Kia ako tātou i ētahi atu kōrero mō tēnei uaua nui (Superior Mesenteric Vein) i roto i tō puku.

Kia ora! Kei te pēhea koe? I tēnei rā ka kōrero tātou mō tētahi uaua toto i roto i tō tātou tinana, inā koa i roto i tō tātou puku, kāore e tino kōrerohia ana i roto i ō tātou oranga o ia rā, engari he mahi tino nui, tino hira tana. Ko te ingoa o tēnei ko te "Superior Mesenteric Vein". Kaua e manukanuka mēnā he ahua pūtaiao te ingoa. Ka whakamāramahia e au ki a koe he tino māmā noa iho, i roto i tō tātou ake reo. Pērā i tāu whakamārama ki tētahi hoa.

He aha tēnei uaua mesenteric superior (SMV)? He aha tāna mahi tūturu?

Ki te whakarapopototanga, ko tō uaua mesenteric superior he oko toto nui e tango ana i te toto mai i ō whekau, ā, e āwhina ana ki te kawe i te toto ki tō ate. Whakaarohia he ara nui i roto i tō tinana. Koinei te wāhi e haere ai ngā matūkai e mimitihia ana e tātou mai i te kai e kainga ana e tātou, e inuhia ana hoki ki te ate.

He wāhanga tino nui tēnei uaua o te "Pūnaha Tomokanga Hepatic" i roto i tō tātou tinana, arā, te pūnaha o ngā uaua e kawe ana i te toto ki te ate. Nā te mea, ko tēnei "Uaua Mesenteric Superior" e kohi ana i te toto mai i te puranga o ētahi atu uaua iti. He rite ki ngā manga iti e hono ana ki tētahi awa nui. Nō reira, he nui te toto e puta mai ana i ngā whekau i roto i tō puku ka haere ki te ate mā tēnei uaua. Ka āwhina tēnei i te nekehanga o te toto puta noa i tō tātou tinana, arā, te tohanga toto.

Tērā pea kei te whakaaro koe, he aha te mea ka tupu mēnā ka puta he toto totoka i roto i tēnei uaua, mēnā rānei he aukati i te rere o te toto? Ae, mēnā ka tupu tēnā, ka puta pea ngā raruraru nui . Koia te mea nui kia mōhio ki tēnei (SMV) me te pupuri i tōna hauora.

Nā, he aha ngā peka e tuku toto ana ki te SMV? Arā, mai i ēhea okana ka kohia te toto e te SMV?

Whakaarohia tēnei `(Superior Mesenteric Vein)` hei peka nui o te rākau. He iti ake ngā peka o taua peka, e kiia nei ko ngā uaua peka, e piri ana ki a ia. Ka kohia e ēnei uaua iti te toto mai i ngā whekau e karapoti ana, ka haria ki te `(SMV)` nui ake. Nō reira, ko tēnei `(SMV)`, me ngā uaua iti e piri ana ki a ia, ka kohia te toto mai i ngā whekau e whai ake nei:

• Tō whekau iti (te wāhi matua e nakunakuhia ai te kai e kainga ana e tātou, e mimitihia ai hoki ngā matūkai ki roto i te tinana)
• Tō whekau nui (te wāhi e mimitihia ai te wai mai i ngā toenga kai kua kerihia, ā, ka hangaia he paru)
• Tō puku (te wāhi e tīmata ai te tukanga nakunaku)
• Tō repe taiaki (koinei te mea e whakaputa ana i ngā homoni pēnei i te insulin me ngā whākōkī hei āwhina i te nakunaku kai)
• Tō apenitā (he wāhanga tēnei o te whekau iti)

Ko te toto e kohia ana mai i ēnei whekau katoa ka haria tika mai i te Uea Mesenteric Superior ki tētahi atu uaua nui e kiia nei ko te Uea Portal , te uaua matua o tō ate .

Kia maumahara ki te tauira peka i kōrerotia e au i mua. Mena he peka te SMV o tētahi rākau, ko te uaua matua o te ate, te Uira Pouaka, he rite ki te pūtake o taua rākau. Ka tomo tēnei pūtake, te Uira Pouaka, ki te ate mā tētahi wāhi e kiia nei ko te Hilum Ate. Kātahi, ka haere te toto i roto i te Uira Pouaka ki te ate, ki reira ka tātarihia te toto e te ate, ka purea, ka tukatuka i ngā matūkai e tika ana . Kātahi, ka tukuna te toto ki ngā uaua e anga atu ana ki te ngākau. Mai i reira, ka haere ki te ngākau, ki ngā pukahukahu, ka tohatoha puta noa i te tinana. He tikanga tino whakamiharo tēnei?

Kei hea rawa te tūnga o tēnei uaua mesenteric superior (SMV) i roto i tō tātou tinana?

Kei roto i tō puku tō "Superior Mesenteric Vein". Ko te puku te wāhi nui i raro i tō uma, i runga ake hoki i tō papa. Kei roto i tēnei puku ngā whekau me ngā kiko nui o roto i tō tātou puku.

Ka tīmata tēnei `(SMV)` i te taha o tō puku, i roto i te kiriuhi `(mesentery)` e hono ana i tō whekau iti. (Ko tēnei `(mesentery)` he kiriuhi e āwhina ana ki te pupuri i ō whekau puku ki te wāhi kotahi me te kore e neke haere.) Mai i reira, ka toro atu tēnei `(SMV)` ki runga, tae noa ki te vertebra `(L1 Vertebra)` (he wheua i roto i tō tuaiwi) kei te tihi o tō tuaiwi. I reira, ka hono atu tēnei uaua ki te `(splenic vein)` hei hanga i te `(portal vein)` i whakahuatia ake nei.

He aha te āhua o te haerenga a te SMV? Ka haere takitahi rānei?

Kei te taha matau o te Upoko Mesenteric Artery te rere o tō Uaua Mesenteric o Runga, e rere whakarara ana ki a ia. Ka haria e tēnei uaua te toto ma, he nui te hāora ki ō whekau. I taua wā, ka haria e te SMV te toto kāore i te nui te hāora (engari he nui ngā matūkai) mai i ō whekau ki tō ate. He maha ngā uaua me ngā uaua o roto i ō tātou tinana e rere tahi ana i tēnei ara. Whakaarohia he rite ki ngā motuka e haere ana i tētahi taha o te rori, ko ngā motuka i tērā taha o te rori e haere ana i tērā taha.

Heoi, i ētahi wā, engari he onge, ka taea e te SMV o te tangata te haere ki te taha maui o te Superior Mesenteric Artery. He maha ngā wā ka puta tēnei i roto i ngā pēpi i whānau mai me te kore hurihuri o ngā whekau. Ka taea hoki te puta ina puta he pukupuku i roto i te puku, ka pēhi i ngā uaua e karapoti ana.

He aha te mea hanga o te uaua mesenteric superior (SMV)?

Pērā i ētahi atu uaua o roto i tō tātou tinana, e toru ngā paparanga matua o ngā pakitara o tō SMV:

• Ko te paparanga o waho rawa `(Tunica Adventitia)`: Koinei te mea e hanga ana i te āhua o te uaua. He rite ki te hipoki tiaki mō te uaua.
• Te paparanga o waenganui (Tunica Media): Kei roto i tēnei ngā pūtau uaua maeneene. Mā ēnei pūtau ka whānui, ka whaiti hoki ngā uaua i te rere o te toto, me te mea nei kei te urutau ki te pēhanga o te toto.
• Te paparanga o roto rawaTunica Intima: He arai angiangi tēnei i hangaia mai i ngā pūtau motuhake e kiia nei ko ngā Pūtau Endothelial. Koinei te mea e āwhina ana i te rere o te toto kia maeneene, kia kore hoki he aukati.

Whakaarohia he rite ki te paipa wai. He anga kei waho o taua paipa, he wāhanga pakari kei waenganui, ā, he paparanga maeneene kei roto kia ngāwari ai te haere o te wai, tika? Koinei te āhua o ēnei uaua.

He aha ngā āhuatanga hauora ka pā ki te SMV? He mea nui kia mōhio ki ēnei?

Ae, he mea nui rawa atu. Nā te mea, ko ētahi o ngā āhuatanga e pā ana ki te `(SMV)` he āhua kino. Kia mōhio tātou ki ēnei āhuatanga e rua:

1. Te Thrombosis SMV : Koinei te wā e puta ai he toto totoka i roto i tō uaua mesenteric o runga. Mēnā ka puta ohorere, e kiia nei ko te thrombosis acute, ko te tohu matua ko te mamae puku ohorere, nui . Heoi, i roto i ētahi tāngata, ka taea te puta i roto i ngā rā, i ngā wiki rānei. I roto i ēnei tāngata, ka puta mai, ka ngaro atu te mamae, kāore rānei he tohu o te mamae. Ko te wawe o te maimoatanga mō tēnei mate, ka nui ake te tūponotanga o te ora. Nō reira, ki te pāngia koe e te mamae puku ohorere, nui, me rapu tohutohu hauora koe.

2. Te Toto Toto i te Pūnaha : He pikinga tēnei o te toto i roto i te pūnaha uaua pūnaha e kawe ana i te toto ki te ate. Ko ngā tino take o tēnei ko ngā mate pēnei i te cirrhosis o te ate me ngā toto totoka. Ka taea e te Toto Toto te whakararu i te ora, pēnei i te toto o roto. Ko te maimoatanga mō tēnei mate ko te whakahaere i ngā raruraru, ā, i ētahi wā, mā te huri i te rere o te toto hei whakaiti i te pēhanga i roto i ngā uaua.

Ahakoa he mea tino whakamere te ako mō te hanganga o tō tātou tinana, arā, te `(Anatomy)`, i ētahi wā ka uaua ki a koe te mārama ki ēnei kupu me ngā ariā. He mea noa tēnā. Kaua e whakaaro me ako katoa i te wā kotahi. Ina koa mēnā kei te tirotirohia e koe ēnei mea nā te mea he mate hauora koe, kia mahara kei reira tō tākuta hei āwhina i a koe. Pātai atu anō mēnā kāore koe e mārama ki tetahi mea, ā, tuhia ngā kōrero nui. Ko te nui ake o tō mōhio ki ngā mea e tupu ana i roto i tō tinana, ko te māmā ake ki a koe te kōrero ki tō tākuta mō tō mate me ngā mea hei tumanako atu ā muri ake nei.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i roto i ngā kōrero o te rā nei?

Āe, ko tāku tumanako kua mārama pai koe ki te "Superior Mesenteric Vein" i kōrerohia e tātou. Anei ētahi mea hei maumahara poto:

• He uaua tino nui te SMV: ka haria e ia te toto whai matūkai mai i ō whekau ki te ate. He mea nui mō te mahi hauora o tā tātou pūnaha nakunaku me te ate.
• Ka taea e ngā raruraru o te SMV te kino:Ka puta pea ngā raruraru nui nā ngā āhuatanga pēnei i te toto totoka (SMV Thrombosis) te pikinga rānei o te pēhanga i roto i te pūnaha uaua e arahi ana ki te ate (Portal Hypertension).
• Kia tūpato ki ngā tohu: Ki te pāngia koe e te mamae puku ohorere, nui, me rapu tohutohu hauora tonu rānei. Mā te maimoatanga tere ka puta he hua tino pai.
• Kōrero ki tō tākuta: Mēnā he pātai, he āwangawanga rānei āu, kaua e wehi ki te pātai ki tō tākuta. Kei reira rātou hei āwhina i a koe.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Uaua mesenteric teitei, SMV, ngā oko toto whekau, te toto ate, te pūnaha tomokanga, te toto toto SMV, te toto toto tiketike