Hauv kev loj hlob thaum cev xeeb tub, rau kev noj haus ntawm tag nrho cov me nyuam hauv plab, nws muaj qias neeg kis tus kheej uas yog nws tus kheej li ntawm lub lim tiam 6 ntawm kev loj hlob. Yog tias txoj kev ua haujlwm no tawg, ib feem ntawm cov ciav nyob thiab ua ib daim ntawv pov thawj ntawm qhov nrog - qhov kev qhia ntawm Meckel. Nws tsis tshua muaj kev nyuaj siab thiab, raws li txoj cai, tsis tas yuav tsum tau kho tshwj xeeb, yog tias tsis mob.
Mekkelov diverticulum
Kev kawm ntawv feem ntau tsis yog symptomatic thiab tshwm sim hauv tsuas yog 2% ntawm lub ntiaj teb cov pejxeem. Nrog nws koj tuaj yeem nyob tau lub neej tsis muaj kev txhawj xeeb txog cov kab mob nyhav, tab sis qee zaus qhov kev qhia ntawm Meckel provokes cov teeb meem nram no:
- lub plab ntawm lub plawv sab hauv ntawm lub neoplasm (tuaj yeem tsim cov nqaij mos thiab qhov ncauj);
- diverticulitis (tshwm sim vim qhov khoom txig ntawm cov khoom noj seem nyob hauv qhov kev faib tawm thiab qhov txuas ntxiv ntawm kab mob ntawm cov kab mob);
- kab mob kis kab mob (fibrous cords, fistulas, cysts);
- benign thiab malignant hlav (heev tsis tshua muaj);
- plab hnyuv taum ntshav tom qab kev pleev xim rau ntawm phab ntsa;
- plab hnyuv txhaws .
Nws yog tsim nyog sau cia tias nrog kev mob ntawm txoj haujlwm ntawm Meckel, txoj kev ua rau txoj kev sai sai kis mus rau lwm yam kabmob ntawm lub plab zom mov. Cov duab tshwm sim feem ntau zoo nkaus li cov tsos mob ntawm tus mob appendicitis . Yog hais tias ntxiv nrog rau txoj hnyuv thooj me me thiab cov hnyuv loj, muaj kev txhim kho kev mob siab, uas ua kom muaj ntshav siab, nkag mus ntawm cov kab mob hauv cov kab mob hauv plab.
Kev ua haujlwm nrog Meckel qhov kev khiav haujlwm
Feem ntau, kev kho phais yog tsuas yog thaum muaj kev kub ntxhov, piv txwv, thaum lub sij hawm faib ua rau lub cev tsis ua hauj lwm, los ntshav los yog hauv plab hnyuv. Tshaj tawm pom cov qoob loo raug tshem tawm hauv xws li:
- qhov luaj li cas ntawm qhov kev qhia yog ntau tshaj 2 cm ntawm qhov ntev;
- cov phab ntsa ntawm cov tsim muaj thinned;
- nqaim caj dab ntawm lub pob tw;
- tus neeg mob dhau 40 xyoo;
- muaj fibrous strands mus rau lub ntaws;
- markedly o ntawm diverticulum.
Lub laparoscopic minimally invasive method yog siv rau excise neoplasm. Nws muab kev kho sai sai ntawm tus neeg mob, txo qhov caws qis tom qab kev phais, tsis cuam tshuam rau cov ntaub so ntswg zoo thiab cov hny thuv.
Kev noj haus nrog diverticula
Tom qab tshem tawm ntawm txoj kev, nws yog ntshaw kom ua raws li kev noj haus tshwj xeeb uas yuav cia lub ileum rov tsim dua ceev ceev, tiv thaiv cem quav thiab mob raws plab.
Kev noj haus nrog Meckel qhov kev faib tawm yuav tsum tsis suav cov khoom nram qab no:
- cov khoom tiav ib nrab;
- dawb cij dawb, pastry los ntawm qib siab tshaj plaws;
- khoom qab zib, biscuits;
- Refined rog, tshwj xeeb yog tsiaj keeb kwm;
- muaj zog tshuaj yej thiab kas fes;
- cocoa, chocolate;
- cawv;
- mis nyuj;
- cov zaub ua kaus poom, cov txiv qaub, cov marinades;
- cov khoom haus luam yeeb;
- zaub mov uas tau kib los yog tob tob.
Nws yog preferable kom ib tug zaub mov ntawm xws li cov khoom:
- porridge;
- ci ntawm wholemeal hmoov ntawm coarse sib tsoo;
- tshiab, hau los yog steamed zaub, txiv hmab txiv ntoo, txiv hmab txiv ntoo;
- kev noj zaub mov, tshwj xeeb yog nqaij qaib thiab ntses;
- legumes, qej (nrog tolerability);
- txiv hmab txiv ntoo haus, txiv hmab txiv ntoo compotes ntawm qab zib berries, jelly, mousses;
- dried txiv hmab txiv ntoo uas txhawb txoj kev muab nchuav ntawm cov hnyuv - cov qoob loo qhuav, cov txiv nkhaus;
- herbal tshuaj yej;
- qaub-mis nyuj khoom, nyiam dua - tsev-ua, tshwj xeeb tshaj yog kefir thiab matzoni;
- broth ntawm dogrose.
Nws yog ib qho tseem ceeb kom haus cov dej ntshiab txaus (tsis yog carbonated), rau txhua txhua 10 kg ntawm lub cev hnyav - tsawg kawg ntawm 300 ml ntawm kua. Qhov nruab nrab, koj yuav tsum haus dej li 6-8 tsom iav.