E mōhio ana tātou katoa ki te hiranga o ngā whatukuhu e rua i roto i tō tātou tinana. He rite tā rātou mahi ki te tātari, e horoi ana i ō tātou toto, e tango ana hoki i ngā para hei mimi. Engari i mōhio koe he uhi motuhake kei roto i tō tātou tinana hei tiaki i ēnei whatukuhu utu nui? Koinei te mea e kiia nei e tātou ko te Gerota's fascia i roto i te rongoā. Me kōrero tātou mō tēnei me ētahi atu taipitopito, me te tino māmā noa iho.
He aha te kiko o te uaua o Gerota?
Ko te Gerota's fascia he paparanga kiko honohono angiangi engari he kaha e karapoti ana i ō tātou whatukuhu me ngā repe adrenal i runga ake i a rātou. He rite ki te urunga. I roto i tēnei urunga, kei te tiakina ō tātou whatukuhu, ngā repe adrenal, me te paparanga ngako tūturu (ngako perinephric) e karapoti ana i a rātou.
Ko te mahi matua o tēnei hipoki he wehe i ngā whatukuhu me ngā repe adrenal mai i ngā whekau kē atu o te puku, pērā i tētahi kete motuhake. Mā tēnei ka taea e ngā whatukuhu te mahi tika i ā rātou mahi me te kore he raruraru.
He aha ngā mahi a ngā okana i roto i tēnei uhi?
Ko ngā whatukuhu me ngā repe adrenal, kei roto i te Gerota's fascia, he wāhanga nui e rua o tō tātou tinana. Kia kite tātou he aha te mea ka pa ki a rātou.
| Ōkana | Ngā mahi matua |
|---|---|
| Ngā whatukuhu |
|
| Ngā Repe Adrenal |
Kei hea tēnei kei reira? Nō te aha i hangaia ai?
Ko te Gerota's fascia e karapoti ana i ō tātou whatukuhu me ngā repe adrenal. Mā tēnei ka wehea ngā whatukuhu mai i ngā uaua toto nui o tō tātou tinana. Ko te tikanga tēnei:
- Mai i te uaua nui ('Aorta puku') e rere ana mai i tō tātou diaphragm ki tō tātou pelvis.
- Ko te uaua cava o raro, e kawe ana i te toto mai i te puku me ngā waewae ki te ngākau.
- Mai i ngā uaua me ngā uaua e hono ana ki ngā whatukuhu ('Ngā uaua me ngā uaua tākihi').
He mea hanga tēnei hipoki ki tētahi kiko honohono e kiia nei ko te collagen. Ahakoa he tino angiangi, he kaha ake i tō whakaaro. E hono ana tēnei hipoki ki ētahi atu kiko i ngā taha e toru e karapoti ana i te whatukuhu.
- Kei mua: Ka hanumi te fascia Gerota i mua i te whatukuhu kotahi ki te fascia Gerota i mua i te whatukuhu kē atu.
- Muri: Kei muri i ngā whatukuhu, ka hono tēnei fascia ki tētahi fascia uaua (te psoas fascia) i waenganui i te tuaiwi me te hope.
- Teitei: I te tihi o te whatukuhu, ka honoa tēnei kiriuhi ki tētahi atu kiriuhi kei muri o te whatukuhu, kātahi ka wehea kia rua ngā wāhanga hei karapoti i te repe adrenal.
He aha ngā āhuatanga ka pā ki te fascia o Gerota?
He maha ngā āhuatanga hauora ka pā ki tēnei parepare. Koia te take ka āta tirotirohia ai tēnei parepare e ngā tākuta.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Ngā pukupuku adrenal | Ngā tipu i runga i ngā repe adrenal. |
| Matepukupuku whatukuhu | Mena kei roto te mate pukupuku i tēnei paparanga, ka kiia he wāhanga 1, 2, 3 rānei. Mena kua horapa te mate pukupuku ki tua atu i tēnei paparanga, ka kiia he wāhanga 4. Nō reira, he mea tino nui tēnei paparanga hei ine i te kaha o te mate pukupuku. |
| Ngā kōhatu whatukuhu | Ngā pūtu matotoru e puta mai ana i roto i ngā whatukuhu. I ētahi wā ka pā pea ēnei ki tēnei arai. |
| Ngā whewhe perinephric | Te hanganga o ngā kiore kī tonu i te pūkahukahu i roto i te fascia o Gerota. Ka puta pea ēnei i ngā āhuatanga pēnei i te mate huka, te haputanga, ngā mate mimi (UTI), ngā mate tākihi rānei. |
Me pēhea taku tirotiro i te hauora o tēnei uhi?
Mena kei te hiahia tō tākuta ki te mōhio mō te āhua o te uaua o Gerota, ka tonoa pea e rātou ngā whakamātautau e whai ake nei:
- Matawai ultrasound whatukuhu.
- Ka whakahaerehia he matawai tomography rorohiko (CT) mā te whakamahi i tētahi tae (whakarerekētanga).
- Matawai whakaahua aukume (MRI).
He āwhina nui ēnei matawai ki ngā tākuta, ehara i te mea mō te whakatau i te āhua o te kiko o Gerota, engari mō te whakatau hoki i te wāhanga o te mate pukupuku tākihi, mō te whakatau tika rānei mēnā he pukupuku kei roto i te tākihi, me te mea kua horapa ki tēnei hipoki.
Ngā mea ka taea e tātou te mahi hei pupuri i te hauora o te fascia me ngā whatukuhu o Gerota
Kāore te fascia o Gerota e pāngia e te mate. Heoi, ka pā pea te mate tākihi ki tēnei hipoki. Nō reira, he mea pai kia ora tonu ō tātou tākihi. Hei mahi i tēnei, tāpirihia ēnei mea ngāwari ki tō oranga.
- Inumia he nui te wai: Mā te inu i te nui o te wai e hiahiatia ana i te roanga o te rā ka āwhina i ngā whatukuhu ki te mahi tika.
- Whakakorikori tinana i ngā wā katoa: He tino pai te noho ora o te tinana mō te hauora whānui.
- Kia mau ki te taumaha hauora: Ka nui ake te taumahatanga o te momona ki ngā whatukuhu.
- Whakaitihia te tote: Ka taea e te tote te whakanui ake i te toto toto me te kino i ngā whatukuhu.
- Kaua e kai paipa: Ki te mea he kai paipa koe, ngana ki te whakamutu i te wā e taea ai. Ka whakaitihia te rere o te toto ki ngā whatukuhu.
- Kia tūpato ki ngā rongoā whakamamae mamae: Ka pā kino pea ki ngā whatukuhu te whakamahinga roa o ētahi rongoā whakamamae mamae (ngā rongoā anti-mumura kore-steroidal). Kaua e whakamahi tonu i ēnei me te kore e kōrero ki tō tākuta.
- Mena he mate huka koe: Whakahaerehia pai te taumata o te huka i roto i tō toto.
- Me whai tirotiro hauora ā-tau:Ka taea e koe te kite wawe i ngā mate mā te toro atu ki tō tākuta me te tirotiro i a koe anō i ia wā.
Karere Tangohia ki te Kāinga
- Ko te Gerota's fascia he uhi tiaki e karapoti ana i ō tātou whatukuhu me ngā repe adrenal.
- Mā tēnei hipoki ka taea te wehe i ngā whatukuhu mai i ētahi atu okana, kia tika ai hoki te mahi a ēnei okana.
- He mea tino nui tēnei kapinga hei whakatau i te kaha (te wāhanga) o te mate pukupuku whatukuhu.
- Ka pā anō hoki ngā āhuatanga pēnei i ngā mate tākihi me ngā whewhe ki tēnei kapinga.
- Ko te pupuri i te hauora o ō tātou whatukuhu te huarahi pai rawa atu hei pupuri i te hauora o te uaua o Gerota. Mō tēnā, he mea tino nui te whai i tētahi momo noho hauora.
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