Peb lub cev zoo li lub tshuab zoo kawg nkaus, puas yog? Lub kaw lus txoj kev loj hauv lub tshuab no yog peb cov hlab ntsha. Txawm hais tias peb tau hnov txog cov kev loj xws li cov hlab ntsha thiab cov leeg ntshav, koj puas paub txog lub network ntawm cov kev me me, me me hauv lub kaw lus no uas yuav luag tsis pom rau lub qhov muag liab qab? Peb hu cov hlab ntsha no. Hnub no peb yuav tham txog ib hom capillary tshwj xeeb, ib hom capillary uas muaj cov qhov rais me me.
Cov capillaries 'windowed' (Fenestrated Capillaries) no yog dab tsi?
Hais yooj yim xwb, cov no yog ib hom capillary hauv peb cov hlab ntsha uas muaj cov qhov me me lossis qhov qhib zoo li qhov rais. "fenestrae" hauv Latin txhais tau tias "qhov rais," yog li lub npe yog los ntawm lub ntsiab lus ntawd.
Es tsis txhob cia tej yam hla dhau cov hlab ntsha me me, cov hlab ntsha me me uas muaj qhov rais no tuaj yeem tso cai rau cov khoom loj dua, xws li cov protein, hla dhau los ntawm cov ntshav mus rau hauv cov kabmob thiab cov qog. Xav txog nws zoo li siv lub mesh nrog cov qhov loj me me es tsis txhob siv lub mesh ib txwm muaj. Qhov no tso cai rau kev sib pauv khoom siv tau zoo dua thiab sai dua.
Lub luag haujlwm tseem ceeb ntawm cov no yog dab tsi? Vim li cas lawv thiaj tseem ceeb ua luaj?
Cov hlab ntsha no pab thauj cov ntshav, cov kua dej, thiab cov khib nyiab thoob plaws hauv peb lub cev, tab sis lawv txoj haujlwm tseem ceeb tshaj plaws yog kev ua haujlwm ntawm lub raum .
Xav txog peb lub raum ua lub tshuab lim dej zoo tshaj plaws hauv lub cev. Lub ntsiab ntawm lub tshuab lim dej no hu ua glomerulus . Lub glomerulus no tsuas yog ib lub pob me me ntawm cov xov uas ua los ntawm cov hlab ntsha uas muaj qhov rais uas peb tau tham txog. Nws zoo li lub lim tshuaj yej.
Thaum cov ntshav hla dhau lub pob xov no, cov khoom pov tseg thiab cov dej ntau dhau raug lim tawm los ntawm cov qhov rai me me ntawd. Txawm li cas los xij, cov khoom loj dua uas lub cev xav tau, xws li cov protein thiab cov qe ntshav liab, tseem nyob hauv cov ntshav. Cov khoom pov tseg uas raug lim tawm li no ces raug tso tawm ntawm lub cev ua zis.
Yog li, koj puas nkag siab? Peb lub raum muaj peev xwm ntxuav cov ntshav thiab tshem tawm cov khoom pov tseg vim yog cov 'qhov rais' tshwj xeeb hauv cov Fenestrated Capillaries no.
Cov hlab ntsha no kuj nyob ib puag ncig cov raj raum. Los ntawm lawv, cov as-ham uas lub cev xav tau los ntawm cov tshuaj lim dej rov qab nqus rov qab rau hauv cov ntshav. Yog li ntawd, lawv yog qhov tseem ceeb rau kev ua haujlwm zoo ntawm cov raum.
Cov no nyob qhov twg hauv peb lub cev?
Cov hlab ntsha tshwj xeeb no nyob rau hauv cov chaw uas lub cev lub cev xav tau kom ua haujlwm sai thiab zoo. Cia peb saib seb cov chaw tseem ceeb ntawd yog dab tsi.
| Lub cev / qog | Txoj haujlwm uas ua nyob ntawd |
|---|---|
| Cov raum | Lim cov khoom pov tseg ntawm cov ntshav thiab tsim cov zis. |
| Cov hnyuv me | Kev nqus cov as-ham los ntawm cov khoom noj uas peb noj mus rau hauv cov ntshav. |
| Pancreas | Tso cov enzymes thiab cov tshuaj hormones xws li insulin rau hauv cov ntshav uas tsim nyog rau kev zom zaub mov. |
| Cov qog endocrine | Kev tso tawm cov tshuaj hormones rau hauv cov ntshav uas tswj cov khoom xws li peb lub siab thiab kev loj hlob. |
Cov kab mob dab tsi uas cuam tshuam rau cov hlab ntsha no?
Thaum cov hlab ntsha me me no raug puas tsuaj, qhov kev ua haujlwm ntawm cov kabmob cuam tshuam tuaj yeem raug cuam tshuam ncaj qha.
Cov kab mob ntsig txog lub raum
Cov neeg uas muaj Kab Mob Raum Ntev (CKD) tuaj yeem muaj kev puas tsuaj rau cov hlab ntsha no. Tshwj xeeb, lub network ntawm cov hlab ntsha nyob ib puag ncig cov hlab ntsha hauv lub raum tuaj yeem ua nyias dua thiab tsis ntom. Qhov no hu ua 'capillary rarefaction'. Thaum qhov no tshwm sim, lub raum tsis tuaj yeem ua haujlwm zoo thiab lwm yam teeb meem kev noj qab haus huv xws li ntshav siab (Hypertension) tuaj yeem tshwm sim.
Tsis tas li ntawd xwb, cov kab mob xws li glomerulonephritis , uas yog kev o ntawm glomeruli, tuaj yeem ua rau tag nrho cov txheej txheem lim dej ntawm lub raum puas tsuaj. Yog tias cov kab mob raum no tsis raug kho sai, lawv yuav nce mus rau qhov ua tsis tau haujlwm ntawm lub raum.
Ib qho mob uas tsis tshua muaj tab sis loj heev
Kab mob Capillary Leak Syndrome (SCLS)Qhov no yog ib qho mob uas tsis tshua muaj thiab muaj peev xwm ua rau tuag taus. Qhov no tshwm sim thaum cov phab ntsa ntawm cov hlab ntsha raug puas tsuaj, ua rau muaj ntau cov kua dej tawm ntawm cov hlab ntsha mus rau cov nqaij nyob ib puag ncig. Qhov no tuaj yeem ua rau koj cov ntshav siab poob qis mus rau qib qis heev. Tab sis nco ntsoov, qhov no yog ib qho mob uas tsis tshua muaj.
Yog li peb yuav ua li cas kom cov hlab ntsha me me no noj qab nyob zoo?
Tsis muaj dab tsi tshwj xeeb ua txog qhov no. Qhov zoo tshaj plaws yog kom muaj kev noj qab haus huv zoo. Vim tias cov hlab ntsha no yog ib feem ntawm peb lub cev ncig ntshav. Yog li ntawd, yog tias tag nrho lub cev noj qab nyob zoo, cov leeg me me no kuj noj qab nyob zoo.
Nov yog qee yam koj ua tau:
- Kev tawm dag zog tsis tu ncua: Ua ib txoj kev ua neej nquag.
- Noj zaub mov kom zoo: Noj txiv hmab txiv ntoo thiab zaub ntau dua. Tsis txhob haus dej cawv ntau dhau. Xaiv cov khoom noj uas zoo rau lub plawv.
- Tswj koj qhov hnyav kom noj qab nyob zoo: Tswj koj qhov hnyav kom haum rau koj qhov siab. Yog tias koj rog dhau, sim txo koj qhov hnyav.
- Tswj cov kab mob ntev: Yog tias koj muaj cov kab mob xws li ntshav qab zib lossis ntshav siab, tswj lawv kom zoo raws li koj tus kws kho mob cov lus qhia.
- Tsis txhob haus luam yeeb kiag li: Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj heev.
Kuv yuav tsum mus ntsib kws kho mob thaum twg?
Nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib koj tus kws kho mob hauv tsev neeg yog tias koj pom muaj kev hloov pauv hauv koj lub cev, tshwj xeeb tshaj yog tias koj muaj cov tsos mob uas yuav cuam tshuam nrog kab mob raum.
| Lub cib fim | Cov tsos mob uas yuav tsum tau saib xyuas |
|---|---|
| Mus ntsib koj tus kws kho mob... | |
| Yog tias koj muaj cov tsos mob ntawm tus kab mob raum |
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| Nrhiav kev kho mob tam sim ntawd (mus rau ETU)... | |
| Cov tsos mob ntawm tus mob SCLS uas tsis tshua muaj xws li: | Yog tias cov tsos mob hauv qab no tshwm sim nrog rau qhov ntshav siab poob qis sai sai :
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Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha me me uas muaj fenestrated capillaries yog ib hom hlab ntsha me me uas ua haujlwm zoo li lub kaw lus lim dej tshwj xeeb hauv peb lub cev.
- Cov no yog qhov tseem ceeb rau kev ua haujlwm zoo ntawm peb lub raum, txoj hnyuv, thiab lub cev hormonal.
- Txoj kev zoo tshaj plaws los ua kom cov no noj qab nyob zoo yog saib xyuas koj txoj kev noj qab haus huv tag nrho. Qhov ntawd txhais tau tias noj zaub mov zoo, tawm dag zog, thiab ua neej kom noj qab nyob zoo.
- Yuav tsum paub txog cov tsos mob uas yuav muaj feem cuam tshuam nrog kab mob raum. Yog tias koj muaj lus nug dab tsi, tsis txhob ncua sijhawm mus ntsib koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus