malashaya sira plexes

malaashayathinu chuttumulla sirakalude plexasaanu malaashayathile sirakalude plexes (allengil hemoroidal plexes). ithil aantharikavum bahyavumaaya malashaya jalakam adangiyirikkunnu. uyarnna, madhya, thaazhnna malashaya sirakal ithu vattikkunnu. ithu oru portosystemic (portokkaaval) anastomosis undaakkunnu. ithu phastt paas mettabolisathe marikadakkaan guhyamaayi nalkunna marunnukale anuvadikkunnu.
peril "malashayam" enna padam ulppeduthiyittundile, sirakalude plexes sthaanaparamaayum pravarthanaparamaayum vaidyashaasthraparamaayum pradhaanamaayum guda kanalumaayi bandhappettirikkunnu.
shareeraghadana.
malashaya sira plexasil peshikalude mathilinu purathu sthithi cheiyunna oru baahya malashaya plexes malaashayathinte mucosayilekku/malavisarjjanathinte aazhathil sthithi cheiyunna oru aantharika malashaya plexes anorectal junctionil proximal guda kanal adangiyirikkunnu.
aantharika malashaya plexes.
aantharika plexes tubinu chuttum oru vrithathil, gudadwaarathinu thottumukalil krameekarichirikkunna, thirashcheena shaakhakalaal bandhippichirikkunna, vikasippicha pookkukalude oru parambara avatharippikkunnu.
aantharika plexes (uravidangal vyathyasthamaan) roopangal/moolappithavumaayi (guda kanaalinte vascular kushanukal) thudarchayaayi/thaazhnna nilayilaanu.
sirakalulla drainage.
grays anatomy" yude (2020) 42-aamm pathipp anusarichu, aantharika malashaya plexes kooduthalum uyarnna malashaya sirayaan (infiary mesentarik weyin → pleanic weyin → hepatic portal weyin).
clinically ooriyantad anatomy" (2017) yude ettaam pathipp anusarichu, aantharika malashaya plexes kooduthalum pekttinett laininekkaal mikacha/proximal uyarnna malashaya sirayilekkum thaazhnna malashaya sirakalilekkum (β aantharika pudendal weane → aantharika iliac weane → saadhaarana iliac weane → inferior vena kaava) pekttinett lineinode thaazhnna/vidooramaaya baahya guda sphinktarinte arikilekku ozhukunnu.
ghadana.
hemoroidal plexasinte sirakal valare ayanja connective tissuevil adangiyirikkunnu, athinaal avaykku mattu mikka sirakalekkaalum chuttumulla gadanakalil ninnu kuranja pinthuna labhikkunnu, koodaathe vardhicha rakthasammardhathe prathirodhikkanulla kazhivum kuravaanu.
anastamosus.
malashaya sira plexes oru portosystemic (portokkaaval) anastomosisine prathinidheekarikkunnu. drainejil ninnu portal samvidaanathilekkulla drainage vazhi thaazhnna kaaval samvidaanathilekkulla parivartthanam guda nirakalude pradeshathaanu sambhavikkunnath.
ithu sthreeyile garbhashaya, yoni sira plexesumaayum purushanile vesical sira plexesumaayum munvashath ashayavinimayam nadathunnu.
klinikkal praadhaanyam.
aantharika malashaya plexes guda kanalilekku vyaapikkukayum paatholajikkal aantharika hemerhoidukal roopappedukayum cheythekkaam; iva palappozhum guda sphinktarinte sankochathaal kazhuthu njerichu shwaasammuttukayum alsarinum rakthasraavathinum kaaranamaakunnu.
baahya malashaya plexasine raktham kattapidikkunnath (thromby) baadhichekkaam, ithu baahya hemerhydeukalkku kaaranamaakunnu.

