Uyazi ngaleli gciwane elivikelayo elimangalisayo (i-peritoneum) elingaphakathi esiswini sakho? Ake sixoxe ngemininingwane!

Wake wazibuza ukuthi izitho ezibalulekile ngaphakathi kwesisu sakho, njengesibindi sakho, isisu, namathumbu, zigcinwa kanjani zihlelekile futhi zivikelekile? I -peritoneum iyi-membrane encane, ebushelelezi esiza ukuyigcina isendaweni yayo. Ifana nesembozo esikhululekile nesivikelayo esizungeze izitho ezingaphakathi kwesisu sethu. Ake sixoxe nge-peritoneum ngemininingwane ethe xaxa namuhla, ngoba ikhonza buthule inkonzo enhle emizimbeni yethu.

Iyini i-peritoneum? Kalula nje...

Kalula nje, i-peritoneum iyingqimba encane yezicubu ezimboze umgodi wesisu sakho (isikhala esingenalutho ngaphakathi kwesisu sakho) kanye nomgodi we-pelvic. Iphinde inikeze umcamelo ozungeze izitho ezingaphakathi kwesisu sakho. Cabanga ngayo njengebhaluni elinebhaluni ngaphakathi.

Kunezingxenye ezimbili kulolu lwelwesi lwe-peritoneal:

• I-peritoneum ye-parietal: Yilokhu okuhlanganisa izindonga zangaphakathi zesisu sakho kanye ne-pelvis.
• I-Visceral peritoneum: Lolu ulwelwesi oluzungeze izitho ezingaphakathi kwesisu sakho (isibonelo, isisu, isibindi, amathumbu).

Isikhala esincane phakathi kwalezi zindwangu ezimbili sibizwa ngokuthi umgodi we-peritoneal . Lo mgodi uqukethe inani elincane loketshezi olunciphisa ukungqubuzana lapho izitho zigudlana.

Kungani i-peritoneum ibaluleke kangaka kithi? Yenzani?

Lolu lwelwesi lwe-peritoneal lwenza imisebenzi eminingi ebalulekile emizimbeni yethu. Eminye yayo isafundwa abacwaningi. Nazi ezinye zeziyinhloko ezaziwa njengamanje:

• Ukuvikela: Lolu ngqimba lwe-membrane luqukethe amafutha. Lokhu kunikeza ukufudumala kanye nokuvikelwa okuthile kwezitho zethu zomzimba. Cabanga ngakho njengomcamelo omncane.
• Ukugcotshwa: Lolo ketshezi lwe-peritoneal engikhulume ngalo ekuqaleni lusiza izitho zethu zomzimba, ikakhulukazi lezo ezihamba njengamathumbu, ukuba zishelele phezu komunye nomunye. Ngaphandle kwalokho, zingakhuhlana zodwa bese zilimala, akunjalo?
• Isakhiwo Nokusekelwa: Izitho zethu zomzimba zixhunyaniswe ngemisipha ekhethekile e-peritoneum. Kuphinde kusize ekunamathiseni amathumbu odongeni lwangemuva lwesisu.
• Igazi, i-lymph kanye nokuhlinzekwa kwemizwa: Imithambo yegazi, imithambo ye-lymph kanye nemizwa edingwa yizitho zethu idlula kulolu lwelwesi lwe-peritoneal.
• Ukungavikeleki: Lokhu kubaluleke kakhulu. I-peritoneum ifana nomugqa wokuqala wokuzivikela ekulimaleni namagciwane angena emgodini wethu wesisu. Okusho ukuthi, ibona izinto eziyingozi ngaphandle futhi ithumela amangqamuzana amhlophe egazi ukuze azihlasele. Iphinde isize ekuhlungeni uketshezi olungaphakathi emgodini we-peritoneal futhi isuse imfucuza. Into emangalisayo ukuthi lesi zicubu sinamandla okuphulukisa ngokushesha uma silimele.

Cabanga ngakho njenge-peritoneum, umqaphi othule ngaphakathi esiswini sethu. Ngaphandle kwayo, izitho zethu beziyoba senkingeni enkulu.

Iphi i-peritoneum emzimbeni wethu?

I-peritoneum itholakala emgodini wakho we-abdominopelvic . Iqala ngaphansi nje kwe-diaphragm yakho (umsipha ohlukanisa isifuba sakho nesisu) bese idlulela phansi kwe-pelvic yakho.

• I-peritoneum ye-parietal imboza izindonga zalo lonke leli gumbi.
• I-peritoneum ye-visceral izungeza kakhulu isisu, isibindi, ubende, kanye nezinye izingxenye zamathumbu amancane namathumbu amakhulu.

Izitho zomzimba ezizungezwe ngokuphelele yi-visceral peritoneum zibizwa ngokuthi "intraperitoneal" , kuyilapho izitho ezingazungezwe ngokuphelele futhi ezingemuva kwe-peritoneum zibizwa ngokuthi "retroperitoneal" .

Kwenziwa kanjani lokhu? Ake sikubheke ngemininingwane ethe xaxa.

I-peritoneum iyi -serous membrane . Okusho ukuthi, i-membrane ekhipha uketshezi olufana ne-serum. Lolu hlobo lwezicubu lutholakala kwezinye izimbobo eziningana emzimbeni wethu, futhi luvame ukubizwa ngokuthi i-mesothelium .

Lokhu kwakhiwe kakhulu ngezingqimba ezimbili:

1. Amaseli e-Epithelial: Lawa angqimba ephezulu. Lawa maseli akhipha futhi amunce uketshezi lokuthambisa okukhulunywe ngalo ngenhla. Aphinde asize ekuhlungeni izinto ezifana namagciwane futhi athwale igazi, i-lymph, kanye nemizwa.

2. Izicubu ezixhumeneyo: Lokhu kutholakala ngaphansi kwesendlalelo seseli le-epithelial. Yilokho okuhlanganisa konke ndawonye. Lezi zicubu ezixhumeneyo ziyasiza ekunamathiseni ezinye izitho odongeni lwesisu nokugcina ezinye zilenga ngaphakathi kwesikhala.

Ukwakheka okukhethekile kwe-peritoneum

Njengoba i-visceral peritoneum ijikeleza izitho zomzimba, iyagoqeka ezindaweni ezithile, yakhe izendlalelo ezimbili kanye nezakhiwo ezifana nesikhwama.

• I-Omentum: Lolu ungqimba olukhulu oluphindwe kabili lwe-peritoneum olusebenza njenge-apron futhi lumboze ezinye zezitho ezingaphambili kwesisu sakho.
• I-Mesentery: Lokhu futhi kuyingqimba ephindwe kabili. Yilokhu okuxhumanisa amathumbu akho nodonga lwangemuva lwesisu sakho.

Izicubu zamafutha eziphakathi kwalezi zingqimba zinikeza isivikelo esengeziwe kanye nokufudumala, futhi zisiza nokuthwala imizwa nemithambo yegazi ezithweni zomzimba.

Kunjani ukuhlinzekwa kwemizwa?

Lokhu kubaluleke kakhulu futhi.

• I-peritoneum ye-visceral, ezungeze izitho zakho zomzimba, ithola ukuhlinzekwa kwayo kwemizwa ezenzakalelayo kulezo zitho.Ukunikezwa ngokwako. Ngakho-ke, ubuhlungu obuzwakalayo ngenxa yalokhu abucacile kahle, futhi kunzima ukusho ngqo ukuthi bubuhlungu kuphi. Kuzwakala sengathi amathumbu ayanwebeka uma egcwala umoya noma ukudla. Kuzwakala futhi kucasukile uma kuvuza amakhemikhali anjengegazi noma inyongo.
• I-parietal peritoneum, emboza udonga lwakho lwesisu, ithola ukuhlinzekwa kwemizwa efana neye-somatic nerve njengodonga lwesisu uqobo. Ngakho-ke, ingakhomba indawo eqondile yezinto ezifana nokucindezeleka, ubuhlungu, kanye nokushisa.

Yiziphi izifo ezithinta i-peritoneum? Masiqaphele!

Ngeshwa, lolu hlobo lwe-peritoneal membrane lungakha nezifo ezahlukahlukene. Ake sixoxe ngezinye zazo.

1. I-Peritonitis - Lokhu akuwona umdlalo!

I-Peritonitis ukuvuvukala kwe-peritoneum. Ngokuvamile ibangelwa ukutheleleka ngaphakathi komgodi we-peritoneal. Kodwa-ke, ingaba uphawu lokuqala lwezinye izifo zesisu.

I-Peritonitis iyisimo esiphuthumayo sezokwelapha. Ngenxa yokuthi i-peritoneum iyi-membrane emunca izinto ngokushesha, ukutheleleka emgodini we-peritoneal kungangena egazini futhi kusakazeke kuwo wonke umzimba, okubangela isimo esiyingozi esibizwa ngokuthi i-septicemia.

2. Ama-Ascites - ukunqwabelana koketshezi esiswini

I-Ascites ukuqongelela koketshezi oluningi emgodini we-peritoneal. Lokhu kubangela isisu ukuthi sivuvuke ngaphandle kwesizathu esibonakalayo. Ngokuvamile kuyisibonakaliso sesifo sesibindi esithuthukile (ikakhulukazi i-cirrhosis ). Ku-cirrhosis, ingcindezi emthanjeni oyinhloko esiswini (i-portal hypertension) iyanda, okubangela ukuba uketshezi luphume emithanjeni. Ngezinye izikhathi, i-ascites ingaba uphawu lokwehluleka kwenhliziyo noma umdlavuza.

3. I-Hernia - Ingabe lokhu kuhlobene ne-peritoneum?

I-hernia iwukuphuma kwezicubu kusuka engxenyeni ethile yomzimba ngodonga lwemisipha kuya kwenye. Ama-hernia amaningi ayenzeka ngodonga lwesisu. Ngokuvamile, i-peritoneum nayo iphakathi kwezicubu eziphumayo. Ngezinye izikhathi, isitho sangaphakathi singase sikhishwe, kodwa sisagoqwe ku-peritoneum. Ama-hernia ngokuvamile awalimazi i-peritoneum, kodwa uma ukuhlinzekwa kwegazi kuyo kunqamuka, kungaba yinkinga. Ama-hernia amaningi adinga ukuhlinzwa.

4. Ukunamathela Kwesisu - Inkinga eyenzeka ngemva kokuhlinzwa

Uma i-peritoneum idabuke ngesikhathi sokuhlinzwa kwesisu, ingakha imichilo emikhulu yezicubu zesilonda njengoba iphola. Lokhu kubizwa ngokuthi ukunamathela kwesisu.Lokhu akuhlali kubangela izinkinga. Kodwa-ke, uma lezi zicubu zesilonda zakheka phakathi kwezitho zomzimba, zingaphazamisa ukuhamba ngokukhululeka kwezitho zomzimba. Ngezinye izikhathi, ukuhamba kwezinto ngaphakathi kwezitho zomzimba nakho kungavimbeka. Into eyingozi kakhulu engenzeka ukuvaleka kwamathumbu . Uma amathumbu evimbeka, ukudla nokuphuza akukwazi ukuphuma emzimbeni.

5. I-Sclerosing mesenteritis noma i-mesenteric panniculitis

Lesi yisimo esingavamile kakhulu. Sithinta izicubu ezinamafutha ku-mesentery, ukugoba kwe-peritoneum exhumanisa amathumbu akho amancane nodonga lwangemuva lwesisu sakho. Nakuba imbangela eqondile ingaziwa, ukuvuvukala okungapheli kwalesi zicubu kuholela ekuqhekekeni okukhulu (fibrosis). Lokhu kuqhekeka kungavimba ukugeleza kwegazi ezicutshini futhi kubangele ukufa kwezicubu (necrosis). Kwezinye izimo, ukuvaleka kwamathumbu kungenzeka.

6. I-Mesenteric lymphadenitis

I-Lymphadenitis ukuvuvukala nokuvuvukala kwama-lymph node. Uma kwenzeka ku-mesentery, ibizwa ngokuthi i-mesenteric lymphadenitis . Lokhu kuvame ukuba uphawu lokutheleleka. Lapho isimiso sethu somzimba sokuzivikela sisebenza, ama-lymph node asiza ekuhlungeni nasekususeni amagciwane. Lokhu kungabangela ubuhlungu besisu kanye nomkhuhlane, kodwa lokhu kuvame ukuba okwesikhashana.

7. Umdlavuza

Umdlavuza okhula ezithweni zesisu kanye ne-pelvic cavity ungasakazeka kalula uye ku-peritoneum. Lokhu kubizwa ngokuthi i-peritoneal carcinomatosis . Akuvamile ukuthi umdlavuza uqale ku-peritoneum uqobo. Izibonelo zifaka phakathi umdlavuza we-peritoneal oyinhloko kanye ne-peritoneal mesothelioma (umdlavuza we-mesothelium). I-Pseudomyxoma peritonei uhlobo lomdlavuza olungavamile olubangela ukuthi i-peritoneal cavity igcwale into efana ne-mucus. Noma yimuphi umdlavuza okhula ku-peritoneum ungasakazeka ezithweni eziwuthintayo.

Ngingazi kanjani ukuthi kunenkinga nge-peritoneum yami?

Izimpawu ezivame kakhulu zanoma yisiphi isimo esithinta i-peritoneum ubuhlungu besisu kanye nokuvuvukala kwesisu .

• Uma uzwa ubuhlungu obusakazeka esiswini sakho futhi kunzima ukububona, kungaba ubuhlungu obuvela ku-visceral peritoneum yakho, ungqimba lwangaphakathi lwesisu sakho.
• Uma ubuhlungu buqine kakhulu futhi busendaweni, kungase kube ngenxa yokucasuka kwengqimba yangaphandle, i-parietal peritoneum.

Kungaba nezimbangela eziningi zobuhlungu besisu, kodwa eziningi zazo zihilela i-peritoneum ngandlela-thile.

Yiziphi izivivinyo ezenziwayo ukuhlola impilo ye-peritoneum?

Uma udokotela wakho esola inkinga nge-peritoneum, angenza izivivinyo ezifana nalezi:

• Ukuhlaziywa koketshezi lwe-peritoneal:Lokhu kungasiza ekuxilongeni izimo ezifana ne-peritonitis noma i-ascites. Udokotela ufaka inalithi encane, engenalutho emgodini wesisu bese esusa inani elincane loketshezi lwe-peritoneal. Uketshezi luthunyelwa elabhorethri ukuze luhlolwe. Uketshezi luyahlolwa ukuze kutholakale ukuthi uketshezi lubangelwa ukuvuvukala noma ukuvuza kwemithambo yegazi. Kungabuye kubheke ubufakazi bokutheleleka, amangqamuzana omdlavuza, noma amakhemikhali avuzayo avela kwesinye isitho.
• I-Peritoneal biopsy: Ngezinye izikhathi udokotela angase afune ukuthatha isampula yezicubu ze-peritoneal. Lokhu kungenziwa ngokufaka inaliti ekhethekile esiswini (i-needle biopsy). Noma kungenziwa ngesikhathi se -laparoscopy . I-Laparoscopy inqubo ehilela ukwenza ukusika okuncane esiswini bese kufakwa ikhamera kuyo ukuze kuhlolwe umgodi wesisu. Uma udokotela efuna ukubona ukuthi kwenzekani ngaphakathi esiswini, angase asikisele i-laparoscopy kanye ne-biopsy.

Yiziphi izindlela zokwelapha i-peritoneum?

Kunezindlela ezahlukene zokwelapha izifo ezihlobene ne-peritoneum. Kukhona nezindlela zokwelapha ezisebenzisa ezinye zezakhiwo ze-peritoneum.

• I-Peritoneal dialysis: Odokotela ngezinye izikhathi basebenzisa i-peritoneum ukwelapha abantu abanenkinga yezinso. Lokhu kungenxa yokuthi i-peritoneum inekhono elimangalisayo lokuhlunga imikhiqizo engcolile. I-Dialysis yenza lokho okwenziwa yizinso, okuwukususa imikhiqizo engcolile kanye noketshezi oluningi egazini. Kule nqubo, wena noma udokotela wakho nigcwalisa umgodi wakho we-peritoneal ngesisombululo esikhethekile soketshezi. Uketshezi luhlungwa nge-peritoneum yakho, bese uketshezi lususwa.
• I-Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Lokhu kuyindlela entsha yokwelapha ngamakhemikhali yomdlavuza. Isebenzisa amandla okumunca e-peritoneum. Isixazululo samakhemikhali esigxilile nesifudumele sinikezwa ngqo emgodini we-peritoneal. Uma unomdlavuza endaweni eyodwa emgodini wakho we-peritoneal, i-HIPEC ingelapha leyo ndawo kuphela. I-chemotherapy yendabuko inikeza imithi egazini, ethinta umzimba wonke, ngakho-ke kunemiphumela emibi eminingi. Kodwa i-HIPEC ihlukile, futhi ingasebenza kangcono.
• Ukuhlinzwa kwe-Cytoreductive/debulking: Inhlanganisela yokuhlinzwa kanye ne-chemotherapy ivame ukusetshenziselwa ukwelapha umdlavuza wesisu kanye nowe-pelvic. Ukuhlinzwa kwe-Cytoreductive kuzama ukususa amangqamuzana omdlavuza amaningi ngangokunokwenzeka, noma ngabe akuphi. Ngezinye izikhathi lokhu kusho ukususa ingxenye noma yonke i-peritoneum yakho (i-peritonectomy). Ngokuvamile, kuthinta i-omentum. Eminye imidlavuza isakazeka lapho kuqala. Ngemuva kwalokho, kufanele uhlinzwe i-omentectomy ukuze ususe i-omentum.

Ngakho-ke, ekugcineni, izinto ezimbalwa okufanele uzikhumbule...

Cishe usuyaqonda manje ukuthi i-peritoneum yinto edlala indima ethule, kodwa ebaluleke kakhulu emzimbeni wethu.

• Uma unezinhlungu zesisu noma ukuqunjelwa, ungakuzibi. Ngezinye izikhathi, noma ngabe izimpawu zincane, inkinga eyisisekelo ingaba nkulu. Ngakho-ke, ungangabazi ukubona udokotela ukuze uthole iseluleko.
• I-peritoneum iyi-membrane evikelayo phakathi kwesikhumba sethu nezitho eziningi zangaphakathi. Ihlinzeka ngesivikelo, ukufudumala, isakhiwo, igazi, kanye nokuhlinzekwa kwemizwa ezithweni zethu.
• Ngaphezu kwalokho, i-peritoneum inamandla okuphulukisa amanxeba kanye nemisebenzi yokuzivikela yomzimba.
• Ukuvuvukala kwe-peritoneum kungaba uphawu lokuqala lwesixwayiso sesimo esingatholakali kwesinye sezitho zakho zomzimba.

Ngakho-ke, akubalulekile yini ukwazi ukuthi lezi zinto ezimangalisayo zenzeka emizimbeni yethu? Nakekela impilo yakho!

I- Peritoneum, i-Peritoneum, umgodi wesisu, i-Peritonitis, i-Ascites, i-Hernia, Ubuhlungu besisu, Impilo yesisu, Ukwakheka komzimba