Makãho

Makãho

Caecum (daga Latin cæcum intestinum, hanjin cikin ido) wani sashi ne na narkar da abinci. Ya dace da kashi na farko na hanji, wanda kuma ake kira babban hanji.

Anatomy ku makafi

location. Cecum yana cikin fossa iliac na dama a matakin ƙananan ciki, kuma bayan bangon ciki na gaba. (1)

Structure. Sashin hanji na farko na hanji, caecum yana biye da ileum, sashin ƙarshe na ƙananan hanji. Bakin kuran a caecum yana kunshe da bawul na ileo-caecal da kuma kaurin kauri kuma yana samar da kusurwar ileo-caecal. Ana gamawa a cikin cul-de-sac, caecum yana da faɗin 6 zuwa 8 cm. Yana da tsawaitaccen atrophied a ƙasa da ƙasan kogin, wanda aka sani da appendix vermicular.

Cecum da rabe -raben sun ƙunshi riguna 4, yadudduka na ƙasa:

  • serosa, wanda ke haifar da membrane a waje kuma yayi daidai da peritoneum na visceral
  • muscular, wanda ya kunshi makadin tsoka mai tsawo
  • submucosal
  • laka

Vascularization da innervation. Gabaɗaya yana jujjuyawar jijiyoyin jijiyoyin jijiyoyin jijiyoyin jijiyoyin jiki da jijiyoyin jijiyoyin jiki kuma jijiyoyin jijiyoyin da ke samo asali daga plexus na rana da madaidaicin plexus na mesenteric.

Physiology na caecum

Absorption na ruwa da electrolytes. Babban aikin cecum shine sha ruwa da kayan lantarki har yanzu suna nan bayan narkewa da sha, wanda aka aiwatar a cikin ƙananan hanji (2).

Matsayin shamaki. Bawul ɗin ɗalibi da sphincter galibi suna taimakawa hana kayan dawowa zuwa ɗakin. Wannan shinge na hanya ɗaya yana da mahimmanci don hana gurɓata ƙananan hanji tare da ƙwayoyin cuta da ke cikin hanji (3).

Pathology da raɗaɗin caecum

typhlite. Ya dace da kumburin cecum kuma yana bayyana ta ciwon ciki tare da gudawa. Wannan cutar mafi yawan lokuta tana bayyana a cikin marasa lafiya na rigakafi. (4)

Rashin daidaituwa. Yana haifar da kumburin appendix, yana bayyana azaman zafi mai zafi kuma yakamata a kula dashi da gaggawa.

Volvulus du Makafi. Ya dace da torsion na cecum saboda hypermobility na ƙarshen. Alamun cutar na iya zama ciwon ciki da ciwon ciki, maƙarƙashiya, ko amai.

marurai. Ciwon kansar hanji galibi yana fitowa daga ƙwayar cuta mara kyau, wanda ake kira polyp adenomatous, wanda zai iya haɓaka cikin mummunan ƙwayar cuta (4) (5). Waɗannan ciwace -ciwacen na iya haɓaka musamman a cikin sel na bangon ciki na cecum.

Jiyya na cecum

Kiwon lafiya. Dangane da cutar, ana iya ba da magani na miyagun ƙwayoyi kamar analgesics, laxatives ko ma man shafawa.

Jiyya na tiyata. Dangane da illolin cutar da ci gabanta, ana iya yin aikin tiyata kamar cirewar hanji (colectomy).

Chemotherapy, radiotherapy ko far da aka yi niyya. Waɗannan nau'ikan nau'ikan jiyya ne da ake amfani da su don lalata sel kansar.

Examen du blind

Binciken jiki. Farkon jin zafi yana farawa tare da gwajin asibiti don tantance halayen ciwon da alamun da ke tare.

Binciken halittu. Za a iya yin gwaje -gwajen jini da na ɗaki.

Binciken hoto na likita. Dangane da abin da ake zargi ko tabbatar da cutar, ana iya yin ƙarin gwaje -gwaje kamar duban dan tayi, CT scan ko MRI.

Binciken endoscopic. Za a iya yin colonoscopy don nazarin bangon hanji.

Tarihi da alamar caecum

Siffar caecum an haɗa shi zuwa cul-de-sac, saboda haka asalin Latin ɗin sa: makaho, makantar hanji (6).

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