Ngaba wakha wazibuza ukuba zonke izitho ezingaphakathi kwesisu sakho, njengesibindi sakho, isisu, namathumbu, zidibene njani kwaye zihlelwe ngendlela ecocekileyo ngaphandle kokuchukumisana? Kwakhona, wakha wazibuza ukuba yintoni enceda la malungu ukuba atyibilike ngaphandle kokukhuhlana xa ehamba? Kukho inwebu emangalisayo, egudileyo ngaphakathi kwesisu sethu (indawo engenanto ngaphakathi kwesisu) enceda kuyo yonke le nto. Namhlanje sithetha ngale 'peritoneum', enendawo ebaluleke kakhulu kwezonyango.
Kalula nje, yintoni le peritoneum?
Khawuthelekelele isisu sakho njengebhokisi. Kukho ulwelo oluseludongeni lwangaphakathi lwale bhokisi. Emva koko kukho umaleko obhityileyo wezicubu ojikeleze umxholo webhokisi (amalungu ethu). I-peritoneum ifana nale.
Oku kunokwahlulwahlulwa kube ngamacandelo amabini:
1. I-Parietal Peritoneum: Le yinxalenye egubungela udonga lwangaphakathi lwesisu sethu kunye ne-pelvis. Kanye njengodonga lwangaphakathi lwaloo bhokisi endikhankanyileyo.
2. I-Visceral Peritoneum: Le yinxalenye ejikeleza amalungu angaphakathi esiswini sethu (njengesisu, isibindi, amathumbu). Kufana nokusonga izinto ebhokisini ngokwahlukeneyo.
Isithuba esincinci kakhulu phakathi kwezi zigqubuthelo zimbini sibizwa ngokuba yi-peritoneal cavity . Ngaphakathi kwesi sithuba kukho inani elincinci lolwelo oluthambisayo. Olu lwelo luvumela amalungu esisu ukuba atyibilike lula phezu komnye nomnye xa siphefumla, sihamba, kwaye sisetyisa ukutya.
Yeyiphi inkonzo enikezelwa yi-peritoneum emzimbeni wethu?
Ayisiyonto nje yokugquma. Yenza okuninzi emizimbeni yethu kunoko. Abaphandi basafumanisa izinto ezintsha ngayo.
| Umsebenzi owenziwayo | Kalula nje... |
|---|---|
| Ukubonelela ngobushushu nokhuseleko | I-peritoneum igcwele amanqatha anika ubushushu kumalungu ethu kwaye awakhusele kuyo nayiphi na impembelelo. |
| Ukuthambisa | Loo manzi e-peritoneal endikhankanyileyo ngaphambili agcina amalungu omzimba ukuba angakhuhlani, aze atyibilike. Kufana nokufaka igrisi kumatshini. |
| Ukubonelela ngesakhiwo kunye nenkxaso | Izitho zethu zomzimba ziqhagamshelwe omnye komnye ngemixokelelwane ekhethekileyo eyenziwe yi-peritoneum. Ikwanceda ekunamathiseni izitho ezifana namathumbu eludongeni olungasemva lwesisu. |
| Igazi, i-lymph, kunye nokunikezelwa kwemithambo-luvo | Imithambo yegazi, imithambo ye-lymph, kunye nemithambo-luvo efunekayo kumalungu ethu idlula kule membrane ye-peritoneal. |
| Ukunceda amajoni omzimba | Isebenza njengomlindi wokhuseleko. Ifumanisa iintsholongwane kunye nezinto zangaphandle ezingena esiswini kwaye ithumela iiseli ezimhlophe zegazi ukuba zizihlasele. Ikwanceda ekuhluzeni imveliso engcolileyo. Into emangalisayo kukuba ukuba olu lwelwesi lonakele, luyakwazi ukuziphilisa ngokukhawuleza. |
Ihlelwe njani le nto?
Njengoko i-peritoneum ijikeleza amalungu omzimba, igoba kwiindawo ezimbini okanye ezintathu, yenze imiqolo kunye nemiqolo efana nengxowa.
- I-Omentum: Le yi-peritoneum enkulu, enamafutha esebenza njenge-apron egubungela amalungu aphambi kwesisu sethu.
- I-Mesentery: Le yi-peritoneum egobileyo edibanisa amathumbu ethu nodonga olungasemva lwesisu.
Utshintsho kwindlela evakalelwa ngayo intlungu
Nantsi into ebaluleke kakhulu. I-visceral peritoneum, ejikeleze amalungu omzimba, iva intlungu ngendlela engacacanga. Njengaxa isisu sigcwele igesi, uziva ngathi, "Ndaweni ithile esiswini sam ibuhlungu." Kodwa ukuba i-parietal peritoneum, esecaleni kodonga lwesisu, yenzakele, intlungu ibukhali kakhulu. Ungakhomba ngomnwe wakho uthi, "Kulapho kanye kubuhlungu khona." Uhlobo lwale ntlungu luluncedo kakhulu koogqirha ekuxilongeni isifo.
Ziziphi iimeko ezichaphazela i-peritoneum?
Ngenxa yokuba idlala indima ebaluleke kangaka, ukuba kukho ingxaki kwi-peritoneum, inokukhokelela kwiimeko ezinzulu.
Eyona nto ibalulekileyo kukuba ungaze uyityeshele intlungu yesisu okanye ukudumba. Isenokuba luphawu lwemeko embi echaphazela i-peritoneum.
Makhe sijonge ezinye zezona meko zonyango zixhaphakileyo kwitheyibhile engezantsi.
| Imeko yezonyango | Kwenzeka ntoni ngale nto? |
|---|---|
| I-Peritonitis | Oku kukudumba kwe-peritoneum. Oku kudla ngokubangelwa kusulelo olukwindawo engaphakathi esiswini. Umzekelo, ukuba i-appendicitis iyagqabhuka, iintsholongwane zinokusasazeka ziye kwindawo engaphakathi esiswini zize zibangele le meko. Le yimeko enzima efuna unyango olungxamisekileyo . Kuba usulelo lunokungena egazini luze lusasazeke emzimbeni wonke (septicemia). |
| Ii-Ascites | Oku kukuqokelelana okungaqhelekanga kolwelo kwi-peritoneal cavity. Oku kubangela ukuba isisu sidumbe phambili size sidumbe. Oku kudla ngokuba luphawu olubonwa kwizigaba zokugqibela zesifo sesibindi (ezifana ne-cirrhosis). Ngamanye amaxesha le meko inokubangelwa sisifo sentliziyo okanye umhlaza. |
| I-Hernia | I-hernia kukuvela kwezicubu (ngokufuthi i-peritoneum kunye nenxalenye yamathumbu) ngokusebenzisa indawo ebuthathaka eludongeni lwesisu. Nangona oku kungabangela umonakalo omkhulu kwi-peritoneum, kunokuba yingozi ukuba ukuhanjiswa kwegazi kunqanyulwe. Ke ngoko, kufuneka ilungiswe ngotyando. |
| Ukuncamathelisa kwesisu | Ngexesha lotyando lwesisu, i-peritoneum iyasikwa. Njengoko iphola, ngamanye amaxesha kwakheka izicubu eziqinileyo, nto leyo ebangela ukuba amalungu omzimba anamathele omnye komnye okanye eludongeni lwesisu. Oku akusoloko kubangela iingxaki. Kodwa ngamanye amaxesha kunokubangela iimeko ezinzima ezifana nokuvaleka kwamathumbu. |
| Umhlaza | Umhlaza wesisu unokusasazeka lula uye kwi-peritoneum. Oku kubizwa ngokuba yi-peritoneal carcinomatosis . Kunqabile kakhulu ukuba umhlaza uqale nakwi-peritoneum ngokwayo. |
Uyazi njani ukuba kukho ingxaki?
Intlungu yesisu kunye nokudumba ziimpawu ezimbini eziphambili zengxaki kwi-peritoneum. Ukuba intlungu ayicacanga, isenokuba inxulumene nomaleko ongaphakathi. Ukuba intlungu ibukhali kwaye ikwindawo ethile, inokuba inxulumene nomaleko ongaphandle.
Uvavanyo oluqhutywa ngugqirha
Ngokuxhomekeke kwiimpawu zakho, ugqirha wakho unokwenza iimvavanyo ezininzi ukuze afumane unobangela.
- Uhlalutyo lolwelo lwe-peritoneal: Inaliti encinci ifakwa esiswini kwaye amathontsi ambalwa olwelo athathwa kwi-peritoneal cavity aze athunyelwe kwilebhu. Ulwelo luyahlolwa ukuze kufunyanwe iiseli, iiproteni kunye neentsholongwane ukuze kuchongwe ukuba kukho usulelo, umhlaza, okanye esinye isizathu.
- I-biopsy yesisu: Ngamanye amaxesha kufuneka kuthathwe iqhekeza elincinci lesisu ukuze lihlolwe. Oku kungenziwa ngenaliti ekhethekileyo okanye nge -laparoscopy (ukusika okuncinci okwenziwe esiswini kunye nekhamera efakwe kuyo).
Unyango lwe-peritoneal
Ngenxa yamandla amangalisayo e-peritoneum, ikwasetyenziswa nakwezinye iindlela zonyango.
- I-Peritoneal Dialysis: Le ndlela isetyenziselwa ukucoca igazi lezigulana ezinengxaki yezintso. Apha, kufakwa ulwelo olukhethekileyo kwi-peritoneal cavity. I-peritoneal membrane ngokwayo isebenza njengesihluzo, itsala inkunkuma egazini iye kolo lwelo. Emva kweeyure ezimbalwa, ulwelo oluzaliswe yinkunkuma luyasuswa.
- I-HIPEC (Hyperthermic Intraperitoneal Chemotherapy): Olu lunyango olukhethekileyo lwe-chemotherapy lomhlaza. Kule meko, ikhemikhali eshushu ifakwa ngqo kwi-peritoneal cavity. Oku kuvumela ukuba unyango lujoliswe kwindawo yomhlaza, endaweni yomzimba wonke.
- Utyando: Kwimeko yomhlaza okanye ezinye iingxaki, ukususwa kwenxalenye okanye ngokupheleleyo kwe-peritoneum (i-peritonectomy) kunokufuneka.
Ukuqukumbela, i-peritoneum yinxalenye emangalisayo yomzimba wethu eyenza umsebenzi othuleyo kodwa obaluleke kakhulu. Isebenza njengomkhuseli, inkxaso, kunye nomphilisi wamalungu ethu.
Umyalezo Wokuya Ekhaya
- I-peritoneum yinwebu ebhityileyo egubungela kwaye ikhusela isisu sethu kunye namalungu angaphakathi kuyo.
- Yenza imisebenzi emininzi ebalulekileyo, njengokubonelela ngobushushu, ukuthambisa, ukuxhasa amalungu omzimba, kunye nokuncedisa amajoni omzimba.
- Intlungu yesisu kunye nokudumba kungaba ziimpawu eziphambili zesifo esinxulumene ne-peritoneum.
- Ungaze uyityeshele intlungu, nokuba ayicacanga okanye incinci. Bona ugqirha wakho ngokukhawuleza ukuze ufumane icebiso.
- Ngenxa yokuba iimeko ezifana ne-peritonitis zinokuba zimbi kakhulu, ukufuna unyango ngokukhawuleza kunokusindisa ubomi.
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