Ua ʻike anei ʻoe e pili ana i kēia membrane pale kupaianaha (peritoneum) i loko o kou ʻōpū? E kamaʻilio kākou e pili ana i nā kikoʻī!

Ua noʻonoʻo paha ʻoe pehea e mālama ʻia ai nā ʻōpū koʻikoʻi i loko o kou ʻōpū, e like me kou akepaʻa, ʻōpū, a me nā naʻau, i ka hoʻonohonoho a me ka pale ʻana? He membrane lahilahi a laumania ka peritoneum e kōkua ai e mālama iā lākou ma kahi. Ua like ia me kahi uhi palekana a ʻoluʻolu a puni nā ʻōpū i loko o ko kākou ʻōpū. E kamaʻilio kākou e pili ana i ka peritoneum me nā kikoʻī hou aku i kēia lā, no ka mea, lawelawe mālie ia i kahi lawelawe nui i loko o ko kākou kino.

He aha ka peritoneum? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka peritoneum kahi papa lahilahi o nā ʻiʻo e uhi ana i kou lua ʻōpū (ka hakahaka i loko o kou ʻōpū) a me ka lua pelvic. Hāʻawi pū ia i kahi uluna a puni nā ʻōpū i loko o kou ʻōpū. E noʻonoʻo iā ia e like me kahi pōpō me kahi pōpō i loko.

ʻElua ʻāpana o kēia membrane peritoneal:

• ʻO ka peritoneum parietal: ʻO kēia ka mea e hoʻopili ana i nā paia o loko o kou ʻōpū a me ke pelvis.
• ʻO ka peritoneum Visceral: ʻO kēia ka membrane e hoʻopuni ana i nā ʻōpū i loko o kou ʻōpū (no ka laʻana, ka ʻōpū, ke akepaʻa, nā ʻōpū).

ʻO ka hakahaka liʻiliʻi ma waena o kēia mau membrane ʻelua ua kapa ʻia ʻo ka lua peritoneal . Loaʻa i kēia lua kahi liʻiliʻi o ka wai e hōʻemi ana i ka friction ke hamo nā ʻōpū kekahi i kekahi.

No ke aha he mea nui ka peritoneum iā kākou? He aha kāna hana?

Hana kēia membrane peritoneal i nā hana koʻikoʻi he nui i loko o ko kākou kino. Ke aʻo ʻia nei kekahi o lākou e nā mea noiʻi. Eia kekahi o nā mea nui i ʻike ʻia i kēia manawa:

• Palekana: Aia ka momona i loko o kēia papa o ka membrane. Hāʻawi kēia i ka mehana a me kekahi pale no ko kākou mau kino. E noʻonoʻo iā ia e like me kahi uluna liʻiliʻi.
• Lubrication: ʻO kēlā wai peritoneal aʻu i ʻōlelo ai ma mua e kōkua i ko mākou mau kino, ʻoiai nā mea e neʻe ana e like me nā ʻōpū, e paheʻe kekahi ma luna o kekahi. A i ʻole, hiki iā lākou ke hamo kekahi i kekahi a ʻeha, ʻeā?
• ʻAno a me ke Kākoʻo: Hoʻopili ʻia ko mākou mau kino kekahi i kekahi e nā ligaments kūikawā ma ka peritoneum. Kōkua pū ia i ka hoʻopili ʻana i nā ʻōpū i ka paia hope o ka ʻōpū.
• Koko, lymph a me nā aʻalolo: ʻO nā kīʻaha koko, nā kīʻaha lymph a me nā aʻalolo e pono ai ko mākou mau kino e hele ma o kēia membrane peritoneal.
• Palekana: He mea nui loa kēia. Ua like ka peritoneum me ka laina pale mua e kūʻē i nā ʻeha a me nā huakini e komo i loko o ko kākou ʻōpū. ʻO ia hoʻi, ʻike ia i nā mea ʻino mai waho a hoʻouna i nā hunaola koko keʻokeʻo e hoʻouka iā lākou. Kōkua pū ia i ka kānana ʻana i ke kahe i loko o ka lua peritoneal a wehe i nā ʻōpala. ʻO ka mea kupaianaha, hiki i kēia ʻiʻo ke ho'ōla koke inā ʻeha.

E noʻonoʻo e like me ka peritoneum, he kiaʻi leo ʻole i loko o ko kākou ʻōpū. Inā ʻaʻole ia, e pilikia nui ana ko kākou mau kino.

Aia ma hea ka peritoneum i loko o ko mākou kino?

Aia ka peritoneum i loko o kou lua abdominopelvic . Hoʻomaka ia ma lalo pono o kou diaphragm (ka ʻiʻo e hoʻokaʻawale i kou umauma a me kou ʻōpū) a hoʻolōʻihi a hiki i kou papahele pelvic.

• Uhi ka parietal peritoneum i nā paia o kēia lua holoʻokoʻa.
• ʻO ka peritoneum visceral e hoʻopuni nui i ka ʻōpū, ke akepaʻa, ka spleen, a me kekahi mau ʻāpana o ka ʻōpū liʻiliʻi a me ka ʻōpū nui.

ʻO nā ʻōkana i hoʻopuni piha ʻia e ka peritoneum visceral ua kapa ʻia ʻo "intraperitoneal" , ʻoiai ʻo nā ʻōkana i hoʻopuni ʻole ʻia a aia ma hope o ka peritoneum ua kapa ʻia ʻo "retroperitoneal" .

Pehea i hana ʻia ai kēia? E nānā kākou iā ia me nā kikoʻī hou aku.

He membrane serous ka peritoneum. ʻO ia hoʻi, he membrane e hoʻopuka ana i kahi wai e like me ka serum. Loaʻa kēia ʻano ʻiʻo i loko o kekahi mau lua ʻē aʻe i loko o ko mākou kino, a ua kapa pinepine ʻia ʻo mesothelium .

Hana ʻia kēia me ʻelua papa nui:

1. Nā pūnaewele Epithelial: ʻO kēia ka papa luna. Hoʻopuka a omo kēia mau pūnaewele i ka wai lubricating i ʻōlelo ʻia ma luna. Kōkua pū lākou i ka kānana ʻana i nā mea e like me nā germs a lawe i ke koko, lymph, a me nā aʻalolo.

2. ʻIʻo hoʻohui: Aia kēia ma lalo o ka papa o nā cell epithelial. ʻO ia ka mea e hoʻopaʻa pū ai i nā mea āpau. Kōkua kēia ʻiʻo hoʻohui i ka hoʻopili ʻana i kekahi mau ʻōkana i ka paia o ka ʻōpū a e hoʻopaʻa i nā mea ʻē aʻe i loko o ka lua.

Nā hoʻonohonoho kūikawā o ka peritoneum

I ka hoʻopuni ʻana o ka peritoneum visceral i nā ʻōkana, pelu ia ma nā wahi, e hana ana i nā papa pālua a me nā ʻano like me ka ʻeke.

• ʻOmentum: He papa pālua nui kēia o ka peritoneum e hana ana e like me ka apron a uhi i kekahi o nā ʻōpū i mua o kou ʻōpū.
• Mesentery: He papa pālua kēia. ʻO kēia ka mea e hoʻopili ai i kou mau ʻōpū i ka paia hope o kou ʻōpū.

ʻO ka ʻiʻo adipose ma waena o kēia mau papa e hāʻawi i ka pale hou a me ka mehana, a kōkua pū kekahi i ka lawe ʻana i nā aʻalolo a me nā kīʻaha koko i nā ʻōpū.

Pehea ka lako o ke aʻalolo?

He mea nui loa hoʻi kēia.

• ʻO ka peritoneum visceral, ka mea e hoʻopuni ana i kāu mau kino, loaʻa iā ia kāna lako nerve autonomic mai kēlā mau kino.ʻO ka lako ponoʻī. No laila, ʻano maopopo ʻole ka ʻeha i ʻike ʻia mai kēia, a he paʻakikī ke ʻōlelo pololei i kahi e ʻeha ai. Me he mea lā ua kīkoʻo ʻia nā ʻōpū i ka wā e piha ai i ka ea a i ʻole ka meaʻai. Hoʻonāukiuki pū ʻia inā kahe nā kemika e like me ke koko a i ʻole ka bile.
• Loaʻa i ka parietal peritoneum, ka mea e uhi ana i kou paia ʻōpū, ka lako o ke aʻalolo somatic like me ka paia ʻōpū ponoʻī. No laila, hiki iā ia ke kuhikuhi i kahi kikoʻī o nā mea e like me ke kaomi, ka ʻeha, a me ka mahana.

He aha nā maʻi e hoʻopilikia ai i ka peritoneum? E makaʻala kākou!

ʻO ka mea pōʻino, hiki i kēia membrane peritoneal ke hoʻomohala i nā maʻi like ʻole. E kamaʻilio kākou e pili ana i kekahi o lākou.

1. Peritonitis - ʻAʻole kēia he pāʻani!

ʻO ka peritonitis ka mumū o ka peritoneum. Hoʻokumu pinepine ʻia e kahi maʻi i loko o ka lua peritoneal. Eia nō naʻe, hiki iā ia ke lilo i hōʻailona mua o kekahi mau maʻi gastrointestinal.

He pilikia olakino ka peritonitis . No ka mea, he membrane ka peritoneum e omo koke i nā mea, hiki i kahi maʻi i loko o ka lua peritoneal ke komo i ke kahe koko a laha ma ke kino holoʻokoʻa, e hana ana i kahi maʻi weliweli i kapa ʻia ʻo septicemia.

2. Ascites - hōʻiliʻili wai i loko o ka ʻōpū

ʻO ka Ascites ka hōʻiliʻili ʻana o ka wai keu i loko o ka lua peritoneal. ʻO kēia ke kumu o ka pehu ʻana o ka ʻōpū me ke kumu ʻole. He hōʻailona pinepine ia o ka maʻi akepaʻa holomua (ʻoi aku ka cirrhosis ). I ka cirrhosis, piʻi ke kaomi i loko o ke aʻa nui i loko o ka ʻōpū (portal hypertension), e hoʻoheheʻe ana i ka wai mai nā aʻa. I kekahi manawa, hiki i ka ascites ke lilo i hōʻailona o ka hāʻule ʻana o ka puʻuwai congestive a i ʻole ke kanesa.

3. Hernia - Pili pū kēia i ka peritoneum?

ʻO ka hernia kahi puka ʻana o nā ʻiʻo mai kekahi ʻāpana o ke kino ma o kahi paia ʻiʻo i loko o kekahi. ʻO ka hapa nui o nā hernias e hana ʻia ma o ka paia ʻōpū. I ka manawa pinepine, aia ka peritoneum ma waena o nā ʻiʻo e puka ana. I kekahi manawa, hiki ke hoʻokuke ʻia kahi ʻāpana kūloko i waho, akā ua ʻōwili ʻia i loko o ka peritoneum. ʻAʻole hōʻino pinepine nā hernias i ka peritoneum, akā inā ʻoki ʻia ke kahe koko i laila, hiki ke lilo i pilikia. Pono ka hapa nui o nā hernias i ke ʻoki ʻana.

4. Nā Hoʻopili ʻŌpū - He pilikia e kū mai ana ma hope o ke ʻoki ʻana

Inā haehae ʻia ka peritoneum i ka wā o ke ʻoki ʻana o ka ʻōpū, hiki iā ia ke hana i nā kaula mānoanoa o nā ʻiʻo ʻeha i kona wā e ho'ōla ai. Ua kapa ʻia kēia he mau hoʻopili ʻōpū.ʻAʻole kēia mau mea e hoʻoulu mau i nā pilikia. Eia nō naʻe, inā hana ʻia kēia mau ʻiʻo ʻeha ma waena o nā ʻōpū, hiki iā ia ke hoʻopilikia i ka neʻe manuahi ʻana o nā ʻōpū. I kekahi manawa, hiki ke ālai ʻia ka neʻe ʻana o nā mea i loko o nā ʻōpū. ʻO ka mea weliweli loa e hiki ke hana ʻia, ʻo ia ka pale ʻana o ka ʻōpū . Inā ālai ʻia nā ʻōpū, ʻaʻole hiki i ka meaʻai a me ka mea inu ke haʻalele i ke kino.

5. ʻO ka mesenteritis sclerosing a i ʻole ka panniculitis mesenteric

He kūlana laha ʻole kēia. Hoʻopilikia ia i ka ʻiʻo momona ma ka mesentery, ka pelu o ka peritoneum e hoʻopili ai i kou ʻōpū liʻiliʻi i ka paia hope o kou ʻōpū. ʻOiai ʻaʻole ʻike ʻia ke kumu pololei, ʻo ka mumū mau o kēia ʻiʻo e alakaʻi ai i ka ʻeha nui (fibrosis). Hiki i kēia ʻeha ke ʻoki i ke kahe koko i ka ʻiʻo a make ai nā ʻiʻo (necrosis). I kekahi mau hihia, hiki ke pale ʻia ka ʻōpū.

6. ʻO ka lymphadenitis mesenteric

ʻO Lymphadenitis ka pehu ʻana a me ka mumū o nā lymph nodes. Inā loaʻa ia ma ka mesentery, ua kapa ʻia ʻo mesenteric lymphadenitis . He hōʻailona pinepine kēia o kahi maʻi. Ke hoʻāla ʻia kā mākou ʻōnaehana pale, kōkua nā lymph nodes i ka kānana a me ka wehe ʻana i nā germs. Hiki i kēia ke hōʻeha i ka ʻōpū a me ke kuni, akā he manawa pōkole kēia.

7. Ka maʻi ʻaʻai

Hiki i nā maʻi kanesa e ulu ana i loko o nā ʻōpū o ka lua ʻōpū a me ka pelvic ke laha maʻalahi i ka peritoneum. Ua kapa ʻia kēia he peritoneal carcinomatosis . I kekahi manawa, hiki i ke kanesa ke hoʻomaka i loko o ka peritoneum ponoʻī. ʻO nā laʻana e komo pū me ke kanesa peritoneal mua a me ka peritoneal mesothelioma (ke kanesa o ka mesothelium). ʻO Pseudomyxoma peritonei kahi ʻano kanesa kakaʻikahi e hoʻopiha ai i ka lua peritoneal me kahi mea like me ka mucus. Hiki i kekahi kanesa e ulu ana i loko o ka peritoneum ke laha i nā ʻōpū e hoʻopā iā ia.

Pehea e ʻike ai inā he pilikia me koʻu peritoneum?

ʻO nā hōʻailona maʻamau o kekahi kūlana e pili ana i ka peritoneum ka ʻeha o ka ʻōpū a me ka pehu ʻana o ka ʻōpū .

• Inā ʻoe e manaʻo i ka ʻeha pālahalaha i hohola ʻia ma kou ʻōpū a paʻakikī ke kuhikuhi, hiki ke lilo i ʻeha e hele mai ana mai kou visceral peritoneum, ka papa o loko o kou ʻōpū.
• Inā ʻoi aku ka ikaika o ka ʻeha a kau ʻia ma kahi kūloko, ma muli paha o ka huhū o ka papa waho, ʻo ka parietal peritoneum.

Nui nā kumu o ka ʻeha o ka ʻōpū, akā nui o lākou e pili ana i ka peritoneum ma kekahi ʻano.

He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o ka peritoneum?

Inā kānalua kāu kauka i kahi pilikia me ka peritoneum, hiki iā lākou ke hana i nā hoʻokolohua e like me:

• Ka nānā ʻana i ka wai peritoneal:Hiki i kēia ke kōkua i ka ʻike ʻana i nā kūlana e like me ka peritonitis a i ʻole ascites. Hoʻokomo ke kauka i kahi nila liʻiliʻi, hakahaka i loko o ka lua ʻōpū a wehe i kahi liʻiliʻi o ka wai peritoneal. A laila hoʻouna ʻia ka wai i kahi keʻena hoʻokolohua no ka hoʻāʻo ʻana. Hoʻopaʻa ʻia ka wai e hoʻoholo ai inā ma muli o ka mumū a i ʻole ka liki ʻana o ke kīʻaha koko ka wai. Hiki iā ia ke nānā i nā hōʻike o ka maʻi, nā hunaola kanesa, a i ʻole nā ​​​​kemika e liki ana mai kahi ʻōkana ʻē aʻe.
• ʻO ka biopsy Peritoneal: I kekahi manawa makemake paha ke kauka e lawe i kahi laʻana o ka ʻiʻo peritoneal. Hiki ke hana ʻia kēia ma ke komo ʻana i kahi nila kūikawā i loko o ka ʻōpū (biopsy nila). A i ʻole hiki ke hana ʻia i ka wā o ka laparoscopy . ʻO ka Laparoscopy kahi hana e pili ana i ka hana ʻana i kahi ʻoki liʻiliʻi i loko o ka ʻōpū a me ke komo ʻana i kahi kāmela ma o ia mea e nānā i ka lua ʻōpū. Inā makemake ke kauka e ʻike i nā mea e hana nei i loko o ka ʻōpū, hiki iā ia ke kuhikuhi i kahi laparoscopy a me ka biopsy.

He aha nā lāʻau lapaʻau no ka peritoneum?

Aia nā ʻano lapaʻau like ʻole no nā maʻi e pili ana i ka peritoneum. Aia pū kekahi mau lāʻau lapaʻau e hoʻohana ana i kekahi o nā waiwai o ka peritoneum.

• Dialysis Peritoneal: Hoʻohana pinepine nā kauka i ka peritoneum e mālama i nā poʻe me ka hāʻule ʻana o nā puʻupaʻa. ʻO kēia no ka mea he hiki kupaianaha ko ka peritoneum e kānana i nā huahana ʻōpala. Hana ka Dialysis i ka hana a nā puʻupaʻa, ʻo ia hoʻi ka wehe ʻana i nā huahana ʻōpala a me ke kahe keu mai ke koko. Ma kēia kaʻina hana, hoʻopiha ʻoe a i ʻole kāu kauka i kou lua peritoneal me kahi wai kūikawā. Kānana ʻia ka wai ma o kou peritoneum, a laila wehe ʻia ka wai.
• ʻO Hyperthermic Intraperitoneal Chemotherapy (HIPEC): He lāʻau lapaʻau chemotherapy hou kēia i kuhikuhi ʻia no ke kanesa. Hoʻohana ia i ka hiki ke omo o ka peritoneum. Hāʻawi pololei ʻia kahi hopena chemotherapy i hoʻomoʻa ʻia a wela i loko o ka lua peritoneal. Inā loaʻa iā ʻoe ka maʻi kanesa ma kekahi wahi o kou lua peritoneal, hiki iā HIPEC ke mālama i kēlā wahi wale nō. Hāʻawi ka chemotherapy kuʻuna i nā lāʻau lapaʻau i loko o ke koko, kahi e hoʻopilikia ai i ke kino holoʻokoʻa, no laila he nui nā hopena ʻaoʻao. Akā he ʻokoʻa ʻo HIPEC, a ʻoi aku paha ka maikaʻi.
• ʻO ke ʻoki ʻana o Cytoreductive/debulking: Hoʻohana pinepine ʻia ka hui pū ʻana o ke ʻoki ʻana a me ka chemotherapy e mālama i ke kanesa ʻōpū a me ka pelvic. Hoʻāʻo ke ʻoki ʻana o Cytoreductive e wehe i ka nui o nā hunaola kanesa e like me ka hiki, ma nā wahi a pau. I kekahi manawa ʻo ia hoʻi ke wehe ʻana i kahi hapa a i ʻole kou peritoneum āpau (peritonectomy). ʻO ka hapa pinepine, hoʻopilikia ia i ka omentum. Hoʻolaha mua kekahi mau kanesa ma laila. A laila, pono ʻoe e hana i kahi omentectomy e wehe i ka omentum.

No laila, ʻo ka mea hope loa, eia kekahi mau mea e hoʻomanaʻo ai ...

Ua maopopo paha iā ʻoe i kēia manawa he kuleana mālie akā koʻikoʻi ka peritoneum i loko o ko mākou kino.

• Inā ʻeha kou ʻōpū a pehu paha, mai hoʻowahāwahā. I kekahi manawa, ʻoiai inā he liʻiliʻi nā hōʻailona, ​​​​hiki i ka pilikia ke koʻikoʻi. No laila, mai kānalua e ʻike i ke kauka no ka ʻōlelo aʻo.
• He membrane pale ka peritoneum ma waena o ko kākou ʻili a me nā ʻōpū o loko he nui. Hāʻawi ia i ka palekana, ka mehana, ke ʻano, ke koko, a me ka lako o nā aʻalolo i ko kākou mau ʻōpū.
• Eia kekahi, he ikaika ka peritoneum i ka ho'ōla ʻana i nā ʻeha a me nā hana palekana.
• ʻO ka mumū ʻana o ka peritoneum hiki ke lilo i hōʻailona mua o kahi maʻi i hōʻike ʻole ʻia ma kekahi o kou mau ʻōpū.

No laila, ʻaʻole anei he mea nui e ʻike e hana nei kēia mau mea kupaianaha i loko o ko kākou kino? E mālama i kou olakino!

ʻO Peritoneum, Peritoneum, Lua ʻōpū, Peritonitis, Ascites, Hernia, ʻEha ʻōpū, Ola kino o ka ʻōpū, ʻAno kino