Yintoni iLigament of Treitz? Makhe sithethe ngayo!

Molo! Ngaba wakha weva ngento ebizwa ngokuba yi-'Ligament of Treitz'? Mhlawumbi akunjalo. Akumangalisi, kuba yinxalenye encinci yomzimba wethu eyaziwayo kancinci, kodwa ebaluleke kakhulu. Ngoko ke namhlanje siza kuthetha ngale sakhiwo sincinci, kodwa sinamandla. Makhe sibone ukuba yintoni, yintoni eyenzayo, kunye noko kufuneka sikwazi ngayo.

Yintoni kanye kanye iLigament of Treitz?

Ngamafutshane, iLigament of Treitz yibhanti encinci yezicubu ngaphakathi esiswini sethu, oko kukuthi, ngaphakathi kwisisu. Cinga ngayo njengebhanti yerabha, kodwa yenziwe ngamalungu omzimba wethu. Oogqirha bakwabiza le band yezicubu ngokuthi 'i-peritoneum'. I-peritoneum sisigqubuthelo esincinci esijikeleze amalungu angaphakathi esiswini sethu, nakudonga lwangaphakathi lwesisu. Ngoko ke le ligament, oko kukuthi, le band, idibanisa iindawo ezimbini zamathumbu ethu amancinci kwaye isebenza njengenkxaso kuzo. Ukuchaneka, idibanisa inxalenye yokuqala yamathumbu amancinci emva kwesisu, 'i-duodenum', kunye nenxalenye elandelayo, 'i-jejunum'. Ikwabizwa ngokuba 'yimisipha eshukumayo ye-duodenum'. Oko kuthetha ukuba ikwasebenza njengesihlunu.

Ngoko ke yintoni umsebenzi weLigament of Treitz?

Nangona iyinxalenye encinci, i-ligament yeTrietz yenza imisebenzi emininzi ebalulekileyo emzimbeni wethu. Makhe sijonge ukuba yintoni na:

• Inceda ukuhambisa ukutya: Le ligament inokufinyela, oko kuthetha ukuba iyafinyela. Xa ifinyela, inika ukutya amandla njengoko kufinyela emathunjini ethu. Kufana nokucinezela umbhobho ukuze amanzi ahambe ngokukhawuleza.
• Inceda ukugcina i-duodenum izinzile: I-duodenum yinxalenye yokuqala yamathumbu ethu amancinci, eyinxalenye elandela isisu. Ngoko ke le ligament inceda ukugcina i-duodenum inamathele kwaye izinzile ngokufanelekileyo. Njengaxa ubeka intente, uqinisa ilaphu lentente kwiipali uze ulitsale.
• Isiganeko esibalulekileyo koogqirha botyando: Le yinto engaqhelekanga kakhulu. Le ligament incinci ifana nophawu lwemephu koogqirha botyando. Xa besenza utyando, bajonga indawo ekuyo le ligament ukuze bahlukanise inxalenye ephezulu yenkqubo yethu yokugaya ukutya (indlela yokugaya ukutya) (`(Indlela ephezulu ye-GI)`) kunye nenxalenye esezantsi (`(Indlela esezantsi ye-GI)`). Kwakhona, ukuba kukho `(ukuphuma kwegazi esiswini)`, le ligament inceda ekumiseleni ngokuchanekileyo ukuba ivela kwicandelo eliphezulu okanye elisezantsi. Cinga ngayo njengendawo edibanayo endleleni, ikuxelela ukuba kufuneka uye ngale ndlela okanye ngaleya.

Uyabona ke, akunjalo? Hayi indlela enkulu ngayo le thishu incinci!

Uyazi ukuba le ligament ifumaneka phi?

I-ligament yeTrietz iphezulu emzimbeni wethu, oko kuthetha ukubaIqala kwi-diaphragm, umsipha owahlula isifuba nesisu, ize ifikelele kwi-duodenojejunal flexure emathunjini ethu amancinci. I-duodenojejunal flexure ivakala iyinkimbinkimbi kancinci, akunjalo? Ngamafutshane, kukugoba okubukhali emathunjini ethu amancinci phakathi kwe-duodenum kunye ne-jejunum. Kufana nokugoba kwityhubhu. Ngoko ke le ligament ifana nokubamba loo gobo.

Ngoko ke oku kubonakala njani?

Njengoko besitshilo ngaphambili, le yibhanti encinci yezicubu. Yenziwe yinxalenye egobileyo ye-membrane ebizwa ngokuba yi-peritoneum. Khumbula, i-peritoneum sisigqubuthelo esincinci esijikeleze amalungu angaphakathi kwesisu sethu kunye nodonga lwangaphakathi lwesisu sethu. Ubude bale ligament budla ngokuba malunga nesiqingatha se-intshi ukuya kwii-intshi ezimbini ezinesiqingatha (0.5 ukuya kwi-2.5 intshi). Oko kuthetha ukuba incinci kakhulu. Inokuba malunga nobude belungu lokuqala lesithupha sakho.

Ziziphi iimeko ezinxulumene neLigament of Treitz?

Iindaba ezimnandi zezokuba iimeko ezinxulumene ne-ligament yeTrietz zinqabile kakhulu. Oku kuthetha ukuba iingxaki ezinje azinqabile. Kodwa enye yeengxaki ezenzekayo yimeko ebizwa ngokuba yi-'intestinal malrotation'.

Yintoni 'i-Intestinal Malrotation'?

Ngamanye amaxesha, xa umntwana ezalwa, kunokubakho iingxaki zesakhiwo esiswini, oko kukuthi, indlela ezibekwe ngayo iindawo. Ukuba iLigament of Treitz kunye ne-'duodenojejunal flexure' esithethe ngayo ngaphambili azikho kwindawo efanelekileyo, imeko ebizwa ngokuba yi-'intestinal malrotation' inokwenzeka. Ngamafutshane, oku kuxa amathumbu ejijekile. Oku kuthathwa njengenye yezona zinto zingaqhelekanga ezinokwenzeka esiswini somntwana. Khawucinge ukuba umbhobho wamanzi awuzange ubekwe kakuhle kwaye ujijekile ndaweni ithile, bekuya kuba nzima ukuba amanzi adlule, kwaye yiloo nto eyenzekayo apha.

Zithini iimpawu ze-'Intestinal Malrotation'?

Iimpawu zesi sifo zihlala zibonakala kunyaka wokuqala womntwana. Ezi mpawu ziquka:

• Intlungu yesisu engapheliyo. Ukuba isisu sakho sibuhlungu rhoqo ngaphandle kokukhululeka.
• Ukuhlanza igazi, okanye ukuphalaza igazi ngendle. Olu luphawu oluyingozi kakhulu.
• Ukungaphumeleli ukutyeba, okanye 'ukungaphumeleli ukukhula'. Imeko apho umntwana elahlekelwa bubunzima ngaphandle kokunyuka ubunzima, nangona esela ubisi okanye esitya ukutya ngendlela efanelekileyo.
• Usulelo oluqhelekileyo lwenkqubo yokugaya ukutya (usulelo lwe-GI tract).
• Ukuhlanza rhoqo ngaphandle kwesizathu esicacileyo.

Ukuba umntwana wakho omncinci unenye okanye ngaphezulu kwezi mpawu,Kubaluleke kakhulu ukubonana nogqirha wabantwana ngokukhawuleza.

Ngaba ikhona indlela yokunyanga oku?

Ewe, unyango lwale meko, 'Intestinal Malrotation', lutyando lokulungisa indawo ejijekileyo yamathumbu. Oogqirha benza oku ngononophelo olukhulu, bevumela amathumbu ukuba asebenze kakuhle kwakhona.

Ngaba kukho into esinokuyenza ukugcina iLigament of Treitz isempilweni?

Eli libali elahlukileyo. Iingxaki nge-ligament yeTrietz zihlala 'zizalwa'. Oko kukuthi, zikhona xa zizalwa. Izazinzulu azikayazi kakuhle into ebangela ezi ziphene zokuzalwa. Ngoko ke, akukho ndlela yokuthintela iimeko ze-ligament zeTrietz. Oko kuthetha ukuba akukho nto sinokuyenza ukuzithintela.

Kodwa ungakhathazeki, kuba njengoko besitshilo ngaphambili, ezi ziimeko ezingaqhelekanga kakhulu.

Linini ixesha ekufuneka ubone ugqirha ngalo?

Ukuba wena okanye umntwana wakho unenye okanye ngaphezulu kwezi mpawu zilandelayo, kufuneka nibone umniki-nkonzo wezempilo okanye ugqirha wabantwana womntwana wakho ngokukhawuleza. Makhe sijonge ukuba zeziphi ezi mpawu:

• Igazi liphuma kunye nendle. Eli gazi linokuba bomvu okanye limnyama. Oku kungaba kukuphuma kwegazi okuncinci esiswini.
• Ukuhlanza igazi. Oku kungaba kukopha kwamathumbu aphezulu.
• Ukungatyebi okanye ukwehla kwesisindo ngequbuliso.
• Isicaphucaphu esingapheliyo.
• Andiyi kuphuma amanzi kangangeentsuku ezimbalwa.
• Intlungu yesisu engapheliyo.
• Ukuba indawo yesisu ibonakala idumbile.
• Ukuba uqhubeka nokuhlanza ungayeki.

Ukuba unayo nayiphi na kwezi mpawu, musa ukuzityeshela. Zinokuba luphawu lwesifo esinzulu. Ukufuna uncedo lwezonyango kwangethuba kunokunceda ekuxilongeni nasekunyangeni naziphi na iingxaki ezinokubakho.

Izinto ezibalulekileyo ekufuneka sizikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke sithethe kakhulu ngeLigament of Treitz namhlanje, akunjalo?

Ngamafutshane, i-ligament yeTrietz yibhanti yezicubu ngaphakathi esiswini sethu exhasa i-duodenum, inxalenye yokuqala yamathumbu amancinci, kwaye inceda ukuhambisa ukutya kwinkqubo yokugaya ukutya.

Iingxaki ezinxulumene noku, oko kukuthi, iingxaki zokuzalwa, zinokubangela iimeko ezifana 'nokuphazamiseka kwamathumbu', apho amathumbu ajikajika khona.

Ukuba wena okanye umntwana wakho unentlungu engapheliyo esiswini, ukudumba, okanye ukuhlanza okungapheliyo, nceda ubone ugqirha.

Ndiyathemba ukuba eli nqaku likunike ulwazi oluthile ngale nxalenye incinci kodwa ibalulekileyo yomzimba wakho. Hlala usempilweni!

I - Ligament ye-Treitz, Amathumbu, Ukugaya ukutya, Ukungasebenzi kakuhle kwamathumbu, Ukungasebenzi kakuhle kwamathumbu, Izifo zokuzalwa, Impilo yomntwana, Intlungu yesisu