Diverticulum Meckel kaThixo

diverticulum Meckel kaThixo, ngenye indlela obizwa ngokuba diverticulum ngaphezulu le ileum, - yinto anomaly naso yethumbu encinane, nto leyo ehambisana ne Isemantiki le ngezifo we bile duct wenziwamkhulu kwi inxalenye yayo proximal. Unclosed (neobliterirovannoy) kuhlala inxalenye proximal yayo, eshiya ngumendo flow phakathi emathunjini kunye inkaba.

Kwiiveki zokuqala Palsy na umsebenzi umzimba sac kunye wokuchama imibhobho yabantu osandul, abakulo imfesane yosana. Emva kokuba ukutya intlahlela kwenzeka, kuba inxibelelanisa i sac sac kunye emathunjini ezingekazalwa, yaye umchamo yesibini aphuma aye fluid. Kweli xesha ukusuka yesithathu kwinyanga yesihlanu ubomi intrauterine okwahlukileyo kwenzeka uphuhliso lwabo - ngcembe lo sac atrofiruyas jikisa avareji esithengiswayo.

Ukuba, ke, ukuba kukho ukusilela kwi indlela yale nkqubo yenguqu, oko ebegqwese kwakheka, kuxhomekeke iqondo yokumpompoza kulondolozwe neobliterirovannogo kunye nenqanaba yendawo ngezifo:

• epheleleyo okanye engaphelelanga fistulas inkaba;
• diverticulum Meckel kaThixo;
• enterokistoma.

Le anomaly lwafumaneka kwinkulungwane ekuqaleni elinethoba uJohann Friedrich Meckel Omnci, lo anatomist waseJamani evela Halle.

Wachaza umahluko phakathi diverticula ezimbini emathunjini amancinci:

• ezifunyenwe nezenziwe kuphela isifo, mesenteric ibekwe ngecala yayo;
• diverticulum langoku, enaso, leyo nokhupho zonke kunokudala eludongeni lwayo kunye namagqabi anti-mesenteric.

Diverticula yethumbu ezincinane zihlelwa ngolu hlobo lulandelayo:

bejonga yozingiso uhuhamba:

1) evulekileyo ngokupheleleyo;

2) evulekileyo ngokuyinxenye:

- ukuba inxalenye emathunjini, i Meckel diverticulum;

- Ukuba evela inkaba, i omphalocele;

- Ukuba phakathi, ngoko enterokistoma.

3) ivaliwe ngokupheleleyo.

Ukusuka zonke iintlobo angasentla Meckel diverticulum kwenzeka qho ngo-70% yamatyala, yaye, ngokulandelelana,-1% ukuya kwi-4% yabo xa bebonke. Ke amadoda oko banesifo ngo-2, yaye kwimeko iingxaki, kwaye amaxesha 5 kaninzi ngaphezu abafazi. Amashumi amahlanu ekhulwini amatyala olufunyanwa kubantwana abangaphantsi kweminyaka elishumi ubudala, abanye - ukususela ebutsheni ukuya kwiminyaka engamashumi amathathu. diverticulum Meckel xa ekhulwini elinambini amatyala ezinxulumene kunye nezinye makhwiniba yophuhliso, kodwa sihlo edluliselwa iye yaba.

avareji ubude wayo iisentimitha malunga ezimbini ukuya kwezintathu, ubuncinane - 1 cm, kwaye ubuninzi - 26 cm, okusuka ngomnwe, kwaye izalelwe chervovidny, libanzi. Imilo ye itankana okanye ikhowuni. diverticulum Meckel kaThixo lidla ukwakweli icala mesentery le ileum, anti-mesenteric. Umgama avareji ukusuka caba bauginievoy uvela cm-40 ukuya 50, na soldered tyazhem kwizicwili eludongeni akudala esiswini, mesentery, okanye kwemigaqo emathunjini.

Ngokwezonyango, kwiimeko ezininzi, aliveli konke oko, kwaye zikufumanisa kakhulu ngexesha utyando esiswini ngenxa nezinye izizathu, okanye kwimeko yobunzima.

Uxilongo ingqinwa-X-reyi kunye nokusetyenziswa oluludaka of barium sulfate njenge arhente umahluko. I-ultrasound singasebenza njenge ndlela ancedisayo. Kwakhona, kukho indlela ethile yophando - scintigraphy radionuclide kunye technetium-99. Xa ukopha evela Mekkeleva diverticula abafunyenwe usebenzisa arteriography.

operative Unyango, xa kunokwenzeka ukuba incinane, ubuchule nokususwa kuyafana kwi apendektomii msebenzi. Kodwa kwimeko diverticulum ebanzi kwi mesentery, walisusa yokugqibela, umnqamlezo, uze ufake ido- ethambileyo amathumbu, ndinqumle ngokwakhe diverticulum. Ngoko ke inxeba emathunjini sutured kunye esiswini.

Yintoni diverticulosis?

Le meko omzimba apho esiyiyo colon diverticulum, ngamanye lunamaqoqo ezininzi uhlobo saccular, leyo banxibelelane em- ikholoni (kaninzi duodenum). Kubonakaliswa ngokwezonyango kuphela kwimeko iingxaki, aphathwe intsumpa.