Paunofunga nezvechipfuva chako, chii chinouya mupfungwa dzako? Kazhinji, mwoyo wako nemapapu, handiti? Izvozvo ndezvechokwadi. Asi waiziva here kuti pakati pemapapu ako, pakati chaipo pechipfuva chako, pane nzvimbo yakakosha apo mwoyo wako, pamwe chete nedzimwe nhengo dzakawanda dzinokosha zvikuru netsinga dzeropa, dziripo? Mukurapa, nzvimbo iyi inonzi mediastinum. Yakaita senzvimbo yakabatikana zvikuru, inokosha mumuviri wedu. Ngatitaurei nezvazvo muchidimbu nhasi.
Chii chaizvo chinonzi mediastinum?
Zvichitaurwa zviri nyore, mediastinum haisi nhengo, inzvimbo. Kutaura chokwadi, chikamu chechipfuva chako. Funga nezvechipfuva chako seimba ine makamuri matatu. Imwe kamuri ine mapapu ekuruboshwe, uye imwe kamuri ine mapapu erudyi. Nzvimbo iri pakati pemakamuri maviri aya, yakaita seimba yekutandarira, ndiyo yatinodaidza kuti mediastinum.
Nzvimbo iyi inotangira pamusoro pechipfuva kusvika pasi, kureva kuti, kubva pasi pemutsipa kusvika padiaphragm, uye kubva pachipfuva chiri pamberi kusvika kumusana uri kumashure. Saka iyi haisi nzvimbo isina chinhu chete, asi inzvimbo inodzivirira zvinhu zvakawanda zvinokosha muhupenyu hwedu.
Chii chiri mukati me mediastinum iyi?
Pane zvinhu zvakawanda munzvimbo ino. Ngatizviparadzanisei muzvikamu zvishoma.
Nhengo dzakakosha uye maumbirwo
Mukati menzvimbo iyi mune nhengo dzinoverengeka dzakakosha mumuviri wedu.
| Nhengo/Maumbirwo | Zvekuita zviri nyore |
|---|---|
| Mwoyo | Mota yedu huru inopomba ropa mumuviri wese. Iri pakati pe mediastinum. Yakakomberedzwa ne membrane inodzivirira (pericardium). |
| Gurokuro | Chubhu inotakura chikafu chatinodya nekunwa kubva pahuro kuenda mudumbu. Iyi inopfuurawo nepakati pe mediastinum. |
| Trachea | Mutsinga mukuru wemhepo unotakura mweya watinofema kuenda kumapapu. Uri pamberi pegurokuro. |
| Gland reThymus (Thymus) | Gland rinobatsira masoja edu ekudzivirira muviri. Rinonyanya kushanda patinenge tiri vadiki. Riri pamusoro, pamberi pe mediastinum. |
Midziyo Mikuru
Mitsipa yeropa mikuru inobatanidza nemoyo, kureva iyo inotakura ropa kubva mumoyo, inowanikwawo mukati meiyi mediastinum.
- Aorta: Tsinga yeropa yakakura kwazvo mumuviri. Inotakura ropa rakachena (rakapiswa neokisijeni) kubva pamoyo kuenda kumuviri wese.
- Superior Vena Cava: Inoburitsa ropa risina kuchena kubva kumusoro kwemuviri ( musoro , mutsipa, maoko) kuenda kumoyo.
- Mutumbi weMapupa: Unotakura ropa kubva pamoyo kuenda kumapapu kuti rigamuchire okisijeni.
Pamusoro pezvo, kune mimwe mitsipa yeropa yakawanda inokosha munzvimbo iyi.
Zvimwe zvinhu
Kuwedzera kune zvinhu zvikuru izvi,
- Manodhi elymph
- Tsinga
- Nzvimbo iyi yakazarawo nezvinhu zvakaita semafuta nenyama dzinobatana.
Saka basa re mediastinum nderei?
Izvi zvine mabasa makuru akati wandei.
1. Kuva imba yakachengeteka: Zvichitaurwa zviri nyore, izvi zvakafanana neimba yakachengeteka yemwoyo, mitsipa mikuru yeropa, uye nzira dzekufema. Zvinobatsira kuchengetedza nhengo idzi dziri pamwe chete uye dzakarongeka.
2. Dziviriro: Nyama ine mafuta nenyama inobatanidza iri munzvimbo iyi inopa kutsvinda kwakanaka uye dziviriro kunhengo dzemukati. Zvakare, pfupa rechipfuva (sternum) riri pamberi rinodzivirira nhengo idzi dzinokosha kubva pakurohwa nekunze.
3. Kuva nzvimbo yekufambisa: Iyi inzvimbo huru inoungana, seColombo Fort. Zvese zvinofamba kubva panzvimbo imwe mumuviri wedu zvichienda kune imwe zvinopfuura nepanzvimbo iyi. Semuenzaniso, chikafu nechinwiwa zvinofamba kubva pahuro zvichienda mudumbu zvichitevedza gumbo, iro rinopfuura nepakati pe mediastinum. Saizvozvowo, tsinga netsinga dzeropa zvinofamba kubva pamutsipa zvichienda kuchipfuva, uye kubva pachipfuva zvichienda kudumbu, zvichipfuura nepanzvimbo iyi.
Vanachiremba vanopatsanura mediastinum iyi muzvikamu here?
Ehe. Kuti vaone nzvimbo chaiyo yedambudziko, vanachiremba vanopatsanura nzvimbo iyi inonzi mediastinum kuita zvikamu zvidiki. Nzira yemazuva ano iri kushandiswa parizvino ndeyekupatsanura zvikamu zvitatu zvichibva pakuongorora kwetatu-dimensional (3D) senge CT scans.
| Chikamu | Nzvimbo uye zviri mukati |
|---|---|
| Chikamu chePrevascular | Chikamu chiri pamberi pemoyo, chiri kumashure kwepfupa rechipfuva. Gland rethymus, ma lymph nodes, uye mafuta ari pano. |
| Chikamu chepakati (cheVisceral) | Ine zvinhu zvakaita semoyo netsinga huru dzeropa dzinobatanidzwa, trachea, uye chikamu chegurokuro. |
| Chikamu chePosterior (Paravertebral) | Chikamu chiri shure kwemoyo uye pamberi pemusana. Apa ndipo pane tsinga nenyama dzakapfava. |
Nekutaura nezvazvo muzvikamu zvakaita seizvi, zvinobatsira zvikuru vanachiremba kufungidzira kuti bundu kana rimwe dambudziko riri kupi uye kuti ringave rerudzii.
Ndezvipi zvirwere zvinokanganisa mediastinum?
Kune zvirwere zvakawanda zvinogona kukanganisa nzvimbo iyi inokosha. Zvimwe zvinogona kutanga mu mediastinum pachayo (semuenzaniso bundu), nepo zvimwe zvinogona kutanga kune imwe nzvimbo zvopararira pano (semuenzaniso kenza).
- Matumbu epakati pedumbu: Matumbu anobva munyama dziri munzvimbo iyi. Aya anogona kunge ari kenza kana kuti kwete.
- Mediastinitis: Kutapukirwa kana kuzvimba munzvimbo iyi.
- Lymphoma: Rudzi rwegomarara rinoitika muma lymph nodes.
- Zvirwere zve aorta: Zvirwere zvine njodzi zvakaita sekuzvimba kwe aorta (Thoracic aortic aneurysm) kana kubvaruka kwemadziro ayo (Aortic dissection).
- Kenza yemudumbu
- Cardiac tamponade: Chirwere chekuti saga rakakomberedza moyo rinozadzwa nemvura, zvichikonzera kumanikidzwa kwemoyo.
Chii chinonzi 'Widened Mediastinum'?
Wakamboona here mushumo weX-ray yechipfuva unoti "widened mediastinum"? Izvi hazvirevi chirwere. Chiratidzo chekuti chiremba anochitarisa paX-ray.Izvi zvinoreva kuti mediastinum inoita seyakafara kupfuura yakajairwa.
Panogona kuva nezvikonzero zvakawanda zveizvi. Zvinogona kukonzerwa nedambudziko rataurwa pamusoro apa re aorta, bundu, hutachiona, kana kutokuvara pachipfuva. Kana chimwe chinhu chakadai chikaonekwa, chiremba acharaira kuti aongorore zvimwe, zvakaita seCT scan, kuti aone chikonzero chaicho.
Nzira yekuchengetedza sei mediastinum ine hutano?
Nekuti mediastinum inzvimbo, kuchengetedza hutano hwayo zvinoreva kuchengetedza nhengo dziri mukati mayo dzakagwinya. Zvakakosha kuchengetedza moyo wako netsinga dzeropa.
- Dzivisa kusvuta zvachose. Kusvuta kunokuvadza mwoyo, mitsipa yeropa, nemapapu zvakanyanya.
- Idya chikafu chine hutano pamoyo. Idya chikafu chine mafuta mashoma, munyu, uye shuga shoma, uye chine michero nemiriwo yakawanda.
- Rovedza muviri nguva dzose. Taura nachiremba wako usati watanga chero chirongwa chekurovedza muviri.
- Deredza kunwa doro.
- Shandisa mishonga yawakanyorerwa sezvawakanyorerwa (semuenzaniso yeBP, chirwere cheshuga, cholesterol).
- Ongororwa nachiremba kanenge kamwe chete pagore.
Kuita zvinhu izvi kunogona kuderedza njodzi yezvirwere zvakawanda zvinokanganisa mediastinum.
Mharidzo Yekuenda Nayo Kumba
- Mediastinum haisi nhengo, asi inzvimbo yakakosha muchipfuva chako pakati pemapapu ako.
- Zvinhu zvakawanda zvinokosha muhupenyu, zvakaita semwoyo wako, mitsipa mikuru yeropa, trachea, uye gurokuro, zvakachengetedzwa munzvimbo iyi.
- Basa guru re mediastinum nderekupa musha wakachengeteka wenhengo idzi uye nzira yekufambisa zvinhu zvakakosha.
- 'Widened mediastinum' chiratidzo chinoonekwa paX-ray, kwete chirwere. Mimwe miedzo inodiwa kuti paonekwe chikonzero.
- Nzira yakanakisisa yekuchengetedza nzvimbo iyi ine hutano ndeyekurarama hupenyu hune hutano hwemwoyo. Kana uine mibvunzo nezveizvi, taura nachiremba wako.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment