Meckel diverticulum
Meckel diverticulum ndi thumba lomwe lili pakhoma la mmunsi mwa matumbo omwe amapezeka pakubadwa (kobadwa nako). Diverticulum ikhoza kukhala ndi minofu yofanana ndi ya m'mimba kapena kapamba.
A Meckel diverticulum ndi minofu yotsalira kuyambira pomwe mwana amayamba kugaya chakudya asanabadwe. Chiwerengero chochepa cha anthu ali ndi Meckel diverticulum. Komabe, owerengeka okha ndi omwe amakhala ndi zizindikilo.
Zizindikiro zimaphatikizapo:
- Ululu m'mimba womwe ungakhale wofatsa kapena woopsa
- Magazi pansi
- Nseru ndi kusanza
Zizindikiro nthawi zambiri zimachitika mzaka zoyambirira za moyo. Komabe, sangayambe mpaka atakula.
Mutha kukhala ndi mayeso otsatirawa:
- Kutulutsa magazi
- Hemoglobin
- Chojambulira chopaka magazi osawoneka (kuyesa magazi mwamatsenga)
- Kujambula kwa CT
- Kujambula kwa Technetium (komwe kumatchedwanso Meckel scan)
Mungafunike opaleshoni kuti muchotse diverticulum ngati magazi akutuluka. Gawo la m'matumbo ang'ono omwe ali ndi diverticulum limachotsedwa. Malekezero amatumbo adasokonekeranso.
Mungafunike kumwa ma ayironi othandizira kuti muchepetse magazi m'thupi. Mungafunike kuthiridwa magazi ngati muli ndi magazi ambiri,
Anthu ambiri amachira kuchipatala ndipo sadzakhalanso ndi vuto. Zovuta za opareshoni sizokayikitsa.
Zovuta zingaphatikizepo:
- Kutaya magazi kwambiri (kutuluka magazi) kuchokera ku diverticulum
- Kupinda matumbo (intussusception), mtundu wa kutsekeka
- Matenda a m'mimba
- Misozi (perforation) ya matumbo pa diverticulum
Kaonaneni ndi wothandizira zaumoyo wanu nthawi yomweyo ngati mwana wanu akudutsa magazi kapena chopondapo magazi kapena akumva kupweteka m'mimba.
- Dongosolo m'mimba
- Zakudya zam'mimba ziwalo
- Diverticulectomy ya Meckel - mndandanda
Bass LM, Wershil BK. Anatomy, histology, embryology, ndi zolakwika pakukula kwamatumbo ang'ono ndi akulu. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 98.
Kleigman RM, Stanton BF, St. Geme JW, Schor NF. Zobwereza m'matumbo, meckel diverticulum, ndi zotsalira zina za omphalomesenteric duct. Mu: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, olemba. Nelson Textbook of Pediatrics. Wolemba 20th. Philadelphia, PA: Elsevier; 2016: chap 331.