Wake wazibuza ukuthi kukhona yini into ekhethekile esiswini sethu esiza ukugcina zonke izitho ohlelweni lwethu lokugaya ukudla zihlelekile futhi zixhumene? Kuze kube muva nje, odokotela babengakuboni njengento eyodwa. Kodwa manje sebethole ukuthi kubizwa ngokuthi i-mesentery , futhi kuyisitho esibalulekile emzimbeni wethu!

Ngakho-ke iyini le mesentery?

Kulungile, pho iyini i-mesentery? Kalula nje, i-mesentery iyisitho esingaphakathi esiswini sakho esisekela futhi esixhunywe ngqo nazo zonke ezinye izitho ohlelweni lwakho lokugaya ukudla.

Into exakile ukuthi i-mesentery isanda kubekwa esigabeni 'sesitho'. Sekuyiminyaka izincwadi zezokwelapha zithi ayikho i-mesentery eyodwa, kodwa 'i-mesenteries eningi'. Ngaleso sikhathi, umphakathi wezokwelapha wawucabanga ngalezi zicubu eziningana ze-peritoneal ezixhumanisa amathumbu akho nodonga lwesisu. I-peritoneum iyi-membrane emboza isisu sakho kanye nezitho ezisesiswini sakho.

Kodwa ngo-2016, abacwaningi ababizwa ngokuthi uCoffey nabanye bafakazele ukuthi i-mesentery ihlangabezana nazo zonke izidingo zokuba yisitho. Iyini isitho? Okusho ukuthi, iqoqo lezicubu ezakha ingxenye yomzimba eyenza umsebenzi obalulekile. Ngakho-ke, i-mesentery iyisitho esisodwa, esiqhubekayo esisekela amathumbu akho ngokomzimba. Futhi iyisitho esizimele esondla izitho zesisu zesistimu yakho yokugaya ukudla futhi sizisize zisebenze kahle. Ucwaningo lusaqhubeka mayelana nokusebenza kwale mesentery kanye nobudlelwano bayo nezifo zesistimu yokugaya ukudla.

Ake sibheke umlando we-mesentery.

Kulungile, manje mhlawumbe ucabanga ukuthi, uma lokhu kuyizinto ezintsha ezitholakele, kwaphela kanjani isikhathi eside kangaka? Into emangazayo ukuthi lokhu kutholakala 'okusha' kokuthi i-mesentery iyisakhiwo esisodwa, esiqhubekayo akusiyinto entsha ngempela! Cabanga ngakho, ngisho nangawo-1500, ososayensi abanjengo-Eustachius noLeonardo da Vinci babedweba i-mesentery njengesakhiwo esisodwa, esiqhubekayo esiswini emidwebweni yabo. Kodwa, kamuva abantu abanjengoHenry Gray - okungenzeka ukuthi wake wezwa ngencwadi yezokwelapha edumile ethi "Gray's Anatomy" - abasakaza umbono wokuthi kukhona 'i-mesenteries eminingi'.

Ngakho-ke, lolo cwaningo lwango-2016 lwafakazela ukuthi lo mbono 'we-mesenteries eminingi' wawungalungile. Eqinisweni, lolu cwaningo lwalufana nokuphinda ubuyekeze into ososayensi ababeyicabange eminyakeni engaphezu kwengu-500 edlule.

Kwenzekani nge-mesentery? Kubaluleke ngani emzimbeni wethu?

Kulungile, pho-ke le mesentery yenzani ngempela emizimbeni yethu? Ososayensi basakuthola lokhu. Kodwa kusukela kulokho esikwaziyo kuze kube manje, inikeza ukwesekwa kwesakhiwo samathumbu ethu. Iphinde yondle izitho zethu futhi isebenze njengohlelo lokubonisa olusiza uhlelo lokugaya ukudla ukuthi lusebenze kahle.

Kusiza ukugcina izitho zesisu ziphephile futhi zisendaweni yazo efanele

I-mesentery yakho yiyo ebamba ezinye izingxenye zamathumbu akho odongeni lwesisu sakho. Iphinde isize ukugcina ezinye izingxenye zamathumbu akho zilenga esikhaleni esinezinhlangothi ezintathu (3D) ngaphakathi komgodi wesisu sakho. Cabanga nje, ngaphandle kwalokhu kusekelwa okuvela ku-mesentery, amathumbu akho angawa abe yinqwaba ngaphakathi kwesisu sakho. Noma, uma zonke izingxenye bezinamathele odongeni lwesisu, bekungeke kube khona indawo yokuthi amathumbu anciphe (sankochanya venna) ukuze ahambise ukudla endleleni. Uma lokho kwenzeka, angahlangana ndawonye, ​​okubangela izinkinga ezisongela ukuphila.

Nakuba kungakacaci okwamanje, ososayensi bakholelwa ukuthi lesi sakhiwo se-mesentery singase sibe isici sokuziphendukela kwemvelo esivumela abantu ukuba bahambe beqonde. Lokhu kungenxa yokuthi isakhiwo se-mesentery kubantu abaphila ngemilenze emibili kanye nezilwane eziphila ngemilenze emine sihlukile kwesezilwane eziphila ngemilenze emine.

Kusiza izitho zohlelo lokugaya ukudla esiswini ukuba zikhule futhi zisebenze kahle

Ngesikhathi sesigaba somntwana osanda kuzalwa, i-mesentery ikhula ngaphambi kokuba ezinye izitho zokugaya ukudla zikhule. Izitho zakho zesisu, njengesibindi sakho, i-spleen, i-pancreas, namathumbu, zonke zikhula ngaphakathi kwe-mesentery. Lezi zitho zihlala zinamathele ku-mesentery ngisho nangemva kokuzalwa. I-mesentery iqukethe izakhiwo ezisekela futhi zondle lezi zitho impilo yonke.

Izitho ngazinye zisebenza njengohlelo, zisebenza njengohlelo lokubonisa izimpawu.

Izitho zokugaya ukudla esiswini sakho azixhunyaniswe ngokomzimba ne-mesentery kuphela. Ziphinde zixhunyaniswe ngemizwa evamile, imithambo yegazi, kanye nama-lymph node atholakala ngaphakathi kwe-mesentery. Ayini ama-lymph node? Ziyizindlala ezihlunga izinto emzimbeni wonke. Izimpawu ezihamba phambili naphambili ngale nsiza evamile yizo ezivumela izitho ngazinye ohlelweni lwakho lokugaya ukudla ukuthi zisebenze ndawonye. Ngamanye amazwi, i-mesentery isiza uhlelo lwakho lokugaya ukudla ukuthi lusebenze ndawonye nazo zonke ezinye izinhlelo emzimbeni wakho.

Isibonelo, ama-lymph node ase-mesentery abamba amagciwane anjengamagciwane namabhaktheriya emathunjini akho. Ayingxenye yesimiso sakho somzimba sokuzivikela esilwa nalaba bahlaseli.

Akukhona lokho kuphela, i-mesentery ikhiqiza into ebizwa ngokuthi i-'C-reactive protein (CRP) .' Lokhu kuvame ukukhiqizwa yisibindi. I-'CRP' isiza ukulawula ukuvuvukala, okuyinqubo yokuphulukisa yomzimba ekuphenduleni ukulimala noma ukutheleleka.

Ikuphi i-mesentery?

Kulungile, ikuphi ngempela le mesentery esiswini sethu? I-mesentery iqala ngemuva kwesisu sakho, emthanjeni wakho we-mesenteric ophakeme.Lapho ikhona. Lo mthambo unikeza igazi kuma-pancreas nasemathunjini akho. Kokubili lo mthambo kanye ne-mesentery kutholakala maphakathi nesisu, okuseduze ne-vertebra yokuqala emhlane wakho ongezansi. I-mesentery iqala maphakathi nesisu bese ijikeleza phansi emathunjini akho kuze kufike e-rectum yakho.

Iyini isakhiwo (isimo) se-mesentery?

Isakhiwo se-mesentery siyinkimbinkimbi kancane. Nakuba siyisitho esisodwa, esiqhubekayo, sixhumanisa amathumbu akho ngemuva kodonga lwesisu sakho ngezingxenye ezahlukahlukene. Ezinye izingxenye ze-mesentery azixhunyiwe odongeni lwesisu, kodwa zixhunywe ngqo ezithweni. Lokhu kuvumela izitho ukuthi zihambe kancane ngaphakathi komgodi wesisu ngenkathi zigcinwa zivikelekile. Ukusonteka okuningi, ukujika, kanye nokuxhumana ku-mesentery yikona okugcina amathumbu akho elenga ngokuphephile endaweni enezinhlangothi ezintathu (3D) ngaphakathi komgodi wesisu sakho.

Ukuze kube lula ukuqonda isakhiwo se-mesentery, ungacabanga ngaso njengokuxhunyaniswe nezitho zakho zesisu kanye nodonga lwesisu olungemuva:

• I-mesentery yamathumbu amancane: I-mesentery iqala 'emathunjini aphakathi' bese ixhuma emathunjini akho amancane.
• I-mesocolon yangakwesokudla: I-mesentery isuka emathunjini amancane iye ohlangothini lwesokudla lwamathumbu amakhulu (ikholoni). Le ngxenye ye-mesentery yiyo ebamba uhlangothi lwesokudla lwamathumbu amakhulu ngemuva kodonga lwesisu.
• I-mesocolon evundlile: I-mesentery igijima kukholoni yakho evundlile. Lena yingxenye egijima ngokuvundlile esiswini sakho.
• I-mesocolon engakwesobunxele: I-mesentery ixhuma ohlangothini lwesobunxele lwamathumbu amakhulu. Njenge-mesocolon engakwesobunxele, i-mesocolon engakwesobunxele inamathisela nohlangothi lwesobunxele lwamathumbu amakhulu ngemuva kodonga lwesisu.
• I-Mesosigmoid: I-mesentery ixhuma ingxenye yekholoni yakho ye-sigmoid ngemuva kodonga lwakho lwesisu. Ikholoni ye-sigmoid yingxenye yamathumbu akho amakhulu eseduze ne-rectum.
• I-Mesorectum: Ingxenye engezansi ye-mesentery ixhuma ku-rectum yakho.

Sekuyiminyaka, izincwadi zezokwelapha zikhuluma kuphela 'ngenqwaba ye-mesentery' ezungeze amathumbu. Azizange zikhulume nge-mesentery ezinhlangothini kwesokudla nakwesobunxele (i-mesocolon yesokudla nesobunxele). Kodwa manje sesiyazi ukuthi kune-mesenteries kulezi zindawo futhi.

Lokhu kuqonda okusha ngesakhiwo se-mesentery kukhanyise indlela izitho ezikhula ngayo kusukela ku-mesentery. Kungase futhi kuthinte amasu okuhlinzwa.

Ingakanani i-mesentery?

Kukhulu kunalokho ocabanga! Umzimba womuntu omdala, uma weluliwe ngaphandle kokucindezelwa phakathi kwezitho zomzimba, ungamamitha angu-1.6 ubude. Akukholeki, akunjalo?

Yenziwe ngani i-mesentery?

I-mesentery yakhiwe kakhulu ngezicubu zamafutha.Kusukela, okungukuthi, emafutheni omzimba. Lawa ngamafutha abantu abaningi abakhuluma ngawo uma bethi 'banesisu sikabhiya' noma 'isisu'. Futhi, i-mesentery inezicubu ezixhumanisayo ezisiza ukugcina la mafutha endaweni yawo. Izungezwe ungqimba oluvikelayo lwamaseli abizwa ngokuthi i-mesothelium . I-mesentery inamathele odongeni lwesisu sakho ngezicubu ezixhumanisayo ezibizwa ngokuthi i-Toldt's fascia .

Akukhona lokho kuphela, kukhona nenqwaba yama-lymph node ngaphakathi kwe-mesentery adlala indima ebalulekile ekutholeni nasekulweni namagciwane.

Yiziphi izifo nezimo ezivamile ezithinta i-mesentery?

Olunye ucwaningo lwakamuva nge-mesentery lugxile kwisifo sikaCrohn . I-Crohn's uhlobo lwesifo samathumbu esivuvukalayo (IBD) , esibangela ukuvuvukala okuyingozi emathunjini akho. Ucwaningo lusikisela ukuthi izinto ezithile eziku-mesentery zithinta indlela lesi sifo esisakazeka ngayo. Ngokwesiko, isifo sikaCrohn kwakucatshangwa ukuthi siqala emathunjini, kodwa empeleni singaqala ku-mesentery. Kudingeka ucwaningo olwengeziwe ukuze kuqondwe lokhu ngokuqinisekile.

Iningi lamafutha esiswini sakho lise-mesentery . Uma sikhuluma ngamafutha esiswini, sisho amafutha angaphansi kwesikhumba, angaphansi kwesikhumba futhi angazwakala ngeminwe yakho. Kodwa amafutha angaphakathi kwesisu, angaphakathi kwe-mesentery, ajule kakhulu esiswini. Ukuba nala mafutha amaningi kakhulu kwandisa ingozi yakho yezifo eziningana, okuhlanganisa:

• Isifo Sikashukela (i-Diabetes Mellitus)`
• Umfutho wegazi ophezulu (i-Hypertension)
• Ukukhuluphala ngokweqile
• Isifo semithambo ye-coronary
• I-Metabolic syndrome
• Isifo sohlangothi

Ezinye izifo nezimo ezihlobene ne-mesentery zifaka:

• Umdlavuza: Umdlavuza ungaqala e-mesentery. Noma, izimila ezinomdlavuza ezithweni zakho zokugaya ukudla zingaphuka futhi zisakazekele e-mesentery.
• Ukutheleleka: Ama-lymph node ase-mesentery angabona amagciwane. Angakhulula amangqamuzana omzimba ukuze awabhubhise. Kodwa ngezinye izikhathi, amagciwane 'angacasha' ngaphakathi kwama-lymph node ase-mesentery. Uma lokho kwenzeka, amagciwane angaphinde avele kamuva futhi abangele izinkinga uma isimiso sakho somzimba sokuzivikela singawaboni.
• I-Sclerosing mesentery: Uma ukuvuvukala ku-mesentery kuba kukhulu kakhulu, izicubu zingalimala futhi zibe nezibazi. Lezi zicubu ezonakele zingabangela ukuthi imithambo yegazi ku-mesentery inciphe noma ivaleke. Lokhu kungamisa ukugeleza kwegazi futhi kuholele ekwakhekeni kwamahlule egazi asongela ukuphila.
• I-Mesenteric panniculitis:Lesi futhi yisimo sokuvuvukala kwe-mesentery, njenge-sclerosing mesenteritis. Kodwa-ke, yize i-sclerosing mesenteritis ivame ukuba nzima, i-mesenteric panniculitis ivame ukuqina futhi ingabi nzima kangako.
• I-Hernia: I-hernia iwukuphuma kwesitho noma izicubu odongeni lwembobo lapho sikhona khona. I-hernia ethinta i-mesentery ingabangelwa yisimo sokuzalwa noma ingaba yinkinga ngemva kokuhlinzwa kwezitho zesisu.
• Ukungalungi kahle: Ukungalungi kahle kwenzeka lapho amathumbu omntwana engakhuli kahle noma engagoqekile kahle. (Ukuma nendawo yamathumbu akho kuncike kakhulu ekutheni i-mesentery ikhula kanjani.) Ngemva kokuzalwa komntwana, uzodinga ukuhlinzwa ukuze amathumbu akhe aqonde kahle ukuze lezi zitho zibekwe kahle.
• I-Volvulus: Ukungapheleli kahle kwesisu kungabangela i-volvulus. Ku-volvulus, amathumbu akho amancane noma amakhulu kanye ne-mesentery kuyasonteka ngendlela engavamile. Lokhu kuvame ukwenzeka lapho i-mesentery ingasanamathele kahle odongeni lwesisu. Lokhu kusonteka kungabangela ukuvaleka kwamathumbu akho amancane noma amakhulu. Ukuvaleka kungavimba ukugeleza kwegazi emathunjini. Lokhu kuyisimo esiphuthumayo futhi kudinga ukwelashwa ngokushesha.

Uma ubheka ukuthi i-mesentery ihlobene kangakanani nazo zonke izitho zokugaya esiswini sakho, noma yisiphi isifo esithinta isitho sokugaya cishe sizobandakanya i-mesentery. Ucwaningo luyaqhubeka ukuze kufundwe kabanzi ngendima ye-mesentery ezifweni ezahlukene zesistimu yokugaya ukudla.

Yiziphi izindlela zokwelapha i-mesentery?

Ucwaningo lwamuva nje lubonisa ukuthi lapho kwelashwa izitho zesisu, kufanele kucatshangelwe ne-mesentery ezungezile. Isibonelo, ezinye izifundo zibonise ukuthi ukususa izingxenye ze-mesentery kunganciphisa ukusabalala kwesifo sikaCrohn. Ezinye izifundo zibonise ukuthi ukususa i-mesentery ezungezile kunganciphisa ingozi yokubuya komdlavuza wamathumbu amakhulu.

Lokhu kuqonda okusha nge-mesentery kungathinta nendlela okwenziwa ngayo ukuhlinzwa kwesisu. Esikhathini esidlule, odokotela abahlinzayo babehlinza izitho zesisu ngokuzixhumanisa 'ne-mesentery mass.' Babecabanga nge-mesentery njengesakhiwo esiyinkimbinkimbi: amasaka, imigodi, kanye nesisu. Kodwa le 'modeli entsha ye-mesenteric' ihlukanisa isisu sibe izingxenye ezimbili: isifunda se-mesenteric kanye nesifunda se-mesenteric.

Lokhu kuqonda okulula kwesakhiwo sesisu kungase kuvumele izinqubo zokuhlinzwa eziqondile.

Yini engingayenza ukuze ngigcine i-mesentery yami iphilile?

Enye yezinto ezinhle kakhulu ongayenza ukuze ugcine i-mesentery yakho iphilile ukugcina izinga elinempilo lamafutha e-visceral. Ukuba namafutha e-visceral amaningi kakhulu ku-mesentery kwandisa ingozi yakho yokuthola izifo ezingamahlalakhona njengesifo senhliziyo.

Unganciphisa la mafutha e-visceral ngokwenza lezi zinto:

• Nciphisa ukudla okuthile: Lokhu kufaka phakathi amafutha e-trans, ushukela (kufaka phakathi isiraphu yommbila), i-sodium (usawoti), kanye nokudla okucutshunguliwe. Nciphisa amaswidi, iziphuzo ezinoshukela, kanye nokudla okuthosiwe ngangokunokwenzeka. Futhi, nciphisa ukudla kwakho utshwala.
• Zivocavoce njalo: Zama ukuthola okungenani imizuzu eyi-150 yokuzivocavoca ngamandla aphakathi ngesonto.
• Lala ngokwanele: Ucwaningo lukhombisile ukuthi ukungalali ngokwanele, okusezingeni eliphezulu njalo ebusuku kungandisa amafutha e-visceral. Zama ukulala amahora angu-8 noma ngaphezulu njalo ebusuku.
• Lawula ukucindezeleka: Uma ucindezelekile, umzimba wakho ukhiqiza i-hormone ebizwa ngokuthi i-cortisol . Amazinga aphezulu e-cortisol ngokuhamba kwesikhathi angaholela ekwandeni kwamafutha esiswini. Ngakho-ke, ukulawula ukucindezeleka akukuhle nje kuphela empilweni yakho yengqondo, kodwa nasempilweni yakho yomzimba.

Okokugcina, okufanele ukukhumbule

Kulungile, ngakho into ebaluleke kakhulu okufanele siyikhumbule kulokho ebesikhuluma ngakho ukuthi yize ukuhlukaniswa okufana 'nesitho' kanye 'nezicubu' kungase kubonakale kungabalulekile kangako kithi, ngaphandle kodokotela, uma kukhulunywa nge-mesentery, lawa 'magama' abaluleke kakhulu. Lokhu kuqonda okusha kwesakhiwo se-mesentery, kanye nensizakalo esinikezayo ohlelweni lwethu lokugaya ukudla, kungashintsha indlela abahlinzeki bezempilo abaxilonga ngayo izifo zesistimu yokugaya ukudla.

Lolu lwazi olusha lungashintsha indlela abahlinza ngayo isisu sakho. Njengoba ososayensi befunda kabanzi nge-mesentery, kuzovezwa ulwazi olusha mayelana nokuthi lusiza kanjani empilweni yakho. Ngakho-ke, ukuqaphela lesi sitho 'esisha nesidala' kuzosisiza siqonde okwengeziwe ngemizimba yethu!

Ulwelwesi , izitho zesisu, uhlelo lokugaya ukudla, amathumbu, isitho esisha, impilo yesisu, izifo zokugaya ukudla