So wunim ‘adwumayɛbea’ ketewa yi a ɛwɔ yɛn nipadua mu yi ho asɛm? Momma yɛnka dwensɔtwaa ho asɛm!

So woasusuw sɛnea yɛyam aduan a yedi ne sɛnea yɛn nipadua hwɛ asikre dodow a ɛwɔ yɛn mogya mu no ho pɛn? Pancreas yɛ akwaa bi a ɛyɛ nwonwa a ahintaw yɛn yafunu mu a ɛboa wɔ eyinom nyinaa mu. Ɛte sɛ adwumayɛbea ketewaa bi, a ɛreyɛ nnwuma abien a ɛho hia prɛko pɛ! Sɛ yɛbɛka no tiawa a, ɛyɛ yɛn aduan mu nhyehyɛe no fã na ɛyɛ yɛn endocrine nhyehyɛe (kyerɛ sɛ, nhyehyɛe a ɛma hormone) no fã.

Dɛn na ɛto dwensɔtwaa no ankasa?

Pancreas no boa yɛn wɔ akwan titiriw abien so. Biako ne sɛ ɛboa yɛn ma yɛyam aduan, na biako nso ne sɛ yɛyɛ hormone ahorow a ɛhwɛ asikre dodow a ɛwɔ yɛn mogya mu so. Sɛ saa abien yi anyɛ adwuma yiye a, ebetumi aka akwaa afoforo a ɛho hia te sɛ yɛn koma, mmerɛbo, ne asaabo.

Sɛnea wobɛboa wɔ aduan a wɔyam mu

Fa no sɛ woadi aduan a ɛyɛ dɛ. Yɛnsusuw nea ɛbɛba akyi no ho pii, ɛnte saa, gye sɛ yɛn yafunu yɛ yɛn yaw? Nanso adwuma pii rekɔ so wɔ yɛn nipadua mu. Eyi ne nea dwensɔtwaa no boa wɔ ho kan.

Nsu a enzyme ahyɛ mu ma bɛyɛ lita 1 kosi 4 wɔ dwensɔtwaa no mu da biara. Saa dodow yi gu ahorow wɔ aduan dodow a yedi mu. Saa enzymes yi paapae protein, srade, ne carbohydrates a ɛwɔ aduan a yedi mu no mu nketenkete a nipadua no betumi atwe.

Sɛnea ɛba ni:

• Sɛ wudidi wie a, dwensɔtwaa no de saa enzyme nsu yi fa akwan nketenkete (ntini) mu kɔ dwensɔtwaa no mu ntini titiriw no mu.
• Saa dwensɔtwaa mu ntini titiriw yi ne yɛn mogya ntini no di nkitaho . Nsu bi a wɔfrɛ no bile a ɛba mmerɛbo no mu na wɔkora so wɔ akisikuru no mu kɔ bile ntini no mu. Saa bile yi nso boa ma wɔyam aduan.
• Nsu a efi akisikuru mu ne enzyme nsu a efi dwensɔtwaa mu no nyinaa bom na ɛkɔhyɛn duodenum , yɛn dwensɔtwaa ketewaa no fã a edi kan (beae a edi kan a aduan fi yafunu mu ba) no mu.
• Ɛhɔ na saa nsu abien yi bom na efi ase sɛe na ɛyam aduan yiye.

So ɛnyɛ nwonwa? Hwɛ nneɛma a ɛyɛ den pii a ɛte sɛɛ a ɛkɔ so wɔ yɛn nipadua mu a yenhu mpo!

Hormone ahorow a wɔyɛ

Dwuma foforo a ɛho hia paa a dwensɔtwaa no yɛ ne sɛ ɛbɛyɛ hormone ahorow. Titiriw no, wɔyɛ nkwaadɔm abien a ɛho hia sen biara a ɛhwɛ asikre dodow a ɛwɔ yɛn mogya mu so wɔ ha. Wɔn ne insulin ne glucagon .

• Sɛ asikre dodow kɔ wo mogya mu a, dwensɔtwaa no ma insulin . Insulin de asikre a ɛboro so no kɔ nkwammoaa no mu, na ɛma asikre dodow a ɛwɔ mogya mu no so tew.
• Afei nso, sɛ asikre dodow a ɛwɔ wo mogya mu no so tew (sɛ nhwɛso no, sɛ wunnnidi bere tenten a), dwensɔtwaa no ma glucagon . Glucagon kɔ na ɛma asikre a wɔde asie yɛn mmerɛbo mu (sɛ glycogen) san kɔ mogya no mu, na ɛma asikre dodow a ɛwɔ mogya mu no kɔ soro.

Asikre dodow a ɛwɔ mogya mu a wɔbɛma ayɛ pɛ wɔ saa kwan yi so no ho hia na ama nipadua no mu akwaa biara atumi ayɛ adwuma yiye.

Ɛhe na dwensɔtwaa no wɔ?

Afei ma yɛnhwɛ baabi a akwaa nwonwaso yi ahintaw wɔ yɛn nipadua mu. Pancreas no wɔ yɛn yafunu akyi ne yɛn akyi berɛmo anim. Ɛte sɛ baabi a ahobammɔ wɔ. Akwaa afoforo a ɛho hia te sɛ yɛn akisikuru, mmerɛbo, ne akyi berɛmo atwa ho ahyia.

Nipadua no fã bɛn na dwensɔtwaa no wɔ?

‘Ti’ a ɛwɔ dwensɔtwaa mu no wɔ yɛn nipadua no fã nifa . Ɛkyinkyin duodenum, yɛn dwensɔtwaa ketewaa no fã a edi kan no ho. ‘Dun’ a ɛwɔ dwensɔtwaa no mu no trɛw kɔ nipadua no benkum so, bɛn akyi berɛmo no .

Dɛn ne dwensɔtwaa no afã horow?

Sɛ yɛbɛka no tiawa a, wobetumi akyekyɛ dwensɔtwaa no mu anan:

• Ti: Ɛyɛ dwensɔtwaa no fã a ɛtrɛw sen biara, a ɛwɔ duodenum no mu.
• Kɔn: Ɔfã tiawa a efi ase fi ti.
• Nipadua: Mfinimfini fã a ɛda ti ne kɔn ntam, a ɛkɔ soro kakra.
• Dua: Ɛyɛ dwensɔtwaa no fã a ɛyɛ tratraa sen biara, na ɛba awiei wɔ baabi a ɛbɛn akyi berɛmo no.

Ɔkwan bɛn so na dwensɔtwaa no te?

Pancreas no te sɛ pear . Ɛyɛ den wɔ n’afã biako na ɛyɛ teateaa kodu n’awiei a ɛyɛ tratraa. Sɛ wufi abɔnten ka no a , ɛyɛ den na ɛyɛ kurukuruwa, te sɛ atoko akutu. Ne tenten bɛyɛ nsateakwaa 6 – bɛyɛ wo nsa tenten. Ne mu duru bɛyɛ gram 90 (bɛyɛ nkaribo 0.20), a ne mu duru bɛyɛ sɛ nkrataa a wɔde di dwuma daa.

Nyarewa bɛn na ebetumi aka dwensɔtwaa no?

Nea ɛyɛ awerɛhow no, dwensɔtwaa a ɛyɛ nnwuma a ɛho hia saa no nso tumi nya nyarewa bi. Momma yɛnhwɛ nea wɔyɛ:

• Asikreyare a ɛto so 1: Eyi fi dwensɔtwaa no a ɛnyɛ insulin a ɛdɔɔso. Mpɛn pii no, ɔhaw bi a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no mu na ɛde eyi ba.
• Asikreyare a ɛto so abien: Wɔ asikreyare a ɛte sɛɛ mu no, dwensɔtwaa no yɛ insulin, nanso nipadua no ntumi mfa nni dwuma yiye (wɔfrɛ eyi insulin resistance). Anaasɛ, ebia nipadua no rentumi nyɛ insulin a ɛdɔɔso.
• Hyperglycemia (asikre a ɛdɔɔso wɔ mogya mu): Sɛ dwensɔtwaa no ma glucagon dɔɔso dodo, anaasɛ insulin nnɔɔso a, asikre dodow a ɛwɔ mogya mu no kɔ soro ara kwa.
• Hypoglycemia (asikre a ɛba mogya mu): Eyi ba bere a wɔyɛ insulin pii (ebia sɛ wɔma asikreyare nnuru dodow kɔ soro a), na ɛma asikre dodow a ɛwɔ mogya mu no so tew dodo.
• Pancreatitis: Ɔyare a ɛma obi nya dwensɔtwaa:Eyi yɛ tebea a asiane wom. Ɛba bere a enzyme ahorow a wɔyɛ wɔ dwensɔtwaa no mu no fi ase yɛ adwuma wɔ dwensɔtwaa no mu ansa na wɔadu dwensɔtwaa ketewaa (duodenum) no mu no. Eyi betumi asɛe dwensɔtwaa no ankasa. Akisikuru anaa nsanom ho haw titiriw na ɛde ba. Ebetumi aba mpofirim na ayɛ yiye (acute pancreatitis) anaasɛ ebetumi ayɛ yare a enni sabea.
• Pancreatic cancer: Tebea a ɛba bere a nkwammoaa a ɛwɔ dwensɔtwaa mu no dan kokoram no. Wobu eyi sɛ kokoram bi a ɛyɛ den sɛ wobehu na wɔasa efisɛ ne ho sɛnkyerɛnne ntaa mma wɔ ne mfiase.

Nsɛnkyerɛnne a ɛtaa ba wɔ dwensɔtwaa mu yare ho

Wiɛ, wobɛyɛ dɛn ahu sɛ biribi asɛe wɔ wo dwensɔtwaa no ho? Ɛnyɛ yare biara na ɛwɔ saa sɛnkyerɛnne yi nyinaa, nanso hwɛ sɛ wowɔ saa sɛnkyerɛnne yi biako anaa nea ɛboro saa:

• Yafunu mu yaw , titiriw wɔ yafunu no atifi, ɛtɔ mmere bi a akyi yaw ka ho. Ebia ɛyaw yi mu bɛyɛ den bere a wɔadi awie no.
• Akyi yaw.
• Anisoadehu a wontumi nhu (eyi betumi ayɛ asikreyare ho sɛnkyerɛnne).
• Nsu a ɛyɛ tuntum, anaasɛ nsu a ɛyɛ kɔla a ɛyɛ hare, srade wom, na ɛsensɛn nsu mu.
• Ɔbrɛ a ɛkɔ so daa.
• Sukɔm bere nyinaa ne hia a ehia sɛ wɔtaa tow nsu (eyinom nso yɛ asikreyare ho sɛnkyerɛnne).
• Akisikuru anaa ɔfe.
• Sɛ wote nka sɛ wo akwaa reyɛ ayɛ mmerɛw.
• Ɔbɛyɛ teateaa a ntease biara nnim.
• Jaundice (aniwa ne honam ani a ɛyɛ kɔkɔɔ). Eyi ba sɛ bile ntini no asiw a.

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn ampa na woakɔhwehwɛ afotu.

Nhwehwɛmu a wɔyɛ de hwɛ sɛnea dwensɔtwaa no te

Esiane sɛ dwensɔtwaa no ahintaw yɛn nipadua mu yiye nti, ɛyɛ den ma nnuruyɛfo sɛ wɔbɛhwɛ ne tebea no ara kwa. Ɛno nti na wɔde sɔhwɛ titiriw te sɛ eyinom di dwuma no:

• Yafunu mu ultrasound anaa endoscopic ultrasound: Eyinom tumi hu dwensɔtwaa no mfonini.
• Angiography nhwehwɛmu: Hwɛ sɛnea mogya ntini no te.
• Mogya mu nhwehwɛmu: Hwɛ nneɛma te sɛ dwensɔtwaa mu enzyme dodow (amylase, lipase), asikre dodow, ne mmerɛbo no dwumadi.
• CAT scan / CT scan: Eyi ma wutumi twa dwensɔtwaa no mfonini a wɔatwa no tiaa.
• ERCP (endoscopic retrograde cholangiopancreatography) anaa MRCP (magnetic resonance cholangiopancreatography) nhwehwɛmu: Eyinom betumi ahwɛ dwensɔtwaa mu ntini ne bile ntini.
• Fecal elastase nhwehwɛmu:Hwɛ sɛ ebia dwensɔtwaa no reyɛ enzyme ahorow a ɛdɔɔso a ɛbɛma aduan atumi ayam anaa.
• MRI (Magnetic Resonance Imaging) scan: Eyi nso betumi atwa dwensɔtwaa no ho mfonini a ɛkɔ akyiri.
• Secretin pancreatic function test: Ɛsusuw sɛnea dwensɔtwaa no yɛ n’ade wɔ hormone secretin no ho.

Ɛtɔ mmere bi a, ebia ebehia sɛ nnuruyɛfo yɛ oprehyɛn (te sɛ nipadua mu nhwehwɛmu a wɔyɛ) de hwehwɛ ɔhaw ahorow a ɛwɔ dwensɔtwaa no mu.

Ayaresa a Wɔde Sa Pancreas Nyarewa

Nnuruyɛfo gyina yare a ɛba dwensɔtwaa mu no so si ayaresa ho gyinae.

• Wɔ Asikreyare ho: Wɔde insulin ma wɔ abɔnten titiriw (titiriw wɔ asikreyare a ɛto so 1 ho), anaasɛ wɔde nnuru ma de siw asikre a ɛwɔ mogya mu ano. Asetra mu nsakrae (aduan a wodi, apɔw-mu-teɛteɛ) ho hia yiye.
• Wɔ dwensɔtwaa mu kokoram ho: Nnuru a wɔde sa yare, mframa a wɔde ma, ne oprehyɛn ne ayaresa titiriw. Ɛtɔ mmere bi a, wobetumi de saa ayaresa yi biako anaa nea ɛboro saa adi dwuma abom.
• Wɔ dwensɔtwaa mu yare ho: Nea ɛka ayaresa ho ne sɛ wobegyae adidi bere tiaa bi, wɔbɛma nsu afa ntini bi mu, na wɔama nnuru a wɔde kum ɛyaw. Ɛsono ayaresa a egyina nea ɛde ba no so (sɛ nhwɛso no, woyi akisikuru mu abo). Nsakrae a wɔyɛ wɔ aduan mu ne nsa a wobegyae no ho hia ma dwensɔtwaa mu yare a enni sabea.

Ebia nnipa binom behia sɛ wɔde dwensɔtwaa foforo ma anaasɛ wotwa dwensɔtwaa, a nea ɛka ho ne sɛ woyi dwensɔtwaa no fã bi anaa ne nyinaa fi hɔ. Ɛntaa mma koraa sɛ wɔde dwensɔtwaa mu nkwammoaa a ɛma insulin (a wɔfrɛ no Langerhans nkwammoaa nsupɔw ) bɛhyɛ mmerɛbo no mu ma wɔakɔ so ayɛ insulin.

Mɛyɛ dɛn ama me dwensɔtwaa no anya apɔwmuden?

Yɛn nyinaa pɛ sɛ yenya apɔwmuden. Enti nneɛma kakraa bi wɔ hɔ a yebetumi ayɛ de ahwɛ akwaa ketewaa a ɛho hia yiye yi so:

• Kura mu duru a ɛfata mu ma wo. Apɔw-mu-teɛteɛ a wɔyɛ no daa ne mu duru a wɔtew so no betumi aboa ma wɔasiw akisikuru a ebetumi ama obi anya asikreyare a ɛto so abien ne dwensɔtwaa mu yare no ano.
• Di aduan a srade nnim na ahoɔdennuru pii wom. Nnuan a srade pii wom a wɔayɛ no foforo betumi ama obi anya akisikuru mu abo, na ebetumi ama obi anya dwensɔtwaa mu yare. Afei nso, sɛ obi yɛ kɛse mmoroso ( a body mass index (BMI)) boro mfe 30 a , ebetumi ama obi anya kokoram wɔ dwensɔtwaa mu.
• Hwɛ yiye wɔ nsa a wonom no ho. Tew so sɛnea wubetumi, anaa gyae koraa. Ɛda adi pefee sɛ nsa a wɔnom ma asiane a ɛwɔ hɔ sɛ obi benya dwensɔtwaa mu yare ne dwensɔtwaa mu kokoram no yɛ kɛse.
• Gyae sigaretnom. Tawa a wɔnom, sigaretnom, ne tawa a wusiw nnim (sɛ nhwɛso no, anom a wɔwe) nyinaa ma asiane a ɛwɔ hɔ sɛ obi benya dwensɔtwaa mu kokoram ne dwensɔtwaa mu yare a enni sabea no yɛ kɛse.
• Kɔ aduruyɛ mu nhwehwɛmu daa. Sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ no daa a, ebetumi aboa ma woahu tebea horow te sɛ dwensɔtwaa mu kokoram ne dwensɔtwaa mu yare ntɛm.

So ebetumi aba sɛ wobɛtra ase a wonni dwensɔtwaa?

Ebia eyi yɛ asɛmmisa a woresusuw ho. Yiw, ebetumi aba sɛ wobɛtra ase a wunni dwensɔtwaa. Nanso sɛ woyɛ saa a, ɛsɛ sɛ wonom enzyme pills de yam aduan ne insulin a ɛbɛma asikre a ɛwɔ wo mogya mu no ayɛ adwuma wo nkwa nna nyinaa. Ɛntaa mma sɛ ɛsɛ sɛ woyi dwensɔtwaa no nyinaa. Nanso sɛ wowɔ dwensɔtwaa mu kokoram, wo dwensɔtwaa a asɛe kɛse, anaa dwensɔtwaa mu yare a emu yɛ den a, ebia ɛho behia sɛ wo duruyɛfo si saa gyinae no.

Awiei koraa no, nea ɛsɛ sɛ yɛkae

Mpɛn pii no, yennwen yɛn dwensɔtwaa ho pii kosi sɛ biribi bɛkɔ yiye, ɛnte saa? Saa akwaa a wɔde asie yɛn yafunu akyi yi te sɛ adwumayɛbea a ɛwɔ afã abien. Ɔkwan biako so no, ɛboa ma wɔyam aduan, na ɔkwan foforo so no, ɛhwɛ asikre a ɛwɔ mogya mu no so. Ɛdenam aduan a ahoɔden wom a wubedi ne nneɛma te sɛ sigaretnom ne nsa a wɔnom boro so a wobɛkwati so no , wubetumi aboa ma wo dwensɔtwaa a ɛsom bo no ayɛ yiye bere tenten. Enti, hwɛ wo nipadua so yiye, efisɛ akwahosan ne agyapade a ɛsen biara! Ate aseɛ?

` Dwensɔtwaa, dwensɔtwaa, aduan a wɔyam, hormone, insulin, glucagon, asikreyare, dwensɔtwaa mu yare, dwensɔtwaa mu kokoram, mogya mu asikre