I pum chhunga he venhimna (peritoneum) mak tak hi i hria em? A chipchiar zawngin sawi ila!

I pum chhunga taksa peng pawimawh tak tak, i thin, i pum, leh i ril ang chite chu engtin nge a felfai a, a venhim tih i ngaihtuah ngai em? Peritoneum hi membrane te tak te, hrual hrual a ni a, an awmna hmuna awm reng turin a pui a ni. Kan pum chhunga taksa peng hrang hrangte vel khuhna nuam tak, venhimna ang mai a ni. Vawiin hian peritoneum chungchang hi chipchiar deuhin han sawi ila, a chhan chu ngawi rengin kan taksaah rawngbawlna ropui tak a thawk a ni.

Peritoneum chu eng nge ni? A awlsam zawngin...

A awlsam zawngin sawi ila, peritoneum hi tissue layer te tak te, i pum chhunga hmun (i pum chhunga hmun ruak) leh pelvic cavity line-tu a ni. I pum chhunga taksa peng hrang hrangte vel chu cushion a pe bawk. Balloon chhunga balloon awm ang maiin han ngaihtuah teh.

He peritoneal membrane hi hmun hnih a awm a:

• Parietal peritoneum: Hei hi i pum leh i pelvis chhung lam bang line siamtu a ni.
• Visceral peritoneum: Hei hi i pum chhunga taksa peng hrang hrang (entir nan, pum, thin, intestines) veltu membrane a ni.

Heng membrane pahnih inkar hmun tlemte hi peritoneal cavity an ti a . He cavity-ah hian tui tlemte a awm a, chu chuan taksa peng hrang hrangte an inhnim pil hian friction a ti tlem a ni.

Engvangin nge peritoneum hi kan tan a pawimawh em em? Eng nge a tih?

He peritoneal membrane hian kan taksaah hna pawimawh tak tak a thawk a. Ṭhenkhat chu zirchiangtute'n an la zirchiang mek a ni. Tuna kan hriat lar ber ber thenkhat chu hetiang hi a ni:

• Insulation: He membrane layer hian thau a pai a. Hei hian kan taksa peng hrang hrangte chu lumna leh venhimna engemaw chen a pe a ni. Cushion tlemte ang maiin han ngaihtuah teh.
• Lubrication: Chu peritoneal fluid ka sawi tawh khan kan taksa peng hrang hrang, a bik takin intestine ang maia che thinte chu a inthlau thei hle. Chutiang a nih loh chuan an inhnim pil thei a, an inhliam thei bawk a ni lawm ni?
• Structure leh Support: Kan taksa peng hrang hrangte hi peritoneum chhunga ligament bik hmanga inzawmkhawm a ni. Tin, pum hnunglam bang (back wall)-ah hian intestines a inzawm tir thei bawk.
• Thisen, lymph leh nerve supply: Kan taksa peng hrang hrangte mamawh thisen kalna, lymph vessel leh nerve te hi he peritoneal membrane kaltlangin an kal a.
• Immunity: Hei hi a pawimawh hle. Peritoneum hi kan pum chhunga hliam leh hrik lut laka invenna line hmasa ber ang a ni. Chu chu pawn lam a\anga thil \ha lote a hriat chian a, thisen var (white blood cells) a tir chhuak a, chu chu bei turin a ti a ni. Tin, peritoneal cavity chhunga tui awm chu a filter thei a, bawlhhlawh a paih chhuak bawk. Mak tak mai chu he tissue hian hliam a neih chuan a dam thuai theihna a nei a ni.

Kan pum chhunga vengtu ngawi reng, peritoneum ang maiin han ngaihtuah teh. Chutiang awm lo se chuan kan taksa peng hrang hrangte hi harsatna lian tak an tawk dawn a ni.

Kan taksaah hian khawiah nge peritoneum hi a awm?

Peritoneum hi i abdominopelvic cavity ah a awm a . I diaphragm (i rilru leh i pum inthenna muscle) hnuai chiahah a intan a, i pelvic floor thlengin a inzar pharh a ni.

• Parietal peritoneum hian he cavity pumpui bang hi a khuh vek a ni.
• Visceral peritoneum hian pum, thin, spleen, leh small intestine leh large intestine hmun thenkhat a hual vel ber a ni.

Visceral peritoneum-in a hual kim vek organ te chu "intraperitoneal" an ti a, a hual kim lo leh peritoneum hnung lama awm organ te erawh chu "retroperitoneal" an ti thung.

Engtin nge hei hi siam a nih? Tlem a chipchiar deuhin han thlir ila.

Peritoneum hi serous membrane a ni a . Chu chu serum ang chi tui chhuak chhuaktu membrane tihna a ni. Hetiang tissue hi kan taksa chhunga cavities dang engemaw zatah hmuh tur a awm a, chu chu mesothelium tia koh a ni tlangpui.

Hei hi layer pahnih atanga siam a ni ber a:

1. Epithelial cells: Hengte hi a chung lam layer an ni. Heng cell te hian a chunga kan sawi tak lubricating fluid chu an secrete a, an absorb bawk. Tin, natna hrik ang chi thilte chu an filter chhuak thei bawk a, thisen, lymph leh nerve te an phur bawk.

2. Connective tissue: Hei hi epithelial cell layer hnuaiah a awm a. Engkim a vawng tlattu a ni. He connective tissue hian organ thenkhat chu abdominal wall-ah a inzawm tir a, thenkhat chu cavity chhungah a innghat tlat bawk.

Peritoneum-a thil siam bikte

Visceral peritoneum hian taksa peng hrang hrangte a khuh rual hian hmun thenkhatah a inzawm khawm a, double layer leh sac ang chi structure a siam thin.

• Omentum: Hei hi peritoneum double layer lian tak a ni a, apron angin hna a thawk a, i pum hmalam chhunga taksa peng thenkhat a khuh a ni.
• Mesentery: Hei pawh hi double layer a ni. Hei hian i intestines chu i pum hnunglam wall nen a thlunzawm a ni.

Heng layer inkar adipose tissue hian venhimna leh lumna dang a pe a, nerve leh thisen kalna kawngte chu taksa peng hrang hranga phurh chhuahna kawngah a pui bawk.

Engtin nge nerve supply hi a awm?

Hei pawh hi a pawimawh hle.

• I taksa peng hrang hrang hualtu visceral peritoneum hian chu taksa peng hrang hrang atang chuan a autonomic nerve supply a dawng a ni.Supply ngei pawh a ni. Chuvangin, hei atanga natna hriat hi a fiah lo deuh a, khawiah nge a na tih chiang taka sawi a harsa hle. Thli emaw ei tur emaw a khat chuan intestine chu a inzawm khawm ang maiin a lang. Thisen emaw bile emaw ang chi chemical a leak chuan a thinrim hle bawk.
• I pum chhunga bang khuh tu parietal peritoneum hian pum chhung bang ngei ang bawkin somatic nerve supply a dawng a ni. Chuvangin, pressure, natna, leh temperature ang chi thil awmna hmun dik tak a tarlang thei a ni.

Peritoneum tichhe thei natnate chu engte nge ni? I fimkhur ang u!

Vanduaithlak takin he peritoneal membrane hian natna chi hrang hrang a nei thei bawk. Tlemte hi han sawi ila.

1. Peritonitis - Hei hi game a ni lo!

Peritonitis hi peritoneum a inflammation a ni. A tam ber chu peritoneal cavity chhunga infection vang a ni. Mahse, chaw kawng natna thenkhat chhinchhiahna hmasa ber a ni thei bawk.

Peritonitis hi damdawi lam emergency a ni. Peritoneum hi thil hip rang thei membrane a nih avangin peritoneal cavity-a natna hrik chu thisenah lutin taksa pum puiah a darh thei a, chu chuan natna hlauhawm tak septicemia an tih chu a thlen thei a ni.

2. Ascites - pum chhunga tui awm khawm

Ascites chu peritoneal cavity chhunga tui tam lutuk awmkhawmna a ni. Hei hian chhan hriat lohvin pum chu a ti hring chhuak thin. Liver natna zual (a bik takin cirrhosis ) chhinchhiahna a ni fo thin. Cirrhosis-ah chuan pum chhunga main vein (portal hypertension)-a pressure a sang a, chu chuan vein atang hian tui a luang chhuak thin. A châng chuan ascites hi congestive heart failure emaw cancer emaw chhinchhiahna a ni thei bawk.

3. Hernia - Hei pawh hi peritoneum nen a inzawm em?

Hernia chu taksa peng pakhat atanga taksa peng hrang hrang atanga taksa peng dang atanga tissue lo chhuak a ni. Hernia tam zawk hi pum chhunga bang kaltlangin a thleng thin. Vawi tam tak chu peritoneum pawh hi a chhuak tissue inkar ah a awm thin. A châng chuan, internal organ pakhat chu nawr chhuah a ni thei a, mahse peritoneum-ah chuan a la inkhuh reng a ni. Hernia hian a tlangpuiin peritoneum a tichhe lo a, mahse a thisen kalna tur a tihtawp chuan harsatna a thlen thei a ni. Hernia tam zawk hi chu operation a ngai thin.

4. Abdominal Adhesions - Operation hnua harsatna awm thin

Abdominal surgery neih laiin peritoneum a hrual a nih chuan a dam chhoh zel chuan scar tissue thick bands a siam thei a ni. Hei hi abdominal adhesions an ti a.Chûngte chuan harsatna a thlen ngai lo. Mahse, heng scar tissue te hi taksa peng hrang hrang inkara siam a nih chuan taksa peng hrang hrangte zalen taka kal theihna a tibuai thei a ni. A chang chuan taksa peng chhunga thil kal dan pawh a dang thei bawk. Thil hlauhawm ber chu bowel obstruction hi a ni . Intestines a block chuan ei leh in tur taksa a chhuahsan thei lo.

5. Sclerosing mesenteritis emaw mesenteric panniculitis emaw a awm thei

Hei hi thil awm lo tak a ni. Mesentery-a thau tissue, i rilru natna (small intestine) leh i pum hnunglam bang inzawmkhawmtu peritoneum fold (fold of peritoneum) chu a nghawng a ni. A chhan dik tak hriat ni lo mah se, he tissue hi chronic inflammation hian scarring nasa tak (fibrosis) a thlen thin. He scarring hian tissue-a thisen kal chu a titawp thei a, tissue thihna (necrosis) a thlen thei bawk. A then phei chuan intestinal obstruction a awm thei bawk.

6. Mesenteric lymphadenitis a awm thei

Lymphadenitis hi lymph nodes a hring leh inflammation a ni. Mesentery-a a awm chuan mesenteric lymphadenitis an ti a ni. Hei hi infection chhinchhiahna a ni fo thin. Kan immune system a activate chuan lymph nodes te hian natna hrik te chu a filter a, a paih chhuak thin. Hei hian pum na leh khawsik a thlen thei a, mahse hei hi hun eng emaw chen chauh a ni tlangpui.

7. Cancer natna a ni

Cancer hi pum leh pelvic cavity organ-a lo awm chu awlsam takin peritoneum-ah a darh thei a ni. Hei hi peritoneal carcinomatosis an ti a . A tlem berah chuan cancer hi peritoneum chhung ngeiah pawh a intan thei bawk. Entirnan, primary peritoneal cancer leh peritoneal mesothelioma (mesothelium cancer) te hi a ni. Cancer chi khat hmuh tur awm lo , pseudomyxoma peritonei an tih hian peritoneal cavity chu mucus ang chi thilin a luah khat thin. Peritoneum-a cancer eng pawh lo awm chuan a khawihtu taksa peng hrang hrangah a darh thei a ni.

Engtin nge ka peritoneum-ah harsatna a awm tih ka hriat theih ang?

Peritoneum tichhe thei dinhmun eng pawh a lan chhuah tam ber chu pum na leh pum na a ni .

• I pum chhunga natna darh zau tak, hriat chian harsa tak i hriat chuan i pum chhung lam layer visceral peritoneum atanga natna lo chhuak a ni thei.
• Natna nasa zawk leh localized zawk a nih chuan pawn lam layer, parietal peritoneum irritation vang pawh a ni thei.

Pum natna thlentu tam tak a awm thei a, mahse a tam zawk chu eng emaw ti takin peritoneum a inrawlh a ni.

Peritoneum hriselna enfiah nan eng test nge tih thin?

I doctor-in peritoneum-a harsatna a rinhlelh chuan test an ti thei a, chungte chu:

• Peritoneal fluid thlirletna: 1.1.Hei hian peritonitis emaw ascites emaw ang chi natna hriatchhuahna kawngah a pui thei a ni. Doctor chuan pum chhungah needle te tak te, hollow tak a dah a, peritoneal fluid tlemte a paih chhuak thin. Chumi hnuah chuan fluid chu laboratory-ah test turin an thawn leh thin. Fluid chu inflammation vang nge thisen kalna kawng leak vang nge tih an zirchiang thin. Tin, natna hrik, cancer cell emaw, taksa peng dang atanga chemical leak emaw finfiahna a zawng thei bawk.
• Peritoneal biopsy: A chang chuan doctor chuan peritoneal tissue sample lak a duh mai thei. Hei hi pum chhungah needle bik dah (needle biopsy) hmanga tih theih a ni. A nih loh leh laparoscopy neih laiin tih theih a ni bawk . Laparoscopy hi pum chhunga incision te tak te siam a, chuta tang chuan camera dahin pum chhunga awmte enfiah a ni. Doctor chuan pum chhunga thil awm dan a en duh chuan laparoscopy leh biopsy tih a rawt thei bawk.

Peritoneum enkawl dan tur chu engte nge ni?

Peritoneum nena inzawm natna enkawl dan hrang hrang a awm a. Peritoneum property thenkhat hmanga enkawlna pawh a awm bawk.

• Peritoneal dialysis: Doctor-te chuan kal (kidney failure) nei te enkawl nan peritoneum hi an hmang \hin. Hei hi a chhan chu peritoneum hian bawlhhlawh filter theihna mak tak a nei a ni. Dialysis hian kal (kidney) tih ang hi a ti a, chu chu thisen atanga bawlhhlawh leh tui tam lutuk paih chhuahna a ni. Chutiang chuan nangmah emaw i doctor emaw chuan i peritoneal cavity chu special liquid solution hmangin i rawn luah khat thin. Chu fluid chu i peritoneum kaltlangin a filter a, chutah chuan fluid chu a chhuak ta a ni.
• Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Hei hi cancer enkawlna thar, targeted chemotherapy a ni. Peritoneum-a absorption capacity a hmang tangkai hle. Chemotherapy solution concentrated, lum tak chu peritoneal cavity chhungah direct-in pek a ni. I peritoneal cavity hmun khata cancer i neih chuan HIPEC hian chu hmun chauh chu a enkawl thei a ni. Traditional chemotherapy hian thisenah damdawi a pe a, chu chuan taksa pum a nghawng a, chuvangin side effect a tam zawk. Mahse HIPEC hi a danglam a, a hlawk zawk pawh a ni thei.
• Cytoreductive/debulking surgery: Surgery leh chemotherapy inzawmkhawm hi pum leh pelvic cancer enkawlna atan hman a ni tlangpui. Cytoreductive surgery hian cancer cell tam thei ang ber, khawi hmunah pawh awm se, paih chhuah a tum thin. A châng chuan hei hian i peritoneum (peritonectomy) ṭhenkhat emaw, a pum emaw lak chhuah tihna a ni. A tam zawkah chuan omentum a nghawng thin. Cancer thenkhat chu chutah chuan an darh hmasa ber a. Tichuan, omentum lakchhuah nan omentectomy i neih a ngai a ni.

Chuvangin, a tawp berah chuan thil tlemte hriat reng tur...

Tunah chuan peritoneum hi kan taksaah hian ngawi renga awm, mahse hmun pawimawh tak a ni tih i hrethiam tawh mai thei.

• Pum na emaw, pum na emaw i neih chuan ngaihthah suh. A châng chuan, a lan chhuah dân chu a tê tê pawh ni se, a bulpui ber buaina chu a na hle thei a ni. Chuvangin, doctor hnenah thurawn dil hreh suh.
• Peritoneum hi kan vun leh kan chhungril taksa peng tam tak inkara venhimna a ni. Kan taksa peng hrang hrangte venhimna, lumna, insiam dan, thisen leh nerve supply a pe a ni.
• Tin, peritoneum hian hliam tihdamna leh immune function chak tak a nei bawk.
• Peritoneum inflammation hi i taksa peng pakhata natna hriat loh hriatchhuahna chhinchhiahna hmasa ber a ni thei.

Chuti a nih chuan, heng thil mak tak takte hi kan taksa chhungah a thleng mek tih hriat a pawimawh lo em ni? I hriselna enkawl rawh!

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