Ua ʻike anei ʻoe e pili ana i kēia ʻōkana 'hou' i loko o kou ʻōpū? E kamaʻilio kākou e pili ana i ka mesentery!

Ua noʻonoʻo paha ʻoe inā he mea kūikawā i loko o ko kākou ʻōpū e kōkua ana i ka mālama ʻana i nā ʻōkana āpau o kā kākou ʻōnaehana hoʻoheheʻe ʻana i hoʻonohonoho ʻia a pili pū? A hiki i kēia manawa, ʻaʻole i ʻike maoli nā kauka iā ia he mea hoʻokahi. Akā i kēia manawa ua ʻike lākou ua kapa ʻia ʻo ia ʻo ka mesentery , a he ʻōkana koʻikoʻi nō hoʻi ia i loko o ko kākou kino!

No laila he aha kēia mesentery?

ʻAe, he aha ka mesentery? I ka ʻōlelo maʻalahi, ʻo ka mesentery kahi ʻāpana i loko o kou ʻōpū e kākoʻo ana a pili pono i nā ʻāpana ʻē aʻe a pau o kāu ʻōnaehana hoʻoheheʻe.

ʻO ka mea kupanaha, ua hoʻokaʻawale wale ʻia ka mesentery i kēia manawa ma ke ʻano he 'organ'. No nā makahiki, ua ʻōlelo nā puke lapaʻau ʻaʻole hoʻokahi mesentery, akā he 'plural mesenteries'. I kēlā manawa, ua manaʻo ke kaiāulu lapaʻau i kēia mau mea he mau ʻiʻo peritoneal e hoʻopili ana i kou mau ʻōpū i ka paia ʻōpū. ʻO ka peritoneum kahi membrane e uhi ana i kou lua ʻōpū a me nā ʻano i loko o kou ʻōpū.

Akā i ka makahiki 2016, ua hōʻoia nā kānaka noiʻi i kapa ʻia ʻo Coffey et al. ua hoʻokō ka mesentery i nā koi āpau e lilo i ʻōkana. He aha ka ʻōkana? ʻO ia hoʻi, he hōʻiliʻili o nā ʻiʻo e hana ana i kahi ʻāpana kino e hana ana i kahi hana koʻikoʻi. No laila, ʻo ka mesentery he ʻōkana hoʻokahi, hoʻomau e kākoʻo kino ana i kou mau ʻōpū. He ʻōkana kūʻokoʻa nō hoʻi ia e hānai ana i nā ʻōkana ʻōpū o kāu ʻōnaehana hoʻoheheʻe a kōkua iā lākou e hana pono. Ke hoʻomau nei ka noiʻi ʻana i ka hana o kēia mesentery a me kona pilina me nā maʻi o ka ʻōnaehana hoʻoheheʻe.

E nānā kākou i ka mōʻaukala o ka mesentery.

ʻAe, ke noʻonoʻo nei paha ʻoe, inā he ʻike hou kēia, pehea lā i pakele ai kēia no ka manawa lōʻihi? ʻO ka mea kupanaha, ʻo kēia ʻike 'hou' ʻo ka mesentery he ʻano hoʻokahi a hoʻomau ʻia ʻaʻole ia he mea hou! E noʻonoʻo e pili ana iā ia, ʻoiai i nā makahiki 1500, ua kaha kiʻi nā kānaka ʻepekema e like me Eustachius lāua ʻo Leonardo da Vinci i ka mesentery ma ke ʻano he ʻano ʻōpū hoʻokahi a hoʻomau ʻia i kā lākou mau kiʻi. Akā, ʻo ka poʻe ma hope mai e like me Henry Gray - ua lohe paha ʻoe i ka puke lapaʻau kaulana ʻo "Gray's Anatomy" - nāna i hoʻolaha i ka manaʻo he 'mau mesentery'.

No laila, ua hōʻoia kēlā noiʻi 2016 ua hewa kēia manaʻo o 'nā mesenteries he nui'. ʻO kaʻoiaʻiʻo, ua like kēia noiʻi me ka nānā hou ʻana i kahi mea a nā kānaka ʻepekema i noʻonoʻo ai ma mua o 500 mau makahiki i hala.

He aha ka mea e hana ʻia i ka mesentery? He aha kona koʻikoʻi i ko kākou kino?

ʻAe, he aha ka hana a kēia mesentery i loko o ko kākou kino? Ke hoʻomaopopo nei nā kānaka ʻepekema i kēia. Akā mai ka mea a kākou i ʻike ai a hiki i kēia manawa, hāʻawi ia i ke kākoʻo kūkulu no ko kākou mau ʻōpū. Hoʻoulu pū ia i ko kākou mau kino a hana ma ke ʻano he ʻōnaehana hōʻailona e kōkua ai i ka ʻōnaehana hoʻoheheʻe e hana pono.

Kōkua i ka mālama ʻana i nā ʻōpū o ka ʻōpū i ka palekana a ma ko lākou mau wahi kūpono

ʻO kou mesentery ka mea e paʻa ai kekahi mau ʻāpana o kou ʻōpū i kou paia ʻōpū. Kōkua nō hoʻi ia i ka mālama ʻana i nā ʻāpana ʻē aʻe o kou ʻōpū i kau ʻia ma kahi ākea ʻekolu-dimensional (3D) i loko o kou lua ʻōpū. E noʻonoʻo, me ka ʻole o kēia kākoʻo mai ka mesentery, hiki i kou ʻōpū ke hiolo i loko o kahi puʻu i loko o kou ʻōpū. A i ʻole, inā pili nā ʻāpana āpau i ka paia ʻōpū, ʻaʻohe wahi no nā ʻōpū e ʻaelike (sankochanya venna) e hoʻoneʻe i ka meaʻai ma ke ala. Inā hana ʻia kēlā, hiki iā lākou ke hihia pū kekahi, e hoʻoulu ai i nā pilikia e hoʻoweliweli ai i ke ola.

ʻOiai ʻaʻole i maopopo loa, manaʻoʻiʻo nā kānaka ʻepekema he hiʻohiʻona evolutionary paha kēia ʻano o ka mesentery i hiki ai i nā kānaka ke hele pololei. ʻO kēia no ka mea he ʻokoʻa ke ʻano o ka mesentery i loko o nā kānaka bipedal a me nā primates mai ko nā holoholona quadrupedal.

Kōkua i nā ʻōkana o ka ʻōnaehana hoʻoheheʻe i loko o ka ʻōpū e ulu a hana pono

I ka wā o ka ʻōpū, ulu ka mesentery ma mua o ka ulu ʻana o nā ʻōpū ʻē aʻe. ʻO kou mau ʻōpū ʻōpū, e like me kou ake, spleen, pancreas, a me nā ʻōpū, ulu a pau i loko o ka mesentery. Hoʻopaʻa mau kēia mau ʻōpū i ka mesentery ma hope o ka hānau ʻana. Aia i loko o ka mesentery nā ʻano e kākoʻo a hānai i kēia mau ʻōpū i ke ola holoʻokoʻa.

Hana nā ʻōkana pākahi ma ke ʻano he ʻōnaehana, e hana ana e like me ka ʻōnaehana hōʻailona.

ʻAʻole pili kino wale nā ​​​​​​mea hana ʻai i loko o kou ʻōpū i ka mesentery. Hoʻopili pū ʻia lākou kekahi i kekahi ma o nā aʻalolo maʻamau, nā kīʻaha koko, a me nā lymph node i loaʻa i loko o ka mesentery. He aha nā lymph node? He mau gland lākou e kānana i nā mea ma ke kino holoʻokoʻa. ʻO nā hōʻailona e hele ana i mua a i hope ma o kēia kumuwaiwai maʻamau ka mea e ʻae ai i nā ʻāpana pākahi i loko o kāu ʻōnaehana hana ʻai e hana pū. I nā huaʻōlelo ʻē aʻe, kōkua ka mesentery i kāu ʻōnaehana hana ʻai e hana pū me nā ʻōnaehana ʻē aʻe i loko o kou kino.

Eia kekahi laʻana, hopu nā lymph nodes i loko o ka mesentery i nā germs e like me nā virus a me nā bacteria mai kou ʻōpū. He ʻāpana lākou o kāu ʻōnaehana pale e hakakā nei i kēia mau mea komo hewa.

ʻAʻole wale ia, hoʻopuka pū ka mesentery i kahi mea i kapa ʻia ʻo 'C-reactive protein (CRP) .' Hana maʻamau kēia e ke akepaʻa. Kōkua ʻo 'CRP' i ka kaohi ʻana i ka mumū, ʻo ia ke kaʻina hana ho'ōla o ke kino e pane ai i ka ʻeha a i ʻole ka maʻi.

Aia ma hea ka mesentery?

ʻAe, ma hea pololei kēia mesentery i loko o ko kākou ʻōpū? Hoʻomaka ka mesentery ma ke kua o kou lua ʻōpū, ma kou aʻa mesenteric kiʻekiʻe.Ma hea ia. Hoʻolako kēia aʻa i ke koko i kou pancreas a me nā ʻōpū. Aia kēia aʻa a me ka mesentery ma ka ʻōpū waena, kokoke i ka vertebra mua ma kou kua haʻahaʻa. Hoʻomaka ka mesentery ma ka ʻōpū waena a milo i lalo i kou ʻōpū a hiki i kou rectum.

He aha ke ʻano (ʻano) o ka mesentery?

He ʻano paʻakikī iki ke ʻano o ka mesentery. ʻOiai he ʻano hoʻokahi a hoʻomau ʻia, hoʻopili ia i kou mau ʻōpū i ke kua o kou paia ʻōpū ma o nā ʻāpana like ʻole. ʻAʻole pili nā ʻāpana ʻē aʻe o ka mesentery i ka paia ʻōpū, akā pololei i nā ʻano. ʻAe kēia i nā ʻano e neʻe iki a puni i loko o ka lua ʻōpū me ka mālama ʻana iā lākou. ʻO nā wili, nā huli, a me nā pilina he nui i loko o ka mesentery ka mea e mālama pono ai i kou mau ʻōpū i kahi ākea ʻekolu-dimensional (3D) i loko o kou lua ʻōpū.

I mea e maʻalahi ai ka hoʻomaopopo ʻana i ke ʻano o ka mesentery, hiki iā ʻoe ke noʻonoʻo iā ia e pili ana i kou mau ʻōpū ʻōpū a me ka paia ʻōpū hope:

• ʻO ka mesentery liʻiliʻi: Hoʻomaka ka mesentery ma ka 'mid-gut' a pili i kou ʻōpū liʻiliʻi.
• ʻO ka mesocolon ʻākau: Holo ka mesentery mai ka ʻōpū liʻiliʻi a i ka ʻaoʻao ʻākau o ka ʻōpū nui (colon). ʻO kēia ʻāpana o ka mesentery ka mea e hoʻopaʻa ai i ka ʻaoʻao ʻākau o ka ʻōpū nui i ke kua o ka paia ʻōpū.
• ʻO ka mesocolon transverse: Holo ka mesentery ma kou kolona transverse. ʻO kēia ka ʻāpana e holo pālahalaha ana ma kou ʻōpū.
• Mesocolon hema: Hoʻopili ka mesentery i ka ʻaoʻao hema o ka ʻōpū nui. E like me ka mesocolon ʻākau, hoʻopili pū ka mesocolon hema i ka ʻaoʻao hema o ka ʻōpū nui i ke kua o ka paia ʻōpū.
• Mesosigmoid: Hoʻohui ka mesentery i kahi ʻāpana o kou kolona sigmoid i ke kua o kou paia ʻōpū. ʻO ke kolona sigmoid ka ʻāpana o kou ʻōpū nui kokoke loa i ka rectum.
• Mesorectum: Hoʻopili ka ʻaoʻao haʻahaʻa o ka mesentery i kāu rectum.

No nā makahiki, ua kamaʻilio wale nā ​​puke lapaʻau e pili ana i ka 'nui o ka mesentery' a puni nā ʻōpū. ʻAʻole lākou i kamaʻilio e pili ana i ka mesentery ma nā ʻaoʻao ʻākau a me hema (mesocolon ʻākau a me hema). Akā i kēia manawa ua ʻike mākou aia nā mesentery ma kēia mau wahi.

Ua hoʻomālamalama kēia ʻike hou i ke ʻano o ka mesentery i ke ʻano o ka ulu ʻana o nā ʻōpū mai ka mesentery. Hiki paha iā ia ke hoʻopilikia i nā ʻano hana ʻoki kino.

Pehea ka nui o ka mesentery?

ʻOi aku ka nui ma mua o kou manaʻo! ʻO ka mesentery o kahi kanaka makua, ke kīkoʻo ʻia me ka ʻole o ka ʻomi ʻia ma waena o nā ʻōpū, he 6 kapuaʻi ka lōʻihi. He mea kupaianaha ia, ʻeā?

He aha ka mea i hana ʻia ai ka mesentery?

ʻO ka mesentery ka mea nui i hana ʻia mai ka ʻiʻo adipose.Mai, ʻo ia hoʻi, mai ka momona o ke kino. ʻO kēia ka momona a ka hapa nui o ka poʻe e kamaʻilio nei i ka wā e ʻōlelo ai lākou he 'ʻōpū pia' a i ʻole he 'ʻōpū'. Eia kekahi, loaʻa i ka mesentery nā ʻiʻo hoʻohui e kōkua i ka mālama ʻana i kēia momona ma kahi. Ua hoʻopuni ʻia e kahi papa pale o nā cell i kapa ʻia ʻo mesothelium . Hoʻopili ʻia ka mesentery i kou paia ʻōpū e kahi ʻiʻo hoʻohui i kapa ʻia ʻo Toldt's fascia .

ʻAʻole wale kēlā, aia kekahi mau lymph node he nui i loko o ka mesentery e hoʻokō nei i kahi kuleana koʻikoʻi i ka ʻike ʻana a me ka hakakā ʻana i nā germs.

He aha nā maʻi a me nā kūlana maʻamau e hoʻopilikia ai i ka mesentery?

ʻO kekahi o nā noiʻi hou loa e pili ana i ka mesentery ua kālele ʻia ma ka maʻi ʻo Crohn . ʻO Crohn kahi ʻano maʻi ʻōpū mumū (IBD) , kahi e hoʻoulu ai i ka mumū ʻino i loko o kou mau ʻōpū. Hōʻike ka noiʻi e pili ana kekahi mau mea i loko o ka mesentery i ke ʻano o ka laha ʻana o ka maʻi. Ma ke ʻano maʻamau, ua manaʻo ʻia ka maʻi ʻo Crohn e hoʻomaka i loko o nā ʻōpū, akā hiki ke hoʻomaka maoli i loko o ka mesentery. Pono ka noiʻi hou aku e hoʻomaopopo pono i kēia.

ʻO ka hapa nui o ka momona i loko o kou ʻōpū aia ma ka mesentery . Ke kamaʻilio mākou e pili ana i ka momona o ka ʻōpū, ʻo ia hoʻi ka momona subcutaneous, aia ma lalo o ka ʻili a hiki ke hoʻopā ʻia me kou mau manamana lima. Akā ʻo ka momona visceral, aia ma ka mesentery, ʻoi aku ka hohonu o loko o ka ʻōpū. ʻO ka nui o kēia momona visceral e hoʻonui i kou pilikia o kekahi mau maʻi, me:

• ʻO ka maʻi diabetes (Diabetes Mellitus)
• Ke koko kiʻekiʻe (Hypertension)
• Momona
• Maʻi ʻaʻa coronary
• ʻO ka maʻi metabolic
• Hahau

ʻO nā maʻi a me nā kūlana ʻē aʻe e pili ana i ka mesentery:

• Kanesa: Hiki ke hoʻomaka ke kanesa ma ka mesentery. A i ʻole, hiki i nā puʻupuʻu kanesa i loko o kāu mau ʻōpū ʻai ke haki a laha i ka mesentery.
• Nā maʻi: Hiki i nā lymph node i loko o ka mesentery ke ʻike i nā germs. Hiki iā lākou ke hoʻokuʻu i nā cell immune e luku iā lākou. Akā i kekahi manawa, hiki i nā germs ke 'peʻe' i loko o nā lymph node i loko o ka mesentery. Inā hana ʻia kēlā, hiki i nā germs ke puka hou ma hope a hoʻoulu i nā pilikia inā ʻaʻole hiki i kāu ʻōnaehana immune ke ʻike iā lākou.
• ʻO ka mesenteritis sclerosing: Inā nui loa ka mumū ma ka mesentery, hiki i nā ʻiʻo ke hōʻino a me nā ʻeha. Hiki i kēia ʻiʻo i hōʻino ʻia ke kumu e wili ai a paʻa paha nā kīʻaha koko ma ka mesentery. Hiki i kēia ke hoʻōki i ke kahe koko a alakaʻi i ka hoʻokumu ʻia ʻana o nā ʻōpū koko e hoʻoweliweli ai i ke ola.
• ʻO ka panniculitis mesenteric:He ʻano mumū nō hoʻi kēia o ka mesentery, e like me ka sclerosing mesenteritis. Eia nō naʻe, ʻoiai ʻo ka sclerosing mesenteritis e lilo pinepine i mea koʻikoʻi, ʻo ka mesenteric panniculitis ka mea maʻamau e paʻa a ʻaʻole i koʻikoʻi.
• Hernias: ʻO ka hernia kahi puka ʻana o kahi ʻōpū a i ʻole ka ʻiʻo ma o ka paia o ka lua i loaʻa ai. Hiki ke hana ʻia nā hernias e hoʻopilikia ana i ka mesentery e kahi maʻi hānau ʻia a i ʻole hiki ke hana ma ke ʻano he pilikia ma hope o ke ʻoki ʻana ma nā ʻōpū o ka ʻōpū.
• Malrotation: Hana ʻia ka malrotation ke ulu pono ʻole nā ​​ʻōpū o ka fetus a ʻaʻole i wili pono ʻia. (ʻO ke ʻano a me ke kūlana o kou mau ʻōpū e pili nui ana i ke ʻano o ka ulu ʻana o ka mesentery.) Ma hope o ka hānau ʻana o ke pēpē, pono lākou i ke ʻoki ʻana e hoʻopololei i ko lākou mau ʻōpū a me ka mesentery e hoʻonoho pono i kēia mau ʻōpū.
• Volvulus: Hiki i ka Malrotation ke hana i ka volvulus. I ka volvulus, wili ʻē kou ʻōpū liʻiliʻi a nui paha a me ka mesentery. Hana pinepine kēia i ka wā ʻaʻole i hoʻopili pono ʻia ka mesentery i ka paia o ka ʻōpū. Hiki i kēia wili ke hana i kahi paʻa i loko o kou ʻōpū liʻiliʻi a nui paha. Hiki i ka paʻa ke ʻoki i ke kahe koko i ka ʻōpū. He pilikia kēia a pono e mālama koke ʻia.

Ke noʻonoʻo nei i ka pili pono o ka mesentery i nā ʻōpū digestive āpau i loko o kou ʻōpū, ʻo kēlā me kēia maʻi e hoʻopilikia ana i kahi ʻōpū digestive e pili ana paha i ka mesentery. Ke hoʻomau nei ka noiʻi e aʻo hou e pili ana i ke kuleana o ka mesentery i nā maʻi ʻōnaehana digestive like ʻole.

He aha nā lāʻau lapaʻau no ka mesentery?

Hōʻike nā noiʻi hou i ka wā e mālama ai i nā ʻōpū o ka ʻōpū, pono e noʻonoʻo ʻia ka mesentery e hoʻopuni ana. No ka laʻana, ua hōʻike kekahi mau noiʻi e hiki i ka wehe ʻana i nā ʻāpana o ka mesentery ke hōʻemi i ka laha ʻana o ka maʻi Crohn. Ua hōʻike kekahi mau noiʻi e hiki i ka wehe ʻana i ka mesentery e hoʻopuni ana ke hōʻemi i ka pilikia o ka hoʻi hou ʻana mai o ke kanesa colon.

Hiki i kēia ʻike hou o ka mesentery ke hoʻopilikia i ke ʻano o ka hana ʻana i ke ʻoki ʻōpū. I ka wā ma mua, hana nā kauka ʻoki ma nā ʻōpū o ka ʻōpū ma ka hoʻopili ʻana iā lākou i kahi 'mesentery mass.' Ua manaʻo lākou he ʻano paʻakikī ka mesentery: nā ʻeke, nā lua, a me ka ʻōpū. Akā, ua hoʻokaʻawale kēia 'mesenteric model' hou i ka ʻōpū i ʻelua ʻāpana: ka ʻāpana mesenteric a me ka ʻāpana mesenteric.

ʻO kēia ʻike maʻalahi o ke ʻano o ka ʻōpū e ʻae ai i nā kaʻina hana ʻoki pololei.

He aha kaʻu e hana ai e mālama i ke olakino o koʻu mesentery?

ʻO kekahi o nā mea maikaʻi loa āu e hiki ai ke hana e mālama i ke olakino o kou mesentery, ʻo ia ka mālama ʻana i kahi pae olakino o ka momona visceral. ʻO ka loaʻa ʻana o ka nui o ka momona visceral i loko o ka mesentery e hoʻonui i kou pilikia o ka loaʻa ʻana o nā maʻi maʻi e like me ka maʻi puʻuwai.

Hiki iā ʻoe ke hoʻemi i kēia momona visceral ma o ka hana ʻana i kēia mau mea:

• E kaupalena i kekahi mau meaʻai: ʻO kēia nā momona trans, ke kō (me ka syrup kulina), ka sodium (paʻakai), a me nā meaʻai i hana ʻia. E kaupalena i nā mea ʻono, nā mea inu kō, a me nā meaʻai palai i ka hiki. Eia kekahi, e hōʻemi i kāu inu ʻona.
• Hoʻoikaika kino mau: E hoʻāʻo e hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino ikaika waena i kēlā me kēia pule.
• E hiamoe lawa: Ua hōʻike ʻia e ka noiʻi ʻana ʻaʻole hiki i ka hiamoe lawa a maikaʻi i kēlā me kēia pō ke hoʻonui i ka momona visceral. E hoʻāʻo e hiamoe no 8 mau hola a ʻoi aku paha i kēlā me kēia pō.
• E hoʻokele i ke kaumaha: Ke kaumaha ʻoe, hana kou kino i kahi hormone i kapa ʻia ʻo cortisol . ʻO ke kiʻekiʻe o ka cortisol i ka hala ʻana o ka manawa hiki ke alakaʻi i ka hoʻonui ʻia o ka momona o ka ʻōpū. No laila, ʻo ka hoʻokele ʻana i ke kaumaha ʻaʻole wale ia he mea maikaʻi no kou olakino noʻonoʻo, akā no kou olakino kino hoʻi.

ʻO ka mea hope loa, he aha e hoʻomanaʻo ai

ʻAe, ʻo ka mea nui e hoʻomanaʻo ai mai nā mea a mākou i kamaʻilio ai, ʻoiai ʻaʻole paha he mea nui iā mākou nā hoʻokaʻawale ʻana e like me ke 'organ' a me ke 'tissue', koe wale nō i nā kauka, i ka wā e pili ana i ka mesentery, he mea nui loa kēia mau 'huaʻōlelo'. ʻO kēia ʻike hou o ke ʻano o ka mesentery, a me ka lawelawe āna e hāʻawi ai i kā mākou ʻōnaehana digestive, hiki ke hoʻololi i ke ʻano o ka ʻike ʻana o nā mea lawelawe olakino i nā maʻi o ka ʻōnaehana digestive.

Hiki i kēia ʻike hou ke hoʻololi i ke ʻano o kā lākou hana ʻana i ke ʻoki ʻana ma kou ʻōpū. I ka ʻike hou ʻana o nā kānaka ʻepekema e pili ana i ka mesentery, e hōʻike ʻia nā ʻike hou e pili ana i ke ʻano o kona kōkua ʻana i kou olakino. No laila, ʻo ka ʻike ʻana i kēia ʻano 'hou a kahiko' e kōkua iā mākou e hoʻomaopopo iki aʻe e pili ana i ko mākou kino!

ʻO ka mesentery, nā ʻōpū, ka ʻōnaehana hoʻoheheʻe, nā ʻōpū, ke ʻano hou, ke olakino ʻōpū, nā maʻi hoʻoheheʻe