He aha ka Ligament o Treitz? E kamaʻilio kākou e pili ana i ia mea!

Aloha! Ua lohe paha ʻoe i kahi mea i kapa ʻia ʻo 'Ligament of Treitz'? ʻAʻole paha. ʻAʻole ia he mea kupanaha, no ka mea, he ʻāpana liʻiliʻi ia o ko kākou kino i ʻike ʻole ʻia, akā he mea nui loa. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia ʻano liʻiliʻi, akā ikaika. E nānā kākou i ke ʻano o ia mea, kāna hana, a me nā mea e pono ai kākou e ʻike e pili ana iā ia.

He aha maoli ka Ligament o Treitz?

I ka ʻōlelo maʻalahi, ʻo ka Ligament o Treitz he ʻāpana lahilahi o nā ʻiʻo i loko o ko kākou ʻōpū, ʻo ia hoʻi, i loko o ka lua ʻōpū. E noʻonoʻo e like me ke kaula laholio, akā ua hana ʻia ia me nā ʻāpana o ko kākou kino ponoʻī. Kāhea pū nā kauka i kēia ʻāpana o nā ʻiʻo ʻo 'peritoneum'. ʻO ka peritoneum kahi uhi lahilahi a puni nā ʻāpana i loko o ko kākou ʻōpū, a ma ka paia o loko o ka ʻōpū. No laila, ʻo kēia ligament, ʻo ia hoʻi, kēia ʻāpana, e hoʻopili i ʻelua ʻāpana o ko kākou ʻōpū liʻiliʻi a hana ma ke ʻano he kākoʻo no lākou. I mea e pololei ai, hoʻopili ia i ka ʻāpana mua o ka ʻōpū liʻiliʻi ma hope o ka ʻōpū, ʻo ia hoʻi ka 'duodenum', a me ka ʻāpana aʻe, ʻo ia hoʻi ka 'jejunum'. Ua kapa ʻia hoʻi ʻo ia ʻo 'suspensory muscle of the duodenum'. ʻO ia hoʻi, hana pū ia ma ke ʻano he ʻiʻo.

No laila he aha ka hana a ka Ligament o Treitz?

ʻOiai he ʻāpana liʻiliʻi ia, hana ka ligament o Trietz i kekahi mau hana koʻikoʻi no ko mākou kino. E nānā kākou i ko lākou ʻano:

• Kōkua i ka hoʻoneʻe ʻana i ka meaʻai: Hiki i kēia ligament ke ʻūlū, ʻo ia hoʻi ke emi. Ke ʻūlū ia, hāʻawi ia i ka meaʻai i kahi paʻi i kona neʻe ʻana i lalo o ko kākou mau ʻōpū. Ua like ia me ke ʻomi ʻana i kahi paipu e hoʻoneʻe wikiwiki ai i ka wai.
• Kōkua i ka mālama ʻana i ka duodenum paʻa: ʻO ka duodenum ka ʻāpana mua o ko kākou ʻōpū liʻiliʻi, ʻo ia ka ʻāpana ma hope o ka ʻōpū. No laila, kōkua kēia ligament i ka mālama ʻana i ka duodenum i hoʻopili pono ʻia a paʻa. E like me kou kūkulu ʻana i kahi halelewa, hoʻopaʻa ʻoe i ka lole halelewa i nā pou a huki iā ia.
• He wahi koʻikoʻi no nā kauka ʻoki kino: He mea kupanaha loa kēia. Ua like kēia ligament liʻiliʻi me kahi māka palapala ʻāina no nā kauka ʻoki kino. Ke hana lākou i ke ʻoki kino, nānā lākou i kahi o kēia ligament e hoʻokaʻawale i ka ʻaoʻao o luna o kā mākou ʻōnaehana hoʻoheheʻe (gastrointestinal tract) (`(Upper GI tract)`) a me ka ʻaoʻao haʻahaʻa (`(Lower GI tract)`). Eia kekahi, inā he `(gastrointestinal bleeding)`, kōkua kēia ligament e hoʻoholo pono inā mai ka ʻaoʻao luna a i ʻole ka ʻaoʻao haʻahaʻa. E noʻonoʻo iā ia e like me kahi huina ma ke alanui, haʻi ia iā ʻoe inā pono ʻoe e hele i kēia ala a i ʻole ia ala.

No laila, ʻike ʻoe, ʻeā? He hana nui kēia ʻāpana pepa liʻiliʻi!

Ua ʻike anei ʻoe i kahi o kēia ligament?

Aia ka ligament o Trietz ma ke poʻo o ko mākou kino, ʻo ia hoʻiHoʻomaka ia mai ka diaphragm, ka ʻiʻo e hoʻokaʻawale i ka umauma a me ka ʻōpū, a hoʻolōʻihi i ka duodenojejunal flexure i loko o ko kākou ʻōpū liʻiliʻi. He mea paʻakikī iki ke kani ʻana o ka duodenojejunal flexure, ʻeā? I ka ʻōlelo maʻalahi, ʻo ia ke kūlou ʻoi i loko o ko kākou ʻōpū liʻiliʻi ma waena o ka duodenum a me ka jejunum. Ua like ia me ke kūlou ʻana i loko o kahi paipu. No laila, ua like kēia ligament me ka paʻa ʻana i kēlā kūlou.

Pehea ke ʻano o kēia?

E like me kā mākou i ʻōlelo ai ma mua, he ʻāpana lahilahi kēia o nā ʻiʻo. Hana ʻia ia me kahi ʻāpana i pelu ʻia o kahi membrane i kapa ʻia ʻo ka peritoneum. E hoʻomanaʻo, ʻo ka peritoneum ka uhi lahilahi e hoʻopuni ana i nā ʻōpū i loko o ko kākou ʻōpū a me ka paia o loko o ko kākou ʻōpū. ʻO ka lōʻihi o kēia ligament maʻamau he hapalua ʻīniha a ʻelua a me ka hapa ʻīniha (0.5 a 2.5 ʻīniha). ʻO ia hoʻi, he liʻiliʻi loa ia. Hiki ke like me ka lōʻihi o ka hui mua o kou manamana nui.

He aha nā kūlana e pili ana me ka Ligament o Treitz?

ʻO ka nūhou maikaʻi, he mea kakaikahi loa nā kūlana e pili ana i ka ligament o Trietz. ʻO ke ʻano kēia, he mea kakaikahi nā pilikia e like me kēia. Akā, ʻo kekahi o nā pilikia e kū mai ana he kūlana i kapa ʻia ʻo 'intestinal malrotation'.

He aha ke ʻano o ka 'Intestinal Malrotation'?

I kekahi manawa, i ka wā e hānau ʻia ai kahi pēpē, aia paha nā pilikia kūkulu i loko o ka ʻōpū, ʻo ia hoʻi, ke ʻano o ke kau ʻana o nā ʻāpana. Inā ʻaʻole i kūpono kahi o ka Ligament o Treitz a me ka 'duodenojejunal flexure' a mākou i kamaʻilio ai ma mua, hiki ke loaʻa kahi kūlana i kapa ʻia ʻo 'intestinal malrotation'. I ka ʻōlelo maʻalahi, ʻo ia ka wā e wili ʻia ai nā ʻōpū. Ua manaʻo ʻia kēia kekahi o nā mea ʻino maʻamau e hiki ke loaʻa i loko o ka ʻōpū o kahi pēpē. E noʻonoʻo inā ʻaʻole i hoʻonoho pono ʻia kahi paipu wai a wili ʻia i kekahi wahi, e paʻakikī i ka wai ke hele, a ʻo ia ka mea e hana nei ma ʻaneʻi.

He aha nā hōʻailona o ke 'Intestinal Malrotation'?

ʻIke pinepine ʻia nā hōʻailona o kēia maʻi i loko o ka makahiki mua o ka pēpē. ʻO kēia mau hōʻailona:

• ʻEha mau ka ʻōpū. Inā ʻeha mau kou ʻōpū me ka ʻole o ka hōʻoluʻolu.
• Ka luaʻi ʻana i ke koko, a i ʻole ke kahe ʻana o ke koko me ka ʻōpala. He hōʻailona weliweli loa kēia.
• ʻAʻole e piʻi ke kaumaha, a i ʻole 'ʻaʻole e ulu pono'. He kūlana kahi e emi ai ke kaumaha o kahi pēpē me ka ʻole o ka piʻi ʻana o ke kaumaha, ʻoiai ʻo ia e inu ana i ka waiū a ʻai pono paha i ka meaʻai.
• Nā maʻi pinepine o ka ʻōnaehana hoʻoheheʻe (nā maʻi GI tract).
• Ka luaʻi mau ʻana me ke kumu ʻole.

Inā loaʻa i kāu keiki liʻiliʻi kekahi a ʻoi aku paha o kēia mau hōʻailona,He mea nui loa ka ʻike koke ʻana i ke kauka keiki.

Aia kekahi lāʻau lapaʻau no kēia?

ʻAe, ʻo ka lāʻau lapaʻau no kēia maʻi, ʻo 'Intestinal Malrotation', he ʻoki kino e hoʻoponopono i ka ʻāpana wili o ka ʻōpū. Hana pono nā kauka ʻoki kino i kēia, e ʻae ana i ka ʻōpū e hana pono hou.

Aia kekahi mea e hiki ai iā mākou ke hana e mālama i ke olakino o ka Ligament o Treitz?

He moʻolelo ʻokoʻa kēia. ʻO nā pilikia me ke ligament o Trietz he 'congenital' pinepine. ʻO ia hoʻi, aia lākou i ka wā hānau. ʻAʻole maopopo i nā kānaka ʻepekema ke kumu o kēia mau kīnā hānau. No laila, ʻaʻohe ala e pale aku ai i nā kūlana ligament o Trietz. ʻO ia hoʻi, ʻaʻohe mea hiki iā mākou ke hana e pale aku ai iā lākou.

Akā, mai hopohopo, no ka mea, e like me kā mākou i ʻōlelo ai ma mua, he mau kūlana kakaikahi loa kēia.

I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?

Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike koke i kahi mea mālama ola kino a i ʻole ke kauka pediatric o kāu keiki. E nānā kākou i kēia mau hōʻailona:

• Puka mai ke koko me ka ʻōpala. Hiki ke ʻulaʻula a ʻeleʻele paha kēia koko. He kahe koko paha kēia ma ka ʻōpū o lalo.
• Ka luaʻi ʻana i ke koko. He kahe koko paha kēia mai ka ʻōpū o luna.
• ʻAʻole loaʻa ke kaumaha a i ʻole ka emi koke ʻana o ke kaumaha.
• Ka luaʻi mau.
• ʻAʻole e ʻōpū no kekahi mau lā.
• ʻEha mau ka ʻōpū.
• Inā pehu ke ʻano o ka ʻōpū.
• Inā ʻoe e hoʻomau i ka luaʻi ʻana me ka ʻole o ka hoʻōki ʻana.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​mai hoʻowahāwahā iā lākou. Hiki iā lākou ke lilo i hōʻailona o kahi maʻi koʻikoʻi. ʻO ka ʻimi mua ʻana i ke kōkua lapaʻau e kōkua i ka ʻike a me ka mālama ʻana i nā pilikia e kū mai ana.

Nā mea nui a mākou e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou e pili ana i ka Ligament o Treitz i kēia lā, ʻeā?

I ka ʻōlelo maʻalahi, ʻo ke ligament o Trietz kahi hui o nā ʻiʻo i loko o ko mākou ʻōpū e kākoʻo ana i ka duodenum, ka ʻāpana mua o ka ʻōpū liʻiliʻi, a kōkua i ka hoʻoneʻe ʻana i ka meaʻai ma o ka ʻōnaehana hoʻoheheʻe.

ʻO nā pilikia e pili ana i kēia, ʻo ia hoʻi, nā maʻi hānau ʻia, hiki ke alakaʻi i nā kūlana e like me ke 'intestinal malrotation', ʻo ia hoʻi ka wā e wili ai nā ʻōpū.

Inā ʻeha mau ka ʻōpū a ʻeha paha kou a kāu keiki, pehu ʻana, a luaʻi mau paha, e ʻoluʻolu e ʻike i ke kauka.

Ke lana nei koʻu manaʻo ua hāʻawi kēia ʻatikala iā ʻoe i kahi ʻike e pili ana i kēia ʻāpana liʻiliʻi akā koʻikoʻi o kou kino. E noho olakino!

ʻO ke kaula o Treitz, ʻōpū, ka hoʻoheheʻe ʻana, ka hoʻololi ʻana o ka ʻōpū, ka hoʻololi ʻana o ka ʻōpū, nā maʻi hānau ʻia, ke olakino o ke keiki, ka ʻeha o ka ʻōpū