Meckel ta diverticulum

Meckel ta diverticulum, in ba haka ba kira a matsayin mafi diverticulum na ileum, - shi ne mai nakasar anomaly na kananan hanji, wanda ake dangantawa da komawa da baya daga cikin Pathology na bile bututu a ta proximal part. An rufe (wanda ba shi da lasisi) ya kasance ɓangaren kusurwa, saboda haka, hagu ya kasance a tsakanin hanji da kuma cibiya.

Yolk da kuma urinary embryonic ducts aiki a farkon makonni na ci gaba da intrauterine jiki, wanda suke a cikin umbilical igiya. Bayan na farko 'ya'yan abinci ya auku, saboda shi ya haɗu da kuma jakar kwai da fetal hanji, da kuma ta hanyar da na biyu da fitsari gudana kashe a cikin ruwar. A cikin lokaci daga na uku zuwa biyar na watanni mai rai na rayuwa, haɓarsu ta baya ta auku, - yolk, a hankali ya zama atrophy, ya zama cikin ligament tsakiya.

Idan wasu lalacewar sun faru a cikin tsarin wannan canji, to, a hankali, yana dogara ne akan matakin adana ɗakin da ba a ƙaddamar da shi ba kuma matakin wurin da ake amfani da su:

• Cikakke ko ba cikakke cibiya fistulas;
• Meckelian diverticulum;
• Enterokristoma.

An gano wannan anomaly a farkon karni na sha tara ta hanyar Johann Friedrich Meckel, Jr., wani dan kasar Jamus wanda yake daga garin Halle.

Ya bayyana bambancin tsakanin ƙananan ƙwayar hanji biyu:

• An samo shi kuma yana kunshe ne kawai na mucosa, wanda yake tsaye a kan sashinta na jimla;
• A gaskiya karkatacciyar halitta, yanayin, wanda ke dauke da duk fadin da bango kuma ya fita antiseizenterially.

An rarraba fassarar ƙananan hanji kamar haka:

Ta hanyar tsayin daka na tsinkaya:

1) ya bude sosai;

2) a bude:

- idan daga gefen hanji, to, ƙaddarar Meckel;

- idan daga cibiya, to, omphalocele;

- Idan a tsakiyar, to, enterokristoma.

3) rufe gaba daya.

Daga dukan siffofin da aka ambata, Meckel ya kasance da sau da yawa fiye da sauran, cikin 70% na lokuta, kuma, bi da bi, daga 1% zuwa 4% na yawan jama'a. Kuma a cikin mutane an gano shi a cikin 2, kuma idan akwai matsaloli, sau biyar sau da yawa fiye da mata. Kashi arba'in cikin dari na lokuta an gano a cikin yara a cikin shekaru goma, sauran - a cikin matasa a cikin talatin. Maganar Meckel a cikin sharuɗɗa goma sha biyu na shari'ar an haɗa shi tare da wasu abubuwa na ci gaban, amma ba a tabbatar da abin da ya faru a iyali.

Tsawonsa yana kan iyaka daga biyu zuwa uku centimeters, ƙananan girman shine 1 cm, kuma matsakaicin - 26 cm, kamar yadda yalwaci kamar yatsan da kunkuntar kamar tsari mai tsutsa. A siffar kama da silinda ko mazugi. Yawancin lokaci yawancin abu na Meckel yana samuwa ne a kan kishiyar sashi a gefen ileum, antimisenterially. A talakawan nesa daga bauginievoy m ne daga 40 zuwa 50 cm, za a iya soldered tyazhem connective nama na agara na ciki bango, mesentery, ko na hanji madaukai.

A cikin asibiti, a mafi yawancin lokuta, ba ya bayyana a fili, amma an gano shi a yayin aiki a kan rami na ciki don wasu dalilai ko a cikin yanayin rikitarwa.

A ganewar asali aka tabbatar da X-haskoki da yin amfani da wani slurry na barium sulfate matsayin bambanci wakili. A matsayin daya daga cikin hanyoyi masu mahimmanci, ana iya amfani da duban dan tayi. Akwai kuma wani hanyar hanyar bincike - radioisotope scintigraphy ta amfani da technetium-99. Lokacin da zub da jinin jini daga Meckel's diverticulum, an gano asali ta hanyar amfani da layi.

Jiyya yana aiki, idan ya kasance karami, to, hanyar da za a cire shi daidai ne a cikin aiki na kwaskwarima. Amma a cikin yanayin da ke tattare da jigilar kwayoyin halitta, ana ɗaure shi, da ketare, kuma, bayan da yayi amfani da ɓangaren ɓangaren littafi mai taushi mai laushi, raba rarraba kanta. Sa'an nan da rauni ne sutured hanji da kuma kogon ciki.

Kuma menene diverticulosis?

Wannan shine jiki na jiki, wanda aka sanya magunguna na babban hanji, wato, yawancin hanyoyi na nau'in haɗin jiki wanda ke sadarwa tare da ɓangaren ciwon (yawancin lokaci a cikin duodenum). Suna bayyana a asibiti ne kawai a cikin yanayin rikitarwa, ana bi da shi a hankali.