Tshaj loj dua: kev mob hauv plab, lub cev, kev kho mob

Zoo li txhua yam kabmob ntawm tib neeg lub cev yog them nrog cov ntaub so ntswg nyias, uas tiv thaiv kev sib thooj, sib tw ua haujlwm tshaj lij, kev tawm dej ntau tshaj tawm thiab pab tswj kom qhov chaw nyob sab nraud. Cov ntaub so ntswg no hu ua peritoneum, thiab hauv qee qhov chaw, piv txwv li, nyob rau sab nraud ntawm txoj hnyuv, nws tuaj yeem ua ib yam zoo ib yam li ua ntej.

Lub thawv loj thiab me me

Nyob rau hauv cov txheej txheem ntawm evolution, ib tug txiv neej sawv rau nws ko taw, thiab qhov no ua rau nws lub plab thiab sab hauv nruab nrog cev tsis muaj kev tiv thaiv. Yuav kom txo tau lawv txoj kev raug mob, tau muaj kev sib zog ntxiv. Ib tug loj omentum yog ib tug duplicate ntawm peritoneum (plaub nplooj), uas pib ntawm lub lateral saum npab ntawm lub plab thiab descends mus rau transverse nyuv. Qhov ntawm thaj chaw ntawm lub cev yog hu ua lub plab hnyuv. Cov nkoj thiab qab haus huv dhau los ntawm nws. Qhov dawb ntug ntawm omentum descends hauv qab no thiab, zoo li ib tug sev, npog lub loops ntawm tus me hnyuv. Duplicate peritoneum kuj rov qab mus rau ntawm txoj kab uas muaj zog, interlacing hauv lub mesentery, thiab tom qab ntawd ces nyob hauv parietal peritoneum.

Qhov chaw ntawm cov nplooj ntawv ntawm cov ntaub so ntswg yog muaj cov nqaij rog. Qhov no tau muab lub npe tshwj xeeb ntawm lub cev - ib qho loj omentum. Lub cev ntawm lub me me tsuas yog txawv me ntsis ntawm tus qauv ntawm nws tus "laus dua" tus kwv tij. Ib tug me me omentum muaj peb ligaments uas mus ib qho mus rau lwm tus:

• Hepatic-duodenum (pib los ntawm lub rooj vag ntawm lub siab mus rau kab rov tav ceg ntawm duodenum);
• Hepatic-gastric (los ntawm daim siab mus rau lub me me curvature ntawm lub plab);
• Ligament ntawm lub diaphragm.

Stuffing hnab

Qhov no yog ib qho loj crevice tsim los ntawm peritoneum. Nyob rau hauv pem hauv ntej lub hnab yog bounded los ntawm sab phab ntsa ntawm lub plab, ib tug me me thiab loj omentum (gastrointestinal ligament). Nyob qab lub parietal leaflet ntawm lub peritoneum, pancreatic feem, lub tsawg hollow Vienna, lub sab qaum ncej ntawm lub raum thiab adrenal caj pas. Saum toj no muaj ib tug caudate feem ntawm daim siab, thiab los ntawm hauv qab no - ib mesentery ntawm transverse nyuv.

Nyob rau hauv lub thawv stuffing muaj ib tug kab noj hniav, hu ua Vinzlov qhov. Tus nqi ntawm lub cev no, zoo li cov thawv rau hauv qhov dej khov, ntau qhov tseeb tias muaj kev raug mob ntawm qhov mob plab nws qhov kev raug mob, tiv thaiv kom tsis txhob kis tau ntawm lub cev, thiab tseem tiv thaiv tawm hauv lub cev. Yog hais tias muaj txheej txheem inflammatory, xws li kab mob appendicitis, daim omentum yog cov kab mob hauv cov vis dis a peritoneum thiab ua rau lub cev los yog ib feem ntawm nws ntawm tus kab mob plab.

Tshem tawm ntawm kev ua phaum

Tshem tawm ntawm ib tug loj omentum tsis yog ib qho haujlwm ywj pheej, tab sis ib feem ntawm kev kho mob ntawm oncological cov kab mob ntawm lub plab hnyuv tube. Cov kauj ruam no ua kom tiav tag nrho cov kabmob metastases uas muaj nyob rau hauv cov lej coob nyob rau hauv lub qhov ncauj. Nws tsis yog tawm tswv yim los mus rho tawm lawv ib qho zuj zus.

Ib qho tseem ceeb feature yog tias lub plab kab noj hniav yog qhib wide longitudinal incision qhib zoo nkag tau mus rau lub phais mob. Yog hais tias ib tug loj omentum yog muab tshem tawm hauv kev nkag rau ib sab, ces muaj kev txaus ntshai ntawm tawm hauv cheeb tsam thiab cuam tshuam qhov kev mob rov tshwm sim ntawm tus kab mob. Rau lub cev yuav tsis muaj qhov yuav tshwm sim tom qab tshem tawm ntawm qhov khoom nruab nrog.

Tag Nrho Cov Tua Kab Mob

Muaj xws li ib yam khoom ua qog nqaij hlav thawj. Lawv muaj peev xwm yuav benign (hlwv, dermoid, lipoma, angioma, fibroma, thiab lwm yam) thiab ua cancer (sarcoma, endotelioma, cancer). Cov theem ob yuav tshwm sim lawv tus kheej los ntawm lub plab lossis lub plab, thiab lwm yam khoom. Nyob rau hauv theem kawg ntawm tus kab mob, qhov loj omentum yog densely them nrog hloov lymph nodes thiab neoplasms. Nws yuav siv daim ntawv ntawm lub taub ntsws thiab ntsaws qhov yoojyim nrog sib sib zog nqus palpation ntawm phab ntsa hauv plab. Qhov tshwm sim no tuaj yeem ua rau mob plab hnyuv.

Benign qog ntawm ib tug epiploon - qhov phenomenon tsawg txaus. Lawv tsis ua rau tsis xis nyob rau cov neeg mob, yog li ntawd lawv tuaj yeem ncav cuag ntau qhov ntau thiab tsawg. Diagnosing lawv yog qhov nyuaj: tsis muaj cov tsos mob, cov cim thiab lwm yam yeeb yam. Cov qog nqaij hlav qog, cov kua qaub feem ntau yog. Lawv pom lawv tus kheej li ib qho mob ntawm qaug cawv, nrog rau cov quav thiab yuag poob. Cov kev ceeb toom no yuav tsum ceeb toom tus kws kho mob kom xav txog tus kab mob oncological.

Stuffed Omentum Syndrome

Omentums ntawm lub cheeb loj loj tshwm sim vim yog kev tsim cov txheej txheem inflammatory. Qhov chaw ntawm lub cev fuse nrog lub peritoneum nyob rau ntau qhov chaw ntawm lub plab kab noj hniav thiab ncab nws. Xws li tom qab kev phais, muaj kev mob ntawm cov kab mob genitourinary.

Ncab ntawm qhov omentum ua rau mob thiab disturbs lub patency ntawm lub plab hnyuv tube. Feem ntau, cov neeg mob tsis txaus siab txog qhov mob hauv qhov ntaws thiab dhau ntawm lub siab tom qab noj mov, nrog rau tsam plab thiab ntuav. Tus yam ntxwv tshwm sim ntawm tus kab mob yog qhov sib zog ntawm kev mob, yog tias tus neeg mob rov qab khoov rov qab. Qhov kev kuaj zaum kawg tom qab yog ultrasound, computed tomography, X-ray. Qhov kev xaiv zoo tshaj plaws rau kev kuaj mob yog phais laparoscopic. Yog tias tsim nyog, kev nkag tau tuaj yeem muab nthuav tawm thiab tshem tawm cov phom.

Omentum cuff

Cov cyst tshwm sim los ntawm cov kev tiv thaiv ntawm cov hlab ntim qog los yog vim li ntawm qhov loj ntawm thaj tsam ntawm cov qog ntshav ntawm lub cev, uas tsis cuam tshuam nrog lub cev. Cov cysts zoo li nyias thim xa, uas muaj cov kua dej tshau. Lawv qhov loj yuav txawv ntawm 5 millimetres mus rau ob peb cees. Tus kab mob no tsis qhia nws tus kheej, tab sis thaum lub sij hawm tuaj txog ntau qhov loj, nws tuaj yeem siv los ntawm phab ntsa hauv sab nrauv.

Kev kho tus kab mob pathology no tsuas yog phais. Tshem tawm cov hlwv thiab caj pas thaj av, tuav nws feem ntau. Cov kev kuaj mob rau cov neeg mob zoo li no nyiam.