E mōhio ana koe ki tēnei hipoki motuhake (Gerota's Fascia) e karapoti ana i ō whatukuhu? Me kōrero tāua!

Kia ora! Kei te pēhea koe? I tēnei rā ka kōrero tātou mō tētahi wāhanga tino nui o tō tātou tinana kāore pea koe i rongo, engari ko tōna ingoa ko te Gerota's Fascia . Tērā pea he ahua rerekē te ingoa, engari he rite ki te putea te hipoki e karapoti ana, e tiaki ana hoki i ō tātou whatukuhu e rua me ngā repe adrenal. Nō reira, ki te kore tēnei e mahi tika, e kore e taea e ō tātou whatukuhu me ētahi atu repe kua whakahuatia te mahi tika i ā rātou mahi. Nō reira, me titiro tātou he aha te Gerota's Fascia, he aha te mea ka pā ki a ia, me ngā mate ka pā ki a ia.

He aha te Fascia a Gerota?

He whakarāpopototanga noa iho, ko te Gerota's fascia he pūeru honohono e karapoti ana i ō tātou whatukuhu e rua me ngā repe adrenal, he rite ki ngā taupoki iti kei runga i ngā whatukuhu. Pērā i te uhi o tētahi pukapuka, kei roto i tēnei fascia ō tātou whatukuhu, ngā repe adrenal, me te paparanga ngako tūturu e karapoti ana i ngā whatukuhu, e kiia nei ko te ngako perinephric . He rite ki te putea tiaki e tiaki ana i ēnei whekau.

Ka ahatia tēnei kiko Gerota?

Nō reira, ko te mahi matua o tēnei Gerota fascia, e ai ki taku kōrero i mua, he karapoti pai i ō tātou whatukuhu me ngā repe adrenal, me te wehe i a rātou mai i ngā whekau e karapoti ana. Whakaarohia, e hia atu ngā mea kei roto i tō tātou puku? Ko ngā whekau, ko te ate, he maha atu anō ngā mea. Nō reira, ki te mea ka rarangahia ēnei mea katoa, e kore e taea te mahi tika. Nō reira, ko tēnei Gerota fascia te mea e āhei ai ngā whatukuhu me ngā repe adrenal ki te mahi tika i ā rātou mahi. He rite ki te hoatu i tētahi rūma ki a rātou.

He aha te mahi a ō tātou whatukuhu me ngā repe adrenal?

Nā, kia tirohia tātou he aha ngā mahi a ngā whatukuhu me ngā repe adrenal, e tiakina ana e te Gerota's fascia, ki tō tātou tinana. He rite ngā whatukuhu ki te tātari o tō tātou tinana.

• Ko te mea nui ko te tātari i ō tātou toto. Mā te tātari , ka wehea ngā para kāore e hiahiatia ana e te tinana, pērā i ngā para, me te wai tāpiri i roto i te toto , ā, ka tukuna hei mimi.
• Hei tāpiri, ka whakahaere i ngā taumata wai i roto i tō tātou tinana. Mēnā he nui rawa, he iti rawa rānei te wai, ka puta he raruraru.
• Ka whakahaere i te nui o ngā matū me ngā kohuke i roto i tō tātou tinana. Ka āwhina hoki ki te pupuri i te taurite o ngā mea pēnei i te konutai me te pāhare pāporo.
• Ka āwhina hoki ngā whatukuhu ki te whakahaere i te toto toto tiketike .
• Te nui rawa o ngā wai i roto i te tinanaKo rātou te hunga kei reira hei tango atu.

Ko ngā repe adrenal he repe iti e rua kei runga ake i ngā whatukuhu, he mahi motuhake tā rātou. Ka whakaputahia e rātou ētahi momo homoni he mea tino nui ki tō tātou tinana. Ka whakahaere ēnei homoni i ngā mea e whai ake nei:

• Tō mātou toto totoka .
• Ko tō tātou pūnaha ārai mate te pūnaha e tiaki ana i a tātou i ngā mate.
• Ko te pākia o te tinana te tukanga e huri ai te kai e kainga ana e tātou hei pūngao.
• Te āhua o tā tātou whakatau i te ahotea . Mā ēnei homoni tātou e whakarite mō ngā āhuatanga ohorere.

Titiro mai, te hiranga o ēnei okana e rua. Nō reira, he rite tonu te hiranga o te Gerota fascia e tiaki ana i a rāua.

Kei hea te tūnga o te uaua o Gerota?

Āe, kei te whakaaro pea koe kei hea tonu tēnei kiko Gerota i roto i tō tātou tinana. E ai ki taku kōrero i mua ake nei, e karapoti ana i ō tātou whatukuhu me ngā repe adrenal. Hei whakamārama, kei te taha muri o te kōhao o tō tātou puku . Mā tēnei kiko e wehe ngā whatukuhu me ngā repe adrenal mai i ēnei uaua toto nui:

• Tō tātou Aorta Puku . Koinei te uaua toto matua e rere ana mai i tō tātou uma ki tō tātou puku.
• Te Vena Cava o raro . Koinei te uaua nui e kawe ana i te toto poke mai i te puku me ngā waewae ki te ngākau.
• Ā, ko ngā uaua me ngā uaua whatukuhu , arā, ko ngā uaua e kawe ana i te toto ki ngā whatukuhu, mai i reira hoki.

He aha te āhua o te uaua o Gerota?

He mea hanga tēnei kiko Gerota mai i te kiko honohono . Hei whakamārama, kei roto i te nuinga o te wā he momo pūmua e kiia nei ko te collagen . He tino angiangi tēnei kiko, engari he tino kaha hoki. Pērā i te papanga hiraka, he angiangi engari kāore e haehae wawe. E toru ngā taha o tēnei kiko Gerota e honoa ana tetahi ki tetahi huri noa i ō tātou whatukuhu, he rite ki te mea kua whakapirihia:

• Kei mua: Ka hanumi te Gerota fascia i mua i te whatukuhu kotahi ki te Gerota fascia i mua i te whatukuhu kē atu.
• Muri: Kei muri i ngā whatukuhu, ka hono tēnei fascia ki tētahi uaua e hipoki ana i waenganui i tō tātou tuaiwi me tō tātou papa, arā, ko te Psoas Fascia .
• I runga ake (Hiranga):I te tihi o te whatukuhu, ka honoa te Gerota's fascia me tētahi atu fascia kei muri o te whatukuhu (Posterior Renal Fascia). Kātahi ka wehea kia rua, ka karapoti i ngā repe adrenal.

He aha ngā mate e pā ana ki te fascia o Gerota?

Ae, ka pāngia hoki te fascia o Gerota e ngā mate me ngā āhuatanga maha. Koinei te wā ka puta ai ngā raruraru.

• Ngā Pūkahukahu Repeure: Mena ka puta he pūkahukahu i roto i ngā repeure, ka pā anō hoki ki tēnei fascia i a ia e tipu ana.
• Matepukupuku Tākihi: Ina whanake te matepukupuku tākihi, he mea tino nui te Gerota fascia hei whakatau i tōna taumata . Mena kei roto noa i tēnei fascia te matepukupuku, ka taea te taumata 1, 2, 3 rānei (T3). Heoi, ki te horapa te matepukupuku ki tua atu i tēnei fascia, arā, kua uru ki roto, ka kiia he taumata 4. I taua wā, ka rerekē anō hoki ngā tikanga maimoatanga.
• Ngā Kōhatu Tākihi: I ētahi wā, ka nui haere ngā kōhatu tākihi, arā, he puranga totoka o ngā rauemi, ka tata ki tēnei fascia, ka pana ki reira, ka ngana rānei ki te tika atu mā roto.
• Ngā Pūkahukahu Perinephric: He mate kino rawa atu tēnei. He kohinga pūkahukahu huri noa i te whatukuhu, i roto i te Gerota's fascia. Ka puta pea tēnei i te mate huka , te hāputanga, ētahi āhuatanga rerekē o te ara mimi, ngā mate urutā o te ara mimi (UTI) , ngā mate whatukuhu rānei. Whakaarohia he patunga iti ka pangia i ētahi wā ka kohia he pūkahukahu, he rite anō hoki tēnei ki tēnā, engari kei roto i te tinana.

He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o te fascia a Gerota?

He maha ngā whakamātautau hei āwhina i ngā tākuta ki te whakatau mēnā he raruraru kei te Gerota's fascia, mēnā rānei he hauora.

• Te Whakamātautau Ira-oro o te Whatukuhu: Ka taea e tēnei te tirotiro i ngā whatukuhu me te rohe e karapoti ana. Ka taea e ia te whakaatu whānui mēnā kei te matotoru te fascia, kei te pupū ake rānei te wai.
• Matawai Tomography Rorohiko (CT) me te rerekētanga: He whakamātautau tino taipitopito tēnei. I te nuinga o te wā ka mahia tēnei matawai i muri i te werohanga i tētahi wai motuhake (whakarerekētanga). Mā tēnei ka kitea mārama te Gerota fascia, tōna hanganga, me te mea kua pāngia i tētahi ara.
• Matawai MRI: He whakamātautau anō tēnei e whakarato ana i ngā whakaahua taipitopito, he rite ki te matawai CT. I ētahi wā, ka āwhina i te kite i ngā mea kia mārama ake i te matawai CT.

He pēhea te āwhina a te fascia a Gerota ki te tautuhi i ētahi atu mate?

Ehara i te mea he uhi noa iho te fascia o Gerota. Mā te tirotiro i te āhua o tēnei fascia ka āwhina i ngā tākuta ki te tautuhi me te whakatau i ētahi atu mate e pā ana ki te whatukuhu.

• Matepukupuku Whatukuhu: E ai ki taku kōrero i mua ake nei, i te wā e whakatau ana i te taumata o te matepukupuku whatukuhu, he mea tino nui kia mōhio ki te nui o te pānga o te matepukupuku ki te Gerota fascia. Koinei te huarahi e whiriwhiri ai i ngā kōwhiringa maimoatanga pai rawa atu . Mena kua uru te fascia, kāore pea e ranea te pokanga anake, ā, me whai maimoatanga kē atu.
• Ngā puranga i roto i ō whatukuhu: Ka taea e ngā karapa CT me ngā ultrasound te kite mārama i te fascia o Gerota. Nō reira, mēnā he pukupuku, he puranga rerekē rānei kei roto i te whatukuhu, ka taea te whakatau mā te titiro ki tēnei fascia, pērā i te tata ki tēnei fascia, mēnā kua uru ki roto, mēnā rānei kua horapa ki tua atu. Ka taea hoki e tēnei te hoatu whakaaro ki a koe mō te āhua o te pukupuku.

He aha ētahi mea ngāwari ka taea e tātou te mahi hei pupuri i te hauora o te fascia o Gerota?

Kua mārama koe ināianei ki te hononga tata o te Gerota's fascia ki te hauora o ō tātou whatukuhu. Nō reira, hei whakaiti i te mōrearea o ngā raruraru ki tēnei fascia, me mahi tātou i ngā mea e mahia ana e tātou hei pupuri i te hauora o ō tātou whatukuhu. Tirohia ēnei mea ngāwari:

• Inumia he nui te wai. He tino pai te inu i te iti rawa 2-3 rita wai i te rā mō ngā whatukuhu.
• Mā te whakakorikori tinana i ia wā, i ia wā, ka tiakina tātou mai i ngā mate maha.
• Mena he mate huka koe, he mea tino nui kia whakahaeretia te taumata huka/huka i roto i tō toto .
• Whakawhāitihia te whakamahinga auau o ngā rongoā anti-inflammatory kore-steroidal (NSAID) me te kore tohutohu hauora. Ka taea e ētahi rongoā whakamamae te kino i ngā whatukuhu mēnā ka tangohia tonutia.
• Kia mau tonu te taumaha tinana. Kāore hoki te taumaha rawa i te pai mō ngā whatukuhu.
• Ki te kaipaipa koe, kati. Kaua rānei e tīmata. Ehara i te mea he kino te kaipaipa mō ō whatukuhu anake, engari mō tō tinana katoa.
• Whakaitihia te nui o te tote e tāpirihia ana e koe ki tāu kai. Ka taea e te nui o te tote te whakanui ake i te toto toto me te pā ki ngā whatukuhu.
• Me haere ki ngā tirotiro ā-tau kia taea ai te tautuhi wawe i ngā raruraru.

Hei whakamutunga, ētahi mea hei maumahara

Nō reira, ko te Gerota's Fascia he pūtu kiko honohono i hangaia ki te collagen e karapoti ana i ō tātou whatukuhu me ngā repe adrenal. Ko tēnei, me tētahi atu fascia , ko te Zuckerkandl's Fascia, kei muri o ngā whatukuhu, e karapoti pai ana i ō tātou whatukuhu, e wehe ana i a rātou mai i ētahi atu okana. Koinei te mea e āhei ai ngā whatukuhu ki te mahi tika i tā rātou mahi matua o te tātari toto me te tango i ngā para.

Kia maumahara, ka pāngia te fascia a Gerota e ngā āhuatanga pēnei i te mate pukupuku tākihi me ngā whewhe perinephric.

Ka whakamahia e ngā tākuta ngā karapa CT me ngā ultrasound hei tirotiro i tēnei fascia, ka taea te āwhina ki te kite i ngā kōhatu tākihi me ngā pukupuku, me te āwhina ki te whakatau i te taumata o te mate pukupuku. Ko te mea nui, mā te mahi i ētahi whakarerekētanga ngāwari o te noho , pērā i te inu wai nui, te whakakori tinana, te kai i tētahi kai hauora, me te karo i te momi hikareti, ka taea e koe te pupuri i tō Gerota fascia kia ora, me ō tākihi hoki. Nō reira, ko taku tumanako ka whai hua ēnei mōhiohio ki a koe. Ki te hiahia koe ki te mōhio atu mō tēnei, whakamōhio mai ki ahau, ā, ka taea e tāua te kōrero mō tēnei!