Yala dimi gɛlɛn bɛ i kɔnɔbara sanfɛla la i kɛlen kɔ ka dumuni kɛ ka ban dɔrɔn wa? I mana fɛn o fɛn kɛ, o tɛ ban wa? Yala o dimi bɛ i tɔɔrɔ fo i bɛ siran dumuni ɲɛ wa? Yala i dusu tiɲɛna ko i taara dɔgɔtɔrɔso bɛɛ la ka sɛgɛsɛgɛli kɛ, nka hali bi i ma se ka sababu sɔrɔ wa? Tiɲɛ na, nin ye ko ye min tɛ se ka dɛmɛ. Bi, an bɛ kuma bana dɔ kan min man teli ka kɛ, min bɛ o taamasiɲɛ suguw lase mɔgɔ ma, nka a ma dɔn kosɛbɛ.
MALS ye mun ye tigitigi? An k’a faamu cogo nɔgɔman na.
Walasa k’o faamu, an ka fɛn wɛrɛ lajɛ an farikolo kɔnɔ. Aw ye miiri joli siraba belebeleba la min bɛ bɔ an disi la ka taa an kɔnɔbara la, n’o ye aorte ye. O bɛ i n’a fɔ pipe belebele min bɛ joli ci an farikolo yɔrɔ bɛɛ la.
O jolisira in bolofara belebele dɔ bɛ Weele ko `Seliac Artery`. O bɛ joli lase an kɔnɔbara yɔrɔ nafamaw ma, i n’a fɔ sugunɛ, kɔnɔbara ani kɔnɔbara.
Sisan, nin `Celiac Artery` in sanfɛ, sɔgɔsɔgɔninjɛ dɔ bɛ yen min bɛ wele ko `Median Arcuate Ligament`, o bɛ i n’a fɔ jirisun fitinin. A ka ca a la, joli bɛ taa ka ɲɛ nin fila ninnu cɛ k’a sɔrɔ gɛlɛya foyi tɛ a la.
Nka MALS bɛ mɔgɔ min na, nin `Median Arcuate Ligament` in bɛ sɔrɔ duguma dɔɔnin. O kɔ fɛ, min bɛ Kɛ o ye, a bɛ `Celiac Artery` ni nɛrɛmuguma kulu min bɛ Taa a kɛrɛfɛ `(Celiac Plexus)` degun. I n’a fɔ ni mɔgɔ ye senna-tɛgɛrɛ kɛ jibolisira kan cogo min na, ji bolicogo bɛ dɔgɔya, o degun in kosɔn, joli min bɛ taa o farikolo yɔrɔw la, o bɛ dɔgɔya. O waati de la o dimi jugu bɛ daminɛ ka na.
O bɛ wele fana ko `Syndrome de compression de l’artérie céliaque`.
MALS bana taamasiɲɛ kunbabaw ye jumɛnw ye?
Nin bana in taamasiɲɛ fɔlɔ ni a jɛlen don, o ye dimi jugumanba ye kɔnɔbara sanfɛla la dumuni kɛlen kɔfɛ. Nin dimi in ka jugu fo mɔgɔ dɔw bɛ siran dumuni ɲɛ. U yɛrɛ b'a ɲini k'u yɛrɛ tanga dumuni ma siran fɛ ko "ni ne ye dumuni kɛ, dimi bɛ segin ka na."
| Taamaʃyɛn | Cogojirali |
|---|---|
| Kɔnɔdimi | Dimi jugumanba, dimi jugumanba bɛ kɛ kɔnɔbara sanfɛla la, kɛrɛnkɛrɛnnenya la dumuni kɛlen kɔfɛ. |
| Funu funu | A bɛ a ye ko gazi bɛ a la walima ka funu dumuni kɛlen kɔfɛ. |
| Dusukunnata ni fɔɔnɔ | Dumuni nege tɛ a la, kɔnɔboli, ani tuma dɔw la fɔɔnɔ. |
| Kɔnɔboli | Mɔgɔ dɔw fana bɛ se ka kɔnɔboli sɔrɔ. |
| Kisɛya dɔgɔyali kun tɛ | Dumuni siranya ni dumunikɛbaliya bɛ se ka kɛ sababu ye ka mɔgɔ farikolo girinya dɔgɔya ka tɛmɛ kilo 10 kan. |
Mun na nin MALS ninnu bɛ kɛ?
Fɛn dɔnbagaw ma dalilu jɛlen, kɛrɛnkɛrɛnnen sɔrɔ fɔlɔ o ko la, nka hakilina damadɔ bɛ yen.
- Fɛn min bɛ bɔ bange la: Ɲininikɛla dɔw b’a fɔ ko mɔgɔ dɔw bɛ bange ni `Median Arcuate Ligament` ye yɔrɔ jugu la, ka jigin dɔɔni.
- Kun wɛrɛw : Hakilila wɛrɛ bɛ yen min b’a jira ko nin bana in bɛ se ka kɛ kɔnɔbara walima kɔ opereli gɛlɛya ye, walima kɔnɔbara joginni sugu dɔ kɔfɛ.
Gɛlɛya minnu bɛ sɔrɔ bana sɛgɛsɛgɛli kɔfɛ
Nin ye gɛlɛyabaw dɔ ye MALS la. A ka gɛlɛn kosɛbɛ ka bana in dɔn joona. A bɛ se ka kalo caman ta, hali san caman.
O dimi min bɛ senna nin waati bɛɛ kɔnɔ, o sababu la, mɔgɔ caman bɛ ka bin, farikolo ni hakili ta fan fɛ.
- Hakilila gɛlɛyaw: Dimi basigilen bɛ se ka kɛ sababu ye ka bana dɔw lase mɔgɔ ma i n’a fɔ degun .
- Jɔrɔnanko: Ni aw ma se ka aw ka bana sababu sɔrɔ hali ni aw ye sɛgɛsɛgɛli caman kɛ, a ka ca kosɛbɛ ka hami ni siranba sɔrɔ, ka aw yɛrɛ ɲininka ko: “Mun bɛ ne la?”
Dɔgɔtɔrɔ bɛ MALS bana sɛgɛsɛgɛ cogo di?
Aw ka dɔgɔtɔrɔ bɛna aw ka bana taamasiɲɛw lamɛn fɔlɔ ka aw sɛgɛsɛgɛ. Nka i n’a fɔ an y’a ɲɛfɔ cogo min na ka tɛmɛ, bana caman wɛrɛw bɛ yen minnu ka teli ka kɛ, minnu bɛ se ka kɔnɔbara sanfɛla dimi, i n’a fɔ kɔnɔboli, kɔnɔboli, ani kɔnɔbara basigilen.
O la, sani aw ka sigasiga MALS la, dɔgɔtɔrɔ bɛna min kɛ fɔlɔ, o ye ka a lajɛ ni nin bana ninnu dɔ bɛ aw la, ka a lajɛ ni u tɛ aw la kelen kelen.O bɛ sɛgɛsɛgɛli suguya caman de wajibiya.
| Kɔrɔbɔli suguya | Misaliw |
|---|---|
| Joli Sɛgɛsɛgɛliw | - Joli jate dafalen `(CBC)` - Sugunɛ baarakɛcogo sɛgɛsɛgɛliw - `CRP` walima `ESR` sɛgɛsɛgɛliw, minnu bɛ banakisɛ/funu cogoyaw lajɛ farikolo la |
| Jala-sɛgɛsɛgɛliw | - Kɔnɔbara lajɛ - Kɔnɔbara sɛgɛsɛgɛliw `(Upper GI series)` |
| Taabolo kɛrɛnkɛrɛnnenw | - Endoskopi (EGD) . - Kolonoscopie `(Kolonoscopie)` |
| Sɛgɛsɛgɛli kɛrɛnkɛrɛnnenw walasa ka MALS dafa | |
| Ni sɛgɛsɛgɛliw bɛɛ kɛra sababu ye ka bana wɛrɛw bɔ a la, aw bɛ taa kɔnɔboli furakɛla dɔ fɛ. Nin sɛgɛsɛgɛli ninnu dɔ walima u caman bɛ se ka kɛ walasa ka MALS sɛgɛsɛgɛ tigitigi:
| |
MALS furakɛcogo jumɛnw bɛ yen?
Ni a sɔrɔla ko MALS bɛ aw la, furakɛli dɔw bɛ yen minnu bɛ se ka lafiya di aw ma.
1. 1. .Opereli (Ligament arcuate moyenne labɔli):
O furakɛcogo kunba ni min bɛ nɔ bɔ kosɛbɛ, o ye opereli ye. Yan, operelikɛla bɛ `Median Arcuate Ligament` tigɛ ka a bila, o min bɛ joli sira minɛ a nɔ na. O bɛ degun lajɔ joli siraw ni nɛrɛmuguma kan, wa joli bɛ segin ka taa. O bɛ dɛmɛ ka dimi ban pewu.
2. Céliaque Plexus Bloc (Bloki min bɛ wele ko Plexus Céliaque):
Tuma dɔw la, fɛɛrɛ dɔ bɛ yen min bɛ ``Celiac Plexus`` pikiri kɛ nɛrɛmuguma degunnen na walasa ka dimi lafiya waati dɔɔni. O bɛ se ka dimi kunbɛn.
Dɔgɔtɔrɔso jɛkulu min bɛna aw dɛmɛ o la
Ikomi MALS ye bana ye min bɛ farikolo ni hakili ta fan fɛ, dɔgɔtɔrɔ kɛrɛnkɛrɛnnen minnu bɛ bɔ baara suguya caman na, olu bɛ baara kɛ ɲɔgɔn fɛ i n’a fɔ jɛkulu walasa k’aw dɛmɛ.
- Kɔnɔnatumuw: U bɛ baara kɛ fɔlɔ banaw sɛgɛsɛgɛli la.
- Operelikɛlaw (Jɛkulu/Vascular Surgeons): U bɛ opereli kɛ.
- Dimi madali kɛrɛnkɛrɛnnenw : Aw bɛ dɛmɛ don dimi madali la.
- Hakilila-dɔnbagaw: Aw bɛ dɛmɛ don degun, jɔrɔnanko ani degun na min bɛ sɔrɔ bana fɛ.
- Dumunikɛcogo dɔnbagaw : Aw bɛ laadilikanw di farikolojidɛsɛ kɛnɛyako kan ani balocogo ɲuman kan opereli kɔfɛ ani farikolojidɛsɛ waati.
Mun bɛ kɛ furakɛli kɔfɛ? Yala ne ka kan ka taa dɔgɔtɔrɔso la tuguni wa?
Opereli kɔfɛ, a taamasiɲɛw ka teli ka nɔgɔya kosɛbɛ, wa aw bɛ se ka ɲɛnamaya kɛ cogo bɛnnen na.
Nka, a bɛ se ka kɛ ko nin bana in bɛ segin ka kɛ a la ni a man teli ka kɛ. Fɛɛrɛ kɛrɛnkɛrɛnnen tɛ yen min bɛ se ka a bali. Nka, a nafa ka bon ka bana taamasiɲɛw dɔn joona ni u seginna. O la, hakilitigiyako don ka kuma dɔgɔtɔrɔ fɛ ka ɲininkali kɛ a taamasiɲɛ fɔlɔw tun ye mun ye ni gɛlɛya in seginna ka na.
Ni taamasiɲɛw i n’a fɔ kɔnɔdimi jugumanba seginna opereli kɔfɛ, aw bɛ aw ka dɔgɔtɔrɔso jɛkulu ladɔnniya k’a sɔrɔ aw ma mɛn.
Taama min bɛ kɛ ka taa bana sɛgɛsɛgɛli la, o bɛ se ka janya ani ka sɛgɛn. Nka ni aw labanna ka a sababu sɔrɔ ka furakɛli kɛ, aw bɛna lafiyaba sɔrɔ. I bɛna se ka dumuni diyabɔ ni siran tɛ tuguni ani ka i ka ɲɛnamaya kɛ ni nisɔndiya ye.
Take-Home cikan
- MALS ye bana ye min man teli ka kɛ, a bɛ dimi juguman bila kɔnɔbara sanfɛla la dumuni kɛlen kɔfɛ.
- O bɛ Kɛ bari `Median Arcuate Ligament` bɛ `Celiac Artery` ni a ni a ɲɔgɔnna nɛrɛmuguma degun.
- A bɛ se ka waati ta ka sɔrɔ ka bana sɛgɛsɛgɛ, wa a bɛnnen don ka degun sɔrɔ o waati kɔnɔ.
- Nin taamasiɲɛ ninnu tɛ "i hakili dɔrɔn de la"; farikolo sababu lakika b’u la.
- Tuma caman na, opereli bɛ se ka nin bana in furakɛ ka ɲɛ, o bɛ a to i ka se ka ɲɛnamaya kɛ cogo bɛnnen na kokura.
- Ni bana taamasiɲɛw seginna ka na, aw bɛ taa dɔgɔtɔrɔso la joona.











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