Diverticulum Meckel sika

diverticulum Meckel sika, kungenjalo ukubizwa ngokuthi diverticulum ngaphezulu we ileum, - kuyinto anomaly azalwa naso emathunjini amancane, okuyinto lihlotshaniswa ekuhlehleni we zokugula we imbobo Bile at ingxenye yayo proximal. Angavaliwe (neobliterirovannoy) uhlala ingxenye proximal yalo, kusale indlela ukugeleza phakathi emathunjini kanye inkaba.

Phakathi namasonto okuqala wokukhula kwengane esiswini somuntu kwendikimba embryonic isikhuphasha futhi urinary Amapayipi, okuyizinto umzanyana. Ngemuva kokuqala izithelo ukudla kwenzeka, ngoba uxhuma womthubi nge amathumbu fetus, futhi ngokusebenzisa umchamo yesibili igeleza isuka ku -amniotic fluid. Esikhathini kusuka wesithathu enyangeni yesihlanu zokuphila intrauterine okuphambene kwenzeka ukuthuthukiswa yabo - isikhuphasha kancane kancane atrofiruyas jikisa kweqembu isilinganiso.

Nokho, uma kunezinye izimo nokwahluleka mshini lolu shintsho, it is kancane kancane kwakheka, kuye ngezinga of ukulondolozwa neobliterirovannogo ukugeleza futhi ezingeni zokugula okusha

• fistulas ephelele noma olungaphelele inkaba;
• diverticulum Meckel sika;
• enterokistoma.

Lokhu anomaly latholakala ekuqaleni kwekhulu nesishiyagalolunye by Johann Friedrich Meckel Omncane, anatomist German kusukela Halle.

Wachaza umehluko phakathi kwalezi zinto zombili diverticula emathunjini amancane:

• abeyizuzile futhi ehlanganisa kuphela mucosa, mesenteric elise ezinsikeni zawo;
• diverticulum samanje, uyisithulu, okuyinto esiqukethe zonke izingqimba Nogange lwawo kanti amacembe anti-mesenteric.

Diverticula emathunjini amancane ihlukaniswa kanje:

yi-degree of aphikelele ukugeleza:

1) evulekile ngokuphelele;

2) ingxenye ovulekile:

- uma ingxenye emathunjini, le Meckel diverticulum;

- uma kusukela inkaba, le omphalocele;

- uma phakathi ke enterokistoma.

3) ivaliwe ngokuphelele.

Kuzo zonke izinhlobo ngaphezulu Meckel diverticulum ivela kaningi kakhulu-70% amacala, futhi, ngokulandelana, kusukela 1% kuya ku-4% abantu sebebonke. Futhi amadoda ke sitholakale 2, futhi uma kwenzeka izinkinga ngemva kokuhlinzwa, futhi kuba izikhathi 5 kakhulu ukudlula abantu besifazane. amaphesenti ayisihlanu amacala kutholakala izingane ezingaphansi kweminyaka eyishumi ubudala, lonke - kusukela sisebancane size engamashumi amathathu. diverticulum Meckel e-amaphesenti eziyishumi nambili zakwa-izimo ezihlobene nezinye kwezinso yentuthuko, kodwa nesenzakalo ngofuzo engakaze lawo.

ubude bayo isilinganiso imayelana emibili kuya kwemithathu amasentimitha, ubuncane - 1 cm, futhi esiphezulu - 26 cm, ukushuba we ngomunwe, futhi njengoba yayifanekisela nomxhantela chervovidny, lincane. Ukuma isilinda noma Isigaxa. diverticulum Meckel sika ngokuvamile esisogwini uhlangothi mesentery we ileum, anti-mesenteric. Ibanga isilinganiso kusukela ichopho bauginievoy ivela 40 kuya 50 cm, kungenziwa soldered tyazhem ezicutshini odongeni anterior besisu, mesentery, noma izihibe emathunjini.

Emtholampilo, ezimweni eziningi, aliveli nhlobo, futhi bakuthola ikakhulukazi phakathi nokuhlinzwa besisu nangenxa yezinye izizathu, noma uma izinkinga.

Imiphumela yaloku kuhlola okungenhla kuqinisekiswa X-ray kanye ukusetshenziswa slurry of barium yombala sulfate njenge-ejenti ukuze kuvele umehluko. Ultrasound zingasetshenziswa njengoba izindlela osizayo. Futhi, kukhona indlela eqondile uphenyo - scintigraphy radionuclide nge technetium-99. Lapho ngopha Mekkeleva diverticula uxilongwe usebenzisa arteriography.

Ukwelashwa op, uma kwenzeka ukuthi incane, inqubo ukususwa kuyafana e apendektomii msebenzi. Kodwa endabeni ka-a diverticulum ububanzi eya mesentery, ibhandishi zokugcina, esiphambanweni, wafaka isikhuni uginindela ezithambile emathunjini, nginqume yena diverticulum. Khona-ke leli nxeba amathumbu sutured futhi komgodi ongaphakathi kwamathumbu.

Kuyini diverticulosis?

Lesi simo yomzimba lapho akhiwa ikholoni diverticulum, isb ziboya eziningi ifomu saccular, okuyinto ukuxhumana umgodi we-colon (ngokuvamile duodenum). Kubonakaliswa emtholampilo kuphela uma izinkinga ngemva kokuhlinzwa, iphathwa surgically.