Chophimba cha Mafuta Omwe Amakhudza Mabungwe Anu Amimba
Mafutawa ndi mafuta akuluakulu omwe amamangirira pakati pa khola lanu ndipo amayamwa matumbo mkati mwa mimba. Nthawi zina khansa ya ovariya imafalikira ku omentum.
Anatomy ndi Mapangidwe a Omentum
Chomeracho ndi chovala chachiwiri chomwe chili ngati parachute, chophimba ndi kuzungulira ziwalo za m'mimba.
Kusinthasintha kwake kuli pakati penipeni pakati pa chimanga ndi jello. Mafutawa amagawidwa m'magawo awiri, omwe akuluakulu amamangirizana pamodzi.
- Omentum yaikulu: imapachika pansi kuchokera mmimba
- Omentum yochepa: imapachika pachiwindi
Cholinga ndi Ntchito ya Omentum
Sizowonetseratu chifukwa chake mafutawa anapangidwira ngati gawo la thupi la munthu, koma limafikira chiwalo chilichonse m'mimba. Choncho, ikhoza kugwira ntchito ngati bandage pamatenda oopsa kapena kutuluka kwa m'mimba, pamene imatuluka ndikudzimangiriza kumadera otupa.
Ntchito zina zomwe zingatheke ndi monga:
- Kusunga malo a ziwalo m'mimba, kuphatikizapo kusunga matumbo ndi m'mimba pafupi ndi chiwindi
- Kuchita ngati malo osungirako mafuta (onani kuchepa kwa m'mimba pansipa)
Omentum ndi Ovarian Cancer Metastases
Mafutawa ndi ofunika mu khansara chifukwa chakuti ali ndi mitsempha yambiri ya magazi. Kotero maselo a khansa omwe aswa ndi ovary monga kumera ndi kukula kumeneko-amadziwika kuti omental metastasis.
Mafutawa amakhalanso ndi malo ambirimbiri opatsirana pogwiritsa ntchito ma lymphatic kapena immune omwe amadziwika kuti "malo amtundu."
Mankhwalawa amakhala ofunika kwambiri pa khansara yapamwamba ya ovariya pamene opaleshoni yowonongeka kapena yopanga ma cytoreduction yachitidwa. Opaleshoniyi yachitidwa pofuna kuchotsa khansa yambiri ngati n'kotheka, motero pali khansa yochepa yomwe imayenera kusamalidwa ndi chemotherapy.
Ngati khansa yaying'ono ikuchotsedwa opaleshoni, pali mwayi wochuluka wakuti chemotherapy ikhoza kuthetseratu maselo a khansa yotsalayo musanayambe kugonjetsedwa ndi mankhwala a chemotherapy.
Kumvetsetsa kapangidwe ka omentum kumapangitsa kuti mukhale omveka kumvetsetsa chifukwa chake opaleshoni yowopsya mu khansara yowopsa ndi yovuta kwambiri. Ndi opaleshoni yovuta komanso yowononga nthawi yomwe imakhala yosavuta kwambiri, monga magulu ang'onoang'ono a maselo a khansa akhoza kulowa mkati mwa omentum yochuluka ya magazi.
Kuonjezerapo, kuti mupeze optotiyake yabwino , opaleshoni ikhoza kutenga maola ambiri. Chinthu chinanso chovuta ndi chakuti nthawi yopaleshoni ikhoza kuchepetsedwa ndi wodwalayo kuti athe kupirira opaleshoni yowonjezereka pansi pa anesthesia.
Malamulo Ena Okhudza Omentum
Zinthu zina zambiri zimagwirizana ndi kayendedwe kake ndi kayendedwe ka omentum:
- Kumenepa kwambiri m'mimba: Mafutawa amakhala malo osungira mafuta. Pamene pali mafuta ochulukirapo mu omentum, anthu amapanga mawonekedwe a maonekedwe apulo omwe amadziwika kuti amimba kwambiri . Izi zimatchulidwa ndi anthu ambiri ngati mafuta a mimba. Mafuta a m'mimba ndi chimodzi mwa zifukwa zomwe zimayambitsa matenda a shuga . Anthu omwe ali ndi matendawa ali pachiopsezo chachikulu cha matenda a mtima.
- Zomwe zimagwiritsidwa ntchito: Mimba ya m'mimba kapena minofu yomwe imapanga ma omentum chifukwa cha kuperekera m'mimba, matenda, kapena kutupa kwa omentum kungakhale vuto lalikulu. Ndipotu, vuto lalikulu la opaleshoni ya m'mimba chifukwa cha kupweteka kwa m'mimba komanso chifukwa cha kupweteka komanso kupweteka kwapadera.
Zotsatira:
Koppe MJ, Nagtegaal ID, de Wilt JH, Ceelen WP. Zosintha zam'tsogolo zokhudzana ndi matenda okhudzana ndi mavitamini. J Surg Oncol. 2014 Nov; 110 (6): 670-5.
> Sorensen EW, Gerber SA, Sedlacek AL, Rybalko VY, Chan VM, Ambuye EM. Omental aggunates aggregates ndi tumor metastasis mkati mwa peritoneal cavity. Immunol Res . 2009. 45 (2-3): 185-94.