ya mapuloteni.
Kugawidwa kwa ma enzymes mumagawo am'mimba kumachitika kudzera kulumikizana. Ndi kuwonjezeka kwa milingo ya chymotrypsin ndi trypsin m'dera la duodenum, kupanga ma enzyme kumayima. Kutulutsa kumayambiranso pambuyo poti chizindikiro chachilendo chidzafika mu mawonekedwe a mpweya wamatumbo, mawonekedwe a fungo ndi kukoma.
Ma enzymes am'mimba ndi mawonekedwe awo kapamba
Monga mukudziwa, ziwalo zonse za anthu zimapangidwa ndi minofu, yomwe imapangidwa kuchokera ku mapuloteni. Kapamba ndiwonso. Pakadali pano, thupi limakhala ndi ntchito yapadera yoteteza, chifukwa choti ma enzymes opangidwa sangathe kugaya palokha. Izi ndichifukwa choti ma enzyme amayamba ntchito yawo pokhapokha atakhala pachiwindi cha m'mimba yaying'ono.
Pancreatitis ndi matenda oopsa a kapamba omwe amapezeka kwambiri mwa anthu. Chachilendo cha matendawa chimakhala chakuti chikhodzodzo chimayambitsa michere patsogolo pake, zomwe zimabweretsa kuwonongeka mwachangu osati chakudya chobwera, komanso chiwalo chamkati chomwe chimapangitsa ma enzyme amenewa.
Zomwe zimapangidwa ndi kapamba zimaphatikizapo mapuloteni omwe, mothandizidwa ndi michere, amayamba kuwonongeka, zomwe zimayambitsa kuphedwa kwa minofu ya pancreatic. Pankhani ya pancreatitis pachimake, njirayi imachitika mwachangu kwambiri. Ngati simutenga mwachangu njira zoyenera ndipo simukufuna chithandizo chamankhwala, munthu akhoza kufa. Matenda a kapamba amachedwetsa kuwonongeka kwa nthawi yayitali, matendawa amakula pang'onopang'ono.
Zikondamoyo ndi kuchepa kwake
Zikondazo zimabisa ma enzymus m'chigawo cha m'matumbo ndi mitsempha yamagazi, chifukwa chake kusakwanira kwa chinsinsi chakunja kapena mkati ndikosiyana. Pokhala ndi kusakwanira katulutsidwe wamkati, munthu nthawi zambiri amakhala ndi matenda a shuga. Pankhaniyi, kapamba sangathe kuthana ndi kupanga kwathunthu kwa insulin, yomwe imayambitsa kuthira kwa shuga m'maselo a ziwalo. Matendawa amatha kupezeka ndi kuyesedwa kwa magazi komwe kumawonetsa kuchuluka kwa shuga m'magazi.
Pankhani ya kusakwanira kwa katulutsidwe wakunja, kuchuluka kwa ma enzymes am'thupi opangidwa amachepetsa. Izi zimabweretsa kuti wodwalayo sangathe kudya chakudya chochuluka. Chifukwa chakuti kapamba amasokonezeka, ma enzymes sangathe kuthana ndi kugawanika kwa triglycerides. Izi zimatsogolera ku mfundo yoti akatha kudya zakudya zamafuta munthu amayamba kumva mseru komanso kupweteka m'mimba.
Pancreatic insufficiency ikhoza kukhala yogwira komanso yachilengedwe. Poyamba, matendawa ndi osakhalitsa ndipo amachiritsidwa mwachangu wodwala atayamba kumwa mankhwala omwe dokotala amafunikira.
Matenda amtunduwu amayamba chifukwa cha mtundu uliwonse wa poizoni kapena matenda opatsirana. Ndi kusakwanira kwa organic pancreatic, matendawa amasamalidwa kwambiri kotero kuti sangathe kuthandizidwa mwachangu. Pankhaniyi, ndizovuta kuchotsa kapamba ndikubwezeretsa ntchito yathupi lathunthu.
Pofuna kuchiza matendawa, wodwalayo amayikidwa mankhwala okhwima othandizira kudya, omwe samaphatikizira kuyamwa kwa zakudya zamafuta, kapena mndandanda wachisanu. Zakudya zopatsa thanzi zimachitika kasanu patsiku kakang'ono. Kuphatikiza apo, ma enzyme adayikidwa kuti athandize kugwira ntchito kwa kapamba. Mankhwalawa amapezeka mwanjira ya mapiritsi, nthawi zambiri amatengedwa panthawi yakudya, kuti mankhwalawa amamwe bwino, ndipo wodwalayo samva mseru.
Mankhwala osokoneza bongo
Kukonzekera kwa enzyme kumathandizira kuperewera kwa ma enzymes ofunikira m'thupi ngati kapamba, chifukwa cha matendawa, sangathe kudzipanga pawokha moyenera. Komabe, ndikofunikira kumvetsetsa kuti izi sizithandiza kubwezeretsanso ntchito ya pancreatic.
Kutengera ndi kuopsa kwa matendawa, dokotalayo amapereka mankhwala ndi mapiritsi a kapamba. Ngati okalamba ali osakwanira okalamba, tikulimbikitsidwa kutenga kukonzekera kwa enzyme yaying'ono. Ngati kapamba sachira, dokotala amakupatsani mankhwala tsiku lililonse.
Kukonzekera kwa enzyme kumapangidwa kuchokera ku minofu ya ziwalo za nyama. Mutha kuzigula pa mankhwala aliwonse popanda mankhwala a dokotala. Mankhwalawa akuphatikizapo
- Chiboni
- Mezim
- Chikondwerero
- Enzystal
- Pancreon
- Pangrol,
- Panzinorm.
Mlingo umachotsedwa malinga ndi mulase wa lipase, womwe umakhudzidwa pakukola kwa mafuta. Izi nthawi zambiri sikokwanira kugawa kwa triglycerides. Kuti ma enzymes asawonongeke akamalowa mu madzi a m'mimba, kukonzekerako kumakutidwa ndi zokutira zapadera.
Zotsatira zake, piritsi imayambitsa ntchito ya ma enzymes pokhapokha italowa mu duodenum. Kuphatikiza pa mapiritsi, mankhwalawa amapezekanso mu mawonekedwe a capule. Mankhwala amtunduwu amagwira ntchito mthupi bwino kwambiri chifukwa chakuti amasakanikirana bwino ndi chakudya ndipo amalowa mthupi mwachangu.
