Ngaba uyazi ngale nxalenye 'itsha' esiswini sakho? Masithethe nge-mesentery!

Ngaba wakha wazibuza ukuba kukho into ekhethekileyo ngaphakathi esiswini sethu esinceda ukugcina zonke izitho kwinkqubo yethu yokugaya ukutya zihlelekile kwaye zidibene? Kude kube kutshanje, oogqirha babengayiboni njengento enye. Kodwa ngoku bafumanise ukuba ibizwa ngokuba yi-mesentery , kwaye ikwalilungu elibalulekileyo emzimbeni wethu!

Ngoko ke yintoni le mesentery?

Kulungile, yintoni ke i-mesentery? Ngamafutshane, i-mesentery sisitho esingaphakathi esiswini sakho esixhasayo kwaye siqhagamshelwe ngokuthe ngqo kuzo zonke ezinye izitho kwinkqubo yakho yokugaya ukutya.

Into engaqhelekanga kukuba i-mesentery isandula ukubekwa kudidi 'lwelungu'. Kangangeminyaka, iincwadi zonyango bezisithi akukho i-mesentery enye, kodwa 'i-mesenteries ezininzi'. Ngelo xesha, uluntu lwezonyango lwalucinga ngezi zicubu ezininzi ze-peritoneal ezidibanisa amathumbu akho nodonga lwesisu. I-peritoneum yi-membrane ejikeleze isisu sakho kunye namalungu asesiswini sakho.

Kodwa ngo-2016, abaphandi ababizwa ngokuba nguCoffey nabanye babonakalise ukuba i-mesentery iyahlangabezana nazo zonke iimfuno zokuba sisitho. Yintoni isitho? Oko kukuthi, ingqokelela yezicubu ezenza inxalenye yomzimba eyenza umsebenzi obalulekileyo. Ngoko ke, i-mesentery sisitho esinye, esiqhubekayo esixhasa amathumbu akho ngokwasemzimbeni. Kwakhona sisitho esizimeleyo esondla amalungu esisu senkqubo yakho yokugaya ukutya kwaye siwancede asebenze ngokufanelekileyo. Uphando lusaqhubeka malunga nokusebenza kwesi sitho kunye nolwalamano lwaso nezifo zenkqubo yokugaya ukutya.

Makhe sijonge imbali ye-mesentery.

Kulungile, ngoku mhlawumbi ucinga ukuba, ukuba oku kukufumanisa kutsha, kwenzeke njani ukuba kudlule ixesha elide kangaka? Into emangalisayo kukuba oku kufunyaniswa 'kutsha' kokuba i-mesentery yisakhiwo esinye, esiqhubekayo asinto intsha ngokwenene! Cinga ngako, kwanakwiminyaka yoo-1500, izazinzulu ezifana no-Eustachius noLeonardo da Vinci babezoba i-mesentery njengesakhiwo esinye, esiqhubekayo esiswini kwimizobo yabo. Kodwa, kamva ngabantu abafana noHenry Gray - mhlawumbi ukhe weva ngencwadi yezonyango edumileyo ethi "Gray's Anatomy" - abathi basasaza ingcamango yokuba kukho 'i-mesenteries ezininzi'.

Ngoko ke, olo phononongo luka-2016 lubonakalise ukuba le ngcamango 'yee-mesenteries ezininzi' yayingalunganga. Enyanisweni, olu phononongo lwalufana nokuphinda ujonge into eyayicingwe zizazinzulu kwiminyaka engaphezu kwama-500 eyadlulayo.

Kwenzeka ntoni kwi-mesentery? Ibaluleke ngantoni imizimba yethu?

Kulungile, yintoni kanye kanye le mesentery eyenzayo ngaphakathi emizimbeni yethu? Izazinzulu zisayifumana le nto. Kodwa ngoko sikwaziyo ukuza kuthi ga ngoku, inika inkxaso yesakhiwo samathumbu ethu. Ikwayondla amalungu ethu kwaye isebenza njengenkqubo yokubonisa enceda inkqubo yokugaya ukutya isebenze kakuhle.

Inceda ukugcina amalungu esisu ekhuselekile kwaye ekwindawo yawo efanelekileyo

I-mesentery yakho yiyo ebamba ezinye iindawo zamathumbu akho eludongeni lwesisu sakho. Ikwanceda ukugcina ezinye iindawo zamathumbu akho zixhonywe kwindawo enemilinganiselo emithathu (3D) ngaphakathi kwesisu sakho. Khawuthelekelele, ngaphandle kwale nkxaso evela kwi-mesentery, amathumbu akho angawa abe yinqwaba ngaphakathi kwesisu sakho. Okanye, ukuba zonke iindawo bezinamathele eludongeni lwesisu, bekungayi kubakho ndawo yokuba amathumbu anciphe (sankochanya venna) ukuze ahambise ukutya endleleni. Ukuba oko kuyenzeka, anokudibana, nto leyo ebangela iingxaki ezisongela ubomi.

Nangona kungekacaci, izazinzulu zikholelwa ukuba olu lwakhiwo lwe-mesentery lusenokuba luphawu oluvela kwindaleko oluvumela abantu ukuba bahambe ngokuthe nkqo. Oku kungenxa yokuba ulwakhiwo lwe-mesentery kubantu abaphila ngeenyawo ezimbini kunye neeprimates lwahlukile kolwezilwanyana ezine-quadrupedal.

Inceda amalungu enkqubo yokugaya ukutya esiswini ukuba akhule kwaye asebenze kakuhle

Ngexesha lesigaba somntwana ongekazalwa, i-mesentery ikhula ngaphambi kokuba ezinye izitho zokugaya zikhule. Izitho zakho zesisu, ezifana nesibindi sakho, i-spleen, i-pancreas, kunye namathumbu, zonke zikhula ngaphakathi kwi-mesentery. Ezi zitho zihlala zinamathele kwi-mesentery nasemva kokuzalwa. I-mesentery inezakhiwo ezixhasa kwaye zondla la malungu ubomi bonke.

Amalungu omntu ngamnye asebenza njengenkqubo, esebenza njengenkqubo yokubonisana.

Izitho zokugaya ukutya esiswini sakho aziqhagamshelwanga kuphela kwi-mesentery. Zikwaqhagamshelwa omnye komnye ngemithambo-luvo eqhelekileyo, imithambo yegazi, kunye nee-lymph nodes ezikwi-mesentery. Zithini ii-lymph nodes? Zii-gland ezihluza izinto emzimbeni wonke. Imiqondiso ehambahambayo isiya phambili ngolu ncedo luqhelekileyo yiyo evumela amalungu omzimba ngamnye kwinkqubo yakho yokugaya ukutya ukuba asebenzisane. Ngamanye amazwi, i-mesentery inceda inkqubo yakho yokugaya ukutya ukuba isebenze kunye nayo yonke enye inkqubo emzimbeni wakho.

Umzekelo, ii-lymph nodes ezikwi-mesentery zibamba iintsholongwane ezifana neentsholongwane kunye neebhaktheriya emathunjini akho. Ziyinxalenye yenkqubo yakho yomzimba yokulwa nezi ntsholongwane.

Ayipheleli apho, i-mesentery ikwavelisa into ebizwa ngokuba yi -'C-reactive protein (CRP) .' Oku kudla ngokuveliswa sisibindi. I-'CRP' inceda ukulawula ukudumba, okuyinkqubo yokuphiliswa komzimba xa usabela ekwenzakaleni okanye usulelo.

Iphi i-mesentery?

Kulungile, iphi kanye kanye le mesentery esiswini sethu? I mesentery iqala ngasemva kwesisu sakho, kumthambo wakho we mesenteric ophambili.Apho ikhoyo. Le mithambo inika igazi kwi-pancreas nasemathunjini akho. Zombini ezi mithambo kunye ne-mesentery zifumaneka embindini wesisu, ezikufutshane ne-vertebra yokuqala emqolo wakho ongezantsi. I-mesentery iqala embindini wesisu ize ijikeleze emathunjini akho ukuya kwi-rectum yakho.

Iyintoni isakhiwo (imilo) se-mesentery?

Ulwakhiwo lwe-mesentery luyinkimbinkimbi kancinci. Nangona lilungu elinye, eliqhubekayo, lidibanisa amathumbu akho ngasemva kodonga lwakho lwesisu kwiindawo ezahlukeneyo. Ezinye iindawo ze-mesentery aziqhagamshelwanga eludongeni lwesisu, kodwa ziqhagamshelwe ngqo kwizitho zomzimba. Oku kuvumela izitho ukuba zijikeleze kancinci ngaphakathi kwisisu ngelixa zigcinwa zikhuselekile. Ukujika okuninzi, ukujika, kunye nokunxibelelana kwi-mesentery zezona zinto zigcina amathumbu akho exhonywe ngokukhuselekileyo kwindawo enemilinganiselo emithathu (3D) ngaphakathi kwisisu sakho.

Ukuze kube lula ukuqonda ulwakhiwo lwe-mesentery, ungacinga ngayo njengeqhagamshelwe kumalungu akho esisu kunye nodonga olungasemva lwesisu:

• I-mesentery yamathumbu amancinci: I-mesentery iqala 'embindini' kwaye iqhagamshelane namathumbu akho amancinci.
• I-mesocolon yasekunene: I-mesentery isuka emathunjini amancinci iye kwicala lasekunene le-intestine enkulu (i-colon). Le nxalenye ye-mesentery yiyo ebamba icala lasekunene le-intestine enkulu ngasemva kodonga lwesisu.
• I-mesocolon enqamlezileyo: I-mesentery ihamba kwikholoni yakho enqamlezileyo. Le yinxalenye ehamba ngokuthe tye esiswini sakho.
• I-mesocolon yasekhohlo: I-mesentery iqhagamshela kwicala lasekhohlo lesisu esikhulu. Njenge-mesocolon yasekunene, i-mesocolon yasekhohlo ikwancamathisela icala lasekhohlo lesisu esikhulu ngasemva kodonga lwesisu.
• I-Mesosigmoid: I-mesentery idibanisa inxalenye yekholoni yakho ye-sigmoid ngasemva kodonga lwakho lwesisu. Ikholoni ye-sigmoid yinxalenye yamathumbu akho amakhulu ekufutshane ne-rectum.
• I-Mesorectum: Inxalenye esezantsi ye-mesentery iqhagamshela kwi-rectum yakho.

Kangangeminyaka, iincwadi zonyango bezithetha kuphela 'ngobuninzi be-mesentery' ejikeleze amathumbu. Azizange zithethe nge-mesentery kwicala lasekunene nelasekhohlo (i-mesocolon yasekunene neyasekhohlo). Kodwa ngoku siyazi ukuba kukho ne-mesenteries kwezi ndawo.

Olu lwazi lutsha malunga nolwakhiwo lwe-mesentery lukhanyise indlela amalungu akhula ngayo kwi-mesentery. Oku kunokuchaphazela neendlela zotyando.

Ingakanani i-mesentery?

Inkulu kunokuba ucinga! Umzimba womntu omdala, xa woluliwe ngaphandle kokucinezelwa phakathi kwamalungu omzimba, ubude bawo bumalunga neenyawo ezi-1. Akunakwenzeka, akunjalo?

Yenziwe ngantoni le mesentery?

I-mesentery yenziwe kakhulu yi-adipose tissue.Ukusuka, oko kukuthi, kumafutha omzimba. La ngamafutha abantu abaninzi abathetha ngawo xa besithi 'banesisu sebhiya' okanye 'isisu'. Kwakhona, i-mesentery inezicubu ezinxibelelanayo ezinceda ukugcina la mafutha esendaweni yawo. Ijikelezwe ngumaleko okhuselayo weeseli ezibizwa ngokuba yi-mesothelium . I-mesentery inamathele eludongeni lwesisu sakho sisicwili esinxibelelanayo esibizwa ngokuba yi-Toldt's fascia .

Akuphelelanga apho, kukwakho nee-lymph nodes ezininzi ngaphakathi kwi-mesentery ezidlala indima ebalulekileyo ekufumaneni nasekulweni neentsholongwane.

Ziziphi izifo neemeko eziqhelekileyo ezichaphazela i-mesentery?

Olunye uphando lwakutshanje nge-mesentery lugxile kwisifo sikaCrohn . I-Crohn's luhlobo lwesifo samathumbu esivuthayo (IBD) , esibangela ukudumba okuyingozi emathunjini akho. Uphando lubonisa ukuba izinto ezithile kwi-mesentery zichaphazela indlela esisasazeka ngayo esi sifo. Ngokwesiko, isifo sikaCrohn sasicingelwa ukuba siqala emathunjini, kodwa sinokuqala kwi-mesentery. Kufuneka uphando olungakumbi ukuze kuqondwe oku ngokuqinisekileyo.

Uninzi lwamafutha esiswini sakho lukwi-mesentery . Xa sithetha ngamafutha esiswini, sithetha ngamafutha angaphantsi kwesikhumba, angaphantsi kwesikhumba kwaye anokuviwa ngeminwe yakho. Kodwa amafutha angaphakathi kwesisu, akwi-mesentery, anzulu ngaphakathi esiswini. Ukuba namafutha amaninzi kakhulu e-visceral kwandisa umngcipheko wakho wezifo ezininzi, kuquka:

• Isifo seswekile (iDiabetes Mellitus)`
• Uxinzelelo lwegazi oluphezulu (uxinzelelo lwegazi oluphezulu)
• Ukutyeba kakhulu
• Isifo semithambo yentliziyo
• Isifo seMetabolic
• Istroke

Ezinye izifo kunye neemeko ezinxulumene ne-mesentery ziquka:

• Umhlaza: Umhlaza ungaqala kwi-mesentery. Okanye, iithumba ezinomhlaza kwizitho zakho zokugaya ukutya zinokuqhekeka zize zisasazeke kwi-mesentery.
• Iintsholongwane: Ama-lymph nodes akwi-mesentery anokubona iintsholongwane. Angakhupha iiseli zomzimba ukuze azitshabalalise. Kodwa ngamanye amaxesha, iintsholongwane zinoku 'fihla' ngaphakathi kwama-lymph nodes akwi-mesentery. Ukuba oko kuyenzeka, iintsholongwane zinokuphinda zivele kamva zize zibangele iingxaki ukuba inkqubo yakho yomzimba yokuzikhusela ayikwazi ukuzibona.
• I-Sclerosing mesenteritis: Ukuba ukudumba kwi-mesentery kuba kuninzi, izicubu zinokonakala kwaye zibe namanxeba. Le tissue yonakeleyo inokubangela ukuba imithambo yegazi kwi-mesentery inciphe okanye ivaleke. Oku kunokumisa ukuhamba kwegazi kwaye kukhokelele ekwakhiweni kwamahlwili egazi asongela ubomi.
• I-Mesenteric panniculitis:Le yimeko yokudumba kwe-mesentery, njenge-sclerosing mesenteritis. Nangona kunjalo, nangona i-sclerosing mesenteritis idla ngokuba nzima, i-mesenteric panniculitis idla ngokuba izinzile kwaye ingabi nzima kangako.
• I-Hernias: I-hernia kukuphuma kwesitho okanye izicubu eludongeni lomngxuma ekuwo. I-hernias echaphazela i-mesentery inokubangelwa yimeko yokuzalwa okanye inokwenzeka njengengxaki emva kotyando kwizitho zesisu.
• Ukubola: Ukubola kwenzeka xa amathumbu omntwana ongekazalwa engakhuli kakuhle okanye engajijekanga kakuhle. (Ukuma kunye nendawo amathumbu akho kuxhomekeke kakhulu kwindlela akhula ngayo i-mesentery.) Emva kokuba umntwana ezelwe, kuya kufuneka atyandwe ukuze alungise amathumbu akhe kunye ne-mesentery ukuze la malungu abekwe kakuhle.
• I-Volvulus: Ukubola kwesisu kunokubangela i-volvulus. Kwi-volvulus, amathumbu akho amancinci okanye amakhulu kunye ne-mesentery ziyajika ngokungaqhelekanga. Oku kwenzeka rhoqo xa i-mesentery ingasabambeki kakuhle eludongeni lwesisu. Oku kujika kunokubangela ukuvaleka kwamathumbu akho amancinci okanye amakhulu. Ukuvaleka kunokuthintela ukuhamba kwegazi ukuya emathunjini. Le yimeko engxamisekileyo kwaye kufuneka inyangwe ngokukhawuleza.

Xa ucinga ngendlela i-mesentery enxulumene ngayo nazo zonke izitho zokugaya esiswini sakho, nasiphi na isifo esichaphazela isitho sokugaya sinokubandakanya i-mesentery. Uphando luyaqhubeka ukuze kufundwe ngakumbi ngendima ye-mesentery kwizifo ezahlukeneyo zenkqubo yokugaya ukutya.

Ziziphi iindlela zonyango lwe-mesentery?

Uphando lwakutshanje lubonisa ukuba xa kunyangwa amalungu esisu, kufuneka kuqwalaselwe ne-mesentery ejikelezileyo. Umzekelo, ezinye izifundo zibonise ukuba ukususa iindawo ze-mesentery kunokunciphisa ukusasazeka kwesifo sikaCrohn. Ezinye izifundo zibonise ukuba ukususa i-mesentery ejikelezileyo kunokunciphisa umngcipheko wokubuya komhlaza wamathumbu amakhulu.

Olu lwazi lutsha nge-mesentery lunokuchaphazela nendlela okwenziwa ngayo utyando lwesisu. Ngaphambili, oogqirha babetyanda amalungu esisu ngokuwadibanisa 'ne-mesentery mass.' Babecinga nge-mesentery njengesakhiwo esintsonkothileyo: iingxowa, imingxunya, kunye nesisu. Kodwa le 'modeli intsha ye-mesenteric' yahlula isisu sibe ngamacandelo amabini: ummandla we-mesenteric kunye nommandla we-mesenteric.

Olu lwazi lulula ngesakhiwo sesisu lunokuvumela iinkqubo zotyando ezithe ngqo ngakumbi.

Ndingenza ntoni ukuze ndigcine i-mesentery yam iphilile?

Enye yezona zinto zibalaseleyo onokuzenza ukugcina i-mesentery yakho isempilweni kukugcina inqanaba elifanelekileyo lamafutha e-visceral. Ukuba namafutha e-visceral amaninzi kwi-mesentery kwandisa umngcipheko wakho wokuba nezifo ezingapheliyo ezifana nesifo sentliziyo.

Unganciphisa la mafutha e-visceral ngokwenza ezi zinto zilandelayo:

• Nciphisa ukutya okuthile: Oku kuquka amafutha e-trans, iswekile (kuquka isiraphu yombona), isodiyam (ityuwa), kunye nokutya okucutshungulweyo. Nciphisa iilekese, iziselo ezineswekile, kunye nokutya okuqhotsiweyo kangangoko unako. Kwakhona, nciphisa ukutya kwakho utywala.
• Zilolonge rhoqo: Zama ukwenza umthambo onzima ubuncinane imizuzu eli-150 ngeveki.
• Lala ngokwaneleyo: Uphando lubonise ukuba ukungalali ngokwaneleyo, okusemgangathweni ubusuku ngabunye kunokunyusa amafutha e-visceral. Zama ukulala iiyure ezisi-8 nangaphezulu ubusuku ngabunye.
• Lawula uxinzelelo: Xa uxinezelekile, umzimba wakho uvelisa ihomoni ebizwa ngokuba yi -cortisol . Amanqanaba aphezulu e-cortisol ngokuhamba kwexesha anokubangela ukwanda kwamafutha esiswini. Ngoko ke, ukulawula uxinzelelo akulunganga kuphela kwimpilo yakho yengqondo, kodwa nakwimpilo yakho yomzimba.

Okokugqibela, yintoni ekufuneka uyikhumbule

Kulungile, ngoko ke eyona nto ibalulekileyo ekufuneka siyikhumbule kwinto ebesithetha ngayo kukuba nangona ukwahlulwahlulwa okufana 'ne-organ' kunye 'ne-tissue' kusenokungabonakali kubaluleke kangako kuthi, ngaphandle koogqirha, xa kufikwa kwi-mesentery, la 'magama' abaluleke kakhulu. Olu lwazi lutsha ngesakhiwo se-mesentery, kunye nenkonzo esinika inkqubo yethu yokugaya ukutya, lunokutshintsha indlela ababoneleli bezempilo abaxilonga ngayo izifo zenkqubo yokugaya ukutya.

Olu lwazi lutsha lunokutshintsha indlela abatyanda ngayo isisu sakho. Njengoko izazinzulu zifunda ngakumbi nge-mesentery, ulwazi olutsha luya kutyhilwa malunga nendlela enegalelo ngayo kwimpilo yakho. Ngoko ke, ukwazi eli lungu 'litsha nelidala' kuya kusinceda siqonde ngakumbi ngemizimba yethu!

Ulwelwesi , amalungu esisu, inkqubo yokwetyisa, amathumbu, amalungu amatsha, impilo yesisu, izifo zokwetyisa