Kia ako tātou mō te repe taiaki - te kaimahi wahangu o tō tātou tinana.

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.

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.

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.

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.

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.

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)

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.