Nakong ea tsoelo-pele ea bakhachane, bakeng sa phepo e feletseng ea lesea, ho na le sekhobo sa yolk se nang le tšoaetso hoo e ka bang beke ea 6 ea nts'etsopele. Haeba tshebetso ena e robehile, karolo ea mokhahla o sala 'me e etsa sekhetho sa leileum - diverticulum ea Meckel. Hangata e baka mathata mme, ha e le molao, ha e hloke phekolo e khethehileng, haeba e sa chesoa.
Mekkelov diverticulum
Thuto eo ho buuoang ka eona hangata hase tšoaetso 'me e etsahala ho 2% feela ea baahi ba lefatše. U ka phela bophelo bohle ba hae ntle le ho belaela boteng ba intestine, empa ka linako tse ling diverticulum ea Meckel e baka mathata a latelang:
- ho senyeha ha karolo e ka hare ea mokokotlo (ho ka baka mokokotlo oa mesifa le peritonitis);
- diverticulitis (e hlaha ka lebaka la ho bokella lihlahisoa tsa lijo ho diverticulum le ho latellana ha tšoaetso ea baktheria);
- mafu a ombilical (lithapo tsa fibrous, fistula, cysts);
- lihlahala tse kotsi le tse bohloko (tse sa tloaelehang haholo);
- ho tsoa mali ka maleng ka morao ho marako;
- ho thibela mala .
Ke habohlokoa ho hlokomela hore ka ho ruruha ha diverticulum ea Meckel, ts'ebetso ea lefu lena e ata kapele ho litho tse ling tsa tsamaiso ea lijo. Setšoantšo sa kliniki se atisa ho tšoana le matšoao a ho itšoara habonolo. Haeba ho phaella moo ho na le li-diverticula tsa mala a mabe le a maholo, mokhoa o matla oa ho ruruha o ka hlokomeloa, o etsang hore mali a tšolohe haholo, a kenelle ka hare ho lintho tse entsoeng ka mpeng.
Ho sebetsa le Meckel's diverticulum
Hangata, ho kenella ho buoa ho fanoa feela ha ho hlaha maemo a tšohanyetso, ka mohlala, ha diverticulum e lebisa ho peritonitis, ho tsoa madi kapa ho thibela mala. Litholoana tse fumanoeng ka tšohanyetso li ka tlosoa maemong a joalo:
- boholo ba diverticulum bo feta 2 cm ka bolelele;
- marako a sebopeho a thinned;
- molala o moqotetsane oa khama;
- o na le mamello ho feta lilemo tse 40;
- ho na le lithane tsa fibrous ho palo;
- haholo ho ruruha ha diverticulum.
Mokhoa oa laparoscopic o hlaselang o sa sebelisoe ho fetisa mochine o motlakase. E fana ka phomolo e potlakileng ea mokuli, e fokotseha habonolo ka mor'a ho buuoa, ha e ame litšoelesa tse phetseng hantle tsa moahelani le li-membrane.
Lijoe ka li-diverticula
Kamora ho tlosoa ha mokhoa ona, ke ho lakatsehang ho khomarela lijo tse khethehileng tse tla lumella hore leileum e khutlele ka potlako, e thibele ho itšireletsa le letšollo.
Lijo tse nang le Meckel's diverticulum li akarelletsa ho tlosoa lihlahisoa tse latelang:
- lihlahisoa tse feliloeng ka bobeli;
- bohobe bo hloekileng bo tšoeu, li-pastry tse tsoang sehlopheng se phahameng;
- li-coke, li-biscuits;
- Mafura a hloekisitsoeng, haholo-holo tlhaho ea liphoofolo;
- tee e matla le kofi;
- kocoa, tsokolate;
- joala;
- lebese lohle;
- meroho e nang le makotikoti, li-pickles, marinades;
- lisebelisoa tsa tsuba;
- lijo tse oetsoe ka fried kapa tse tebileng.
Ho molemo ho etsa menu ea lihlahisoa tse joalo:
- phala;
- ho pheha phofo e feletseng ea ho sila;
- meroho e phehoang, e phehiloeng kapa e nang le steamed, litholoana, monokotsoai;
- lijo tsa nama, haholo likhoho le litlhapi;
- limela, konofolo (e nang le mamello);
- litholoana tsa litholoana, compotes ea litholoana tsa monokotšoai o monate, jelly, mousses;
- litholoana tse omisitsoeng tse khothalletsang ho ntšoa mala - ho omisitsoe li-apricot, li-prunes;
- tea ea litlama;
- lihlahisoa tsa lebese tse bolila, haholo-holo - tse entsoeng lapeng, haholo-holo kefir le matzoni;
- moro oa thuto.
Ke habohlokoa ho ja metsi a hloekileng a sa lekaneng (e seng carbonated), bakeng sa boima bo bong le bo bong ba lik'hilograma tse 10 - bonyane 300 ml ea metsi. Ka karolelano, o hloka ho noa likhalase tse 6-8.