Icb 10 lefu la tsoekere > Lefu la tsoekere

Lefu la tsoekere ke sehlopha sa mafu a metabolic moo ho nang le boemo bo phahameng ba glycemia ka nako e telele.

Har'a tse ling tsa lipontšo tsa khafetsa tsa kliniki ke ho hooa khafetsa, takatso e matla ea letlalo, letlalo la ho hlohlona, lenyora, mekhoa ea ts'ebetso ea ho hlaseloa ke bohloko.

Lefu la tsoekere ke lona lisosa tsa mathata a mangata a lebisang ho holofala kapele. Har'a maemo a hlobaetsang, ketoacidosis, hyperosmolar le hypoglycemic coma lia khetholloa. Tse sa feleng li kenyelletsa mafu a pelo le methapo ea methapo, lisebelisoa tsa lisebelisoa tsa mahlo, liphio, methapo ea mali le methapo ea methapo e tlase.

Ka lebaka la ho ata le mefuta e mengata ea tliliniki, ho ile ha hlokahala hore ho behe khoutu ea ICD ho lefu la tsoekere. Tlhahlobisong ea 10, e na le khoutu ea E10 - E14.

Lefu la tsoekere le sa boleloang ho ea ka ICD 10 (ho kenyeletsoa le sa tsoa fumanoa)

Hangata ho etsahala hore motho a kene kliniking ka glucose e phahameng ea mali kapa esita le maemong a bohloko (ketoacidosis, hypoglycemia, hyperosmolar coma, acute coronary syndrome).

Maemong ana, ha ho khonehe kamehla ho bokella anamnesis ka mokhoa o tšepahalang le ho fumana mofuta oa lefu lena.

Na see ke ponahatso ea mofuta oa 1 kapa mofuta oa 2 o kentsoeng molemong oa insulin? Potso ena hangata e lula e sa arajoa.

Maemong ana, ho ka etsoa lipatlisiso tse latelang:

lefu la tsoekere, E14,
mellitus e sa hlalosoang ea lefu la tsoekere le coma E14.0,
mellitus e sa hlalosoang ea tsoekere e nang le potoloha ea potoloho e senyehileng E14.5.

Insulin e ikemetseng

Lefu la tsoekere le tšaba pheko ena, joalo ka mollo!

Ho hlokahala feela ho etsa kopo.

Ebe ho lumeloa hore motheo oa lefu lena ke mamello e fokotsehileng ea lisele ho tsoekere, athe insulin ea tlhaho e hlahisoa ka bongata.

Qalong, sena ke 'nete, glycemia e arabela hantle ka lithethefatsi tse theolelang tsoekere ka molomo.

Empa kamora nako e itseng (likhoeli kapa lilemo), ho haelloa ke ts'ebetso ea pancreatic endocrine, ka hona, lefu la tsoekere le fetoha le itšetlehileng ka insulin (batho ba qobelloa ho fetolela "jabs", ho ekelletsa ho lipilisi).

Litsebi tsa lefu la tsoekere tse nang le mofuta ona li na le tšobotsi (tloaelo), batho bana haholoholo ke boima ba 'mele.

Khaello ea phepo e nepahetseng le khaello ea phepo e nepahetseng

Ka 1985, WHO e ile ea kenyelletsa mofuta o mong oa khaello ea phepo e nepahetseng mokhatlong oa lefu la tsoekere.

Lefu lena le ajoa haholo linaheng tse chesang tse mongobo, bana le batho ba baholo ba banyenyane ba utloa bohloko. E ipapisitse le khaello ea protheine, e hlokahalang bakeng sa tlhahiso ea molek'hule ea insulin.

Libakeng tse ling, mofuta o bitsoang oa pancreatogenic oa atleha - manyeme a angoa ke tšepe e ngata, e kenang 'meleng ka metsi a nooang a silafetseng. Ho latela ICD-10, mofuta ona oa lefu la tsoekere o entsoe e le E12.

Phapang ho batho ba baholo le bana

Hangata bana ba na le lefu la tsoekere la mofuta oa 1 kapa mofuta o mong o futsitsoeng o futsitsoeng.

Boloetse hangata bo qala lilemong tsa pele tsa sekolo mme bo bontša ketoacidosis.

Nako ea ts'ebetso ea pathological ha e laoloe hantle, hangata ha ho bonolo ho khetha mofuta o nepahetseng oa "insulin dosing".

Sena se etsoa ka lebaka la kholo e potlakileng ea ngoana le boholo ba mekhoa ea polasetiki (synthetiki ea protheine). Ho na le lihormone tse ngata tse holang le li-corticosteroids (lihormone tse loantšanang le li-contra) tse etsang hore lefu la tsoekere le bola hangata.

Psychology ea Endocrine

Ho senya karolo efe kapa efe ea litho tsa endocrine ho ka ama metabolism ea tsoekere le insulin.

Ho haella ha adrenal ho ama mekhoa ea gluconeogenesis, maemo a hypoglycemic a mangata a bonoa.

Tšoelesa ea qoqotho e laola mokokotlo oa insulin haholo, kaha e ama mekhoa ea kholo le metabolism ea matla.

Ho hloleha ho tsamaiso ea hypothalamic-pituitary hangata ho lebisa litlamorao tse mpe ka lebaka la tahlehelo ea taolo holim'a litho tsohle tsa tsamaiso ea endocrine.

Endocrine pathology ke lenane la liphatlalatso tse thata tse hlokang mahlale a tebileng a litsebi ho tsoa ho ngaka. Mohlala, lefu la tsoekere la mofuta oa 2 le atisa ho ferekanngoa le lefu la tsoekere la LADA.

Lefu lena le iponahatsa e le motho e moholo ebile le tšoauoa ka timetso ea autoimmune ea manyeme.

E na le mokhoa o motle, ka kalafo e sa lokelang (litlhare tsa molomo tsa hypoglycemic), e potlakela ho kena sethaleng sa ho buseletsoa.

Lefu la tsoekere la phosphate ke bokuli bo boholo ba bongoaneng bo amanang le "metabolism" ea "glucose". Tabeng ena, metabolism ea phosphorus-calcium e ferekanngoa.

Lenane la sehlopha

Sehlopha sa A. A00 - B99. Mafu a mang a tšoaetsanoang le likokonyana

E sa kenyeletse: lefu la autoimmune (systemic) NOS (M35.9)

Lefu la Kokoana-hloko ea Kokoana-hloko ea Bokooa ba Batho (B20 - B24)
malformations ea tlhaho ea tlhaho (malformations), makoa le tlhekefetso ea chromosomal (Q00 - Q99)
neoplasms (C00 - D48)
mathata a boimana, tsoalo ea ngoana le puerperium (O00 - O99)
Maemo a motho ka mong a etsahalang nakong ea koluoa (P00 - P96)
matšoao, matšoao le boits'oaro bo khethiloeng lithutong tsa kliniki le tsa laboratori, bo sa khetholloang kae kapa kae (R00 - R99)
likotsi, chefo le tse ling tsa litlamorao tsa ho pepesetsoa lisosa tsa kantle (S00 - T98)
endocrine, phepo e nepahetseng le metabolic maloetse (E00 - E90).

Hlokomela Li-neoplasms tsohle (ka bobeli li sebetsang ebile li sa sebetse) li kenyelelitsoe sehlopheng sa II. Likhoutu tse lumellanang sehlopheng sena (mohlala, E05.8, E07.0, E16-E31, E34.-), haeba ho hlokahala, li ka sebelisoa e le likhoutu tse ling ho khetholla li-neoplasms tse sebetsang le li-ectopic endocrine tiske, hammoho le hyperfunction le hypofunction ea endocrine gland, e amanang le neoplasms le mathata a mang a khethiloeng sebakeng se seng.

A qheleloa ka thōko:
Maemo a motho ka mong a etsahalang nakong ea koluoa (P00 - P96),
mafu a mang a tšoaetsanoang le likokonyana (A00 - B99),
mathata a boimana, tsoalo ea ngoana le puerperium (O00 - O99),
tlholeho e sebetsanang le mathata a tlhaho ea tlhaho, Qobello le ho senyeha ha chromosomal (Q00 - Q99),
mafu a endocrine, mathata a ho ja le mathata a metabolic (E00 - E90),
likotsi, chefo le tse ling tsa litlamorao tsa ho pepesetsoa lisosa tsa kantle (S00 - T98),
neoplasms (C00 - D48),
matšoao, matšoao le boits'oaro bo khethiloeng lithutong tsa kliniki le tsa laboratori, bo sa khetholloang kae kapa kae (R00 - R99).

Khaolo ea IX Maloetse a tsamaiso ea potoloha (I00-I99)

A qheletsoe ka thoko:
Endocrine, phepo e nepahetseng le metabolic maloetse (E00-E90)
tlholeho e sebetsanang le mathata a amanang le tlholeho (Q00-Q99)
mafu a mang a tšoaetsanoang le likokonyana (A00-B99)
neoplasms (C00-D48)
mathata a boimana, tsoalo ea ngoana le puerperium (O00-O99)
Maemo a motho ka mong a etsahalang nakong ea koluoa (P00-P96)
matšoao, matšoao le boits'oaro bo khethiloeng lithutong tsa kliniki le tsa laboratori, bo sa khetholloang kae kapa kae (R00-R99)
systemic connective tisketse mala (M30-M36)
likotsi, chefo le tse ling tsa litlamorao tsa ho pepesetsoa lisosa tsa kantle (S00-T98)
tlhaselo ea nakoana ea "ischemic" e amanang le lefu la sethoathoa

Khaolo ena e na le li-block tse latelang:
I00-I02 Acute rheumatic fever
I05-I09 Lefu la rheumatic le pelo
Mafu a amanang le lefu la I10-I15
Maloetse a pelo a I20-I25 Ischemic
Lefu la pelo ea I26-I28 Pulmonary le mafu a ho potoloha ha mali a pulmonary
I30-I52 Mefuta e meng ea lefu la pelo
Maloetse a qoqotho a I60-I69
I70-I79 Mathata a methapo ea methapo, arterioles le capillaries
I80-I89 Mathata a methapo, methapo ea li-lymphatic le li-lymph node, eseng libakeng tse ling
I95-I99 Mathata a mang le a sa hlalosoang a tsamaiso ea potoloha

Livideo tse amanang

E felisa lisosa tsa khatello ea khatello
Normalizing khatello ka hare ho metsotso e 10 ka mor'a tsamaiso

Lefu la tsoekere ke eng: classified le dikhoutu ho ea ka ICD-10

Lefu la tsoekere ke sehlopha sa mafu a metabolic moo ho nang le boemo bo phahameng ba glycemia ka nako e telele.

Har'a tse ling tsa lipontšo tsa khafetsa tsa kliniki ke ho hooa khafetsa, takatso e matla ea letlalo, letlalo la ho hlohlona, lenyora, mekhoa ea ts'ebetso ea ho hlaseloa ke bohloko.

Ka lebaka la ho ata le mefuta e mengata ea tliliniki, ho ile ha hlokahala hore ho behe khoutu ea ICD ho lefu la tsoekere. Tlhahlobisong ea 10, e na le khoutu ea E10 - E14.

Classified 1 le mofuta oa 2 oa lefu lena

Mefuta e meraro e atileng haholo ea bokuli.

Lefu la tsoekere le sa boleloang ho ea ka ICD 10 (ho kenyeletsoa le sa tsoa fumanoa)

Hangata ho etsahala hore motho a kene kliniking ka glucose e phahameng ea mali kapa esita le maemong a bohloko (ketoacidosis, hypoglycemia, hyperosmolar coma, acute coronary syndrome).

Maemong ana, ha ho khonehe kamehla ho bokella anamnesis ka mokhoa o tšepahalang le ho fumana mofuta oa lefu lena.

Na see ke ponahatso ea mofuta oa 1 kapa mofuta oa 2 o kentsoeng molemong oa insulin? Potso ena hangata e lula e sa arajoa.

Maemong ana, ho ka etsoa lipatlisiso tse latelang:

lefu la tsoekere, E14,
mellitus e sa hlalosoang ea lefu la tsoekere le coma E14.0,
mellitus e sa hlalosoang ea tsoekere e nang le potoloha ea potoloho e senyehileng E14.5.

Insulin e itšetlehileng ka eona

Mofuta oa 1 oa lefu la tsoekere o nka hoo e ka bang 5 ho isa ho 10% ea maemo 'ohle a lefu la tsoekere la tsoekere. Bo-rasaense ba hakanya hore bana ba 80,000 lefatšeng ka bophara baa ameha selemo se seng le se seng.

Mabaka a etsang hore makhopho a khaotse ho hlahisa insulin:

Insulin e ikemetseng

Lefu la tsoekere le tšaba pheko ena, joalo ka mollo!

Ho hlokahala feela ho etsa kopo.

Ebe ho lumeloa hore motheo oa lefu lena ke mamello e fokotsehileng ea lisele ho tsoekere, athe insulin ea tlhaho e hlahisoa ka bongata.

Qalong, sena ke 'nete, glycemia e arabela hantle ka lithethefatsi tse theolelang tsoekere ka molomo.

Litsebi tsa lefu la tsoekere tse nang le mofuta ona li na le tšobotsi (tloaelo), batho bana haholoholo ke boima ba 'mele.

Khaello ea phepo e nepahetseng le khaello ea phepo e nepahetseng

Ka 1985, WHO e ile ea kenyelletsa mofuta o mong oa khaello ea phepo e nepahetseng mokhatlong oa lefu la tsoekere.

Mefuta e meng ea lefu lena kapa e tsoakiloeng

Ho na le li-metabolism tse ngata tse tsoekere tsa glucose tse sa sebetseng hantle, tse ling li fumaneha seoelo.

Mofuta o sa hlaloseheng oa lefu lena

Phapang ho batho ba baholo le bana

Hangata bana ba na le lefu la tsoekere la mofuta oa 1 kapa mofuta o mong o futsitsoeng o futsitsoeng.

Boloetse hangata bo qala lilemong tsa pele tsa sekolo mme bo bontša ketoacidosis.

Nako ea ts'ebetso ea pathological ha e laoloe hantle, hangata ha ho bonolo ho khetha mofuta o nepahetseng oa "insulin dosing".

Psychology ea Endocrine

Ho senya karolo efe kapa efe ea litho tsa endocrine ho ka ama metabolism ea tsoekere le insulin.

Ho haella ha adrenal ho ama mekhoa ea gluconeogenesis, maemo a hypoglycemic a mangata a bonoa.

Tšoelesa ea qoqotho e laola mokokotlo oa insulin haholo, kaha e ama mekhoa ea kholo le metabolism ea matla.

Ho hloleha ho tsamaiso ea hypothalamic-pituitary hangata ho lebisa litlamorao tse mpe ka lebaka la tahlehelo ea taolo holim'a litho tsohle tsa tsamaiso ea endocrine.

Lefu lena le iponahatsa e le motho e moholo ebile le tšoauoa ka timetso ea autoimmune ea manyeme.

E na le mokhoa o motle, ka kalafo e sa lokelang (litlhare tsa molomo tsa hypoglycemic), e potlakela ho kena sethaleng sa ho buseletsoa.

Lefu la tsoekere la phosphate ke bokuli bo boholo ba bongoaneng bo amanang le "metabolism" ea "glucose". Tabeng ena, metabolism ea phosphorus-calcium e ferekanngoa.

Livideo tse amanang

E felisa lisosa tsa khatello ea khatello
Normalizing khatello ka hare ho metsotso e 10 ka mor'a tsamaiso

Tšoaea khoutu ea lefu la tsoekere ea mofuta oa mcb-10

Ho theha lenane lena, batho ba ne ba batla ho bokella tlhaiso-leseling eohle e tsejoang ka lits'ebetso tse fapaneng tsa pathological sebakeng se le seng ho sebelisa likhoutu tsena ho nolofatsa ho batla le ho phekola maloetse. Ha e le Russia, sebakeng sena sa eona tokomane ena e lula e sebetsa ebile tlhahlobo ea ICD 10 (e ntseng e sebetsa) e amohetsoe ke Letona la Bophelo la Russia Federation ka 1999.

Sehlopha sa lefu la tsoekere

Ho ea ka ICD 10, mofuta oa lefu la tsoekere la 1-2, hammoho le mofuta oa lona oa nakoana ho basali ba baimana (gestational lefu la tsoekere), o na le likhoutu tsa hae (E10-14) le litlhaloso. Ha e le mefuta e itšetlehileng ka insulin (mofuta oa 1) e na le karohano e latelang:

Mofuta oa 2 lefu la tsoekere mellitus (e sa itšetlehang ka insulin) e na le khoutu ea eona le litlhaloso ho latela ICD 10:

Ntle le litlhaloso tsa lefu la tsoekere, ICD e bonts'a matšoao a mantlha le a mahareng mme tse latelang li ka khetholloa ho matšoao a sehlooho:

Ho ntša metsi kapele
Ho nyoriloe kamehla
Tlala e sa feleng.

Ha e le lipontšo tseo eseng tsa bohlokoa, ke liphetoho tse fapaneng 'meleng tse etsahalang ka lebaka la ts'ebetso ea methapo ea methapo.

Ho bohlokoa ho hlokomela likhoutu tse fanoeng ke SD ho latela ICD 10:

Leoto la lefu la tsoekere

Lefu la tsoekere la lefu la tsoekere ke bothata bo tloaelehileng ho mellitus e matla ea lefu la tsoekere mme ho ea ka ICD 10 e na le lipalo tsa E10.5 le E11.5.

E kopantsoe le tlolo ea phallo ea mali libakeng tse tlase. Tšobotsi ea letšoao lena ke nts'etsopele ea ischemia ea methapo ea leoto, e lateloe ke phetoho ea ho ea ho "trophic ulcer" ebe ea kenella gangren.

Type lefu la tsoekere

bona lihlooho tse kaholimo

E kenyelelitsoe: lefu la tsoekere (tsoekere):

labile
ho qala a sa le monyane
ka tloaelo ea ketosis

A qheleloa ka thōko:

lefu la tsoekere:
- khaello ea phepo e nepahetseng (E12.-)
- makhooa (P70.2)
- nakong ea kemolo, nakong ea bokhachane le puong ea pherese (O24.-)
glycosuria:
- BDU (R81)
- renal (E74.8)
Ho mamella tsoekere e sa sebetseng hantle (R73.0)
postoperative hypoinsulinemia (E89.1)

Lefu la tsoekere la Type II

bona lihloohoana tse kaholimo

E kenyelelitsoe:

lefu la tsoekere (tsoekere) (non-tseese) (obese):
- ka ho qala ho ba motho e moholo
- ka ho qala ho ba motho e moholo
- ntle le tloaelo ea ketosis
- tsitsitseng
mellitus e se nang insulin e itšetlehileng ka eona

A qheleloa ka thōko:

lefu la tsoekere:
- khaello ea phepo e nepahetseng (E12.-)
- matsatsing a bocha (P70.2)
- nakong ea kemolo, nakong ea bokhachane le puong ea pherese (O24.-)
glycosuria:
- BDU (R81)
- renal (E74.8)
Ho mamella tsoekere e sa sebetseng hantle (R73.0)
postoperative hypoinsulinemia (E89.1)

Lefu la Tsoekere

bona lihloohoana tse kaholimo

E kenyelelitsoe: lefu la tsoekere le amanang le khaello ea phepo e nepahetseng:

thaepa I
mofuta II

A qheleloa ka thōko:

lefu la tsoekere ka nako ea boimana, nakong ea tlhaho ea ngoana le puong ea lithaba (O24.-)
glycosuria:
- BDU (R81)
- renal (E74.8)
Ho mamella tsoekere e sa sebetseng hantle (R73.0)
lefu la tsoekere la bocha (P70.2)
postoperative hypoinsulinemia (E89.1)

Mefuta e meng e boletsoeng ea lefu la tsoekere

bona lihloohoana tse kaholimo

A qheleloa ka thōko:

lefu la tsoekere:
- khaello ea phepo e nepahetseng (E12.-)
- neonatal (P70.2)
- nakong ea kemolo, nakong ea bokhachane le puong ea pherese (O24.-)
- mofuta oa I (E10.-)
- mofuta II (E11.-)
glycosuria:
- BDU (R81)
- renal (E74.8)
Ho mamella tsoekere e sa sebetseng hantle (R73.0)
postoperative hypoinsulinemia (E89.1)

Mellitus e sa hlalosoang ea lefu la tsoekere

bona lihloohoana tse kaholimo

E kenyelelitsoe: lefu la tsoekere NOS

A qheleloa ka thōko:

lefu la tsoekere:
- khaello ea phepo e nepahetseng (E12.-)
- makhooa (P70.2)
- nakong ea kemolo, nakong ea bokhachane le puong ea pherese (O24.-)
- mofuta oa I (E10.-)
- mofuta II (E11.-)
glycosuria:
- BDU (R81)
- renal (E74.8)
Ho mamella tsoekere e sa sebetseng hantle (R73.0)
postoperative hypoinsulinemia (E89.1)

Classified 1 le mofuta oa 2 oa lefu lena

Lefu la tsoekere e ka ba sesosa sa ho se lekane ho felletseng ha tšebetso ea endocrine ea manyeme (mofuta oa 1) kapa ho mamella mamello ea tishu ho insulin (mofuta oa 2). Mefuta e sa tloaelehang le e sa tloaelehang ea lefu lena ea khetholoha, lisosa tsa eona maemong a mangata ha li sa thehoa ka ts'epahalo.

Mefuta e meraro e atileng haholo ea bokuli.

mofuta oa 1 lefu la tsoekere. Makhopho a makhopho ha a hlahise insulin e lekaneng. Khafetsa e bitsoa bana kapa e itšetlehileng ka insulin, kaha e bonoa pele bongoaneng mme e hloka phekolo e phethahetseng ea phetisetso ea li-hormone. Ts'oaetso e etsoa motheong oa e 'ngoe ea litekanyetso tse latelang: glucose e potlakileng ea mali e feta 7.0 mmol / l (126 mg / dl), glycemia lihora tse 2 kamora hore mojaro oa carbohydrate ke 11.1 mmol / l (200 mg / dl), hemoglobin e kholo haholo (A1C). kapa e lekana le 48 mmol / mol (≥ 6.5 DCCT%). Morero oa ho qetela o amohetsoe ka 2010. ICD-10 e na le nomoro ea khoutu ea E10, database ea OMIM ea mafu a liphatsa tsa lefutso e khetholla pathology tlasa khoutu ea 222100,
mofuta oa lefu la tsoekere. E qala ka ho bonts'a khanyetso ea insulin, e leng boemo boo lisele li felloang ke bokhoni ba ho arabela ka mokhoa o nepahetseng matšoao a hlabisang lihlong le ho ja tsoekere. Ha bokuli bo ntse bo tsoela pele, bo ka baka tšenyo ea insulin. E bonahala haholo ha e le motho e moholo kapa botsofaling. E na le likamano tse netefalitsoeng le boima bo feteletseng, khatello ea maikutlo le lefutso. E fokotsa tebello ea bophelo ka lilemo tse ka bang 10, e na le palo e phahameng ea bokooa. ICD-10 e patiloe tlasa khoutu ea E11, setsi sa OMIM se abetse nomoro ea 125853,
lefu la tsoekere. Mofuta oa boraro oa lefu lena o hlaha ho basali baimana. E na le mokhoa o motle haholo oa ho phela hantle, o feta ka botlalo kamora ho beleha. Ho latela ICD-10, e kentsoe tlasa khoutu ea O24.

Insulin e itšetlehileng ka eona

Mabaka a etsang hore makhopho a khaotse ho hlahisa insulin:

lefutso. Kotsi ea ho ba le lefu la tsoekere ho ngoana eo batsoali ba hae ba nang le lefu lena le pakeng tsa 5 ho isa ho 8%. Mefuta e fetang 50 e amana le lefu lena. Ho ipapisitse le locus, li ka ba tse buseletsang, tsa tse peli kapa tsa bohareng,
tikoloho. Mokha ona o kenyelletsa tikoloho, lintho tse sithabetsang, ecology. Ho fumanoe hore baahi ba megalopolises ba qeta lihora tse ngata liofising ba na le khatello ea maikutlo le maikutlo mme ba na le monyetla oa ho ba le lefu la tsoekere ho feta ba libakeng tsa mahaeng.
baemeli ba lik'hemik'hale le meriana. Meriana e meng e ka senya lihlekehleke tsa Langerhans (ho na le lisele tse hlahisang insulin). Tsena ke lithethefatsi haholo bakeng sa kalafo ea mofets'e.

Mefuta e meng ea lefu lena kapa e tsoakiloeng

Ho na le li-metabolism tse ngata tse tsoekere tsa glucose tse sa sebetseng hantle, tse ling li fumaneha seoelo.

LIHLOOHO tsa lefu la tsoekere. Mokha ona o kenyelletsa mefuta e 'maloa e tšoanang ea lefu le amang bacha haholo, mme o na le' nete. Bo-rasaense ba fumane hore sesosa ke ho se sebetse hantle liphatseng tsa liphatsa tsa lefutso tsa lisele tsa beta tsa manyeme, tse qalang ho hlahisa insulin ka tekanyo e nyane (ha ho se na khaello e phethahetseng ea lihormone),
lefu la tsoekere. E qala nakong ea bokhachane, e felisoa ka botlalo kamora ho beleha,
lefu la tsoekere le khothalletsoang ke lithethefatsi. Ts'oaetso ena e etsoa e le mokhelo ha ho sa khonehe ho theha sesosa se tšepahalang. Lisosa tse atileng haholo ke diuretics, cytostatics, lithibela-mafu tse ling,
ts'oaetso ea lefu la tsoekere. Matla a senyang a vaerase, a bakang ho ruruha ha litšoelesa tsa parotid, gonads le manyeme (mumps), a pakiloe.