Ake sifunde ngomthambo wegazi omncane, kodwa obaluleke kakhulu esiswini sethu: i-Celiac Trunk.

Wake wazibuza ukuthi uhlelo olungaphakathi emizimbeni yethu luyinkimbinkimbi kangakanani ukugaya ukudla esikudlayo nokumunca izakhamzimba kukho? Namuhla sizokhuluma ngolunye olwenza umsebenzi obaluleke kakhulu, kodwa asikhulumi kakhulu ngalo. Lowo umthambo wegazi oyinhloko obizwa ngokuthi iCeliac Trunk . Nakuba leli gama lingavamile kancane, insizakalo eliyenzayo inhle kakhulu.

Iyini ngempela i-Celiac Trunk?

Kalula nje, iCeliac Trunk iyimthambo omkhulu esiswini sethu, okungukuthi, ngaphakathi esiswini. Cabanga ukuthi unethangi elikhulu lamanzi elihlinzeka ngamanzi endlini yakho, futhi lelo thangi yilapho amanzi eya khona kwamanye amapayipi amancane endlini. Ngokufanayo, iCeliac Trunk ithola igazi elivela emthanjeni wegazi omkhulu emzimbeni wethu, i-Abdominal Aorta . Ngakho-ke, igazi elikhulu ligeleza kuwo.

Sinomthambo owodwa kuphela we-celiac trunk emzimbeni wethu. Kodwa wenza umsebenzi obaluleke kakhulu. Uhlinzeka ngegazi elihlanzekile, elinomoya-mpilo kwezinye zezitho ezibaluleke kakhulu ohlelweni lwethu lokugaya ukudla, okungukuthi, umgudu wokugaya ukudla. Ingabe uzizwa ulele kancane ngemva kokudla isidlo sasemini? Ngaleso sikhathi, khumbula ukuthi i-celiac trunk yakho isiza izitho zakho zokugaya ukudla ngokuzipompa igazi elengeziwe. Ngoba lezo zitho zisebenza kanzima ukukhipha izakhamzimba ekudleni okudlayo.

Igama elithi "celiac" livela egameni lesiGreki elisho "isisu." Abantu abanesifo se-celiac nabo babhekana nezinkinga kule ndawo yesisu. Ngakho-ke lelo igama elinikezwe lo mthambo wegazi obalulekile.

Kwenzekani ku-Celiac Trunk?

Umsebenzi wayo oyinhloko, njengoba sishilo ngaphambili, ukuthwala igazi elinomoya-mpilo, elinothile ngezakhamzimba liye ezingxenyeni zesimiso sethu sokugaya ukudla. Cabanga ngakho njengoba lezi zitho zifana nezimboni. Zidinga ngempela uphethiloli, okungukuthi, umoya-mpilo kanye nezakhamzimba, ukuze zisebenze. Ipayipi eliyinhloko elihlinzeka ngalowo phethiloli yisiqu se-celiac.

Lezi yizitho zomzimba ezithola igazi elivela esiqwini se-celiac:

• Isibindi: Esinye sezindlala ezinkulu emzimbeni wethu, siyisitho esibaluleke kakhulu esikhipha ubuthi futhi sikhiqize i-bile.
• Inyongo: Igcina inyongo ekhiqizwa yisibindi futhi isiza ekugayeni ukudla okunamafutha uma sikudla.
• Ubende: Isitho esihlanza igazi, sisize amasosha omzimba, futhi sisuse amangqamuzana egazi abomvu amadala.
• Umphimbo: Uma sigwinya ukudla, yipayipi elithwala ukudla kusuka emlonyeni kuya esiswini.
• Isisu: Lena yindawo eyinhloko lapho inqubo yokugaya ukudla esikudlayo iqala khona. Yilapho ukudla kuhlangana khona ne-asidi bese kuqala ukuwohloka.
• I-Pancreas: Ikhiqiza ama-hormone abalulekile njenge-insulin, kanye nama-enzyme asiza ekugayeni ukudla.
• I-Duodenum:Kusukela emathunjini ethu amancane, enye indawo ebalulekile lapho ukugaya ukudla kanye nokumuncwa kwezakhamzimba kwenzeka khona.

Manje usuyaqonda ukuthi uma kukhona ukuvaleka noma ukuvinjelwa kulesi siqu se-celiac, kungathinta zonke lezi zitho. Njengoba nje uma umugqa wamanzi uphuka, wonke amapayipi endlini azoyeka ukusebenza.

Ikuphi le Celiac Trunk?

Kulungile, manje ake sibone ukuthi lo mthambo wegazi omncane kodwa obaluleke kakhulu ucashe kuphi emizimbeni yethu. Ngaphansi nje kwethambo phakathi kwesifuba sakho, i-sternum, cabanga ngokuya ohlangothini uye emgogodleni, udlule esiswini sakho, bese uya ohlangothini. Utholakala ngaphezu nje komgogodla wakho we-lumbar, eduze kwentambo yomgogodla. Ukuze kube sobala, usezingeni le -vertebra yokuqala ye-lumbar (L1) lapho usuka khona e-aorta yesisu. Lokho kusho ukuthi utholakala ngaphansi nje kwe-rib cage yethu, kodwa eduze kwentambo yomgogodla.

Yiziphi izingxenye ze-Celiac Trunk?

Lo mzimba we-celiac awusebenzi wodwa. Uphinde ube namagatsha amancane emithambo yegazi athwala igazi ezithweni ezishiwo ngenhla. Kunezinhlobo ezintathu eziyinhloko zamagatsha:

1. Umthambo we-splenic: Lona umthambo othwala igazi uye e-spleen. Uphinde ube namagatsha amancane ahlinzeka ngegazi esiswini nasema-pancreas.

2. Umthambo wesisu wesobunxele: Lokhu kunikeza igazi ezingxenyeni zesisu kanye nomphimbo.

3. Umthambo wesibindi ovamile: Lona ukhipha amagatsha athwala igazi aye esibindini, enyongweni, kwezinye izingxenye zesisu, epancreas, nase-duodenum.

Kodwa nansi into encane okufanele uyazi. Akuwona wonke umuntu onendlela efanayo la magatsha ahlukana ngayo. Kwabanye abantu, la magatsha omthambo angase angaxhumani nesiqu se-celiac, kodwa angase aqale ngqo kusuka ku-aorta yesisu noma ku-splenic artery. Futhi, nakuba ngokuvamile kunemagatsha amathathu, abanye abantu bangase babe namagatsha amane, amahlanu, noma ayisithupha. Kuthiwa ukuhlukahluka okunjalo kuvame kakhulu kubantu abamnyama, amaJapane, noma abaseKorea. Lokhu kumane nje kungokwehlukahluka okuvamile komzimba, hhayi izifo.

I-Celiac Trunk ibukeka kanjani?

Lona umthambo wegazi omncane kakhulu. Ungamasentimitha angu-1.5 kuya kwangu-2 ubude (amasentimitha angu-0.59 kuya kwangu-0.78). Lokho kuncane kunesitembu seposi! Futhi ububanzi bawo, noma ububanzi obunqamula, buphakathi kwamamilimitha angu-6 kuya kwangu-12 (amasentimitha angu-0.23 kuya kwangu-0.47). Lokho kucishe kube usayizi wephizi evamile.

Njengeminye imithambo yegazi, udonga lwesiqu se-celiac lunezendlalelo ezintathu. Lezi zendlalelo ziqukethe izicubu ezixhumanisayo, imisipha, kanye nemicu enwebekayo . Imithambo yegazi kudingeka iguquguquke kancane ukuze imelane nokucindezela kwegazi eliphuma enhliziyweni. Yilokho lezi zendlalelo ezisiza ngakho.

Yiziphi izimo ezivamile ezithinta i-Celiac Trunk?

Le mithambo yegazi emincane ingathinteka nezifo nezimo ezahlukahlukene. Ezinye zazo yilezi:

• I-Stenosis: Lokhu kwenzeka lapho umthambo wegazi uvaleka ngaphakathi, okunciphisa ukugeleza kwegazi. Lokhu kungabangelwa izinto ezifana ne-cholesterol deposits (atherosclerosis).
• I-Thrombosis: Kwakha ihlule legazi bese livimba ngokuphelele noma ngokwengxenye umthambo wegazi.
• I-Aneurysm: Udonga lwemithambo yegazi olubuthakathaka oluvuvukala njengebhaluni. Lokhu kungaba yingozi ngoba lungaqhuma.
• Ukusikwa kwemithambo yegazi: Lokhu kwenzeka lapho izendlalelo zodonga lwemithambo yegazi zihlukana, okubangela ukuba zidabuke. Lokhu futhi kuyisimo esiphuthumayo.
• I-Median Arcuate Ligament Syndrome (MALS): Kulokhu, i-ligament edlula kwi-diaphragm yethu isunduza isiqu se-celiac, ivimbele ukugeleza kwegazi.

Okubalulekile: Lesi simo singase sibangele izimpawu ezifana nobuhlungu besisu esingenhla, isicanucanu, nokuhlanza. Uma lokhu kuqhubeka, kufanele nakanjani ubone udokotela.

Ungayihlola kanjani impilo ye-Celiac Trunk?

Uma udokotela wakho esola ukuthi kunenkinga ngesiqu se-celiac, angenza izivivinyo eziningana, njengokuthi:

• I-Doppler ultrasound: Lokhu kusebenzisa amaza omsindo ukubona ukuthi igazi ligeleza kanjani ngaphakathi kwemithambo yegazi. Kuwukuhlolwa okungenabuhlungu futhi okulula.
• I-CT angiogram (i-Computed Tomography angiogram): Lolu uhlobo lwe-X-ray. Kufakwa idayi ekhethekile emzimbeni bese kuthathwa izithombe ezicacile zemithambo yegazi.
• I-MRA (Magnetic Resonance Angiogram): Lesi isikeni se-MRI (Magnetic Resonance Imaging). Sisebenzisa amasimu kazibuthe namagagasi omsakazo ukukhiqiza izithombe ezinemininingwane zemithambo yegazi.
• I-Angiogram: Lokhu kusebenzisa ubuchwepheshe be-X-ray (i-fluoroscopy) kanye nedayi ukuthatha izithombe zemithambo yegazi. Ngezinye izikhathi ingasetshenziswa njengokwelashwa.

Lezi zivivinyo zivumela udokotela ukuthi anqume ngokunembile ukuthi kukhona yini ukuvaleka, ukuvuvukala, noma okunye ukukhubazeka esiqwini se-celiac kanye namagatsha aso.

Yiziphi izindlela zokwelapha ezivamile ze-Celiac Trunk?

Ngenhlanhla, kunezindlela zokwelapha izimo eziningi ezithinta isiqu se-celiac. Ukwelashwa okutholayo kuzoncika esimweni, ubukhali baso, kanye nempilo yakho iyonke.

Ezinye zezindlela zokwelapha eziyinhloko yilezi:

• Izinhlobo zemithi:Imithi efana nemithi yokwehlisa umfutho wegazi kanye nemithi yokunciphisa igazi inganikezwa.
• I-Angioplasty: Inqubo lapho kufakwa khona ithuluzi elincane elifana nebhaluni emthanjeni wegazi ovinjiwe bese livuvulwa ukuze liphinde livuleke.
• Ukubekwa kwe-stent: Ngemva kwe-angioplasty, kufakwa ipayipi elincane eline-mesh (stent) ukuze kuvikelwe ukuthi umthambo wegazi ungaphinde udilike.
• Ukuhlinzwa kokudlula: Ukuhlinzwa kokudlula umthambo wegazi ovinjiwe nokudala umzila omusha wegazi.
• Ukuhlinzwa: Kungase kudingeke ukuhlinzwa ukuze kwelashwe i-MALS, i-aneurysms, noma ukuhlukaniswa kwezicubu.

Udokotela wakho uzokhetha indlela yokwelapha efaneleka kakhulu kuwe.

Ngingawugcina kanjani umzimba wami we-Celiac uphilile?

Lena yingxenye ebaluleke kakhulu. Konke okuhle empilweni yenhliziyo yethu kuhle kuyo yonke eminye imithambo yegazi, kufaka phakathi isiqu sethu se-celiac. Ngakho-ke, nazi ezinye izinto ongazenza:

• Zivocavoce okungenani imizuzu eyi-150 ngesonto: Yenza into oyithandayo, njengokuhamba ngokushesha, ukugijima, ukugibela ibhayisikili, noma ukubhukuda.
• Yidla ukudla okunempilo okunosawoti omncane namafutha amaningi: Yidla imifino eminingi, izithelo, ubhontshisi, kanye nokusanhlamvu okuphelele. Nciphisa ukudla okucutshunguliwe, iziphuzo ezinoshukela, kanye nokudla okunamafutha amaningi ngangokunokwenzeka.
• Gwema imikhiqizo kagwayi ngokuphelele: Ukubhema kuyingozi kakhulu emithanjeni yegazi.
• Lawula ukucindezeleka: Gcina impilo yengqondo yakho iphilile ngezinto ezifana ne-yoga, ukuzindla, kanye nokuzibandakanya nomsebenzi wokuzilibazisa owuthandayo.
• Gcina isisindo esinempilo esikufanele.
• Uma ungumuntu omdala, lala kahle amahora aphakathi kwayisikhombisa nayisishiyagalolunye ngosuku.
• Uma unezinkinga zezokwelapha ezifana nomfutho wegazi ophakeme noma isifo sikashukela, zilawule kahle. Landela imiyalelo kadokotela wakho kahle.

Okokugcina, into ebaluleke kakhulu

I-Celiac Trunk yakho iyisitsha segazi esibalulekile esihlinzeka ngokuphila nomoya-mpilo ezithweni ezikusiza ukuthi ugaye ukudla okudlayo futhi umunce izakhamzimba kukho. Ngakho-ke, ukuyinakekela kufana nokunakekela eminye imithambo yegazi yakho. Lokho kusho ukulandela ukudla okunempilo kanye nendlela yokuphila esebenzayo .

Ngokuya njalo kokuhlolwa kwezokwelapha, udokotela wakho angakwazi ukubona noma yiziphi izinkinga ngomzimba wakho we-celiac noma eminye imithambo yegazi kusenesikhathi. Uma unezimpawu, ungesabi ukukhuluma nodokotela wakho ngazo futhi ubuze ngokwelashwa. Khumbula, uhlelo lwemithambo yegazi olunempilo lubalulekile empilweni enempilo!

Isiqu se- Celiac, isiqu se-celiac, umthambo wesisu, ukugaya ukudla, ukuhlinzekwa kwegazi, i-aorta yesisu, izimpawu, ukwelashwa