Kɔnɔdimi dumuni kɛlen kɔfɛ: An ka kuma Median Arcuate Ligament Syndrome (MALS) kan.

Yala dimi kabakoma dɔ bɛ aw kɔnɔbara sanfɛla la dumuni kɛlen kɔfɛ wa? Tuma dɔw la, dimi ka jugu fo i bɛ siran dumuni ɲɛ, tiɲɛ tɛ? Mɔgɔ caman bɛ o ko de kunbɛn. Bi, an bɛna kuma bana dɔ kan min bɛ se ka nin taamasiɲɛ ninnu bila mɔgɔ la, nka a man ca kosɛbɛ.

Syndrome de ligament arcué médian (MALS) ye mun ye?

O bɛ ɲɛ, o tuma na fɛ, Syndrome de ligament arcué médiane ye mun ye? N’an y’a fɔ cogo nɔgɔman na, o ye bana ye min bɛ sɔrɔ farikolo yɔrɔ dɔ fɛ min bɛ wele ko ‘Median Arcuate Ligament’ an disi la, ka digi ‘Celiac Artery’ kan, o ye joli siraba belebele ye min bɛ joli ta ka taa an kɔnɔbara la, ani ‘Celiac Plexus’ , n’o ye farikolojidɛsɛ ye min bɛ an kɛrɛfɛ.

Miiri k’a filɛ, nin ‘ligament arcué médian’ in bɛ i n’a fɔ arc. A bɛ an ka ‘aorta’ lamini na, o ye joli siraba ye min bɛ joli ta ka bɔ dusukun na ka taa farikolo bɛɛ la. ‘Artery celiac’ ye bolo nafama ye min bɛ bɔ nin ‘aorta’ in na.

A ka ca a la, nin ‘ligament arcué médian’ in ka kan ka kɛ ‘artérie céliaque’ sanfɛ. Nka (MALS) bɛ mɔgɔ min na, o sɔgɔsɔgɔninjɛ bɛ se ka kɛ duguma ka tɛmɛ a cogo kɔrɔ kan. Mun bɛ kɛ o tuma na? O sɔgɔsɔgɔninjɛ bɛ ‘seliyaki joli sira’ degun. I n’a fɔ ni mɔgɔ dɔ ye jibolisira dɔ digidigi cogo min na, ji bɛ woyo dabila cogo min na, joli min bɛ tɛmɛ o joli sira fɛ, o bɛ tiɲɛ. O dɔrɔn tɛ, nka nɛrɛ minnu bɛ kɛrɛfɛ, olu fana bɛ se ka degun.

O de kama aw bɛ dimi jugumanba sɔrɔ aw kɔnɔbara sanfɛla la dumuni kɛlen kɔfɛ. Tuma dɔw la, dimi bɛ juguya fo aw bɛ siran ka dumuni kɛ barisa aw b’a miiri ko a bɛna gɛlɛya tuguni. (MALS) bɛ wele fana ko:

• (Syndrome de compression de l’artérie céliaque) .
• (Syndrome de compression d’axe céliaque) .
• (Dunbar ka bana) .

(MALS) taamasiɲɛw ye jumɛnw ye?

Sisan an ka (MALS) taamasiɲɛw lajɛ. a kunba ye dimi ye kɔnɔbara sanfɛla la dumuni kɛlen kɔfɛ . Nin ye taamasiɲɛ fɔlɔ ye min bɛ ye. Mɔgɔ dɔw b’a fɔ ko nin dimi in ka jugu fo u bɛ siran dumuni ɲɛ, k’a sababu kɛ siran ye ko a taamasiɲɛw bɛna bɔ kokura. Taamasiɲɛ wɛrɛw bɛ yen, dɔw ye:

• Kɔnɔbara bɛ funu
• Ka taa kɔnɔbara la, o kɔrɔ ye kɔnɔboli ((Kɔnɔboli)) .
• Dusukunnata ni fɔɔnɔ
• Kisɛya dɔgɔyali kun ɲɛnama tɛ, laala kilo 20 walima ka tɛmɛ o kan.

(MALS) sababuw ye mun ye?

Hali bi, dɔnnikɛlaw t’a dɔn tigitigi fɛn min bɛ MALS bila mɔgɔ la. Ɲininikɛla dɔw b’a fɔ ko mɔgɔ dɔw bɛ bange ni ligament arcuate median arcuate (ligament arcué médian) ye min tɛ cogo la. Dɔ wɛrɛw dalen b’a la ko MALS bɛ se ka kɛ gɛlɛya ye min bɛ sɔrɔ kɔnɔbara opereli fɛ, kɔkolo opereli fɛ, walima kɔnɔbara joginni juguman fɛ.

Gɛlɛya jumɛnw bɛ se ka sɔrɔ (MALS) la?

Tuma caman na, MALS bɛ mɔgɔ minnu na, olu tɛ sɔrɔ kalo caman kɔnɔ, hali san caman kɔnɔ. Miiri k’a filɛ, u bɛ balo ni dimi basigilen ye o waati kɔnɔ. O dimi min bɛ to sen na, o bɛ se ka kɛ sababu ye ka hakili kɛnɛya gɛlɛyaw lase mɔgɔ ma. Misali la, degun . Ani fana, ni bana sɛgɛsɛgɛli ma kɛ hali ni sɛgɛsɛgɛli caman kɛra ani ni furakɛli ma sɔrɔ, o bɛ se ka jɔrɔnankoba lase mɔgɔ ma .

Miiri k’a filɛ, mɔgɔ dɔ bɛ yen min tɔgɔ ye ko Nalini, kɔnɔdimi bɛ a la tuma o tuma n’a bɛ dumuni kɛ. Ni a taara dɔgɔtɔrɔw fɛ, u bɛ sɛgɛsɛgɛli kɛ kelen kɔfɛ, nka bana tɛ ye. Dɔw yɛrɛ b’a fɔ ko: ‘Hakili gɛlɛya ka kan ka kɛ i la.’ O tuma na fɛ, Nalini ka kan ka dusukasi ni jɔrɔ cogo di, tiɲɛ tɛ? Nin ko sugu (MALS) bɛ se ka kɛ a bɛ mɔgɔ minnu na.

Dɔgɔtɔrɔw bɛ bana (MALS) sɛgɛsɛgɛ cogo di?

O bɛ ɲɛ, o tuma na fɛ, dɔgɔtɔrɔw bɛ a dɔn cogo di ni MALS bɛ i la? Ni dɔgɔtɔrɔ bɛ sigasiga ko MALS bɛ i la, a bɛna fɔlɔ ka furakɛli tariku dafalen kɛ ka sɔrɔ ka farikolo sɛgɛsɛgɛli kɛ .

Sisan, bana caman bɛ yen minnu bɛ se ka kɔnɔbara sanfɛla dimi. Misali la, a bɛ se ka kɛ fɛn o fɛn ye k’a ta kɔnɔbara basigilen na ka taa a bila kɔnɔboli la ka taa a bila banaw la i n’a fɔ kɔnɔbolibana. O la, aw ka dɔgɔtɔrɔ bɛna fɔlɔ ka yamaruya di joli sɛgɛsɛgɛli ni ja sɛgɛsɛgɛli suguya caman ma walasa ka nin bana ninnu bɔ kɛnɛ kan minnu bɛ se ka kɛ sababu ye ka aw ka bana taamasiɲɛw kɛ.

Joli Sɛgɛsɛgɛliw

Dɔgɔtɔrɔ bɛ se ka yamaruya di ka joli sɛgɛsɛgɛli kelen walima caman kɛ, i n’a fɔ:

• Joli jate dafalen (CBC) .
• Panneau Metabolique Complète
• Sugunɛ baarakɛcogo sɛgɛsɛgɛliw
• A (SED rate test) walima (C-reactive protein - CRP test) walasa ka funu lajɛ farikolo la
• Thyroïde sɛgɛsɛgɛli - O bɛ se ka kɛ joli sɛgɛsɛgɛli ye ka fara ja sɛgɛsɛgɛli kan.

Jala-sɛgɛsɛgɛliw

• Kɔnɔbara la Ultrason
• Banakɔtaa fitini tuguni sɛgɛsɛgɛli
• Sanfɛ GI seriyali sɛgɛsɛgɛli

Kɔrɔbɔli kɛcogo kɛrɛnkɛrɛnnenw

• Kolosinsinnan, min bɛ banakɔtaa sɛgɛsɛgɛ
• Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, o bɛ dumunikɛminɛn, kɔnɔbara ani banakɔtaa daminɛ sɛgɛsɛgɛ
• Lamaga-lamagali kalanw bɛ dumuni bɛ taa teliya cogo min na dumunikɛminɛnw fɛ, o jateminɛ.

Ni nin sɛgɛsɛgɛliw y’a jira ko bana minnu ka teli ka sɔrɔ, aw ka dɔgɔtɔrɔ bɛ se ka aw bila kɔnɔboli dɔgɔtɔrɔso la walasa ka sɛgɛsɛgɛli kɛrɛnkɛrɛnnen wɛrɛw kɛ. Olu dɔw ye ninnu ye:

• Angiogramme - O bɛ joli siraw cogoya lajɛ.
• Tomografiya sɛgɛsɛgɛli ((Computé Tomography - CT scan)) sɛgɛsɛgɛli
• Sɛgɛsɛgɛli min bɛ kɛ ni magɛnni ye (MRI).
• Mesenteric Duplex Ultrasound - O bɛ kɛrɛnkɛrɛnnenya la a lajɛ joli bɛ tɛmɛ i ka celiac artery fɛ cogo min na, walima ni nɛrɛ minnu bɛ wele ko celiac plexus, olu bɛ ka digidigi o ligament fɛ.

"Nin sɛgɛsɛgɛli ninnu bɛɛ bɛ kɛ walasa ka gɛlɛya in dɔn tigitigi. Tuma dɔw la, o bɛ se ka waati dɔ ta, nka a nafa ka bon ka muɲu fo ka se ka sɛgɛsɛgɛli ɲuman sɔrɔ."

(MALS) bɛ furakɛ cogo di?

O bɛ ɲɛ, sisan, a sɔrɔla ko MALS bɛ i la, furakɛli jumɛnw bɛ kɛ? Aw ka dɔgɔtɔrɔ bɛ se ka ‘cellac plexus block’ fɔ aw ye walasa ka aw dɛmɛ ka aw kɔnɔdimi nɔgɔya. O bɛ i n’a fɔ pikiri kɛli dimi fan fɛ, ka farikolo yɔrɔ dɔw bali waati dɔɔni ani ka dɔ bɔ dimi na.

Ka fara o kan, furakɛli kunba ye opereli ye min bɛ wele ko ‘median arcuate ligament release’ . O opereli in bɛ kɛ ni sɔgɔsɔgɔninjɛ sirilen tigɛcogo ni a bɔli ye walima a lajɔli ye. O bɛ degun lajɔ ‘celiac artery’ ni nɛrɛmuguma kan. O opereli kɔfɛ, joli bɛ tɛmɛ ‘celiac artery’ fɛ, wa degun min bɛ nɛrɛmuguma kan, o fana bɛ lajɔ.

Dɔgɔtɔrɔso jɛkulu min bɛ (MALS) furakɛ .

(MALS) ye bana ye min man teli ka sɔrɔ. Wa, ikomi a bɛ se ka farikolo ni hakili gɛlɛyaw lase mɔgɔ ma, a ka c’a la, dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw ka kulu dɔ bɛ yen minnu bɛna aw dɛmɛ. Olu bɛ se ka kɛ ninnu ye:

• Kɔnɔbaralabana dɔgɔtɔrɔw (kɔnɔnabana kɛrɛnkɛrɛnnenw) .
• Opereli Généraux (Opereli Général) ka baarakɛlaw
• Joli-sira-funu-kɛla minnu bɛ baara kɛ
• Dimi kunbɛnni kɛrɛnkɛrɛnnenw
• Hakilila-dɔgɔtɔrɔw walima hakili-la-dɔnbagaw
• Dumunikɛcogo dɔnbagaw

O mɔgɔw bɛɛ bɛ ka baara kɛ ɲɔgɔn fɛ walasa ka lafiya di aw ma. Miiri k’a filɛ, u kelen-kelen bɛɛ b’i dɛmɛ i ka gɛlɛya la cogo wɛrɛ la.

Fɛn sugu jumɛnw bɛ se ka makɔnɔ ni (MALS) bɛ yen?

Opereli kɔfɛ, a taamasiɲɛw ka teli ka ban. O ye tiɲɛ ye. Nka, ɲinini dɔw y’a jira ko hali opereli kɔfɛ, bana min bɛ wele ko Median Arcuate Ligament Syndrome (MALS) bɛ se ka segin a kan. Foyi t'an bolo ka o bali. Nka, a nafa ka bon ka fɛn wɛrɛw dɔn aw farikolo la minnu bɛ se ka kɛ taamasiɲɛw ye minnu b’a jira ko MALS bɛ segin ka na.. Aw bɛ dɔgɔtɔrɔ ɲininka nin taamasiɲɛ fɔlɔ ninnu ye mun ye. A bɛna a ɲɛfɔ i ye i ka kan ka i janto min na.

Tuma jumɛn na i ka kan ka dɔgɔtɔrɔ ka laadilikan ɲini?

An y’a fɔ ko MALS taamasiɲɛw bɛ se ka segin ka kɛ hali opereli kɔfɛ. N’o kɛra, siga t’a la, aw ka kan ka aw ka dɔgɔtɔrɔso jɛkulu ladɔnniya.

Miiri k’a filɛ, i b’a dɔn ko fɛn dɔ bɛ i kɔnɔbara la. Aw bɛ dimi sɔrɔ aw kɔnɔbara sanfɛla la min tɛ se ka muɲu dumuni bɛɛ kɔfɛ. Nka hali ni aw bɛ to ka sɛgɛsɛgɛli kɛ, aw ma se k’a dɔn gɛlɛya ye min ye walima a furakɛcogo ye min ye. N’a sɔrɔ aw yɛrɛ y’a mɛn ko nin taamasiɲɛ ninnu bɛ sɔrɔ hakili ta fan fɛ gɛlɛya dɔ fɛ sanni ka sɔrɔ farikolo ta fan fɛ. Nin waati in ɲɔgɔn na, n’i y’a dɔn ko nin bana in min man teli ka sɔrɔ (Syndrome de ligament arcué médian) de ye i ka bana taamasiɲɛw sababu ye, i bɛna lafiyaba sɔrɔ, tiɲɛ tɛ?

Min ka fisa yɛrɛ, furakɛli dɔw bɛ yen minnu bɛ aw dɛmɛ ka aw ka dimi nɔgɔya. Aw ka dɔgɔtɔrɔ bɛ se ka opereli fɔ aw ye. Ni bana sɛgɛsɛgɛli ye MALS ye, aw ka dɔgɔtɔrɔso jɛkulu bɛna furakɛli ɲuman fɔ aw ye walasa ka aw dɛmɛ ka dumuni ni ɲɛnamaya diyabɔ kokura.

Fɛn minnu nafa ka bon kosɛbɛ, an ka kan ka minnu to an hakili la nin maana in kɔnɔ, olu ye

• Dimi jugumanba bɛ kɛ kɔnɔbara sanfɛla la dumuni kɛlen kɔfɛ, o bɛ se ka kɛ MALS taamasiɲɛ jɔnjɔn ye.
• O bɛ kɛ barisa ‘ligament arcué médian’ bɛ ‘artérie céliaque’ ni a ni a ɲɔgɔnna nɛrɛmuguma degun.
• Sɛgɛsɛgɛli caman ka kan ka kɛ walasa ka bana sɛgɛsɛgɛ, barisa nin ye bana ye min man teli ka kɛ, wa bana wɛrɛw ka kan ka ban.
• Furakɛli kunba ye opereli ye, nka dimi furakɛcogo wɛrɛw bɛ yen, i n’a fɔ celiac plexus block.
• Ni bana taamasiɲɛw seginna ka kɛ furakɛli kɔfɛ, a nafa ka bon kosɛbɛ ka dɔgɔtɔrɔso laadilikan ɲini k’a sɔrɔ aw ma mɛn.
• Ka ɲɛnamaya kɛ ni nin bana in ye, o ka gɛlɛn, o la dusukunnataw ta fan fɛ dɛmɛ fana nafa ka bon kosɛbɛ . I hakili to a la ko i kelen tɛ. Aw ka dɔgɔtɔrɔw, aw somɔgɔw ani aw teriw bɛna aw dɛmɛ nin taama in na.

` Syndrome de ligament arcué médian, MALS, Kɔnɔdimi, Dimi Dumuni kɔfɛ, Seliyaki, Opereli, Dumunikɛcogo