Ngaba uyazi ngale membrane imangalisayo yokukhusela (i-peritoneum) esiswini sakho? Makhe sithethe ngeenkcukacha!

Ngaba wakha wazibuza ukuba amalungu abalulekileyo esiswini sakho, njengesibindi sakho, isisu, namathumbu, agcinwa njani ngolungelelwano kwaye akhuselwe? I -peritoneum yi-membrane ebhityileyo, egudileyo enceda ukuba ihlale endaweni yayo. Ifana nesigqubuthelo esikhululekileyo nesikhuselayo esijikeleze amalungu angaphakathi esiswini sethu. Makhe sithethe nge-peritoneum ngokweenkcukacha ezithe vetshe namhlanje, kuba inceda kakhulu emizimbeni yethu ngokuthe cwaka.

Yintoni i-peritoneum? Ngamafutshane...

Ngamafutshane, i-peritoneum lulwaleko oluncinci lwethishu olujikeleze isisu sakho (indawo engenanto ngaphakathi kwesisu sakho) kunye nomqolo wesinqe. Ikwabonelela ngomqamelo ojikeleze amalungu angaphakathi kwesisu sakho. Cinga ngayo njengebhaluni enebhaluni ngaphakathi.

Kukho iinxalenye ezimbini kule membrane ye-peritoneal:

• I-Parietal peritoneum: Le yindlela ejikeleze ngayo udonga lwangaphakathi lwesisu sakho kunye ne-pelvis.
• I-Visceral peritoneum: Le yi-membrane ejikeleze amalungu angaphakathi kwesisu sakho (umzekelo, isisu, isibindi, amathumbu).

Isithuba esincinci phakathi kwezi membrane zimbini sibizwa ngokuba yi- peritoneal cavity . Esi sithuba sinolwelo oluncinci olunciphisa ukungqubana xa amalungu egudlana.

Kutheni i-peritoneum ibaluleke kangaka kuthi? Yintoni eyenzayo?

Le membrane ye-peritoneal yenza imisebenzi emininzi ebalulekileyo emizimbeni yethu. Eminye yayo isafundwa ngabaphandi. Nazi ezinye zezona ziphambili ezaziwa ngoku:

• Ukuthintela ukugquma: Olu maleko lwe-membrane lunamafutha. Oku kubonelela ngobushushu kunye nokhuseleko oluthile kumalungu ethu omzimba. Cinga ngalo njengomqamelo omncinci.
• Ukuthambisa: Olu lwelo lwe-peritoneal endilukhankanyileyo ngaphambili lunceda amalungu ethu omzimba, ingakumbi lawo ashukumayo njengamathumbu, ukuba atyibilike phezu komnye nomnye. Ngaphandle koko, anokukhuhlana aze alimale, akunjalo?
• Ulwakhiwo kunye neNkxaso: Amalungu ethu adityaniswe ngemisipha ekhethekileyo kwi-peritoneum. Ikwanceda ekunamathiseni amathumbu eludongeni olungasemva lwesisu.
• Igazi, i-lymph kunye nokunikezelwa kwemithambo-luvo: Imithambo yegazi, imithambo-luvo kunye nemithambo-luvo efunekayo kumalungu ethu idlula kule membrane ye-peritoneal.
• Ukungakhuseleki: Oku kubaluleke kakhulu. I-peritoneum ifana nomgca wokuqala wokuzikhusela kwizilonda kunye neentsholongwane ezingena kwisisu sethu. Oko kukuthi, ichonga izinto ezinobungozi ngaphandle kwaye ithumela iiseli ezimhlophe zegazi ukuba zizihlasele. Ikwanceda ekuhluzeni ulwelo olungaphakathi kwi-peritoneal cavity kwaye isuse inkunkuma. Into emangalisayo kukuba le tissue inamandla okuphilisa ngokukhawuleza ukuba yenzakele.

Cinga ngayo njenge-peritoneum, umlindi othuleyo ngaphakathi esiswini sethu. Ngaphandle kwayo, amalungu ethu ebeya kuba sengxakini enkulu.

Iphi i-peritoneum emzimbeni wethu?

I-peritoneum ikwi- abdominopelvic cavity yakho. Iqala ngaphantsi kwe-diaphragm yakho (umsipha owahlula isifuba sakho nesisu) ize idlulele kumgangatho we-pelvic yakho.

• I-parietal peritoneum igubungela iindonga zalo mngxuma wonke.
• I-visceral peritoneum ijikeleza kakhulu isisu, isibindi, i-spleen, kunye nezinye iindawo zamathumbu amancinci kunye namathumbu amakhulu.

Amalungu ajikelezwe yi-visceral peritoneum abizwa ngokuba yi- "intraperitoneal" , ngelixa amalungu angajikelezwanga ngokupheleleyo kwaye angasemva kwe-peritoneum abizwa ngokuba yi- "retroperitoneal" .

Yenziwa njani le nto? Makhe siyijonge ngeenkcukacha ezithe vetshe.

I-peritoneum yi -serous membrane . Oko kukuthi, i-membrane ekhupha ulwelo olufana ne-serum. Olu hlobo lwezicubu lufumaneka kwezinye iindawo ezininzi emzimbeni wethu, kwaye lubizwa ngokuba yi-mesothelium .

Oku kwenziwa ikakhulu ziileya ezimbini:

1. Iiseli ze-Epithelial: Ezi zezona ziphezulu. Ezi seli zikhupha kwaye zifunxe ulwelo lokuthambisa olukhankanyiweyo. Zikwanceda ekuhluzeni izinto ezifana neentsholongwane kwaye zithwale igazi, i-lymph, kunye nemithambo-luvo.

2. Izicubu ezinxibelelanayo: Ezi zifumaneka phantsi komaleko weseli ye-epithelial. Yiyo ebamba yonke into kunye. Ezi zicubu ezinxibelelanayo zinceda ekunamathiseni amanye amalungu eludongeni lwesisu nasekugcineni amanye exhonywe ngaphakathi komngxuma.

Iifomyula ezikhethekileyo ze-peritoneum

Njengoko i-visceral peritoneum ijikeleza amalungu omzimba, iyagoba kwiindawo ezithile, yenze iileya ezimbini kunye nezakhiwo ezifana neengxowa.

• I-Omentum: Le yingqimba enkulu ephindwe kabini ye-peritoneum esebenza njenge-apron kwaye igubungela ezinye zezitho ezingaphambili kwesisu sakho.
• I-Mesentery: Le yimaleko ephindwe kabini. Yiyo le nto idibanisa amathumbu akho nodonga olungasemva lwesisu sakho.

Izicubu zamafutha eziphakathi kwezi layers zibonelela ngokhuseleko olongezelelweyo kunye nokufudumala, kwaye zikwanceda ekuthwaleni imithambo-luvo kunye nemithambo yegazi ukuya kwizitho zomzimba.

Injani i-nerve supply?

Oku kubaluleke kakhulu.

• I-visceral peritoneum, ejikeleze amalungu akho omzimba, ifumana unikezelo lwayo lwemithambo-luvo oluzimeleyo oluvela kwezo malungu.Umthombo ngokwawo. Ke ngoko, intlungu eviwayo ngenxa yoku ayicacanga kangako, kwaye kunzima ukutsho ngqo ukuba ibuhlungu phi. Ivakala ngathi amathumbu ayolulwa xa ezele ngumoya okanye kukutya. Ikwavakala inomsindo xa iikhemikhali ezifana negazi okanye inyongo zivuza.
• I-parietal peritoneum, egubungela udonga lwesisu sakho, ifumana unikezelo lwemithambo-luvo efanayo nodonga lwesisu ngokwalo. Ke ngoko, iyakwazi ukubona indawo echanekileyo yezinto ezifana noxinzelelo, iintlungu kunye nobushushu.

Zeziphi izifo ezichaphazela i-peritoneum? Masiqaphele!

Ngelishwa, le membrane ye-peritoneal inokubangela izifo ezahlukeneyo. Makhe sithethe ngezinye zazo.

1. I-Peritonitis - Lo asingomdlalo!

I-Peritonitis kukudumba kwe-peritoneum. Idla ngokubangelwa kusulelo olungaphakathi kwi-peritoneal cavity. Nangona kunjalo, inokuba luphawu lokuqala lwezinye izifo zesisu.

I-Peritonitis yingxamiseko yezonyango. Ngenxa yokuba i-peritoneum yinwebu efunxa izinto ngokukhawuleza, usulelo olukwi-peritoneal cavity lungangena egazini luze lusasazeke emzimbeni wonke, nto leyo ebangela imeko eyingozi ebizwa ngokuba yi-septicemia.

2. Ii-Ascites - ulwelo oluqokelelana esiswini

I-Ascites kukuqokelelwa kolwelo olugqithisileyo kwi-peritoneal cavity. Oku kubangela ukuba isisu sidumbe ngaphandle kwesizathu esicacileyo. Idla ngokuba luphawu lwesifo sesibindi esiqhubele phambili (ingakumbi i-cirrhosis ). Kwi-cirrhosis, uxinzelelo kumthambo oyintloko esiswini (i-portal hypertension) luyanda, nto leyo ebangela ukuba ulwelo luphume kwimithambo. Ngamanye amaxesha, i-ascites inokuba luphawu lokusilela kwentliziyo okanye umhlaza.

3. I-Hernia - Ingaba oku kunxulumene ne-peritoneum?

I-hernia kukuphuma kwezicubu ukusuka kwelinye icala lomzimba ngodonga lwemisipha ukuya kwelinye. Uninzi lwee-hernias lwenzeka ngodonga lwesisu. Rhoqo, i-peritoneum ikwaphakathi kwezicubu eziphumayo. Ngamanye amaxesha, isitho sangaphakathi sinokutyhalelwa ngaphandle, kodwa sisagqunywe kwi-peritoneum. Ii-hernias azidli ngokonakalisa i-peritoneum, kodwa ukuba ukuhanjiswa kwegazi kuyo kunqanyulwe, kunokuba yingxaki. Uninzi lwee-hernias lufuna utyando.

4. Ukuncamathela kwesisu - Ingxaki eyenzeka emva kotyando

Ukuba i-peritoneum ikrazukile ngexesha lotyando lwesisu, inokwenza imitya etyebileyo yezicubu zesilonda njengoko iphola. Oku kubizwa ngokuba yi -abdominal adhesions.Ezi azisoloko zibangela iingxaki. Nangona kunjalo, ukuba ezi zicubu ziqhekeka phakathi kwamalungu omzimba, zinokuphazamisana nokuhamba ngokukhululekileyo kwamalungu omzimba. Ngamanye amaxesha, ukuhamba kwezinto ngaphakathi kwamalungu omzimba nako kunokuvaleka. Eyona nto iyingozi kakhulu enokwenzeka kukuvaleka kwamathumbu . Ukuba amathumbu ayavaleka, ukutya nokusela akunakuphuma emzimbeni.

5. I-Sclerosing mesenteritis okanye i-mesenteric panniculitis

Le yimeko engaqhelekanga kakhulu. Ichaphazela izicubu ezinamafutha kwi-mesentery, ukugoba kwe-peritoneum edibanisa amathumbu akho amancinci nodonga olungasemva lwesisu sakho. Nangona unobangela ochanekileyo ungaziwa, ukudumba okungapheliyo kwale zicubu kukhokelela kwiinxeba ezinkulu (fibrosis). Olu xinzelelo lunokuthintela ukuhamba kwegazi kwizicubu kwaye lubangele ukufa kwezicubu (necrosis). Kwezinye iimeko, ukuvaleka kwamathumbu kunokwenzeka.

6. I-Mesenteric lymphadenitis

I-Lymphadenitis kukudumba nokudumba kwama-lymph nodes. Ukuba kwenzeka kwi-mesentery, ibizwa ngokuba yi -mesenteric lymphadenitis . Oku kudla ngokuba luphawu losulelo. Xa inkqubo yethu yokuzikhusela komzimba isebenza, ama-lymph nodes anceda ekuhluzeni nasekususeni iintsholongwane. Oku kunokubangela iintlungu zesisu kunye nomkhuhlane, kodwa oku kudla ngokuba yinto yexeshana.

7. Umhlaza

Umhlaza okhula kwizitho zesisu kunye ne-pelvic cavity unokusasazeka ngokulula uye kwi-peritoneum. Oku kubizwa ngokuba yi-peritoneal carcinomatosis . Amaxesha amaninzi, umhlaza uqala kwi-peritoneum ngokwayo. Imizekelo ibandakanya umhlaza oyintloko we-peritoneal kunye ne-peritoneal mesothelioma (umhlaza we-mesothelium). I-Pseudomyxoma peritonei luhlobo olungaqhelekanga lomhlaza olubangela ukuba i-peritoneal cavity izalise ngento efana ne-mucus. Nawuphi na umhlaza okhula kwi-peritoneum unokusasazeka kwizitho eziwuchukumisayo.

Ndingazi njani ukuba kukho ingxaki kwi-peritoneum yam?

Iimpawu eziqhelekileyo zalo naliphi na imeko echaphazela i-peritoneum ziintlungu zesisu kunye nokudumba kwesisu .

• Ukuba uziva intlungu esasazekayo esasazeka esiswini sakho kwaye kunzima ukuyiqonda, isenokuba yintlungu evela kwi-visceral peritoneum yakho, umaleko ongaphakathi wesisu sakho.
• Ukuba intlungu inamandla ngakumbi kwaye ikwindawo ethile, isenokuba ngenxa yokucaphuka komaleko ongaphandle, i-parietal peritoneum.

Zininzi izinto ezibangela iintlungu zesisu, kodwa uninzi lwazo lubandakanya i-peritoneum ngandlela thile.

Zeziphi iimvavanyo ezenziwayo ukujonga impilo ye-peritoneum?

Ukuba ugqirha wakho ukrokrela ukuba unengxaki nge-peritoneum, angenza iimvavanyo ezifana nezi:

• Uhlalutyo lolwelo lwe-peritoneal:Oku kunokunceda ekuxilongeni iimeko ezifana ne-peritonitis okanye i-ascites. Ugqirha ufaka inaliti encinci, engenamngxuma esiswini aze asuse inani elincinci lolwelo lwe-peritoneal. Emva koko ulwelo luthunyelwa kwilebhu ukuze luvavanywe. Ulwelo luyahlalutywa ukuze kuqinisekiswe ukuba ulwelo lubangelwa kukudumba okanye ukuvuza kwemithambo yegazi. Ingakhangela nobungqina bosulelo, iiseli zomhlaza, okanye iikhemikhali ezivuzayo ezivela kwelinye ilungu.
• I-Peritoneal biopsy: Ngamanye amaxesha ugqirha unokufuna ukuthatha isampuli yezicubu ze-peritoneal. Oku kungenziwa ngokufaka inaliti ekhethekileyo esiswini (i-needle biopsy). Okanye kungenziwa ngexesha le- laparoscopy . I-Laparoscopy yinkqubo equka ukwenza umngxuma omncinci esiswini kunye nokufaka ikhamera kuyo ukuze kuhlolwe umngxuma wesisu. Ukuba ugqirha ufuna ukubona ukuba kwenzeka ntoni ngaphakathi esiswini, unokucebisa ukuba kwenziwe i-laparoscopy kunye ne-biopsy.

Ziziphi iindlela zonyango lwe-peritoneum?

Kukho iindlela ezahlukeneyo zonyango lwezifo ezinxulumene ne-peritoneum. Kukwakho neendlela zonyango ezisebenzisa ezinye zeempawu ze-peritoneum.

• I-Peritoneal dialysis: Oogqirha ngamanye amaxesha basebenzisa i-peritoneum ukunyanga abantu abanengxaki yezintso. Oku kungenxa yokuba i-peritoneum inamandla amangalisayo okucoca imveliso yenkunkuma. I-Dialysis yenza oko kwenziwa zizintso, okukususa imveliso yenkunkuma kunye nolwelo olugqithisileyo egazini. Kule nkqubo, wena okanye ugqirha wakho uzalisa umngxuma wakho we-peritoneal ngesisombululo esikhethekileyo solwelo. Ulwelo luhluzwa nge-peritoneum yakho, emva koko ulwelo luyasuswa.
• I-Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Olu lunyango olutsha olujoliswe kwi-chemotherapy yomhlaza. Lusebenzisa amandla okufunxa e-peritoneum. Isisombululo se-chemotherapy esixineneyo nesishushu sinikwa ngqo kwi-peritoneal cavity. Ukuba unomhlaza kwindawo enye ye-peritoneal cavity yakho, i-HIPEC inokunyanga loo ndawo kuphela. I-chemotherapy yendabuko inika amayeza egazini, nto leyo echaphazela umzimba wonke, ngoko ke kukho iziphumo ebezingalindelekanga ezingaphezulu. Kodwa i-HIPEC yahlukile, kwaye inokuba luncedo ngakumbi.
• Utyando olususa umhlaza kwisisu/ukususwa kwezicubu: Indibaniselwano yotyando kunye ne-chemotherapy idla ngokusetyenziswa ukunyanga umhlaza wesisu kunye nomhlaza we-pelvic. Utyando olususa umhlaza luzama ukususa iiseli zomhlaza ezininzi kangangoko kunokwenzeka, nokuba zikuphi na. Ngamanye amaxesha oku kuthetha ukususa inxalenye okanye yonke i-peritoneum yakho (i-peritonectomy). Ngokuqhelekileyo, ichaphazela i-omentum. Ezinye iimhlaza zisasazeka apho kuqala. Emva koko, kufuneka wenze i-omentectomy ukuze ususe i-omentum.

Ngoko ke, ekugqibeleni, kukho izinto ezimbalwa ekufuneka uzikhumbule...

Mhlawumbi ngoku uyaqonda ukuba i-peritoneum yinto edlala indima ethule, kodwa ebaluleke kakhulu emzimbeni wethu.

• Ukuba unentlungu esiswini okanye ukudumba, musa ukuyityeshela loo nto. Ngamanye amaxesha, nokuba iimpawu zincinci, ingxaki engundoqo inokuba nkulu. Ngoko ke, ungathandabuzi ukubona ugqirha ukuze akunike ingcebiso.
• I-peritoneum yi-membrane ekhuselayo phakathi kolusu lwethu kunye nezinye izitho zethu zangaphakathi. Ibonelela ngokhuseleko, ubushushu, ulwakhiwo, igazi, kunye nokubonelela ngemithambo-luvo kwizitho zethu.
• Ukongeza, i-peritoneum inamandla okuphilisa amanxeba kunye nemisebenzi yokuzikhusela yomzimba.
• Ukudumba kwe-peritoneum kungaba luphawu lokuqala lwesilumkiso semeko engafunyaniswanga kwenye yezitho zakho zomzimba.

Ngoko ke, akubalulekanga na ukwazi ukuba ezi zinto zimangalisayo zenzeka ngaphakathi emizimbeni yethu? Lumka impilo yakho!

I- Peritoneum, i-Peritoneum, umqolo ongaphakathi esiswini, i-Peritonitis, i-Ascites, i-Hernia, iintlungu zesisu, impilo yesisu, ukwakheka komzimba