Meckel ka diverticulum

Meckel ka diverticulum, i ole ia e haawi ia ia e like me ka hou diverticulum o ka ileum, - mea he congenital anomaly o ka liʻiliʻi naʻau liʻiliʻi, a ua pili i regression o ka pathology o ka bile leki uea ma kona proximal hapa. Unclosed (neobliterirovannoy) koe proximal hapa o ia mea, e waiho i ke kahe ala ma waena o ka naʻau liʻiliʻi, a me ka piko.

Iloko o ka mua pule o fetal kūpono 'ana o ke kanaka kino kuleana pili i embryonic yolk a me urinary ducts, a nō i loko o ka piko. mua ka huaʻai ma hope o i, no ka mea, hoʻohuiʻia ka yolk sac me fetal naʻau liʻiliʻi, a ma ka lua o ka mimi kahe aku i loko o ka amniotic loli. I ka manawa, mai ke kolu a hiki i ka malama elima o intrauterine ola ke ku pono ana i ka hana i kā lākou kūpono '- ka yolk i nā atrofiruyas huli i loko o ka awelika ahui.

Inā, akā naʻe, ua noho kekahi hoʻolako 'ole i loko o keʻano papa hana o keia loli, ka mea, ua i nā hana, ke kaumaha ma muli o ka degere o ka malama neobliterirovannogo pele a me ka nui o ka pathology wahi:

• piha a kāpili fistulas piko;
• Meckel ka diverticulum;
• enterokistoma.

Kēia anomaly i loaa i loko o ke kakahiaka nui umikumamaiwa kenekulia ma Johann Friedrich Meckel ka Pehea, ke Kelemānia anatomist mai Halle.

He hōʻike na oko ma waena o ka mau diverticula o ka uuku liʻiliʻi.

• loaa ana, a oia wale n? o mucosa, mesenteric ke aupuni 'ma konaʻaoʻao;
• keia diverticulum, congenital, i ka hopuʻia a pau o nā papa a pau o kona pa, a me ka Anati-mesenteric lau.

i hoʻolaha Diverticula o ka poe uuku a liʻiliʻi like penei:

ma ke degere o ka manaopaa o ka pele.

1) loa hamama;

2) hapa 'ia' hamama ana:

- ina o ka hapa o ka naʻau liʻiliʻi, ke Meckel diverticulum;

- ina mai ka piko, ka omphalocele;

- ina ma ka waena, laila enterokistoma.

3) ua paa loa.

Mai a pau na lunaʻano o Meckel diverticulum ia lŘlŘ loa pinepine ia i loko o 70% o ka hihia, a me ka, pakahi, mai 1% i 4% o ka huina heluna kanaka. A no na kanaka ka mea, ua diagnosed i ka 2, a me ka Ina o complications, a me ia mea 5 oi pinepine manawa ma mua o nā wāhine. Kanalima pakeneka o ka hihia diagnosed i na keiki ma lalo o umi makahiki, i ke koena - mai ka wa kamalii a hiki i ke kanakolu makahiki. Meckel ka diverticulum i ka umikumamalua pakeneka o ka hihia pili i nā abnormalities o? Acaeoey, akā,ʻohana hanana i ole, ua hoao aku au ia.

Kona awelika loihi mea e pili ana i mau a hiki i ekolu mau kenimika, ka palena iki - 1 knm, a me ka i kā mākou - 26 knm, he mānoanoa o ka manamana lima, a me chervovidny outgrowth, Ua ololi. Ke kinona o ka paukūʻolokaʻa aʻohana. Meckel ka diverticulum ua ana aia ma kaʻaoʻao e ku pono ana o ka mesentery o ka ileum, Anati-mesenteric. Ka awelike mamao mai ka bauginievoy huʻa mea mai ka 40 a hiki i 50 knm, hiki ke soldered tyazhem connective'aʻaʻa o ka anterior abdominal pa, mesentery, a intestinal puka lou.

Clinically, ma ka hapanui o na hihia, ka mea, 'aʻole e hōʻike i nā mea a pau, a loaʻa ia ka hapanui iloko o abdominalʻoki kino no nā kumu, a me ka mea o complications.

I kaʻike, ua hookupaa iho la ia ma ka X-na kukuna a me ka hoʻohana 'ana o kekahi slurry o barium sulufahate like me ka Akä naÿe hope paha. Ke ultrasound hiki e pili me ka hui ma lalo ki ina hana like. No hoi, aia no he mau 'ano o ka hoʻokolokolo' ana - radionuclide scintigraphy me ka technetium-99. I ka kahe ana ke koko mai ka Mekkeleva diverticula e diagnosed hoʻohana 'arteriography.

Lapaʻau operative, i loko o ka hanana ana ia mea liʻiliʻi, ke ana 'ana i kūpono o ka ia me ka apendektomii hana. Akā, ma ka hihia o ke akea diverticulum i ka mesentery, ka hope lole wili, kea, a kau i ka palupalu intestinalʻiʻo pepa, oki iho la ia ia iho diverticulum. A laila, i kaʻeha o sutured liʻiliʻi a me ka abdominal lua.

He aha ka diverticulosis?

Keia ano o ke kino i loko o i i hana AeXIeAaOIePEAaI diverticulum, a laila lehulehu protrusions saccular palapala, a kamaʻilio me ka lua o ka AeXIeAaOIePEAaI (pinepine i loko o ka duodenum). Hoikeia clinically wale ma ka hihia o complications, hana surgically.