Masifunde ngomthambo wegazi omncinci, kodwa obaluleke kakhulu esiswini sethu: iCeliac Trunk.

Ngaba wakha wazibuza ukuba inkqubo engaphakathi emizimbeni yethu intsonkothile kangakanani na ukuze ikwazi ukugaya ukutya esikutyayo kwaye ifunxe izondlo kuyo? Namhlanje siza kuthetha ngenye eyenza umsebenzi obaluleke kakhulu, kodwa asithethi kakhulu ngayo. Leyo yimithambo yegazi ephambili ebizwa ngokuba yiCeliac Trunk . Nangona eli gama lingaqhelekanga, inkonzo eyenzayo intle kakhulu.

Yintoni kanye kanye iCeliac Trunk?

Ngamafutshane, iCeliac Trunk ngumthambo omkhulu kwisisu sethu, oko kukuthi, ngaphakathi esiswini. Khawuthelekelele ukuba unetanki enkulu yamanzi enika amanzi endlwini yakho, kwaye elo tanki kulapho amanzi aya khona kwezinye iipayipi ezincinci endlwini. Ngokufanayo, iCeliac Trunk ifumana igazi elivela kwimithambo yegazi emikhulu emzimbeni wethu, i-Abdominal Aorta . Ngoko ke, igazi elininzi lihamba ngayo.

Sinomthambo omnye kuphela we-celiac trunk emzimbeni wethu. Kodwa wenza umsebenzi obaluleke kakhulu. Unika igazi elicocekileyo, elineoksijini kwamanye amalungu abalulekileyo kwinkqubo yethu yokugaya ukutya, oko kukuthi, indlela yokugaya ukutya. Ngaba uziva ulele kancinci emva kokutya isidlo sasemini? Ngelo xesha, khumbula ukuba i-celiac trunk yakho inceda amalungu akho okugaya ukutya ngokumpompa igazi elongezelelweyo kuwo. Kuba loo malungu asebenza nzima ukukhupha izondlo ekutyeni okutyayo.

Igama elithi "celiac" livela kwigama lesiGrike elithetha "isisu." Abantu abanesifo se-celiac nabo bafumana iingxaki kule ndawo yesisu. Ngoko ke elo ligama elinikwe lo mthambo wegazi ubalulekileyo.

Kwenzeka ntoni kwiCeliac Trunk?

Umsebenzi wayo ophambili, njengoko besitshilo ngaphambili, kukuthwala igazi elinomoya-mpilo omninzi, nelinezondlo ezininzi kwiindawo zenkqubo yethu yokugaya ukutya. Cinga ngayo ngathi la malungu afana neefektri. Ngokuqinisekileyo afuna uphethiloli, oko kukuthi, ioksijini kunye nezondlo, ukuze asebenze. Umbhobho ophambili obonelela ngaloo phethiloli yi-celiac trunk.

La ngamalungu omzimba afumana igazi kwisiqu se-celiac:

• Isibindi: Elinye lamadlala amakhulu emzimbeni wethu, sisitho esibaluleke kakhulu esikhupha ubuthi emzimbeni size sivelise inyongo.
• Inyongo: Igcina inyongo eveliswa sisibindi kwaye inceda ekugayeni ukutya okunamafutha xa sikutya.
• I-spleen: Yilungu elicoca igazi, linceda inkqubo yomzimba yokuzikhusela, kwaye lisusa iiseli zegazi ezibomvu ezindala.
• Umqala: Xa siginya ukutya, ngumbhobho othwala ukutya ukusuka emlonyeni ukuya esiswini.
• Isisu: Le yindawo ephambili apho inkqubo yokugaya ukutya esikutyayo iqala khona. Kulapho ukutya kuxubana ne-asidi kuze kuqale ukubola.
• I-Pancreas: Ivelisa iihomoni ezibalulekileyo ezifana ne-insulin, kunye nee-enzymes ezinceda ekugayeni ukutya.
• I-Duodenum:Ukuqala emathunjini ethu amancinci, yenye indawo ebalulekileyo apho ukugaya ukutya kunye nokufunxwa kwezondlo kwenzeka khona.

Ngoku uyaqonda ukuba ukuba kukho naluphi na uthintelo okanye ukuvaleka kwesi siqu se-celiac, kunokuchaphazela onke la malungu omzimba. Njengokuba nje umbhobho wamanzi uqhekeka, zonke iimpompo endlwini ziya kuyeka ukusebenza.

Iphi le Celiac Trunk?

Kulungile, ngoku masibone ukuba lo mthambo wegazi mncinci kodwa ubaluleke kakhulu ufihliwe phi emizimbeni yethu. Ngaphantsi nje kwethambo eliphakathi kwesifuba sakho, i-sternum, cinga ngokuhamba ukusuka ecaleni uye emgogodleni, udlule esiswini sakho, uze uye ecaleni. Ikwindawo engaphezulu nje komqolo wakho we-lumbar, kufutshane nomqolo. Ukuchaneka, ikwindawo yokuqala ye-lumbar vertebra (L1) apho isuka khona kwi-aorta yesisu. Oko kuthetha ukuba ikwindawo engaphantsi nje kwembambo zethu, kodwa ikufutshane nomqolo.

Ziziphi iindawo zeCeliac Trunk?

Le ngqokelela ye-celiac ayisebenzi yodwa. Ikwanamasebe amancinci emithambo yegazi athwala igazi kwiindawo ezikhankanyiweyo apha ngasentla. Kukho amasebe amathathu aphambili:

1. Umthambo we-splenic: Lo ngumthambo othwala igazi uye kwi-spleen. Ukwanamasebe amancinci anika igazi esiswini nakwi-pancreas.

2. Umthambo wesisu wasekhohlo: Lo mthombo unika igazi kwiindawo zesisu kunye nomqala.

3. Umthambo wesibindi oqhelekileyo: Lo ukhupha amasebe athwala igazi aye esibindini, kwinyongo, kwezinye iindawo zesisu, kwipancreas, nakwiduodenum.

Kodwa nantsi into encinci ekufuneka uyazi. Asinguye wonke umntu onendlela efanayo la masebe ahlukana ngayo. Kwabanye abantu, la masebe omthambo asenokungadibani nesiqu se-celiac, kodwa angaqala ngqo kwi-aorta yesisu okanye kwi-splenic artery. Kwakhona, nangona kudla ngokuba namasebe amathathu, abanye abantu banokuba namasebe amane, amahlanu, okanye amathandathu. Kuthiwa olo hlobo lotshintsho luqheleke kancinci kubantu abamnyama, baseJapan, okanye baseKorea. Olu lutshintsho nje oluqhelekileyo lomzimba, kungekhona izifo.

Ibonakala njani iCeliac Trunk?

Lo ngumthambo wegazi omncinci kakhulu. Umalunga ne-1.5 ukuya kwi-2 centimeters ubude (0.59 ukuya kwi-0.78 intshi). Loo mncinane kunesitampu seposi! Kwaye ububanzi bawo, okanye ububanzi obunqamlezileyo, buphakathi kwe-6 kunye ne-12 milimitha (0.23 ukuya kwi-0.47 intshi). Oko kumalunga nobukhulu be-pea eqhelekileyo.

Njengeminye imithambo yegazi, udonga lwesiqu se-celiac luneengqimba ezintathu. Ezi ngqimba ziqulathe izicubu ezidityanisiweyo, izihlunu, kunye neefayibha ezithambileyo . Imithambo yegazi kufuneka iguquguquke kancinci ukuze imelane noxinzelelo lwegazi eliphuma entliziyweni. Yiloo nto ezi ngqimba zinceda ngayo.

Ziziphi iimeko eziqhelekileyo ezichaphazela i-Celiac Trunk?

Le mithambo yegazi mincinci ingachaphazeleka zizifo ezahlukeneyo kunye neemeko ezahlukeneyo. Eminye yayo yile:

• I-Stenosis: Oku kuxa umthambo wegazi uvaleka ngaphakathi, nto leyo enciphisa ukuhamba kwegazi. Oku kunokubangelwa zizinto ezifana ne-cholesterol deposits (atherosclerosis).
• I-Thrombosis: Ihlwili legazi lenza kwaye livale umthambo wegazi, nokuba ngokupheleleyo okanye ngokuyinxenye.
• I-Aneurysm: Udonga lwemithambo yegazi olubuthathaka oluvuthuluka njengebhaluni. Oku kunokuba yingozi kuba kungaqhuma.
• Ukuqhekeka kwemithambo yegazi: Oku kwenzeka xa iileya zodonga lwemithambo yegazi zahlukana, nto leyo ebangela ukuba zikrazuke. Oku kukwayinto engxamisekileyo.
• I-Median Arcuate Ligament Syndrome (MALS): Kule meko, i-ligament ehamba kwi-diaphragm yethu ityhala i-celiac trunk, ithintela ukuhamba kwegazi.

Kubalulekile: Le meko inokubangela iimpawu ezifana nentlungu yesisu esingentla, isicaphucaphu, kunye nokuhlanza. Ukuba oku kuyaqhubeka, ngokuqinisekileyo kuya kufuneka ubone ugqirha.

Ungayijonga njani impilo yeCeliac Trunk?

Ukuba ugqirha wakho ukrokrela ukuba kukho ingxaki kwisiqu se-celiac, unokwenza iimvavanyo ezininzi, ezifana nezi:

• I-Doppler ultrasound: Oku kusebenzisa amaza esandi ukubona indlela igazi elihamba ngayo ngaphakathi kwemithambo yegazi. Luvavanyo olungenabuhlungu nolulula.
• I-CT angiogram (i-Computed Tomography angiogram): Olu luhlobo lwe-X-ray. Idayi ekhethekileyo ifakwa emzimbeni kwaye kuthathwe imifanekiso ecacileyo yemithambo yegazi.
• I-MRA (Magnetic Resonance Angiogram): Olu luvavanyo lwe-MRI (Magnetic Resonance Imaging). Lusebenzisa amasimi emagnethi kunye namaza erediyo ukuvelisa imifanekiso eneenkcukacha zemithambo yegazi.
• I-Angiogram: Oku kusebenzisa iteknoloji ye-X-ray (i-fluoroscopy) kunye nedayi ukuthatha imifanekiso yemithambo yegazi. Ngamanye amaxesha ingasetyenziswa njengonyango.

Olu vavanyo luvumela ugqirha ukuba aqinisekise ngokuchanekileyo ukuba kukho nakuphi na ukuvaleka, ukudumba, okanye ezinye iingxaki kwisiqu se-celiac kunye namasebe aso.

Ziziphi iindlela eziqhelekileyo zonyango lweCeliac Trunk?

Ngethamsanqa, kukho unyango lweemeko ezininzi ezichaphazela isiqu se-celiac. Unyango olufumanayo luya kuxhomekeka kwimeko, ubukhali bayo, kunye nempilo yakho iyonke.

Ezinye zeendlela eziphambili zonyango zezi:

• Iintlobo zamayeza:Amayeza anjenge-antihypertensive kunye ne-anticoagulants anokumiselwa.
• I-Angioplasty: Inkqubo apho isixhobo esincinci esifana nebhaluni sifakwa kwimithambo yegazi evalekileyo size sivuthelwe umoya ukuze siphinde sivulwe.
• Ukubekwa kwe-stent: Emva kwe-angioplasty, kufakwa ityhubhu encinci ye-mesh (stent) ukuze kuthintelwe ukuba umthambo wegazi ungaphinde udilike.
• Utyando lokudlula umthambo wegazi ovalekileyo: Utyando lokudlula umthambo wegazi ovalekileyo kunye nokudala umzila omtsha wegazi.
• Utyando: Utyando lunokufuneka ukuze kunyangwe i-MALS, i-aneurysms, okanye ukuqhekeka kwamalungu omzimba.

Ugqirha wakho uza kukhetha indlela yonyango efanelekileyo kuwe.

Ndingawugcina njani umzimba wam weCeliac uphilile?

Le yeyona nxalenye ibalulekileyo. Yonke into elungileyo kwimpilo yentliziyo yethu ilungile kuyo yonke eminye imithambo yegazi, kuquka nomzimba wethu we-celiac. Ngoko ke, nazi ezinye izinto onokuzenza:

• Zilolonge ubuncinane imizuzu eli-150 ngeveki: Yenza into oyithandayo, njengokuhamba ngokukhawuleza, ukubaleka, ukukhwela ibhayisekile, okanye ukudada.
• Yitya ukutya okunempilo okunetyuwa encinci namafutha amaninzi: Yitya imifuno emininzi, iziqhamo, iimbotyi, kunye neenkozo ezipheleleyo. Nciphisa ukutya okucutshungulweyo, iziselo ezineswekile, kunye nokutya okunamafutha amaninzi kangangoko kunokwenzeka.
• Ziphephe ngokupheleleyo iimveliso zecuba: Ukutshaya kuyingozi kakhulu kwimithambo yegazi.
• Lawula uxinzelelo: Gcina impilo-ntle yengqondo ngezinto ezifana neyoga, ukucamngca, kunye nokuzibandakanya kwizinto ozithandayo.
• Gcina ubunzima obusempilweni obukufaneleyo.
• Ukuba ungumntu omdala, lala kakuhle phakathi kweeyure ezisixhenxe nezisithoba ngosuku.
• Ukuba uneengxaki zempilo ezifana noxinzelelo lwegazi oluphezulu okanye isifo seswekile, zilawule kakuhle. Landela imiyalelo kagqirha wakho ngokuchanekileyo.

Okokugqibela, eyona nto ibalulekileyo

I-Celiac Trunk yakho ngumthambo wegazi obalulekileyo onika ubomi kunye neoksijini kumalungu omzimba akuncedayo ekugayeni ukutya okutyayo nokufunxa izondlo kuwo. Ngoko ke, ukuyinyamekela kufana nokunyamekela eminye imithambo yegazi yakho. Oko kuthetha ukulandela ukutya okunempilo kunye nendlela yokuphila esebenzayo .

Ngokuya rhoqo kuvavanyo lwezonyango, ugqirha wakho unokuchonga naziphi na iingxaki ngesiqu sakho se-celiac okanye eminye imithambo yegazi kwangethuba. Ukuba uneempawu, ungoyiki ukuthetha nogqirha wakho ngazo kwaye ubuze ngonyango. Khumbula, inkqubo yemithambo yegazi esempilweni ibalulekile kubomi obusempilweni!

Isiqu seCeliac , isiqu seCeliac, umthambo wesisu, ukugaya ukutya, ukunikezelwa kwegazi, i-aorta yesisu, iimpawu, unyango