Zojambula zapamwamba zapansi
Chikondwererochi ndi chiwalo chokhala ndi ntchito zowerengera komanso zosafunikira. Mu chitsulo, mutu, thupi ndi mchira zimasiyanitsidwa. Zochita zowombedwa nthawi zina zimachoka m'mphepete mwa mutu.
Mutu ozunguliridwa ndi kumtunda, kumanja ndi kutsika, motsatana, kwa kumtunda, kutsika ndi kutsikira mbali zopingasa za duodenum. Ali ndi:
kutsogolo, komwe kutsogolo kwa m'mimba kumalumikizana pamwamba pa mawonekedwe am'mimba, ndipo pansi pa matumbo aang'ono,
l kumbuyo, moyandikana ndi lamitsempha lamitsempha lamitsempha ndi mtsempha,
l Pamwamba ndi pansi m'mphepete. Thupi lili:
kutsogolo komwe khoma lakumbuyo kwa m'mimba lili moyandikana,
l kumbuyo, Momwe msempha, msempha wamaso ndi wapamwamba kwambiri amakhala moyandikana,
l pansi pamtunda, Pansi pake moyandikana ndi dena-dzatiperno-jejunal bend,
l Pamwamba, pansi ndi kutsogolo m'mbali. Mchira uli ndi:
l kutsogolo, komwe pafupi ndi pansi pa chimacho
l kumbuyo, moyandikana ndi impso lakumanzere, ziwonetsero zake ndi zonyansa zam'mimba.
Dansi la pancreatic limayenda kudutsa ndulu yonse kuyambira mchira kupita kumutu., chomwe, cholumikizana ndi dambo la bile kapena mosiyana ndi icho, chimatseguka mpaka kutsika kwa gawo la duodenum papilla yayikulu ya duodenal.
Nthawi zina pa duodenal papilla yaying'ono, ili pafupi 2 cm pamwamba pa lalikulu, chowonjezera cha pancreatic chimatseguka.
Zambiri:
m'mimba - kusintha kwa peritoneum kuchokera kumtunda kufalikira kupita kumbuyo kwa thupi, Cardia ndi fundus pansi (kumanzere kwa chotupa kumadutsa m'mphepete mwake),
pyloric-gastric - kusintha kwa peritoneum kuchokera kumtunda kwa glandular thupi kupita kolimba m'mimba.
Holotopia:M'chigawo choyenera cha epigastric ndikumanzere kwa hypochondrium. Imayesedwa pamzere wolumikizira pakati pa mtunda pakati pa njira ya xiphoid ndi navel.
Skeletonotopy:mutu ndi L1, thupi ndi Th12, mchira ndi Th11. Thupi lili pamalo opanikizika, ndipo cholowera chake chachitali chimatsogozedwa kuchokera kumanja kupita kumanzere kuchokera pansi kupita pamwamba. Nthawi zina zodutsamo zimakhala pamalo osinthika, momwe madipatimenti ake onse amakhala mulingo womwewo, komanso kutsika mchira ukawerama.
Maonekedwe a peritoneum:chitho chomaliza.Kupereka magazizochokera m'madziwe
a maliseche, ma splenic, ndi ma mesenteric artery. Mutu umaperekedwa ndi magazi ndi zikondamoyo zapamwamba komanso zotsika.
mitsempha ya dodo-duodenal (yochokera m'mitsempha ya gastro-duodenal komanso ya mesenteric yapamwamba, motero).
Thupi ndi mchira wa kapamba amalandila magazi kuchokera ku ma cell a splenic artery, omwe amapereka kuchokera ku nthambi ziwiri mpaka 9 zachi pancreatic, zomwe zazikulu kwambiri ndi. kapamba magna.
Kuphulika kwa dongosolo la portal vein kudzera mu ziwalo za pancreatic-duodenal ndi splenic.
Zopezekakapamba amatenga celiac, mesenteric, splenic, hepatic, ndi kumanzere kwa impso.
Lymph ngalandelimapezeka munthawi zoyambira (pancreatic-duodenal), chapamwamba ndi chapansi chazirala, zokhala ndi zipsinjo, post-dipyriatic).
Sanapeze zomwe mukuyang'ana? Gwiritsani ntchito kusaka:
Mawu abwino:Loto lokha lomwe limabweretsa wophunzirayo kumapeto kwa nkhaniyo. Koma kumenya wina kumulepheretsa. 8571 - | 7394 - kapena werengani zonse.
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