The caecum (kubva kuLatin cæcum intestinum, bofu ura) inhengo yegumbo rekugaya. Inopindirana nechikamu chekutanga chekoroni, inonziwo ura hukuru.

nzvimbo. Iyo cecum iri mune yekurudyi iliac fossa pamwero wezasi dumbu, uye kuseri kweanterior abdominal wall. (1)

mamiriro. Chikamu chekutanga chemukati chekoloni, iyo caecum inotevera ileum, chikamu chekupedzisira chemukati mudiki. Muromo weileum pa caecum ine ileo-caecal valve pamwe negobvu sphincter uye inoumba ileo-caecal angle. Kupedzisa mu-cul-de-sac, iyo caecum ine 6 kusvika 8 cm yakafara. Iine atrophied extension pazasi pe orifice yeileum, inozivikanwa severmicular appendix.

Iyo cecum uye apendix inoumbwa ne4 tunics, yepamusoro-soro akaturikidzana:

• serosa, iyo inoumba membrane kunze uye inoenderana ne visceral peritoneum
• tsandanyama, iyo inoumbwa nelongitudinal tsandanyama mabhandi
• submucosal
• mucous

Vascularization uye innervation. Iyo yese ine vascularized nececal uye appendicular arteries uye isingavharwe netsinga dzinobva kune solar plexus uye yepamusoro mesenteric plexus.

Kutorwa kwemvura uye electrolytes. Basa guru rececum nderekutora mvura uye electrolytes achiripo mushure mekugaya uye kunwa, kunoitwa mudumbu diki (2).

Barrier basa. Iyo ileocecal valve uye sphincter kazhinji inobatsira kudzivirira zvinhu kuti zvirege kudzoka kuileum. Iyi nzira imwe chete chipingamupinyi chakakosha kudzivirira kusvibiswa kwemukati mudiki nemabhakitiriya aripo mukoloni (3).

Typhlite. Inopindirana nekuputika kwececum uye inoratidzwa nekurwadziwa kwepamuviri kunoperekedzwa nemanyoka. Iyi pathology inowanzoitika muvarwere vasina immunocompromised. (4)

Appendicitis. Inokonzerwa nekuputika kwe appendix, inoratidzira sekurwadziwa kwakanyanya uye inofanira kurapwa nokukurumidza.

Volvulus du Blind. Iyo inoenderana nekushungurudzwa kwececum nekuda kwe hypermobility yeiyo yekupedzisira. Zviratidzo zvinogona kuva marwadzo emudumbu uye makumbo, kuvimbiswa, kana kurutsa.

Tumor. Gomarara remukororo rinonyanya kumuka kubva mubundu rakaipa, rinonzi adenomatous polyp, rinogona kukura kuita bundu rakashata (4) (5). Aya mamota anogona kunyanya kukura mumasero emukati memadziro ececum.

Kurapwa. Zvichienderana nechirwere ichi, kurapwa kwezvinodhaka kunogona kupihwa senge analgesics, laxatives kana nemafuta ekuzora.

Kuvhiya kurapa. Zvichienderana nehurwere uye kufambira mberi kwayo, kurapwa kwekuvhiya kunogona kuitwa sekubvisa colon (colectomy).

Chemotherapy, radiotherapy kana yakanangwa kurapwa. Aya ndiwo marudzi akasiyana ekurapa anoshandiswa kuparadza maseru egomarara.

Kuongorora kwepanyama. Kutanga kwekutambudzika kunotanga nekiriniki kuongororwa kuti uongorore hunhu hwehurombo uye nezviratidzo zvinotevera.

Biological kuongorora. Kuongororwa ropa nechitunha kunogona kuitwa.

Medical imaging kuongorora. Zvichienderana nekufungidzirwa kana kupupurirwa pathology, kumwe kuongorora kunogona kuitwa se ultrasound, CT scan kana MRI.

Endoscopic kuongorora. A colonoscopy inogona kuitwa kudzidza madziro ekoloni.

Chimiro checaecum chinofananidzwa kune cul-de-sac, saka chiLatin chinobva: bofu, ura usingaoni (6).