He aha te mataku o tō whaea ina kite koe i ngā toto i runga i te nāpi o tāu pēpi? Mēnā rānei he mamae kei a koe ina tangi tonu tāu pēpi nā te mea he mamae tōna puku. He maha ngā take mō ēnei tohu. Engari i ētahi wā ko te take he hapa whānau kāore e tino rangona ana, engari he mea noa. I tēnei rā ka kōrero tātou mō tētahi o aua mate, arā, ko te diverticulum a Meckel.
He aha te Diverticulum a Meckel?
He whakarāpopototanga noa iho, he putea iti te diverticulum a Meckel e hangaia ana i roto i te pakitara o tō tātou whekau iti. He mate tēnei e kitea ana i te whānautanga. Arā, ka puta i te wā e noho tonu ana te pēpi i roto i te kōpū. He mea tino noa. I roto i te kōrero whānui, e 2, e 3 rānei i roto i te 100 pēpi ka whānau mai me tēnei mate.
Whakaarohia ō tātou whekau he ngongo roa. Mēnā ka puta mai tētahi wāhanga iti, rite ki te pēke, i te pakitara, ka kiia e tātou he diverticulum. Engari he mea motuhake te diverticulum a Meckel. Nā te mea i ētahi wā kei roto i tēnei pēke iti ētahi atu momo kiko kāore e kitea i roto i ngā whekau. Kia tika ake, ko ngā mea pēnei i te kiko puku, i te kiko repeure rānei. Ina kitea tēnei momo kiko noa i tētahi wāhi kāore e tika ana, ka kiia e tātou he kiko ectopic i roto i te rongoā.
I te nuinga o te wā, kāore he raruraru o tēnei diverticulum a Meckel. Ko ētahi tāngata e ora ana i ō rātou oranga katoa me te kore e mōhio kei a rātou tēnei. Engari i ētahi wā ka puta he raruraru nā te kiko ectopic i kōrerotia e au i mua. Hei tauira, ki te mea he kiko puku kei roto i taua putea iti, ka tīmata te whakaputa waikawa pērā i te puku. Kāore e taea e te pakitara o te whekau iti te tu atu ki tēnei waikawa. Kātahi ka puta he mate pukupuku ki reira ka tīmata te toto.
He aha te hononga o te "Ture o ngā Rua" ki tēnei?
Ko tētahi huarahi hei maumahara ngāwari ki ētahi kōrero nui mō te diverticulum a Meckel ko te whakamahi i te "ture o te rua." Mā tēnei ka āwhina i a tātou ki te maumahara ki ngā mea pēnei i te maha o te mate me te hunga e pāngia ana.
| Ngā Mea Tūturu mō te "Ture o te Rua" | He whakamārama māmā |
|---|---|
| 2% o te taupori | Tata ki te 2% o te taupori katoa e pāngia ana e tēnei mate. |
| 2% anake ka pāngia e ngā raruraru | E 2% anake o te hunga whai pānga ki tēnei ka pāngia e ngā tohumate, e ngā raruraru rānei (arā, 98 o te 100 tāngata kāore he raruraru). |
| Ka puta ngā tohu i raro i te 2 tau te pakeke | Mena ka puta mai ngā tohu, ko te nuinga o te wā ka pā ki ngā tamariki kei raro iho i te 2 tau te pakeke. |
| E rua ngā wā e kitea nuitia ana i roto i ngā tāne | E rua ngā wā ka nui ake te tūponotanga o ngā tamariki tāne ki te pāngia e ngā raruraru o tēnei mate i ngā tamariki wāhine. |
| Kei te tata ki te 2 putu te tawhiti mai i te pito o te whekau iti | Kei te tata ki te 2 putu te tawhiti o tēnei putea iti mai i te wāhi e hono ai te whekau iti ki te whekau nui. |
| E rua ngā momo kiko ectopic | E rua ngā momo matua o te kiko kua ngaro te tūranga (te kiko puku, te kiko repe taiaki rānei) i roto i tēnei. |
He aha ngā tohu? Āhea tātou me whakapae?
E ai ki taku kōrero i mua, ko te nuinga o te tangata kāore he tohu. Engari ki te puta mai ngā raruraru i tētahi ara, ka puta mai ngā tohu. Ka kitea pinepine ēnei i te tamarikitanga, engari i ētahi wā ka puta mai ahakoa kua pakeke haere. Koinei ngā raruraru matua me ngā tohu e pā ana ki aua raruraru.
Te toto o te puku
Koinei te raruraru tino noa. Ko te waikawa e tukuna ana mai i te kiko puku ectopic i kōrerotia e au ka puta he mate pukupuku i roto i te pakitara o te puku, ka tīmata te toto.
- Āhuatanga motuhake: Kāore he mamae i te nuinga o te wā ina totohia pēnei.
- Ngā tohu i roto i ngā tamariki: Ka kite pea ngā tamariki nohinohi i te toto whero pouri i roto i ā rātou tūtae. I ētahi wā, ka rite te āhua o ngā tūtae ki te tiēre papura pouri.
- Ngā tohu i ngā pakeke: I ngā pakeke, ka mangu pea ngā tūtae, pērā i te tā .
- Hei tāpiri: I te haere tonu o te toto, ka heke pea te rere o te toto o te tinana, ka puta ai te anemia . Ka puta pea ngā tohu pēnei i te kiri mā, te ngenge, me te whanoke.
Te mate o te diverticulum (Diverticulitis)
I ētahi wā, ka piri ngā wahi paru ki roto i taua putea iti, ka puta he mate kitakita me te pupuhi.
- Ngā Tohu: He rite tēnei ki te mamae o te apendicitis. He mamae nui kei roto i te puku, inā koa i te taha o te pito . He pupuhi te puku, ā, he mamae ki te pā atu. Tērā pea ka pā te kirika.
Te aukati i te puku
He mate onge tēnei engari he mate kino pea. Ka taea e te diverticulum a Meckel te aukati katoa, te aukati rānei i te haerenga o te kai mā te whekau iti.
- Ngā Tohu: Te kī tonu o te puku, te mamae nui o te puku, te whakapairuaki, me te ruaki.
- Te āhua o te puta: I ētahi wā ka āraia te whekau e te kiko mai i te diverticulum. I ētahi wā anō, ka puta he āhuatanga ka paheke tetahi wāhanga o te whekau ki roto i tētahi atu (intussusception) .
Ko te mea nui, ki te kite koe i te toto i roto i te tūtae o tāu tamaiti, kaua e warewaretia. Ahakoa kāore he mamae, haria tonutia tāu tamaiti ki te tākuta.
Ka taea e ēnei raruraru te noho mōrearea?
Āe. Ki te kore e rongoatia, ka taea e ēnei raruraru te whakararu i te ora. Hei tauira, ko te toto tonu ka arahi ki te ngaronga toto nui me te ohorere. Waihoki, ki te hohonu te patunga, ā, kua pokaia te whekau, ka horapa ngā huakita i roto i te whekau puta noa i te kōhao puku, ka puta he mate kino (sepsis). Nō reira, he mea tino nui te rapu tohutohu hauora i te wā tonu ka puta mai ngā tohu.
He aha i puta ai tēnei āhuatanga?
He kōrero tino whakamere tēnei. I ngā wiki tuatahi o te whanaketanga hei kukune i roto i te kōpū o te whaea, ka whiwhi te pēpi i te kai mai i tētahi mea e kiia nei ko te pūwero. Ā muri ake nei, ina whanake te whenua whānau, ka ngaro te hiahia mō tēnei pūwero. Me whakaiti te ngongo e hono ana i te kukune me te pūwero (te awa vitelline) ka mimiti ki roto i te tinana i tēnei wā.
Engari i ētahi wā, kāore tēnei ngongo e tino mimiti, ā, he wāhanga iti noa iho e toe ana. Ko taua wāhanga e toe ana ko te mea e toe ana i roto i te whekau iti hei diverticulum a Meckel. Kāore anō kia mārama te whakaaro o ngā kaipūtaiao he aha i puta ai taua kiko ectopic i roto.
Me pēhea te mohio ki tēnei āhuatanga?
Tērā pea ka kitea te mate o ētahi tāngata i te wā o te matawai mō tētahi atu take. Tērā pea ka tīmata noa rātou ki te rapu ina puta mai ngā tohu. Tērā pea ka whakapae ngā tākuta tamariki i tēnei mate, inā koa mēnā he toto kore mamae kei roto i te tūtae o te tamaiti kei raro iho i te 2 tau te pakeke. I runga i ngā tohu, ka tūtohu pea tō tākuta i tētahi, i ētahi rānei o ngā whakamātautau e whai ake nei:
- Matawai a Meckel: Koinei te whakamātautau tino nui, tino pai hoki. I roto i tēnei whakamātautau, ka werohia he horopeta iti rawa, haumaru hoki o te matū irahiko ki roto i te uaua i te ringa. Mena he kiko puku kei roto i te diverticulum a Meckel, ka mimiti te kiko i tēnei matū. Kātahi, ina tirohia ki te kāmera motuhake (kāmera gamma), ko te wāhi anake kei reira te kiko ka tiaho mārama.
- Angiogram: He whakamātautau hihi-X motuhake tēnei o ngā oko toto. Ka taea e ia te tirotiro mēnā he oko toto rerekē e tuku toto ana ki te diverticulum a Meckel, mēnā rānei he toto.
- Endoscopy: I ētahi wā, ka whakamahia he ngongo iti kei roto i te kāmera (enteroscopy) he kāpū iti rānei e rite ana ki te kāmera ka horomia (capsule endoscopy) hei tirotiro i te roto o ngā whekau. Mō te tamaiti nohinohi, ka whakaurua tēnei kāpū kāmera ki roto i ngā whekau i muri i te whakamoenga.
He aha ngā maimoatanga?
Mena ka puta he raruraru mai i te diverticulum a Meckel, ko te maimoatanga pai rawa atu ko te tango i te wāhanga o te diverticulum mā te pokanga. Ka kiia tēnei pokanga he tango i te whekau iti . I roto i ngā kupu māmā, ka tapahia te wāhanga iti o te whekau kei roto te diverticulum, ā, ka honoa anō ngā wāhanga e rua o te whekau e toe ana.
I te nuinga o te wā, ka mahia tēnei pokanga mā te laparoscopy . Ko te tikanga o tēnei ka mahia te pokanga mā roto i ētahi tapahi iti i roto i te puku, kaua ki tētahi tapahi nui. Ka tere ake te whakaora, ā, ka iti ake te mātārae.
I ētahi wā, ahakoa kāore he tohu, ki te kitea he kiko puku ectopic i roto i te diverticulum a Meckel i roto i te matawai, ka tūtohu pea tō tākuta kia pokangahia hei tango i a ia hei ārai i ngā raruraru a muri ake nei.
I muri i te pokanga, e kore koe, tāu tamaiti rānei e manukanuka anō ki tēnei raruraru.
Karere Tangohia ki te Kāinga
- He tino noa te mate pēpi o Meckel, engari he maha ngā wā kāore he kino. I roto i te 98 o roto i te 100 o ngā take, kāore he raruraru e pā mai ana.
- Ki te kite koe i te toto whero pouri i roto i te tūtae o tāu tamaiti, ā, kāore he mamae , he tohu pea tēnei nō te diverticulum a Meckel.
- Tērā pea ka hono atu anō hoki ēnei tohu ki tēnei, pērā i te mamae nui o te puku huri noa i te pito, te kirika, me te ruaki.
- Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e mataku , me toro atu ki te tākuta tonu. Ki te kitea wawetia tēnei mate, ka taea te whakaora katoa mā te pokanga māmā noa iho.
- Mena he pakeke koe, ā, kāore anō kia pāngia e ngā tohumate, he iti rawa te tūponotanga ka pāngia koe e tētahi raruraru ā muri ake nei.
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