E aʻo kākou e pili ana i ka Meckel's Diverticulum, kahi hiki ke lilo i kumu o ka ʻeha ʻōpū o ka pēpē!

Loaʻa i kāu keiki liʻiliʻi nā ʻeha ʻōpū i wehewehe ʻole ʻia i kekahi manawa? A i ʻole ua makaʻu paha ʻoe i ka make ke ʻike ʻoe i ke koko i loko o ko lākou ʻōpala? Hopohopo ka nui o nā mākua no kēia. Akā, ʻaʻole pono ia he mea koʻikoʻi mau. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hiki ai ke hoʻoulu i kēia mau hōʻailona, ​​​​akā, ʻaʻole i lohe ka nui o ka poʻe. ʻO ia ka diverticulum ʻo Meckel. ʻOiai he mea ʻē paha ka inoa, he mea ia e pono ai mākou e ʻike.

He aha ka maʻi diverticulum o Meckel?

I ka ʻōlelo maʻalahi, ʻo ka diverticulum a Meckel he ʻeke liʻiliʻi a ʻeke paha e hana ʻia ma loko o ka paia o ko kākou ʻōpū liʻiliʻi. E noʻonoʻo e like me kahi ʻeke liʻiliʻi ma loko o kahi lole. He kīnā hānau kēia i loaʻa i ka wā hānau. Akā, mai hopohopo i ka huaʻōlelo "maʻi." He mea maʻamau loa kēia. Ma kahi o 2 a 3 paha o kēlā me kēia 100 pēpē i loaʻa i kēia maʻi, a ʻo ka hapa nui o ka manawa ʻaʻole ia e hōʻeha.

ʻO ka maʻamau, hiki iā mākou ke hoʻomohala i nā diverticula i loko o kā mākou ʻōnaehana hoʻoheheʻe (gastrointestinal tract). Hoʻomohala nui lākou i loko o ka colon i ko mākou wā ʻelemakule. Akā he ʻokoʻa iki ka diverticulum ʻo Meckel. No ka mea, ulu ia i ka wā e noho ana ke pēpē i loko o ka ʻōpū.

ʻO ka mea kūikawā e pili ana i kēia, i kekahi manawa hiki ke loaʻa nā ʻano ʻiʻo ʻē aʻe i waiho ʻia i loko o kēia puka liʻiliʻi i puka ʻole i laila. I ka lāʻau lapaʻau, kapa mākou i kēia 'ʻiʻo ectopic'. ʻO ia hoʻi, kahi ʻano ʻiʻo e pono ai ma kahi hoʻokahi e ulu ana ma kahi ʻaʻole ia e pono ai. E noʻonoʻo, he aha ka mea e hana ai inā ulu kahi ʻāpana o ka ʻiʻo i loko o ko kākou ʻōpū, ka mea e hana ana i ka waikawa, i loko o kēia puka liʻiliʻi? Loaʻa i ka ʻōpū kahi uhi kūikawā e hiki ke kū i ka waikawa. Akā, ʻaʻohe o ka ʻōpū liʻiliʻi i ia ʻano uhi. No laila, i ka wā e hoʻomaka ai ka ʻiʻo ʻōpū i ulu i loko o kēlā puka i puka ʻole i waho e hoʻokuʻu i ka waikawa, hōʻino kēlā waikawa i ka paia o ka ʻōpū liʻiliʻi a hoʻomaka e hana i nā ʻeha. ʻO ia ka manawa e kū mai ai nā pilikia.

He mea maʻalahi kēia e hoʻomanaʻo: ʻo ke "Rule of 2s"

Aia kekahi ala maʻalahi e hoʻomanaʻo ai i kekahi mau ʻoiaʻiʻo kumu e pili ana i ka diverticulum o Meckel. Ua kapa ʻia ʻo ia ʻo "Rule of 2s".

• Ka nui o ka poʻe e loaʻa ana i kēia maʻi: Ma kahi o 2% o ka heluna kanaka.
• Nā pilikia: ʻO 2% wale nō o ka poʻe me kēia maʻi e loaʻa nā hōʻailona a i ʻole nā ​​​​pilikia. ʻO ia hoʻi, 98 mai loko mai o 100 mau kānaka e ola i ko lākou ola holoʻokoʻa me ka ʻike ʻole ua loaʻa iā lākou.
• Makahiki: ʻIke pinepine ʻia nā hōʻailona i nā keiki ma lalo o 2 mau makahiki.
• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā keikikāne ma mua o nā kaikamahine.
• Kahi: Aia kēia puka i waho ma kahi o 2 kapuaʻi ma luna o ka hopena o lalo o ka ʻōpū liʻiliʻi.
• Nā ʻano ʻiʻo: Aia ʻelua ʻano ʻiʻo ectopic i loko o kēiaHiki ke loaʻa (ʻiʻo ʻōpū a ʻiʻo pancreas paha).

He aha nā hōʻailona o ka diverticulum ʻo Meckel?

ʻO ka mea mua, hiki loa iā ʻoe a i ʻole kāu keiki ke loaʻa i kēia maʻi, akā hiki loa iā ʻoe ke ola i kou ola holoʻokoʻa me ka ʻole o nā hōʻailona. ʻIke wale ʻia nā hōʻailona inā ulu nā pilikia a mākou i kūkākūkā ai ma mua. ʻIke pinepine ʻia kēia mau pilikia i ka wā kamaliʻi, akā hiki ke hana pinepine ʻia i ka wā makua.

E noʻonoʻo, ua hoʻomaka koke kāu keiki kāne hoʻokahi makahiki a me ka hapa e uē me ke kumu ʻole, e paʻa ana i kona ʻōpū. ʻAʻole ʻo ia e inu i ka waiū. Ke hoʻololi ʻoe i kāna diaper, ʻike ʻoe ua piha ia i ke koko ʻulaʻula ʻālohilohi. He hiʻohiʻona ia e hoʻoweliweli ai i kekahi makuahine. I kahi manawa e like me kēia, hiki i ke kauka ke kānalua i kahi maʻi i kapa ʻia ʻo Meckel's diverticulum.

E nānā kākou i nā pilikia nui e hiki ke kū mai a me kā lākou mau hōʻailona.

Hiki i kēia mau pilikia ke koʻikoʻi?

ʻAe, hiki i kekahi mau pilikia ke hoʻoweliweli i ke ola inā ʻaʻole mālama ʻia. Akā ʻike pinepine ʻia nā hōʻailona ma mua o ko lākou lilo ʻana i mea koʻikoʻi. No ka laʻana, inā hoʻomau ke kahe ʻana o ke koko i kahi ʻeha, hiki i ke kino ke nalowale i ke koko nui a komo i ka haʻalulu. Hiki nō hoʻi ke puka ʻana o ka paia o ka ʻōpū, hiki ke alakaʻi i ka maʻi koʻikoʻi (sepsis). No laila, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike koke i ke kauka.

No ke aha i hana ʻia ai ka diverticulum o Meckel?

He moʻolelo paʻakikī kēia, akā e wehewehe maʻalahi wau. I nā pae mua o ka ulu ʻana, loaʻa i ka pēpē ka meaʻai mai kahi mea i kapa ʻia ʻo ka yolk sac. Hoʻopili ʻia kēia i nā ʻōpū o ka pēpē e kahi paipu liʻiliʻi (vitelline duct). Ma hope o kekahi mau pule, hoʻomaka ka pēpē e loaʻa ka meaʻai mai ka makuahine ma o ka placenta. I kēlā manawa, ʻaʻole pono hou ka yolk sac a me ka paipu i hoʻopili ʻia iā ia. ʻO ka maʻamau, pono e omo piha ʻia kēia paipu a me ka ʻeke e ke kino.

Pehea e ʻike ai nā kauka i kēia maʻi?

Ua ʻike kekahi poʻe ua loaʻa iā lākou ma ka ulia pōpilikia. Ua ʻike ʻia ia ke loaʻa iā lākou kahi mea e like me ke scan ʻōpū no kekahi kumu ʻē aʻe. ʻIke kekahi i ka wā e hoʻomaka ai nā hōʻailona. E kānalua nā kauka iā ia, ʻoiai inā he ʻeha ʻōpū ko kahi keiki ma lalo o 2 mau makahiki a inā he koko ko lākou i loko o ko lākou ʻōpala me ka ʻole o ka ʻeha. ʻO kēia ke kumu nui i loaʻa ai ke koko i loko o ko lākou ʻōpala i nā keiki.

Aia kekahi mau hoʻokolohua e hōʻoia i kēia:

• ʻO ke scan a Meckel: ʻO kēia ka hoʻāʻo i hoʻohana pinepine ʻia. Hoʻokomo ʻia kahi mea radioactive liʻiliʻi a ʻino ʻole i loko o kahi aʻa. Inā he ʻiʻo ʻōpū i loko o kēia aʻa, omo ka ʻiʻo i ka mea. A laila, i ka nānā ʻana me kahi kāmela kūikawā (kāmela gamma), ua hoʻomālamalama maikaʻi ʻia ka wahi.
• ʻO ka arteriography Mesenteric (angiogram): Pili kēia i ka hoʻokomo ʻana i kahi kala i loko o nā kīʻaha koko i loko o ka ʻōpū a me ka lawe ʻana i nā kiʻi X-ray. Hiki i kēia hoʻāʻo ke ʻike inā he wahi kahe koko e hana ana mai kahi ʻeha o ka ʻōpū.
• Endoscopy:ʻO kēia ke komo ʻana i kahi ʻōmole liʻiliʻi (endoscope) me kahi kāmela i hoʻopili ʻia ma o ka waha e nānā i nā ʻōpū. ʻO kekahi ʻano hana ʻē aʻe, ʻo ia ke ale ʻana i kahi kāmela liʻiliʻi e like me ka pila (capsule endoscopy). Hele kēia kāmela ma nā ʻōpū a lawe i nā kiʻi. No kahi pēpē liʻiliʻi, hiki ke waiho ʻia kēia capsule i loko o ka ʻōpū ma hope o ka anesthesia.

He aha nā lāʻau lapaʻau no kēia?

Inā kū mai nā pilikia mai ka diverticulum ʻo Meckel, ʻo ka lāʻau lapaʻau maikaʻi loa ka wehe ʻana iā ia ma ke ʻoki kino. Ua kapa ʻia kēia ʻoki kino he 'small bowel resection.' Pili kēia i ka ʻoki ʻana i kahi ʻāpana liʻiliʻi o ka ʻōpū kahi i loaʻa ai ka diverticulum a laila e hoʻopili hou i nā ʻāpana ʻelua i koe o ka ʻōpū.

I kekahi manawa, ʻoiai inā ʻaʻohe hōʻailona, ​​​​inā hōʻoia ka scan he ʻiʻo ʻōpū ko kahi keiki liʻiliʻi i loko o kēia mea i puka mai, hiki i ke kauka ke kuhikuhi i ke ʻoki ʻana e pale i nā pilikia e hiki mai ana.

ʻO ka hapa nui o ka manawa, hana ʻia kēia ʻokiʻoki ma ke ʻano laparoscopic. ʻO ia hoʻi, hana ʻia ke ʻokiʻoki me ka ʻole o ka hana ʻana i kahi ʻoki nui i loko o ka ʻōpū, akā ma o kekahi mau ʻoki liʻiliʻi, kahi e hoʻokomo ʻia ai kahi kāmela a me nā mea hana. ʻO ka hopena kēia i ka ho'ōla wikiwiki a me ka emi ʻana o ka ʻeha.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

He pōkole ka manawa hoʻōla ma hope o ke ʻoki ʻana. Inā loaʻa iā ʻoe kahi ʻoki laparoscopic, e hoʻōla piha ʻia ʻoe ma kahi o ʻelua a ʻekolu pule. Inā loaʻa iā ʻoe kahi ʻoki hāmama, hiki ke hala ma kahi o ʻeono a ʻewalu pule. Aia kahi pilikia liʻiliʻi o nā pilikia liʻiliʻi, e like me ka maʻi, ma hope o ke ʻoki ʻana, ma kahi o 5%. Eia nō naʻe, i ka wā e holomua ai ke ʻoki ʻana, ʻaʻole loa e hoʻopilikia hou kēia pilikia diverticulum Meckel iā ʻoe a i kāu pēpē paha.

Inā ʻaʻohe hōʻailona, ​​​​pono wau e hopohopo no kēia?

ʻAʻole. ʻAʻole loaʻa i ka hapa nui o ka poʻe ka pilikia me kēia. 2% wale nō e loaʻa nā pilikia. ʻO ka mea nui loa, ʻo ia ka makaʻala i kēia. Inā loaʻa iā ʻoe a i ʻole kāu keiki ka ʻeha ʻōpū i wehewehe ʻole ʻia, ka nalowale o ka makemake, a i ʻole ke koko i loko o ka ʻōpala, e ʻike koke i kāu kauka. Inā ʻaʻohe ou pilikia i kou wā makua, aia kahi manawa kūpono ʻaʻole ʻoe e loaʻa i nā pilikia i ka wā e hiki mai ana.