Te mamae o te puku i muri i te kai: Me kōrero tātou mō te Median Arcuate Ligament Syndrome (MALS).

Kei te pāngia koe e te mamae rerekē i tō puku o runga i muri i te kai? I ētahi wā ka tino kaha te mamae, ā, ka wehi koe ki te kai, tika? He maha ngā tāngata e pāngia ana e tēnei wheako. I tēnei rā, ka kōrero tātou mō tētahi mate ka puta ai ēnei tohu, engari kāore i te tino noa.

He aha te Median Arcuate Ligament Syndrome (MALS)?

Āe, he aha te Median Arcuate Ligament Syndrome? He māmā noa iho, he mate tēnei e pā mai ana i te kiko e kiia nei ko te 'Median Arcuate Ligament' i roto i tō tātou uma, e pēhi ana i te 'Celiac Artery' , he oko toto nui e kawe ana i te toto ki tō tātou puku, me te 'Celiac Plexus' , he pūnaha io tata.

Whakaarohia, he rite tēnei 'herenga arai waenga' ki tētahi āwhata. Kei te taha tonu o tō tātou 'aorta' , te uaua toto matua e kawe ana i te toto mai i te ngākau ki te tinana katoa. Ko te 'uaua celiac' he peka nui e peka mai ana i tēnei 'aorta'.

I te nuinga o te wā, me noho tēnei 'herenga waenga-arcuate' ki runga ake i te 'uaua celiac'. Engari mō te tangata whai (MALS), tera pea kei raro iho i te tikanga tēnei herenga. Ka ahatia? Ka pēhia e tēnei herenga te 'uaua celiac'. Pērā i te pēhitanga o tētahi i tētahi paipa wai, ka mutu te rere o te wai, ka whakararuraruhia te rere o te toto i roto i tēnei uaua toto. Ehara i te mea koinā anake, engari ka taea hoki te pēhi i ngā io tata.

Koinei te take ka mamae nui tō puku o runga i muri i te kai. I ētahi wā ka tino kino te mamae, ā, ka wehi koe ki te kai nā te mea e whakaaro ana koe ka uaua anō. Ko te (MALS) e kiia ana ko:

• (Te Mate Kōpeketanga o te Arorangi Celiac)
• (Te Mate Kōpeketanga o te Tuaka Celiac)
• (Te Mate Dunbar)

He aha ngā tohu o te (MALS)?

Nā, kia tirohia ngā tohu o (MALS). Ko te mea matua ko te mamae i te puku o runga i muri i te kai . Koinei te tohu tuatahi ka puta. E kī ana ētahi he tino kino tēnei mamae, ā, ka wehi rātou ki te kai, kei puta anō ngā tohu. Tērā atu anō ētahi tohu, ko ētahi o ēnei:

• Puku pupuhi
• Ka haere ki te puku, ko te tikanga he mate korere ((Korere))
• Whakapairuaki me te ruaki
• Te ngaronga o te taumaha, kāore he take e kitea ana, e 20 pauna pea, neke atu rānei.

He aha ngā take o (MALS)?

Kāore anō kia tino mōhiotia e ngā tohunga te pūtake o te MALS. E ai ki ētahi kairangahau, ka whānau mai ētahi tāngata me te hononga median arcuate kāore i te tino āhua. E whakapono ana ētahi ka puta te MALS hei raruraru o te pokanga puku, te pokanga tuaiwi, te whara puku kino rānei.

He aha ngā raruraru ka pā mai i te (MALS)?

He maha ngā wā, kāore e kitea te mate o te hunga whai MALS mō ngā marama, tae noa ki ngā tau. Whakaarohia, e ora ana rātou me te mamae mau tonu i taua wā. Ka taea e tēnei mamae tonu te arahi ki ngā raruraru hauora hinengaro. Hei tauira, te pouri . Waihoki, ki te kore e kitea he mate ahakoa ngā whakamātautau maha, ā, kāore he maimoatanga e wātea ana, ka taea e ia te whakararuraru nui.

Whakaarohia tētahi tangata ko Nalini tōna ingoa, e mamae ana tōna puku i ia wā e kai ana ia. Ina haere ia ki ngā tākuta, ka mahia e rātou tētahi whakamātautau i muri i tētahi, engari kāore i kitea te mate. Ka mea ētahi, 'Mehemea he raruraru hinengaro tōu.' Kātahi ka pēhea te pouri me te manukanuka o Nalini, tika? He mea noa tēnei momo wheako (MALS) mō te hunga whai mate pēnei.

Me pēhea te tautuhi a ngā tākuta i te mate pāwera (MALS)?

Āe, me pēhea te kimi a ngā tākuta mēnā kei a koe te MALS? Mēnā kei te whakapae tō tākuta kei a koe te MALS, ka tangohia e ia he hītori hauora katoa, kātahi ka whakahaere i tētahi whakamātautau tinana .

Ināianei, he maha ngā āhuatanga ka pā mai te mamae o te puku o runga. Hei tauira, mai i te appendicitis ki te gastroparesis ki ngā āhuatanga pēnei i te mate pukupuku peptic. Nō reira, ka whakahau tuatahi tō tākuta i ngā whakamātautau toto me ngā whakamātautau whakaahua hei whakakore i ēnei āhuatanga noa e pā mai ana ō tohumate.

Ngā Whakamātautau Toto

Ka taea e te tākuta te tono i tētahi, neke atu rānei o ngā whakamātautau toto, pēnei i:

• Tatau Toto Katoa (CBC)
• Paewhiri Pūmua Whānui
• Ngā Whakamātautau Mahi Ate
• He whakamātautau tere SED (whakamātautau tere SED) he whakamātautau C-reactive protein rānei (whakamātautau CRP) hei tirotiro mō te mumura i roto i te tinana
• Ngā whakamātautau tairoi - Kei roto pea i tēnei ko ngā whakamātautau toto me ngā whakamātautau whakaahua.

Ngā Whakamātautau Whakaahua

• Te Whakamātautau i te Puku
• He whakamātautau whai muri i te whekau iti
• Whakamātautau raupapa GI o runga

Ngā tukanga whakamātautau motuhake

• He colonoscopy, e tirotiro ana i te whekau nui
• Te Esophagogastroduodenoscopy (EGD) / Te Endoscopy o Runga, e tirotiro ana i te korokoro, te puku, me te tīmatanga o te whekau iti
• Ka inehia e ngā rangahau nekehanga te tere o te neke o te kai i roto i te pūnaha nakunaku.

Mena ka whakakorehia e ēnei whakamātautau ngā mate noa, ka tukuna pea koe e tō tākuta ki tētahi tohunga puku mō ētahi atu whakamātautau motuhake. Ko ētahi o ēnei ko:

• Angiogram - Mā tēnei ka tirohia te āhua o ngā oko toto.
• He whakamātautau tomography rorohiko ((Tomography Rorohiko - CT scan))
• He matawai whakaahua aukume (MRI)
• Te Inenga Ultrasound Mesenteric Duplex - Ka tirohia te rere o te toto i roto i tō uaua celiac, mēnā rānei kei te pēhia ngā io e kiia nei ko te celiac plexus e taua hononga.

"Ka mahia ēnei whakamātautau katoa hei kimi i te tino take o te raruraru. I ētahi wā ka roa pea tēnei, engari he mea nui kia manawanui koe kia whiwhi rā anō koe i te tātaritanga tika."

Me pēhea te rongoā mō te (MALS)?

Āe, nā te mea kua kitea tō mate MALS, he aha ngā maimoatanga? Tērā pea ka tūtohu tō tākuta i tētahi 'celiac plexus block' hei āwhina i te whakamamae i tō mamae puku. He rite tēnei ki te werohanga ki te io mamae, hei whakakore i ētahi o ngā io mō te wā poto, hei whakaiti hoki i te mamae.

Hei tāpiritanga, ko te maimoatanga matua he pokanga e kiia nei ko te 'median arcuate ligament release' . Ko tēnei pokanga he tapahi me te tango, te wetewete rānei i te hononga piri. Mā tēnei ka whakaiti i te pēhanga ki runga i te 'celiac artery' me ngā io. I muri i tēnei pokanga, ka whakahokia mai te rere o te toto i roto i te 'celiac artery', ā, ka whakaitihia hoki te pēhanga ki runga i ngā io.

Te tīma hauora e rongoā ana (MALS)

He āhua onge te mate (MALS). Nā te mea ka pā mai he raruraru hauora tinana me te hinengaro, tera pea he rōpū tohunga hei āwhina i a koe. Kei roto i ēnei ko:

• Ngā tohunga gastroenterologists (ngā tohunga mō ngā mate gastrointestinal)
• Ngā Taote Tākuta Whānui
• Ngā Taote Taote Toto
• Ngā Tohunga Whakahaere Mamae
• Ngā tohunga hinengaro, ngā tohunga hinengaro rānei
• Ngā tohunga kai

Kei te mahi tahi ēnei tāngata katoa ki te āwhina i a koe. Whakaarohia, he rerekē te huarahi e āwhina ana ia tangata i a koe ki tō raruraru.

He aha ngā momo mea ka taea te tumanako mēnā kei reira (MALS)?

I muri i te pokanga, ka memeha haere ngā tohu. He pono tēnā. Heoi, kua whakaatuhia e ētahi rangahau ahakoa i muri i te pokanga, ka taea tonu e te Median Arcuate Ligament Syndrome (MALS) te hoki mai anō. Kāore he mea e taea e tātou te mahi hei ārai i tēnei mea. Heoi, he mea nui kia mōhio koe ki ētahi atu huringa o tō tinana e tohu ana kei te hoki mai anō te MALS.Pātai atu ki tō tākuta he aha ēnei tohu tōmua. Māna koe e whakamārama he aha ngā mea hei tirotiro māu.

Āhea koe me rapu tohutohu hauora?

I kōrero mātou ka taea e ngā tohu o te MALS te hoki mai anō ahakoa i muri i te pokanga. Mēnā ka tupu tēnā, me whakamōhio atu koe ki tō tīma hauora.

Whakaarohia, e mōhio ana koe kei te hē tetahi mea kei roto i tō puku. Ka pāngia koe e te mamae nui i te taha whakarunga o tō puku i muri i ia kai. Ahakoa te whakamātautau tonu, kāore anō kia kitea e koe te take o te raruraru, te rongoā rānei mōna. Kua rongo pea koe ko ēnei tohumate he raruraru hinengaro, ehara i te raruraru tinana. I tēnei wā, ina mōhio koe ko tēnei mate onge (Median Arcuate Ligament Syndrome) te take o ō tohumate, ka tino marino koe, tika?

Heoi anō, he maimoatanga hei āwhina i te whakamama i tō mamae. Tērā pea ka tūtohu tō tākuta i te pokanga. Mēnā ko te mate MALS te mate, ka tūtohu tō tīma hauora i te maimoatanga tika māu hei āwhina i a koe kia pai anō ki te kai me te ora.

Ko ngā mea tino nui hei maumahara mā tātou i tēnei pūrākau ko

• Ko te mamae nui i te puku o runga i muri i te kai he tohu matua pea o te MALS.
• Ka puta tēnei nā te mea ka pēhia te 'median arcuate ligament' e te 'celiac artery' me ōna io e pā ana.
• Me whakahaere he maha ngā whakamātautau hei tautuhi i te mate, nā te mea he mate onge tēnei, ā, me whakakore hoki i ētahi atu mate noa.
• Ko te pokanga te maimoatanga matua, engari he maimoatanga anō hoki mō te mamae, pērā i te aukati i te celiac plexus.
• Ki te hoki mai anō ngā tohu i muri i te maimoatanga, he mea tino nui kia rapu tohutohu hauora i runga i te wā tonu.
• He uaua te noho me tēnei mate, nō reira he mea tino nui hoki te tautoko kare ā-roto . Kia maumahara kāore koe i te mokemoke. Mā ō tākuta, tō whānau, me ō hoa koe e āwhina i tēnei haerenga.

` Te Mate Puku o te Hononga o te Pona Median Arcuate, MALS, Mamae o te Puku, Mamae i Muri i te Kai, Te Arorangi Celiac, Te Pokanga, Te Pūnaha Nakunaku