Kodi mumamva kupweteka kwambiri m'mimba mwanu mukangomaliza kudya? Kaya muchite chiyani, sikutha? Kodi ululuwu umakuvutitsani kwambiri moti mumaopa kudya? Kodi mwakhumudwa kuti mwapita kwa dokotala aliyense ndikuyesedwa, koma simukupeza chifukwa? Izi ndi zokumana nazo zopanda thandizo. Lero, tikulankhula za matenda osowa omwe amayambitsa zizindikiro zofanana, koma osadziwika bwino.
Kodi MALS kwenikweni ndi chiyani? Tiyeni timvetse mosavuta.
Kuti timvetse izi, tiyeni tione china chake mkati mwa matupi athu. Taganizirani za mtsempha waukulu wamagazi womwe umachoka pachifuwa chathu kupita m'mimba mwathu, aorta. Izi zili ngati chitoliro chachikulu chomwe chimatumiza magazi ku ziwalo zonse za thupi lathu.
Nthambi yaikulu ya mtsempha uwu imatchedwa `Celiac Artery`. Izi zimapereka magazi ku ziwalo zofunika m'mimba mwathu, monga chiwindi, m'mimba, ndi kapamba.
Tsopano, pamwamba pa 'Celiac Artery' iyi, pali ligament yotchedwa 'Median Arcuate Ligament', yomwe ili ngati arch yaying'ono. Kawirikawiri, magazi amayenda bwino pakati pa awiriwa popanda vuto lililonse.
Koma mwa munthu amene ali ndi MALS, 'Median Arcuate Ligament' iyi imakhala pansi pang'ono. Kenako, chomwe chimachitika ndichakuti, imakanikiza 'Celiac Artery' ndi mtolo wa mitsempha womwe umayandikira '(Celiac Plexus)'. Monga momwe munthu akaponda paipi yamadzi, madzi amachepa, chifukwa cha kupsinjika kumeneku, kuchuluka kwa magazi opita ku ziwalozo kumachepa. Pamenepo ndi pomwe ululu woopsawo umayamba kubwera.
Izi zimatchedwanso `Celiac Artery Compression Syndrome`.
Kodi zizindikiro zazikulu za matenda a MALS ndi ziti?
Chizindikiro chachikulu komanso chodziwika bwino cha matendawa ndi kupweteka kwambiri m'mimba mukatha kudya. Kupweteka kumeneku kumakhala koopsa kwambiri moti anthu ena amaopa kudya. Amayesanso kupewa kudya poopa kuti "ndikadya, ululuwo udzabwerera."
| Chizindikiro | Kufotokozera |
|---|---|
| Kupweteka m'mimba | Kupweteka kwambiri m'mimba chapamwamba, makamaka mukatha kudya. |
| Kutupa | Kumva mpweya kapena kutupa mutatha kudya. |
| Kusanza ndi kusanza | Kusowa chilakolako cha chakudya, nseru, komanso nthawi zina kusanza. |
| Kutsegula m'mimba | Anthu ena amathanso kutsegula m'mimba. |
| Kuchepetsa thupi popanda chifukwa | Kuopa kudya ndi kuvutika kugaya chakudya kungayambitse kutaya thupi ndi makilogalamu oposa 10 (mapaundi 20). |
N’chifukwa chiyani MALS amenewa amapangidwa?
Akatswiri sanapezebe chifukwa chomveka bwino komanso chenicheni cha izi, koma pali malingaliro angapo.
- Chinthu chomwe chimachokera pakubadwa: Ofufuza ena amati anthu ena amabadwa ndi `Median Arcuate Ligament` pamalo olakwika, otsika pang'ono.
- Zina zomwe zimayambitsa: Pali lingaliro lina lakuti vutoli likhoza kuchitika ngati vuto la opaleshoni ya m'mimba kapena msana, kapena pambuyo pa kuvulala kwamtundu wina m'mimba.
Mavuto omwe amabwera chifukwa cha kuchedwa kwa matenda
Ichi ndi chimodzi mwa mavuto akuluakulu a MALS. Matendawa ndi ovuta kuwazindikira mwachangu. Zingatenge miyezi, ngakhale zaka.
Chifukwa cha ululu womwe ukupitirira nthawi yonseyi, anthu ambiri akugwa, mwakuthupi komanso m'maganizo.
- Mavuto a m'maganizo: Ululu wosatha ukhoza kuyambitsa matenda monga kuvutika maganizo .
- Nkhawa: Ngati simungapeze chomwe chikuyambitsa matenda anu ngakhale mutayesedwa kangapo, nthawi zambiri mumakhala ndi nkhawa komanso mantha ambiri, mukudzifunsa kuti, "Vuto langa ndi chiyani?"
Kodi dokotala amazindikira bwanji matenda a MALS?
Dokotala wanu adzayamba wamvetsera zizindikiro zanu ndikukuyesani. Koma monga tafotokozera kale, pali matenda ena ambiri omwe angayambitse kupweteka m'mimba, monga gastritis, appendicitis, ndi ndulu.
Choncho, musanaganize za matenda a MALS, chinthu choyamba chimene dokotala angachite ndikuyang'ana ngati muli ndi matenda ofala awa ndikuonetsetsa kuti mulibe matendawo limodzi ndi limodzi.Izi zimafuna mayeso osiyanasiyana.
| Mtundu wa mayeso | Zitsanzo |
|---|---|
| Mayeso a Magazi | - Kuchuluka kwa magazi konse `(CBC)` - Mayeso a Ntchito ya Chiwindi - Mayeso a `CRP` kapena `ESR`, omwe amafufuza matenda/matenda otupa m'thupi |
| Mayeso Ojambula | - Ultrasound ya m'mimba - Mayeso a X-ray m'mimba `(Upper GI series)` |
| Njira Zapadera | - Endoscopy (EGD) - Colonoscopy `(Colonoscopy)` |
| Mayeso apadera otsimikizira MALS | |
| Mayeso onse akatsimikizira kuti palibe matenda ena, mudzatumizidwa kwa dokotala wa matenda a m'mimba. Mayeso amodzi kapena angapo otsatirawa angachitike kuti adziwe matenda a MALS:
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Kodi mankhwala a MALS ndi otani?
Mukapezeka ndi matenda a MALS, pali mankhwala omwe angakuthandizeni kupeza mpumulo.
1.Opaleshoni (Median Arcuate Ligament Release):
Chithandizo chachikulu komanso chothandiza kwambiri pa izi ndi opaleshoni. Apa, dokotalayo amadula ndikutulutsa `Median Arcuate Ligament` yomwe imagwira mtsempha wamagazi pamalo ake. Izi zimachepetsa kupanikizika kwa mtsempha wamagazi ndi mitsempha, ndipo kuyenda kwa magazi kumabwezeretsedwa. Izi zimathandiza kuthetsa ululu wonse.
2. Celiac Plexus Block:
Nthawi zina, pali njira yobayira ``Celiac Plexus`` mu mtsempha wopanikizika kuti muchepetse ululu kwakanthawi. Izi zitha kuletsa ululu.
Gulu lachipatala lomwe lingakuthandizeni ndi izi
Popeza MALS ndi matenda omwe amakhudza thupi komanso maganizo, akatswiri ochokera m'magawo osiyanasiyana amagwira ntchito limodzi ngati gulu kuti akuthandizeni.
- Akatswiri a matenda a m'mimba: Amagwira ntchito makamaka pofufuza matenda.
- Madokotala Ochita Opaleshoni (Madokotala Ochita Opaleshoni Aakulu/Ogwira Mitsempha): Ndiwo amene amachita opaleshoniyo.
- Akatswiri odziwa bwino za ululu: Amathandiza kuthetsa ululu.
- Akatswiri a zamaganizo: Amathandiza kuthana ndi nkhawa, nkhawa, komanso kuvutika maganizo komwe kumachitika chifukwa cha matendawa.
- Akatswiri a Zakudya: Amapereka upangiri pa kunenepa bwino komanso kudya zakudya zoyenera pambuyo pa opaleshoni komanso panthawi yochepetsa thupi.
Kodi chimachitika ndi chiyani ndikalandira chithandizo? Kodi ndiyenera kukaonananso ndi dokotala?
Pambuyo pa opaleshoni, zizindikiro nthawi zambiri zimachepa kwambiri, ndipo mutha kukhala ndi moyo wabwinobwino.
Komabe, pali mwayi woti vutoli lingabwerenso nthawi zina. Palibe njira yeniyeni yopewera vutoli. Komabe, ndikofunikira kuzindikira zizindikirozo msanga ngati zibwereranso. Chifukwa chake, ndi bwino kulankhula ndi dokotala wanu ndikufunsa zizindikiro zoyambirira ngati vutoli litabwereranso.
Ngati zizindikiro monga kupweteka kwambiri m'mimba zikubwereranso pambuyo pa opaleshoni, dziwitsani gulu lanu lachipatala mwamsanga.
Ulendo wopita kuchipatala ukhoza kukhala wautali komanso wotopetsa. Koma mukapeza chomwe chikuyambitsa matendawa ndikulandira chithandizo, mudzamva bwino kwambiri. Mudzatha kusangalala ndi chakudya popanda mantha ndikukhalanso ndi moyo wosangalala.
Uthenga Wopita Nawo Kunyumba
- MALS ndi vuto losowa lomwe limayambitsa kupweteka kwambiri m'mimba mwa munthu akadya.
- Izi zimachitika chifukwa chakuti `Median Arcuate Ligament` imafinya `Celiac Artery` ndi mitsempha yogwirizana nayo.
- Zingatenge nthawi kuti munthu adziwe ngati ali ndi vutoli, ndipo n’zachibadwa kumva kupsinjika maganizo panthawiyo.
- Zizindikiro zimenezi sizili "m'maganizo mwanu" okha; zili ndi chifukwa chenicheni chakuthupi.
- Opaleshoni nthawi zambiri imatha kuchiritsa vutoli bwino, zomwe zingakuthandizeni kukhalanso ndi moyo wabwinobwino.
- Ngati zizindikiro zikubwereranso, pitani kwa dokotala nthawi yomweyo.
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