Omentum Greater: anatomy, zokugula, ukwelashwa

Cishe zonke izitho zomzimba womuntu imbozwe izicubu elincanyana esobala evimbela ukuzihlikihla yabo ngokumelene nomunye, wenza umsebenzi a trophic adsorbs uketshezi ngokweqile kanye kunomthelela nokugcinwa esimweni sangaphakathi. Lokhu izicubu ubizwa ngokuthi peritoneum, futhi kwezinye izindawo ezifana phezu phambi emathunjini, it yakha into efana iphinifa.

omentum ezinkulu nezincane

Ngo ukuvela indoda ezinyaweni zakhe, nokuthi-ke wamenza sengozini izitho esiswini yangaphakathi. Ukuze kuncishiswe amathuba abo ukuhlukumezeka, kwakhiwa i umzimba eyengeziwe. omentum Greater - ke dublication peritoneum (four-leaf), nezoqala ebusweni lateral isisu kanye phansi ikholoni transverse. Le sayithi anatomists ngokuthi umsipha emathunjini. Kuyo kukhona imithambo yegazi nezinzwa. Unqenqema mahhala indlala futhi yehla ngezansi njengoba iphinifa ihlanganisa loop emathunjini amancane. Dublication peritoneum futhi kubuye ngemuva ikholoni transverse, ihlanganisa kule mesentery, sabe peritoneum parietal.

Isikhala phakathi amashidi sezicubu zezinzwa egcwele amanoni. Lokhu uye walungiselela igama umzimba ethize - the omentum okukhulu. Small anatomy ndlala ukuhluka isakhiwo yayo "amadala" umzalwane. omentum Small siqukethe izinyanda ezintathu, okuyinto seningene omunye komunye:

• hepatoduodenal (ukuqalisa hepatis porta ukuba igatsha enezingqimba duodenum);
• esiswini kanye hepatic (kwesibindi ugobile elincane of esiswini);
• Imbobo kweqembu.

sikhwama Willis sika

Lokhu igebe elikhulu ezakhiwe peritoneum. Kunokuphishekela isikhwama ukuze kukhawulwe kususwa udonga lwangemuva esiswini, uphawu ezincane nezinkulu (umsipha emathunjini). Kutholwe ngemuva Ipheshana parietal we peritoneum, ingxenye pancreatic, ephansi Vienna eziyize, elingenhla isigxobo izinso kanye indlala adrenal. Phezulu kukhona caudate Lobe kwesibindi, futhi phansi - the mesentery kapopopo transverse.

Esikhathini isikhwama nokupakisha has umgodi, ngokuthi umgodi Winslow. Inani lesi sitho njengoba lonke indlala kuyehla kube ukuthi amanxeba umonakalo besisu ke uvala, ekuvimbeleni ukusabalala ukutheleleka ngomzimba, futhi kuvimbela emizimbeni eventration. Uma kukhona ukuvuvukala, ezifana appendicitis engeziwe, le ndlala is soldered nge peritoneum visceral kuletse isitho noma ingxenye yalo lonke ngaphakathi komgodi ongaphakathi kwamathumbu.

ukususwa indlala

Ukususwa omentum - akuyona ukusebenza izimele, njengengxenye wokwelapha isifo somdlavuza tube emathunjini. Lesi sinyathelo kwenziwa ukubhubhisa wonke metastases, okuyinto in inqwaba atholakala maphakathi peritoneum. Susa kubo eyodwa ngesikhathi akutuseki.

Isici esibalulekile wukuthi ngaphakathi komgodi ongaphakathi kwamathumbu wenziwe banzi imbobo longitudinal ukuvula ukufinyelela ezinhle isilonda kuhlinzwa. Uma indlala isuswe ngokusebenzisa enkulu cross-ukufinyelela, okungukuthi ukuphila kwakhe engozini ukuze ushiye endaweni ethintekile navusa ukubuyela ngokuphelele ekubhemeni lesi sifo. Ukuze umzimba ngeke ube nemiphumela emva ukususwa emzimbeni.

isimila indlala

Kukhona into efana izimila eyinhloko indlala. Zingaba ingozi (izinhlumba, dermoid, lipoma, angioma, fibroma, njll) kanye anomdlavuza (Sarcoma, endotelioma, umdlavuza). imfundo yesibili azibonakali Ukudlulela kusukela esiswini noma emathunjini, kanye nanoma yiziphi ezinye izinhlaka. In esigabeni ukuphela kwe-isifo omentum enkulu ezinabantu embozwe Ushintshe lymph node kanye izimila. Kuthatha ngesimo roller kanye esishwabene kunqunywa kalula palpation ezijulile udonga besisu. Lesi simo esiyingqayizivele sibangelwa kungabangela isimiso emathunjini.

izimila Benign we ndlala - into ngempela ezingavamile. Abanaso ibakhathaze iziguli, ngakho-ke ungakwazi ukufinyelela babebaningi kakhulu. Ziyakwazi nzima ukuhlonza: akukho izimpawu ezithile, izimpawu, kanye nanoma yimiphi eminye izinkomba. Ngenxa izimila ebulalayo yilezi sarcomas ezivamile. Bona azibonakali ukudakwa syndrome ne sezinyawo ilibele kwesisindo. Lezi izimpawu eziyisixwayiso kufanele uthinte embonweni lomdlavuza udokotela.

welulela indlala syndrome

Seals of ububanzi esikhulu zenzeka ngenxa ekuthuthukiseni ukuvuvukala. Lots umzimba tho ne peritoneum ezindaweni ezahlukene esiswini afinyelela kuso. Lezi ukuvuvukala ingaqala emva kokuhlinzwa, ukuvuvukala njalo uhlelo urogenital.

indlala esisuka izimbangela ubuhlungu futhi kuphula permeability tube emathunjini. Ngokuvamile, iziguli esekhala ngisezinhlungwini ku inkaba nangaphezulu sangasese emva kokudla, kanye ukuvuvukala nokuhlanza. Sici uphawu luyanda ubuhlungu uma isiguli ezama ukugoba emuva. Imiphumela yaloku kuhlola okungenhla sokugcina senziwa ngemva ultrasound, tomography ngekhompyutha, X-ray umumo womsebenzi. Ideal for uphethwe - ukuhlinzwa laparoscopic. Uma kudingeka, ungakwazi ukudlulisa ukufinyelela futhi asuse ukuvuvukala.

simila indlala

Simila kwenzeka ngenxa ukuvimbela we lymph noma aqedwe ingxenye yayifanekisela nomxhantela ka lymphoid ukuthi ongakaphathelani uhlelo jikelele. Izinhlumba zifana nalezi round anezikhwama mncane egcwele uketshezi esobala. usayizi yabo kungaba isukela amamilimitha angu emihlanu kuya ngamasentimitha ambalwa. Lesi sifo akusho ukuzibonakalisa, kodwa lapho kumiswa ifinyelela babebaningi kakhulu, kungashiwo wazizwa ogangeni besisu.

Ukwelashwa yalesi sifo kuphela kuhlinzwa. Susa simila futhi endaweni indlala, ukugcina okuningi ngayo. Onalesi sifo ngoba kulezi ziguli sisihle.