Kukula kwa kapangidwe kamene kamakhala kosavuta

Nkhanzazi ndizomwe zimatulutsa chisokonezo chomwe chimapangitsa exocrine komanso ntchito za endocrine. Kukula kwa kapangidwe kaŵirikaŵiri kumagwirizana ndi masentimita 16-17 m'litali ndi 2-4 masentimita m'lifupi.

Mwachibadwa, mphukira imagawidwa kukhala mutu, thupi ndi mchira, ndi mbali zosiyana zomwe zimakhala zotseka. Pokhala ndi maukonde a mazira omwe amapitirira m'mimba, amatha kutulutsa mavitamini monga pancreatic amylase, lipase, ndi protease. Mu gawo la mchira ndiwo otchedwa islets of Langerhans, kutseka mahomoni, pakati pawo pali onse otchedwa insulini. Choncho, ngati zilumbazi zawonongeka, matenda a shuga akukula. Palinso gulu lalikulu la matenda omwe amachititsa kuti kutukuka kwapachikapweteka kuoneke - kutentha kwapakati (kuchokera kumapangidwe - mapulaneti, kutupa). Ndi matendawa, kapangidwe kake, morphology, pancreatic kukula mu chizoloŵezi ndi zosiyana kwambiri makhalidwe kuchokera matenda. Mavitamini omwe salowa mu duodenum amagwira nawo ntchito yozizira, komanso poizoni amamasulidwa motere, zomwe zingakhudze ziwalo zina.

Mafupa

Kukula kwa kapangidwe kawirikawiri kumakhala kosiyana ndi kuphakudzidwa. Choncho, matendawa akhoza kuyang'aniridwa bwino ndi ultrasound. Mu phunziroli, ndikofunika kupeza zomwe ziphuphu zimakhala, kukula kwa chiwalo, chikhalidwe cha minofu, ndipo zimathandizanso kuzindikira zowoneka bwino. The akupanga njira adzakhala odalirika kwambiri ndi zopweteka. Zozizwitsa zowonekera, zomwe zimachitika kawirikawiri chifukwa cha kusuta, uchidakwa, kugwiritsa ntchito mowa mwa zakudya zamatenda, zingayambe khansa. Kuphatikiza pa ultrasound, njira yogwiritsira ntchito tizilombo imagwiritsidwa ntchito, momwe kuchuluka kwa pancreatic amylase m'magazi kumatsimikiziridwa mokwanira. Mipando yowonjezera ikhoza kukambirana za kuperewera, miyala mu mazira, zotupa, ndi zina zotero. Chotupa choyipa chimachokera ku epithelium ya gland, kawirikawiri kumadera ammutu, nthawi zambiri pa thupi ndi mchira.

Kuchiza ndi kupewa

Ngati opaleshoni ndi yotheka (osagwiritsidwa ntchito), kuchotsedwa kwa kapangidwe kumawonetseredwa, mwinamwake chemo- ndi mankhwala opatsirana. Pambuyo pa opaleshoni, muyenera kutsatira zakudya zowonjezera zochokera ku zakudya zowonjezera mapuloteni komanso kusowa kwa zakudya zokazinga komanso zowonjezera. Ndikofunika kumvetsera nthawi kuti zizindikiro zoyambirira za matendawa zikhale: Kumva kupweteka kwa nthawi yaitali kumbali ya kumanzere, ngati kupweteka kwapadera kunkapezeka kale, kupweteka kwapadera popanda chifukwa chodziwika, matenda a chitseko, jaundice, kuthamanga kwa mimba. Kupewa matenda a gland kumawongolera zakudya zoyenera (kuchepetsa zakudya zamtundu wa mafuta), kukana ndudu ndi mowa kumathandiza kudutsa osati matenda okhawo, komanso ena ambiri. Izi zidzakuthandizani kusunga kukula kwa zikondamoyo mpaka kukalamba.