Aia ke koko i loko o ka ʻōpala o ke pēpē? Hiki paha iā ia ke ʻano o ka Meckel's Diverticulum?

Pehea kou makaʻu ma ke ʻano he makuahine ke ʻike ʻoe i nā ʻōpala koko ma ka diaper o kāu pēpē liʻiliʻi? A i ʻole ka ʻeha āu e ʻike ai i ka wā e uē mau ana kāu pēpē no ka mea he ʻeha kona ʻōpū. Nui nā kumu no ia mau hōʻailona. Akā i kekahi manawa ʻo ke kumu he kīnā hānau ʻaʻole mākou i lohe nui e pili ana, akā he mea maʻamau loa ia. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi ʻano maʻi, ʻo ka diverticulum ʻo Meckel.

He aha ka maʻi diverticulum o Meckel?

I ka ʻōlelo maʻalahi, ʻo ka diverticulum ʻo Meckel he ʻeke liʻiliʻi e hana ʻia ana ma ka paia o ko kākou ʻōpū liʻiliʻi. He kūlana kēia i loaʻa i ka wā hānau. ʻO ia hoʻi, hana ʻia ia i ka wā e noho ana ke pēpē i loko o ka ʻōpū. He mea maʻamau loa ia. Ma ke ʻano maʻamau, 2 a 3 paha o kēlā me kēia 100 pēpē i hānau ʻia me kēia kūlana.

E noʻonoʻo i ko kākou ʻōpū e like me kahi paipu lōʻihi. Inā puka mai kahi ʻāpana liʻiliʻi e like me ka ʻeke mai ka paia, kapa mākou ia he diverticulum. Akā he mea kūikawā iki ka diverticulum a Meckel. No ka mea, i kekahi manawa i loko o kēia ʻeke liʻiliʻi hiki ke loaʻa nā ʻano ʻiʻo ʻē aʻe i loaʻa ʻole i loko o nā ʻōpū. I mea e ʻoi aku ka pololei, nā mea e like me ka ʻiʻo ʻōpū a i ʻole ka ʻiʻo pancreatic. Ke loaʻa kēia ʻano ʻiʻo maʻamau ma kahi i kūpono ʻole ai, kapa mākou ia he ʻiʻo ectopic i ka lāʻau lapaʻau.

ʻO ka hapa nui o ka manawa, ʻaʻole kēia diverticulum Meckel e hoʻoulu i kekahi pilikia. Noho kekahi poʻe i ko lākou ola holoʻokoʻa me ka ʻike ʻole he loaʻa iā lākou kēia. Akā i kekahi manawa kū mai nā pilikia ma muli o ka ʻiʻo ectopic aʻu i ʻōlelo ai ma mua. No ka laʻana, inā he ʻiʻo ʻōpū i loko o kēlā ʻeke liʻiliʻi, hoʻomaka ia e hoʻokuʻu i ka waikawa e like me ka ʻōpū. ʻAʻole hiki i ka paia o ka ʻōpū liʻiliʻi ke kū i kēia waikawa. A laila hiki ke hana ʻia nā ʻōpū ma laila a hoʻomaka e kahe ke koko.

He aha ka pili o ka "Rule of 2s" i kēia?

ʻO kahi ala e hoʻomanaʻo maʻalahi ai i kekahi mau mea nui e pili ana i ka diverticulum o Meckel, ʻo ia ka hoʻohana ʻana i ke "rule of two." Kōkua kēia iā mākou e hoʻomanaʻo i nā mea e like me ke ʻano maʻamau o ke kūlana a me ka mea i loaʻa.

He aha nā hōʻailona? I ka manawa hea mākou e kānalua ai?

E like me kaʻu i ʻōlelo ai ma mua, ʻaʻohe hōʻailona o ka hapa nui o ka poʻe. Akā inā kū mai nā pilikia ma kekahi ʻano, a laila ʻike ʻia nā hōʻailona. ʻIke pinepine ʻia kēia mau mea i ka wā kamaliʻi, akā i kekahi manawa hiki ke ʻike ʻia ma hope o ka wā makua. ʻO kēia nā pilikia nui a me nā hōʻailona e pili ana me lākou.

Ke kahe koko ʻana o ka ʻōpū

ʻO kēia ka pilikia maʻamau. ʻO ka waikawa i hoʻokuʻu ʻia mai ka ʻiʻo gastric ectopic aʻu i ʻōlelo ai ke kumu o ka hana ʻana o nā ʻeha i loko o ka paia o ka ʻōpū a hoʻomaka ke kahe ʻana o ke koko.

• Hiʻohiʻona kūikawā: ʻAʻohe ʻeha i ka wā e kahe ai ke koko ma kēia ʻano.
• Nā hōʻailona i nā keiki: E ʻike paha nā keiki ʻōpio i ke koko ʻulaʻula ʻeleʻele i loko o ko lākou mau ʻōpala. I kekahi manawa, he poni ʻeleʻele ke kala o nā ʻōpala, e like me ka jelly.
• Nā hōʻailona i nā pākeke: I nā pākeke, hiki ke ʻeleʻele ka ʻōpala , e like me ke kēpau .
• Eia kekahi: Ke hoʻomau nei ke kahe ʻana o ke koko, hiki ke emi iho ka lako koko o ke kino, e alakaʻi ana i ka anemia . Hiki i kēia ke hana i nā hōʻailona e like me ka maeʻele, ka luhi, a me ka poniuniu.

Ka maʻi ʻana o ka diverticulum (Diverticulitis)

I kekahi manawa, paʻa nā ʻāpana o ka ʻōpala i loko o kēlā ʻeke liʻiliʻi, e hana ana i ka maʻi bacteria a me ka pehu.

• Nā Hōʻailona: Ua like kēia me ka ʻeha o ka appendicitis. He ʻeha nui ka ʻōpū, ʻoiai a puni ka piko . He pehu ka ʻōpū a ʻeha ke hoʻopā aku. Hiki ke kuni.

Ka Pale ʻana o ka ʻōpū

He maʻi laha ʻole kēia akā he mea koʻikoʻi paha. Hiki i ka diverticulum a Meckel ke ālai piha a hapa paha i ka hele ʻana o ka meaʻai ma o ka ʻōpū liʻiliʻi.

• Nā Hōʻailona: Piha ka ʻōpū, ʻeha nui o ka ʻōpū, nausea, a me ka luaʻi.
• Pehea e hana ʻia ai: I kekahi manawa hiki i kahi ʻāpana o ka ʻiʻo mai kahi diverticulum ke ālai i ka ʻōpū. I kekahi manawa, hiki ke loaʻa kahi kūlana kahi e paheʻe ai kekahi ʻāpana o ka ʻōpū i loko o kekahi (intussusception) .

Hiki i kēia mau pilikia ke lilo i mea weliweli?

ʻAe. Inā ʻaʻole mālama ʻia, hiki i kēia mau pilikia ke hoʻoweliweli i ke ola. No ka laʻana, hiki i ke kahe mau ʻana ke alakaʻi i ka nalowale nui o ke koko a me ka haʻalulu. Eia kekahi, inā hohonu ka ʻeha a ua puka ka ʻōpū, hiki i ka bacteria i loko o ka ʻōpū ke laha ma loko o ka lua ʻōpū, e hana ana i kahi maʻi koʻikoʻi (sepsis). No laila, he mea nui loa e ʻimi i ke kōkua lapaʻau i ka wā e ʻike ʻia ai nā hōʻailona.

No ke aha lā e kū mai ai kēia kūlana?

He moʻolelo hoihoi loa kēia. I nā pule mua o ka ulu ʻana ma ke ʻano he embryo i loko o ka ʻōpū o ka makuahine, loaʻa i ke pēpē ka meaʻai mai kahi mea i kapa ʻia ʻo ka yolk sac. Ma hope mai, i ka wā e ulu ai ka placenta, nalowale ka pono no kēia yolk sac. Pono e emi ka paipu e hoʻopili ana i ka embryo a me ka yolk sac (vitelline duct) a komo i loko o ke kino i kēia manawa.

Akā i kekahi manawa, ʻaʻole e emi loa kēia ʻōmole, a koe wale nō kahi hapa liʻiliʻi. ʻO kēlā ʻāpana i koe ka mea i koe i loko o ka ʻōpū liʻiliʻi ma ke ʻano he diverticulum Meckel. ʻAʻole maopopo i nā kānaka ʻepekema ke kumu o ka hoʻokumu ʻia ʻana o kēlā ʻiʻo ectopic i loko.

Pehea e ʻike ai i kēia maʻi?

Hiki ke ʻike ʻia kekahi poʻe me ia ma ke ʻano ulia pōpilikia i ka wā o kahi scan i hana ʻia no kekahi kumu ʻē aʻe. A i ʻole e hoʻomaka wale lākou e ʻimi iā ia ke ʻike ʻia nā hōʻailona. Hiki i nā kauka pediatric, ʻoiai inā he koko ʻeha ʻole i loko o ka ʻōpala o kahi keiki ma lalo o 2 mau makahiki, ke kānalua paha i kēia ʻano. Ma muli o nā hōʻailona, ​​​​hiki i kāu kauka ke paipai i hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:

• ʻO ke Kiʻi ʻana o Meckel: ʻO kēia ka hoʻāʻo koʻikoʻi a maikaʻi loa. Ma kēia hoʻāʻo, ua hoʻokomo ʻia kahi mahele liʻiliʻi a palekana o kahi mea radioactive i loko o kahi aa koko ma ka lima. Inā he ʻiʻo ʻōpū i loko o ka diverticulum o Meckel, hoʻopili ka ʻiʻo i kēia mea. A laila, i ka nānā ʻana me kahi kāmela kūikawā (kāmela gamma), ʻo ka wahi wale nō kahi i loaʻa ai ka ʻiʻo e ʻālohilohi maopopo.
• Angiogram: He hoʻāʻo X-ray kūikawā kēia o nā kīʻaha koko. Hiki iā ia ke nānā i kekahi mau kīʻaha koko ʻē aʻe e hoʻolako ana i ke koko i ka diverticulum ʻo Meckel a i ʻole kekahi kahe koko.
• Endoscopy: I kekahi manawa, hoʻohana ʻia kahi ʻōmole liʻiliʻi i lako me ke kāmela (enteroscopy) a i ʻole kahi capsule liʻiliʻi e like me ke kāmela i moni ʻia (capsule endoscopy) e nānā i loko o nā ʻōpū. I ke ʻano o kahi keiki ʻōpio, hoʻokomo ʻia kēia capsule kāmela i loko o nā ʻōpū ma hope o ka anesthesia.

He aha nā lāʻau lapaʻau?

Inā kū mai nā pilikia mai ka diverticulum ʻo Meckel, ʻo ka lāʻau lapaʻau maikaʻi loa wale nō ka wehe ʻana i ka ʻāpana o ka diverticulum ma o ke ʻoki ʻana. Ua kapa ʻia kēia ʻoki ʻana he resection ʻōpū liʻiliʻi . I ka ʻōlelo maʻalahi, ʻoki ʻia ka ʻāpana liʻiliʻi o ka ʻōpū e loaʻa ana ka diverticulum a wehe ʻia, a hoʻopili hou ʻia nā ʻāpana ʻelua i koe o ka ʻōpū.

I kekahi manawa, ʻoiai inā ʻaʻohe hōʻailona, ​​​​inā loaʻa i kahi scan kahi ʻiʻo gastric ectopic i loko o kahi diverticulum Meckel, hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana e wehe iā ia e pale i nā pilikia e hiki mai ana.

Ma hope o ke ʻoki ʻana, ʻaʻole ʻoe a me kāu keiki e hoʻopilikia hou ʻia e kēia pilikia.