Mob plab tom qab noj mov: Cia peb tham txog Median Arcuate Ligament Syndrome (MALS)

Koj puas hnov ​​mob txawv txawv hauv koj lub plab sab saud tom qab noj mov? Qee zaum qhov mob hnyav heev ua rau koj ntshai noj mov, puas yog? Muaj ntau tus neeg ntsib qhov kev paub no. Hnub no, peb yuav tham txog ib qho mob uas ua rau muaj cov tsos mob no, tab sis nws tsis tshua muaj.

Kab mob Median Arcuate Ligament Syndrome (MALS) yog dab tsi?

Zoo, yog li Median Arcuate Ligament Syndrome yog dab tsi? Hais yooj yim xwb, nws yog ib qho mob uas tshwm sim los ntawm ib daim nqaij hu ua 'Median Arcuate Ligament' hauv peb lub hauv siab, nias rau ntawm 'Celiac Artery' , ib txoj hlab ntshav loj uas nqa ntshav mus rau peb lub plab, thiab 'Celiac Plexus' , ib lub paj hlwb ze.

Xav txog seb, qhov 'median arcuate ligament' no zoo li lub arch. Nws nyob ib puag ncig peb lub 'aorta' , lub hlab ntsha tseem ceeb uas nqa ntshav los ntawm lub plawv mus rau tag nrho lub cev. Lub 'celiac artery' yog ib ceg tseem ceeb uas ceg tawm ntawm lub 'aorta' no.

Feem ntau, qhov 'median arcuate ligament' no yuav tsum nyob saum toj ntawm 'celiac artery'. Tab sis rau ib tus neeg uas muaj (MALS), qhov ligament no yuav nyob qis dua li qub. Tom qab ntawd yuav ua li cas? Qhov ligament no nias 'celiac artery'. Ib yam li thaum ib tus neeg nias lub yeeb nkab dej, cov dej tsis ntws, cov ntshav ntws los ntawm cov hlab ntsha no raug cuam tshuam. Tsis yog li ntawd xwb, tab sis cov hlab ntsha nyob ze kuj tuaj yeem raug nias.

Qhov no yog vim li cas koj thiaj mob heev rau sab saud ntawm koj lub plab tom qab noj mov. Qee zaum qhov mob hnyav heev uas koj ntshai noj mov vim koj xav tias nws yuav nyuaj dua. (MALS) kuj tseem hu ua:

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

Cov tsos mob ntawm (MALS) yog dab tsi?

Tam sim no cia peb saib cov tsos mob ntawm (MALS). Qhov tseem ceeb tshaj plaws yog mob hauv plab sab saud tom qab noj mov . Qhov no yog thawj cov tsos mob uas tshwm sim. Ib txhia neeg hais tias qhov mob no hnyav heev uas lawv ntshai noj mov, vim ntshai tias cov tsos mob yuav rov tshwm sim dua. Muaj lwm cov tsos mob, qee qhov yog:

• Lub plab o
• Mus rau hauv plab, qhov ntawd txhais tau tias raws plab ((Rairrhea))
• Xeev siab thiab ntuav
• Poob phaus yam tsis muaj laj thawj pom tseeb, tej zaum 20 phaus lossis ntau dua.

Dab tsi yog cov ua rau muaj (MALS)?

Cov kws tshaj lij tseem tsis tau paub meej tias yog dab tsi ua rau muaj MALS. Ib txhia kws tshawb fawb hais tias ib txhia neeg yug los nrog cov leeg nqaij arcuate uas tsis zoo li qub. Lwm tus ntseeg tias MALS tuaj yeem tshwm sim los ntawm kev phais plab, phais pob txha caj qaum, lossis raug mob plab hnyav.

Tej yam teeb meem uas yuav tshwm sim ntawm (MALS) yog dab tsi?

Feem ntau, cov neeg uas muaj MALS tsis raug kuaj mob tau ntau lub hlis, txawm tias ntau xyoo. Xav txog seb, lawv nyob nrog mob ntev ntev thaum lub sijhawm ntawd. Qhov mob no tuaj yeem ua rau muaj teeb meem kev noj qab haus huv ntawm lub hlwb. Piv txwv li, kev nyuaj siab . Tsis tas li ntawd, thaum tsis tau kuaj mob txawm tias muaj ntau qhov kev kuaj mob thiab tsis muaj kev kho mob, nws tuaj yeem ua rau muaj kev ntxhov siab heev.

Xav txog seb muaj ib tug neeg hu ua Nalini, uas mob plab txhua zaus nws noj mov. Thaum nws mus ntsib kws kho mob, lawv ua ib qho kev kuaj tom qab ib qho, tab sis tsis pom tus kab mob. Ib txhia txawm hais tias, 'Koj yuav tsum muaj teeb meem ntawm lub hlwb.' Yog li ntawd, Nalini yuav tsum tu siab thiab ntxhov siab npaum li cas, puas yog? Hom kev paub no (MALS) tuaj yeem tshwm sim rau cov neeg uas muaj tus kab mob no.

Cov kws kho mob kuaj mob (MALS) li cas?

Zoo, yog li cov kws kho mob yuav paub li cas yog tias koj muaj MALS? Yog tias koj tus kws kho mob xav tias koj muaj MALS, nws yuav xub sau txog keeb kwm kev kho mob tag nrho thiab tom qab ntawd kuaj lub cev .

Tam sim no, muaj ntau yam mob uas ua rau mob plab sab saud. Piv txwv li, nws yuav yog txhua yam los ntawm mob appendicitis mus rau gastroparesis mus rau cov mob xws li mob peptic ulcer. Yog li, koj tus kws kho mob yuav xub xaj ntau yam kev kuaj ntshav thiab kev kuaj duab kom tshem tawm cov mob no uas yuav ua rau koj cov tsos mob.

Kev Ntsuas Ntshav

Tus kws kho mob yuav xaj ib lossis ntau qhov kev kuaj ntshav, xws li:

• Kev suav ntshav tag nrho (CBC)
• Vaj Huam Sib Luag Metabolic
• Kev Ntsuas Kev Ua Haujlwm ntawm Lub Siab
• Ib qho (kev kuaj tus nqi SED) lossis (kev kuaj C-reactive protein - CRP) los kuaj seb puas muaj kev o ntawm lub cev
• Kev kuaj mob thyroid - Qhov no yuav suav nrog kev kuaj ntshav thiab kev kuaj duab.

Kev Ntsuas Duab

• Kev Siv Ultrasound Hauv Plab
• Kev kuaj mob plab me me
• Kev kuaj mob GI sab saud

Cov txheej txheem kuaj tshwj xeeb

• Kev kuaj mob plab hnyuv loj (colonoscopy), uas yog kev kuaj mob plab hnyuv loj
• Kev kuaj mob Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, uas kuaj xyuas txoj hlab pas, plab, thiab qhov pib ntawm txoj hnyuv me
• Cov kev tshawb fawb txog kev txav mus los ntsuas seb cov khoom noj txav mus los sai npaum li cas hauv lub cev zom zaub mov.

Yog tias cov kev kuaj no tsis pom muaj cov mob uas ib txwm muaj, koj tus kws kho mob yuav xa koj mus rau tus kws kho mob plab hnyuv kom kuaj tshwj xeeb ntxiv. Qee qhov ntawm cov no suav nrog:

• Angiogram - Qhov no kuaj xyuas cov hlab ntsha.
• Kev kuaj mob los ntawm kev siv computer scan ((Computed Tomography - CT scan))
• Ib qho kev kuaj mob magnetic resonance imaging (MRI)
• Mesenteric Duplex Ultrasound - Qhov no tshwj xeeb saib seb cov ntshav ntws li cas los ntawm koj cov hlab ntsha celiac, lossis seb cov hlab ntsha hu ua celiac plexus puas raug nias los ntawm cov leeg ntawd.

Tag nrho cov kev kuaj no yog ua los nrhiav seb qhov teeb meem yog dab tsi. Qee zaum qhov no yuav siv sijhawm ntev, tab sis nws yog ib qho tseem ceeb uas yuav tsum ua siab ntev kom txog thaum koj tau txais kev kuaj mob zoo.

Yuav kho tus mob (MALS) li cas?

Zoo, tam sim no koj tau kuaj pom tias muaj MALS, yuav kho li cas? Koj tus kws kho mob yuav pom zoo kom siv 'celiac plexus block' los pab txo qhov mob plab. Qhov no zoo li kev txhaj tshuaj rau hauv cov hlab ntsha uas mob, ua rau qee cov hlab ntsha tsis ua haujlwm ib ntus thiab txo qhov mob.

Ntxiv mus, txoj kev kho mob tseem ceeb yog kev phais mob hu ua 'median arcuate ligament release' . Kev phais mob no suav nrog kev txiav thiab tshem tawm lossis xoob cov leeg nqaij nruj. Qhov no txo ​​qhov kev nyem rau ntawm 'celiac artery' thiab cov hlab ntsha. Tom qab kev phais mob no, cov ntshav ntws los ntawm 'celiac artery' rov qab los, thiab qhov kev nyem rau ntawm cov hlab ntsha kuj raug txo qis.

Pawg neeg kho mob uas kho (MALS)

(MALS) yog ib yam mob uas tsis tshua muaj. Thiab vim tias nws tuaj yeem ua rau muaj teeb meem kev noj qab haus huv ntawm lub cev thiab lub hlwb, tej zaum yuav muaj ib pab pawg kws tshwj xeeb los pab koj. Cov no suav nrog:

• Cov kws kho mob plab hnyuv (cov kws tshwj xeeb hauv cov kab mob plab hnyuv)
• Cov Kws Phais Mob Dav Dav
• Cov Kws Kho Mob Hlwb
• Cov Kws Tshwj Xeeb Tswj Kev Mob
• Cov kws kho mob hlwb los yog cov kws kho mob hlwb
• Cov kws noj haus

Cov neeg no puav leej ua haujlwm ua ke los pab koj. Xav txog seb, txhua tus pab koj daws koj qhov teeb meem hauv txoj kev sib txawv.

Yog tias muaj (MALS) ces yuav muaj tej yam dab tsi tshwm sim?

Tom qab phais lawm, cov tsos mob feem ntau ploj mus. Qhov ntawd yog qhov tseeb. Txawm li cas los xij, qee qhov kev tshawb fawb tau qhia tias txawm tias tom qab phais lawm, Median Arcuate Ligament Syndrome (MALS) tuaj yeem rov qab los. Tsis muaj dab tsi peb ua tau los tiv thaiv nws kom tsis txhob tshwm sim. Txawm li cas los xij, nws yog ib qho tseem ceeb kom paub txog lwm yam kev hloov pauv hauv koj lub cev uas yuav yog cov cim qhia tias MALS tab tom rov qab los.Nug koj tus kws kho mob seb cov tsos mob thaum ntxov no yog dab tsi. Nws yuav piav qhia rau koj seb yuav tsum ceev faj li cas.

Thaum twg koj yuav tsum nrhiav kev pab kho mob?

Peb tau hais lawm tias cov tsos mob ntawm MALS tuaj yeem rov tshwm sim dua txawm tias tom qab phais lawm los xij. Yog tias qhov ntawd tshwm sim, koj yuav tsum qhia rau koj pab neeg kho mob paub.

Xav txog seb, koj paub tias muaj qee yam tsis ncaj ncees lawm rau koj lub plab. Koj mob heev rau sab saud ntawm koj lub plab tom qab txhua pluas noj. Txawm hais tias koj kuaj tas li los, koj tseem tsis tau paub tias qhov teeb meem yog dab tsi lossis kev kho mob yog dab tsi. Tej zaum koj yuav tau hnov ​​​​tias cov tsos mob no yog los ntawm teeb meem kev puas siab puas ntsws es tsis yog teeb meem lub cev. Thaum lub sijhawm zoo li no, thaum koj kawm tias qhov mob tsis tshua muaj no (Median Arcuate Ligament Syndrome) yog qhov ua rau koj cov tsos mob, koj yuav xav tias zoo siab heev, puas yog?

Zoo dua, muaj kev kho mob los pab txo koj qhov mob. Koj tus kws kho mob yuav pom zoo kom phais. Yog tias kuaj pom tias yog MALS, koj pab neeg kho mob yuav pom zoo kom koj kho kom zoo kom pab koj txaus siab rau zaub mov thiab lub neej dua.

Cov yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov los ntawm zaj dab neeg no yog

• Mob plab sab saud hnyav tom qab noj mov tuaj yeem yog ib qho tsos mob tseem ceeb ntawm MALS.
• Qhov no tshwm sim vim tias 'median arcuate ligament' nias lub 'celiac artery' thiab nws cov hlab ntsha cuam tshuam.
• Yuav tsum tau ua ntau yam kev kuaj mob kom paub tseeb tias yog mob dab tsi, vim qhov no yog ib qho mob uas tsis tshua muaj thiab yuav tsum tau tshem tawm lwm yam kab mob uas pom ntau.
• Kev kho mob tseem ceeb yog phais, tab sis muaj lwm yam kev kho mob rau qhov mob, xws li celiac plexus block.
• Yog tias cov tsos mob rov qab los tom qab kho mob lawm, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob yam tsis muaj kev ncua.
• Nyob nrog tus mob no nyuaj heev, yog li kev txhawb nqa kev xav kuj tseem ceeb heev . Nco ntsoov tias koj tsis nyob ib leeg. Koj cov kws kho mob, tsev neeg, thiab cov phooj ywg yuav pab koj ntawm txoj kev no.

` Median Arcuate Ligament Syndrome, MALS, Mob plab, Mob tom qab noj mov, Celiac Artery, Phais, Lub plab zom mov