M'matumbo ileum. Ntchito za matenda, mankhwala

Iliac intestine (kuchokera ku mawu Latin «ileum») akuimira chigawo apansi pa intestine yaing'ono. Chotero GI chinthu ndi ntchito yake ndi dongosolo. Pa iwo mungaphunzire pang'ono.

Ileum: komwe?

The ileum ili mu bwino iliac fossa (kapena m'munsi pamimba) ndipo anapatukana ndi intestine akhungu ntchito bauginievoy khumudwitsidwa, kapena otchedwa ileocecal valavu. A mbali yaing'ono ya thupi amatenga epigastrium, umbilical dera, komanso M'mimbamo m'chiuno.

kapangidwe

M'matumbo ileum ndipo matumbo woonda ofanana kwambiri dongosolo. The lonse lamkati wosanjikiza thupi ndi mucosa kuti zochuluka TACHIMATA ulusi (nyamuka pafupifupi 1 millimeter). Poyankha, pamwamba pa zinthu izi wapangidwa ndi epithelium columnar. Pakati lili lymphatic nkusani, komanso capillaries (Mitsempha).

Tikumbukenso kuti villi mu m'matumbo ileum ndi zochepa kwambiri kusiyana ndi mu jejunum lapansi. Komabe, iwo onse nawo ndondomeko kupeza zothandiza ndi zakudya. Mafuta ndi chosakanikirana ndi ziwiya lymphatic, ndi amino zidulo ndi monosaccharides - chifukwa venous. The mucosa lonse la ileum ali pamwamba m'malo akhakula. Ichi ndi chifukwa kukhalapo kwa crypts ndi villi wa pleats zozungulira. Ndimapanga deta kwambiri pa pamwamba waukulu wa mucosa m'mimba, omwe mosakayikira bwanji ndondomeko ya mayamwidwe chakudya m'mimba.

Features ya kapangidwe ka ileum ndi

Othina ndi ileum villi ndinu yemweyo, mawonekedwe a omwe akufanana masamba kapena zala. Tikumbukenso kuti imapezeka mu lumen wa matupi tatchulazi. Number intestine villi mu ileum akhoza osiyanasiyana monga zidutswa 18 mpaka 35 pa 1 lalikulu. mm. Pa nthawi yomweyo iwo pang'ono n'kakang'ono kuposa amene zili duodenum.

crypts matumbo, kapena wotchedwa England liberkyunovy kuimira zamkati mu emvulopu, ndi mawonekedwe a machubu yaing'ono. The mucosa ndi submucosa wa ileum kupanga crease zozungulira. The epithelium wa iwo umodzi-wosanjikiza prismatic limbic. Mwa njira, nembanemba mucous ya thupi ali submucosa yake, kuseri kwake ndi minofu minofu. Yotsirizira awa akuimira ndi zigawo 2 ulusi yosalala: akunja (kapena kotenga) ndipo mkati (kapena zozungulira). Pakati pa iwo ndi lotayirira connective minofu omwe ali ndi mitsempha ndi mitsempha-akulu enteric plexus. The makulidwe a wosanjikiza imeneyi amachepetsa kwa gawo osachiritsika za m'mimba yaing'ono. Dziwani kuti akulu wosanjikiza thupi amachita ntchito ya kuyanjana ndi kukankhira chyme.

Chipolopolo kunja kwa iliac m'matumbo - serous. Iwo ali kumbali zonse.

Ntchito yaikulu ya ileum osachiritsika

Anapereka limba amagwira ntchito zingapo. Zikuphatikizapo zotsatirazi:

• Kutalikirana kwa michere;
• mayamwidwe zakudya, mchere ndi mchere yake;
• chimbudzi chakudya akubwera.

Features wa ileum ndi

timadziti matumbo a thupi akuyamba kupatukana atamwa mankhwala ndi makina kuyabwa mpanda wa chyme lapansi. Patangopita maola 24 zokolola zake angafikire malita 2.4. Pamene madzi ili ndi zamchere anachita, ndi mbali wandiweyani tichipeza maselo apezeka-zaminyewa, kukonza ndi wambirimbiri michere. Pamene maselo yoyenera kuyamba kukanidwa mu lumen wa matumbo, kenako kusokonekera potero kupereka cavitary chimbudzi.

Iwo ananena kuti aliyense padziko ali microvilli maselo zaminyewa. Iwo akuyimira protuberances pachiyambi, amene atathana michere. Chifukwa cha iwo, pali wosanjikiza ina ya dongosolo m'mimba, wotchedwa Kakhungu (parietal). Apa mu ileum kumachitika hydrolysis chakudya ndi mayamwidwe ake.

Amadziwika kuti madzi matumbo lili ndendende 22 enzyme. Waukulu kuitana enterokinase. enzyme Izi anafuna kutsegula kwa trypsinogen pancreatic. Komanso, m'matumbo ileum allocates madzi, muli zinthu monga lipase, amylase, sucrase, peptidase ndi phosphatase zamchere.

Kukwezeleza chyme mu gawo lina la kapepalako m'mimba kumachitika ndi kuchepetsa minofu wosanjikiza ulusi. Mitundu yaikulu gulu akhoza kutchedwa peristaltic ndi pendulum. Gulu lachiwiri la mabala umabala kusanganikirana chyme. Koma nyongolotsi-ngati (peristaltic) mafunde, amalimbikitsa chakudya wapotalikira lapansi.

Zodabwitsa ndizakuti, zonse zinkaimira ndi mtundu wa chimbudzi zili mwa kulankhulana bwino. Pamene recessed hydrolysis zinthu zovuta kwambiri otchedwa wapakatikati. The mankhwala ankachitira anali m'mimba mothandizidwa ndi Kakhungu chimbudzi. Ndiye imayamba mayamwidwe zakudya ndi mchere. Ichi ndi chifukwa kuwonjezeka intracolonic kuthamanga ndi minofu motility ndi kayendedwe villi.

Kuphwanya matenda a ileum ndi

Ileum (pakakhala manungo akufotokozedwa apamwamba pang'ono) kawirikawiri pansi njira yotupa. matenda onse za m'mimba ang'ono amene ali ndi zizindikiro zofanana. Monga ulamuliro, iwo zochokera kuphwanya m'mimba, excretory, ndi ntchito suction galimoto. Zochita matenda, zolakwika izi anaganiza adzalumikizana pansi pa dzina chimodzi - malabsorption syndrome.

zizindikiro zosonyeza kuti matenda

Ileum, kumene matendawa zikhonza kukhalapo pa zifukwa zosiyanasiyana, pafupifupi nthawi zonse ali zimakhudzanso zizindikiro ambiri la nsautso. Zikuphatikizapo zotsatirazi:

• ululu syndromes;
• kukhumudwa mpando;
• kugunda m'matumbo;
• flatulence.

Nthawi zambiri, odwala akudandaula kuti madokotala limene zokhalitsa m'mimba ndi maulendo chimbudzi nthawi 4-7 tsiku. Mu chakudya undigested angapezeke mu chimbudzi. M'mawa, wodwalayo zambiri akumverera kuwayula mu intestine, ndi zomwe kawirikawiri umatsika yekha madzulo.

Wa akhudzidwa intestine iliac amayambitsa kupweteka. Iwo akhoza kukhala malo osiyana (m'dera umbilical, lamanja la midline wa pamimba ndi pansi pa "supuni") ndi khalidwe (arching, kulongolola ndi akuvutika). Childs, mphamvu ya ululu kwambiri utachepa pambuyo kumaliseche mpweya anapanga.

zizindikiro kunja matenda a ileum ndi

matenda yaing'ono matumbo akhozanso kukopeka ndi dipatimenti imeneyi ndi mawonetseredwe extraintestinal. Iwo chifukwa malabsorption ndi chimbudzi cha zakudya, mavitamini ndi mchere. Pankhaniyi, odwala msanga zokwanira kuonda ndipo sangathe achire. Akusowa mavitamini B ndi chitsulo zambiri kumayambitsa chitukuko cha magazi m'thupi, mapangidwe ming'alu mu milomo ndi m'mphambano za kutupa mkamwa. Koma ngati thupi limayamba kuti alibe vitamini A, chingathe kuonekera mu dryness wa conjunctiva ndi usiku khungu. Ngati thupi wodwalayo ali magazi, ndiye amenewa amasonyeza akusowa vitamini K.

matenda amene amatupitsa

The aakulu kwambiri ndi wamba matenda za m'mimba ang'ono ndi matenda amene amatupitsa (kapena otchedwa osachiritsika ileitis). Kawirikawiri Pa matenda kutupa isanafalikire mu masentimita 15-20 lotsiriza la ileum lapansi. Kawirikawiri mu ndondomeko amatenda akhungu, wakuda ndi mmatumbo GI.

Kutupa ileum ndi zizindikiro zomwe tikambirana pansipa, ayenera kulandira chithandizo nthawi. Apo ayi, mu zaka 3-4 wodwala angathe mavuto monga kutsekeka m'matumbo, fistulas, abscesses, peritonitis, amyloidosis, magazi ndi ena.

Zizindikiro za matenda amene amatupitsa

Zizindikiro za matendawa ndi osiyana.

• Anapwetekedwa mu pane bwino (zambiri amatikumbutsa chipatala cha appendicitis pachimake). Pankhaniyi, malungo wodwalayo kazivutitsa nseru zonse ndi kusanza. Kawirikawiri ululu zimachitika pambuyo maola 3-5 mutadya.
• Magazi m'thupi ndi emaciation.
• Amamuyambitsa timabala wa ileum ndi amene amayambitsa kutsekeka m'matumbo.
• Aakulu kudzimbidwa kapena m'mimba komanso kugunda m'matumbo.
• magazi katundu kapena kusakanizikana ka magazi m'manyi

matenda ena

Lymphoid hyperplasia wa ileum osachiritsika limapezeka pa maziko a immunodeficiency ndi kusintha proliferative mpanda matumbo. Childs, kusintha kawirikawiri chosakhalitsa ndi kutha popanda sanachite okha. Chifukwa zopatuka izi akhoza kuchita yankho lokwanira kuti m'matumbo-kugwirizana lymphoid minofu, lomwe limapezeka pa zimene zikuchitika kunja.

Zizindikiro za hyperplasia lymphoid

Zizindikiro pazikhalanso, monga:

• m'mimba;
• ululu m'mimba;
• kusakanizikana kwa magazi ndi ntchofu m'manyi;
• flatulence ndi bloating;
• kuwonda;
• yafupika kukaniza thupi matenda osiyanasiyana.

Ndi hyperplasia amphamvu angathe zizindikiro cha kutsekeka m'matumbo. Mwazina, matenda a intestine akhoza zimachitika enteritis ndi khansa.

Matenda a matenda ndi zinthu

Kutupa kwa ileum anapezeka ndi maonekedwe awo ndi mmene wodwalayo pambuyo MAGAZI, mkodzo ndi ndowe, komanso mothandizidwa ndi njira zamakono kulipenda monga endoscopy fiberoptic. Pankhaniyi, odwala nthawi zambiri kusintha Kudziwika submucosal wosanjikiza intestine lapansi. Chotero kuvutika sanali zina kukhala pa maziko a polyposis akakufunsani, zilonda zapakhosi aakulu ndi matenda zinchito ya m'matumbo.

mankhwala a matenda

Kawirikawiri limfofollikulyarnaya hyperplasia amakhudza okha ileum osachiritsika. matenda amagwirizana zinthu, choncho sikutanthauza chithandizo. Koma matenda amene amatupitsa, khansa ndi njira zina yotupa, ndiye mankhwala belated, iwo zingakhudze lonse m'mimba thirakiti kuti mapeto ake ndi imfa. Pankhaniyi, mankhwala ndi ntchito mankhwala, kuphatikizapo mankhwala amapatsidwa okha gastroenterologist odziwa. Mwa njira, matenda zambiri zoterozo mu magawo kenako chitukuko asonyezedwa mwa opaleshoni.

Iwo ayenera kukumbukira kuti kuwonjezera mankhwala zochizira matenda a ang'ono dipatimenti intestine iliac zoikika ndi zakudya kwambiri. Tinganene, kumaphatikizapo yekha mapapo, mwamsanga zidyeke ndi wolemera mu mavitamini chakudya. Komanso, mtima uli kutiletsa kumwa mowa kwambiri mchere, zokometsera, mafuta, yokazinga ndi nyama lolemera, nsomba, bowa mbale. zakudya wodwalayo pazikhalanso phala ofunda, yophika pa polumoloke, woyera tirigu mkate kupanga dzulo, nthawi zina batala, scrambled mazira, tiyi, zakumwa zipatso, zakumwa zipatso, msuzi m'chiuno, blueberries, chilombo chitumbuwa. Ngati chakudya ndi kutenga mankhwala onse zotchulidwa dokotala chifukwa cha matenda a kutupa kwa ileum tingafunike yabwino.