EHAOKPMHHA ••.

··
I • CMCTEMA.
3aAcroMawHa mne3a (naHKpeac). Tosa e >Kne3a OT cMeceH n ,n _ c
BbHWHa VI BbTpewHa ceKpe4111R. TR 0TA€Jlfl 3aACmMaweH COK VI X0PMa.
3AACTOMAWHA >Kff E3A, HIii (q>Vlr. 1). 3aACmMaWHVIRT COK ce Vl3JlVIBa B ABaHaAecemnpbCTHVIKa
(BbHWHa CeKpe4V1R) VI 111rpae Cbll.\€CTBeHa ponR B xpaH0CMLIIJlaHem . Xop.
HAA&'b&PE'IHM >Kff E3'1, MOHi/iT€ Ha >KJle3aTa ce o6pa3yBaT B CTpynsaHWl OT €HA0KpVIHHLII KneTK~
nonOBM >Kff E3'1 (JlaHrepxaHCOBVI OCTpOBVI). OCHOBHVIRT xopM0H Ha >KJle3aTa e UHCYl1UH,
To111 e €AVIHCTB€HVIRT xopM0H, KOi/im HaMaJlRBa CbAbp>KaH111em Ha rn~-
K03a B KpbBTa (Hanp. cne,q xpaHeHe) Kam no,qnoMara yrnmrnaHero ~ 01
KJ1€TKVITe. npeAVl3BVIKBa npeBpbll.\aHem Ha Vl3JlVIWHaTa rm0K03a B rm,.
no KaKbB Ha4MH CbBpeMeHHara
K0reH VI B Ma3HVIHVI. Tpa111HO HaManeHaTa ceKpe4111R Ha VI HCY!lVIH B0AVI Ao I
MeAl.141.1Ha 1,1 Ha41.1Hbr Ha >Kl.1BOr
pa3BVITl/le Ha 6onecna 3axapeH AV1a6eT (3axapHa 6oneo) - yse11v14eHo
Morar Aa HaManRr Mall.\a61,1re Ha
CbAbp>KaHVle Ha rmoK03a B KpbBTa, Koem npeAVl3BVIKBa yspe>K,qaHe Ha
3a6onRBaHero ,q1,1a6er?
pe,q1114a opraHVI VI CVICT€MVI. v1H>KeKTVlpaHem Ha VIHCY!lVIH H0pMaJlV13Vlpa
CbAbp>KaHVl€T0 Ha r!llOK03a B KpbBTa VI CbCT0RHVlem Ha opraHVl3Ma.
A111a6eTbT ce npoflBRBa c HenpeKbCHaTa >Ka>KAa III Yecm yp111Hv1paHe.
B pe3ymar Ha 6onecna HacTbnBar yrnmKHeHVIR -yspe>KAaHe Ha 6b6pe-
IDMr. 1. 3aACTOMawHa )KJ1e3a
4111Te, 3peH111em, Heps111re, KpbB0H0CHVITe CbA0Be VI AP- 3a pa3BVITV1e Ha
eK30KpMHHM
AV1a6er L,138€CTHa ponR VIMa HarneACrBeHom npeApa3n0Jl0>K€HVle, HO
KlleTKM BJlVIRHVle 0Ka3Bar VI q>aKmp111 Kam 3aT!lbCTRBaHe, crpec, 3aCeAHan Ha4VIH
KanM11Rp11
Ha >KVIB0r, BVIPYCHVI V1Hcj>eK4VIVI III AP-
_Fpyr xopM0H Ha >KJle3aTa e 2n/OKQWHbm. Toll! VIMa np0TVIB0n0JlO>KHO
Ha VIHCY!lVIHa A€111CTBVle. Karam CbAbp>KaH111em Ha r!llOK03a B KpbBTa e

'
CTOMax
HVICK0, n0A Heroso BJlVIRHVle r!lVIK0reHbr B 4€pHVIR AP06 ce pa3rpa>t(Aa

~ AO rntoK03a. Asara xopM0Ha y4acrnar B peryn111paHem Ha CbAbp>KaHV1e-

m Ha r!llOK03aTa B KpbBra (q>111r. 2).
I
• I K/leTKM Ha HaA6b6pe4HVI mne31,1. HaM111par ce Bbpxy ropHara 4acr Ha 6b6pe-
naHKpeac naHrepxaHCOBMTe 4111re (cj>Vlr. 3). v13rpaA€HVI ca OT AB€ pa3Jll/l4HVI no crpyKTypa 1/1 q>yHKl..ll-11-1
OCTpOBM -
4aCTI/I - Kopa VI Cbp4es111Ha. Te 0TA€!1RT pa3Jll/l4HI/I xopM0HI/I. XopM0HVITe
Ha Kopara BJlVIRRT Bbpxy o6MRHaTa Ha MVIHepa!lHVITe COJll/l, 6eJ1TbL1V1Te,
Ma3HVIHVITe VI BbrJleXl!IAparnTe B opraHVl3Ma. Te ce ceKpernpaT B ronHMO
Kon1114ecrno np111 nos111weHo Hanpe>KeH111e (crpec) B opraHVl3Ma. Kopara
Ha HaA6b6pe4HVITe >Kfle3VI 0TAe!lR VI MaJlK0 non0BI/I XOpM0HI/I.
HaManeHaTa ceKpe4111R Ha K0para Ha HaA6b6pe4HVITe >KJle31/1 B0AVI AO
C,1n. 2. XopMOHa/leH KOHTpOll Ha CbAbp)KaHMeTO
HapywasaHe Ha o6MRHara Ha Bell.\ecrnara.
Ha mtoK03a B KpbBTa Cbp4es111Hara Ha >Kne3aTa npo1113Be>KAa aApeHan111H. To111 e 1113secreH

....
~cyn~ (THMynHpa
Kam xopM0H Ha CTpeca. Karam opraHVl3MbT e B CbCmRHVle Ha c11111Ha
Bb36yAa, Rpocr, crpax, rnaBHI/IRT M03bK Vl3npall.\a CV1rHan1,1 AO Ha,q6b6·
YCBORBaHeTO pe4HV1Te >KJle3VI 1/1 re 0TAe!lRT ronRM0 K0JlVl4eCTB0 aApeHaJll/lH B KpbBTa,
Ha rntoK03a OT
KfleTKaTa. To111 nos111wasa cbpAe4Hara Aell!HOCT, AIIIWaHem, CbAbp>KaH111em Ha rmo·
rmoKo3a
K03a B KpbBTa. np111mKbT Ha KpbB KbM K0>KaTa VI xpaHOCMI/IJlaTenHara

BIACOKO HMBO Ha
, ,r ;~~tH ~ K/leTKa rncreMa HaMaJlRBa. Tosa n03B0JlRBa Aa ce yBeflVl4VI KpbBOCHa6A.RBaHeTO
Ha KpVITV14HVITe 3a cnpaB.RHe Cb( crpeca opraHVI - M03bKa, Cbp4eT0, 6e·
rmoK03a B KpbBTa 11111re ,qpo6ose III cKeneTHIIITe MycKy11111.
(rneA xpaHeHe) rnHKOreH '
HOpMaflHO HIABO
Ha rntoK03a B KpbBTa
nonOBl.1 >Kne31,1 (RH4HVl41.1 VI ceMeHHi.141,1). OcseH n0!l0BVI KneTK~
nOJl0BVITe >KJ1e3VI 0T,qemn n0!lOBI/I xopM0HVI. >KeHCKVITe n0!l0BI/I xopMO"
rntoK03a KpbBOHOCeH HVI ca ecrporeH111 (rnasHo ecrpa,q111011) 111 nporecTepoH. Ecmpaouo11of11
8 KpbBTa CbA CTV1My11111pa pa3BI/ITl/lem VI <l>YHKLII/II/ITe Ha >KeHCKVITe n0JJ0BVI opraHVI, <j>op·

rn•; ,r~:i" MVlpaHeTO Ha BTOp1!14HVlre >KeHCKI/I nOJl0BVI 6ene3LII, peryn111pa >KeHCKVITe

nonos1,1 4"1Kfll/l. npozecmepoHom "1Ma sa>KH0 3Ha4eH111e 3a nporn4aHe10
Ha 6peMeHHOCTTa. He,qoCTaTb4HOTO My K0JlVl4eCTB0 BOAi/i AO cnoHraHH 0
rfllAKOreH a6 oprnpaHe Ha nnoAa. Toi71 Cbll.\0 yYacrna s pery11a4111Rra Ha >KeHcK1t1re
n0Jl0BIII L\IIIKJll,1.

118
' .. .
"1to:araH
naHKpeac
OCHOBHIIIAT Mb>KKl,1 nonos X0pM0H e mecmocmepOHom. Toi71 cr111MY-
Illl1pa pa 3s 111rnern Ill <l>YHK4111111re Ha Mb>KKIIITe n0Jl0Bl,1 opraH111 111 <j>opMW