Meckel divertikulum

ʻO kahi Meckel diverticulum kahi ʻeke ma ka paia o ka ʻaoʻao haʻahaʻa o ka ʻōpū liʻiliʻi i loaʻa i ka wā hānau (congenital). Loaʻa paha i ka diverticulum nā mea like me ka ʻōpū a me ka pancreas.

ʻO kahi diverticulum Meckel kahi kiko i koe mai ka wā e hana ana ka pēpē digestive o ka pēpē ma mua o ka hānau ʻana. Loaʻa i kahi helu liʻiliʻi o ka poʻe i kahi divertikulum Meckel. Eia naʻe, koe wale kekahi e hoʻomohala i nā ʻōuli.

Pākuʻi ʻia paha nā ʻōuli:

• ʻEha i loko o ka ʻōpū hiki ke akahai a koʻikoʻi paha
• Koko i loko o ka pahu
• ʻO Nusea a me ka luaʻi

Kū pinepine nā ʻōuli i nā makahiki mua o ke ola. Eia nō naʻe, ʻaʻole lākou e hoʻomaka a hiki i ke oʻo ʻana.

Loaʻa paha iā ʻoe nā hōʻike aʻe:

• Hematocrit
• Hemoglobin
• Pāhola kahi no ke koko ʻike ʻole ʻia (stool occult blood test)
• CT scan
• ʻO ka scan Technetium (i kapa ʻia hoʻi ka scan Meckel)

Pono ʻoe i ke ʻoki e wehe i ka divertikulum inā ulu ke kahe. Lawe ʻia ka māhele o ka ʻōpū liʻiliʻi i loaʻa ka divertikulum. Humuhumu pū ʻia nā wēlau o ka ʻōpū.

Pono ʻoe e lawe i nā mea hoʻohui hao e mālama i ka anemia. Hiki paha iā ʻoe ke hoʻololi i ke koko inā nui ke kahe o ke kahe.

ʻO ka hapa nui o ka poʻe e hoʻihoʻi hou mai ke ʻoki ʻana a ʻaʻole e loaʻa ka pilikia e hoʻi hou. ʻAʻole hiki ʻole i nā pilikia mai ke ʻoki kino.

Komo pū nā pilikia:

• ʻO ke kahe nui (hemorrhage) mai ka diverticulum
• Pelu ana o nā ʻōpū (intussusception), kahi ʻano blockage
• Peritonitis
• Haehae (perforation) o ka ʻōpū ma ka diverticulum

E ʻike koke i kāu kahu mālama inā hele kāu keiki i ke koko a i ʻole ka noho koko a i ʻole ʻeha mau i ka ʻōpū.

• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive
• Meckel's diverticulectomy - moʻo

ʻO Bass LM, Wershil BK. ʻO Anatomy, histology, embryology, a me nā anomalies ulu o ka ʻōpū liʻiliʻi a nui. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 98.

Kleigman RM, Stanton BF, St. Geme JW, Schor NF. Nā pālua Intestinal, meckel divertikulum, a me nā koena ʻē aʻe o ke kuʻina omphalomesenteric. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 331.