I-lumen ingaphakathi kwamathumbu kwaye kubalulekile ukuyigcina icace
I-lumen yindlela yokuvula ngaphakathi kweso sakhiwo somzimba esisijikeleziweyo ngamathambo omzimba eyaziwa njenge-epithelial membrane. Imizekelo yezakhiwo zomzimba ezinesibane ziquka intumbu enkulu , intlungu emathunjini , iintsholongwane kunye nemithambo. Igama livela kwisiLatini "lūmen," enye intsingiselo yokuba "ukukhanya." Oku mhlawumbi ngenxa yokuba i-lumen yindawo yokuvula ngaphakathi kwiphubhu, kwaye ukukhanya kuya kudlula kwi-tube.
Ubungakanani besikhanyiso esiswini luya kulinganiswa ukuze kuqinisekiswe ukuba iindonga zamathumbu ziyakhula. Xa iindonga zamathumbu zinyathela kwaye zenze ukuba i-lumen ibe yincinci, ingakhokelela kwiingxaki ezinjengeemigangatho.
I-Lumen yamathumbu
Emathunjini, i-lumen yimivulo ngaphakathi emathunjini kwaye ijikelezwe ngamanye amanxalenye emathumbu: i-mucosa, i-submucosa, i-muscularis kunye ne-serosa.
Ukuze ukutya kudlule emathunjini, i-lumen kufuneka icace kwaye ivule. Kubantu abanesifo sokukhupha isifo (IBD), i-lumen inokuchaphazeleka. Kwi-IBD, kukho izihlandlo zokuvuvukala ezichaphazela ukucuthwa kwe-mucosal yeembilini, ezingabangela izilonda. Ukuvutha kungaphilisa kwiindawo, ezibangela izicubu ezinqabileyo. Umjikelezo ophindaphindiweyo wokuvuvukala nokuphulukisa unokwakha izicubu ezibomvu ukuya kwinqanaba apho linyusa udonga lwesilonda.
Xa i-Lumen iba Nxubile
Isiqwenga somzimba asiyinto eguquguqukayo njengezicubu eziqhelekileyo kwaye ziziphatha ngokwahlukileyo. Xa kukho iisundu ezinqamlekileyo emathunjini, i-lumen iyachaphazeleka, kwaye ingaba yancinci okanye ingavinjelwa. Icandelo elincinci le-lumen libizwa ngokuba yi- stricture . Impahla enkunkuma ayinakuyidlula kakuhle i-lumen, engakhokelela ekuthintekeni kwezilwanyana okanye ezinye iingxaki.
Izithintelo zivame ukuba zixhaphake kwisifo seCrohn kunokuba zikhona kwi-colitis, kodwa ziyakwenzeka kuzo zombini i-IBD. Isizathu salokhu kukuba isifo sikaCrohn sinokuthi senzeke nasiphi na indawo kwindawo yokugaya inyama ukusuka emlonyeni ukuya kwi-anus, kwaye inokuchaphazela iziqendu eziliqela kwodonga lwesilonda. I-ulcerative colitis ichaphazela nje intumbu enkulu kunye ne-rectum, kwaye ukuvuvukala kuvamise ukungena kwi-inner mucosal layer. Kwi-Crohn's disease, i-strictures ijwayele ukuhlala emathunjini amancinci, kunye ne-ulcerative colitis, i-strictures ihlala i-rectum.
Iziqulatho zingabangela ingxaki kubantu abane-IBD kuba bavimba ukutya ekuhambeni kwiibilini. Ngeentambo ezincinci, ukutya kuqala ukubuyela kwisibilini. Oku kunokukhokelela kwisithintelo somzimba, kwaye kukho iimpawu zentlungu, ukuhlanza, isifo sohudo, okanye ukuzitywa. Kwezinye iimeko, ukuphazamiseka kungaphathwa esibhedlele ngethubhu ye-nasogastric (NG) kunye nezinye iindlela, kodwa ezinye izithintelo zithuthukile ngokwaneleyo ezifuna ukuhlinzwa. Ngaphandle kokuhlinzwa, ukuphazamiseka kunokuqhubeka kuqhubeka.
Ukubhengezwa: lū'men
> Imithombo:
> Calabrese E, Zorzi F, Zuzzi S, et al. "Ukuphuhliswa kweeNkcukacha zeeNombolo eziLungeleleneyo ukuLawulwa kweMigodi njengoko kufunyenwe yi-ultrasonography kwi-Crohn's Disease." J Crohns Colitis . 2012: 6: 852-860.
> Tshintsha iCW, Wong JM, Tung CC, et al. "Isithintelo samathumbu esiswini kwiSifo seCrohn." Uphando lwamazinyo . 2015; 13 (1): 19-26. i-doi: 10.5217 / ir.2015.13.1.19.
> Parray FQ, Wani ML, Malik AA, et al. "Ulcerative Colitis: Umngeni kwiingcali." I-International Journal ye-Medicine Prevention . 2012; 3 (11): 749-763.
> Renata D, uCaccarocaro R. "Izifo ezilinganayo kwizifo zeCrohn: Yintoni esele ikhoyo kwi-Clinic." Iiklinikhi Exp Gastroenterol . 2014; 7: 151-161.