Unonzwa kutya kwakadini saamai paunoona mavara eropa pamanapukeni emwana wako mudiki? Kana kurwadziwa kwaunonzwa kana mwana wako achiramba achichema nekuti ane mudumbu. Panogona kuva nezvikonzero zvakawanda zvezviratidzo zvakadaro. Asi dzimwe nguva chikonzero chacho idambudziko rekuzvarwa naro ratisinganzwi zvakawanda nezvaro, asi rinowanzoitika. Nhasi tiri kutaura nezvechimwe chirwere chakadaro, Meckel's diverticulum.
Chii chinonzi Meckel's Diverticulum?
Zvichitaurwa zviri nyore, Meckel's diverticulum ibhegi diki rinoumbwa mumadziro eura hwedu hudiki. Ichi chirwere chinowanikwa pakuzvarwa. Izvi zvinoreva kuti chinoumbwa mwana achiri mudumbu. Zvinowanzoitika. Zvinenge zvichiitika, vana vaviri kana vatatu pavana zana vanoberekwa vaine chirwere ichi.
Funga nezveura hwedu sechubhu refu. Kana chikamu chidiki chakaita sehomwe yechubhu chikabuda pamadziro, tinochidaidza kuti diverticulum. Asi Meckel's diverticulum inokosha zvishoma. Nekuti dzimwe nguva mukati mechubhu iyi diki munogona kuva nemamwe marudzi enyama asingawanzo kuwanikwa muura. Kuti zvive pachena, zvinhu zvakaita senyama yemudumbu kana pancreatic tissue. Kana rudzi urwu rwenyama yakajairika rukawanikwa panzvimbo isiri yayo, tinoidaidza kuti ectopic tissue mukurapa.
Kazhinji, iyi Meckel's diverticulum haikonzeri matambudziko. Vamwe vanhu vanorarama hupenyu hwavo hwese vasingatombozivi kuti vane izvi. Asi dzimwe nguva matambudziko anomuka nekuda kwe ectopic tissue yandambotaura. Semuenzaniso, kana paine dumbu riri mukati mebhegi diki iroro, rinotanga kuburitsa acid sedumbu. Madziro eura diki haagone kumira acid iyi. Ipapo maronda anogona kuumbwa ipapo otanga kubuda ropa.
Chii chinonzi "Mutemo we2s" chine chekuita neizvi?
Imwe nzira yekurangarira zviri nyore zvimwe zvinhu zvakakosha nezveMeckel's diverticulum ndeyekushandisa "mutemo wezviviri." Izvi zvinotibatsira kurangarira zvinhu zvakaita sekuti chirwere ichi chakajairika sei uye kuti ndiani anochibata.
| Chokwadi che "Mutemo we2s" | Tsananguro iri nyore |
|---|---|
| 2% yevanhu | Vanhu vanosvika 2% vane chirwere ichi. |
| 2% chete ndivo vanova nematambudziko | Vanhu vane izvi vanowana zviratidzo kana matambudziko (kureva kuti, vanhu 98 pa100 havana matambudziko). |
| Zviratidzo zvinoonekwa pasi pemakore maviri | Kana zviratidzo zvikaonekwa, zvinowanzoonekwa muvana vari pasi pemakore maviri . |
| Kaviri sezvinowanzoitika muvarume | Vana vechirume vane mukana wakapetwa kaviri wekuwana matambudziko kubva muchirwere ichi pane vana vechikadzi. |
| Iri makiromita angangoita maviri kubva kumagumo eura hudiki | Kabhegi kadiki aka kari makiromita angangoita maviri kubva panosangana ura hudiki neura hukuru. |
| Mhando mbiri dze ectopic tissue | Panogona kuva nemhando mbiri huru dzenyama dzisina kuiswa panzvimbo yadzo (gastric tissue kana pancreatic tissue) mukati meizvi. |
Zviratidzo zvacho ndezvipi? Tinofanira kunyumwa rini?
Sezvandambotaura, vanhu vazhinji havana zviratidzo. Asi kana matambudziko akamuka neimwe nzira, zviratidzo zvinoonekwa. Izvi zvinowanzoonekwa muhudiki, asi dzimwe nguva zvinogona kuonekwa kunyangwe mushure mekukura. Aya ndiwo matambudziko makuru uye zviratidzo zvine chekuita nawo.
Kubuda ropa mudumbu
Iri ndiro dambudziko rinowanzoitika. Asidhi inoburitswa kubva mudumbu randataura inoita kuti maronda aumbe mudumbu otanga kubuda ropa.
- Chinhu chakakosha: Kazhinji hapana kurwadziwa kana ropa richibuda nenzira iyi.
- Zviratidzo muvana: Vana vadiki vanogona kuona ropa dzvuku rakasviba mutsvina yavo. Dzimwe nguva, tsvina yacho inogona kunge ine ruvara rwepepuru rwakasviba, yakaita sejeli.
- Zviratidzo muvanhu vakuru: Muvanhu vakuru, tsvina inogona kuita dema, setara .
- Pamusoro pezvo: Sezvo kubuda ropa kuchienderera mberi, ropa remuviri rinogona kudzikira, zvichikonzera anemia . Izvi zvinogona kukonzera zviratidzo zvakaita sekutsvuka kweganda, kuneta, uye dzungu.
Kutapukirwa kwe diverticulum (Diverticulitis)
Dzimwe nguva, zvidimbu zvetsvina zvinonamirwa mubhegi diki iroro, zvichikonzera hutachiona hwebhakitiriya nekuzvimba.
- Zviratidzo: Izvi zvakafanana nekurwadziwa kweappendicitis. Mudumbu mune kurwadziwa kwakanyanya, kunyanya kwakakomberedza guvhu . Dumbu rakazvimba uye rinorwadza kubata. Fivha inogona kuitika.
Kuvharwa kweMatumbu
Ichi chirwere chisingawanzoitiki asi chinogona kunge chakakomba. Meckel's diverticulum inogona kuvharira zvachose kana kuti chikamu chenzira yechikafu inopinda nepadumbu diki.
- Zviratidzo: Kuzara kwedumbu, kurwadziwa kwakanyanya mudumbu, kuda kurutsa, uye kurutsa.
- Maitikiro azvo: Dzimwe nguva kanyama kanobva mu diverticulum kanogona kuvhara ura. Dzimwe nguva, mamiriro ezvinhu apo chikamu chimwe cheura chinotsvedza kupinda mune chimwe (intussusception) anogona kuitika.
Chinhu chinonyanya kukosha ndechekuti, kana ukaona ropa mutsvina yemwana wako, usazviregeredza. Kunyangwe kana pasina kurwadziwa, endesa mwana wako kuna chiremba nekukasika.
Matambudziko aya anogona kuva nengozi here?
Ehe. Kana zvikasarapwa, matambudziko aya anogona kuisa hupenyu panjodzi. Semuenzaniso, kuramba uchibuda ropa kunogona kukonzera kurasikirwa neropa zvakanyanya uye kuvhunduka. Uyewo, kana ronda rakadzika uye ura hwakaboorwa, mabhakitiriya ari muura anogona kupararira mudumbu rose, zvichikonzera hutachiona hwakakomba (sepsis). Saka, zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza kana zviratidzo zvaonekwa.
Sei mamiriro ezvinhu aya achiitika?
Iyi inyaya inonakidza zvikuru. Mumavhiki ekutanga ekukura kwemwana ari mudumbu raamai, mwana anowana chikafu kubva kune chimwe chinhu chinonzi yolk sac. Gare gare, kana placenta yakura, kudiwa kweyolk sac iyi kunonyangarika. Chubhu inobatanidza embryo neyolk sac (vitelline duct) inofanira kupfupika yopinda mumuviri panguva iyi.
Asi dzimwe nguva, chubhu iyi haibvi zvachose, uye chikamu chidiki chayo chinosara. Chikamu ichocho chasara ndicho chinosara muura hudiki seMeckel's diverticulum. Masayendisiti haasati aziva kuti sei tissue iyoyo ye ectopic ichiumbwa mukati mayo.
Ungaziva sei chirwere ichi?
Vamwe vanhu vanogona kuonekwa vaine chirwere ichi netsaona panguva yekuongororwa kwechirwere nekuda kwechimwe chikonzero. Kana kuti vanogona kutanga kuchitsvaga kana zviratidzo zvaonekwa. Vanachiremba vevana, kunyanya kana mwana ari pasi pemakore maviri aine ropa risingarwadzi mutsvina yavo, vanogona kufungidzira chirwere ichi. Zvichienderana nezviratidzo, chiremba wako anogona kukurudzira imwe kana kupfuura yemiedzo inotevera:
- Meckel's Scan: Iyi ndiyo bvunzo inonyanya kukosha uye yakanakisisa. Muyedzo iyi, dose diki uye yakachengeteka yechinhu chine radioactive inopinzwa mutsinga iri muruoko. Kana paine nyama yemudumbu mukati meMeckel's diverticulum, nyama yacho inonwisa chinhu ichi. Zvadaro, kana ikatariswa nekamera yakakosha (gamma camera), nzvimbo iri nyama chete ndiyo inopenya zvakajeka.
- Angiogram: Iyi i X-ray test chaiyo yetsinga dzeropa. Inogona kutarisa kana paine tsinga dzeropa dzisina kujairika dzinoendesa ropa kuMeckel's diverticulum kana kuti kana paine kubuda ropa.
- Endoscopy: Dzimwe nguva, chubhu diki ine kamera (enteroscopy) kana kapusule kadiki kakaita sekamera kanomedzwa (capsule endoscopy) inoshandiswa kuongorora mukati meura. Kana ari mwana mudiki, kapusule iyi yekamera inopinzwa muura mushure mekunzwa kurwadziwa.
Ndezvipi zviri kurapwa?
Kana matambudziko akaitika nekuda kweMeckel's diverticulum, nzira chete uye yakanakisisa yekurapa ndeyekubvisa chikamu chediverticulum kuburikidza nekuvhiyiwa. Kuvhiyiwa uku kunonzi kubviswa kweura hudiki . Zvichitaurwa zviri nyore, chidimbu chidiki cheura chine diverticulum chinochekwa chobviswa, uye zvikamu zviviri zvasara zveura zvinobatanidzwa zvakare.
Kazhinji, kuvhiyiwa uku kunoitwa ne laparoscopically . Izvi zvinoreva kuti kuvhiyiwa uku kunoitwa nekucheka kadiki mudumbu, pane kucheka kukuru. Izvi zvinoita kuti ganda ripore nekukurumidza uye mavanga mashoma.
Dzimwe nguva, kunyangwe pasina zviratidzo, kana scan ikawana ectopic gastric tissue iri muMeckel's diverticulum, chiremba wako anogona kukurudzira kuvhiyiwa kuti ibviswe kudzivirira matambudziko mune ramangwana.
Mushure mekuvhiyiwa, iwe kana mwana wako hamuzonetseki nedambudziko iri zvakare.
Mharidzo Yekuenda Nayo Kumba
- Meckel's diverticulum chirwere chinowanzoitika, asi kazhinji hachikuvadzi, chinokonzerwa nekusakwana kwemwana. Muzviitiko 98 pa100, hachikonzeri matambudziko.
- Kana ukaona ropa dzvuku rakasviba mutsvina yemwana wako pasina kurwadziwa , zvinogona kunge zviri chiratidzo cheMeckel's diverticulum.
- Zviratidzo zvakaita sekurwadziwa kwakanyanya mudumbu kwakakomberedza guvhu, fivha, uye kurutsa zvinogonawo kunge zvakabatana neizvi.
- Kana uine chimwe chezviratidzo izvi, usavhunduke wobva waona chiremba nekukasika. Kana zvikaonekwa nekukurumidza, chirwere ichi chinogona kurapwa zvachose nekuvhiyiwa kuri nyore.
- Kana uri munhu mukuru uye usati wambova nezviratidzo kusvika pari zvino, mikana yekuti uve nedambudziko mune ramangwana yakaderera zvikuru.
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