Dzakaondoroka ura - yakarongeka, mabasa, zvirwere

Dzakaondoroka ura mumwe zvikamu matete ura, kureba iri pamusoro 4-5 mamita. The nemamiriro ura duku inosanganisira mashoko duodenum, anoteverwa dzakaondoroka, uye chete ipapo - the ileum. Dumbu kubva kumativi ose akafuka goko, unonzi peritoneum uye wanamatira kumashure rusvingo mudumbu achishandisa mesentery. Zvinowanikwa jejunum ari rworuboshwe hafu abdominal mhango. On the Anterior abdominal rusvingo zvakanyorwa projected mune achiine rukuvhute nharaunda, pamativi mudumbu, uyewo kuruboshwe iliac fossa. bowel zvishwe vari akarongwa chinjikira uye oblique nzira. jejunum yose pakureba 2/5 of zvachose kureba ura duku. In tichienzanisa chete ileum dzakaondoroka ane masvingo mukobvu uye hombe dhayamita womukati lumen. Zvakasiyana uye uwandu villi uye muzvirugu izvo dzinongoda ari lumen, uwandu midziyo kuti vari yakareba, asi masero lymphoid, kusiyana, zviri zvishoma. Clear miganhu achichinja kubva chikamu rimwe ura chimwe haadaro.

Nemamiriro porusvingo

Kubva kunze kwayo akafuka chaiyo dumbu goko zvose pamusoro. Ndicho peritoneum, iyo inodzivirira uye rimire kukweshera bowel zvishwe pamwe chete. Peritoneum converges panguva rwemberi ura, uye saka kuumbwa mesojejunum. Zviri pane midziyo ropa uye tsinga, uye nhengo dzinobudisa capillaries kuti zvokudya dumbu uye itakurwe nawo kwete bedzi zvinovaka muviri zvinodiwa nomuviri, asi chepfu Kuparara zvigadzirwa, iyo zvino neutralizes chiropa.

Zvakaturikidzaniswa wechipiri wakatsetseka tsandanyama rinenge izvo zvinozoita yomuSouth akaturikidzana maviri fibers. Kunze longitudinal fibers vanosarudzirwa, uye dzakaita raundi mukati. Nokuda marwadzo avo uye kutandara pamusoro chyme (chikafu kuti rave pachena kuti basa zvinokuvadza zviri zvomudumbu turakiti muzvirevo Zvikamu) inopfuura nomunyika lumen pamusoro ura uye anopa muviri vose muviri. Muitiro anotevedzana marwadzo uye kutandara pamusoro fibers anonzi peristalsis.

Vakuru kukosha rukoko

The yapfuura maviri akaturikidzana zvinopa kwomuzvarirwo nerevane nokudzivirira, asi zvose zvokudya Absorção de Água kwacho kunoitika okupedzisira maviri. Pasi tsandanyama wokutanga ndiye submucosa, zvinoti ine nhete dumbu ropa node capillaries, nhengo dzinobudisa tishu masumbu. Slimy rukoko makabuda mukati lumen pakati muzvirugu, mauri kubvisa pamusoro kunova huru. Uyezve, pose mucosa kuwedzera kumborara, vanogona kuonekwa chete nemaikorosikopu, asi basa ravo kunokosha chaizvo. Kuti anopa kuramba wedzerai muviri wenyama.

makopeeshuro

Kumborara - ichi kurongedza mucosa, ane dhayamita imwe chete millimeter. Rinotaura dzavo columnar epithelium, uye pakati vari nhengo dzinobudisa uye ropa capillaries. Uyewo omumuviri, izvo riri mucous dzinounzwa vanoshingaira zvinhu zvizhinji, madzihwa, mahormone, makemikari, kuti pave nedanho kugaya. Rirambe richibvira zvakarukwa chete kupinda munharaunda yacho mucous Kamudzira uye anopinda venules batanidza, ivo, pamwe nemimwe midziyo yokuumba mashoko portal tsinga, izvo anotakura ropa kuti chiropa.

Mashandiro kuti anoita rakaonda dumbu

The chikuru kushanda ura - ndiye kubudiswa uye Absorção de Água zvokudya, izvo yave kare kubatwa yapfuura zvikamu zvomudumbu turakiti. Food ino ine ari amino acids kuti vaimbova mapuroteni, monosaccharides, aimbova aimbova makabhohaidhiretsi uye mafuta acids uye glycerol (uya ikava lipids). The chivako anopa jejunal villi, tinoonga zvose anopinda muviri uye unogona kushandiswa senzvimbo inotonhorera zvinhu. Amino acids uye monosaccharides kuwira chiropa, yavachapira zvimwe kushanduka kwaizotevera kupinda munzvimbo systemic riparadzirwe, mafuta vari kunyura node capillaries, ipapo kupinda nhengo dzinobudisa midziyo, uye kubva ipapo diverge pamwe kuvhunduka node yose muviri. Chinhu asina vaedzwa kuziva inobatsira iri jejunum, inowira mamwe zvikamu ura, ayo yakaumbwa uye pakupedzisira pachituru.

Kubva Muzvarirwo chirwere - mumwe danho

Dzakaondoroka ura ane akawanda anoitwa pasina kukundikana kana chirwere uri kushanda zvakanaka, pasina anokonzera zvinetso. Asi kana akundikana kunoitika, zvinokosha kuti nguva kuona nyanzvi. Aongorore jejunum, sezvo yose duku ura kwakaoma, uye Analyses muri zvikuru. Kuongorora, pakutanga kwezvose, tinofanira Cal, ndiani angamuudza kuti kukundikana mhando kwakaitika muna muura. Asi hapana chakaipa kuchavawo banal rokuongorora uye palpation (palpation).

Variants matambudziko ari jejunum zvinogona vakawanda, asi ari dzaitongwa zvokurwara pamusoro zvomusejari, kuchirapa uye rwarisa hunhu. On ichi kunobva kurapwa, uyewo kusarudza mazvikokota anogona kubatsira kubvisa chirwere.

With chii kuenda chiremba?

Anoreva zvakakodzera nyanzvi yakamira chirwere, mishonga izvo zvinoda kuvhiyiwa. Championship pano anotora oncology, nyanyisa uye benign pezvakaitwa zvinogona siyana chaizvo, uye mazita avo vanovimba chii histopathology masero vari sezvamunoita yavo. Bundu kukura vangava vari lumen parusvingo uye kunze. Kana kukura unopinda lumen pane ropa kana mhingaidzo, izvo zvinoda pakarepo kuvhiya kupindira.

Rinogonawo kuva bowel mhingaidzo, izvo zviri kukonzerwa spasm, mhingaidzo pamusoro intestinal lumen kana intussusception (apo chikamu rimwe ura opinda mumwe). Kuvhiya kunorapwa pachake jejunal chirwere ichi kunodawo kuvhiyiwa nokukurumidza. Mhingaidzo anogona kuva dzimwe ura, nepo kukosha dzinoyevedza abdominal X-ray, izvo zvichakubatsira kusimbisa chirwere.

Kazhinji pane zvokurwara akadai diverticulitis. Inguva kuzvimba okuwedzera pamusoro jejunum, iyo inonzi diverticulum. Kazhinji, hazvisi, uye ayo kuvapo chinhu vachiberekwa kuremara. Kana kunoda yakakodzera chirwere kuti kuzvimba, izvo zvinosanganisira zvichemo kurwadziwa, nefivhiri, sunga pamusoro abdominal netsandanyama. Kwokupedzisira chirwere iri patafura anodawo, uye ipapo kwakaitika histopathology.

nezvimwe zvirwere

Jejunum anogona kuunza zvakawanda matambudziko kuti vanofanira kunzwisisa chiremba. Dzimwe nokunonoka zvakarurama chirwere kungaita kuti rufu nomurwere. Kuti pane chirwere Crohn vake, zvinogona kuguma ropa, abscesses nezvimwe matambudziko. Vamwe zvirwere zvinogona kuvhiringa mashandiro ari jejunum, uye kuti idzoke, dzinodawo kuvhiya. Somuenzaniso, mashoko adhesions pakati abdominal in, kunyanya munzvimbo umo basa mugove ura duku kungada kuvhiya excision pakati adhesions. kurapwa kushanda nzira inoshandiswa uye helminthic nechisimba, kana pakakoromoka rakavharwa bhora nehonye.

Uye chii kuenda chiremba?

Chiremba vane basa rokuita. Iye, Chokwadi, basa idukusa kuti chiremba, asi hazvina shoma dzaitungamirira. Pamapfudzi nyanzvi kuenda zvirwere zvose uye anogumbura zvachinja jejunum. colitis ichi, izvo zvinogona chakasimba kana chisingaperi, kutsamwa bowel chirwere uye zvimwe zvirwere. Kushandisa scalpel mu zvirwere izvi haina zvaida, asi nounyanzvi uye zvakarurama ushandiswe kurapwa kubatsira kubvisa chirwere uye vadzosere mufaro muupenyu.

Utachiona hazvirevi hope

Hapana chakavanzika dzakaondoroka ura rine mu lumen ayo akawandisa Micro-zvipenyu. Pakati pavo pane zvakanaka uye anobatsira kuti muviri, uye varipo nezvakaipa, vari kuramba vachiedza kukuvadza. The rokuzvidzivirira anodzora yakakuwandira pamusoro pathogenic tupukanana tusingaoneki, asi dzimwe nguva iye haagoni kurarama yayo huru basa, uye zvadaro chitanga zvirwere zvinotapuriranwa. Kazhinji muviri kungava zvisingadiwi vavakidzani, nehonye uye vanoedza kupinda akakwana nzvimbo yokugara, riri kwavari dzakaondoroka ura.

Mune lumen pamusoro ura duku angatanga zvirwere zvakawanda, zvakadai nemanyoka, korera, fivha, salmonella uye vamwe vakawanda. Zviratidzo kuti vanovakonzera siyana, asi kufanana vane - zviri manyoka. Angava akasiyana ruvara uye kunhuhwa, anofanira doped pamwe kana pasina navo, uyewo neropa kana mvura. Kwokupedzisira pfungwa kuziva utachiona hwakakura akaisa bacteriological kuongorora zvinhu chaibwinya. Zvadaro, inobva aikanganiswa pakati nayo utachiona kuti nemishonga, vachitevera kurapwa. kuziva helminths zvingava, ichi vanofanira kupa chitsiko yokuenzanisira, uye achabatsira kubvisa navo chete zvirwere zvinotapukira.