Yafunu mu yaw bere a woadi akyi: Momma yɛnka Median Arcuate Ligament Syndrome (MALS) ho asɛm.

So wote ɛyaw bi a ɛyɛ nwonwa wɔ wo yafunu atifi bere a woadi awie no? Ɛtɔ mmere bi a, ɛyaw no mu yɛ den araa ma wusuro sɛ wubedidi, ɛnte saa? Nnipa pii hyia saa osuahu yi. Ɛnnɛ, yɛrebɛka tebea bi a ebetumi de saa sɛnkyerɛnne ahorow yi aba ho asɛm, nanso ɛnyɛ nea abu so kɛse.

Dɛn ne Median Arcuate Ligament Syndrome (MALS) a Ɛyɛ Fɛ?

Okay, enti dɛn ne Median Arcuate Ligament Syndrome? Sɛ yɛbɛka no tiawa a, ɛyɛ tebea a ntini bi a wɔfrɛ no ‘Median Arcuate Ligament’ a ɛwɔ yɛn moma so, a ɛmia ‘Celiac Artery’ , mogya ntini titiriw bi a ɛde mogya kɔ yɛn yafunu mu, ne ‘Celiac Plexus’ , ntini a ɛbɛn yɛn no so na ɛde ba.

Fa no sɛ, saa ‘median arcuate ligament’ yi te sɛ arch. Ɛwɔ yɛn ‘aorta’ , mogya ntini titiriw a ɛde mogya fi koma no mu kɔ nipadua no nyinaa mu no ho. ‘Celiac artery’ yɛ nkorabata a ɛho hia a ɛpue fi saa ‘aorta’ yi mu.

Mpɛn pii no, ɛsɛ sɛ saa ‘median arcuate ligament’ yi wɔ ‘celiac artery’ no atifi. Nanso wɔ obi a ɔwɔ (MALS) mu no, ebia saa ntini yi wɔ fam sen sɛnea ɛte daa. Dɛn na ɛba saa bere no? Saa ntini yi mia ‘celiac artery’ no. Te sɛ sɛ obi piapia nsu paipu a, nsu no gyae sen no, mogya a ɛsen fa mogya ntini yi mu no sɛe. Ɛnyɛ ɛno nko, na mmom wotumi mia ntini a ɛbɛn no nso.

Eyi nti na wunya ɛyaw a ano yɛ den wɔ wo yafunu atifi bere a woadi awie no. Ɛtɔ da a, ɛyaw no mu yɛ den araa ma wusuro sɛ wubedidi efisɛ wususuw sɛ ɛbɛyɛ den bio. (MALS) nso frɛ no sɛ:

• (Celiac Ntini Mu Ntini a Wɔde Yɛ Adwuma) .
• (Celiac Axis Nhyɛso a Ɛma Nnipa Yɛ Den) .
• (Dunbar Nyarewa) .

Dɛn ne (MALS) ho sɛnkyerɛnne?

Afei ma yɛnhwɛ (MALS) ho sɛnkyerɛnne. Nea ɛho hia titiriw ne ɛyaw a ɛba yafunu no atifi bere a wɔadi awie no . Eyi ne sɛnkyerɛnne a edi kan a ɛda adi. Nnipa binom ka sɛ ɛyaw yi mu yɛ den araa ma wosuro sɛ wobedidi, esiane sɛ wosuro sɛ yare no ho sɛnkyerɛnne bɛsan ada adi nti. Nsɛnkyerɛnne afoforo wɔ hɔ, na ebi ne:

• Yafunu a ɛho ayɛ kurukuruwa
• Sɛ wokɔ yafunu mu a, ɛno kyerɛ sɛ akisikuru ((Diarrhea)) .
• Akisikuru ne ɔfe
• Mu duru a ɛso tew a ntease biara nnim, ebia nkaribo 20 anaa nea ɛboro saa.

Dɛn ne nneɛma a ɛde (MALS) ba?

Abenfo da so ara nnim nea ɛde MALS ba ankasa. Nhwehwɛmufo binom ka sɛ wɔwo nnipa binom a wɔwɔ median arcuate ligament a ɛnyɛ ne kwan so. Afoforo gye di sɛ MALS betumi aba sɛ ɔhaw a efi yafunu mu oprehyɛn, akyi berɛmo mu oprehyɛn, anaa yafunu mu ahodwiriw a emu yɛ den mu ba.

Dɛn ne nsɛnnennen a ebetumi afi (MALS) mu aba?

Mpɛn pii no, nnipa a wɔwɔ MALS no kɔ asram pii, mfe pii mpo a wonhu wɔn. Fa no sɛ, wɔde ɛyaw a enni sabea tra ase wɔ saa bere no mu. Ɛyaw a ɛkɔ so yi betumi de adwenemyare aba. Sɛ nhwɛso no, adwenemhaw . Afei nso, sɛ wɔanhu sɛ obi anya yare no ɛmfa ho sɛ wɔayɛ nhwehwɛmu mpɛn pii na wonnya ayaresa biara a, ebetumi ama obi ayɛ basaa kɛse .

Fa no sɛ obi bi wɔ hɔ a wɔfrɛ no Nalini, a ne yafunu yɛ no yaw bere biara a obedidi. Sɛ ɔkɔ nnuruyɛfo nkyɛn a, wɔyɛ nhwehwɛmu mmiako mmiako, nanso wonhu yare no. Ebinom mpo ka sɛ, ‘Ɛbɛyɛ sɛ wowɔ adwene mu haw.’ Afei ɛbɛyɛ sɛ Nalini werɛ ahow na ne ho yeraw no dɛn ara, ɛnte saa? Saa osuahu yi (MALS) betumi ayɛ nea abu so ama nnipa a wɔwɔ bi.

Ɔkwan bɛn so na nnuruyɛfo hu (MALS)?

Okay, enti ɛbɛyɛ dɛn na nnuruyɛfo ahu sɛ wowɔ MALS anaa? Sɛ wo duruyɛfo susuw sɛ wowɔ MALS a, obedi kan ayɛ aduruyɛ ho abakɔsɛm a edi mũ na afei wayɛ nipadua mu nhwehwɛmu .

Seesei, tebea horow pii wɔ hɔ a ebetumi ama yafunu atifi ayɛ no yaw. Sɛ nhwɛso no, ebetumi ayɛ biribiara fi appendicitis so kosi gastroparesis so kosi tebea horow te sɛ peptic ulcer yare so. Enti, wo duruyɛfo bedi kan ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu ahorow ne mfoniniyɛ mu nhwehwɛmu ahorow na ama wɔayi tebea horow a ɛtaa ba a ebetumi de wo sɛnkyerɛnne ahorow aba yi afi hɔ.

Mogya mu Nhwehwɛmu

Oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu biako anaa nea ɛboro saa, te sɛ:

• Mogya Dodow a Edi Mu (CBC) .
• Metabolic Panel a Ɛkɔ Akyiri
• Mmɛn Dwumadi Ho Nhwehwɛmu
• A (SED rate test) anaa (C-reactive protein - CRP test) a wɔde hwɛ sɛ ɔfe wɔ nipadua no mu anaa
• Thyroid nhwehwɛmu - Eyi betumi ayɛ mogya mu nhwehwɛmu ne mfoniniyɛ nhwehwɛmu nso.

Mfoninitwa Sɔhwɛ ahorow

• Yafunu mu Ultrasound a Wɔde Yɛ
• Sɔhwɛ a wɔde di akyi wɔ dwensɔtwaa ketewaa bi mu
• Upper GI series nhwehwɛmu

Sɔhwɛ ho nhyehyɛe titiriw

• Colonoscopy, a ɛhwehwɛ dwensɔtwaa kɛse no mu
• Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, a ɛhwehwɛ esophagus, yafunu, ne dwensɔtwaa ketewa no mfiase mu
• Nhwehwɛmu a wɔyɛ wɔ sɛnea aduan fa nipadua no mu ntɛmntɛm no susuw sɛnea aduan fa aduan mu ntɛmntɛm no ho.

Sɛ nhwehwɛmu ahorow yi pow tebea horow a ɛtaa ba a, ebia wo duruyɛfo de wo bɛkɔ yafunu mu oduruyɛfo nkyɛn akɔyɛ nhwehwɛmu titiriw pii. Eyinom bi ne:

• Angiogram - Wei hwehw mogya ntini no tebea.
• Kɔmputa so tomography scan ((Computed Tomography - CT scan)) nhwehwɛmu
• Magnetic resonance imaging (MRI) afiri a wɔde hwɛ nneɛma so
• Mesenteric Duplex Ultrasound - Eyi pɔtee hwɛ sɛnea mogya fa wo celiac artery mu, anaasɛ sɛ ebia ntini a wɔfrɛ no celiac plexus no repiapia saa ligament no.

"Wɔyɛ saa nhwehwɛmu yi nyinaa de hu nea ɛyɛ ɔhaw no ankasa. Ɛtɔ mmere bi a eyi betumi agye bere kakra, nanso ɛho hia sɛ wunya abotare kosi sɛ wubenya yare no ho nhwehwɛmu a ɛfata."

Ɔkwan bɛn so na wɔsa (MALS) yare?

Okay, seesei a wɔahu sɛ wowɔ MALS no, ayaresa bɛn na ɛwɔ hɔ? Ebia wo duruyɛfo bɛkamfo ‘celiac plexus block’ akyerɛ wo na aboa ma wo yafunu mu yaw no afi hɔ. Eyi te sɛ nea wɔde twitwiw ntini a ɛyɛ yaw no mu, na ɛma ntini no bi yɛ adwuma bere tiaa bi na ɛyaw no so tew.

Nea ɛka ho no, ayaresa titiriw ne oprehyɛn a wɔfrɛ no ‘median arcuate ligament release’ . Nea ɛka oprehyɛn yi ho ne sɛ wotwa ntini a ɛyɛ den no na woyi fi hɔ anaasɛ wɔsansan. Eyi ma nhyɛso a ɛwɔ ‘celiac artery’ ne ntini ahorow no so no fi hɔ. Wɔ oprehyɛn yi akyi no, mogya a ɛsan fa ‘celiac artery’ no mu no san ba, na nhyɛso a ɛwɔ ntini ahorow no so no nso so tew.

Aduruyɛ kuw a wɔsa (MALS) .

(MALS) yɛ tebea a ɛntaa nsi koraa. Na esiane sɛ ebetumi de nipadua ne adwenemyare nyinaa aba nti, ɛda adi sɛ animdefo kuw bi wɔ hɔ a wɔbɛboa wo. Ebia eyinom bi ne:

• Yafunu mu yafunu ho animdefo (wɔn a wɔyɛ yafunu mu nyarewa ho abenfo) .
• Nnuruyɛfo a Wɔyɛ Oprehyɛn Kɛse
• Ntini mu Oprehyɛn Ho Nnuruyɛfo
• Ɛyaw ano aduru ho abenfo
• Adwene ne nneyɛe ho animdefo anaa adwene ho animdefo
• Aduan ho abenfo

Saa nnipa yi nyinaa reyɛ adwuma abom de ahotɔ ama wo. Fa no sɛ, ɛsono sɛnea obiara boa wo wɔ wo haw no ho.

Nneɛma bɛn na wobetumi ahwɛ kwan sɛ (MALS) wɔ hɔ a?

Sɛ wɔyɛ oprehyɛn wie a, mpɛn pii no, yare no ho sɛnkyerɛnne no fi hɔ. Ɛno yɛ nokware. Nanso, nhwehwɛmu bi ada no adi sɛ wɔ oprehyɛn akyi mpo no, Median Arcuate Ligament Syndrome (MALS) betumi asan aba bio. Biribiara nni hɔ a yebetumi ayɛ de asiw ano. Nanso, ɛho hia sɛ wuhu nsakrae afoforo a ɛba wo nipadua mu a ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ MALS resan aba bio.. Bisa wo duruyɛfo nea ɛyɛ sɛnkyerɛnne ahorow a edi kan yi. Ɔbɛkyerɛkyerɛ nea ɛsɛ sɛ wohwɛ yiye mu akyerɛ wo.

Bere bɛn na ɛsɛ sɛ wohwehwɛ aduruyɛ mu afotu?

Yɛkaa sɛ MALS ho sɛnkyerɛnne betumi asan aba bio wɔ oprehyɛn akyi mpo. Sɛ ɛba saa a, akyinnye biara nni ho sɛ ɛsɛ sɛ woma w’aduruyɛfo kuw no hu.

Fa no sɛ, wunim sɛ biribi asɛe wo yafunu. Wote ɛyaw a wuntumi nnyina ano wɔ wo yafunu atifi fã bere a woadi adidi biara akyi. Nanso ɛmfa ho sɛ wokɔ so yɛ nhwehwɛmu no, wuntumi nhu nea ɔhaw no yɛ anaa ayaresa a wɔde ma no. Ebia woate mpo sɛ adwene mu haw bi na ɛde saa sɛnkyerɛnne ahorow yi ba sen honam fam de. Wɔ bere a ɛte sɛɛ mu no, sɛ wuhu sɛ tebea a ɛntaa nsi yi (Median Arcuate Ligament Syndrome) na ɛde wo sɛnkyerɛnne ahorow no ba a, wobɛte ahotɔ kɛse nka, ɛnte saa?

Nea eye sen saa mpo no, ayaresa ahorow bi wɔ hɔ a ɛbɛboa ma wo yaw no ano abrɛ ase. Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ no oprehyɛn. Sɛ nea wɔahu no yɛ MALS a, w’aduruyɛfo kuw no bɛkamfo ayaresa a ɛfata akyerɛ wo na aboa wo ma woanya aduan ne asetra mu anigye bio.

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛkae fi saa asɛm yi mu ne

• Ɛyaw a emu yɛ den a ɛba yafunu no atifi bere a wɔadi awie no betumi ayɛ MALS ho sɛnkyerɛnne titiriw.
• Eyi ba efisɛ ‘median arcuate ligament’ no mia ‘celiac artery’ ne ntini a ɛbata ho no.
• Ɛsɛ sɛ wɔyɛ nhwehwɛmu pii na ama wɔahu yare no, efisɛ eyi yɛ tebea a ɛntaa nsi koraa na ɛsɛ sɛ woyi nyarewa afoforo a ɛtaa ba no fi hɔ.
• Ayaresa titiriw ne oprehyɛn, nanso ɛyaw ho ayaresa afoforo te sɛ celiac plexus block.
• Sɛ yare no ho sɛnkyerɛnne san ba wɔ ayaresa akyi a, ɛho hia yiye sɛ wohwehwɛ aduruyɛ mu afotu a wontwentwɛn wo nan ase.
• Tebea yi a wobɛtra ase no yɛ den, enti nkate fam mmoa nso ho hia yiye . Kae sɛ ɛnyɛ wo nko ara. Wo nnuruyɛfo, w’abusuafo, ne wo nnamfo bɛboa wo wɔ akwantu yi mu.

` Median Arcuate Ligament Syndrome, MALS, Yafunu mu Ɛyaw, Ɛyaw Bere a Woadi Akyi, Celiac Artery, Oprehyɛn, Digestive System