Chaw ei zawhah pum na na tak i nei em? He MALS chungchang hi i zir dawn teh ang! (Median Arcuate Ligament Syndrome) a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

I ei zawh veleh i pum chunglam ah natna nasa tak i nei em? Engpawh ti ila, a reh lo em ni? He natna hian a tibuai em em che a, ei i hlau em? Doctor zawng zawng hnenah i kal a, i test tawh a, mahse a chhan i la hmu thei lo tih hi i lungawi lo em ni? Hei hi tanpui theih loh thil tawn a ni tak zet a ni. Vawiin hian kan sawi dawn a, natna hmuh tur awm lo tak, chutiang bawka symptoms nei, mahse hriat lar vak lo.

MALS chu eng nge ni tak tak? A awlsam zawngin i hrethiam ang u.

Hei hi hrethiam tur chuan kan taksa chhungril lam thil dang han thlir ila. Kan rilru atanga kan pum thlenga thisen kalna kawngpui ber, aorta hi han ngaihtuah teh. Hei hi kan taksa peng zawng zawnga thisen thawn chhuaktu main pipe ang a ni.

He thisen kalna kawngkhar lian ber pakhat chu `Celiac Artery` an ti a. Hei hian kan pum chhunga taksa peng pawimawh tak tak, thin, pum leh pancreas te hnenah thisen a pe chhuak thin.

Tunah chuan he `Celiac Artery` chungah hian ligament pakhat `Median Arcuate Ligament` an tih a awm a, chu chu arch te tak te ang mai a ni. A tlangpuiin heng pahnih inkarah hian harsatna awm lovin thisen a kal tluang hle.

Mahse MALS vei mi pakhatah chuan he `Median Arcuate Ligament` hi a hnuai deuhah a awm a. Tichuan, thil thleng chu, `Celiac Artery` leh a bula kal nerve bundle `(Celiac Plexus)` chu a compress a ni. Miin tui pipe a ke a pen chuan tui luang a tlahniam ang bawkin, he compression avang hian chu taksa peng hrang hranga thisen kal chu a tlahniam a ni. Chutah chuan chu hrehawmna rapthlak tak chu a lo thleng tan ta a ni.

Hei hi `Celiac Artery Compression Syndrome` an ti bawk.

MALS natna lan chhuah dan berte chu engte nge ni?

He natna lan chhuah dan ber leh langsar ber chu chaw ei zawha pum chunglam natna nasa tak hi a ni. He natna hi a nasat em avangin mi thenkhat chuan ei an hlau thin. "Ka ei chuan a natna chu a lo let leh ang" tih hlauvin ei tur pawh an pumpelh thin.

Engvangin nge heng MALS te hi an lo awm?

Mithiamte chuan hei hi a chhan chiang tak, chiang tak an la hmu lo a, mahse theory engemaw zat a awm thung.

• Pian atanga lo chhuak thil: Zirchiangtu thenkhat chuan mi thenkhat chu `Median Arcuate Ligament` awmna hmun dik lo, tlem a hniam zawka piang an ni an ti.
• A chhan dang: He natna hi pum emaw hnungzang emaw operation avanga harsatna angin emaw, pum chhunga trauma chi khat emaw a awm hnuah emaw a awm thei tih ngaihdan dang a awm bawk.

Diagnosis tihkhawtlai avanga harsatna awm thei

Hei hi MALS-a harsatna lian ber pakhat a ni. He natna hi hriat vat a har hle. Thla tam tak, kum tam tak pawh a daih thei.

• Rilru lama harsatna: Natna rei tak hian depression ang chi dinhmun a thlen thei .
• Lungkhamna: Test tam tak nei chung pawha i natna chhan i hmuh theih loh hian lungkhamna leh hlauhna nasa tak i neih hi a awm fo thin a, "Eng nge ka tihsual?"

Engtin nge doctor hian MALS hi a hriat theih ang?

I doctor chuan i natna lan chhuah dan a ngaithla hmasa ang a, a enfiah hmasa ang che. Mahse kan sawi tawh ang khan, pum chunglam natna thlen thei thil dang tam tak a awm a, chu chu gastritis, appendicitis, leh gallstones te hi a ni.

Chuvangin MALS i rinhlelh hmain doctor-in a tih hmasak ber tur chu heng natna tlanglawn tak tak zinga pakhat emaw i neih leh neih loh enfiah a, pakhat hnu pakhatin i nei lo tih chian hmasak phawt a ngai ang.Hei hian test chi hrang hrang a mamawh a ni.

MALS enkawlna tur engte nge ni?

MALS i vei tih hriatchhuah a nih chuan, hahdamna pe thei tur enkawlna a awm a.

1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.Surgery (Median Arcuate Ligament chhuahna): 1. A rilru a hah lutuk chuan a rilru a buai em em a.

Hei hi enkawlna bulpui leh hlawk ber chu surgery a ni. Hetah hian surgeon chuan thisen kalna kawngkhar chu a hmuna vawn tlattu `Median Arcuate Ligament` chu a tikehsawm a, a thlah ta a ni. Hei hian thisen kalna kawng leh nerve-a pressure a tiziaawm a, thisen kal dan a lo tha leh ta a ni. Hei hian natna chu a ti bo vek tawh mai.

2. Celiac Plexus Block a awm a, hei hi a hnuaia mi ang hian a ni.

A then phei chuan compressed nerve bundle-ah ``Celiac Plexus`` inject dan a awm a, chu chuan natna atanga rei lo te chhung a reh thei a ni. Hei hian a natna chu a thunun thei a ni.

Hemi kawngah hian puitu tur medical team te

MALS hi taksa leh rilru lama nghawng nei thei dinhmun a nih avangin field hrang hrang atanga specialist te chuan team angin an pui thin che a ni.

• Gastroenterologists: Natna hriatchhuahna hna an thawk ber a ni.
• Surgeon (General/Vascular Surgeon): An zai dan hi an ti thin.
• Pain management specialist: Natna enkawl danah tanpui rawh.
• Psychologists: Natna avanga lungkhamna, lungkhamna leh lungngaihna te hmachhawn turin tanpui rawh.
• Dietitians: Operation hnu leh taksa rihna tihtlem lai hian taksa rihna hrisel leh ei leh in tha neih dan tur thurawn pe thin ang che.

Enkawl hnuah eng nge thleng? Doctor hmuh leh a ngai em?

Operation hnuah chuan symptoms te chu nasa takin a reh fo thin a, nun pangngaiin i nung thei ta a ni.

Mahse, a tlem berah chuan he natna hi a lo awm leh theihna chance a awm. A ven dan tur bik a awm lo. Amaherawhchu, a natna lan chhuah dan hi a lo lang leh a nih chuan hriat hmasak a pawimawh. Chuvangin, i doctor nen inbia a, harsatna a lo awm leh a nih chuan a tir lama a symptoms te kha eng nge ni tih zawh hi a finthlak hle ang.

Diagnosis thlenga zinkawng hi a rei thei hle a, a hahthlak thei bawk. Mahse a tawpah chuan a chhan i hmuchhuak a, enkawlna i dawn hunah chuan rilru hahdamna nasa tak i nei ang. Hlauhna tel lovin chaw ei nuam i ti leh thei tawh ang a, hlim takin i nun i hmang thei tawh ang.