Nzvimbo dzako dzepencre inokosha zvikuru asi inowanzo isinganzwisisi nhengo. Nzvimbo dzepascasi uye iyo inoshandiswa mukurwisa chirwere cheshuga inonyanya kukosha kunzwisisa.
Nzira dzeMabasa ePancreas
Makanda ako anenge anenge masentimita gumi akareba uye agere kuruboshwe kumashure kwemuviri, kumashure kwemudumbu uye pedyo nomukona. Inobatanidzwa mukubatsira nekudya kwako uye kubudisa mahomoni anokosha, akadai se insulin .
Sezvakabatana nechirwere cheshuga, pancreas:
- inobereka insulini kuti ibatsire kuchengetedza huwandu hweglucose (shuga) mumuviri
- inobereka glucagon apo muviri unoda kuisa glucose yakawanda muropa kuti ishandiswe simba
Kusiyana pakati pe glucagon uye insulini ndeyekuti insulin inoderedza ropa rako glucose nekubatsira muviri wako kushandisa glucose muropa rekushandisa simba. Glucagon inosimudzira ropa rako glucose nekuita kuti chiropa nemisungo zvibudise glucose yakachengetwa nokukurumidza.
Islet Maselo uye Kubudisa Indulini
Makanda ako ane masumbu emasero anozivikanwa semasikirwo seIslets of Langerhans, uye anowanzonzi "zviwi." Pane anenge mamiriyoni eitsuwa mumapakresi ane utano, akakura. Kunyangwe izvi zvinonzwika sezviwi zvakawanda zvezviwi, zvinongowanikwa chete ne 1-2% yepancreas yako yose.
Iko kune mamwe masero akawanikwa mumusumbu rimwe nerimwe reaslet masero, anonzi beta masero. Masero eBeta ndiwo masero chaiwo anoita kuti insulini idikanwe kuchengetedza shuga yakakwana yeropa muropa.
Apo masimba ezvirwere zvemuviri anokanganisa uye anoparadza masero aya e-beta, anodzivisa insulini masero e beta anobudisa. Kushayikwa kwehupenyu-kuchengetedza insulin kunotungamirira kurudzi rwechirwere cheshuga uye kunoda majekiseni akawanda ezuva nezuva eupulin kuti ararame.
Pasinei nekurwisa kwemasero e beta, zvakasara zvinoshanda zvepascreas yekuchera nekugadzirwa kwemamwe mahomoni anokosha zvinogara zvisingaiti.
The Pancreas mu Rudzi rwekutanga uye Type 2 Chirwere cheshuga
Muchirwere chechirwere cheshuga, mabheji e-beta anogumisa kubudisa insulini. Kunyange zvazvo imwe insulin inogona kubudiswa, haisi yakakwana kuti ienzanise glucose mumuviri. Ichi ndicho chikonzero sei insulin injections inodiwa.
Muchirwere chechipiri chirwere cheshuga, pancreas haisi kurwiswa nemasikirwo emusikirwo, asi inogona kubudisa insulin shoma kupfuura inoda, kana muviri usingagoni kushandisa insulini iyo pancreas inobereka. Iyo yekupedzisira inonzi inonzi insulin kushivirira. Kuwedzera muviri kunokonzera chikonzero chikuru chokurwisa insulin.
Mishonga Yokudzorera Pancreatic Function
Iyi ndiyo nzira dzinozivikanwa nevatsvakurudzi vari kuedza kugadzira chikamu chinowanzoshanda chepancreas, iyo inofanira kunge iri mushonga wechirwere cheshuga chechirwere:
- Kudzorera bheta cell function kuitira kuti vadzoke zvakare kubudisa insulini. Kunyange zvazvo kukurudzira kufambira mberi kwave kuchiitwa, inenge ichiri kuongororwa nzira yekuedza.
- Islet cell transplants yakave nokubudirira mukudzorera kushandiswa kwekuchengetedzeka kweutachiona, asi humwe hutsvakurudzo hunodiwa usati hwave hune ngozi yakachengeteka uye yakavimbika.
- Pancreas transplants ikozvino inowanika, asi nekuda kwenhamba shoma yevadzidzisi, izvi zvinowanzova kune avo vanorwara zvakanyanya kubva kurudzi rwechirwere cheshuga 1.
Sources:
The Islets of Langerhans. Diabetes Research Institute. https://www.diabetesresearch.org/sslpage.aspx?pid=729
Kubatana kwePancreas. EndocrineWeb. https://www.endocrineweb.com/endocrinology/overview-pancreas