E mōhio ana koe ki tēnei kiriuhi tiaki whakamiharo (peritoneum) i roto i tō puku? Me kōrero tātou mō ngā taipitopito!

Kua whakaaro kē koe me pēhea te pupuri me te tiaki i ngā whekau nui o roto i tō puku, pērā i tō ate, tō puku, me ō whekau? He kiriuhi angiangi, maeneene te peritoneum e āwhina ana ki te pupuri i a rātou kia mau tonu. He rite ki te hipoki whakamarie, tiaki e karapoti ana i ngā whekau o roto i tō tātou puku. Me kōrero tātou mō te peritoneum i tēnei rā, nā te mea he mahi nui tāna e mahi puku ana ki ō tātou tinana.

He aha te peritoneum? He māmā noa iho...

He māmā noa iho, ko te peritoneum he paparanga kiko angiangi e whakarārangi ana i tō kōhao puku (te wāhi takoto kau i roto i tō puku) me te kōhao pelvis. He urunga anō hoki e karapoti ana i ngā whekau i roto i tō puku. Whakaarohia he rite ki tētahi poihau me tētahi poihau i roto.

E rua ngā wāhanga o tēnei kiriuhi peritoneal:

• Peritoneum parietal: Koinei te mea e whakarārangi ana i ngā pakitara o roto o tō puku me tō hope.
• Peritoneum visceral: Koinei te kiriuhi e karapoti ana i ngā whekau i roto i tō puku (hei tauira, te puku, te ate, ngā whekau).

Ko te āputa iti i waenganui i ēnei kiriuhi e rua e kiia ana ko te kōhao peritoneal . He iti noa te wai kei roto i tēnei kōhao hei whakaiti i te waku ina mirimiri ngā okana tetahi ki tetahi.

He aha te hiranga o te peritoneum ki a tātou? He aha tāna mahi?

He maha ngā mahi nui a tēnei kiriuhi peritoneal i roto i ō tātou tinana. Kei te rangahauhia tonutia ētahi o ēnei e ngā kairangahau. Anei ētahi o ngā mea matua e mōhiotia ana i tēnei wā:

• Ārai: Kei roto i tēnei paparanga kiriuhi te ngako. Mā tēnei ka mahana, ka tiaki hoki i ō tātou whekau. Whakaarohia he urunga iti.
• Te whakahinuhinu: Ko te wai peritoneal i kōrerotia e au i mua ake nei ka āwhina i ō tātou whekau, inā koa ko ērā e neke ana pērā i te whekau, kia paheke tetahi ki tetahi. Ki te kore, ka mirimiri tetahi ki tetahi, ka whara, tika?
• Hanganga me te Tautoko: E honoa ana ō tātou whekau tetahi ki tetahi e ngā hononga motuhake i roto i te peritoneum. Ka āwhina hoki ki te hono i ngā whekau ki te pakitara o muri o te puku.
• Te toto, te waipū me te tohatoha io: Ka tika ngā oko toto, ngā oko waipū me ngā io e hiahiatia ana e ō tātou whekau mā roto i tēnei kiriuhi peritoneal.
• Ārai Mate: He mea tino nui tēnei. Ko te peritoneum te rite ki te rārangi tuatahi o te parenga ki ngā whara me ngā huakita e uru ana ki roto i tō tātou puku. Arā, ka tautuhi i ngā mea kino mai i waho, ka tuku i ngā toto toto mā ki te whakaeke i a rātou. Ka āwhina hoki ia ki te tātari i te wai i roto i te kōhao peritoneal me te tango i ngā para. Ko te mea whakamiharo ko te kaha o tēnei kiko ki te whakaora tere mēnā ka whara.

Whakaarohia he rite ki te peritoneum, he kaitiaki puku i roto i tō tātou puku. Ki te kore ia, ka raru nui ō tātou whekau.

Kei hea te peritoneum i roto i tō tātou tinana?

Kei roto i tō kōhao abdominopelvic te peritoneum. Ka tīmata i raro noa i tō diaphragm (te uaua e wehe ana i tō uma me tō puku) ā, ka toro atu ki te papa o tō pelvis.

• Ka taupokina ngā pakitara o tēnei kōhao katoa e te peritoneum parietal .
• Ko te puku, te ate, te whēkau, me ētahi wāhanga o te whekau iti me te whekau nui te nuinga o te wā e karapotia ana e te peritoneum visceral .

Ko ngā okana e karapotia katoatia ana e te peritoneum visceral ka kiia ko "intraperitoneal" , ko ngā okana ia kāore i te karapotia katoatia, ā, kei muri i te peritoneum ka kiia ko "retroperitoneal" .

Me pēhea te hanga o tēnei? Me titiro tātou ki tēnei mea me ētahi atu taipitopito.

He kiriuhi serous te peritoneum. Arā, he kiriuhi e whakaputa ana i te wai rite ki te serum. Kei roto i ētahi atu kōhao o te tinana tēnei momo kiko, ā, e kiia whānuitia ana ko te mesothelium .

E rua ngā paparanga o tēnei mea:

1. Ngā pūtau epithelial: Koinei te paparanga o runga. Ka huna, ka mimiti hoki ēnei pūtau i te wai whakahinuhinu kua whakahuatia ake nei. Ka āwhina hoki rātou ki te tātari i ngā mea pēnei i ngā iroriki me te kawe toto, te lymph, me ngā io.

2. Te kiko hono: Kei raro i te paparanga pūtau epithelial tēnei. Koinei te mea e pupuri ana i ngā mea katoa. Ka āwhina tēnei kiko hono ki te hono i ētahi okana ki te pakitara o te puku, ā, ka pupuri i ētahi atu kia iri i roto i te kōhao.

Ngā hanganga motuhake o te peritoneum

I te takai o te peritoneum visceral i ngā whekau, ka piko ki ētahi wāhi, ka hanga he paparanga takirua, he hanganga rite ki te pēke.

• Omentum: He paparanga nui takirua tēnei o te peritoneum e mahi ana pērā i te āpereni, ā, e kapi ana i ētahi o ngā whekau kei mua o tō puku.
• Mesentery: He paparanga takirua anō hoki tēnei. Koinei te mea e hono ana i ō whekau ki te pakitara o muri o tō puku.

Mā te kiko ngako i waenganui i ēnei paparanga ka whakaratohia he tiaki me te mahana tāpiri, ā, ka āwhina hoki ki te kawe i ngā io me ngā uaua toto ki ngā whekau.

Kei te pēhea te tohatoha o te io?

He mea tino nui anō hoki tēnei.

• Ko te peritoneum visceral, e karapoti ana i ō whekau, e whiwhi ana i tana ake pūtake io autonomic mai i aua whekau.Ko te pūtake tonu. Nō reira, he ahua pōuri te mamae e pā mai ana i tēnei, ā, he uaua ki te kī tika kei hea te mamae. He rite ki te totoro o ngā whekau ina kī ana i te hau, i te kai rānei. Ka riri hoki mēnā ka turuturu ngā matū pēnei i te toto, i te aukume rānei.
• Ko te peritoneum parietal, e hipoki ana i tō pakitara puku, ka whiwhi i te io somatic rite tonu ki te pakitara puku tonu. Nō reira, ka taea e ia te tohu i te wāhi tika o ngā mea pēnei i te pēhanga, te mamae, me te pāmahana.

He aha ngā mate e pā ana ki te peritoneum? Kia tūpato tātou!

Engari, ka taea hoki e tēnei kiriuhi peritoneal te whakawhanake i ngā momo mate. Me kōrero tātou mō ētahi o aua mate.

1. Peritonitis - Ehara tēnei i te kēmu!

Ko te peritonitis he mumura o te peritoneum. Ko te nuinga o te wā ka puta mai i te mate i roto i te kōhao peritoneal. Heoi, he tohu wawe anō hoki tēnei mō ētahi mate puku.

He āhuatanga ohorere hauora te peritonitis . Nā te mea he kiriuhi tere te peritoneum e mimiti ana i ngā mea, ka taea e te mate i roto i te kōhao peritoneal te uru ki roto i te toto ka horapa puta noa i te tinana, ka puta he mate morearea e kiia nei ko te septicemia.

2. Te ascites - te kohikohinga wai i roto i te puku

Ko te ascites te kohikohinga o te wai nui i roto i te kōhao peritoneal. Ka pupuhi te puku, kāore he take e kitea ana. He tohu tēnei mō te mate ate kua horapa haere (ina koa ko te cirrhosis ). I roto i te cirrhosis, ka piki ake te pēhanga i roto i te uaua matua o te puku (portal hypertension), ka turuturu te wai mai i ngā uaua. I ētahi wā, ka taea hoki e te ascites te tohu mō te ngoikore o te ngakau, te mate pukupuku rānei.

3. Hernia - He hononga anō tēnei ki te peritoneum?

Ko te hernia he putanga mai o te kiko mai i tētahi wāhanga o te tinana mā roto i te pakitara uaua ki tētahi atu. Ko te nuinga o ngā hernia ka puta mā roto i te pakitara puku. He maha ngā wā, kei waenganui anō hoki te peritoneum i te kiko e puta mai ana. I ētahi wā, ka panaia pea tētahi okana o roto ki waho, engari kei te takai tonu i roto i te peritoneum. Ko te tikanga, kāore ngā hernia e kino i te peritoneum, engari ki te motuhia te rere o te toto ki reira, ka raru pea. Ko te nuinga o ngā hernia me pokanga.

4. Ngā Piringa o te Puku - He raruraru ka puta i muri i te pokanga

Ki te pakaru te peritoneum i te wā e pokanga ana te puku, ka taea e ia te hanga i ngā here matotoru o te kiko whara i a ia e ora ana. Ka kiia tēnei ko ngā piri o te puku.Kāore ēnei e puta ai he raruraru i ngā wā katoa. Heoi, ki te puta ēnei kiko whara i waenganui i ngā whekau, ka taea e ia te whakararuraru i te nekehanga noa o ngā whekau. I ētahi wā, ka taea hoki te aukati i te nekehanga o ngā mea i roto i ngā whekau. Ko te mea tino morearea ka puta ko te aukati i te puku . Ki te aukatia ngā whekau, kāore e taea e te kai me te inu te puta i te tinana.

5. Te mesenteritis sclerosing, te mesenteric panniculitis rānei

He tino onge tēnei mate. Ka pā ki te kiko ngako i roto i te mesentery, te kopa o te peritoneum e hono ana i tō whekau iti ki te pakitara o muri o tō puku. Ahakoa kāore i te mōhiotia te take tuturu, ka hua ake he whara nui (fibrosis) i te mumura mau tonu o tēnei kiko. Ka taea e tēnei whara te aukati i te rere o te toto ki te kiko, ā, ka mate te kiko (necrosis). I ētahi wā, ka puta he aukati i te whekau.

6. Te mate pukupuku o te puku

Ko te Lymphadenitis te pupuhi me te mumura o ngā kōpū lymph. Mēnā ka puta i roto i te mesentery, ka kiia ko te mesenteric lymphadenitis . He tohu tēnei mō te mate pāwera. Ina whakahohehia tō tātou pūnaha ārai mate, ka āwhina ngā kōpū lymph ki te tātari me te tango i ngā huakita. Ka pā mai pea te mamae o te puku me te kirika, engari he wā poto noa iho tēnei.

7. Matepukupuku

Ko te mate pukupuku e tupu ana i roto i ngā whekau o te puku me te kōhao pelvic ka horapa ngāwari ki te peritoneum. Ka kiia tēnei ko te peritoneal carcinomatosis . He onge, ka taea hoki e te mate pukupuku te tīmata i roto i te peritoneum tonu. Hei tauira, ko te mate pukupuku peritoneal tuatahi me te peritoneal mesothelioma (te mate pukupuku o te mesothelium). Ko tētahi momo mate pukupuku onge e kiia nei ko te pseudomyxoma peritonei ka kī te kōhao peritoneal i tētahi matū rite ki te hūpē. Ko tētahi mate pukupuku e tupu ana i roto i te peritoneum ka horapa ki ngā whekau e pā ana ki a ia.

Me pēhea taku mōhio mēnā he raruraru kei roto i taku peritoneum?

Ko ngā tohu tino kitea o tētahi mate e pā ana ki te peritoneum ko te mamae o te puku me te pupuhi o te puku .

• Ki te mea ka pāngia koe e te mamae horapa puta noa i tō puku, ā, he uaua ki te tohu tika, tera pea ko te mamae e puta mai ana i tō peritoneum visceral, te paparanga o roto o tō puku.
• Mena he kaha rawa te mamae, ā, he wāhi noa iho, tērā pea nā te mumura o te paparanga o waho, te parietal peritoneum.

He maha ngā take o te mamae o te puku, engari he maha o ēnei e pā ana ki te peritoneum.

He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o te peritoneum?

Mena kei te whakapae tō tākuta he raruraru kei te peritoneum, ka whakahaerehia pea e rātou ngā whakamātautau pēnei i:

• Te tātaritanga wai o te peritoneal:Ka āwhina tēnei ki te tautuhi i ngā āhuatanga pēnei i te peritonitis, te ascites rānei. Ka werohia e te tākuta he ngira iti, tuwhera ki roto i te kōhao puku, ā, ka tangohia he wai iti o te peritoneal. Kātahi ka tukuna te wai ki te taiwhanga hei whakamātautau. Ka tātarihia te wai hei whakatau mēnā nā te mumura, nā te turuturu rānei o ngā oko toto te wai. Ka taea hoki e ia te rapu i ngā tohu o te mate, ngā pūtau matepukupuku, ngā matū rānei e turuturu ana mai i tētahi atu okana.
• Te koiora o te puku: I ētahi wā ka hiahia pea te tākuta ki te tango i tētahi tauira o te kiko o te puku. Ka taea tēnei mā te whakauru i tētahi ngira motuhake ki roto i te puku (te koiora o te ngira). Ka taea rānei te mahi i te wā o te laparoscopy . Ko te Laparoscopy he tikanga e uru ana ki te hanga i tētahi tapahi iti ki roto i te puku me te whakauru i tētahi kāmera mā roto hei tirotiro i te kōhao puku. Mena kei te hiahia te tākuta ki te kite i ngā mea e tupu ana i roto i te puku, ka tūtohu pea ia i tētahi laparoscopy me te koiora.

He aha ngā maimoatanga mō te peritoneum?

He maha ngā maimoatanga mō ngā mate e pā ana ki te peritoneum. Tērā anō hoki ētahi maimoatanga e whakamahi ana i ētahi o ngā āhuatanga o te peritoneum.

• Dialysis Peritoneal: I ētahi wā ka whakamahia e ngā tākuta te peritoneum hei rongoā i te hunga e pāngia ana e te ngoikore o te whatukuhu. Nā te mea he tino kaha te peritoneum ki te tātari i ngā para. Ko te mahi a te dialysis he rite ki tā ngā whatukuhu, arā, ko te tango i ngā para me te wai nui mai i te toto. I roto i tēnei tukanga, ka whakakīia e koe, e tō tākuta rānei tō kōhao peritoneal ki tētahi wai motuhake. Ka tātarihia te wai mā roto i tō peritoneum, kātahi ka tangohia te wai.
• Te Whakaora Matepukupuku Intraperitoneal Hyperthermic (HIPEC): He maimoatanga hou tēnei mō te matepukupuku, he mea arotahi ki te matepukupuku. Ka whakamahia te kaha mimiti o te peritoneum. Ka tukuna tika he otinga rongoā matepukupuku kua whakamahanahia ki roto i te kōhao peritoneal. Mena he matepukupuku kei tētahi wāhi o tō kōhao peritoneal, ka taea e te HIPEC te rongoā i taua wāhi anake. Ka tukuna e te rongoā matepukupuku tuku iho ngā rongoā ki roto i te toto, ka pā ki te tinana katoa, nō reira he maha atu ngā pānga taha. Engari he rerekē te HIPEC, ā, tera pea he nui ake te whai hua.
• Pokanga Cytoreductive/Debulking: Ko te huinga o te pokanga me te chemotherapy e whakamahia ana hei rongoā i te mate pukupuku o te puku me te hope. Ko te pokanga Cytoreductive e ngana ana ki te tango i te maha o ngā pūtau mate pukupuku e taea ana, ahakoa kei hea rātou. I ētahi wā ko te tikanga o tēnei ko te tango i tētahi wāhanga, i te katoa rānei o tō peritoneum (peritonectomy). I te nuinga o te wā, ka pā ki te omentum. Ko ētahi mate pukupuku ka horapa tuatahi ki reira. Kātahi, me tango te omentum hei tango i te omentum.

Nā, hei whakamutunga, ētahi mea hei maumahara māu...

Kua mārama pea koe ināianei he mahi puku engari he mea tino nui tā te peritoneum i roto i tō tātou tinana.

• Ki te mamae tō puku, ki te pupuhi rānei, kaua e warewarehia. I ētahi wā, ahakoa he iti noa ngā tohu, tera pea he nui te raruraru matua. Nō reira, kaua e mangere ki te toro atu ki te tākuta mō ētahi tohutohu.
• He kiriuhi tiaki te peritoneum i waenganui i tō tātou kiri me te nuinga o ō tātou whekau o roto. Mā tēnei ka tiakina, ka mahana, ka hanga, ka toto, ka whāngai io ki ō tātou whekau.
• Hei tāpiri, he kaha te whakaora patunga o te peritoneum me ngā mahi ārai mate.
• Ko te mumura o te peritoneum te tohu tuatahi pea o tētahi mate kāore anō kia tautuhia i roto i tētahi o ō whekau.

Nō reira, kāore ianei i te mea nui kia mōhio kei te tupu ēnei mea whakamiharo i roto i ō tātou tinana? Kia tiakina tō hauora!

Peritoneum , Peritoneum, Kōhao puku, Peritonitis, Ascites, Hernia, Mamae puku, Hauora puku, Hanganga tinana