Ua ʻike anei ʻoe e pili ana i nā ʻiʻo a mākou e hana nei me ka ʻike ʻole i loko o ko mākou kino? (ʻIʻo Laumālie)

E noʻonoʻo i nā ʻiʻo i loko o kou mau lima a me kou mau wāwae. Hiki iā ʻoe ke hoʻoneʻe iā lākou, kūlou iā lākou, a hoʻolōʻihi iā lākou i kou makemake. ʻO ia hoʻi, loaʻa iā ʻoe ka mana ma luna o kēlā mau ʻiʻo. Akā, ua noʻonoʻo paha ʻoe pehea e neʻe ai ka meaʻai ma kou mau ʻōpū, pehea e neʻe ai ke koko ma kou mau aa koko, a pehea e hoʻomalu ʻia ai ka ea i kou hanu ʻana? ʻAʻole paha ʻoe e noʻonoʻo i kēia mau mea. Pēlā nō, aia kekahi ʻano ʻiʻo kūikawā i loko o ko kākou kino i hiki ʻole iā kākou ke hoʻomalu, akā hana nui ia i ka hana e pono ai no ke ola ʻana o ko kākou kino. I kēia lā, e kamaʻilio kākou e pili ana i kēlā mea hana leo ʻole, ʻo ia hoʻi, ka ʻiʻo laumania.

He aha kēia ʻiʻo laumania?

I ka ʻōlelo maʻalahi, ʻo ka ʻiʻo laumania kahi ʻano ʻiʻo hiki ʻole iā mākou ke kaohi me ka ʻike (hana aunoa) a loaʻa i loko o nā paia o nā ʻōpū o loko o ko mākou kino a me nā ʻōnaehana vascular.

Ua kapa ʻia kēia he "pale" ma muli o ke ʻano o kona ʻano ma lalo o ka microscope. ʻIke ʻia nā ʻiʻo a mākou e hoʻomalu ai i loko o ko mākou mau lima a me nā wāwae (nā ʻiʻo iwi) he striated ke nānā ʻia ma lalo o ka microscope. Akā, ʻaʻohe o kēia mau ʻiʻo i kēlā mau striations, he ʻano pale ko lākou. ʻO ia ke kumu i kapa ʻia ai pēlā.

ʻEkolu ʻano nui o nā ʻiʻo i loko o ko kākou kino. ʻO ka hoʻomaopopo ʻana i nā ʻokoʻa ma waena o kēia mau mea ʻekolu e ʻoi aku ka maopopo o ka ʻokoʻa o nā ʻiʻo laumania.

ʻIke ʻoe, koe wale nō ka ʻiʻo iwi, hana nā ʻano ʻelua me ka ʻole o ko mākou kaohi. Akā, loaʻa wale ka ʻiʻo puʻuwai i loko o ka puʻuwai. ʻO ka ʻiʻo laumania ka mea e hana mālie ana i loko o nā ʻōpū o loko o ke kino.

Aia ma hea kēia mau ʻiʻo laumania i loko o ke kino?

ʻAʻole hewa ke ʻōlelo ʻana ua loaʻa kēia mau mea ma nā wahi āpau o ke kino. Eia kekahi o nā wahi nui e ʻike ʻia ai lākou:

• Nā kīʻaha koko: ʻO kēia nā ʻiʻo i loko o nā paia o nā aʻa a me nā aʻa koko e lawe ana i ke koko ma loko o kou kino. Hoʻopaʻa lākou a hoʻomaha e kāohi i ke koko a hoʻopuehu i ke koko i nā ʻāpana like ʻole o ke kino.
• ʻŌnaehana hoʻoheheʻe: ʻO kēia nā ʻōkana e holo ana mai kou esophagus a i kou ʻōpū nui (ka ʻāpana hope loa o kou ʻōpū nui). Ma hope o kā mākou ʻai ʻana, neʻe ka meaʻai ma o kou mau ʻōpū ma muli o kēia mau nalu ʻiʻo i kapa ʻia ʻo peristalsis. Ua kapa ʻia kēia kaʻina hana ʻo peristalsis.
• Ala ea: Loaʻa pū kēia mau mea i loko o nā paia o nā ala ea liʻiliʻi e lawe ana i ka ea i nā māmā. Kōkua lākou i ka hoʻonui a me ka hoʻohaiki ʻana i kēia mau ala e maʻalahi ai ka hanu ʻana.
• ʻŌnaehana mimi: Loaʻa kēia mau ʻiʻo laumania i loko o nā paia o ka ʻōpū mimi. Na lākou ke kuleana no ka hoʻonui ʻana i ka ʻōpū mimi ke piha i ka mimi a me ka ʻūmiʻi ʻana i ka wā e hoʻokuʻu ʻia ai ka mimi.
• ʻŌnaehana hānau: ʻO ka paia o ka ʻōpū o nā wahine ua hana nui ʻia me nā ʻiʻo laumania. ʻO kēia mau ʻiʻo ke kumu o nā ʻūlū (dilation) i ka wā hānau. Hāʻawi pū lākou i nā hana like ʻole i loko o ka ʻōnaehana hānau kāne.
• Nā Maka: ʻO nā ʻiʻo laumania i loko o ka iris ke kāohi i ka nui o kāu haumāna, ka mea e kāohi i ka nui o ke kukui e komo ana i kou maka. Kōkua pū lākou i ka hoʻololi ʻana i ka lōʻihi o ke kikowaena o kou mau maka ke nānā i luna a i lalo.
• ʻIli: Ke anu a makaʻu paha ʻoe, "kū i luna" kou lauoho, ʻeā? No ka mea, ʻo nā ʻiʻo laumania liʻiliʻi ma ke aʻa o nā lauoho i loko o kou ʻili e ʻaelike ai, e kū pololei ai nā lauoho.

He aha nā mea nui e hana ʻia me nā ʻiʻo laumania?

Ke nānā nei i nā mea i luna, loaʻa paha iā ʻoe kekahi manaʻo no ka hana o kēia mau mea. E kamaʻilio kākou e pili ana i ia mea me ka maopopo iki.

1. Ke kāohi nei i ka laulā o nā kahawai

E noʻonoʻo i kahi paipu wai. Hiki iā mākou ke kāohi i ka wikiwiki a me ke kaomi o ka wai ma ka hoʻololi ʻana i ka laulā o ka paipu. Pēlā nō, ʻo ka laulā (ke anawaena) o nā mea e like me ko mākou mau kīʻaha koko a me ke ala hanu e kāohi ʻia e kēia mau ʻiʻo laumania.

2. Ka lawe ʻana i nā mea hana

Kōkua kēia mau ʻiʻo i ka hoʻoneʻe ʻana i nā mea mai kekahi wahi a i kekahi wahi i loko o nā ʻōkana e like me ka paipu o ko kākou kino. ʻO ka laʻana maikaʻi loa, ʻo ia ka ʻōnaehana hoʻoheheʻe. Ma hope o kā kākou ʻai ʻana, hele ka meaʻai i lalo o ka esophagus a i ka ʻōpū, a mai laila aku ma o nā ʻōpū a i ka anus ma muli o nā ʻūmiʻi rhythmic (peristalsis) o kēia mau ʻiʻo laumania. Inā pau kēia kaʻina hana, pau loa ka hoʻoheheʻe ʻana.

3. Hana ma ke ʻano he kiaʻi puka (Gatekeeping)

ʻO ka maʻamau, ua pani paʻa ʻia nā ʻiʻo laumania ma kekahi mau wahi o ke kino a wehe wale ʻia (hoʻomaha) ke pono. Kāhea mākou i kēia mau mea he mau sphincters.

• ʻO ka sphincter bladder: He ʻiʻo kēia e pani ana i ke ala no ka mimi e puka i waho o ka ʻōpū mimi. Ke piha ka ʻōpū mimi, hoʻomaopopo ʻia ka lolo e pono mākou e mimi, a i ka wā e mākaukau ai mākou, hoʻomaha kēia ʻiʻo a hoʻokuʻu ʻia ka mimi.
• Anal sphincter (anus): ʻO kēia ʻiʻo hoʻokahi ka mea e kaohi ai i ke ala o ka ʻōpala.

Hana kēia e like me nā ʻīpuka, e ʻae ana i nā mea e puka i waho i ka manawa kūpono wale nō.

He aha nā maʻi e hoʻopilikia ai i nā ʻiʻo laumania?

E like me nā ʻōpū ʻē aʻe a pau, hiki ke hoʻopilikia ʻia kēia mau ʻiʻo laumania e nā maʻi a me nā kūlana like ʻole. ʻO kekahi o kēia mau mea:

• Nā autoantibodies ʻiʻo laumania anti-smooth: ʻO kēia ka manawa e hoʻouka hewa ai ko mākou ʻōnaehana pale ponoʻī i ko mākou mau ʻiʻo laumania ponoʻī. Ua like ia me ko mākou kiaʻi hale e kuhihewa ana iā mākou he ʻenemi a hoʻouka mai iā mākou. He mea maʻamau kēia ʻano i nā poʻe me nā maʻi autoimmune e like me ka hepatitis autoimmune.
• Nā maʻi ʻiʻo: He hui kēia o nā maʻi hoʻoilina (genetic). I ka hala ʻana o ka manawa, nāwaliwali mālie nā ʻiʻo a lilo i mea hiki ʻole ke hana.
• ʻO nā ʻūmiʻi ʻiʻo: Hiki i nā ʻiʻo laumania ke ʻūmiʻi koke (ʻaelike) me ka ikaika ʻole me ke kaohi ʻole.
• Vasospasm: Hiki i kēia ke hoʻopilikia i ke kahe koko.
• Nā maʻi ʻōpū hanu: ʻO ka hānō kahi laʻana maikaʻi o kēia. Loaʻa i nā poʻe maʻi hānō ka paʻakikī o ka hanu ʻana no ka mea ua ʻūmiʻi koke nā ʻiʻo laumania i loko o nā alaloa.
• Nā myopathies Visceral: He hui kēia o nā maʻi e hoʻopilikia ai i nā ʻiʻo laumania o nā ʻōpū o loko (visceral). Hoʻokumu pinepine ʻia lākou e nā kumu genetic a hiki ke hoʻoweliweli i ke ola inā hoʻopilikia lākou i nā wahi e like me ka ʻōpū mimi a me ka ʻōpū nui.

He aha nā hōʻailona?

Ma muli o ka loaʻa ʻana o nā ʻiʻo laumania ma ke kino holoʻokoʻa, e ʻokoʻa nā hōʻailona e kū mai ana inā he pilikia me lākou ma muli o kahi o ka pilikia a me ka hana i hana ʻia e kēlā mau ʻiʻo.

• Nā ʻano ʻē o ke koko: Inā ʻaʻole hana pono nā ʻiʻo laumania i loko o nā kīʻaha koko, hiki ke piʻi ke koko kiʻekiʻe , a i ʻole hiki ke hāʻule koke ke koko a hiki ke hoʻonāwaliwali (haʻahaʻa ke koko) .
• ʻAi ʻole maikaʻi ʻole: Inā ʻaʻole hana pono nā ʻiʻo laumania i loko o nā ʻōpū, hiki i ka meaʻai ke paʻa i ka neʻe ʻana i mua. Hiki i kēia ke hana i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka pehu ʻana, a me ka paʻa ʻana o ka ʻōpū .
• Paʻakikī i ka mimi ʻana: Inā nāwaliwali nā ʻiʻo o ka ʻōpū mimi, ʻaʻole paha ʻoe e hiki ke mimi pono a hoʻokahe loa paha i kāu ʻōpū mimi.

ʻO kēia mau ʻiʻo laumania he ʻāpana o ko kākou kino e hana mālie ana, ʻike ʻole ʻia, a he kuleana koʻikoʻi loa kā lākou. Inā lākou e hana pono ana, ʻaʻole mākou e hoʻomanaʻo aia lākou ma laila. Akā inā he loli iki i kā lākou hana, hiki iā ia ke hoʻopilikia i ko kākou ʻōnaehana kino holoʻokoʻa. No laila, he mea nui loa ka makaʻala i kēia mau mea hana mālie.