Lɛ wi lan bɔt di Meckel’s Diverticulum, we kin mek di pikin in bɛlɛ pen!

Sɔntɛnde yu smɔl pikin kin gɛt bɛlɛ pen we yu nɔ ebul fɔ ɛksplen? Ɔ yu dɔn fred te yu day we yu si blɔd na dɛn stɔl? Bɔku mama ɛn papa dɛn de wɔri bɔt dis. Bɔt i nɔ nid fɔ bi sɔntin we siriɔs ɔltɛm. Tide wi go tɔk bɔt wan sik wae kin kam wit dɛn kayn sik ya, bɔt bɔrku pipul nɔr dɔn yɛri bɔt am. Dat na Meckel in divɛrtikul. Pan ɔl we di nem kin tan lɛk se i strenj, na sɔntin we wi fɔ no bɔt.

Wetin na Mɛkɛl in Divɛrtikul?

Fɔ tɔk am simpul wan, Mɛkɛl divɛrtikul na smɔl paus ɔ pɔkit we de fɔm insay di wɔl na wi smɔl intestinal. Tink bɔt am lɛk smɔl pɔch we de insay wan dres. Dis na difεkt we dεn bכn pikin we de de we dεn bכn am. Bɔt nɔ mek yu fred wit di wɔd "disɔda." Dis kin rili kɔmɔn. Na lɛk 2 ɔ 3 pan ɛvri 100 pikin dɛn kin gɛt dis sik, ɛn bɔku tɛm i nɔ kin du ɛni bad tin.

nכmal wan, wi kin divεlכp divεrtikul insay wi dijestiv sistεm (gεstrointestinal trakt). Dɛn kin divɛlɔp mɔ na di kɔlon as wi de ol. Bɔt di divɛrtikul we Mɛkɛl gɛt difrɛn smɔl. Bikɔs i de divɛlɔp we di pikin stil de na di bɛlɛ.

di spεshal tin fכ dis na dat sכmtεm i kin bi כda kayn tisu dεm we de lεf insay dis sכmכl protrushכn we nכ de de. insay mεdikal, wi kin kכl dis ‘εktopik tisu’. dat min se wan kayn tisu we fכ de na wan ples de gro na ples we i nכ de. Imajin, wetin go apin if wan pat pan di tisu na wi bɛlɛ we de mek asid, gro insay dis smɔl tin we de kɔmɔt na do? di bεlε gεt spεshal kכt we kin ebul fכ bia wit asid. Bɔt di smɔl intestin nɔ gɛt da kayn kɔtin de. So we di bɛlɛ tisu we dɔn gro insay da protrusion de bigin fɔ pul asid, da asid de de pwɛl di wɔl na di smɔl intestin ɛn bigin fɔ mek ɔlsa. Na da tɛm de prɔblɛm kin kam.

Dis na wan we izi fɔ mɛmba: di "Rule of 2s".

Wan izi we de fɔ mɛmba sɔm men tin dɛn bɔt di divɛrtikul we Mɛkɛl gɛt. Dɛn kɔl am di "Rul ɔf 2s".

• Di prɛvalɛns: Na lɛk 2% pan di pipul dɛm gɛt dis sik.
• Kɔmplikɛshɔn: Na 2% pan di pipul dɛm wae gɛt dis sik kin gɛt sɔm kayn sik ɔr kɔmplikeshɔn. Dat min se 98 pan ɔl 100 pipul dɛn go liv dɛn wan ol layf we dɛn nɔ ivin no se dɛn gɛt am.
• Ej: Di sayn dɛm kin sho pan pikin dɛm we nɔ rich 2 ia yet.
• Jɛnda: Bɔy pikin dɛn kin gɛt dis sik tu tɛm pas gyal pikin dɛn.
• di say we i de: dis protrusion kin de lεk 2 fit oba di lכw εnd fכ di sכmכl intestכn.
• di kayn tisu dεm: tu kayn εktopik tisu dεm de insay dis(Bɛlɛ tisu ɔ pankrias tisu) kin de de.

Wetin na di sayn dɛm fɔ Meckel’s Diverticulum?

Fɔs, i rili pɔsibul fɔ mek yu ɔ yu pikin gɛt dis sik, bɔt i rili pɔsibul fɔ mek yu liv yu wan ol layf we nɔ gɛt ɛni sayn. Di sayn dɛm kin apin nɔmɔ if di kɔmplikeshɔn dɛm wae wi bin dɔn tɔk bɔt fɔs de kam. Dɛn kɔmplikeshɔn ya kin apin bɔku tɛm we dɛn smɔl, bɔt dɛn nɔ kin apin so ɔltɛm we dɛn big.

Imajin, yu bɔy pikin we ol wan ɛn af ia bigin fɔ kray wantɛm wantɛm fɔ natin, ɛn i ol in bɛlɛ. I nɔ go ivin drink ɛni milk. We yu chenj in dayapɛt, yu si se i dɔn dɔti wit brayt rɛd blɔd. Na scene we de mek ɛni mama fred. Na dis kayn tɛm, dɔktɔ kin sɔprayz se wan sik we dɛn kɔl Mɛkɛl divɛrtikul.

Lɛ wi luk di men prɔblɛm dɛm wae kin apun ɛn de sik wae dɛn kin gɛt.

Yu tink se dɛn prɔblɛm dɛn ya kin rili siriɔs?

Yɛs, sɔm prɔblɛm dɛn kin mek pɔsin in layf de pan denja if dɛn nɔ trit dɛn. Bɔt bɔku tɛm, di sayn dɛn kin apin bifo dɛn bigin fɔ siriɔs. Fɔ ɛgzampul, if wund kɔntinyu fɔ blɔd, di bɔdi kin lɔs tumɔs blɔd ɛn i kin shɔk. di intestinal wכl kin pכrכshכn bak, we kin mek i gεt siriכs infεkshכn (sepsis). So, if yu notis ɛni wan pan dɛn sayn ya, yu fɔ go to dɔktɔ wantɛm wantɛm.

Wetin mek di Meckel’s Diverticulum de fɔm?

Dis na smɔl kɔmplikɛt stori, bɔt a go ɛksplen am simpul wan. di fכs tεm we di pikin de divεlכp, i de gεt it frכm sכmtin we dεn kכl di yכlk sak. dis de kכnekt to di pikin in intestines bay wan sכm sכm tכb (vitelline duct). afta fכ wik, di pikin bigin fכ gεt it frכm di mama tru di plasεnta. na da tεm de, di yכlk sak εn di tכb we kכnekt to am nכ nid igen. nכmal wan, dis tכb εn di sak fכ abzכp di bכdi kכmplit wan.

Aw dɔktɔ dɛn kin no bɔt dis sik?

Sɔm pipul dɛn kin kam fɔ no se dɛn gɛt am bay aksidɛnt. Dɛn kin diskɔba am we dɛn gɛt sɔntin lɛk bɛlɛ skan fɔ ɔda rizin. Ɔda pipul dɛn kin no we di sayn dɛn kin bigin fɔ sho. Dɔktɔ dɛn go sɔprayz am, mɔ if pikin we nɔ rich 2 ia yet gɛt bɛlɛ pen we dɛn nɔ ɛksplen ɔ if dɛn gɛt blɔd na dɛn stɔl we nɔ gɛt ɛni pen. Dis na di men rizin we mek pikin dɛn gɛt blɔd na dɛn stɔl.

Bɔku tɛst dɛn de fɔ kɔnfirm dis:

• Meckel’s scan: Dis na di tɛst we dɛn kin yuz mɔ. Dɛn kin injɛkt wan smɔl redioaktiv tin we nɔ de ambɔg pɔsin insay wan vein. if bכdi tisu de insay dis vein, di tisu de abzכp di tin. Dɔn, we yu si am wit spɛshal kamɛra (gama kamɛra), di eria kin aylayt fayn fayn wan.
• Mesenteric arteriography (angiogram): Dis na fɔ injekt wan day insay di blɔd vesel dɛn na di bɛlɛ ɛn tek ɛkstrem rayt pikchɔ. dis tεst kin no if aktif blכd sayt de frכm intestinal injuri.
• Ɛndoskopi: .dis involv fכ put wan sכm sכm tכb (εndoskop) wit kεmεra we dεn tay tru di mכt fכ egzamin di intestin dεm. Wan ɔda we na fɔ swɛla smɔl kamɛra we tan lɛk pil (kapsul ɛndoskopi). Dis kamɛra de travul along di intestinal ɛn tek pikchɔ. Fɔ smɔl pikin, dɛn kin put dis kapsul bak na di bɛlɛ afta dɛn dɔn anestez am.

Wetin na di tritmɛnt dɛm fɔ dis?

If kɔmplikeshɔn kam frɔm di divɛrtikul we Mɛkɛl gɛt, di bɛst tritmɛnt na fɔ mek dɛn pul am wit ɔpreshɔn. Dɛn kɔl dis ɔpreshɔn ‘smɔl bɔdi we dɛn kin pul.’ dis involv fכ kכt sכm sכm pat pan di intestin usay di divεrtikul de εn afta dat fכ kכnεkt di tu rεst pat dεm na di intestin bak.

Sɔntɛnde, ivin if no sayn nɔ de, if skan sho se smɔl pikin gɛt bɛlɛ tisu insay dis protrusion, di dɔktɔ kin tɛl am fɔ du ɔpreshɔn fɔ mek i nɔ gɛt prɔblɛm dɛn tumara bambay.

Bɔku tɛm, dɛn kin du dis ɔpreshɔn wit laparoskopik. Dat min se dɛn kin du ɔpreshɔn we dɛn nɔ kin kɔt big pat na di bɛlɛ, bɔt dɛn kin du am tru sɔm smɔl smɔl say dɛn, usay dɛn kin put kamɛra ɛn inschrumɛnt dɛn. Dis kin mek i wɛl kwik kwik wan ɛn i nɔ kin gɛt bɔku skata.

Wetin kin apin afta di ɔpreshɔn?

Di tɛm we pɔsin kin wɛl afta dɛn dɔn du di ɔpreshɔn kin shɔt. If dɛn du yu ɔpreshɔn wit laparoscopic, yu go wɛl ɔlsay insay lɛk tu to tri wiks. If dɛn du ɔpreshɔn pan yu opin wan, i kin tek lɛk siks to et wiks. Smɔl risk de fɔ smɔl smɔl prɔblɛm dɛn, lɛk infɛkshɔn, afta di ɔpreshɔn, we na lɛk 5%. Bɔt we di ɔpreshɔn dɔn wok fayn, dis divɛrtikul prɔblɛm we de wit Mɛkɛl nɔ go ɛva mɔna yu ɔ yu pikin igen.

If no sayn nɔ de, a fɔ wɔri bɔt dis?

Nɔ, bɔku pipul dɛn nɔ kin ɛva gɛt prɔblɛm wit dis. Na 2% nɔmɔ go gɛt kɔmplikeshɔn. Di tin we impɔtant pas ɔl na fɔ no bɔt dis. If yu ɔ yu pikin gɛt bɛlɛ pen we yu nɔ ebul fɔ ɛksplen, i nɔ want fɔ it, ɔ blɔd de na di stɔl, go to yu dɔktɔ wantɛm wantɛm. If yu nɔr dɔn gɛt ɛni prɔblɛm as big pɔsin, chans de fɔ mek yu nɔr gɛt ɛni prɔblɛm tumara bambay.