Kua whakaaro kē koe me pēhea te honohono me te whakarite o ngā whekau katoa i roto i tō puku, pērā i tō ate, tō puku, me ō whekau, kia ātaahua te āhua, kia kore ai e pā tetahi ki tetahi? Waihoki, kua whakaaro kē koe he aha te mea e āwhina ana i ēnei whekau kia neke haere me te kore e mirimiri tetahi ki tetahi ina neke? He kiriuhi maeneene whakamiharo kei roto i tō tātou kōhao puku (te wāhi takoto kau i roto i te puku) e āwhina ana i ēnei mea katoa. I tēnei rā kei te kōrero tātou mō tēnei 'peritoneum', he tūranga tino nui tōna i roto i te rongoā.
He whakarāpopototanga, he aha tēnei peritoneum?
Whakaarohia he pouaka tō puku. He arai kei te pakitara o roto o tēnei pouaka. Kātahi ka puta he paparanga kiko angiangi motuhake e takai ana i ngā mea o roto o te pouaka (ō tātou whekau). He rite te peritoneum ki tēnei.
Ka taea tēnei te wehewehe kia rua ngā wāhanga:
1. Peritoneum Parietal: Koinei te wāhanga e kapi ana i ngā pakitara o roto o tō tātou puku me te hope. Pērā i te pakitara o roto o taua pouaka i kōrerotia e au.
2. Peritoneum Visceral: Koinei te wāhanga e takai ana i ngā whekau o roto i tō tātou puku (pērā i te puku, te ate, ngā whekau). He rite ki te takai motuhake i ngā taonga ki roto i te pouaka.
Ko te āputa iti rawa i waenganui i ēnei hipoki e rua e kiia ana ko te kōhao peritoneal . Kei roto i tēnei āputa he iti noa te wai whakahinuhinu. Mā tēnei wai ka taea e ngā whekau puku te paheke ngāwari tetahi ki tetahi i a tātou e manawa ana, e hikoi ana, e nakunaku ana hoki i te kai.
He aha te ratonga a te peritoneum ki tō tātou tinana?
Ehara i te mea he uhi noa iho. He nui atu āna mahi ki ō tātou tinana i tua atu i tēnā. Kei te kitea tonutia e ngā kairangahau ngā mea hou mōna.
| Te mahi e mahia ana | Hei whakarāpopototanga... |
|---|---|
| Te whakarato i te mahana me te haumaru | Kua whakakikoruatia te peritoneum ki ngā paparanga ngako e whakamahana ana i ō tātou whekau, e tiaki ana hoki i a rātou mai i ngā pānga katoa. |
| Whakahinuhinu | Mā te wai o te peritoneal i kōrerotia e au i mua ake nei ka ārai i te mirimiri o ngā whekau tetahi ki tetahi, ā, ka paheke haere. He rite ki te maka hinu ki runga i te mīhini. |
| Te whakarato hanganga me te tautoko | E honoa ana ō tātou whekau tetahi ki tetahi mā roto i ngā hononga motuhake i hangaia mai i te peritoneum. Ka āwhina anō hoki ia ki te hono i ngā whekau pēnei i te whekau ki te pakitara o muri o te puku. |
| Te toto, te lymph, me te tuku io | Ka tika ngā oko toto, ngā oko waiariki, me ngā io e hiahiatia ana e ō tātou whekau mā roto i tēnei kiriuhi peritoneal. |
| Te āwhina i te ārai mate | He rite tana mahi ki te kaitiaki haumaru. Ka kitea e ia ngā huakita me ngā mea tauhou e tomo ana ki te puku, ā, ka tukuna atu e ia ngā toto toto mā ki te whakaeke i a rātou. Ka āwhina hoki ia ki te tātari i ngā para. Ko te mea whakamiharo, ki te pakaru tēnei kiriuhi, ka taea e ia te whakaora wawe i a ia anō. |
He pēhea te hanganga o tēnei?
I te takaitanga o te peritoneum i ngā whekau, ka piko ki ngā wāhi e rua, e toru rānei, ka hanga he kopikopiko, he kopikopiko rite ki te pēke.
- Omentum: He kopa nui, momona tēnei o te peritoneum e mahi ana me te mea he āperona e hipoki ana i ngā whekau o mua o te puku.
- Mesentery: Koinei te kopa o te peritoneum e hono ana i ō tātou whekau ki te pakitara o muri o te puku.
He panonitanga i te āhua o te mamae
Anei tētahi mea tino nui. Ko te peritoneum visceral, e karapoti ana i ngā whekau, ka pāngia e te mamae i tētahi ara āhua pōuri. Pērā i te wā e kī ana te puku i te hau, ka pēnei koe, "Kei te mamae tētahi wāhi i roto i taku puku." Engari ki te whara te peritoneum parietal, kei te taha o te pakitara puku, he tino koi te mamae. Ka taea e koe te tohu ki tō maihao me te kī, "Koinei tonu te wāhi e mamae ana." He tino āwhina te āhua o tēnei mamae ki ngā tākuta ki te tautuhi i te mate.
He aha ngā āhuatanga ka pā ki te peritoneum?
Nā te mea he mahi nui tāna, ki te mea he raruraru kei te peritoneum, ka taea e ia te arahi ki ngā mate kino.
Ko te mea nui kia kaua e warewarehia te mamae o te puku, te pupuhi rānei. He tohu pea tēnei mō tētahi mate kino e pā ana ki te peritoneum.
Me titiro tātou ki ētahi o ngā mate hauora e tino kitea ana i te ripanga i raro nei.
| Āhuatanga hauora | He aha te mea ka tupu ki tēnei? |
|---|---|
| Peritonitis | He mumura tēnei o te peritoneum. He maha ngā wā ka puta mai tēnei i te mate i roto i te kōhao puku. Hei tauira, ki te pakaru te apendisitis, ka horapa ngā huakita ki roto i te kōhao peritoneal, ā, ka puta ai tēnei āhuatanga. He āhuatanga kino tēnei e hiahia ana kia rongoatia wawetia . Nā te mea ka taea e te mate te uru ki roto i te toto, ka horapa puta noa i te tinana (septicemia). |
| Ngā ascites | He kohinga wai rerekē tēnei i roto i te kōhao peritoneal. Ka pupuhi te puku ki mua, ka pupuhi. He tohu tēnei e kitea ana i ngā wāhanga whakamutunga o te mate ate (pērā i te cirrhosis). I ētahi wā ka puta mai anō hoki tēnei āhuatanga i te mate manawa, i te mate pukupuku rānei. |
| Hernia | Ko te hernia he putanga mai o te kiko (te peritoneum me te wāhanga o te whekau) mā roto i tētahi wāhi ngoikore o te pakitara o te puku. Ahakoa kāore tēnei e tino kino ki te peritoneum, ka morearea pea mēnā ka motuhia te rere o te toto. Nō reira, me whakatika mā te pokanga. |
| Ngā Piringa Puku | I te wā e pokanga ana te puku, ka tapahia te peritoneum. I a ia e ora ana, i ētahi wā ka puta he kiko mārō, ka piri ngā whekau ki a rātou anō, ki te pakitara puku rānei. Kāore tēnei e puta he raruraru i ngā wā katoa. Engari i ētahi wā ka puta he mate kino pēnei i te aukati i te puku. |
| Matepukupuku | Ka horapa ngāwari ngā mate pukupuku o ngā whekau puku ki te peritoneum. Ka kiia tēnei ko te peritoneal carcinomatosis . He tino onge, ka tīmata anō te mate pukupuku i roto i te peritoneum tonu. |
Me pēhea koe e mōhio ai mēnā he raruraru kei te haere mai?
Ko te mamae o te puku me te pupuhi ngā tohu matua e rua o te raruraru o te peritoneum. Mena he koretake te mamae, tera pea e pā ana ki te paparanga o roto. Mena he koi te mamae, ā, he ā-rohe, tera pea e pā ana ki te paparanga o waho.
Ngā whakamātautau e mahia ana e te tākuta
I runga i ō tohu, ka whakahaerehia pea e tō tākuta ētahi whakamātautau hei kimi i te take.
- Te tātaritanga wai o te peritoneal: Ka werohia he ngira iti ki roto i te puku, ā, ka tangohia he pata wai mai i te kōhao peritoneal, ka tukuna ki te taiwhanga. Ka tirotirohia te wai mō ngā pūtau, ngā pūmua, me ngā iroriki hei whakatau mēnā he mate pāwera, he mate pukupuku, he take kē atu rānei.
- Te koiora peritoneal: I ētahi wā me tango he wāhanga iti o te peritoneum hei tirotiro. Ka taea tēnei mā te whakamahi i tētahi ngira motuhake, mā te laparoscopy rānei (he tapahi iti i te puku ka whakauruhia he kāmera mā roto).
Te maimoatanga peritoneal
Nā te kaha whakamiharo o te peritoneum, e whakamahia ana hoki i roto i ētahi maimoatanga.
- Dialysis Peritoneal: Ka whakamahia tēnei tikanga hei horoi i te toto o ngā tūroro e pāngia ana e te ngoikore o te whatukuhu. I konei, ka werohia he wai motuhake ki roto i te kōhao peritoneal. Ko te kiriuhi peritoneal tonu te mahi hei tātari, e kukume ana i ngā hua para mai i te toto ki roto i taua wai. I muri i ētahi haora, ka tangohia te wai kua kī i te para.
- HIPEC (Hyperthermic Intraperitoneal Chemotherapy): He maimoatanga chemotherapy motuhake tēnei mō te mate pukupuku. I roto i tēnei, ka werohia tika he matū wera ki roto i te kōhao peritoneal. Mā tēnei ka taea te arotahi ki te wāhi o te mate pukupuku, kaua ki te tinana katoa.
- Pokanga: Mēnā he mate pukupuku, he raruraru rānei, me tango katoa, tangohia rānei te peritoneum (peritonectomy).
Hei whakamutunga, he wāhanga whakamiharo te peritoneum o te tinana e mahi puku ana engari he mahi tino nui. He kaitiaki, he tautoko, he kaiwhakaora hoki i ō tātou whekau.
Karere Tangohia ki te Kāinga
- He kiriuhi angiangi te peritoneum e hipoki ana, e tiaki ana i te kōhao puku me ngā whekau o roto.
- He maha ngā mahi nui a ia, pērā i te whakarato mahana, te whakahinuhinu, te tautoko i ngā okana, me te āwhina i te ārai mate.
- Ko te mamae o te puku me te pupuhi te tohu matua o tētahi mate e pā ana ki te peritoneum.
- Kaua rawa e warewarehia te mamae, ahakoa he iti noa iho, he koretake rānei. Tirohia tō tākuta tonu mō ētahi tohutohu.
- Nā te mea he tino kino ngā āhuatanga pēnei i te peritonitis, he mea pea ka ora ai te tangata mā te rapu wawe i te awhina hauora.
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