He kōrero tonu tā tātou katoa mō ētahi o ngā whekau o roto i tō tātou tinana. E whakaaro tonu ana tātou ki ngā mea pēnei i te ngākau, ngā pukahukahu, me ngā whatukuhu. Engari kei roto i tō tātou puku tētahi atu mea, he mea huna, he nui ngā mahi tino nui e mahia ana e ia. Ko te repe taiaki. Kāore pea koe i te rongo i tēnei ingoa, kāore rānei i te rongo noa koe i tēnei ingoa e pā ana ki te mate huka. Engari ko te mea pono, he kaimahi puku tēnei repe taiaki engari he mea nui i roto i tō tātou tinana. Nō reira, i tēnei rā, kia ako tātou mō tēnei kaimahi puku, me te mea kei te kōrero tātou ki tētahi hoa.
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He aha tonu te repeure?
Ki te kī māmā noa, he repe nui te repe taiaki kei muri i tō tātou puku, kei mua i tō tātou tuaiwi. He wāhanga ia o tō tātou pūnaha nakunaku, me tō tātou pūnaha endocrine hoki. Whakaarohia he rite ki ngā wheketere e rua e mahi ana i raro i te tuanui kotahi. E rua ngā momo hua matua e hangaia ana e ēnei wheketere e rua.
1. Ngā whākōkī: Koinei te wāhanga o te pūnaha nakunaku e whakaputa ana i ngā matū motuhake (ngā whākōkī) hei āwhina i a tātou ki te nakunaku i te kai e kainga ana e tātou, me te wawahi i aua mea kia taea ai e te tinana te mimiti i ngā matūkai.
2. Ngā homoni e whakahaere ana i ngā taumata huka toto: Koinei te wāhanga o te pūnaha homoni. I konei ka hangaia ngā homoni tino nui e rua , arā, te insulin me te glucagon, e āwhina ana ki te pupuri i te nui o te huka i roto i ō tātou toto ki te taumata tika.
Ko te tikanga o tēnā, he okana mahi rua te repe taiaki e mahi ana i ngā mahi e rua i te wā kotahi. He mea nui ēnei mahi e rua mō te taurite o te tinana.
Kia tirohia ngā mahi matua e rua o te repeure me ētahi atu taipitopito.
Kia kōrerohia ake tātou ināianei mō te mahi a aua wheketere e rua. Kia mārama koe ki tēnei, ka tino mārama koe ki te uara o te repeure.
1. Āwhina i te nakunaku
Whakaarohia kei te kai koe i te raihi reka. Kia uru atu te kai ki roto i tō puku, kia puta ai he pūngao mai i roto, me tino nakunaku, me wawahi hoki kia ririki. Koinei te wāhi e āwhina ai te repe taiaki.
E whakaputa ana te repe taiaki i waenga i te 1 ki te 4 rita o te wai momona i roto i te whākōkī i ia rā. Ka rerekē tēnei nui i runga i te nui o te kai e kainga ana e koe. Koinei te mahi:
- I muri i te kai, ka uru te kai ki roto i te puku.
- Muri iho, mai i te puku, ka tomo te kai ki te duodenum, te wāhanga tuatahi o tō tātou whekau iti.
- I tēnei wā tonu, ka tukuna e te repe taiaki te wai whākōkī i hangaia e ia mā roto i ngā awaawa iti ki roto i te awaawa matua o te repe taiaki.
- Ka hono tēnei awaawa matua ki te awaawa au, e kawe ana i te au mai i tō tātou ate.
- Hei whakamutunga, ka huihuia ēnei wai repeure me te au o te ate, ka tomo ki te duodenum, ka tīmata ai te wawahi me te nakunaku i ngā pūmua, ngā ngako, me ngā warowaihā i roto i ngā kai e kainga ana e tātou.
Ki te kore tēnei tukanga, e kore e taea e tātou te nakunaku i te kai, te whiwhi rānei i ngā matūkai mai i roto.
2. Te whakaputanga homoni me te whakahaere huka toto
Ko tētahi atu mahi tino nui tēnei a te repeure. Me whai pūngao ia pūtau o te tinana kia mahi ai. I ahu mai taua pūngao i te kūhuka, he huka noa iho. Engari kaua te nui o te huka i roto i te toto e piki, e heke rānei. Me pupuri kia tika te taumata.
Koinei te wāhi e āwhina ai ngā homoni e rua, arā, te insulin me te glucagon .
- Ki te piki te huka toto: Ina kai tātou i tētahi kai reka, ka piki te taumata huka toto. I taua wā, ka whakaputa te repe taiaki i tētahi homoni e kīia nei ko te insulin, ā, ka tukuna ki roto i te toto. Ka tangohia e te insulin te huka nui ka tukuna ki roto i ngā pūtau o te tinana, ka āwhina i a rātou ki te whakaputa pūngao. Kātahi ka hoki te taumata huka toto ki te āhua noa.
- Ki te heke tō huka toto: Ina roa tātou e kore kai ana, ka heke pea ngā taumata huka toto. I taua wā, ka whakaputa te repeure i tētahi homoni e kiia nei ko te glucagon. Ka tukuna e te glucagon te huka (glycogen) e rongoatia ana i roto i tō tātou ate ki roto i te toto, ka whakahokia ngā taumata huka toto ki te noa.
Kia tika rā anō tēnei taurite ka taea ai e ō tātou whekau nui pēnei i te ngākau, te ate, ngā whatukuhu me te roro te mahi tika.
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Check Availability →Te āhua me ngā wāhanga o te pancreas
E ono inihi te roa o te repe taiaki, arā, tata ki te roa o tō ringaringa. He āhua rite ki te pea. He momona tetahi pito, he angiangi tetahi pito. He pūkeko te taha o waho, he rite ki te kānga. E 90 karamu te taumaha, tata ki te rahi o te kete kāri.
E whā ngā wāhanga matua o te repe taiaki.
| Wāhanga o te pancreas | Whakaahuatanga |
|---|---|
| Upoko | Koinei te wāhanga whānui rawa atu o te repeure. Kei roto i te piko o te duodenum, te wāhanga tuatahi o tō tātou whekau iti. |
| kaki | Ka tīmata te wāhanga poto i te upoko. |
| Tinana | Ko te wāhanga waenga i waenganui i te upoko me te kaki. Ka toro paku ake tēnei. |
| Hiku | Koinei te wāhanga angiangi rawa o te repeure. Kei te taha tonu o tō tātou whēkau. |
He aha ngā mate ka pā ki te pancreas?
Ina hē te mahi a te repe taiaki, ka puta ngā momo mate. Ko ētahi o ēnei he mea kua mōhio kē koe.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Mate Huka Momo 1 | He āhuatanga ka puta ina mutu katoa te hanga insulin e te repe taiaki. |
| Mate Huka Momo 2 | He āhuatanga ka puta ina whakaputa te repeure i te insulin, engari kāore e taea e te tinana te whakamahi tika. |
| Te taumata huka toto tiketike (Hyperglycemia) | Te pikinga o te huka toto nā te nui o te hanga glucagon e te pancreas. |
| Te iti o te huka toto (Hypoglycemia) | Ka heke te taumata o te huka toto nā te nui rawa o te hanga insulin e te pancreas. |
| Te mate pāwera | Ka tīmata ngā whākōkī nakunaku ki te mahi i roto i te repe taiaki i mua i te taenga ki te whekau iti. Ka kino te repe taiaki i tēnei . Tērā pea nā ngā kōhatu i roto i te pūkahukahu, nā te nui rawa rānei o te inu waipiro. |
| Matepukupuku Repeure | He mate te mate pukupuku repeure e uaua ana ki te tautuhi me te rongoā. |
He aha ngā tohu e taea ai te tautuhi i ngā mate o te pancreas?
Ka puta he maha ngā tohu i te mate pāwera. Mēnā kei a koe tētahi o ēnei tohu, he mea nui kia toro atu koe ki te tākuta mō ētahi tohutohu.
- Te mamae nui i te puku o runga, i ētahi wā ka horapa ki te tuara
- Mamae tuara
- Te tirohanga pōuri
- He mimi pouri, he tūtae hinuhinu rānei, he tae mārama
- Ngenge
- Te matewai nui, te hiahia rānei kia mimi pinepine
- Whakapairuaki, ruaki rānei
- Te ngoikore o ngā peka
- Te ngaronga taumaha mō te kore take
- Te kōwhai o ngā kanohi me te kiri (Jaundice)
Kia maumahara, ki te pāngia koe e tētahi, e ētahi rānei o ēnei tohu, ehara i te mea he mate pāwera tōu. Engari ehara i te mea pai kia warewarehia. Rapua tonutia he tohutohu hauora.
Me pēhea te tirotiro i te hauora o te pancreas?
Nā te mea kei roto rawa i te puku te repe taiaki, he uaua ki te tākuta te kī mēnā he raruraru kei roto mā te pā atu noa. Nō reira, me whakahaere ngā whakamātautau maha hei whakatau i tōna āhua tuturu.
- Ngā whakamātautau toto: Tirohia ngā mea pēnei i te taumata o ngā whākōkī repe taiaki me ngā taumata huka toto.
- Ultrasound o te puku: Te tiki me te tirotiro i ngā whakaahua o ngā whekau o te puku.
- Matawai CT: He whakaahua whakawhiti-wāhanga o te tinana hei tirotiro i te repeure me ngā whekau e karapoti ana.
- Matawai MRI: Ka whakamahi i te papa aukume hei tango pikitia taipitopito.
- Ultrasound Endoscopic: He tirotiro tata o te repe taiaki mā te whakamahi i tētahi ngongo iti kei roto he kāmera (endoscope) ka whakaurua mā te waha.
- ERCP, MRCP rānei: He whakamātautau motuhake hei rapu i ngā mea pēnei i te aukati i roto i te repeure me ngā awa au.
- Whakamātautau paru: Hei tirotiro mēnā kei te nui ngā whākōkī nakunaku e whakaputaina ana e te repe taiaki.
I ētahi wā, me mahi pokanga hei tango tauira (biopsy) o te repe taiaki hei whakamātautau.
Ngā mea ka taea e tātou te mahi hei pupuri i te hauora o te pancreas
Ko tā tātou kawenga he tiaki pai i tēnei kaimahi puku. Mā ētahi whakarerekētanga ngāwari o te noho ka taea te whakaiti i te tūponotanga o ngā mate repeure.
- Kia mau ki te taumaha hauora: Mā te whakahaere i tō taumaha me te whakakori tinana i ia wā ka āwhina i te ārai i ngā kōhatu o te puku, ka arahi pea ki te mate huka momo 2 me te pancreatitis.
- Whakaitihia ngā kai momona: Ka taea e ngā kai momona te arahi ki te hanga kohatu pūkahukahu me te mōrearea o te mate pukupuku repeure. Nō reira, kia mau ki tētahi kai hauora, taurite hoki .
- Whakahaerehia te inu waipiro: Ko te nui o te inu waipiro tetahi o ngā tino take o te mate pukupuku repeure me te mate pukupuku repeure. He mea nui kia whakawhāitihia, kia mutu rawa rānei te inu waipiro .
- Āta karohia te momi hikareti: Mā te momi hikareti, tae atu ki te momi hikareti, ka nui ake te tūponotanga o te mate pukupuku repeure me te pancreatitis mau tonu.
- Tirohia te tākuta i ia wā, i ia wā: Mā te toro atu ki tō tākuta me te tirotiro i a koe anō, ka taea e koe te kite i ngā tohu tōmua o ngā mate repeure.
Ka taea te ora me te kore he pancreas?
Ae, ka taea te ora me te kore he repe taiaki. Engari ehara i te mea ngāwari. Ki te tangohia te repe taiaki mā te pokanga (pancreatectomy), me tango e koe ngā pire whākōkī hei nakunaku i te kai mō te toenga o tō oranga me ngā werohanga insulin hei whakahaere i tō huka toto. Ko te tikanga ka tangohia te repe taiaki katoa i ngā wā o te mate pukupuku repe taiaki, he aituā nui ki te repe taiaki, he pancreatitis kino rānei.
Nā, kua mārama koe ki te hiranga me te mea nui o te repe taiaki i roto i tō tātou tinana. Nō reira, tiakina, ā, kia ora ai tō tātou tinana. Kātahi ka taea e tā tātou kaimahi puku te mahi tonu i āna mahi me te kore raruraru.
Karere Tangohia ki te Kāinga
- E rua ngā mahi matua a te repeure: te whakaputa i ngā whākōkī hei āwhina i te nakunaku kai me ngā homoni pēnei i te insulin e whakahaere ana i te huka toto.
- Ka taea e te nui o te inu waipiro, te momi hikareti, me te kai nui i te ngako te kino nui ki te repe taiaki.
- Kaua rawa e warewarehia ngā tohu pēnei i te mamae puku nui ohorere, te hekenga taumaha kāore i te mārama, te kōwhai rānei o te kiri me ngā kanohi (jaundice).
- Mena he ruarua āu mō te hauora o tō repe taiaki, kaua e whakaroa, me toro atu ki tō tākuta mō ētahi tohutohu.
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