Unoziva here nezvenhengo iyi 'itsva' iri mudumbu mako? Ngatitaurei nezve mesentery!

Wakambozvibvunza here kana paine chimwe chinhu chakakosha mudumbu medu chinobatsira kuchengetedza nhengo dzese dziri mudumbu redu dzakarongeka uye dzakabatana? Kusvika nguva pfupi yadarika, vanachiremba vaisazviona sechinhu chimwe chete. Asi ikozvino vakaona kuti inonzi mesentery , uye zvakare inhengo inokosha mumuviri wedu!

Saka chii chinonzi mesentery iyi?

Saka chii chinonzi mesentery? Zvichitaurwa zviri nyore, mesentery inhengo iri mudumbu mako inotsigira uye yakabatana zvakananga nedzimwe nhengo dzese dziri mudumbu rako.

Chinhu chinoshamisa ndechekuti mesentery ichangobva kuverengerwa se 'nhengo'. Kwemakore, mabhuku ekurapa akataura kuti hakuna mesentery imwe chete, asi 'multiple mesenteries'. Kare ikako, vezvekurapa vaifunga nezveizvi sematishu akati wandei eperitoneal anobatanidza ura hwako nemadziro edumbu. Peritoneum iganda rinofukidza dumbu rako nenhengo dziri mudumbu rako.

Asi muna 2016, vaongorori vanonzi Coffey nevamwe vakaratidza kuti mesentery inosangana nezvose zvinodiwa kuti ive nhengo. Chii chinonzi nhengo? Kureva kuti, muunganidzwa wematishu anoumba chikamu chemuviri chinoita basa rakakosha. Saka, mesentery inhengo imwe chete, inoramba ichienderera mberi inotsigira matumbo ako. Inhengo yakazvimiririra inodyisa nhengo dzedumbu dzemudumbu mako uye inodzibatsira kushanda zvakanaka. Tsvagiridzo ichiri kuenderera mberi pamusoro pekushanda kwemesentery iyi uye hukama hwayo nezvirwere zvemudumbu.

Ngatitarisei nhoroondo ye mesentery.

Zvakanaka, ikozvino ungangove uchifunga kuti, kana ichi chiri chinhu chitsva, chakafamba sei nacho kwenguva yakareba kudaro? Chinhu chinoshamisa ndechekuti ichi 'chitsva' chekuwanikwa kwekuti mesentery chimiro chimwe chete, chinoenderera mberi hachisi chitsva zvechokwadi! Funga nezvazvo, kunyangwe muma1500, masayendisiti akaita saEustachius naLeonardo da Vinci vaidhirowa mesentery sechimiro chimwe chete, chinoenderera mberi chedumbu mumifananidzo yavo. Asi, gare gare vanhu vakaita saHenry Gray - ungangove wakambonzwa nezvebhuku rekurapa rakakurumbira rinonzi "Gray's Anatomy" - ndivo vakakurudzira pfungwa yekuti kune 'mesenteries dzakawanda'.

Saka, chidzidzo cha2016 chakaratidza kuti pfungwa iyi ye 'many mesenteries' yakanga isiriyo. Kutaura zvazviri, chidzidzo ichi chakaita sekudzokorora chimwe chinhu chaifunga nesainzi makore anopfuura mazana mashanu apfuura.

Chii chinoitika kumesentery? Chii chinokosheswa nemuviri wedu?

Zvakanaka, saka chii chaizvo chinoshanda mukati memiviri yedu? Masayendisiti achiri kunzwisisa izvi. Asi kubva pane zvatinoziva kusvika pari zvino, zvinopa rutsigiro rwemaumbirwo edumbu redu. Zvinopawo hutano nhengo dzedu uye zvinoshanda senzira yekuzivisa inobatsira kugaya chikafu kushanda zvakanaka.

Inobatsira kuchengetedza nhengo dzemudumbu dzakachengeteka uye dziri munzvimbo dzadzo dzakakodzera

Utachiona hwemudumbu (mesentery) hwako ndihwo hunochengeta zvimwe zvikamu zveura hwako kumadziro edumbu rako. Hunobatsirawo kuchengetedza zvimwe zvikamu zveura hwako zvakasungirirwa munzvimbo ine mativi matatu (3D) mukati medumbu rako. Fungidzira, pasina rutsigiro urwu kubva kuutachiona, ura hwako hunogona kuputsika kuita murwi mukati medumbu rako. Kana, dai zvikamu zvese zvakabatana nemadziro edumbu, paisazova nenzvimbo yekuti ura hupfuure (sankochanya venna) kuti hufambise chikafu munzira. Kana izvozvo zvikaitika, zvinogona kusanganiswa, zvichikonzera matambudziko anotyisidzira hupenyu.

Kunyange zvazvo zvisati zvanyatsojeka, masayendisiti anotenda kuti chimiro ichi chemesentery chingave chinhu chekushanduka-shanduka chakabvumira vanhu kufamba vakamira. Izvi zvinodaro nekuti chimiro chemesentery muvanhu vane bipedal neprimates chakasiyana nechemhuka dzine manarupedal.

Inobatsira nhengo dzemudumbu kuti dzikure uye dzishande zvakanaka

Munguva yemwana ari mudumbu, dumbu rinokura risati rakura dzimwe nhengo dzekugaya. Nhengo dzako dzemudumbu, dzakadai sechiropa chako, chirebvu, pancreas, uye ura, dzose dzinokura mukati medumbu. Nhengo idzi dzinoramba dzakanamatira kune dumbu kunyangwe mushure mekuzvarwa. Bhururu rine zvivako zvinotsigira uye zvinopa hutano nhengo idzi muhupenyu hwese.

Nhengo dzemuviri dzinoshanda sehurongwa, dzichiita sehurongwa hwekutumira mashoko.

Nhengo dzekugaya dziri mudumbu mako hadzina kungobatanidzwa nemesentery chete. Dzinobatanidzwawo kuburikidza netsinga dzinozivikanwa, mitsipa yeropa, uye ma lymph nodes ari mukati memesentery. Chii chinonzi lymph nodes? Idzi inhengo dzinosefa zvinhu mumuviri wese. Zviratidzo zvinofamba-famba zvichienda mberi kuburikidza nechinhu ichi ndizvo zvinoita kuti nhengo dzega dzega dziri mudumbu mako dzishande pamwe chete. Nemamwe mashoko, mesentery inobatsira dumbu rako kushanda pamwe chete nedzimwe nhengo dzese dziri mumuviri wako.

Semuenzaniso, ma lymph nodes ari mu mesentery anobata utachiona hwakaita semavhairasi nemabhakitiriya kubva muura hwako. Ndiwo chikamu chemuviri wako wekudzivirira muviri unorwisa zvinhu izvi zvinopinda mumuviri.

Hazvisi izvozvo chete, mesentery inogadzirawo chinhu chinonzi `C-reactive protein (CRP) `. Izvi zvinowanzogadzirwa nechiropa. `CRP` inobatsira kudzora kuzvimba, inova nzira yemuviri yekuporesa mushure mekukuvara kana hutachiona.

Chinobuda ropa chiri kupi?

Saka, saka mesentery iyi iri mudumbu medu iri kupi chaizvo? Mesentery inotangira kumashure kwedumbu rako, patsinga yako yepamusoro yemesenteric.Kwairi. Iyi tsinga inopa ropa kune pancreas yako neura. Iyi tsinga nemesentery zviri pakati pegumbo, izvo zviri pedyo ne vertebra yekutanga kumusana wako wezasi. Mesentery inotangira pakati pegumbo uye inotenderera ichidzika muura hwako kusvika kurectum yako.

Chimiro (chimiro) chemesentery chii?

Maumbirwo emudumbu akaomarara. Kunyangwe iri nhengo imwe chete, inoramba ichienderera mberi, inobatanidza ura hwako nekumashure kwemadziro edumbu rako kuburikidza nezvikamu zvakasiyana-siyana. Zvimwe zvikamu zvemudumbu hazvina kubatana nemadziro edumbu, asi zvakananga kunhengo. Izvi zvinobvumira nhengo kufamba-famba mukati medumbu uku dzichidzichengetedza. Kutenderera kwakawanda, kutenderera, uye kubatana mudumbu ndizvo zvinoita kuti ura hwako hurambe hwakamira zvakachengeteka munzvimbo ine mativi matatu (3D) mukati medumbu rako.

Kuti zvive nyore kunzwisisa maumbirwo emesentery, unogona kufunga nezvayo seyakabatana nenhengo dzedumbu rako nemadziro edumbu ekumashure:

• Huremu hwemudumbu hudiki: Huremu hunotangira pakati pedumbu uye hunobatana neura hwako hudiki.
• Mesocolon yekurudyi: Mesentery inotangira muura hudiki ichienda kurudyi rweura hukuru (colon). Chikamu ichi chemesentery ndicho chinobata rutivi rwerudyi rweura hukuru kumashure kwemadziro edumbu.
• Mesocolon yakachinjika: Mesentery inofamba nedumbu rako rakachinjika. Iyi ndiyo chikamu chinotenderera chakachinjika nedumbu rako.
• Mesocolon yekuruboshwe: Mesentery inobatana nerutivi rwekuruboshwe rweura hukuru. Kufanana nemesocolon yekurudyi, mesocolon yekuruboshwe inobatanidzawo rutivi rwekuruboshwe rweura hukuru kumashure kwemadziro edumbu.
• Mesosigmoid: Mesentery inobatanidza chikamu chemudumbu wako we sigmoid nekumashure kwemadziro edumbu rako. Mudumbu we sigmoid chikamu cheura hwako hukuru chiri pedyo nerectum.
• Mesorectum: Chikamu chezasi chemesentery chinobatanidza nerectum yako.

Kwemakore, mabhuku ekurapa aingotaura nezve 'huwandu hwematumbu' akakomberedza ura. Haana kutaura nezvematumbu ari kurudyi nekuruboshwe (mesocolon yekurudyi nekuruboshwe). Asi ikozvino tava kuziva kuti kune matumbu munzvimbo idzi zvakare.

Kunzwisisa kutsva uku kwechimiro chemesentery kwaratidza chiedza chitsva pamusoro pekukura kwenhengo dzemuviri kubva mumesentery. Izvi zvinogonawo kukanganisa nzira dzekuvhiya.

Mesentery yakakura sei?

Yakakura kupfuura zvaunofunga! Huremu hwemunhu mukuru, kana hwakatambanudzwa pasina kudzvanywa pakati penhengo, hwakareba mamita angangoita matanhatu. Hazvidaviriki, handiti?

Chinogadzirwa nei chitunha chemesentery?

Mesentery inonyanya kuumbwa nemafuta.Kubva, kureva, kubva kumafuta emuviri. Aya ndiwo mafuta ari kutaurwa nevanhu vazhinji pavanoti vane 'dumbu redoro' kana 'dumbu'. Zvakare, mesentery ine connective tissue inobatsira kuchengetedza mafuta aya ari panzvimbo yawo. Yakakomberedzwa nerukoko rwemasero runodzivirira runonzi mesothelium . Mesentery yakabatana nedumbu rako neconnective tissue inonzi Toldt's fascia .

Kwete izvozvo chete, kunewo ma lymph nodes akawanda mukati me mesentery anoita basa rakakosha mukuona nekurwisa utachiona.

Ndezvipi zvirwere nemamiriro ezvinhu anowanzo kanganisa mesentery?

Imwe yeongororo dzichangoburwa pamusoro pechirwere chemesentery yakatarisana nechirwere cheCrohn . Chirwere cheCrohn rudzi rwechirwere chemudumbu chinozvimba (IBD) , chinokonzera kuzvimba kunokuvadza muura hwako. Tsvagiridzo inoratidza kuti zvimwe zvinhu zviri mumesentery zvinokanganisa kupararira kwechirwere ichi. Pachivanhu, chirwere cheCrohn chaifungidzirwa kuti chinotangira muura, asi chinogona kutanga mumesentery. Tsvagiridzo yakawanda inodiwa kuti tinzwisise izvi zvechokwadi.

Mafuta mazhinji ari mudumbu rako ari mudumbu . Patinotaura nezvemafuta emudumbu, tinoreva mafuta ari pasi peganda, ari pasi peganda uye anogona kunzwikwa neminwe yako. Asi mafuta emudumbu, ari mudumbu, ari mukati medumbu. Kuva nemafuta aya akawanda emudumbu kunowedzera njodzi yako yekubatwa nezvirwere zvakasiyana-siyana, zvinosanganisira:

• Chirwere cheshuga (Diabetes Mellitus)`
• Kukwira kweropa (BP)
• Kufuta
• Chirwere chetsinga yeropa
• Chirwere cheMetabolic
• Kurohwa

Zvimwe zvirwere nemamiriro ezvinhu ane chekuita ne mesentery zvinosanganisira:

• Kenza: Kenza inogona kutanga mudumbu. Kana kuti, bundu rekenza riri munhengo dzako dzekugaya rinogona kubuda ropararira mudumbu.
• Utachiona: Ma lymph nodes ari mu mesentery anogona kuziva utachiona. Anogona kusunungura masero ekudzivirira muviri kuti avaparadze. Asi dzimwe nguva, utachiona hunogona 'kuvanda' mukati mema lymph nodes ari mu mesentery. Kana izvozvo zvikaitika, utachiona hunogona kumukazve gare gare uye kukonzera matambudziko kana masoja emuviri wako asingakwanise kuaziva.
• Sclerosing mesenteritis: Kana kuzvimba kuri mumesentery kukawandisa, nyama yacho inogona kukuvara uye kuva nemavanga. Nyama iyi yakakuvara inogona kukonzera kuti tsinga dzeropa dziri mumesentery dzitete kana kuvharika. Izvi zvinogona kumisa kufamba kweropa uye kutungamira mukuumbwa kwemavimbi eropa anotyisidzira hupenyu.
• Mesenteric panniculitis: chirwere chepfungwa chinotapukira:Ichi chirwere chekuzvimba kwemesentery, senge sclerosing mesenteritis. Zvisinei, nepo sclerosing mesenteritis ichiwanzova yakanyanya, mesenteric panniculitis inowanzova yakasimba uye isina kuoma zvakanyanya.
• Hernias: Hernia inobuda munhengo kana nyama ichipinda nepamadziro egomba rayo. Hernias inokanganisa mesentery inogona kukonzerwa nechirwere chekuzvarwa nacho kana kuti inogona kuitika sedambudziko mushure mekuvhiyiwa kwenhengo dzemudumbu.
• Kusashanda zvakanaka kwenhengo dzemuviri: Kusashanda zvakanaka kwenhengo dzemuviri kunoitika kana ura hwemwana ari mudumbu hukasakura zvakanaka kana kuti husina kumonereka zvakanaka. (Chimiro nenzvimbo yeura hwako zvinoenderana nekuti hura huri kukura sei.) Mushure mekunge mwana azvarwa, achada kuvhiyiwa kuti ura hwake nehura zvinyatsogadziriswa kuti nhengo idzi dzigadzike zvakanaka.
• Volvulus: Kuora kwemasero kunogona kukonzera volvulus. Muvolvulus, ura hwako hudiki kana hukuru uye mesentery zvinomonyoroka zvisinganzwisisike. Izvi zvinowanzoitika kana mesentery isingachanamati zvakanaka pamadziro edumbu. Kumonyoroka uku kunogona kukonzera kuvharika kweura hwako hudiki kana hukuru. Kumonyoroka uku kunogona kumisa kuyerera kweropa kuenda kudumbu. Izvi zvinokonzeresa emergency uye zvinoda kurapwa nekukurumidza.

Tichifunga kuti chitunha chemudumbu chakabatana zvakadii nenhengo dzese dzekugaya dziri mudumbu mako, chero chirwere chinokanganisa nhengo yekugaya chikafu chingangosanganisira chitunha chemudumbu. Tsvagiridzo iri kuenderera mberi kuti tidzidze zvakawanda nezvebasa rechitunha muzvirwere zvakasiyana-siyana zvekugaya chikafu.

Ndeipi mishonga yekurapa mesentery?

Ongororo ichangobva kuitwa inoratidza kuti pakurapa nhengo dzemudumbu, dumbu rinofanirawo kufungwa nezvaro. Semuenzaniso, zvimwe zvidzidzo zvakaratidza kuti kubvisa zvikamu zvedumbu kunogona kuderedza kupararira kwechirwere cheCrohn. Zvimwe zvidzidzo zvakaratidza kuti kubvisa dumbu rakakomberedza kunogona kuderedza njodzi yekudzoka kwekenza yemudumbu.

Kunzwisisa uku kutsva kwemesentery kunogonawo kukanganisa maitirwo ekuvhiyiwa kwedumbu. Kare, vanachiremba vaivhiya nhengo dzedumbu nekudzibatanidza ne'mesentery mass.' Vaifunga nezvemesentery sechivako chakaoma kunzwisisa: masaga, maburi, uye dumbu. Asi iyi 'mesenteric model' itsva inoparadzanisa dumbu kuita zvikamu zviviri: nzvimbo yemesenteric nenzvimbo yemesenteric.

Kunzwisisa uku kuri nyore kwemaumbirwo edumbu kunogona kubvumira kuvhiyiwa kwakananga.

Ndingaitei kuti mesentery yangu irambe iine hutano?

Chimwe chezvinhu zvakanakisisa zvaunogona kuita kuti uchengetedze hurwa hwako hwemudumbu hwakasimba ndechekuchengetedza huwandu hwakanaka hwemafuta emudumbu. Kuva nemafuta akawandisa mudumbu kunowedzera njodzi yako yekurwara nezvirwere zvisingaperi zvakaita sechirwere chemwoyo.

Unogona kuderedza mafuta emuviri nekuita zvinhu zvinotevera:

• Deredza zvimwe zvekudya: Izvi zvinosanganisira mafuta e trans, shuga (kusanganisira manyuchi echibage), sodium (munyu), uye zvekudya zvakagadzirwa. Deredza zvihwitsi, zvinwiwa zvine shuga, uye zvekudya zvakakangwa zvakanyanya sezvinobvira. Uyewo, deredza kunwa kwako doro.
• Rovedza muviri nguva dzose: Edza kuita maekisesaizi ane simba riri pakati nepakati kweinenge maminetsi zana nemakumi mashanu pasvondo.
• Wana hope dzakakwana: Tsvagiridzo yakaratidza kuti kusawana hope dzakanaka uye dzakakwana husiku hwese kunogona kuwedzera mafuta emuviri. Edza kurara kwemaawa masere kana kupfuura husiku hwese.
• Dzora kushushikana: Kana wakaneta, muviri wako unoburitsa hormone inonzi cortisol . Kuwanda kwecortisol nekufamba kwenguva kunogona kukonzera mafuta akawanda mudumbu. Saka, kudzora kushushikana hakuna kungobatsira hutano hwepfungwa dzako chete, asiwo hutano hwako hwemuviri.

Pakupedzisira, zvekurangarira

Zvakanaka, saka chinhu chakakosha kurangarira kubva pane zvatave tichitaura ndechekuti kunyangwe kupatsanurana kwakaita sekuti 'nhengo' uye 'nyama' kungasaita sekukosha kwatiri, kunze kwekuna vanachiremba, kana zvasvika kune mesentery, 'mazwi' aya akakosha zvikuru. Kunzwisisa kutsva kwemaumbirwo emesentery, uye basa rainopa kuhurongwa hwedu hwekugaya, kunogona kuchinja nzira iyo vanopa hutano vanoongorora zvirwere zvehurongwa hwekugaya.

Ruzivo rutsva urwu runogona kuchinja maitiro avanoita kuvhiya dumbu rako. Sezvo masayendisiti achidzidza zvakawanda nezve mesentery, ruzivo rutsva rucharatidzwa nezvekuti runobatsira sei pahutano hwako. Saka, kuziva nezvenhengo iyi 'itsva neyakare' kuchatibatsira kunzwisisa zvishoma nezvemiviri yedu!

` Nyoka, nhengo dzemudumbu, gadziriro yekugaya, ura, nhengo itsva, hutano hwemudumbu, zvirwere zvekugaya