He mea kupaianaha maoli ko kākou kino, ʻeā? ʻAʻole mākou i ʻike e pili ana i ia mea, akā he nui nā ʻāpana i loko o ko kākou kino e hana mālie ana i kā lākou mau hana. I kēia lā e kamaʻilio mākou e pili ana i kahi koa liʻiliʻi, ʻoiai he mea ʻē iki kona inoa, he kuleana koʻikoʻi kona i loko o kā mākou ʻōnaehana hoʻoheheʻe. ʻO ia ka "Ligament of Treitz". ʻAʻole paha ʻoe i lohe i kēia inoa ma mua. Akā e nānā kākou i ke ʻano o ia mea a me kāna hana.
He aha ka Ligament o Treitz, ma ka ʻōlelo maʻalahi?
I ka ʻōlelo maʻalahi, he ʻāpana lahilahi ia o nā ʻiʻo i loko o ko kākou ʻōpū. I ka pololei, he ʻāpana ia e hoʻopili ai i ʻelua mau ʻāpana o ko kākou ʻōpū liʻiliʻi a hana ma ke ʻano he kākoʻo no lākou. Aia ia ma waena o kahi e pau ai ka hapa mua o ko kākou ʻōpū liʻiliʻi, ʻo ka duodenum, a me ka hapa aʻe, ʻo ka jejunum, e hoʻomaka ana.
E noʻonoʻo i kēia ʻano, e like me ke kūkulu ʻana i kahi halelewa, nakinaki ʻoe i ka lole halelewa i ka honua me nā kaula, hoʻopaʻa pū kēia ligament i kēia ʻāpana o ko mākou ʻōpū ma kahi a hāʻawi i ke kākoʻo no ia. ʻO kekahi inoa no kēia ma ka ʻepekema lapaʻau ʻo 'suspensory muscle of duodenum'.
He aha nā pono o kēia ʻāpana liʻiliʻi no ko mākou kino?
ʻOiai he liʻiliʻi kona nui, ʻaʻole liʻiliʻi kāna hana. Hana nui ia i ʻekolu mau hana koʻikoʻi no ko kākou kino.
- Kōkua i ka neʻe ʻana o ka meaʻai: Hiki i kēia ʻāpana o nā ʻiʻo ke ʻūlū, ʻo ia hoʻi hiki ke hoʻēmi. Ma o ka ʻūlū ʻana e kōkua ai i ka neʻe ʻana o ka meaʻai ma o nā ʻōpū. E like me ka mākaʻi kaʻa e hōʻailona ana i nā kaʻa e neʻe, e maʻalahi ka neʻe ʻana o ka meaʻai.
- Aia kahi hapa o ka ʻōpū ma kona wahi kūpono: E like me kaʻu i ʻōlelo ai ma mua, kōkua kēia i ka mālama ʻana i ko kākou duodenum ma kahi hoʻokahi. A i ʻole, hiki iā ia ke neʻe a puni i loko o ka ʻōpū.
- He wahi koʻikoʻi no nā kauka ʻoki kino: ʻO kēia paha ka mea nui loa. Ke hana nā kauka ʻoki kino i ke ʻoki kino ma ko kākou ʻōpū, ua like kēia ligament o Trietz me kahi wahi koʻikoʻi ma ka palapala ʻāina. Hoʻoholo kēia ligament i ka palena ma waena o ka ʻaoʻao o luna o kā kākou ʻōnaehana hoʻoheheʻe (Upper GI Tract) a me ka ʻaoʻao haʻahaʻa (Lower GI Tract). No ka laʻana, inā e kahe ana ke koko o kekahi mai ka ʻōpū mai, kōkua ka wahi o kēia ligament i nā kauka ʻoki kino e hoʻoholo pono inā e puka mai ana ke koko mai ka ʻaoʻao o luna a i ʻole ka ʻaoʻao haʻahaʻa.
Nā kūlana e pili ana me ka ligament o Trietz
I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o nā maʻi e hiki ai i kēia ke hana. ʻO ka nūhou maikaʻi, he mea kakaikahi loa nā kūlana e pili ana i ka ligament o Trietz. Eia kekahi, ʻo ka hapa nui o kēia mau kūlana he congenital. ʻO ia hoʻi, ua hoʻokumu ʻia lākou e kahi kīnā kūkulu e kū mai ana i ka wā e ulu ana kahi pēpē i loko o ka ʻōpū.
ʻO ke kūlana maʻamau a kūkākūkā nui ʻia e hiki ke hana ma kēia ʻano, ʻo ia ka intestinal malrotation .
He aha ka Malrotation ʻōpū?
I kekahi manawa, ke hānau ʻia kahi pēpē, ʻaʻole i kūpono ka ligament o Trietz a me ka duodenojejunal flexure. Ke hana ʻia kēia, ʻaʻole kūlike pono nā ʻāpana o ka ʻōpū i loko o ka ʻōpū a hiki ke wili ʻia . I ka ʻōlelo maʻalahi, lilo nā ʻōpū i hihia.
ʻIke pinepine ʻia kēia maʻi i loko o ka makahiki mua o ke ola o kahi pēpē. No laila, he mea nui loa i nā mākua o nā pēpē ʻōpio ke makaʻala i kēia.
Aia kekahi mau hōʻailona nui e ʻike ʻia ma kēia ʻano. E nānā kākou iā lākou ma ka papa ma lalo.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha mau ka ʻōpū | Inā hoʻomau ka pēpē i ka uē, paʻa i kona ʻōpū, a ʻeha, e hopohopo. |
| Ka luaʻi ʻana a i ʻole ke kahe ʻana o ke koko me ka ʻōpala | Inā he ʻōmaʻomaʻo ka luaʻi a i ʻole e like me ke ʻano o ka lepo kofe, a inā he koko ʻulaʻula a ʻeleʻele paha i loko o ka ʻōpala. |
| ʻAʻole e holomua | Inā ʻaʻole e piʻi ana ke kaumaha o kāu pēpē no kona mau makahiki, e hoʻolohe iā ia. |
| Nā maʻi hoʻi hou | Nā maʻi pinepine o ka ʻōnaehana hoʻoheheʻe. |
| Ka luaʻi ʻana me ke kumu ʻole | Inā hoʻomau ka pēpē i ka luaʻi ʻana me ke kumu ʻole. |
ʻO ka lāʻau lapaʻau no kēia ʻano, ʻo ia ke hoʻihoʻi ʻoki ʻana i ka ʻōpū i wili ʻia i kona wahi kūpono.
Aia kekahi ala e pale aku ai i kēia mau kūlana?
He pilikia kēia i loaʻa i nā poʻe he nui. Eia nō naʻe, e like me kā mākou i kūkākūkā ai ma mua, he hānau ʻia nā pilikia me ke ligament o Trietz. ʻAʻole i loaʻa i nā kānaka ʻepekema kahi kumu kikoʻī no kēia mau kīnā hānau. No laila, ʻaʻohe ala e pale aku ai i kēia mau kūlana mai ka hanana ʻana.
Āhea ʻoe e ʻike koke ai i ke kauka?
ʻO kēia paha ka ʻāpana koʻikoʻi loa o kēia ʻatikala. Inā ʻoe a i ʻole kāu keiki, ʻoi aku hoʻi he pēpē liʻiliʻi, loaʻa i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona, mai hoʻokaʻulua a ʻike i kāu kauka ʻohana a i ʻole e hele i ka keʻena pilikia o ka haukapila kokoke loa (ETU).
| Nā hōʻailona e makaʻala ai | He aha e uku nui ʻia ai |
|---|---|
| Koko i loko o ka ʻōpala | Inā ʻulaʻula a ʻeleʻele paha ka noho. |
| Ka luaʻi ʻana me ke koko | Inā ʻulaʻula a ʻeleʻele paha ka luaʻi, e like me ka lepo kofe. |
| Ka emi koke ʻana o ke kaumaha a i ʻole ka nele o ka piʻi ʻana o ke kaumaha | ʻOiai inā ʻaʻole e piʻi pono ke kaumaha o nā keiki ʻōpio. |
| Ka luaʻi mau a me ka luaʻi ʻana | Inā hoʻomau ka luaʻi ʻana me ka ʻole o ka hōʻoluʻolu. |
| ʻAʻole e neʻe ka ʻōpū no kekahi mau lā | Inā koʻikoʻi ka paʻa ʻana o ka ʻōpū. |
| ʻEha mau o ka ʻōpū a i ʻole ka pehu ʻana | Inā ʻaʻole e pau ka ʻeha o ka ʻōpū a pehu ka ʻōpū. |
ʻAʻole i hana mau ʻia kēia mau hōʻailona e ka torsion ʻōpū, akā hiki iā lākou ke lilo i hōʻailona o kahi maʻi koʻikoʻi, no laila he mea nui e ʻimi i ke aʻo lapaʻau.
Leka Lawe-Home
- ʻO ka Ligament o Treitz kahi ʻāpana o nā ʻiʻo e hana ana i kahi hana liʻiliʻi akā koʻikoʻi loa i loko o kā mākou ʻōnaehana hoʻoheheʻe.
- He mea kākaʻikahi loa nā kūlana e pili ana i kēia, a he pinepine lākou i hānau ʻia mai ka wā kamaliʻi.
- ʻO ka malrotation ʻōpū ka pilikia nui e hiki ke hana ma kēia ʻano, a ʻike pinepine ʻia ia i nā pēpē ʻōpio.
- Inā loaʻa i kāu keiki nā hōʻailona e like me ka luaʻi mau ʻana, ka ʻōpū ʻeha, ka pehu ʻana, a i ʻole ke koko i loko o ka ʻōpala a i ʻole ka luaʻi ʻana, mai hoʻowahāwahā iā ia.
- I kēlā me kēia kūlana, ʻo ka mea maikaʻi loa a palekana hoʻi e hana ai, ʻo ia ke ʻike koke aku i ke kauka .
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