Masifunde ngepancreas - umsebenzi othuleyo womzimba wethu.

Sonke sithetha ngamanye amalungu omzimba wethu ngalo lonke ixesha. Sisoloko sicinga ngezinto ezifana nentliziyo, imiphunga, kunye nezintso. Kodwa kukho enye ngaphakathi esiswini sethu, efihliweyo kancinci, eyenza umsebenzi omninzi obalulekileyo. Yiyo leyo ipancreas. Mhlawumbi awuzange ulive eli gama kakhulu, okanye ulive kuphela linxulunyaniswa nesifo seswekile. Kodwa eneneni, le pancreas ngumsebenzi othuleyo kodwa obalulekileyo emzimbeni wethu. Ke namhlanje, masifunde ngalo msebenzi uthuleyo ngokulula, ngokungathi sithetha nomhlobo.

Yintoni kanye kanye ipancreas?

Ngamafutshane, ipancreas yindlala enkulu ekwisisu sethu, phambi komqolo wethu. Iyinxalenye yenkqubo yethu yokugaya ukutya, kunye nenkqubo yethu ye-endocrine. Cinga ngayo njengeefektri ezimbini ezisebenza phantsi kophahla olunye. Ezi fektri zimbini zivelisa iintlobo ezimbini eziphambili zeemveliso.

1. Ii-Enzymes: Le yinxalenye yenkqubo yokugaya ukutya evelisa iikhemikhali ezikhethekileyo (ii-enzymes) ezisinceda ekugayeni ukutya esikutyayo size sikuqhekeze ukuze umzimba ukwazi ukufunxa izondlo.

2. IiHormone ezilawula amanqanaba eswekile egazini: Le yinxalenye yenkqubo yeehomoni. Kulapha apho kwenziwa khona iihomoni ezimbini ezibalulekileyo , i-insulin kunye ne-glucagon, ezinceda ukugcina ubungakanani beswekile egazini lethu bukwinqanaba elifanelekileyo.

Makhe sijonge imisebenzi emibini ephambili yepancreas ngeenkcukacha ezithe vetshe.

Ngoku masithethe kancinci ngomsebenzi wale mizi-mveliso mibini. Wakuba ukuqondile oku, uya kukuqonda ngokupheleleyo ukubaluleka kwepancreas.

1. Inceda ekugayweni kokutya

Khawuthelekelele utya irayisi emnandi. Emva kokuba ukutya kungene esiswini sakho, ukuze kuvelise amandla kuyo, kufuneka kugaywe kakuhle kwaye kwahlulwe kube ngamasuntswana amancinci. Kulapho ipancreas inceda khona.

I-pancreas ivelisa phakathi kwe-1 kunye ne-4 yelitha yejusi etyebileyo kwi-enzymes ngosuku. Eli nani liyahluka ngokuxhomekeke kubungakanani bokutya okutyayo. Nantsi indlela esebenza ngayo:

• Emva kokutya, ukutya kungena esiswini.
• Okulandelayo, ukusuka esiswini, ukutya kungena kwi-duodenum, inxalenye yokuqala yamathumbu ethu amancinci.
• Ngeli xesha kanye, i-pancreas ithumela ijusi ye-enzyme eyenzileyo ngemijelo emincinci iye kwi-duct ephambili ye-pancreas.
• Le duct iphambili idibana ne-bile duct, ethwala i-bile kwisibindi sethu.
• Ekugqibeleni, ezi jusi zepancreatic kunye nenyongo ziyadibana zize zingene kwi-duodenum, apho ziqala khona ukuqhekeza nokugaya iiproteni, amafutha kunye neecarbohydrates ekutyeni esikutyayo.

Ngaphandle kwale nkqubo, asinakukwazi ukugaya ukutya okanye sifumane izondlo kuko.

2. Ukuveliswa kwamahomoni kunye nolawulo lweswekile egazini

Lo ngomnye umsebenzi obaluleke kakhulu wepancreas. Yonke iseli emzimbeni wethu ifuna amandla ukuze isebenze. Loo mandla avela kwiglucose, eyiswekile nje. Kodwa ubungakanani beswekile egazini akufuneki bunyuke okanye bunciphe. Kufuneka igcinwe kwinqanaba elifanelekileyo.

Kulapho ke iihomoni ezimbini i-insulin kunye ne-glucagon zinceda khona.

• Ukuba iswekile egazini iyanda: Xa sisitya ukutya okumnandi, iswekile egazini lethu iyanda. Ngelo xesha, ipancreas ivelisa ihomoni ebizwa ngokuba yi-insulin ize iyikhuphe egazini. I-insulin ithatha iswekile egqithisileyo ize iyifake kwiiseli zomzimba, izincede zivelise amandla. Emva koko, iswekile egazini ibuyela kwisiqhelo.
• Ukuba iswekile yakho yegazi iyehla: Xa sihlala ixesha elide singatyi, amanqanaba ethu eswekile egazini anokwehla. Ngelo xesha, i-pancreas ivelisa i-hormone ebizwa ngokuba yi-glucagon. I-Glucagon ikhupha iswekile (glycogen) egcinwe esibindini sethu ibuyele egazini, nto leyo ebuyisela amanqanaba ethu eswekile egazini kwimeko eqhelekileyo.

Kuphela xa olu lungelelwano lulungile apho amalungu ethu aphambili njengentliziyo, isibindi, izintso kunye nengqondo yethu esebenza ngokufanelekileyo.

Imilo kunye neendawo zepancreas

Ipancreas imalunga nee-intshi ezi-6 ubude, obumalunga nobude bengalo yakho. Imile okweperi. Elinye icala lityebile, elinye icala lincinci. Ingaphandle linamaqhuqhuva, njengeqokobhe lombona. Inobunzima obumalunga neegram ezingama-90, malunga nobukhulu bedekhi yamakhadi.

I-pancreas inokwahlulwa ibe ziinxalenye ezine eziphambili.

Ziziphi izifo ezinokuchaphazela i-pancreas?

Xa ipancreas ingasebenzi kakuhle, izifo ezahlukeneyo zinokwenzeka. Ezinye zezi zinto zisenokuba zizinto oqhelene nazo kakhulu.

Ziziphi iimpawu ezinokubonisa ingxaki yepancreatic?

I-pancreatitis inokubangela iimpawu ezahlukeneyo. Ukuba unayo nayiphi na kwezi mpawu, kubalulekile ukubona ugqirha ukuze akunike iingcebiso.

• Intlungu ebuhlungu esiswini esingaphezulu, ngamanye amaxesha isasazeka ngasemva
• Umqolo obuhlungu
• Umbono ofipheleyo
• Umchamo onombala omnyama okanye isitulo esinombala okhanyayo, esinamafutha
• Ukudinwa
• Ukoma kakhulu okanye isidingo sokuchama rhoqo
• Isicaphucaphu okanye ukuhlanza
• Ukungabi nangqondo kwamalungu
• Ukunciphisa umzimba ngaphandle kwesizathu
• Ukutyheli kwamehlo nolusu (i-Jaundice)

Ungayijonga njani impilo yepancreas?

Ngenxa yokuba ipancreas ikwindawo enzulu esiswini sethu, kunzima kugqirha ukufumanisa ukuba kukho ingxaki ngayo ngokuyichukumisa nje. Ke ngoko, kufuneka kwenziwe uvavanyo olwahlukeneyo ukuze kuqinisekiswe imeko yayo echanekileyo.

• Uvavanyo lwegazi: Jonga izinto ezifana namanqanaba e-enzyme ye-pancreatic kunye namanqanaba eswekile egazini.
• I-Ultrasound yesisu: Ukufumana nokuvavanya imifanekiso yezitho zesisu.
• I-CT Scan: Umfanekiso womzimba onqamlezileyo ukuze kuhlolwe i-pancreas kunye namalungu angqongileyo.
• I-MRI scan: Isebenzisa intsimi yemagnethi ukuthatha imifanekiso eneenkcukacha.
• I-Endoscopic Ultrasound: Uvavanyo olusondeleyo lwepancreas kusetyenziswa ityhubhu encinci enekhamera (i-endoscope) efakwe ngomlomo.
• I-ERCP okanye i-MRCP: Uvavanyo olukhethekileyo lokujonga izinto ezifana nokuvaleka kwi-pancreas kunye ne-bile ducts.
• Uvavanyo lwendle: Ukujonga ukuba ipancreas ivelisa ii-enzymes zokugaya ezaneleyo na.

Kwezinye iimeko, kusenokufuneka kwenziwe utyando ukuze kuthathwe isampuli (i-biopsy) yepancreas ukuze ivavanywe.

Izinto esinokuzenza ukugcina i-pancreas isempilweni

Luxanduva lwethu ukumnyamekela kakuhle lo msebenzi wethu uthuleyo. Utshintsho oluncinci kwindlela yokuphila lunokunciphisa umngcipheko wezifo zepancreas.

• Gcina ubunzima obusempilweni: Ukulawula ubunzima bakho kunye nokuzilolonga rhoqo kunokunceda ekuthinteleni amatye enyongo, nto leyo enokukhokelela kwisifo seswekile sohlobo lwesibini kunye ne-pancreatitis.
• Nciphisa ukutya okunamafutha: Ukutya okunamafutha amaninzi kunokukhokelela kwi-gallstones kunye nomngcipheko womhlaza we-pancreatic. Ngoko ke, namathela kukutya okunempilo nokulinganayo .
• Lawula indlela osela ngayo utywala: Ukusela utywala kakhulu yimbangela ephambili ye-pancreatitis kunye nomhlaza we-pancreatic. Kubaluleke kakhulu ukunciphisa okanye ukuyeka ngokupheleleyo ukusela utywala .
• Kuphephe ukutshaya ngokupheleleyo: Ukusebenzisa icuba, kuquka ukutshaya iicuba, kwandisa kakhulu umngcipheko womhlaza wepancreatic kunye ne-pancreatitis engapheliyo.
• Fumana uhlolo lwezonyango rhoqo: Ngokubona ugqirha wakho rhoqo kwaye ufumane uhlolo lwezonyango, unokuchonga iimpawu zokuqala zezifo zepancreatic.

Ngaba kunokwenzeka ukuphila ngaphandle kwepancreas?

Ewe, kunokwenzeka ukuphila ngaphandle kwepancreas. Kodwa akulula. Ukuba ipancreas isusiwe ngotyando (i-pancreatectomy), kuya kufuneka uthathe iipilisi ze-enzyme ukunceda ekugayeni ukutya kunye neenaliti ze-insulin ukulawula iswekile yegazi lakho ubomi bakho bonke. Ipancreas yonke idla ngokususwa kwiimeko zomhlaza wepancreas, ingozi enkulu kwipancreas, okanye i-pancreatitis enzima.

Ngoko ke, ngoku uyaqonda ukuba ipancreas ibaluleke kangakanani kwaye ayibalulekanga kangakanani emzimbeni wethu. Ke ngoko, yinyamekele kwaye uphile ubomi obusempilweni. Emva koko umsebenzi wethu othuleyo uya kukwazi ukuqhubeka nemisebenzi yakhe ngaphandle kweengxaki.