E mōhio ana koe ki tēnei 'wheketere' iti nei i roto i tō tātou tinana? Me kōrero tātou mō te repe taiaki!

Kua whakaaro kē koe me pēhea tā tātou nakunaku i te kai e kainga ana e tātou, me pēhea hoki te whakahaere a tō tātou tinana i te taumata o te huka toto? He okana whakamiharo te repe taiaki e huna ana i roto i tō tātou puku e āwhina ana i ēnei mea katoa. He rite ki tētahi wheketere iti, e mahi ana i ngā mahi nui e rua i te wā kotahi! He kupu ngāwari, he wāhanga o tō tātou pūnaha nakunaku me te wāhanga o tō tātou pūnaha endocrine (arā, te pūnaha whakaputa homoni).

He aha te mea ka tupu ki te pancreas?

E rua ngā huarahi matua e āwhina ai te repe taiaki i a tātou. Ko tētahi mā te āwhina i a tātou ki te nakunaku i te kai, ko tētahi mā te hanga homoni hei whakahaere i te nui o te huka i roto i ō tātou toto. Ki te kore ēnei e mahi tika, ka pā ki ētahi atu okana nui pērā i tō tātou ngākau, te ate, me ngā whatukuhu.

Me pēhea te āwhina i te nakunaku

Whakaarohia kua kai koe i tētahi kai reka. Kāore tātou e whakaaro nui ki ngā mea ka tupu i muri mai, āe, ki te kore tātou e mamae te puku? Engari he nui ngā mahi e mahia ana i roto i ō tātou tinana. Koinei te mahi tuatahi a te repe taiaki.

E whakaputa ana te repe taiaki i te 1 ki te 4 rita o te wai kī tonu i ngā whākōkī i ia rā. Ka rerekē tēnei nui i runga i te nui o te kai e kainga ana e tātou. Ka wawahia e ēnei whākōkī ngā pūmua, ngā ngako, me ngā warowaihā i roto i te kai e kainga ana e tātou kia iti noa iho ka taea e te tinana te mimiti.

Anei te āhua o te tupu:

• I muri i te kai, ka tukuna e te repe taiaki tēnei wai whākōkī mā roto i ngā awa iti (ngā awaawa) ki roto i te awaawa matua o te repe taiaki.
• Ka hono tēnei awa matua o te repeure ki te awa au . Kei roto i te awa au he wai e kiia nei ko te au, ka hangaia i roto i te ate, ka rongoatia ki roto i te pūkahukahu. Ka āwhina hoki tēnei au ki te nakunaku i te kai.
• Ka honoa te au mai i te pūkahukahu me te wai whākōkī mai i te repeure, ka tomo ki te duodenum , te wāhanga tuatahi o te whekau iti (te wāhi tuatahi e puta mai ai te kai i te puku).
• Koinei te wāhi e hono ai ēnei wai e rua, ka tīmata ai te pakaru me te nakunaku tika i te kai.

He mea whakamiharo! E hia ngā mea uaua pēnei e tupu ana i roto i ō tātou tinana, kāore tātou e mōhio!

Te hanga homoni

Ko tētahi atu mahi tino nui a te repeure ko te whakaputa i ngā homoni. Ina koa, e rua o ngā homoni tino nui e whakahaere ana i ngā taumata huka toto ka whakaputaina ki konei. Ko te insulin me te glucagon ēnei.

• Ki te piki ake te taumata o te huka i roto i tō toto, ka tukuna e te repe taiaki te insulin . Ka nekehia e te insulin te huka nui ki roto i ngā pūtau, ka whakaheke i te taumata huka i roto i te toto.
• Waihoki, ki te heke te taumata o te huka i roto i tō toto (hei tauira, ki te mea kua roa koe kāore i kai), ka tukuna e te repeure te glucagon . Ka haere te glucagon ka tukuna te huka e rongoatia ana i roto i tō tātou ate (hei glycogen) ki roto i te toto, ka piki ake te taumata o te huka i roto i te toto.

He mea nui te pupuri i te taurite o te taumata huka toto kia ora ai te mahi a ngā whekau katoa o te tinana.

Kei hea te pancreas?

Nā, kia tirohia tātou kei hea tēnei okana whakamiharo e huna ana i roto i tō tātou tinana. Kei muri i tō tātou puku, kei mua hoki i tō tātou tuaiwi te repe taiaki. He rite ki tētahi wāhi haumaru. Kei te taha tonu ko ētahi atu okana nui pērā i tō tātou pūkahukahu, te ate, me te whēkau.

Kei tēhea taha o te tinana te repeure?

Kei te taha matau o te tinana te 'upoko' o te repeure. Ka piko haere i te duodenum, te wāhanga tuatahi o te whekau iti. Ka toro atu te 'hiku' o te repeure ki te taha maui o te tinana, e tata ana ki te whēkau .

He aha ngā wāhanga o te pancreas?

Ki te kī ngāwari, e whā ngā wāhanga o te pancreas:

• Upoko: Ko te wāhanga whānui rawa o te repeure, kei roto i te duodenum.
• Kaki: Te wāhanga poto e tīmata ana i te upoko.
• Tinana: Ko te wāhanga waenga i waenganui i te upoko me te kaki, e paku whakarunga ana.
• Hiku: Ko te wāhanga angiangi rawa o te repeure, e mutu ana ki te whēkau.

He aha te āhua o te repeure?

He rite te repeure ki te pea . He matotoru tetahi pito, ā, he angiangi te pito. Ki te pā atu koe i waho , he taratara, he pūkohu, he rite ki te kānga. E 6 inihi te roa – tata ki te roa o tō ringaringa. E 90 karamu te taumaha (tata ki te 0.20 pauna), he rite ki te taumaha o tētahi kete kāri paerewa.

He aha ngā mate ka pā ki te pancreas?

Engari, ka pāngia pea te repe taiaki e ētahi mate, e mahi ana i ēnei mahi nui. Me titiro tātou ki ēnei mate:

• Mate huka momo 1: Ka puta tēnei i te korenga o te repe taiaki e whakaputa i te nui o te insulin. He maha ngā wā ka puta tēnei i te raruraru o te pūnaha ārai mate.
• Mate huka momo 2: I roto i tēnei momo mate huka, ka whakaputahia e te repe taiaki te insulin, engari kāore e taea e te tinana te whakamahi tika (e kiia ana tēnei he ātete insulin). Tērā pea kāore e nui te insulin e whakaputaina ana e te tinana.
• Te huka toto nui (te huka toto tiketike): Ina nui rawa te glucagon e whakaputaina ana e te repeure, ina kore rānei e ranea te insulin, ka piki noa te taumata huka toto.
• Te huka toto iti (te huka toto iti): Ka puta tēnei ina nui rawa te insulin e whakaputaina ana (tērā pea mēnā ka nui ake te horopeta o te rongoā mō te mate huka), ka tino heke te taumata huka toto.
• Te mate pāwera:He āhuatanga morearea tēnei. Ka puta mai ina tīmata te mahi a ngā whākōkī i hangaia i roto i te repe taiaki i roto i te repe taiaki i mua i te taenga ki te whekau iti (duodenum). Ka taea e tēnei te kino i te repe taiaki tonu. Ko ngā kōhatu o te pūkahukahu, te mate inu waipiro rānei ngā tino take. Ka puta ohorere mai, ā, ka pai ake (pancreatitis acute) ka taea rānei te noho hei mate mau tonu.
• Matepukupuku repeure: He āhuatanga ka puta ina huri ngā pūtau o te repeure hei matepukupuku. E kiia ana tēnei he momo matepukupuku he uaua ki te kite me te rongoā nā te mea he onge noa ngā tohu e puta ana i ngā wāhanga tōmua.

Ngā tohu noa o te mate pancreatic

Āe, me pēhea koe e mōhio ai mēnā he hē kei roto i tō repe taiaki? Ehara i te mea he tohu katoa ēnei e puta mai ana i ngā mate katoa, engari tirohia mēnā kei a koe tētahi, ētahi rānei o ēnei tohu:

• Mamae puku , inā koa ki te puku o runga, i ētahi wā ka haere tahi me te mamae tuara. Tērā pea ka kino ake tēnei mamae i muri i te kai.
• Mamae tuara.
• Te tirohanga pōuri (he tohu pea tēnei nō te mate huka).
• He mimi pouri, he tūtae māeneene rānei, he hinuhinu, he mārama te tae.
• Te ngenge tonu.
• Te matewai tonu me te hiahia ki te mimi pinepine (he tohu anō hoki ēnei o te mate huka).
• Whakapairuaki, ruaki rānei.
• Te āhua nei kua ngoikore haere ō waewae me ō waewae.
• Te hiroki haere, kāore he take.
• Te kōwhai o ngā kanohi me te kiri. Ka puta tēnei mēnā ka āraia te awaawa au.

Mena kei a koe ēnei tohu, he mea pai kia toro atu ki te tākuta me te rapu tohutohu.

Ngā whakamātautau hei tirotiro i te hauora o te pancreas

Nā te mea he tino huna te repe taiaki i roto i ō tātou tinana, he uaua ki ngā tākuta te kite i tōna āhua mā te titiro noa iho. Koia rātou e whakamahi ana i ngā whakamātautau motuhake pēnei i ēnei:

• Te tirotiro oro puku, te tirotiro endoscopic rānei: Ka taea e ēnei te kite i ngā whakaahua o te pancreas.
• Whakamātautau angiography: Tirohia te āhua o ngā uaua toto.
• Ngā whakamātautau toto: Tirohia ngā mea pēnei i te taumata o ngā whākōkī repeure (amylase, lipase), ngā taumata huka, me te mahi a te ate.
• Matawai CAT / Matawai CT: Mā tēnei ka taea e koe te tango whakaahua whakawhiti-wāhanga o te repe taiaki.
• Ngā whakamātautau ERCP (endoscopic retrograde cholangiopancreatography) MRCP rānei (magnetic resonance cholangiopancreatography): Ka taea e ēnei te tirotiro i ngā awa pancreatic me ngā awa bile.
• Whakamātautau elastase paru:Tirohia mēnā kei te nui ngā whākōkī e whakaputaina ana e te repe taiaki hei nakunaku i te kai.
• Matawai MRI (Atahanga Āhua-Mate): Ka taea hoki e tēnei te tango whakaahua taipitopito o te repe taiaki.
• Whakamātautau mahi a te repeure huna: Ka ine i te urupare a te repeure ki te homoni huna.

I ētahi wā, me mahi pokanga pea ngā tākuta (pēnei i te tango i te koiora) hei rapu i ngā raruraru o te repe taiaki.

Ngā Maimoatanga mō ngā Mate Pānihi

Ka whakatau ngā tākuta i te maimoatanga i runga i te mate e puta ana i roto i te repeure.

• Mō te Mate Huka: Ka hoatu te insulin ki waho (ina koa mō te mate huka momo 1), ka hoatu rānei he rongoā hei whakahaere i te huka toto. He mea tino nui ngā huringa āhua noho (kai, whakakori tinana).
• Mō te mate pukupuku repeure: Ko te rongoā matū, te irahiko, me te pokanga ngā maimoatanga matua. I ētahi wā ka whakamahia ngātahitia tētahi, neke atu rānei o ēnei maimoatanga.
• Mō te pancreatitis: Ko te maimoatanga ko te whakamutu kai mō te wā poto, te hoatu wai mā roto i te uaua, me te hoatu rongoā whakamamae. Ka rerekē te maimoatanga i runga i te take (hei tauira, ka tangohia ngā kōhatu o te pūkahukahu). He mea nui ngā whakarerekētanga kai me te whakamutu waipiro mō te pancreatitis mau tonu.

Tērā pea ka hiahiatia he whakawhitinga repe taiaki, he tango rānei i te repe taiaki, arā, te tango i tētahi wāhanga, i te katoa rānei o te repe taiaki. He tino onge te wā ka whakatōkia ngā pūtau repe taiaki e whakaputa ana i te insulin (e kiia nei ko ngā pūtau moutere o Langerhans ) ki roto i te ate kia haere tonu ai te whakaputa i te insulin.

Me pēhea te pupuri i te hauora o taku pancreas?

E hiahia ana tātou katoa kia ora. Nō reira, he iti noa ngā mea ka taea e tātou te mahi hei tiaki i tēnei repeure iti engari he mea nui rawa atu:

• Kia mau tonu tō taumaha hauora. Mā te whakakori tinana auau me te whakaiti i te taumaha nui ka āwhina i te aukati i te whanaketanga o ngā kōhatu o te pūkahukahu, ka arahi pea ki te mate huka momo 2 me te pancreatitis.
• Kai i ngā kai iti te ngako, nui hoki te muka. Mā ngā kai tukatuka nui te ngako ka puta he kōhatu i roto i te pūkahukahu, ka puta ai he mate pāwera. Waihoki, ko te momona ( he taupū papatipu tinana (BMI)) neke atu i te 30 he take mōrearea mō te mate pukupuku repeure.
• Kia tūpato ki tō inu waipiro. Whakaitihia te nui e taea ana, kati rawa rānei. Mā te inu waipiro ka nui ake te tūponotanga o te pāngia e te pancreatitis me te mate pukupuku pancreatic.
• Kati te momi hikareti. Ko te momi hikareti, te momi hikareti, me ngā hua tupeka kore auahi (hei tauira, te kapia ngaungau) ka piki ake te mōrearea o te mate pukupuku repeure me te pancreatitis mau tonu.
• Me tirotiro hauora i ia wā. Mā te tirotiro i te tākuta i ia wā ka āwhina i te kite wawe i ngā mate pēnei i te mate pukupuku repeure me te pancreatitis.

Ka taea te ora me te kore he pancreas?

He pātai pea tēnei e whakaaroaro ana koe. Ae, ka taea te ora me te kore he repe taiaki. Engari ki te pērā koe, me tango e koe ngā pire whākōkī hei nakunaku i te kai me te insulin hei whakahaere i tō huka toto mō te toenga o tō oranga. He onge te tango i te repe taiaki katoa. Engari ki te mea he mate pukupuku repe taiaki tōu, he kino rawa te pakaru o te repe taiaki, he mate taiaki taiaki kino rānei, me whakatau pea e tō tākuta.

Hei whakamutunga, he aha ngā mea hei maumahara

I te nuinga o te wā, kāore tātou e whakaaro nui ki tō tātou repe taiaki kia puta rā anō he hapa, tika? Ko tēnei okana, e huna ana i muri i ō tātou puku, he rite ki tētahi wheketere e rua ngā wāhanga. I tētahi taha, ka āwhina i te nakunaku kai, ā, i tētahi taha, ka whakahaere i te huka toto. Mā te kai i ngā kai totika me te karo i ngā mea pēnei i te momi hikareti me te inu waipiro nui , ka taea e koe te āwhina i te pupuri i te hauora o tō repe taiaki utu nui mō te wā roa. Nō reira, tiakina tō tinana, nā te mea ko te hauora te taonga nui rawa atu! Kei te mārama koe?

` Pankreas, repeure, nakunaku, homoni, insulin, glucagon, mate huka, repeure, mate pukupuku repeure, huka toto