Xyaum txhua lub cev ntawm tib neeg lub cev tau npog nrog cov ntaub qhwv pob tshab uas tiv thaiv lawv los ntawm kev sib tsoo, ua haujlwm trophic, nqus cov kua dej ntau dhau thiab pab tswj qhov chaw nyob ib puag ncig. Cov ntaub so ntswg no hu ua peritoneum, thiab nyob rau qee qhov chaw, xws li qhov chaw sab hauv ntawm txoj hnyuv, nws tsim ib yam dab tsi zoo li lub apron.
roj foob loj thiab me
Nyob rau hauv tus txheej txheem ntawm evolution, txiv neej sawv ntawm nws ob txhais taw, thiab qhov no ua rau nws lub plab thiab lub cev tsis muaj zog. Txhawm rau txo lawv txoj kev raug mob, ib qho khoom nruab nrog ntxiv tau tsim. Qhov ntau dua omentum yog duplication ntawm lub peritoneum (plaub nplooj), uas pib los ntawm lub lateral nto ntawm lub plab thiab nqis mus rau transverse nyuv. Qhov no ntawm tus anatomist hu ua gastrointestinal ligament. Nws muaj cov hlab ntsha thiab cov hlab ntsha. Lub ntug dawb ntawm lub omentum nqis los thiab, zoo li lub kaus mom, npog lub voj voog ntawm txoj hnyuv. Lub duplication ntawm peritoneum kuj mus tom qab txoj hnyuv loj transverse, weaving rau hauv mesentery, thiab ces mus rau parietal peritoneum.
Qhov chaw nruab nrab ntawm cov nplooj ntawv ntawm cov ntaub so ntswg yog ntim nrog cov ntaub so ntswg rog. Qhov no muab lub npe tshwj xeeb ntawm lub cev - ib qho lojkhoom thawv. Lub cev nqaij daim tawv ntawm qhov tsawg dua omentum yog me ntsis txawv ntawm cov qauv ntawm nws tus tij laug "laus". Qhov tsawg dua omentum muaj peb ligaments uas sib koom ua ke:
- hepatoduodenal (pib los ntawm lub qhov rooj ntawm lub siab mus rau kab rov tav ceg ntawm duodenum);
- mob siab-pas plab (los ntawm daim siab mus rau qhov qis qis ntawm lub plab);
- diaphragm daim ntawv cog lus.
hnab ntim khoom
Qhov no yog qhov sib txawv loj uas tsim los ntawm peritoneum. Nyob rau hauv pem hauv ntej ntawm lub hnab, lub posterior phab ntsa ntawm lub plab, qhov tsawg dua thiab ntau dua omentum (lub plab hnyuv ligament) txwv nws. Tom qab yog daim ntawv parietal ntawm lub peritoneum, thaj tsam ntawm lub txiav txiav, inferior vena cava, lub sab sauv ncej ntawm lub raum thiab lub qog adrenal. Saum toj no yog lub caudate lobe ntawm daim siab, thiab hauv qab no yog lub mesentery ntawm transverse nyuv.
Hauv lub hnab ntim khoom muaj kab noj hniav hu ua Winslowy qhov. Qhov tseem ceeb ntawm lub cev no, zoo li tus so ntawm lub omentum, yog tias nyob rau hauv cov ntaub ntawv ntawm kev raug mob rau lub plab kab noj hniav, nws kaw qhov kev puas tsuaj, tiv thaiv tus kab mob kis mus rau thoob plaws lub cev, thiab tseem tiv thaiv kev tshwm sim ntawm lub cev. Yog tias muaj cov txheej txheem inflammatory tshwm sim, xws li mob plab hnyuv, ces lub omentum yog soldered mus rau lub visceral peritoneum thiab txwv lub cev los yog ib feem ntawm nws los ntawm tus so ntawm lub plab kab noj hniav.
Kev tshem tawm
Kev tshem tawm ntawm qhov ntau dua omentum tsis yog kev ua haujlwm ywj pheej, tab sis yog ib feem ntawm kev kho mob ntawm cov kab mob oncological ntawm txoj hnyuv. Cov kauj ruam no yog ua tiav txhawm rau txhawm rau rhuav tshem tag nrho cov metastases, uas pom muaj ntau hauv cov tuab ntawm peritoneum. Nws tsis pom zoo kom rho tawm lawv ib qho los ntawm ib qho.
Ib qho tseem ceeb yog lub plab kab noj hniav qhib nrog qhov dav dav dav dav kom muab kev nkag tau zoo rau lub qhov txhab phais. Yog hais tias qhov ntau dua omentum raug tshem tawm los ntawm txoj kev sib hloov, ces muaj kev txaus ntshai ntawm kev tawm hauv cheeb tsam cuam tshuam thiab ua rau muaj tus kab mob rov qab los. Yuav tsis muaj qhov tshwm sim rau lub cev tom qab tshem tawm lub cev.
Omental qog
Muaj ib yam li thawj cov qog ntawm lub omentum. Lawv yog cov benign (cysts, dermoids, lipomas, angiomas, fibromas thiab lwm yam) thiab malignant (sarcomas, endothelioma, cancer). Secondary formations manifest lawv tus kheej li metastases los ntawm lub plab los yog txoj hnyuv, nrog rau lwm yam kabmob. Nyob rau hauv lub davhlau ya nyob twg theem ntawm tus kab mob, qhov ntau dua omentum yog densely them nrog hloov lymph nodes thiab neoplasms. Nws yuav siv sij hawm daim ntawv ntawm ib tug wrinkled roller thiab yog yooj yim txiav txim los ntawm sib sib zog nqus palpation ntawm lub plab phab ntsa. Qhov tshwm sim no tuaj yeem ua rau mob plab hnyuv.
Cov qog nqaij hlav zoo ntawm omentum yog qhov tsawg heev. Lawv tsis ua rau tsis xis nyob rau cov neeg mob, yog li lawv tuaj yeem ncav cuag qhov loj me. Nws yog ib qho nyuaj rau kuaj xyuas lawv: tsis muaj cov tsos mob tshwj xeeb, cov cim, lossis lwm yam ntsuas. Ntawm cov qog malignant, sarcomas yog qhov ntau tshaj. Lawv manifest lawv tus kheej raws li ib tug syndrome ntawm intoxication, nrog rau cov quav tuav thiab poob phaus. Cov cim ceeb toom no yuav tsum ua rau tus kws kho mob xav txog kev mob qog noj ntshav.
Tight gland syndrome
Qhov loj-inch omentums tshwm sim vim muaj cov txheej txheem inflammatory. Qhov chaw ntawm lub cev loj hlob ua ke nrog lub peritoneum nyob rau hauv ntau qhov chaw ntawm lub plab kab noj hniav thiab ncab nws. Xws li adhesions tuaj yeem txhim kho tom qab kev phais, nrog kev mob ntev ntawm cov kab mob genitourinary.
Stretching omentum ua rau mob thiab cuam tshuam lub patency ntawm txoj hnyuv. Feem ntau, cov neeg mob yws yws ntawm qhov mob tsis tu ncua ntawm lub plab thiab sab saud ntawm lub plab tom qab noj mov, nrog rau plab hnyuv thiab ntuav. Cov tsos mob ntawm tus kab mob yog qhov mob hnyav yog tias tus neeg mob sim khoov rov qab. Kev kuaj mob zaum kawg yog ua tom qab ultrasound, xam tomography, radiographs. Qhov kev xaiv zoo tshaj plaws rau kev kuaj mob yog phais laparoscopic. Yog tias tsim nyog, kev nkag tau tuaj yeem nthuav dav thiab tshem tawm spikes.
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws.
Ib lub cyst tshwm sim vim muaj kev cuam tshuam ntawm cov hlab ntsha lymphatic lossis los ntawm kev loj hlob ntawm thaj chaw obliterated ntawm cov ntaub so ntswg lymphoid, uas tsis txuas nrog cov kab ke dav dav. Cov hlwv no zoo li cov hnab nyias nyias uas muaj cov kua ntshiab. Lawv qhov loj tuaj yeem sib txawv ntawm tsib millimeters mus rau ob peb centimeters. Tus kab mob no tsis tshwm sim nws tus kheej hauv txhua txoj kev, tab sis thaum tsim tau nce mus txog qhov loj me, nws tuaj yeem hnov los ntawm cov phab ntsa hauv plab.
Kev kho mob ntawm cov kab mob no tsuas yog phais. Tshem tawm cov hlwv thiab thaj chaw omentum, khaws feem ntau ntawm nws. Qhov kev cia siab rau cov neeg mob zoo li no.
