Meckel kuti diverticulum

diverticulum Meckel vake, zvimwe kunzi zvakawanda diverticulum of ileum, - ari vachiberekwa anomaly pamusoro ura duku, icho chokuita regression pamusoro zvokurwara of bile mutsinga dzinofamba nemukaka panguva yayo proximal chikamu. Unclosed (neobliterirovannoy) anoramba proximal mugove waro, kusiya aibuda pakati ura uye guvhu nzira.

Panguva vhiki fetus womunhu nemuviri embryo mondo uye Urinary ducts, zviri achiine rukuvhute tambo wokutanga. Pashure pokutanga muchero zvokudya kunoitika, nokuti rinobatanidza riye pamwe fetus ura, uye kuburikidza wechipiri weti runoyerera kure kupinda ari Líquido amniótico. Munguva kubva rechitatu kusvika rechishanu romwedzi intrauterine upenyu wausina zvinoitika pakukura kwavo - the mondo zvishoma nezvishoma atrofiruyas ichichinja paavhareji boka.

Kana, zvisinei, pane zvave zvimwe kukundikana vari mashandiro tishandurwe ichi, zvinonzi zvishoma nezvishoma kuumbwa, zvichienderana mwero vachengetedzwe neobliterirovannogo kuyerera uye pamwero zvokurwara nzvimbo:

• kwakakwana kana kukwana fistulas guvhu;
• Meckel kuti diverticulum;
• enterokistoma.

anomaly Izvi rakaonekwa mukuvamba namapfumbamwe remakore kubudikidza Johann Friedrich Meckel Muduku, German anatomist kubva Halle.

Akatsanangura kusiyana maviri diverticula ari ura diki:

• vawana uye zvinosanganisira chete kuti mucosa, mesenteric riri kurutivi rwayo;
• chipo diverticulum, vachiberekwa, iyo inobudisa ose akaturikidzana rusvingo rwaro uye Anti-mesenteric mashizha.

Diverticula of ura duku dzinoiswa sezvinotevera:

nokuda mwero kutsungirira of kuerera:

1) chose rakashama;

2) aoma yakazaruka:

- kana chikamu ura, iyo Meckel diverticulum;

- kana kubva guvhu, ari omphalocele;

- kana ari pakati, ipapo enterokistoma.

3) ari kuvharwa chose.

Kubva ose pamusoro siyana Meckel diverticulum kunoitika kakawanda muna 70% nyaya, uye ukuwo, kubva 1% kusvika 4% of zvachose kwevanhu. Uye varume kwakanyorwa chirwere muna 2, uye kana yematambudziko, uye 5 nguva kakawanda kupfuura vakadzi. Makumi mashanu muzana kacho chirwere muvana pasi pemakore gumi okuberekwa, vamwe - kubva pauduku kusvika matatu. diverticulum Meckel muna gumi muzana Muzviitiko chokuita nedzimwe abnormalities okukura, asi rwapedyo kuwanika haisati zvakaratidza.

Its avhareji kureba anenge maviri matatu masendimita, shoma - 1 masendimita, uye kufadza - 26 cm mumwe ukobvu nomunwe, uye sezvo chervovidny outgrowth, rakamanikana. Chimiro humburumbira kana cone. Meckel kwakaita diverticulum inowanzopiwa iri pakatarisana parutivi mesentery ari ileum, Anti-mesenteric. Paavhareji kure kubva bauginievoy kurova-rova kubva 40 kusvika 50 cm inogona soldered tyazhem connective zvinyama pamusoro Anterior rusvingo abdominal, mesentery, kana intestinal zvishwe.

Akaora, kazhinji, hariwaniki zvachose, uye vanoona kunyanya panguva abdominal kuvhiyiwa zvimwe zvikonzero, kana mune mhosva yematambudziko.

The chirwere kunosimbiswa maekisirei pamwe kushandisa slurry kuti barium sulfate sezvo kusiyana mumiririri. The Ultrasound anogona kuiswa kuva chikamu nzira. Uyewo, pane nzira chaiyo kuferefeta - radionuclide scintigraphy pamwe technetium-99. Kana ropa kubva Mekkeleva diverticula vari panoonekwa kushandisa arteriography.

Kurapwa zvokushandiswa, iri chiitiko kuti iduku, kusukwa unyanzvi akangofanana mune apendektomii oparesheni. Asi kune navanopinda diverticulum kuna mesentery, wokupedzisira bhandeji, muchinjikwa, uye akaisa dzakapfavirira intestinal pulp, akagura pachake diverticulum. Ipapo ronda iri sutured ura uye abdominal mhango.

Chii diverticulosis?

mamiriro ichi muviri umo vari kuumbwa muura diverticulum, i.e. dzakawanda miganhu saccular chimiro, iyo kutaura mhango pakati muura (kazhinji duodenum). Akaratidza akaora chete kana yematambudziko, kubatwa surgically.