Meckel ee diverticulum

diverticulum Meckel ee, haddii kale loo yaqaan diverticulum more of axalaha ah, - waa cillad-a ee lagu dhasho ee xiidmaha yar, kaas oo la xidhiidha dhaca ee cudurada ee koollo bile ee ay qayb proximal. Unclosed (neobliterirovannoy) ayaa weli ah qayb proximal oo dhanba, taasoo ka dhigeysa Jidka socodka dhexeeya xiidmaha iyo xuddunta ah.

Inta lagu guda jiro toddobaadyada ugu horeeya ee horumarinta uurjiifka oo ka mid ah shaqo jirka yellow iyo kaadida marinnada aadanaha SNMna, kuwaas oo ah xudunta. Ka dib markii cuntada midhaha ugu horreeya dhacaa, maxaa yeelay waxa ay ku xidhiidhsan baxaan koleyga dheefta la xiidmaha uurjiifka, iyo iyada oo kaadi labaad socodka off galay dheecaanka amniotic. In muddo ah ka soo saddexaadna wuxuu u soo bishii shanaad nolosha intrauterine horjeeda dhacaya horumarkooda - dheefta si tartiib tartiib ah atrofiruyas jirsado galay farabadan celcelis ahaan.

Haddii, si kastaba ha ahaatee, waxaa jiray qaar ka mid ah fashilaad in hab ay of this Isbadal, waxaa si tartiib tartiib ah sameeyay, taas oo ku xidhan heerka socodka neobliterirovannogo ilaalinta iyo heerka goobta cudurada:

• furma complete ama aan dhameystirneyn xuddunta;
• diverticulum Meckel ee;
• enterokistoma.

logu talagalay Tani waxaa la soo ban horrantii qarnigii sagaal iyo tobnaad by Johann Friedrich Meckel, anatomist ee da'da yar ee Jarmalka ka Halle.

Waxa uu ku tilmaamay faraqa u dhexeeya laba diverticula ee xiidmaha yar:

• helay oo ka kooban kaliya xabka, mesenteric ku taalla dhinaca;
• diverticulum joogo, lagu dhasho, kuwaas oo qabsatay oo dhan lakab oo ay derbiga iyo caleemaha anti-mesenteric.

Diverticula xiidmaha yar waxaa loo kala saaraa sida soo socota:

heerka uu ku dheganaanta of socodka:

1) si buuxda u furan;

2) qayb ahaan u furan:

- haddii qayb ka mid ah xiidmaha, diverticulum Meckel ah;

- haddii laga xuddunta, omphalocele ah;

- haddii dhexe, ka dibna enterokistoma.

3) xiran yahay gebi ahaanba.

Laga soo bilaabo dhammaan noocyada kor ku xusan ee Meckel diverticulum inta badan ku dhacaa 70% ka mid ah xaaladaha, iyo, siday u kala horreeyaan, laga bilaabo 1% ilaa 4% wadarta guud ee dadweynaha. Oo dadka oo waxaa la ogaadaa in 2, iyo in ay dhacdo dhibaatooyinka, iyo waa 5 jeer ka badan inta badan haweenka. Konton boqolkiiba kiisaska cudurka carruurta ka yar toban sannadood jira, inta kale - laga bilaabo dhalinyarada in soddon sannadood. diverticulum Meckel ee laba iyo toban boqolkiiba kiisaska la xiriira cilladaha kale ee horumarinta, laakiin dhacdo qoys aan la tijaabiyey.

Oo dhererkeedu wuxuu celcelis ahaan ku saabsan tahay laba ilaa saddex sentimitir, ugu yaraan - 1 cm, iyo ugu badnaan - 26 cm, oo dhumucdiisuna waxay a of farta, iyo sidii farac chervovidny, waa cidhiidhi ah. Qaabka uu dhululubo ama koorta. diverticulum Meckel ayaa waxaa inta badan ku yaalaan dhinaca ka soo horjeeda ee mesentery reer axalaha, anti-mesenteric. Celceliska Masaafada ka sacadda bauginievoy waa min 40 ilaa 50 cm, la tyazhem soldered karaa unugyo derbiga jilibka caloosha, mesentery, ama siddo xiidmaha.

Caafimaad ahaan, xaaladaha badankooda, waxa aanu ka muuqan at dhan, iyo waxa ay ka heli inta lagu guda jiro qaliinka caloosha sababo kale, ama haddii ay dhacdo dhibaatooyinka.

Waxaa cudurka lagu xaqiijiyaa by X-rays iyadoo la isticmaalayo slurry a of barium sulfate sida wakiilka duwan ah. ultrasound The lagu saleyn karaa habab hoosaad ah. Sidoo kale, waxaa jira hab gaar ah oo baaritaan - scintigraphy radionuclide la technetium-99. Marka dhiig ka diverticula Mekkeleva waxaa lagu ogaadaa iyadoo la isticmaalayo arteriography.

operative Daaweynta, haddii ay dhacdo in uu yar yahay, farsamo saarista waa la mid ah sida in hawlgalka apendektomii. Laakiin in ay dhacdo diverticulum balaadhan oo si mesentery ah, faashad ee la soo dhaafay, oo iskutallaabta, iyo ku riday a saxarka xiidmaha jilicsan, isaga qudhiisu ka gooyay diverticulum. Markaas nabarka waa xiidmaha sutured iyo saabka caloosha.

Waa maxay diverticulosis?

Tani xaaladda jidhka taas oo loo sameeyay diverticulum colon, i.e. protrusions badan foomka saccular, kaas oo la saabka ee xiidanka (inta badan in malawadka) xiriiraan. Muujiyey caafimaad oo kaliya in ay dhacdo dhibaatooyinka, daaweeyaa qalitaan.