Kodi munayamba mwadzifunsapo ngati pali chinthu chapadera m'mimba mwathu chomwe chimathandiza kuti ziwalo zonse m'thupi lathu zizikhala zokonzeka komanso zogwirizana? Mpaka posachedwapa, madokotala sankachiwona ngati chinthu chimodzi. Koma tsopano apeza kuti chimatchedwa mesentery , komanso ndi chiwalo chofunikira m'thupi lathu!

Kotero kodi mesentery iyi ndi chiyani?

Chabwino, ndiye kuti mesentery ndi chiyani? Mwachidule, mesentery ndi chiwalo chomwe chili mkati mwa mimba yanu chomwe chimathandizira ndipo chimalumikizidwa mwachindunji ndi ziwalo zina zonse m'thupi lanu.

Chinthu chachilendo n'chakuti mesentery yangotchulidwa kumene kuti ndi 'chiwalo'. Kwa zaka zambiri, mabuku azachipatala amanena kuti palibe mesentery imodzi, koma 'mesenteries ambiri'. Kalelo, gulu lachipatala linkaganiza kuti izi ndi minofu ingapo ya peritoneal yomwe imalumikiza matumbo anu ndi khoma la m'mimba. Peritoneum ndi nembanemba yomwe imaphimba m'mimba mwanu ndi ziwalo zomwe zili m'mimba mwanu.

Koma mu 2016, ofufuza otchedwa Coffey ndi anzake adatsimikizira kuti mesentery ikukwaniritsa zofunikira zonse kuti ikhale chiwalo. Kodi chiwalo n'chiyani? Ndiko kuti, gulu la minofu yomwe imapanga gawo la thupi lomwe limagwira ntchito yofunika kwambiri. Chifukwa chake, mesentery ndi chiwalo chimodzi, chopitilira chomwe chimathandizira matumbo anu mwakuthupi. Ndi chiwalo chodziyimira pawokha chomwe chimadyetsa ziwalo zam'mimba za dongosolo lanu la m'mimba ndikuwathandiza kugwira ntchito bwino. Kafukufuku akupitilirabe pakugwira ntchito kwa mesentery iyi ndi ubale wake ndi matenda am'mimba.

Tiyeni tione mbiri ya mesentery.

Chabwino, tsopano mwina mukuganiza kuti, ngati izi ndi zatsopano, zinatha bwanji ndi izi kwa nthawi yayitali? Chodabwitsa n'chakuti 'zatsopano' izi zoti mesentery ndi kapangidwe kamodzi, kopitilira si zatsopano kwenikweni! Taganizirani izi, ngakhale m'zaka za m'ma 1500, asayansi monga Eustachius ndi Leonardo da Vinci ankajambula mesentery ngati kapangidwe kamodzi, kopitilira m'mimba m'zojambula zawo. Koma, pambuyo pake anthu ngati Henry Gray - mwina mudamvapo za buku lodziwika bwino la zamankhwala ``Gray's Anatomy`` - ndi omwe adatchukitsa lingaliro lakuti pali 'mesenteries angapo'.

Kotero, kafukufuku wa 2016 uja adatsimikizira kuti lingaliro la 'ma mesenteries ambiri' linali lolakwika. Ndipotu, kafukufukuyu anali ngati kubwerezanso chinthu chomwe asayansi adaganizira zaka zoposa 500 zapitazo.

Kodi chimachitika ndi chiyani ndi mesentery? Kodi kufunika kwake ndi kotani m'thupi lathu?

Chabwino, ndiye kodi mesentery iyi imagwira ntchito bwanji m'thupi lathu? Asayansi akupitilizabe kumvetsa izi. Koma kuchokera pa zomwe tikudziwa mpaka pano, imapereka chithandizo cha kapangidwe ka matumbo athu. Imadyetsanso ziwalo zathu ndikugwira ntchito ngati njira yolumikizirana yomwe imathandiza kuti kugaya chakudya kugwire ntchito bwino.

Zimathandiza kuti ziwalo za m'mimba zikhale zotetezeka komanso pamalo oyenera

Ululu wanu wa m'mimba ndi umene umasunga ziwalo zina za matumbo anu ku khoma la m'mimba mwanu. Umathandizanso kuti ziwalo zina za matumbo anu zisungidwe pamalo amitundu itatu (3D) mkati mwa m'mimba mwanu. Tangoganizirani, popanda thandizo ili kuchokera ku ululu, matumbo anu angagwere mulu mkati mwa mimba mwanu. Kapena, ngati ziwalo zonse zikanalumikizidwa ku khoma la m'mimba, sipakanakhala malo oti matumbo azigwirana (sankochanya venna) kuti asunthire chakudya panjira. Ngati zimenezo zitachitika, zingagwirizane, zomwe zingabweretse mavuto oopsa.

Ngakhale kuti sizikudziwika bwino, asayansi amakhulupirira kuti kapangidwe kameneka ka mesentery kangakhale chinthu chosinthika chomwe chimalola anthu kuyenda mowongoka. Izi zili choncho chifukwa kapangidwe ka mesentery mwa anthu okhala ndi miyendo iwiri ndi anyani ndi kosiyana ndi ka nyama zokhala ndi miyendo inayi.

Zimathandiza ziwalo za m'mimba kukula ndi kugwira ntchito bwino

Pa nthawi ya mwana wosabadwayo, mesentery imayamba ziwalo zina zogaya chakudya zisanakule. Ziwalo zanu zam'mimba, monga chiwindi chanu, ndulu, kapamba, ndi matumbo, zonse zimakula mkati mwa mesentery. Ziwalo zimenezi zimakhalabe zolumikizidwa ndi mesentery ngakhale mutabadwa. Mesentery ili ndi zinthu zomwe zimathandiza ndikudyetsa ziwalozi moyo wonse.

Ziwalo za munthu aliyense zimagwira ntchito ngati dongosolo, zimagwira ntchito ngati dongosolo lolumikizirana zizindikiro.

Ziwalo zogaya chakudya m'mimba mwanu sizimangolumikizana ndi mesentery yokha. Zimalumikizananso kudzera mu mitsempha yodziwika bwino, mitsempha yamagazi, ndi ma lymph node omwe ali mkati mwa mesentery. Kodi ma lymph node ndi chiyani? Ndi ma lymph node omwe amasefa zinthu m'thupi lonse. Zizindikiro zomwe zimayenda mobwerezabwereza kudzera muzinthu zodziwika bwinozi ndi zomwe zimathandiza ziwalo zomwe zili m'thupi lanu kuti zigwire ntchito limodzi. Mwa kuyankhula kwina, mesentery imathandiza kuti kugaya chakudya kwanu kugwire ntchito limodzi ndi ziwalo zina zonse m'thupi lanu.

Mwachitsanzo, ma lymph nodes omwe ali mu mesentery amatenga majeremusi monga mavairasi ndi mabakiteriya kuchokera m'matumbo mwanu. Ndi gawo la chitetezo chamthupi chanu chomwe chimalimbana ndi adani awa.

Si zokhazo, mesentery imapanganso chinthu chotchedwa `C-reactive protein (CRP) .` Izi nthawi zambiri zimapangidwa ndi chiwindi. `CRP` imathandiza kulamulira kutupa, komwe ndi njira yochiritsira thupi poyankha kuvulala kapena matenda.

Kodi mesentery ili kuti?

Chabwino, kodi mesentery iyi ili kuti kwenikweni m'mimba mwathu? Mesentery imayambira kumbuyo kwa mimba yanu, pa mtsempha wanu wapamwamba wa mesenteric.Kumene kuli. Mtsempha uwu umapereka magazi ku kapamba ndi matumbo anu. Mtsempha uwu ndi mesentery zonse zili pakati pa matumbo, zomwe zili pafupi ndi vertebra yoyamba kumbuyo kwanu. Mesentery imayambira pakati pa matumbo ndipo imazungulira m'matumbo anu mpaka ku rectum yanu.

Kodi kapangidwe ka mesentery ndi kotani?

Kapangidwe ka mesentery ndi kovuta pang'ono. Ngakhale kuti ndi chiwalo chimodzi chopitirira, chimalumikiza matumbo anu kumbuyo kwa khoma lanu la m'mimba kudzera m'zigawo zosiyanasiyana. Zigawo zina za mesentery sizimalumikizidwa ndi khoma la m'mimba, koma mwachindunji ku ziwalo. Izi zimathandiza ziwalo kuyenda pang'ono mkati mwa m'mimba pamene zikutetezedwa. Kupotoka, kutembenuka, ndi kulumikizana kwa mesentery ndizomwe zimapangitsa matumbo anu kukhala olendewera bwino m'malo atatu (3D) mkati mwa m'mimba mwanu.

Kuti mumvetse mosavuta kapangidwe ka mesentery, mutha kuganiza kuti imalumikizidwa ndi ziwalo zanu zam'mimba ndi khoma lakumbuyo la m'mimba:

• Ululu wa m'mimba mwaing'ono: Ululu wa m'mimba umayamba pakati pa m'mimba ndipo umalumikizana ndi matumbo anu ang'onoang'ono.
• Mesocoloni yakumanja: Mesentery imayambira m'matumbo ang'onoang'ono kupita kumbali yakumanja ya matumbo akulu (colon). Gawo ili la mesentery ndi lomwe limagwira mbali yakumanja ya matumbo akulu kumbuyo kwa khoma la m'mimba.
• Mesocolon yopingasa: Mesentery imayenda m'matumbo anu opingasa. Iyi ndi gawo lomwe limayenda mopingasa m'mimba mwanu.
• Mesocoloni yakumanzere: Mesentery imalumikizana ndi mbali yakumanzere ya matumbo akulu. Monga mesocoloni yakumanja, mesocoloni yakumanzere imalumikizanso mbali yakumanzere ya matumbo akulu kumbuyo kwa khoma la m'mimba.
• Mesosigmoid: Mesentery imalumikiza gawo la sigmoid colon yanu kumbuyo kwa khoma la m'mimba mwanu. Sigmoid colon ndi gawo la matumbo anu akuluakulu lomwe lili pafupi ndi rectum.
• Mesorectum: Gawo la pansi la mesentery limalumikizana ndi rectum yanu.

Kwa zaka zambiri, mabuku azachipatala ankangolankhula za 'unyinji wa mesentery' kuzungulira matumbo. Sankalankhula za mesentery kumbali yakumanja ndi yakumanzere (mesocolon yakumanja ndi yakumanzere). Koma tsopano tikudziwa kuti palinso mesentery m'madera awa.

Kumvetsetsa kwatsopano kumeneku kwa kapangidwe ka mesentery kwapereka chidziwitso chatsopano cha momwe ziwalo zimakulira kuchokera ku mesentery. Kungakhudzenso njira zopangira opaleshoni.

Kodi mesentery ndi yaikulu bwanji?

Ndi yaikulu kuposa momwe mukuganizira! Ululu wa munthu wamkulu, akatambasulidwa popanda kukakamizidwa pakati pa ziwalo zake, umakhala wautali pafupifupi mamita awiri. N'zosadabwitsa, sichoncho?

Kodi mesentery imapangidwa ndi chiyani?

Mesentery imapangidwa makamaka ndi minofu yamafuta.Kuchokera ku mafuta a m'thupi. Awa ndi mafuta omwe anthu ambiri amalankhula akamanena kuti ali ndi 'mimba ya mowa' kapena 'mimba'. Komanso, mesentery ili ndi minofu yolumikizirana yomwe imathandiza kuti mafuta awa akhale pamalo ake. Imazunguliridwa ndi gawo loteteza la maselo lotchedwa mesothelium . Mesentery imalumikizidwa ku khoma la m'mimba mwanu ndi minofu yolumikizirana yotchedwa Toldt's fascia .

Sikuti zokhazo, palinso ma lymph nodes ambiri mkati mwa mesentery omwe amagwira ntchito yofunika kwambiri pozindikira ndikulimbana ndi majeremusi.

Kodi matenda ndi mikhalidwe yofala yomwe imakhudza mesentery ndi iti?

Kafukufuku wina waposachedwa kwambiri pa matenda a mesentery wayang'ana kwambiri matenda a Crohn . Matenda a Crohn ndi mtundu wa matenda otupa m'matumbo (IBD) , omwe amachititsa kutupa koopsa m'matumbo mwanu. Kafukufuku akusonyeza kuti zinthu zina zomwe zili mu mesentery zimakhudza momwe matendawa amafalikira. Mwachikhalidwe, matenda a Crohn ankaganiziridwa kuti amayambira m'matumbo, koma kwenikweni angayambe mu mesentery. Kafukufuku wowonjezereka akufunika kuti timvetse bwino izi.

Mafuta ambiri m'mimba mwanu ali mu mesentery . Tikamalankhula za mafuta a m'mimba, timatanthauza mafuta a pansi pa khungu, omwe ali pansi pa khungu ndipo amatha kumveka ndi zala zanu. Koma mafuta a m'mimba, omwe ali mu mesentery, ali mkati mwa mimba. Kukhala ndi mafuta ambiri a m'mimba kumawonjezera chiopsezo chanu cha matenda angapo, kuphatikizapo:

• Matenda a Shuga (Diabetes Mellitus)
• Kuthamanga kwa magazi (BP)
• Kunenepa kwambiri
• Matenda a mitsempha ya mtima
• Matenda a kagayidwe kachakudya
• Stroke

Matenda ena ndi matenda okhudzana ndi mesentery ndi awa:

• Khansa: Khansa ingayambe mu mesentery. Kapena, zotupa za khansa m'ziŵalo zanu zam'mimba zimatha kusweka ndikufalikira ku mesentery.
• Matenda: Ma lymph nodes omwe ali mu mesentery amatha kuzindikira majeremusi. Amatha kutulutsa maselo oteteza thupi kuti awawononge. Koma nthawi zina, majeremusi amatha 'kubisala' mkati mwa ma lymph nodes omwe ali mu mesentery. Ngati zimenezo zitachitika, majeremusiwo amatha kubwereranso pambuyo pake ndikuyambitsa mavuto ngati chitetezo chanu cha mthupi sichingathe kuwazindikira.
• Matenda a sclerosing mesentery: Ngati kutupa kwa mesentery kwakula kwambiri, minofu imatha kuwonongeka ndi kuvulala. Minofu yowonongekayi ingayambitse mitsempha yamagazi ya mesentery kupapatiza kapena kutsekeka. Izi zitha kuletsa kuyenda kwa magazi ndikupangitsa kuti magazi aziundana omwe angawopseze moyo.
• Mesenteric panniculitis: matenda a pancreatitisIyi ndi matenda otupa a mesentery, monga sclerosing mesenteritis. Komabe, ngakhale sclerosing mesenteritis nthawi zambiri imakhala yoopsa, mesenteric panniculitis nthawi zambiri imakhala yokhazikika komanso si yoopsa kwambiri.
• Hernia: Hernia ndi kutuluka kwa chiwalo kapena minofu kudzera pakhoma la dzenje lomwe chili. Hernia yomwe imakhudza mesentery ingayambike chifukwa cha vuto lobadwa nalo kapena itha kuchitika ngati vuto pambuyo pa opaleshoni ya ziwalo zam'mimba.
• Kusakhazikika kwa matumbo: Kusakhazikika kwa matumbo kumachitika pamene matumbo a mwana wosabadwayo sakukula bwino kapena sakupindika bwino. (Mawonekedwe ndi malo a matumbo anu zimadalira kwambiri momwe matumbo amakulira.) Mwana akabadwa, adzafunika opaleshoni kuti matumbo awo ndi matumbo awo aziyenda bwino kuti ziwalozi zikhazikike bwino.
• Volvulus: Kusakhazikika bwino kwa matumbo kungayambitse volvulus. Mu volvulus, matumbo anu ang'onoang'ono kapena akuluakulu ndi mesentery zimapotoka modabwitsa. Izi nthawi zambiri zimachitika pamene mesentery siilinso yolumikizidwa bwino ndi khoma la m'mimba. Kupotoka kumeneku kungayambitse kutsekeka kwa matumbo anu ang'onoang'ono kapena akuluakulu. Kutsekekako kungalepheretse kuyenda kwa magazi kupita kumatumbo. Izi ndi zadzidzidzi ndipo ziyenera kuthandizidwa mwachangu.

Poganizira momwe mesentery imagwirizanirana ndi ziwalo zonse za m'mimba mwanu, matenda aliwonse omwe amakhudza chiwalo chogaya chakudya amatha kukhala ndi mesentery. Kafukufuku akupitilira kuti adziwe zambiri za ntchito ya mesentery pa matenda osiyanasiyana am'mimba.

Kodi mankhwala a mesentery ndi otani?

Kafukufuku waposachedwapa akusonyeza kuti pochiza ziwalo za m'mimba, mesentery yozungulira iyeneranso kuganiziridwa. Mwachitsanzo, kafukufuku wina wasonyeza kuti kuchotsa ziwalo za mesentery kungathandize kuchepetsa kufalikira kwa matenda a Crohn. Kafukufuku wina wasonyeza kuti kuchotsa mesentery yozungulira kungachepetse chiopsezo chobwereranso kwa khansa ya m'matumbo.

Kumvetsetsa kwatsopano kumeneku kwa mesentery kungakhudzenso momwe opaleshoni ya m'mimba imachitikira. Kale, madokotala opaleshoni ankachita opaleshoni pa ziwalo za m'mimba pozilumikiza ku 'mesentery bus'. Iwo ankaganiza za mesentery ngati kapangidwe kovuta: matumba, mabowo, ndi m'mimba. Koma 'chitsanzo chatsopano cha mesenteric' ichi chimagawa mimba m'magawo awiri: dera la mesenteric ndi dera la mesenteric.

Kumvetsetsa kosavuta kumeneku kapangidwe ka mimba kungathandize kuti pakhale njira zambiri zochitira opaleshoni.

Kodi ndingatani kuti ndisunge mesentery yanga kukhala yathanzi?

Chimodzi mwa zinthu zabwino kwambiri zomwe mungachite kuti musunge bwino minofu yanu ya m'mimba ndikukhala ndi mafuta okwanira m'mimba. Kukhala ndi mafuta ambiri m'mimba mwanu kumawonjezera chiopsezo chanu chokhala ndi matenda osatha monga matenda a mtima.

Mukhoza kuchepetsa mafuta a m'mimba mwa kuchita zinthu izi:

• Chepetsani zakudya zina: Izi zikuphatikizapo mafuta opangidwa ndi mafuta, shuga (kuphatikizapo madzi a chimanga), sodium (mchere), ndi zakudya zokonzedwa. Chepetsani maswiti, zakumwa zotsekemera, ndi zakudya zokazinga momwe mungathere. Komanso, chepetsani kumwa mowa.
• Kuchita masewera olimbitsa thupi nthawi zonse: Yesetsani kuchita masewera olimbitsa thupi kwa mphindi zosachepera 150 pa sabata.
• Gonani mokwanira: Kafukufuku wasonyeza kuti kusagona mokwanira komanso kwabwino usiku uliwonse kungapangitse kuti mafuta a m'mimba achuluke. Yesetsani kugona maola 8 kapena kuposerapo usiku uliwonse.
• Kuwongolera kupsinjika: Mukakhala ndi nkhawa, thupi lanu limapanga mahomoni otchedwa cortisol . Kuchuluka kwa cortisol pakapita nthawi kungayambitse mafuta ambiri m'mimba. Chifukwa chake, kuchepetsa kupsinjika sikuti ndi kwabwino pa thanzi lanu la maganizo, komanso pa thanzi lanu lakuthupi.

Pomaliza, zomwe muyenera kukumbukira

Chabwino, chofunika kwambiri kukumbukira kuchokera pa zomwe takhala tikulankhula ndikuti ngakhale magulu monga 'ziwalo' ndi 'minofu' sangawoneke ngati ofunika kwambiri kwa ife, kupatula kwa madokotala, pankhani ya mesentery, 'mawu' awa ndi ofunikira kwambiri. Kumvetsetsa kwatsopano kumeneku kwa kapangidwe ka mesentery, ndi ntchito yomwe imapereka ku dongosolo lathu logaya chakudya, kungasinthe momwe opereka chithandizo chamankhwala amadziwira matenda a dongosolo logaya chakudya.

Chidziwitso chatsopanochi chingasinthe momwe amachitira opaleshoni pamimba panu. Pamene asayansi akuphunzira zambiri za mesentery, chidziwitso chatsopano chidzawululidwa chokhudza momwe chimathandizira thanzi lanu. Chifukwa chake, kudziwa za chiwalo 'chatsopano ndi chakale' ichi kudzatithandiza kumvetsetsa pang'ono za matupi athu!

` Ululu, ziwalo za m'mimba, dongosolo logaya chakudya, matumbo, chiwalo chatsopano, thanzi la m'mimba, matenda ogaya chakudya