Kua whakaaroaro hohonu koe mō te ihu pupuhi e puta mai ana i tō ihu ina pāngia koe e te makariri, te huware tonu i roto i tō waha, me ērā atu mea? Ko ēnei ngā wāhanga o tētahi pūnaha parepare whakamiharo i roto i tō tātou tinana. Kei muri i ēnei katoa he kiriuhi tiaki motuhake kei roto i tō tātou tinana. I tēnei rā ka kōrero tātou mō tēnei 'kiriuhi', he 'kiriuhi huware' rānei, kāore anō kia rongohia e te tini o te tangata, engari he mea nui ki tō tātou hauora.
He aha tēnei kiriuhiuhi? Ki te kī ngāwari...
Ko te kiriuhi he ingoa anō mō te kiriuhi. Pērā i te taha waho o tō tātou tinana e kapi katoa ana i te kiri, ko ngā whekau, ngā momo poka, me ngā awaawa i roto i tō tātou tinana (hei tauira, te waha, te ihu, ngā whekau) e kapi ana, e tiakina ana hoki e tēnei kiriuhi e kiia nei ko te kiriuhi. He māmā noa iho, koinei te kiri i roto i tō tātou tinana.
He mea whakamiharo, he nui ake i te 200 ngā wā o te nui o te kiriuhi i roto i tō tātou tinana. Koia te take e taea ai te kī ko ia te ārai tiaki nui rawa atu i roto i tō tātou tinana. Ko tana mahi matua he whakahinuhinu i ō tātou whekau me te tiaki i a rātou mai i ngā matūriki puehu me ngā huakita e tomo mai ana i waho. Hei tāpiri, he mahi nui tā tēnei kiriuhi ki te mimiti i ngā matūkai mai i te kai, inā koa i roto i tō tātou pūnaha nakunaku.
He aha ngā paparanga e hangaia ai tēnei kiriuhi hūpē?
E toru ngā paparanga o tēnei kiriuhi mucosal, ā, he mahi motuhake tā ia paparanga.
1. Epithelium - te paparanga tiaki o waho rawa
Koinei te paparanga o runga o te kiriuhi mucosa. He rite ki te paparanga o waho rawa o tō tātou kiri. Mai i ēnei pūtau epithelial ka tukuna e tātou he matū matotoru, rite ki te tiēre e kiia nei ko te 'huka' te 'huka rānei.' Ka taea e tēnei huka te hopu i ngā mea pēnei i te iroriki me te puehu, ā, ka ārai i a rātou kei uru ki te tinana.
He rerekē ngā āhua o tēnei paparanga pūtau kia rite ki ngā wāhanga rerekē o tō tātou tinana. I ētahi wāhi, kotahi te paparanga pūtau, engari i ētahi atu wāhi, ka kitea ētahi paparanga pūtau. Ko tētahi atu āhuatanga motuhake o ēnei pūtau ko te tere o te wehewehe me te whakahou i a rātou anō. Nō reira, ahakoa ka uru mai ngā mea pēnei i ngā iroriki, ka taea tonu te tango wawe. He iti rawa ngā wāhanga rite ki te huruhuru o ētahi pūtau epithelial e kiia nei ko te 'cilia'. Ko ēnei, e kitea ana i roto i te ihu, ka panaia ngā matūriki puehu me te hūpē ki waho.
2. Lamina propria - te paparanga tautoko o waenganui
Kei raro i te epithelium tēnei paparanga o te kiko honohono e kiia nei ko te lamina propria. He rite ki te tautoko e whakarato ana i ngā mea katoa e hiahiatia ana e te paparanga o runga, e āwhina ana ki te pupuri i a ia ki tōna tūranga. Kei roto i tēnei paparanga ngā oko toto, ngā io, me ngā ngota pūmua e hanga ana i te hanganga . Ka whiwhi te epithelium i tana toto mai i tēnei paparanga. Kei reira hoki te maha o ngā pūtau e hanga ana i tō tātou pūnaha ārai mate, e whai ana, e whakangaro ana hoki i ngā iroriki e tomo mai ana.
3. Muscularis mucosae - te paparanga uaua o roto rawa
Koinei te paparanga hohonu rawa o te kiriuhi mucous. He paparanga angiangi tēnei e hangaia ana e ngā uaua maeneene. Mā tēnei paparanga ka āwhina i te kiriuhi mucous katoa kia neke, kia totoro, kia whakawhāiti. Ina koa ka whakawhāiti, ka whānui hoki ngā whekau pēnei i te puku i te wā e nakunaku ana, me urutau te kiriuhi mucous ki tēnā. Mā tēnei paparanga uaua ka āwhina i tēnā.
He aha te mahi a te kiriuhiuhi ki tō tātou tinana?
Ko te mahi matua o te kiriuhiuhi he mahi hei rārangi tuatahi mō te pūnaha ārai mate . He rite ki te ārai e karapoti ana i tētahi whenua.
- He ārai tiaki: Ka ārai i ngā iroriki, te puehu, me ngā matū kino kei uru ki te tinana mai i waho.
- Te hopu i ngā iroriki: Ko te hūpē piri (huka) e tukuna ana e ia ka hopu i ngā iroriki, ka tango atu i aua iroriki i te tinana (hei tauira, te hūpē e puta mai ana i te maremare me te tihe).
- Hei hinu whakahinuhinu: Ka āwhina tēnei ki te ārai i te kino o te mirimiri tetahi ki tetahi, ā, ka māmā ake ai tā rāua mahi.
- Te tiaki i ngā matū o te tinana: Ka tiakina e te kiriuhi hūpē ngā pakitara o te puku mai i ngā waikawa puku kino o roto i tō tātou puku. Koia anō hoki te kiriuhi e tiaki ana i te pūkahukahu mai i ngā matū o roto i te mimi.
- Te mimiti matūkai: Ka āwhina ngā whekau i te tinana ki te mimiti i ngā matūkai mai i te kai.
- Te kakara: Mā tēnei kiriuhi hūpē ka taea e tātou te kite i ngā kakara o te ihu.
He kīanga māmā noa iho, he arai tino nui te kiriuhiuhi, he arai mahi e wehe ana i te ao o roto o te tinana mai i te ao o waho.
Kei hea i roto i tō tātou tinana te kiriuhi mucous?
He maha ngā wāhi o te tinana e kitea ai ngā kiriuhi mucous. Ko te nuinga o ēnei kei roto i te pūnaha nakunaku, te pūnaha manawa, te pūnaha whakaputa uri, me ō tātou whekau rongo.
| Te wāhi o te mucosa | Ngā tauira |
|---|---|
| Ngā Poka o te Tinana | Ngā ihu, te waha, te korokoro, ngā taringa, ngā ira tangata, te nono |
| Ngā whekau tuwhera o te tinana | Te korokoro, ngā pukahukahu me te ara manawa , te puku, ngā whekau, te pūkahukahu, te kōpū |
He aha ngā mate e pā ana ki tēnei kiriuhi mucous?
Ahakoa i hangaia te kiriuhi mucous hei tiaki i a tātou, i ētahi wā ka taea e ngā mea pēnei i ngā huaketo, ngā huakita, me ngā harore te pakaru i roto i tēnei ārai ka tomo. Ina tupu tēnei, ka whakahohehia te pūnaha ārai mate ka puta te mumura. He tauira pai tēnei ko te pupuhi o te kiriuhi mucous i roto i te ihu ka puta he hūpē ina pāngia koe e te makariri. He urupare hauora tēnei mumura a te tinana ki te whawhai ki te mate. Engari ki te haere tonu tēnei, ka arahi pea ki ngā tohu whakararuraru me ētahi atu mate.
He maha ngā momo mate e pā ana ki te kiriuhi mucous.
| Kāwai mate | Ngā tauira me te whakamārama poto |
|---|---|
| Ngā Mate Pirau | |
| Ngā mate i puta mai i ngā iroriki | Te mate herpes waha me te mate taihemahema, te mate rewena waha me te mate rewena taihemahema, ngā mate waha, te mate H. pylori. |
| Ngā Āhuatanga Mumura | |
| Te pupuhi o te mucosa o ngā whekau | Gastritis, Cystitis, Esophagitis, Bronchitis, Sinusitis, Asthma. |
| Ngā Mate Pūnaha Ārai Mate | |
| Te whakaekenga a te pūnaha ārai mate o te tinana i a ia anō | Ngā mate mumura o te whekau pērā i te mate Celiac, te mate a Crohn, me te mate a Behcet. |
| Te Whakahoutanga o te Kiko me ngā Polyps | |
| Ngā huringa i puta mai i te mumura roa | Ngā tipu kiko rerekē (polyps) i roto i te puku, te kōpū, te whekau rānei. Ngā āhuatanga pēnei i te Barrett's esophagus. |
| Ngā hapa | |
| Te ngoikore o te kiriuhi mucosal | Endometriosis: Te tipu o te arai o te kōpū i waho o te kōpū. Te mate pukupuku o te puku: Ka matotoru te hūpē i roto i te pūnaha manawa, ka ārai hoki i ngā ara manawa. Te mate a Sjogren: Te waha maroke me ngā kanohi nā te whakaekenga o ngā repe e whakaputa ana i te hūpē. |
Me pēhea taku tiaki i ōku kiriuhi mucous?
Ina mahi tika ngā mea katoa, ka tiakina koe e ō kiriuhi mucous. Koinei tō arai tuatahi ki te mate. Heoi, ka taea e te mumura roa, mau tonu, te whakaiti haere i tēnei arai tiaki. Ā, ka taea te whakaiti i tō pūnaha ārai mate katoa e te whakamahinga nui o ngā pūtau ārai mate i roto i te mucous.
Nō reira, ko te huarahi pai hei tiaki i ō kiriuhi mucous ko te whakahaere i ngā mate mumura mau tonu.
Mena kei a koe ngā tohu o tētahi mate mumura mau tonu, pērā i te mamae o te puku e kore e taea te whakahaere, te mate huango kāore anō kia taea te whakahaere, ngā raruraru sinus auau rānei, me kōrero koe ki tō tākuta mō tēnei mea, kia whiwhi ai koe i te maimoatanga tika. Mā tēnei koe e āwhina ki te tiaki i tēnei tikanga tiaki nui i roto i tō tinana.
Karere Tangohia ki te Kāinga
- He kiriuhi tiaki tino nui te mucosa, pērā i tō tātou kiri, e hipoki ana i ngā okana me ngā poka i roto i te tinana.
- Mā tēnei ka tiaki i a tātou mai i ngā iroriki, ngā mate urutā, me ngā kino o waho. Ka whai wāhi atu hoki ki ngā mahi nui pēnei i te mimiti matūkai.
- Kaua e warewarehia te mumura o tēnei kiriuhi. Koinei pea te taahiraa tuatahi ki ngā momo mate.
- Mena kei a koe ētahi tohu e pā ana ki ō kiriuhi mucous (hei tauira, te mamae tonu o te puku, te mare tonu, te mate waha), he mea tino nui kia rapu tohutohu hauora koe.
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