I pum chhunga he taksa peng ‘thar’ hi i hria em? Mesentery chungchang hi han sawi ila!

Kan pum chhungah hian kan chaw ei kawng chhunga taksa peng zawng zawngte chu a inrualrem a, a inzawm tlat theih nan thil danglam tak a awm em tih i ngaihtuah ngai em? Tun hnai thleng khan doctor-te chuan thil pakhat angah an ngai tak tak lo. Mahse tunah chuan mesentery an ti tih an hmuchhuak ta a, kan taksa peng pawimawh tak a ni bawk!

Chuti a nih chuan he mesentery hi eng nge ni?

Okay, chuti a nih chuan eng nge mesentery chu? A awlsam zawngin sawi ila, mesentery hi i pum chhunga taksa peng pakhat a ni a, chu chuan i chaw ei kawng chhunga taksa peng dang zawng zawngte chu a thlawp a, a inzawm tlat a ni.

Thil mak tak chu tun hnaiah chauh mesentery hi ‘organ’ anga classified a ni. Kum tam tak chhung chu medical textbook-ah chuan mesentery pakhat chauh a awm lo va, ‘plural mesenteries’ a awm tih an sawi tawh a. Chutih lai chuan medical community chuan hengte hi i intestines leh abdominal wall inzawmkhawmtu peritoneal tissue engemaw zat angin an ngai a. Peritoneum hi i pum chhung leh i pum chhunga taksa peng hrang hrangte line siamtu membrane a ni.

Mahse kum 2016 khan zirchiangtute chuan Coffey et al. mesentery hian organ ni tura thil tul zawng zawng a tlin tih a finfiah a ni. Organ chu eng nge ni? Chu chu taksa peng pakhat siamtu tissue inzawmkhawm, hna pawimawh tak thawk tihna a ni. Chuvangin, mesentery hi taksa peng pakhat, inzawm tlat, taksa lama i intestines thlawptu a ni. Tin, independent organ a ni bawk a, i digestive system-a abdominal organs te chu a chawm a, a thawk tha thei bawk. He mesentery hnathawh dan leh digestive system natna nena a inzawmna chungchangah hian zirchianna kalpui mek a ni.

Mesentery chanchin hi han thlir ila.

Okay, tunah chuan i ngaihtuah mai thei, hei hi thil thar hmuhchhuah a nih chuan engtin nge hetiang hun rei tak chhung hi a chhuah theih? Mak tak mai chu, he mesentery hi a structure pakhat, chhunzawm zel a nih thu ‘thar’ hmuhchhuah hi a thar tak tak lo! Ngaihtuah teh, kum 1500 chhoah pawh khan Eustachius leh Leonardo da Vinci te ang scientist te chuan an lemziah hian mesentery chu pum chhunga awm pakhat, chhunzawm zel angin an ziak a. Mahse, a hnuah Henry Gray ang mite an ni – damdawi lam lehkhabu lar tak ``Gray's Anatomy`` tih kha in hre tawh mai thei – 'multiple mesenteries' a awm tih ngaihdan hi an lar chho ta a ni.

Chuvangin, chu kum 2016-a zirchianna chuan he ‘mesenteries tam tak’ tih ngaihdan hi a dik lo tih a finfiah ta a ni. Dik tak chuan, he zirchianna hi kum 500 chuang kalta a scientist-te’n an lo ngaihtuah tawh thil pakhat chu enfiah leh ang mai a ni.

Mesentery hi engtin nge a awm? Kan taksa tana a pawimawhna chu eng nge ni?

Okay, chuti a nih chuan he mesentery hian kan taksa chhungah eng nge a tih tak tak? Scientist te chuan hei hi an la chhui chhuak zel a ni. Mahse tun thlenga kan hriat dan atang chuan kan intestines tan structural support a pe a ni. Kan taksa peng hrang hrangte a chawm bawk a, signaling system angin a thawk a, chu chuan chaw ei leh in (digestive system) a thawk tha thei hle.

Pum chhunga taksa peng hrang hrangte him leh a hmun dik takah a awm theih nan a pui

I mesentery hi i intestines hmun thenkhat chu i abdominal wall-ah a vawn tlat a ni. Tin, i pum chhunga hmun thum (3D)-ah i intestines hmun dangte chu a innghat reng theih nan a pui bawk. Ngaihtuah teh, mesentery atanga he support hi awm lo se chuan i intestines chu i pum chhungah heap-ah a tlakbuak thei a ni. A nih loh leh, a peng zawng zawng chu pum chhung bang-ah dah vek ni ta se, kawngpuiah ei tur sawn chhuahna tur intestines (sankochanya venna) awmna tur hmun a awm lo vang. Chutiang a nih chuan an inzawm khawm thei a, nunna atana hlauhawm harsatna a thlen thei a ni.

La chiang lo mah se, scientist-te chuan he mesentery structure hi evolutionary feature, mihringte ding nghet taka kal theihna tur a ni thei niin an ngai. Hei hi a chhan chu bipedal mihring leh primate-a mesentery structure hi quadrupedal animal-te nen a danglam vang a ni.

Pum chhunga digestive system organs te chu a lo thang lian a, a thawk tha thei bawk

Nausen stage-ah hian chaw ei kawng dangte a lo thanglian hmain mesentery hi a lo thang lian thin. I pum chhunga thil awmte, i thin, i ril, i pancreas, leh i intestines te hi mesentery chhungah an lo thang vek a ni. Heng taksa peng hrang hrangte hi nau piang hnuah pawh mesentery-ah hian an inzawm tlat a ni. Mesentery-ah hian heng taksa pengte hi dam chhung zawnga thlawp leh chawmtu structure a awm a.

Organ hrang hrangte hian system angin hna an thawk a, signaling system angin an thawk a ni.

I pum chhunga chaw ei (digestive organs) te hi taksa lamah chauh mesentery nen an inzawm lo. Tin, mesentery chhunga awm common nerve, thisen kalna leh lymph node hmangin an inzawm bawk. Lymph node te hi eng nge ni? Taksa chhung zawnga thil awmte filter tu gland an ni. He common resource hmanga kal leh haw signal te hi i digestive system-a taksa peng hrang hrangte thawhhona tha tak siamtu a ni. Phên dangin sawi ila, mesentery hian i digestive system chu i taksaa system dang zawng zawng nen a thawk dun thei a ni.

Entirnan, mesentery chhunga lymph node te hian i intestine atang hian virus leh bacteria ang chi natna hrik an man thin. Heng invader te dotu i immune system-a tel an ni.

Chu mai ni lovin, mesentery hian `C-reactive protein (CRP) .` tih hi a siam chhuak bawk a ni.Hei hi a tlangpuiin liver atanga siam a ni. `CRP` hian inflammation control-na a pui a, chu chu taksain hliam emaw, natna hrik a kai emaw avanga a damna a ni.

Khawiah nge mesentery hi a awm?

Okay, chuti a nih chuan khawiah nge kan pum chhunga he mesentery hi a awm tak tak? Mesentery hi i pum hnunglam atanga tan a ni a, i superior mesenteric artery atanga tan a ni.Khawiah nge a awm. He artery hian i pancreas leh intestines ah thisen a pe chhuak thin. He artery leh mesentery pahnih hi mid-gut-ah a awm a, chu chu i hnungzang hnuai lam vertebra hmasa ber bulah a awm a ni. Mesentery hi mid-gut atanga tan niin i intestines atanga i rectum thlengin a spiral thla a ni.

Mesentery hi eng ang structure (shape) nge ni?

Mesentery structure hi a buaithlak deuh a ni. Organ pakhat, inzawm tlat ni mahse, i chhungril chu i pum bang hnunglam nen hmun hrang hrang hmangin a thlunzawm a ni. Mesentery hmun dang chu pum chhung bang nen a inzawm lo va, taksa peng hrang hrang nen direct-in an inzawm a ni. Hei hian taksa peng hrang hrangte chu pum chhungah tlem a kal kual thei a, chutih rualin venhimna a pe bawk. Mesentery-a twist, turn leh connection tam tak awmte hian i pum chhunga three-dimensional (3D) space-ah i intestines him taka dahna tur a ni.

Mesentery awm dan hriatthiam awlsam zawk nan i pum chhung peng leh hnunglam pum bang nena inzawm angin i ngaihtuah thei ang:

• Small-intestinal mesentery: Mesentery hi ‘mid-gut’ atanga tan niin i small intestine nen a inzawm a ni.
• Right mesocolon: Mesentery hi small intestine atanga large intestine (colon) dinglam thlengin a kal a. He mesentery hmun hi intestine lian dinglam chu abdominal wall hnunglam thlenga vawngtu a ni.
• Transverse mesocolon: Mesentery hi i transverse colon-ah a kal a. Hei hi i pum chhunga horizontal-a kal thin part chu a ni.
• Left mesocolon: Mesentery hi intestine lian veilam nen a inzawm a. Mesocolon dinglam ang bawkin veilam mesocolon hian intestine lian veilam chu abdominal wall hnung lamah a inzawm bawk.
• Mesosigmoid: Mesentery hian i sigmoid colon thenkhat chu i abdominal wall hnunglam nen a thlunzawm a. Sigmoid colon hi i intestine lian tak atanga rectum hnaih ber a ni.
• Mesorectum: Mesentery hnuai lam chu i rectum nen a inzawm a.

Kum tam tak chhung chu medical textbook-ah chuan intestine vel ‘mass of mesentery’ chungchang chauh an sawi thin. Dinglam leh veilam (right leh left mesocolon) a mesentery chungchang an sawi lo. Mahse tunah chuan heng hmunah te pawh hian mesenteries a awm tih kan hre ta.

He mesentery awm dan hriatthiamna thar hian mesentery atanga taksa peng hrang hrangte lo thanglian danah êng thar a rawn chhuah ta a ni. Surgery technique pawh a nghawng thei bawk.

Engtiang chiahin nge mesentery hi a lian?

I ngaihtuah aiin a lian zawk! Puitling mesentery hi taksa peng hrang hrang inkara hrual lovin a inzawm khawm chuan feet 6 vel a sei a ni. Rin theih loh a ni lawm ni?

Mesentery hi eng atanga siam nge ni?

Mesentery hi adipose tissue atanga siam a ni ber.From, chu chu taksa thau a\angin a ni. Hei hi mi tam zawkin ‘beer belly’ emaw ‘belly’ emaw an neih an tih hian an sawi thin thau chu a ni. Tin, mesentery hian connective tissue a nei a, chu chuan he thau hi a hmunah a awm reng theih nan a pui bawk. A chhehvel chu cell venhimna layer mesothelium an tih hian a hual vel a ni . Mesentery hi i pum bang bulah Toldt’s fascia tih hming pu connective tissue hmangin a inzawm a ni.

Chu mai pawh ni lovin, mesentery chhungah hian lymph node tam tak a awm a, chungte chuan hrik hmuhchhuah leh dona kawngah hmun pawimawh tak an chang a ni.

Mesentery tichhe thei natna leh dinhmun tlanglawn tak takte chu engte nge ni?

Tun hnaia mesentery chungchanga zirchianna thenkhat chu Crohn natna chungchang hi a ni . Crohn’s hi inflammatory bowel disease (IBD) chi khat a ni a , i intestines ah inflammation tha lo tak a siam thin. Research atanga a lan dan chuan mesentery chhunga thil thenkhat hian natna darh dan a nghawng a ni. Thuthlung hluiah chuan Crohn natna hi intestine-ah a intan nia ngaih a ni a, mahse a takah chuan mesentery-ah a intan thei a ni. Hei hi chiang taka hriatthiam theih nan zirchianna tam zawk neih a ngai a ni.

I pum chhunga thau tam zawk hi mesentery ah a awm a . Belly fat kan sawi hian subcutaneous fat kan sawina a ni a, chu chu vun hnuai chiaha awm a ni a, i kut zungtang hmanga hriat theih a ni. Mahse visceral fat, mesentery-a awm chu pum chhungah a thuk zawk a ni. He visceral fat hi i neih tam lutuk hian natna chi hrang hrang i vei theihna a tipung a, chung zingah chuan:

• Zunthlum natna `(Diabetes Mellitus)`
• Thisen sang (Hypertension) 1.1.
• Thau lutuk
• Coronary artery natna a ni
• Metabolic natna (Metabolic syndrome) a ni
• Thai

Mesentery nena inzawm natna leh dinhmun dangte chu:

• Cancer: Cancer hi mesentery atang hian a intan thei. A nih loh leh, i chaw ei kawng (digestive organs)-a cancer natna awmte chu a chhe thei a, mesentery-ah a darh thei bawk.
• Infection: Mesentery chhunga lymph node te hian natna hrik an hre thei a. Anmahni tihchhiat turin immune cell an tichhuak thei a ni. Mahse a chang chuan natna hrik te hi mesentery chhunga lymph node chhungah an ‘thup’ thei a ni. Chutiang a nih chuan natna hrik te chu a hnuah a lo chhuak leh thei a, i immune system-in a hriat theih loh chuan harsatna a thlen thei a ni.
• Sclerosing mesenteritis: Mesentery chhunga inflammation a tam lutuk chuan tissue a chhe thei a, a hliam thei bawk. He tissue chhia hian mesentery chhunga thisen kalna kawngte chu a ti tawi emaw, a tikhawlo emaw thei a ni. Hei hian thisen kal a titawp thei a, nunna atana hlauhawm thisen zam a siam thei bawk.
• Mesenteric panniculitis natna (mesenteric panniculitis) vang a ni.Hei hi mesentery inflammatory condition a ni bawk a, sclerosing mesenteritis ang chi a ni. Mahse, sclerosing mesenteritis hi a nasat tlangpui laiin, mesenteric panniculitis hi a stable tlangpui a, chutiang chuan a na lo.
• Hernias: Hernia chu taksa peng emaw tissue emaw a awmna hmun bang atanga a rawn chhuak a ni. Hernias hian mesentery a nghawng thei hi pianpui atanga lo awm a ni thei a, a nih loh leh pum chhunga taksa peng hrang hrang operation hnua harsatna angin a awm thei bawk.
• Malrotation: Malrotation hi nausen chhungril a lo thang tha lo emaw, a coil tha lo emaw a nih chuan a awm thin. (I intestines pianzia leh awmna hi a tam zawk chu mesentery lo thanglian danah a innghat a ni.) Naute a pian hnuah chuan heng organs te hi a awmna tur dik tak siam turin an intestines leh mesentery tihdik nan operation an mamawh dawn a ni.
• Volvulus: Malrotation hian volvulus a thlen thei. Volvulus-ah chuan i intestine te emaw, lian emaw leh mesentery chu a inthlak danglam thin. Hei hi a tlangpuiin mesentery chu abdominal wall-ah a inzawm tha tawh loh hunah a thleng thin. He twisting hian i intestine te tak te emaw, lian emaw ah blockage a siam thei a ni. Blockage hian intestine-a thisen kal chu a titawp thei a ni. Hei hi emergency a nih avangin enkawl vat a ngai a ni.

I pum chhunga chaw ei zawng zawng nen mesentery hi engtiang chiahin nge a inzawm tlat tih ngaihtuah chuan, chaw ei kawng tichhe thei natna eng pawh hian mesentery hi a huam tel ngei ang. Digestive system natna hrang hranga mesentery chanvo hriat belh tumin zirchianna kalpui mek a ni.

Mesentery enkawl dan tur chu engte nge ni?

Tun hnaia zirchianna hrang hrangah chuan pum chhunga taksa peng hrang hrang enkawl dawnin a chhehvel mesentery pawh ngaihtuah tel a ngai a ni. Entirnan, zirchianna thenkhatah chuan mesentery hmun thenkhat lakchhuah hian Crohn natna darh zelna a ti tlem thei tih an hmuchhuak. Zirna dangte chuan a chhehvel mesentery lakchhuah hian colon cancer lo kir leh theihna a ti tlem thei tih hmuhchhuah a ni.

He mesentery chungchanga hriatthiamna thar hian pum chhunga surgery tih dan pawh a nghawng thei a ni. Tun hma chuan surgeon-te chuan pum chhunga taksa peng hrang hrangte chu ‘mesentery mass’-ah an thlunzawm a, an zai thin a ni. Mesentery chu thil inzawmkhawm (complex structure) angin an ngai a: sacs, cavities, leh stomach. Mahse he ‘mesenteric model’ thar hian pum hi hmun hnih ah a then a, chungte chu mesenteric region leh mesenteric region te an ni.

Hetianga pum chhunga awm dan hriatthiam awlsam tak hian surgical technique direct zawk a siam thei ang.

Ka mesentery hrisel taka awm theih nan eng nge ka tih theih ang?

I mesentery hrisel taka awm theihna tura i tih theih tha ber pakhat chu visceral fat level hrisel tak neih hi a ni. Mesentery-a visceral fat tam lutuk hian thinlung natna ang chi chronic conditions i vei theihna a tipung a ni.

He visceral fat hi heng thilte hi i tih hian i tihtlem thei ang:

• Chaw thenkhat tihtlem: Chung zingah chuan trans fats, sugar (corn syrup pawh tel), sodium (salt), leh processed foods te pawh a tel. Sweets, sugary drinks leh fried foods te chu a theih ang angin tihtlem rawh. Tin, zu in pawh ti tlem bawk ang che.
• Exercise neih fo: Kar khatah minute 150 tal exercise chakna (moderate-intensity) neih tum ang che.
• Mut tam: Zirchianna atanga a lan dan chuan zan tin mut tlem, quality tha tak neih hian visceral fat a tipung thei a ni. Zan tin darkar 8 aia tam mut tum ang che.
• Stress enkawl rawh: I stress laiin i taksa chuan cortisol tih hormone a siam chhuak thin. Hun kal zelah cortisol level sang chuan pum thau a tipung thei a ni. Chuvangin, stress enkawl hi i rilru hriselna atan chauh ni lovin, i taksa hriselna atan pawh a tha hle.

A tawp berah chuan eng nge hriat reng tur

Okay, chuvangin kan sawi tawh atanga hriat reng tur pawimawh ber chu ‘organ’ leh ‘tissue’ ang chi classification te hi kan tan chuan a pawimawh lo viau mai thei a, doctor te tih loh chu, mesentery chungchang sawi dawn chuan heng ‘thumal’ te hi a pawimawh hle. Hetianga mesentery awm dan hriatthiamna thar hian, leh kan chaw ei leh in lama a rawngbawlna hian healthcare provider-te’n ei leh in lama natna an hmuhchhuah dan a tidanglam thei a ni.

He hriatna thar hian i pum surgery an tih dan a tidanglam thei a ni. Scientist-te’n mesentery chungchang an hriat belh zel chuan i hriselna atana a thawh dan tur chungchangah thu thar a lo lang ang. Chuvangin, he taksa peng ‘thar leh hlui’ hi kan hriat chian chuan kan taksa chungchang tlem tal kan hrethiam zawk ang!

` Mesentery, pum chhung peng, chaw ei dan, intestines, taksa peng thar, pum hriselna, chaw ei natna