Ua ib leej niam, koj ntshai npaum li cas thaum koj pom cov ntshav ntawm koj tus menyuam lub ntaub qhwv menyuam? Los yog qhov mob uas koj hnov thaum koj tus menyuam quaj vim nws mob plab. Muaj ntau yam ua rau muaj cov tsos mob no. Tab sis qee zaum qhov ua rau yog qhov tsis zoo ntawm lub cev yug los uas peb tsis hnov ntau txog, tab sis nws yog qhov tshwm sim ntau heev. Niaj hnub no peb tab tom tham txog ib qho mob zoo li no, Meckel's diverticulum.
Meckel's Diverticulum yog dab tsi?
Hais yooj yim xwb, Meckel's diverticulum yog ib lub hnab me me uas tsim nyob rau hauv phab ntsa ntawm peb txoj hnyuv me. Qhov no yog ib qho mob uas muaj thaum yug los. Qhov ntawd txhais tau tias nws tsim thaum tus menyuam tseem nyob hauv plab. Nws yog ib qho mob uas tshwm sim ntau heev. Hais kwv yees li, 2 lossis 3 ntawm txhua 100 tus menyuam yug los nrog qhov mob no.
Xav txog peb txoj hnyuv ua ib lub raj ntev. Yog tias ib feem me me zoo li lub raj tawm ntawm phab ntsa, peb hu nws ua diverticulum. Tab sis Meckel's diverticulum yog qhov tshwj xeeb me ntsis. Vim tias qee zaum hauv lub hnab me me no tuaj yeem muaj lwm hom nqaij uas feem ntau tsis pom hauv txoj hnyuv. Yuav kom meej dua, cov khoom xws li cov nqaij hauv plab lossis cov nqaij pancreatic. Thaum hom nqaij ib txwm no pom nyob rau hauv qhov chaw uas nws tsis koom nrog, peb hu nws ua cov nqaij ectopic hauv tshuaj.
Feem ntau, qhov Meckel's diverticulum no tsis ua rau muaj teeb meem dab tsi. Ib txhia neeg nyob tag nrho lawv lub neej yam tsis paub tias lawv muaj qhov no. Tab sis qee zaum muaj teeb meem tshwm sim vim yog cov ntaub so ntswg ectopic uas kuv tau hais ua ntej. Piv txwv li, yog tias muaj cov ntaub so ntswg hauv plab hauv lub hnab me me ntawd, nws pib tso cov kua qaub zoo li lub plab. Phab ntsa ntawm txoj hnyuv me me tsis tuaj yeem tiv taus cov kua qaub no. Tom qab ntawd cov qhov txhab tuaj yeem tsim nyob ntawd thiab pib los ntshav.
"Txoj Cai ntawm 2s" muaj feem cuam tshuam li cas rau qhov no?
Ib txoj hauv kev yooj yim kom nco qab qee qhov tseem ceeb txog Meckel's diverticulum yog siv "txoj cai ntawm ob." Qhov no pab peb nco qab tej yam xws li tus mob no feem ntau npaum li cas thiab leej twg tau txais nws.
| Cov Lus Tseeb Txog "Txoj Cai ntawm 2s" | Piav qhia yooj yim |
|---|---|
| 2% ntawm cov pej xeem | Kwv yees li ntawm 2% ntawm tag nrho cov pej xeem muaj tus mob no. |
| Tsuas yog 2% xwb thiaj muaj teeb meem | Tsuas yog 2% ntawm cov neeg uas muaj qhov no thiaj li muaj cov tsos mob lossis teeb meem (uas yog, 98 ntawm 100 tus neeg tsis muaj teeb meem). |
| Cov tsos mob tshwm sim thaum muaj hnub nyoog qis dua 2 xyoos | Yog tias cov tsos mob tshwm sim, feem ntau lawv tshwm sim rau cov menyuam yaus hnub nyoog qis dua 2 xyoos. |
| 2 npaug ntau dua li cov txiv neej | Cov menyuam txiv neej muaj feem yuav muaj teeb meem los ntawm tus mob no ob npaug ntau dua li cov menyuam poj niam. |
| Nyob li ntawm 2 feet ntawm qhov kawg ntawm txoj hnyuv me | Lub hnab me me no nyob li 2 feet ntawm qhov chaw uas txoj hnyuv me txuas nrog txoj hnyuv loj. |
| 2 hom ntaub so ntswg ectopic | Yuav muaj ob hom nqaij tseem ceeb uas tsis nyob hauv qhov chaw (cov nqaij hauv plab lossis cov nqaij pancreatic) hauv qhov no. |
Cov tsos mob yog dab tsi? Thaum twg peb yuav tsum ua tib zoo xav?
Zoo li kuv tau hais ua ntej lawm, feem ntau cov neeg tsis muaj tsos mob dab tsi li. Tab sis yog tias muaj teeb meem tshwm sim, ces cov tsos mob yuav tshwm sim. Cov no feem ntau pom thaum yau, tab sis qee zaum lawv tuaj yeem tshwm sim txawm tias tom qab lawv loj hlob lawm los xij. Cov no yog cov teeb meem tseem ceeb thiab cov tsos mob uas cuam tshuam nrog lawv.
Kev Ntshav Los Ntawm Txoj Hnyuv
Qhov no yog qhov teeb meem uas tshwm sim ntau tshaj plaws. Cov kua qaub uas tawm los ntawm cov nqaij ectopic gastric uas kuv tau hais ua rau muaj cov qhov txhab hauv phab ntsa plab thiab pib los ntshav.
- Tshwj xeeb: Feem ntau tsis mob thaum los ntshav li no.
- Cov tsos mob ntawm cov menyuam yaus: Cov menyuam yaus me me yuav pom cov ntshav liab tsaus hauv lawv cov quav. Qee zaum, cov quav yuav muaj xim ntshav tsaus, zoo li kua txiv hmab.
- Cov tsos mob ntawm cov neeg laus: Hauv cov neeg laus, cov quav yuav tig dub, zoo li cov roj av .
- Ntxiv mus: Thaum tseem los ntshav, lub cev cov ntshav yuav txo qis, ua rau muaj ntshav tsis txaus . Qhov no tuaj yeem ua rau muaj cov tsos mob xws li daj ntseg, qaug zog, thiab kiv taub hau.
Kev kis kab mob ntawm cov diverticulum (Diverticulitis)
Qee zaum, cov quav me me yuav lo rau hauv lub hnab me me ntawd, ua rau muaj kab mob thiab o.
- Cov tsos mob: Qhov no zoo ib yam li qhov mob ntawm tus mob appendicitis. Muaj mob hnyav heev hauv plab, tshwj xeeb tshaj yog nyob ib ncig ntawm lub puj ntaws . Lub plab o thiab mob thaum kov. Tej zaum yuav muaj kub taub hau.
Kev Txhaws Plab Hnyuv
Qhov no yog ib qho mob tsis tshua muaj tab sis tej zaum yuav mob hnyav. Meckel's diverticulum tuaj yeem thaiv tag nrho lossis ib nrab ntawm txoj kev hla cov zaub mov los ntawm txoj hnyuv me.
- Cov tsos mob: Plab puv nkaus, mob plab heev, xeev siab, thiab ntuav.
- Yuav ua li cas: Qee zaum ib daim ntaub ntawm lub diverticulum tuaj yeem thaiv txoj hnyuv. Lwm lub sijhawm, ib qho mob uas ib feem ntawm txoj hnyuv nkag mus rau lwm qhov (intussusception) tuaj yeem tshwm sim.
Qhov tseem ceeb tshaj plaws yog, yog tias koj pom ntshav hauv koj tus menyuam cov quav, tsis txhob tsis quav ntsej. Txawm tias tsis mob los xij, coj koj tus menyuam mus ntsib kws kho mob tam sim ntawd.
Cov teeb meem no puas tuaj yeem ua rau muaj kev phom sij?
Yog. Yog tias tsis kho, cov teeb meem no tuaj yeem ua rau tuag taus. Piv txwv li, kev los ntshav tas li tuaj yeem ua rau poob ntshav thiab poob siab heev. Tsis tas li ntawd, yog tias qhov txhab tob thiab txoj hnyuv raug tho, cov kab mob hauv txoj hnyuv tuaj yeem kis mus thoob plaws hauv plab, ua rau muaj kev kis kab mob loj (sepsis). Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob sai li sai tau thaum cov tsos mob tshwm sim.
Vim li cas qhov xwm txheej no thiaj tshwm sim?
Qhov no yog ib zaj dab neeg nthuav heev. Thaum lub lim tiam thawj zaug ntawm kev loj hlob ua tus menyuam hauv plab niam, tus menyuam tau txais kev noj haus los ntawm ib yam dab tsi hu ua lub hnab qe. Tom qab ntawd, thaum lub placenta loj hlob, qhov xav tau lub hnab qe no ploj mus. Lub raj txuas lub embryo thiab lub hnab qe (vitelline duct) yuav tsum ntsws thiab nqus mus rau hauv lub cev thaum lub sijhawm no.
Tiam sis qee zaum, lub raj no tsis ntsws tag, thiab tseem muaj ib feem me me ntawm nws. Qhov seem ntawd yog qhov uas tseem nyob hauv txoj hnyuv me me ua Meckel's diverticulum. Cov kws tshawb fawb tseem tsis tau paub meej tias vim li cas cov nqaij ectopic ntawd thiaj li tsim nyob hauv nws.
Yuav paub qhov mob no li cas?
Tej zaum yuav muaj ib txhia neeg raug kuaj pom tias muaj qhov no thaum lub sijhawm luam theej duab vim lwm yam laj thawj. Los yog lawv tsuas yog pib nrhiav thaum muaj cov tsos mob tshwm sim. Cov kws kho mob menyuam yaus, tshwj xeeb tshaj yog tias ib tug menyuam yaus hnub nyoog qis dua 2 xyoos muaj ntshav tsis mob hauv lawv cov quav, tej zaum yuav xav tias muaj tus mob no. Nyob ntawm cov tsos mob, koj tus kws kho mob yuav pom zoo ib lossis ntau qhov kev kuaj mob hauv qab no:
- Meckel's Scan: Qhov no yog qhov kev kuaj tseem ceeb thiab zoo tshaj plaws. Hauv qhov kev kuaj no, ib qho tshuaj me me, muaj kev nyab xeeb ntawm cov tshuaj radioactive raug txhaj rau hauv cov leeg ntawm caj npab. Yog tias muaj cov nqaij hauv plab sab hauv Meckel's diverticulum, cov nqaij nqus cov tshuaj no. Tom qab ntawd, thaum saib nrog lub koob yees duab tshwj xeeb (gamma camera), tsuas yog thaj chaw uas cov nqaij nyob yuav ci ntsa iab.
- Angiogram: Qhov no yog kev kuaj X-ray tshwj xeeb ntawm cov hlab ntsha. Nws tuaj yeem kuaj xyuas seb puas muaj cov hlab ntsha txawv txav uas xa cov ntshav mus rau Meckel's diverticulum lossis seb puas muaj kev los ntshav.
- Kev siv lub raj me me uas muaj lub koob yees duab (enteroscopy): Qee zaum, yuav siv ib lub raj me me uas muaj lub koob yees duab (enteroscopy) lossis ib lub tshuaj me me uas zoo li lub koob yees duab uas raug nqos (capsule endoscopy) los kuaj sab hauv ntawm cov hnyuv. Yog tias yog ib tug menyuam yaus, lub tshuaj no yuav raug ntxig rau hauv cov hnyuv tom qab siv tshuaj loog.
Cov kev kho mob yog dab tsi?
Yog tias muaj teeb meem tshwm sim los ntawm Meckel's diverticulum, tib txoj kev kho mob zoo tshaj plaws yog tshem tawm ib feem ntawm diverticulum los ntawm kev phais. Kev phais no hu ua kev phais plab me me . Hais yooj yim, daim me me ntawm txoj hnyuv uas muaj diverticulum raug txiav tawm thiab tshem tawm, thiab ob feem seem ntawm txoj hnyuv raug txuas rov qab.
Feem ntau, qhov kev phais no yog ua los ntawm kev siv lub tshuab laparoscopic . Qhov no txhais tau tias kev phais yog ua los ntawm ob peb qhov me me hauv plab, es tsis yog qhov loj. Qhov no ua rau kev kho sai dua thiab muaj qhov caws pliav tsawg dua.
Qee zaum, txawm tias tsis muaj tsos mob los xij, yog tias kev luam theej duab pom cov nqaij mos ectopic hauv Meckel's diverticulum, koj tus kws kho mob yuav pom zoo kom phais kom tshem nws tawm kom tiv thaiv cov teeb meem yav tom ntej.
Tom qab phais tas, koj thiab koj tus menyuam yuav tsis raug teeb meem no dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Meckel's diverticulum yog ib qho teeb meem uas tshwm sim ntau heev, tab sis feem ntau tsis ua teeb meem dab tsi. Hauv 98 ntawm 100 tus neeg mob, nws tsis ua teeb meem dab tsi.
- Yog tias koj pom cov ntshav liab tsaus hauv koj tus menyuam lub quav yam tsis muaj mob , nws yuav yog ib qho cim ntawm Meckel's diverticulum.
- Cov tsos mob xws li mob plab hnyav nyob ib puag ncig lub pij ntaws, kub taub hau, thiab ntuav kuj tseem yuav cuam tshuam nrog qhov no.
- Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob ntshai thiab mus ntsib kws kho mob tam sim ntawd. Yog tias kuaj pom ntxov, qhov mob no tuaj yeem kho tau tag nrho nrog kev phais yooj yim.
- Yog tias koj yog ib tug neeg laus thiab tsis tau muaj tsos mob dab tsi txog tam sim no, qhov muaj feem yuav muaj teeb meem yav tom ntej yog tsawg heev.
💬 Comments (0)
Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus