Isikhwama se-Fat Esithinta Amalungu Akho Amathumbu Asisu
I-omentum iyisakhiwo esikhulu samafutha esithinta ngokweqile emkhatsini wekolon yakho futhi sidonsa amathumbu ngaphakathi kwesisu. Ngezinye izikhathi umdlavuza we-ovariya usakazeka ku-omentum.
Anatomy and Structure ye-Omentum
I-omentum iyisakhiwo esinezinyosi ezimbili ezifana neparachute, ezimboza futhi ezizungezile izitho zomzimba wesisu.
Ukuvumelana kwalo kufinyelela phakathi kwezinto ezenziwe nge-linenpy and jello. I-omentum ihlehliwe yaba yizingxenye ezimbili, lapho abantu abadala behlanganiswa kakhulu ndawonye.
- I-omentum enkulu: ilenga phansi esiswini
- I-omentum encane: ilenga phansi esibindi
Inhloso kanye Nemisebenzi ye-Omentum
Akucaci ukuthi kungani i-omentum yenzelwe njengengxenye yomzimba womuntu, kodwa ifinyelela zonke izitho esiswini. Ngakho-ke, kungase kusebenze njenge-bandage ezimweni zokutheleleka okubi noma ukubhuka kwamathumbu, njengoba iguqa futhi ihlanganiswe ezindaweni zokuvuvukala.
Ezinye izinto ezikhona zingabandakanya:
- Ukugcina izikhundla zezitho esiswini, kubandakanya ukugcina amathumbu nesisu eduze kwesibindi
- Ukusebenza njenge-depot yokugcina amafutha (bheka ukukhuluphala kwesisu esisenhla)
I-Omentum ne-Ovarian Cancer Metastases
I-omentum ibalulekile emdlalweni we-ovarian ngoba inezitsha ezincane zegazi. Ngakho amangqamuzana omdlavuza aphukile ovary afana nokutshala futhi akhule lapho-lokhu kwaziwa ngokuthi ama-metastasis omental.
I-omentum nayo inezinzuzo ezicebile zezindawo zengculaza noma ze-immune ezibizwa ngokuthi "izindawo ezimbi."
I-omentum iba ibaluleke kakhulu emdlalweni ophezulu we-ovarian lapho kwenziwa ukuhlinzeka nge- debulking noma yokuhlinzwa nge- cytoreduction . Lezi zindlela zokuhlinza zenziwa ukukhipha umdlavuza ngangokunokwenzeka, ngakho-ke kunomdlavuza osele ozokwelapha ukwelashwa ngamakhemikhali.
Uma umdlavuza ususwe ngokukhululeka, kunethuba elikhulu lokuthi amakhemikhali ekhanda azokwazi ukulahla amasosha omdlavuza asele ngaphambi kokuba abe nemithi emithi yokwelapha.
Ukuqonda isakhiwo se-omentum kwenza kube lula ukuqonda ukuthi kungani lokhu kuhlinzeka ngokweqile emdlalweni we-ovarian kunzima kakhulu. Kuyinkimbinkimbi futhi iyaphazamisa isikhathi esithatha ngokunemba okukhulu, njengoba amaqoqo amancane amangqamuzana omdlavuza angafakwa ngaphakathi kulo lonke u-omentum ocebile ngegazi.
Ngaphezu kwalokho, ukuze uthole i- cytoreduction enhle , ukuhlinzwa kungathatha amahora amaningi. Enye inselele ukuthi isikhathi sokuhlinzwa singancishiswa ukuhluleka kwesiguli ukulwa nokuhlinzekwa okuqhubekayo ngaphansi kwe-anesthesia jikelele.
Ezinye izimo ezibandakanya i-Omentum
Ezinye izimo eziningana zihlobene nesakhiwo nomsebenzi we-omentum:
- Ukukhuluphala kwesisu: I-omentum isebenza endaweni yokugcina amafutha. Uma kunesitoreji esiningi ngokweqile lamafutha ku-omentum, abantu bakhula ifomu lomzimba elifakwe nge-apula elaziwa ngokuthi ukukhuluphala kwesisu . Lokhu kubhekiselwa kubantu abaningi njenge-fat belly. Amafutha emathunjini angenye yezinto ezibeka ingozi emzimbeni we- metabolic syndrome . Abantu abane-syndrome basengozini enkulu yokuthuthukisa isifo senhliziyo.
- Ukwamukela: Izibeletho zomzimba noma izicubu ezibomvu ezifakwe kulo lonke i-omentum ngokuphendula ukuhlinzwa kwesisu, izifo, noma izimo ezivuthayo ezibandakanya i-omentum kungaba yisimo esibi kakhulu. Eqinisweni, kuyimbangela evamile yokuhlinzwa okuphuthumayo kwesisu ngenxa yokuvimbela izifo futhi kungase kube imbangela yokungasebenzi futhi ubuhlungu obungapheli.
Imithombo:
Koppe MJ, ID Nagtegaal, de Wilt JH, Ceelen WP. Ukuqonda kwamuva ku-pathophysiology yama-metastases omental. J Surg Oncol. 2014 Nov; 110 (6): 670-5.
> Sorensen EW, Gerber SA, Sedlacek AL, Rybalko VY, Chan VM, Nkosi EM. Ama-immune aggregates nama-metastasis we-tumor ngaphakathi kwendawo ye-peritoneal. I-Immunol Res . 2009. 45 (2-3): 185-94.