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.

⚡ Interactive Clinical Tool

⚖️

BMI Calculator

Know your body mass index (BMI) and weight classification

Open Interactive Calculator →

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.