ʻEha ʻōpū ma hope o ka ʻai ʻana: E kamaʻilio kākou e pili ana i ka Median Arcuate Ligament Syndrome (MALS)

Ke manaʻo nei ʻoe i kahi ʻeha ʻē ma kou ʻōpū o luna ma hope o ka ʻai ʻana? I kekahi manawa ua nui loa ka ʻeha a makaʻu ʻoe e ʻai, ʻeā? Nui ka poʻe e kū nei i kēia ʻike. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hiki ai ke hoʻoulu i kēia mau hōʻailona, ​​​​akā ʻaʻole ia he mea maʻamau.

He aha ka Median Arcuate Ligament Syndrome (MALS)?

ʻAe, he aha ka Median Arcuate Ligament Syndrome? I ka ʻōlelo maʻalahi, he ʻano ia i hoʻokumu ʻia e kahi ʻiʻo i kapa ʻia ʻo 'Median Arcuate Ligament' i loko o ko kākou umauma, e kaomi ana i ka 'Celiac Artery' , kahi kīʻaha koko nui e lawe ana i ke koko i ko kākou ʻōpū, a me ka 'Celiac Plexus' , kahi ʻōnaehana nerve kokoke.

E noʻonoʻo, ua like kēia 'median arcuate ligament' me kahi ʻāʻī. Aia ia a puni ko kākou 'aorta' , ke kīʻaha koko nui e lawe ana i ke koko mai ka puʻuwai a i ke kino holoʻokoʻa. ʻO ke 'celiac artery' kahi lālā koʻikoʻi e lālā ana mai kēia 'aorta'.

ʻO ka maʻamau, pono kēia 'median arcuate ligament' ma luna o ke 'celiac artery'. Akā i loko o kekahi me (MALS), hiki ke waiho ʻia kēia ligament ma lalo o ka maʻamau. He aha ka mea e hana ai? Hoʻopaʻa kēia ligament i ka 'celiac artery'. E like me ka wā e ʻomi ai kekahi i kahi paipu wai, pau ke kahe ʻana o ka wai, ua hoʻopilikia ʻia ke kahe ʻana o ke koko ma o kēia kīʻaha koko. ʻAʻole wale kēlā, akā hiki ke hoʻopaʻa ʻia nā aʻalolo kokoke.

ʻO kēia ke kumu e loaʻa ai iā ʻoe ka ʻeha nui ma kou ʻōpū luna ma hope o ka ʻai ʻana. I kekahi manawa ua koʻikoʻi loa ka ʻeha a makaʻu ʻoe e ʻai no ka mea ke manaʻo nei ʻoe e paʻakikī hou. (MALS) ua kapa ʻia hoʻi:

• (Celiac Artery Compression Syndrome)
• (Celiac Axis Compression Syndrome)
• (Maʻi Dunbar)

He aha nā hōʻailona o (MALS)?

I kēia manawa, e nānā kākou i nā hōʻailona o (MALS). ʻO ka mea nui ka ʻeha ma ka ʻōpū o luna ma hope o ka ʻai ʻana . ʻO kēia ka hōʻailona mua e ʻike ʻia. Wahi a kekahi poʻe ua koʻikoʻi loa kēia ʻeha a makaʻu lākou i ka ʻai ʻana, no ka makaʻu e ʻike hou ʻia nā hōʻailona. Aia kekahi mau hōʻailona ʻē aʻe, ʻo kekahi o ia mau mea:

• ʻŌpū pehu
• Ke hele nei i ka ʻōpū, ʻo ia hoʻi ka maʻi diarrhea ((Diarrhea))
• Ka luaʻi a me ka luaʻi
• ʻO ka pohō kaumaha me ke kumu ʻole, malia paha he 20 paona a ʻoi aʻe paha.

He aha nā kumu o (MALS)?

ʻAʻole maopopo loa i nā loea ke kumu o MALS. Wahi a kekahi poʻe noiʻi ua hānau ʻia kekahi poʻe me kahi ligament median arcuate i hana ʻia ma ke ʻano ʻē. Manaʻo kekahi poʻe hiki i ka MALS ke ulu ma ke ʻano he pilikia o ke ʻoki ʻana o ka ʻōpū, ke ʻoki ʻana o ka iwi kuamoʻo, a i ʻole ka ʻeha nui o ka ʻōpū.

He aha nā pilikia e hiki mai ana o (MALS)?

I ka manawa pinepine, ʻaʻole ʻike ʻia ka maʻi o ka poʻe me MALS no nā mahina, a hiki i nā makahiki. E noʻonoʻo, ke ola nei lākou me ka ʻeha mau loa i loko o ia manawa. Hiki i kēia ʻeha mau ke alakaʻi i nā pilikia olakino noʻonoʻo. No ka laʻana, ke kaumaha . Eia kekahi, ke hana ʻole ʻia kahi hōʻailona me ka nānā ʻole i nā hoʻokolohua he nui a ʻaʻohe lāʻau lapaʻau i loaʻa, hiki iā ia ke hoʻoulu i ka hopohopo nui.

E noʻonoʻo aia kekahi kanaka i kapa ʻia ʻo Nalini, nona ka ʻōpū ʻeha i kēlā me kēia manawa āna e ʻai ai. Ke hele ʻo ia i nā kauka, hana lākou i hoʻokahi hoʻāʻo ma hope o kekahi, akā ʻaʻole ʻike ʻia ka maʻi. ʻŌlelo kekahi, 'He pilikia noʻonoʻo kou.' A laila pehea ke kaumaha a me ka hopohopo o Nalini, ʻeā? Hiki i kēia ʻano ʻike (MALS) ke lilo i mea maʻamau no ka poʻe me ia.

Pehea e hōʻike ai nā kauka i ka maʻi (MALS)?

ʻAe, pehea lā e ʻike ai nā kauka inā he MALS kou? Inā kānalua kāu kauka he MALS kou, e lawe mua ʻo ia i kahi mōʻaukala lapaʻau piha a laila e hana i kahi hoʻokolokolo kino .

I kēia manawa, nui nā maʻi e hiki ai ke hōʻeha i ka ʻōpū o luna. No ka laʻana, hiki ke lilo i kekahi mea mai ka appendicitis a i ka gastroparesis a i nā maʻi e like me ka maʻi ʻōpū peptic. No laila, e kauoha mua kāu kauka i nā hoʻokolohua koko like ʻole a me nā hoʻokolohua kiʻi e kāpae i kēia mau maʻi maʻamau e hiki ke hoʻoulu i kāu mau hōʻailona.

Nā hoʻāʻo koko

Hiki i ke kauka ke kauoha i hoʻokahi a ʻoi aku paha mau hoʻāʻo koko, e like me:

• Helu Koko Piha (CBC)
• Papa Hana Metabolic Piha
• Nā Hoʻāʻo Hana Ake
• A (hoʻāʻo helu SED) a i ʻole (hoʻāʻo C-reactive protein - CRP) e nānā no ka mumū i loko o ke kino
• Nā hoʻokolohua thyroid - Hiki i kēia ke komo pū me nā hoʻokolohua koko a me nā hoʻokolohua kiʻi.

Nā Hoʻāʻo Kiʻi

• Ultrasound ʻōpū
• He hoʻāʻo hahai ʻana i ka ʻōpū liʻiliʻi
• Hoʻokolohua moʻo GI kiʻekiʻe

Nā kaʻina hana hoʻāʻo kūikawā

• ʻO kahi colonoscopy, kahi e nānā ai i ka ʻōpū nui
• ʻO ka Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, kahi e nānā ai i ka esophagus, ka ʻōpū, a me ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi
• Hoʻopaʻa nā haʻawina motility i ka wikiwiki o ka neʻe ʻana o ka meaʻai ma o ka ʻōnaehana hoʻoheheʻe.

Inā hōʻole kēia mau hoʻokolohua i nā kūlana maʻamau, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi gastroenterologist no nā hoʻokolohua kūikawā hou aku. ʻO kekahi o kēia mau mea:

• Angiogram - Nānā kēia i ke kūlana o nā kīʻaha koko.
• He hoʻokolokolo ʻana i ka tomography scan ((Computed Tomography - CT scan))
• ʻO ke kiʻi ʻana i ka resonance magnetic (MRI)
• ʻO Mesenteric Duplex Ultrasound - Ke nānā pono nei kēia i ke kahe ʻana o ke koko ma o kou aʻa celiac, a i ʻole inā e ʻomi ʻia nā aʻalolo i kapa ʻia ʻo celiac plexus e kēlā ligament.

"Hana ʻia kēia mau hoʻokolohua a pau e ʻike pono ai i ke kumu o ka pilikia. I kekahi manawa hiki ke lōʻihi kēia, akā he mea nui e hoʻomanawanui a hiki i ka loaʻa ʻana o ka hōʻailona kūpono."

Pehea e mālama ʻia ai (MALS)?

ʻAe, i kēia manawa ua ʻike ʻia ʻoe me MALS, he aha nā lāʻau lapaʻau? Hiki i kāu kauka ke ʻōlelo aku i kahi 'celiac plexus block' e kōkua i ka hōʻoluʻolu ʻana i kou ʻeha ʻōpū. Ua like kēia me kahi inikini i loko o ke aʻalolo ʻeha, e hoʻopau ana i kekahi o nā aʻalolo a hoʻemi i ka ʻeha.

Eia kekahi, ʻo ka lāʻau lapaʻau nui he ʻoki kino i kapa ʻia ʻo 'median arcuate ligament release' . ʻO kēia ʻoki kino e pili ana i ka ʻoki ʻana a me ka wehe ʻana a i ʻole ka wehe ʻana i ka ligament paʻa. Hoʻomaha kēia i ke kaomi ma luna o ke 'celiac artery' a me nā aʻalolo. Ma hope o kēia ʻoki kino, hoʻihoʻi ʻia ke kahe koko ma o ke 'celiac artery', a hoʻomaha ʻia hoʻi ke kaomi ma luna o nā aʻalolo.

ʻO ka hui lapaʻau e mālama ana (MALS)

He ʻano maʻamau ʻole ka (MALS). A no ka mea hiki iā ia ke hoʻopilikia i ke olakino kino a me ka noʻonoʻo, aia paha he hui o nā loea e kōkua iā ʻoe. Hiki i kēia mau mea ke komo pū me:

• Nā Gastroenterologists (nā loea i nā maʻi gastrointestinal)
• Nā Kauka Lapaʻau Nui
• Nā Kauka Lapaʻau Vascular
• Nā loea hoʻokele ʻeha
• Nā kauka noʻonoʻo a i ʻole nā ​​​​​​mea noʻonoʻo
• Nā mea lapaʻau meaʻai

Ke hana pū nei kēia poʻe a pau e hāʻawi iā ʻoe i ka hōʻoluʻolu. E noʻonoʻo, ke kōkua nei kēlā me kēia iā ʻoe me kāu pilikia ma ke ʻano ʻokoʻa.

He aha ke ʻano o nā mea e hiki ke manaʻo ʻia inā aia (MALS)?

Ma hope o ke ʻoki ʻana, nalowale pinepine nā hōʻailona. He ʻoiaʻiʻo kēlā. Eia nō naʻe, ua hōʻike kekahi mau noiʻi ʻoiai ma hope o ke ʻoki ʻana, hiki i ka Median Arcuate Ligament Syndrome (MALS) ke hoʻi hou mai. ʻAʻohe mea hiki iā mākou ke hana e pale aku ai i kona hiki ʻana mai. Eia nō naʻe, he mea nui e makaʻala i nā loli ʻē aʻe i kou kino e hiki ke lilo i mau hōʻailona e hoʻi mai ana ka MALS.E nīnau i kāu kauka i kēia mau hōʻailona mua. E wehewehe ʻo ia iā ʻoe i ka mea e makaʻala ai.

Āhea ʻoe e ʻimi ai i ke aʻo lapaʻau?

Ua ʻōlelo mākou e hiki ke hoʻi hou mai nā hōʻailona MALS ma hope o ke ʻoki ʻana. Inā hana ʻia kēlā, pono ʻoe e hoʻomaopopo i kāu hui lapaʻau.

E noʻonoʻo, ua ʻike ʻoe he hewa kekahi mea me kou ʻōpū. Loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ma ka ʻaoʻao o luna o kou ʻōpū ma hope o kēlā me kēia ʻai. Akā, ʻoiai ke hoʻāʻo mau ʻia nei, ʻaʻole ʻoe i ʻike i ke ʻano o ka pilikia a i ʻole ke ʻano o ka lāʻau lapaʻau no ia mea. Ua lohe paha ʻoe ua hoʻokumu ʻia kēia mau hōʻailona e kahi pilikia noʻonoʻo ma mua o ke kino. I kahi manawa e like me kēia, ke ʻike ʻoe ʻo kēia maʻi laha ʻole (Median Arcuate Ligament Syndrome) ke kumu o kāu mau hōʻailona, ​​e ʻike ʻoe i kahi manaʻo nui o ka hōʻoluʻolu, ʻeā?

ʻOi aku ka maikaʻi, aia nā lāʻau lapaʻau e kōkua i ka hōʻoluʻolu ʻana i kou ʻeha. Hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. Inā ʻo MALS ka hōʻailona, ​​​​e ʻōlelo aku kāu hui lapaʻau i ka lāʻau kūpono nou e kōkua iā ʻoe e hauʻoli hou i ka meaʻai a me ke ola.

ʻO nā mea nui a mākou e hoʻomanaʻo ai mai kēia moʻolelo, ʻo ia

• ʻO ka ʻeha nui ma ka ʻōpū o luna ma hope o ka ʻai ʻana he hōʻailona koʻikoʻi ia o MALS.
• Hana ʻia kēia ma muli o ke kaomi ʻana o ka 'median arcuate ligament' i ka 'celiac artery' a me kona mau aʻalolo pili.
• Pono e hana ʻia kekahi mau hoʻokolohua e hana i kahi hōʻoia, no ka mea, he ʻano laha ʻole kēia a pono e kāpae ʻia nā maʻi maʻamau ʻē aʻe.
• ʻO ke ʻoki ʻana ka lāʻau lapaʻau nui, akā aia kekahi mau lāʻau ʻē aʻe no ka ʻeha, e like me ka poloka celiac plexus.
• Inā hoʻi mai nā hōʻailona ma hope o ka mālama ʻana, he mea nui loa e ʻimi koke i ke kōkua lapaʻau.
• He paʻakikī ke ola ʻana me kēia maʻi, no laila he mea nui loa ke kākoʻo naʻau . E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. E kōkua kāu mau kauka, ʻohana, a me nā hoaaloha iā ʻoe ma kēia huakaʻi.

ʻO ka Median Arcuate Ligament Syndrome, MALS, ʻEha ʻōpū, ʻEha ma hope o ka ʻai ʻana, Celiac Artery, ʻoki kino, ʻōnaehana hoʻoheheʻe