Dɔgbo ƒe vevesese le nuɖuɖu vɔ megbe: Mina míaƒo nu tso Median Arcuate Ligament Syndrome (MALS) ŋu .

Ðe nèsea veve wɔnuku aɖe le wò dɔgbo ƒe akpa si le etame le nuɖuɖu vɔ megbea? Ɣeaɖewoɣi la, vevesesea nu sẽna ale gbegbe be èvɔ̃na be yeaɖu nu, alo? Ame geɖe dzea ŋgɔ nuteƒekpɔkpɔ sia. Egbea, míele nu ƒom tso nɔnɔme aɖe si ate ŋu ahe dzesi siawo vɛ ŋu, gake mebɔ boo o.

Nukae nye Median Arcuate Ligament Syndrome (MALS) ƒe dɔléle?

Enyo, eyata nukae nye Median Arcuate Ligament Syndrome? Kpuie ko la, enye nɔnɔme si lãmenugbagbevi aɖe si woyɔna be ‘Median Arcuate Ligament’ si le míaƒe akɔta, si tea ‘Celiac Artery’ , si nye ʋuka gã aɖe si tsɔa ʋu yia míaƒe dɔgbo me, kple ‘Celiac Plexus’ , si nye lãmeka si te ɖe mía ŋu la hena vɛ.

Bu eŋu kpɔ, ‘median arcuate ligament’ sia le abe aɖaka ene. Eƒo xlã míaƒe ‘aorta’ , si nye ʋuka vevitɔ si tsɔa ʋu tso dzia me yia ŋutilã bliboa me. ‘Celiac artery’ nye alɔdze vevi aɖe si dona tso ‘aorta’ sia gbɔ.

Zi geɖe la, ele be ‘median arcuate ligament’ sia nanɔ ‘celiac artery’ tame. Gake le amesi ŋu (MALS) le gome la, lãkusi sia ate ŋu anɔ anyi wu alesi wòle dzɔdzɔmee. Nukae dzɔna ɣemaɣi? Lãmetsi sia tea ‘celiac ʋuka’. Abe ale si ko ne ame aɖe mimi tsido la, tsia dzudzɔa sisi ene la, ʋu si sina toa ʋuka sia me hã gblẽna. Menye ema ɖeɖeko o, ke woate ŋu ami lãmeka siwo te ɖe wo ŋu hã.

Esia tae nèsea veve vevie le wò dɔgbo ƒe akpa si le etame le nuɖuɖu vɔ megbe. Ɣeaɖewoɣi la, vevesesea nu sẽna ale gbegbe be èvɔ̃na be yeaɖu nu le esi nèsusu be magasesẽ ake ta. (MALS) hã woyɔna be:

• (Celiac Ʋukawo ƒe Teteɖeanyi ƒe Dɔléle) .
• (Celiac Axis ƒe Nutete ƒe Dɔléle) .
• (Dunbar Dɔléle) .

Nukae nye (MALS) ƒe dzesiwo?

Azɔ mina míalé ŋku ɖe (MALS) ƒe dzesiwo ŋu. Vevietɔ enye vevesese le ƒodo ƒe akpa si le etame le nuɖuɖu vɔ megbe . Esiae nye dzesi gbãtɔ si dzena. Ame aɖewo gblɔna be vevesese sia nu sẽ ale gbegbe be yewovɔ̃na be yewoaɖu nu, le vɔvɔ̃ be dzesiawo agadze ake ta. Dzesi bubuwo hã li, eye wo dometɔ aɖewoe nye:

• Dɔgbo si vuvu
• Yiyi ɖe dɔgbo me, ema fia aɖuɖɔtoe ((Diarrhea)) .
• Aɖuɖɔtoe kple ʋuʋudedi
• Lolo dzi ɖeɖe kpɔtɔ le susu aɖeke si medze o ta, ɖewohĩ kilogram 20 alo esi wu nenema.

Nukawoe hea (MALS) vɛ?

Eŋutinunyalawo menya nusi tututu hea MALS vɛ haɖe o. Numekula aɖewo gblɔ be wodzia ame aɖewo kple titina ƒe lãkusi si me aɖabɛ le si mewɔ ɖeka o. Ame bubuwo xɔe se be MALS ate ŋu ado mo ɖa abe ƒodo ƒe dɔwɔwɔ, aklãdɔ, alo ƒodo ƒe nuveviwɔame sesẽ ƒe kuxi ene.

Nukawoe nye kuxi siwo ate ŋu ado tso (MALS) me?

Zi geɖe la, womekpɔa amesiwo ŋu MALS le o ɣleti geɖe, ƒe geɖe gɔ̃ hã. Bu eŋu kpɔ, wonɔa agbe kple vevesese atraɖii le ɣeyiɣi ma me. Vevesese sia si yia edzi ate ŋu ahe susu me kuxiwo vɛ. Le kpɔɖeŋu me, blanuiléle . Azɔ hã, ne womekpɔ dɔléle aɖe le ame ŋu o togbɔ be wodoe kpɔ zi geɖe eye atike aɖeke meli o hã la, ate ŋu ana ame natsi dzimaɖi vevie .

Tsɔe be ame aɖe li si ŋkɔe nye Nalini, si ƒe dɔme ɖua nu ɣesiaɣi. Ne eyi ɖɔktawo gbɔ la, wowɔa dodokpɔ ɖeka ɖeka, gake womedea dzesi dɔlélea o. Ame aɖewo gblɔna gɔ̃ hã be, ‘Anye be susu me kuxi aɖe le ŋuwò.’ Ekema aleke gbegbe Nalini anya lé blanui ahatsi dzimaɖii, alo? Nuteƒekpɔkpɔ sia ƒomevi (MALS) ate ŋu abɔ na amesiwo ŋu wòle.

Aleke ɖɔktawo wɔa dea dzesi (MALS)?

Enyo, eyata aleke ɖɔktawo awɔ anya ne MALS le ŋuwò? Ne wò ɖɔkta susui be MALS le ŋuwò la, awɔ atikewɔwɔ ŋutinya bliboa gbã eye emegbe wòado eƒe ŋutilã kpɔ .

Fifia, nɔnɔme geɖe li siwo ate ŋu ana ƒodo ƒe akpa si le etame nase veve. Le kpɔɖeŋu me, ate ŋu anye nusianu tso appendicitis dzi va ɖo gastroparesis dzi va ɖo nɔnɔmewo abe peptic ulcer disease ene dzi. Eyata, wò ɖɔkta aɖe gbe gbã be woawɔ ʋudodokpɔ vovovowo kple nɔnɔmetatawo dodokpɔ be woaɖe nɔnɔme siawo siwo bɔ siwo ate ŋu ahe wò dzesiwo vɛ la ɖa.

Ʋudodokpɔwo

Ðɔktaa ate ŋu aɖe gbe be woawɔ ʋudodokpɔ ɖeka alo esi wu nenema, abe:

• Ʋu Xexlẽme Blibo (CBC) .
• Metabolic Panel si me nyawo katã le
• Aklã ƒe Dɔwɔwɔ Dodokpɔwo
• A (SED rate test) alo (C-reactive protein - CRP test) be woatsɔ akpɔe ɖa be dɔdzẽ le ŋutilãa me hã
• Thyroid dodokpɔ - Esia ateŋu alɔ ʋudodokpɔ kpakple nɔnɔmetata dodokpɔwo ɖe eme.

Nɔnɔmetatawo Ƒe Dodokpɔwo

• Ƒodo ƒe Ultrasound
• Dodokpɔ si wowɔna tsɔ kplɔa dɔgbo suea ɖo
• Upper GI series dodokpɔ

Dodokpɔ ƒe ɖoɖo tɔxɛwo

• Dɔgbomekpɔmɔ̃, si doa dɔgbo gã la kpɔna
• Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, si doa nuɖuɖutome, dɔgbo, kple dɔgbo suea ƒe gɔmedzedze kpɔ
• Nusɔsrɔ̃ tso ʋuʋu ŋu dzidzea alesi nuɖuɖu zɔna kabakaba to nuɖuɖumeŋusẽ me.

Ne dodokpɔ siawo ɖee fia be nɔnɔme siwo bɔ la, wò ɖɔkta ate ŋu aɖo wò ɖe dɔgboŋutinunyala gbɔ be wòawɔ dodokpɔ tɔxɛ bubuwo na wò. Esiawo dometɔ aɖewoe nye:

• Angiogram - Esia léa ŋku ɖe ʋukawo ƒe nɔnɔme ŋu.
• Kɔmpiuta dzi tomography scan ((Computed Tomography - CT scan)) dodokpɔ
• Magnetic resonance imaging (MRI) ƒe fotoɖemɔ̃
• Mesenteric Duplex Ultrasound - Esia koŋ léa ŋku ɖe alesi ʋu sina toa wò celiac ʋuka me ŋu, alo nenye be lãmeka siwo woyɔna be celiac plexus le lãkusi ma mimim.

"Wowɔa dodokpɔ siawo katã be woatsɔ anya nusi tututu kuxia nye. Ɣeaɖewoɣi la, esia ateŋu axɔ ɣeyiɣi aɖe, gake ele vevie be nàgbɔ dzi ɖi vaseɖe esime nàkpɔ dɔlélea nyuie."

Aleke wowɔa atike na (MALS)?

Enyo, fifia si wokpɔ be MALS le ŋuwò la, atike kawoe nye atikeawo? Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàzã ‘celiac plexus block’ be wòakpe ɖe ŋuwò nàɖe wò ƒodo ƒe vevesese dzi akpɔtɔ. Esia le abe atike si wodo ɖe lãmeka si le veve sem la me ene, si wɔnɛ be lãmeka aɖewo megawɔa dɔ o hena ɣeyiɣi aɖe eye wòɖea vevesesea dzi kpɔtɔna.

Tsɔ kpe ɖe eŋu la, atikewɔwɔ vevitɔe nye amekoko si woyɔna be ‘median arcuate ligament release’ . Amekoko sia bia be woalã lãkusi si le sesẽm la ahaɖee ɖa alo aɖee ɖa. Esia ɖea nyaƒoɖeamenu si le ‘celiac ʋuka’ kple lãmekawo dzi la dzi kpɔtɔna. Le amekoko sia megbe la, ʋu ga sina toa ‘celiac ʋuka’ me, eye nyaƒoɖeamenu si le lãmekawo ŋu hã dzi ɖena kpɔtɔna.

Atikewɔlawo ƒe ƒuƒoƒo si daa dɔ na (MALS) .

(MALS) nye dɔléle si mebɔ kura o. Eye esi wònye be ate ŋu ahe ŋutilã kple susu siaa ƒe lãmesẽkuxiwo vɛ ta la, anɔ eme be eŋutinunyalawo ƒe ƒuƒoƒo aɖe li si akpe ɖe ŋuwò. Esiawo ate ŋu anye:

• Dɔgboŋutinunyalawo (dɔgbomedɔŋutinunyala bibiwo) .
• Amekola Gãwo
• Ʋukawo ƒe Amekolawo
• Vevesesenutsitikeŋutinunyalawo
• Tagbɔdɔdalawo alo susuŋutinunyalawo
• Nuɖuɖuŋutinunyalawo

Ame siawo katã le dɔ wɔm ɖekae be yewoana gbɔdzɔe mi. Bu eŋu kpɔ, wo dometɔ ɖesiaɖe le kpekpem ɖe ŋuwò le wò kuxia me le mɔ bubu nu.

Nu ka ƒomevie woate ŋu akpɔ mɔ na ne (MALS) li?

Le amekoko megbe la, zi geɖe la, dzesiawo nu yina. Nyateƒee. Gake numekuku aɖewo ɖee fia be le amekoko vɔ megbe gɔ̃ hã la, Median Arcuate Ligament Syndrome (MALS) ate ŋu agadzɔ ake. Naneke meli míate ŋu awɔ be wòagadzɔ o. However, it's important to be aware of other changes in your body that could be signs that MALS is coming back.. Bia wò ɖɔkta be nukae nye dzesi gbãtɔ siawo hã. Aɖe nu siwo ŋu wòle be nàlé ŋku ɖo la me na wò.

Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo?

Míegblɔ be MALS ƒe dzesiwo ate ŋu agadze le amekoko vɔ megbe gɔ̃ hã. Ne edzɔ alea la, ele be nàna wò atikewɔlawo nanya godoo.

Bu eŋu kpɔ, ènya be nane gblẽ le wò dɔgbo ŋu. Èsea veve si womate ŋu ado dzi atsɔ o le wò dɔgbo ƒe akpa si le etame le nuɖuɖu ɖesiaɖe megbe. Gake togbɔ be wonɔ dodokpɔ wɔm atraɖii hã la, mète ŋu nya nusi nye kuxia alo atike si woatsɔ adae o. Ðewohĩ èse gɔ̃ hã be susu me kuxi aɖe gbɔe dzesi siawo tsona tsɔ wu be ŋutilã me kuxi aɖe gbɔe wòtsona. Le ɣeyiɣi sia tɔgbe me la, ne èse be nɔnɔme sia si mebɔ o (Median Arcuate Ligament Syndrome) gbɔe wò dzesiawo tsona la, àse le ɖokuiwò me be yeƒe dzi dze eme ŋutɔ, alo?

Nusi nyo wue nye be atikewɔmɔnu aɖewo li siwo akpe ɖe ŋuwò nàɖe wò vevesesea dzi akpɔtɔ. Ðewohĩ wò ɖɔkta aɖo aɖaŋu be nàwɔ dɔ na wò. Ne dɔlélea nye MALS la, wò atikewɔlawo ƒe ƒuƒoƒoa aɖo aɖaŋu na wò be wòakpe ɖe ŋuwò nàgase vivi na nuɖuɖu kple agbe ake.

Nu vevitɔ kekeake siwo dzi wòle be míaɖo ŋkui tso ŋutinya sia mee nye

• Vevesese sesẽ le ƒodo ƒe akpa si le etame le nuɖuɖu vɔ megbe ate ŋu anye MALS ƒe dzesi vevi aɖe.
• Esia dzɔna elabena ‘median arcuate ligament’ tea ‘celiac artery’ kple lãmeka siwo do ƒome kplii.
• Ele be woawɔ dodokpɔ geɖe hafi anya dɔlélea, elabena esia nye nɔnɔme si mebɔ kura o eye ele be woagbe dɔléle bubu siwo bɔ.
• Dɔdamɔnu vevitɔe nye amekoko, gake vevesese ƒe atike bubuwo li, abe celiac plexus block ene.
• Ne dzesiawo gadze le atikewɔwɔ vɔ megbe la, ele vevie ŋutɔ be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo kaba.
• Agbenɔnɔ kple nɔnɔme sia sesẽ, eyata seselelãme ƒe kpekpeɖeŋu hã le vevie ŋutɔ . Ðo ŋku edzi be menye wò ɖeka koe o. Wò ɖɔktawo, wò ƒometɔwo, kple xɔ̃wòwo akpe ɖe ŋuwò le mɔzɔzɔ sia me.

` Median Arcuate Ligament Syndrome, MALS, Ƒodo ƒe Vevesese, Vevesese le Nuɖuɖu vɔ megbe, Celiac Artery, Amekoko, Nuɖuɖumeŋusẽ