E mōhio ana koe ki tēnei okana 'hou' i roto i tō puku? Me kōrero tāua mō te mesentery!

Kua whakaaro koe mēnā he mea motuhake kei roto i tō tātou puku e āwhina ana ki te pupuri i ngā okana katoa o tō tātou pūnaha nakunaku kia whakarite me te hono? Tae noa ki ēnei wā tata nei, kāore i te tino kitea e ngā tākuta he mea kotahi. Engari ināianei kua kitea e rātou ko te mesentery te ingoa, ā, he okana nui hoki i roto i tō tātou tinana!

Nā, he aha tēnei mesentery?

Āe, he aha te mesentery? He māmā noa iho, ko te mesentery he okana kei roto i tō puku e tautoko ana, e hono tika ana hoki ki ngā okana katoa o tō pūnaha nakunaku.

Ko te mea rerekē, nō nā tata nei te whakarōpūtanga o te mesentery hei 'ōkana'. Mō ngā tau maha, kua kīia e ngā pukapuka hauora ehara i te mea kotahi te mesentery, engari he 'ngā mesentery maha'. I taua wā, i whakaarohia ēnei e te hunga hauora he maha ngā kiko peritoneal e hono ana i ō whekau ki te pakitara o te puku. Ko te peritoneum he kiriuhi e whakarārangi ana i tō kōhao puku me ngā whekau i roto i tō puku.

Engari i te tau 2016, i whakamātauhia e ngā kairangahau ko Coffey me ētahi atu, e tutuki ana i te mesentery ngā whakaritenga katoa hei okana. He aha te okana? Arā, he kohinga kiko e hanga ana i tētahi wāhanga tinana e mahi ana i tētahi mahi nui. Nō reira, ko te mesentery he okana kotahi, he okana tonu e tautoko ana i ō whekau. He okana motuhake anō hoki e whāngai ana i ngā okana puku o tō pūnaha nakunaku, ā, e āwhina ana i a rātou kia mahi tika. Kei te haere tonu te rangahau mō te mahi a tēnei mesentery me tōna hononga ki ngā mate o te pūnaha nakunaku.

Kia tirohia te hītori o te mesentery.

Āe, kei te whakaaro pea koe, mēnā he kitenga hou tēnei, me pēhea i mawhiti ai i tēnei mō te wā roa? Ko te mea miharo, ko tēnei kitenga 'hou' ko te mesentery he hanganga kotahi, he tonu, ehara i te mea hou! Whakaarohia, ahakoa i ngā tau 1500, i tuhia e ngā kaipūtaiao pērā i a Eustachius rāua ko Leonardo da Vinci te mesentery hei hanganga puku kotahi, he tonu i roto i ā rāua tuhi. Engari, nō muri mai ko ngā tāngata pērā i a Henry Gray – kua rongo pea koe i te pukapuka hauora rongonui "Gray's Anatomy" – i whakatairanga i te whakaaro he 'maha ngā mesentery'.

Nō reira, i whakamārama taua rangahau o te tau 2016 he hē te whakaaro mō ngā 'mesentery maha'. Inaa, he rite tēnei rangahau ki te tirotiro anō i tētahi mea i whakaarohia e ngā kaipūtaiao i neke atu i te 500 tau ki muri.

Ka aha te mesentery? He aha tōna hiranga ki tō tātou tinana?

Āe, he aha rawa te mahi a tēnei mesentery i roto i ō tātou tinana? Kei te rapu tonu ngā kaipūtaiao i tēnei. Engari mai i tā tātou e mōhio ana tae noa mai ki tēnei wā, he tautoko hanganga mō ō tātou whekau. Ka whāngai hoki i ō tātou okana, ā, he pūnaha tohu e āwhina ana i te pūnaha nakunaku kia mahi tika.

Āwhina ki te pupuri i ngā whekau puku kia haumaru, kia noho hoki ki ō rātou wāhi tika

Ko tō mesentery te mea e pupuri ana i ētahi wāhanga o ō whekau ki te pakitara o tō puku. Ka āwhina hoki ki te pupuri i ētahi atu wāhanga o ō whekau kia iri i roto i te wāhi toru-ahu (3D) i roto i tō kōhao puku. Whakaarohia, ki te kore tēnei tautoko mai i te mesentery, ka hinga pea ō whekau ki roto i tō puku. Ki te kore rānei, mehemea ka piri katoa ngā wāhanga ki te pakitara o te puku, kāore he wāhi mō ngā whekau ki te whakawhāiti (sankochanya venna) hei neke i te kai i te ara. Ki te tupu tēnā, ka raru pea rātou, ka puta he raruraru morearea ki te ora.

Ahakoa kāore anō kia mārama, e whakapono ana ngā kaipūtaiao ko tēnei hanganga o te mesentery he āhuatanga whanaketanga pea i āhei ai te tangata ki te hikoi tika. Nā te mea he rerekē te hanganga o te mesentery i roto i ngā tāngata waewae rua me ngā primates i tērā o ngā kararehe waewae whā.

Āwhina i ngā okana o te pūnaha nakunaku i roto i te puku kia whanake me te mahi tika

I te wā o te kōpū, ka whanake te mesentery i mua i te whanaketanga o ngā whekau nakunaku kē atu. Ka whanake katoa ō whekau puku, pērā i tō ate, tō whēkau, tō repe taiaki, me ō whekau, i roto i te mesentery. Ka piri tonu ēnei whekau ki te mesentery ahakoa kua whānau. Kei roto i te mesentery ngā hanganga e tautoko ana, e whāngai ana hoki i ēnei whekau puta noa i te oranga.

Ka mahi ngā okana takitahi hei pūnaha, he rite ki te pūnaha tohu.

Ehara i te mea ko ngā whekau nakunaku o roto i tō puku e hono ana ki te mesentery anake. E hono ana hoki rātou tetahi ki tetahi mā roto i ngā io noa, ngā oko toto, me ngā kōpū lymph kei roto i te mesentery. He aha ngā kōpū lymph? He repe ēnei e tātari ana i ngā matū puta noa i te tinana. Ko ngā tohu e haere ana i roto i tēnei rauemi noa, koinei te mea e āhei ai ngā whekau takitahi o roto i tō pūnaha nakunaku ki te mahi tahi. Arā, ka āwhina te mesentery i tō pūnaha nakunaku ki te mahi tahi me ngā pūnaha katoa o roto i tō tinana.

Hei tauira, ka hopukina e ngā pona lymph i roto i te mesentery ngā iroriki pērā i ngā huaketo me ngā huakita mai i ō whekau. He wāhanga ēnei o tō pūnaha ārai mate e whawhai ana ki ēnei whakaeke.

Ehara i te mea koinā anake, ka puta mai hoki i te mesentery tētahi matū e kiia nei ko te 'C-reactive protein (CRP) .' Ko te ate te tangata e whakaputa ana i tēnei matū. Ka āwhina te 'CRP' ki te whakahaere i te mumura, arā, te tukanga whakaora a te tinana hei whakautu ki te whara, ki te mate rānei.

Kei hea te mesentery?

Āe, kei hea rawa tēnei mesentery i roto i tō tātou puku? Ka tīmata te mesentery i te tuara o tō kōhao puku, i tō uaua mesenteric o runga.Kei hea. Mā tēnei uaua e tuku toto ki tō repeure me ō whekau. Kei waenganui o te puku tēnei uaua me te mesentery, e tata ana ki te tuaiwi tuatahi o tō tuara o raro. Ka tīmata te mesentery i waenganui o te puku, ka miro iho i ō whekau tae noa ki tō pūkahukahu.

He aha te hanganga (āhua) o te mesentery?

He ahua uaua te hanganga o te mesentery. Ahakoa he okana kotahi, he okana tonu, ka hono i ō whekau ki muri o te pakitara o tō puku mā roto i ngā wāhanga rerekē. Ko ētahi atu wāhanga o te mesentery kāore e hono ana ki te pakitara o tō puku, engari e hono tika ana ki ngā okana. Mā tēnei ka taea e ngā okana te neke haere i roto i te kōhao puku, me te pupuri tonu i a rātou kia tiakina. Ko ngā piko, ngā takahuri, me ngā hononga maha o te mesentery e pupuri ana i ō whekau kia iri haumaru i roto i te wāhi toru-ahu (3D) i roto i tō kōhao puku.

Hei whakangāwari ake i te mārama ki te hanganga o te mesentery, ka taea e koe te whakaaro he mea hono ki ō whekau puku me te pakitara puku o muri:

• Te pūhā o te whekau iti: Ka tīmata te pūhā i te 'waenganui o te whekau' ka hono atu ki tō whekau iti.
• Te korokoro matau: Ka rere te korokoro mai i te whekau iti ki te taha matau o te whekau nui (koroni). Ko tēnei wāhanga o te korokoro te mea e pupuri ana i te taha matau o te whekau nui ki muri o te pakitara puku.
• Te mesocolon whakawhiti: Ka rere te mesentery i te taha o tō koroni whakawhiti. Koinei te wāhanga e rere whakapae ana puta noa i tō puku.
• Mesocolon maui: Ka hono te mesentery ki te taha maui o te whekau nui. Pērā i te mesocolon matau, ka honoa hoki e te mesocolon maui te taha maui o te whekau nui ki muri o te pakitara puku.
• Mesosigmoid: Ka hono te mesentery i tētahi wāhanga o tō koroni sigmoid ki te tuara o tō pakitara puku. Ko te koroni sigmoid te wāhanga o tō whekau nui e tata ana ki te rectum.
• Mesorectum: Ka hono te wāhanga o raro o te mesentery ki tō rectum.

Mō ngā tau maha, ko te 'papatipu o te mesentery' e karapoti ana i ngā whekau anake i kōrerohia i roto i ngā pukapuka hauora. Kāore i kōrerohia te mesentery i te taha matau me te taha maui (te mesocolon matau me te taha maui). Engari inaianei kua mōhio tātou kei roto anō hoki ngā mesentery i ēnei wāhi.

Nā tēnei māramatanga hou mō te hanganga o te mesentery kua whakamāramahia te whanaketanga o ngā whekau mai i te mesentery. Tērā pea ka pā ki ngā tikanga pokanga.

Kia pēhea te rahi o te mesentery?

He nui ake i tō whakaaro! Ko te mesentery o te pakeke, ina totorohia, kāore e pirihia ki waenga i ngā whekau, e ono putu te roa. He mea whakamiharo, kāore?

He aha te mea i hangaia ai te mesentery?

Ko te mesentery te mea nui i hangaia mai i te kiko ngako.Mai i te ngako tinana. Koinei te ngako e kōrerohia ana e te nuinga o te tangata ina kī ana rātou he 'puku pia', he 'puku' rānei tō rātou. Waihoki, he kiko honohono kei te mesentery e āwhina ana ki te pupuri i tēnei ngako ki tōna tūranga. Kei roto i tēnei he paparanga tiaki o ngā pūtau e kiia nei ko te mesothelium . Ka piri te mesentery ki te pakitara o tō puku e te kiko honohono e kiia nei ko te fascia a Toldt .

Ehara i te mea koinā anake, he maha anō hoki ngā kōpū lymph i roto i te mesentery e whai wāhi nui ana ki te kimi me te whawhai ki ngā iroriki.

He aha ngā mate me ngā āhuatanga e pā ana ki te mesentery?

Ko ētahi o ngā rangahau hou mō te mesentery kua arotahi ki te mate a Crohn . Ko te Crohn's he momo mate mumura o te puku (IBD) , e puta ai te mumura kino i roto i ō whekau. E kī ana ngā rangahau he pānga ētahi matū i roto i te mesentery ki te horapa o te mate. I ngā wā o mua, i whakaarohia ka tīmata te mate a Crohn i roto i ngā whekau, engari tera pea ka tīmata i roto i te mesentery. Me nui ake ngā rangahau kia tino mārama ai ki tēnei.

Ko te nuinga o te ngako o roto i tō puku kei roto i te mesentery . Ina kōrero tātou mō te ngako puku, ko te ngako raro i te kiri te tikanga, kei raro noa i te kiri, ā, ka taea te rongo ki ō maihao. Engari ko te ngako visceral, kei roto i te mesentery, kei roto hohonu ake i te puku. Mēnā he nui rawa te ngako visceral, ka nui ake te tūponotanga o te pāngia e te maha o ngā mate, tae atu ki:

• Mate huka `(Diabetes Mellitus)`
• Te toto toto tiketike (hypertension)
• Momonatanga
• Te mate uaua koronari
• Te mate pāwera
• Whiu

Ko ētahi atu mate me ngā āhuatanga e pā ana ki te mesentery ko:

• Matepukupuku: Ka tīmata pea te matepukupuku i te mesentery. Mēnā rānei, ka pakaru ngā pukupuku matepukupuku i roto i ō whekau nakunaku ka horapa ki te mesentery.
• Ngā Mate Pukupuku: Ka taea e ngā pūnga lymph i roto i te mesentery te kite i ngā iroriki. Ka taea e rātou te tuku i ngā pūtau ārai mate hei whakangaro i a rātou. Engari i ētahi wā, ka taea e ngā iroriki te 'huna' i roto i ngā pūnga lymph i roto i te mesentery. Ki te tupu tēnā, ka puta anō ngā iroriki i muri mai, ā, ka puta he raruraru mena kāore e taea e tō pūnaha ārai mate te kite i a rātou.
• Te mesenteritis sclerosing: Ki te nui rawa te mumura o te mesentery, ka pakaru te kiko, ka whara hoki. Ka taea e tēnei kiko kua pakaru te whakawhāiti, te aukati rānei i ngā oko toto i roto i te mesentery. Ka taea e tēnei te aukati i te rere o te toto, ā, ka hua ake he toto toto e morearea ana ki te ora.
• Te panniculitis mesenteric:He mate mumura anō hoki tēnei o te mesentery, pērā i te sclerosing mesenteritis. Heoi, ahakoa ka kaha haere te sclerosing mesenteritis, he pumau tonu te mesenteric panniculitis, ā, kāore i te tino kino.
• Hernia: Ko te hernia he putanga mai o tētahi okana, o tētahi kiko rānei mā roto i te pakitara o te kōhao kei reira. Ko ngā hernia e pā ana ki te mesentery ka puta mai i tētahi mate whānau, ka puta rānei hei raruraru i muri i te pokanga i ngā okana puku.
• Te Hurihuri Kino: Ka puta te hurihuri kino ina kore e tika te whanaketanga o ngā whekau o te tamaiti, kāore rānei i tika te takai. (Ko te āhua me te tūranga o ō whekau e whakawhirinaki ana ki te whanaketanga o te mesentery.) I muri i te whānautanga o te pēpi, me pokanga rātou hei whakatika i ō rātou whekau me te mesentery kia tika ai te tūranga o ēnei whekau.
• Volvulus: Ka taea e te kore hurihuri te puta o te volvulus. I roto i te volvulus, ka miro rerekē tō whekau iti, tō whekau nui rānei me te mesentery. Ka puta tēnei i te nuinga o te wā ina kore te mesentery e piri tika ki te pakitara o te puku. Ka taea e tēnei miro te aukati i tō whekau iti, tō whekau nui rānei. Ka taea e te aukati te aukati i te rere o te toto ki te whekau. He āhuatanga ohorere tēnei, ā, me tere te rongoā.

I te mea he tata te hononga o te mesentery ki ngā whekau nakunaku katoa i roto i tō puku, ko te mesentery pea te take o tētahi mate e pā ana ki tētahi whekau nakunaku. Kei te haere tonu ngā rangahau hei ako atu mō te tūranga o te mesentery i roto i ngā mate maha o te pūnaha nakunaku.

He aha ngā maimoatanga mō te mesentery?

E whakaatu ana ngā rangahau hou, me whai whakaaro hoki ki te mesentery e karapoti ana i te wā e rongoatia ana ngā whekau puku. Hei tauira, kua whakaatuhia e ētahi rangahau mā te tango i ngā wāhanga o te mesentery ka taea te whakaiti i te horapa o te mate a Crohn. Kua whakaatuhia e ētahi atu rangahau mā te tango i te mesentery e karapoti ana ka taea te whakaiti i te tūponotanga o te hokinga mai o te mate pukupuku koroni.

Tērā pea ka pāngia te huarahi e mahia ai te pokanga puku e tēnei māramatanga hou mō te mesentery. I ngā wā o mua, i mahi ngā taote pokanga i ngā whekau puku mā te hono atu ki tētahi 'pūtake mesentery.' I whakaarohia e rātou he hanganga uaua te mesentery: he pēke, he poka, me te puku. Engari ko tēnei 'tauira mesenteric' hou e wehewehe ana i te puku kia rua ngā wāhanga: te rohe mesenteric me te rohe mesenteric.

Mā te māramatanga ngāwari ki te hanganga o te puku ka taea pea te whakamahi i ngā tikanga pokanga tika ake.

Me aha ahau kia ora tonu ai taku mesentery?

Ko tētahi o ngā mea pai rawa atu ka taea e koe te mahi hei pupuri i te hauora o tō mesentery ko te pupuri i te taumata hauora o te ngako visceral. Mēnā he nui rawa te ngako visceral i roto i te mesentery, ka nui ake te tūponotanga ki te whakawhanake i ngā mate mau tonu pērā i te mate ngakau.

Ka taea e koe te whakaiti i te ngako o roto mā te mahi i ēnei mahi:

• Whakawhāitihia ētahi kai: Kei roto i ēnei ko ngā ngako whakawhiti, te huka (tae atu ki te tirikara kānga), te konutai (tote), me ngā kai tukatuka. Whakawhāitihia ngā mea reka, ngā inu huka, me ngā kai parai kia rite ki te taea. Whakaitihia hoki tō inu waipiro.
• Whakakorikori tinana i ngā wā katoa: Ngāna kia 150 meneti te iti rawa o te whakakorikori tinana kaha-waenga ia wiki.
• Kia nui te moe: Kua whakaatuhia e ngā rangahau ka nui ake te ngako o roto i te tinana mēnā kāore koe e nui te moe pai i ia pō. Ngāna kia moe mō te 8 hāora, neke atu rānei i ia pō.
• Whakahaerehia te ahotea: Ina pāngia koe e te ahotea, ka whakaputahia e tō tinana he homoni e kiia nei ko te cortisol . Mā te nui o te cortisol i roto i te wā ka piki ake te ngako o te puku. Nō reira, ehara i te mea he pai mō tō hauora hinengaro anake te whakahaere i te ahotea, engari mō tō hauora tinana anō hoki.

Hei whakamutunga, he aha ngā mea hei maumahara

Āe, ko te mea nui hei maumahara mā tātou i roto i ngā kōrero kua kōrerohia nei, ahakoa kāore pea i te tino hira ki a tātou ngā whakarōpūtanga pēnei i te 'ōkana' me te 'kiko', engari ki ngā tākuta, ina tae mai ki te mesentery, he tino hira ēnei 'kupu'. Mā tēnei māramatanga hou mō te hanganga o te mesentery, me te ratonga e whakaratohia ana e ia ki tā tātou pūnaha nakunaku, ka taea te whakarerekē i te huarahi e tātaritanga ai ngā kaiwhakarato hauora i ngā mate o te pūnaha nakunaku.

Tērā pea ka huri tēnei mātauranga hou i te huarahi e whakahaerehia ai e rātou te pokanga i tō puku. I a ngā kaipūtaiao e ako ana mō te mesentery, ka huraina mai he mōhiotanga hou mō tōna pānga ki tō hauora. Nō reira, mā te mōhio ki tēnei okana 'hou, tawhito' ka āwhina i a tātou ki te mārama ake ki ō tātou tinana!

` Mesentery, ngā whekau puku, te pūnaha nakunaku, ngā whekau, te whekau hou, te hauora o te puku, ngā mate nakunaku