Chaw ei hnua pum na: Median Arcuate Ligament Syndrome (MALS) chungchang hi han sawi ila.

Chaw ei zawhah i pum chunglam ah natna mak tak mai i nei em? A chang chuan a natna hi a na lutuk a, ei pawh i hlau thin a ni lawm ni? Mi tam takin he thil tawn hi an hmachhawn a ni. Vawiin hian heng symptoms awm thei tur condition kan sawi dawn a, mahse a awm vak lo.

Median Arcuate Ligament Syndrome (MALS) hi eng nge ni?

Okay, chuti a nih chuan Median Arcuate Ligament Syndrome hi eng nge ni? A awlsam zawngin kan rilru chhunga tissue pakhat ‘Median Arcuate Ligament’ an tih, kan pum chhunga thisen phurtu thisen kalna kawng lian tak ‘Celiac Artery’ , leh kan bula nerve system ‘Celiac Plexus’ , a press avanga lo awm a ni.

Ngaihtuah teh, he ‘median arcuate ligament’ hi arch ang mai a ni. Kan ‘aorta’ , thinlung atanga taksa pum puia thisen phurtu thisen kalna bulpui vel a awm a ni. He ‘aorta’ atanga branch chhuak, ‘celiac artery’ hi branch pawimawh tak a ni.

A tlangpuiin he ‘median arcuate ligament’ hi ‘celiac artery’ chungah a awm tur a ni. Mahse (MALS) vei tan chuan he ligament hi a tlangpui aia hniam zawkah a awm thei. Chuti a nih chuan eng nge thleng? He ligament hian ‘celiac artery’ chu a compress a. Miin tui pipe a hrual chuan tui a luang tawh lo ang bawkin, he thisen kalna kawng kal tlanga thisen kal chu a tibuai a ni. Chu mai ni lovin, a bul hnaia nerve te pawh a compress thei bawk.

Hei vang hian chaw ei zawhah i pum chunglam natna nasa tak i nei thin. A chang chuan a natna hi a na lutuk a, a harsa leh dawn nia i ngaih avangin ei i hlau thin. (MALS) tih pawh hi:

• (Celiac Artery Compression Syndrome) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• (Celiac Axis Compression Syndrome) a awm a, a rilru a hah lutuk a, a rilru a buai em em bawk a.
• (Dunbar Syndrome) (Dunbar Syndrome) a ni a, a rilru a hah hle.

(MALS) natna lan chhuah dan chu engte nge ni?

Tunah chuan (MALS) symptoms i en ang u. A bulpui ber chu ei zawh hnua pum chunglam natna hi a ni . Hei hi symptom lang hmasa ber a ni. Mi thenkhat chuan he natna hi a nasat em avangin ei an hlau hle niin an sawi a, a natna lanchhuahna a lo lang leh ang tih hlauvin. Symptom dang pawh a awm a, chung zinga ṭhenkhat chu:

• Pum a puak chhuak
• Pum chhunga kal, chu chu ril\am ((Diarrhea)) tihna a ni.
• Nausea leh luak chhuak
• A chhan hriat loha taksa rihna tihtlem, pound 20 emaw a aia tam emaw pawh a ni thei.

(MALS) hi eng nge a chhan?

Mithiamte chuan MALS hi eng nge a thlen tih chiang takin an la hre lo. Researcher thenkhat chuan mi thenkhat chu median arcuate ligament siam dan pangngai lo neia piang an nih thu an sawi. Mi dangte chuan MALS hi pum surgery emaw, ruhro surgery emaw, pum chhunga hliam na tak emaw avanga harsatna angin a lo awm thei niin an ngai.

(MALS) avanga harsatna awm thei te chu engte nge ni?

Vawi tam tak chu MALS vei te hi thla tam tak chhung, kum tam tak chhung pawh hriat lohvin an awm thin. Ngaihtuah teh, chutih lai chuan natna khirh tak nen an khawsa a ni. He natna kal zel hian rilru lam harsatna a thlen thei a ni. Entîr nân, lungngaihna . Tin, test tam tak neih a nih hnu pawha diagnosis siam a nih loh a, enkawlna a awm loh chuan lungkhamna nasa tak a thlen thei bawk .

Mi pakhat Nalini a awm tih han ngaihtuah teh, a ei apiangin a pum a na thin. Doctor-te hnena a kal chuan test pakhat hnu pakhat an nei a, mahse natna chu hmuhchhuah a ni lo. Ṭhenkhat phei chuan, ‘rilru lama harsatna i nei ngei ang’ an ti hial a ni. Chuti a nih chuan Nalini chu a va lungngai leh lungkham em em ang, a dik em? Hetiang thil tawn (MALS) hi a vei tan chuan a awm fo thei.

Doctor-te hian engtin nge (MALS) hi an hriat theih?

Okay, chuti a nih chuan engtin nge doctor te hian MALS i vei tih an hriat theih ang? I doctor chuan MALS i vei nia a rinhlelh chuan medical history kimchang a la hmasa ang a, chutah chuan physical exam a nei ang .

Tunah chuan upper abdominal pain thlen thei condition tam tak a awm ta. Entirnan, appendicitis atanga gastroparesis thlengin peptic ulcer disease ang chi dinhmun thlengin a awm thei. Chuvangin, i doctor chuan thisen test hrang hrang leh imaging test hrang hrang a order hmasa ang a, chu chuan heng natna tlanglawn tak tak, i symptoms thlentu ni thei te hi a paih chhuak ang.

Thisen Test neih a ni

Doctor chuan thisen test vawi khat emaw a aia tam emaw a ti thei a, chu chu:

• Thisen chhiar kim (CBC) 1.1.
• Metabolic Panel kimchang tak a awm
• Liver hnathawh dan enfiahna
• A (SED rate test) emaw (C-reactive protein - CRP test) hmangin taksaah inflammation a awm leh awm loh enfiah thin a ni
• Thyroid test - Hei hian thisen test bakah imaging test te pawh a huam thei.

Imaging Test te pawh a awm

• Abdominal Ultrasound hmanga tih a ni
• Small bowel follow-through test neih a ni
• Upper GI series enfiah a ni

Testing tih dan bik

• Colonoscopy (intestine lian tak enfiahna) .
• Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, chu chuan chaw kawng, pum, leh small intestine bul tanna a enfiah thin
• Motility study hian ei tur chu digestive system kal tlanga a kal chak dan a teh thin.

Heng test-te hian natna tlanglawn tak takte a hnial chuan i doctor chuan gastroenterologist hnenah specialized test tam zawk neihpui turin a refer thei che a ni. Chung zinga ṭhenkhat chu:

• Angiogram - Hei hian thisen kalna kawngte dinhmun a enfiah thin.
• Computed tomography scan ((Computed Tomography - CT scan)) hmanga enfiah a ni
• Magnetic resonance imaging (MRI) hmanga enfiah a ni
• Mesenteric Duplex Ultrasound - Hei hian a bik takin i celiac artery atanga thisen kal dan te, a nih loh leh chu ligament hian celiac plexus an tih nerve te chu a squeeze em tih te a en a ni.

"Heng test zawng zawng hi eng harsatna nge dik tak hriat nan tih a ni. A chang chuan hei hian hun a duh rei thei a, mahse diagnosis dik tak i hmuh hma chuan dawhtheih a pawimawh hle.

Engtin nge (MALS) hi enkawl a nih?

Okay, tunah chuan MALS i vei tih hmuhchhuah a nih tawh avangin eng enkawlna nge ni? I pum natna tihziaawm nan i doctor chuan ‘celiac plexus block’ tih a rawt mai thei. Hei hi nerve na takah injection ang mai a ni a, nerve thenkhat chu rei lo te chhung atan a tichak lo va, natna chu a tiziaawm bawk.

Tin, enkawlna ber chu ‘median arcuate ligament release’ tih surgery a ni. He surgery hian ligament tight tak chu tan leh lakchhuah emaw, tihzauh emaw a ni. Hei hian ‘celiac artery’ leh nerve-a pressure awm chu a tiziaawm a ni. He surgery zawh hian ‘celiac artery’ kaltlangin thisen a kal leh a, nerve-a pressure pawh a reh bawk.

(MALS) enkawltu medical team te chuan .

(MALS) hi a awm lo hle. Tin, taksa leh rilru lama harsatna a thlen theih avangin, i tanpui tur specialist team an awm ngei ang. Chûng zîngah chuan:

• Gastroenterologist (gastrointestinal natna lama mithiam) te chuan .
• General Surgeon te an ni
• Vascular Surgeon te an ni
• Pain Management Specialist te an ni
• Psychiatrist emaw psychologist emaw an ni
• Ei leh in lama mithiamte

Heng mite zawng zawng hian chhawmdawlna pe turin an thawk ho a ni. I harsatna chu kawng hrang hrangin an ṭanpui che tih han ngaihtuah teh.

(MALS) a awm chuan eng ang thil nge beisei theih ang?

Operation hnuah symptoms a reh fo thin. Chu chu a dik a ni. Mahse, zirchianna thenkhatah chuan zai hnuah pawh Median Arcuate Ligament Syndrome (MALS) hi a lo lang leh thei tih an hmuchhuak. Chutiang thil thleng tur venna tur engmah kan ti thei lo. Mahse, i taksaa inthlak danglamna dang, MALS lo kir lehna chhinchhiahna ni thei te hriat a pawimawh.. Heng chhinchhiahna hmasa berte hi eng nge ni tih i doctor zawt rawh. Eng nge i fimkhur tur tih a hrilhfiah ang che.

Engtikah nge damdawi lam thurawn i lak ang?

MALS symptoms hi operation hnuah pawh a lo lang leh thei tih kan sawi tawh a. Chutiang a nih chuan i medical team te chu i hriattir ngei tur a ni.

Ngaihtuah teh, i pum chhungah thil dik lo a awm tih i hria. Chaw ei apiangin i pum chunglam chu tuar theih loh khawpin natna i nei thin. Mahse test chhunzawm zel ni mahse, eng harsatna nge a nih tih leh a enkawlna tur chu i la hre thei lo. Heng symptoms te hi taksa lama harsatna aiin rilru lam harsatna avanga lo awm a ni tih pawh i hre tawh mai thei. Hetiang hunah hian he natna hmuh tur awm lo (Median Arcuate Ligament Syndrome) hi i natna lan chhuah chhan a nih thu i hriat chuan hahdamna nasa tak i nei ang, a dik em?

Chu aia tha zawk chu i natna tihziaawmna tur enkawlna a awm. I doctor chuan operation neih a rawt mai thei. Diagnosis chu MALS a nih chuan i medical team chuan ei leh in leh nun hlim taka i hman theih nan enkawlna dik tak an rawn rawt ang che.

He thawnthu a\anga kan hriat reng tur pawimawh tak takte chu

• Chaw ei zawha pum chunglam natna nasa tak hi MALS chhinchhiahna pawimawh tak a ni thei.
• Hei hi ‘median arcuate ligament’ hian ‘celiac artery’ leh a kaihhnawih nerve te a compress vang a ni.
• Diagnosis siam nan hian test eng emaw zat neih a ngai a, hei hi thil awm lo tak a nih avangin natna tlanglawn dangte pawh paih chhuah a ngai a ni.
• Enkawlna ber chu surgery a ni a, mahse natna enkawlna dang a awm a, chu chu celiac plexus block te hi a ni.
• Enkawlna hnua natna lanchhuahna a lo let leh chuan tihkhawtlai lova damdawi lam thurawn lak a pawimawh hle.
• Hetiang dinhmun nena nun hi a harsa a, chuvangin emotional support pawh a pawimawh hle . Nangmah chauh i ni lo tih hre reng ang che. He zinkawngah hian i doctor te, chhungte leh i thiante chuan an pui ang che.

` Median Arcuate Ligament Syndrome, MALS, Pum na, Chaw ei hnua na, Celiac Artery, Surgery, Digestive System