Kupweteka m'mimba mukatha kudya: Tiyeni tikambirane za Median Arcuate Ligament Syndrome (MALS).

Kodi mumamva kupweteka kwachilendo m'mimba mwanu mutadya? Nthawi zina ululuwo umakhala waukulu kwambiri moti mumaopa kudya, eti? Anthu ambiri amakumana ndi izi. Lero, tikambirana za vuto lomwe lingayambitse zizindikirozi, koma si zachilendo.

Kodi Median Arcuate Ligament Syndrome (MALS) ndi chiyani?

Chabwino, kodi Median Arcuate Ligament Syndrome ndi chiyani? Mwachidule, ndi vuto lomwe limayamba chifukwa cha minofu yotchedwa 'Median Arcuate Ligament' pachifuwa chathu, yomwe imakanikiza 'Celiac Artery' , mtsempha waukulu wamagazi womwe umanyamula magazi kupita m'mimba mwathu, ndi 'Celiac Plexus' , dongosolo la mitsempha lomwe lili pafupi.

Tangoganizirani, 'median arcuate ligament' iyi ili ngati arch. Ili mozungulira 'aorta' yathu, mtsempha waukulu wamagazi womwe umanyamula magazi kuchokera pamtima kupita ku thupi lonse. 'Celiac artery' ndi nthambi yofunika kwambiri yomwe imafalikira kuchokera ku 'aorta' iyi.

Kawirikawiri, 'median arcuate ligament' iyi iyenera kukhala pamwamba pa 'celiac artery'. Koma mwa munthu amene ali ndi (MALS), ligament iyi ikhoza kukhala yotsika kuposa yachibadwa. Ndiye chimachitika ndi chiyani? Ligament iyi imakanikiza 'celiac artery'. Monga momwe munthu akakanikiza chitoliro cha madzi, madzi amasiya kuyenda, magazi oyenda kudzera mu mtsempha wamagaziwu amasokonezeka. Sikuti zokhazo, komanso mitsempha yapafupi imatha kukanizidwanso.

Ichi ndichifukwa chake mumamva kupweteka kwambiri m'mimba mwanu mukatha kudya. Nthawi zina ululuwo umakhala waukulu kwambiri moti mumaopa kudya chifukwa mukuganiza kuti zidzakhala zovuta kachiwiri. (MALS) imatchedwanso:

• (Sindrome Yokhudza Kupsinjika kwa Mitsempha ya Celiac)
• (Celiac Axis Compression Syndrome)
• (Dunbar Syndrome)

Kodi zizindikiro za matenda a (MALS) ndi ziti?

Tsopano tiyeni tiwone zizindikiro za (MALS). Chachikulu ndi kupweteka m'mimba chapamwamba mutadya . Ichi ndi chizindikiro choyamba chomwe chimawonekera. Anthu ena amati ululuwu ndi woopsa kwambiri kotero kuti amaopa kudya, poopa kuti zizindikirozo zingabwerenso. Palinso zizindikiro zina, zina mwa izi ndi:

• Mimba yotupa
• Kupita m'mimba, kumatanthauza kutsegula m'mimba ((Kutsegula m'mimba))
• Kusanza ndi kusanza
• Kuchepetsa thupi popanda chifukwa chomveka, mwina makilogalamu 20 kapena kuposerapo.

Kodi zifukwa za (MALS) ndi ziti?

Akatswiri sakudziwabe chomwe chimayambitsa matenda a MALS. Ofufuza ena amati anthu ena amabadwa ndi ligament yapakati yopangidwa modabwitsa. Ena amakhulupirira kuti matenda a MALS amatha kuchitika chifukwa cha opaleshoni ya m'mimba, opaleshoni ya msana, kapena kuvulala kwambiri m'mimba.

Kodi mavuto omwe angakhalepo chifukwa cha (MALS) ndi ati?

Kawirikawiri, anthu omwe ali ndi matenda a MALS sapezeka kwa miyezi ingapo, ngakhale zaka zambiri. Tangoganizirani, amakhala ndi ululu wosatha panthawiyo. Ululu wopitirirawu ukhoza kubweretsa mavuto azaumoyo. Mwachitsanzo, kuvutika maganizo . Komanso, ngati matenda sanapezeke ngakhale atayesedwa kangapo ndipo palibe chithandizo, zingayambitse nkhawa yaikulu.

Tangoganizani kuti pali munthu wotchedwa Nalini, amene amamva kupweteka m'mimba nthawi iliyonse akamadya. Akapita kwa madokotala, amayesa mayeso osiyanasiyana, koma matendawa sapezeka. Ena amanenanso kuti, 'Muyenera kuti muli ndi vuto la maganizo.' Ndiye Nalini ayenera kuti ndi wachisoni komanso wodera nkhawa bwanji, eti? Mtundu uwu wa vuto (MALS) ukhoza kukhala wofala kwa anthu omwe ali ndi vutoli.

Kodi madokotala amazindikira bwanji matenda (MALS)?

Chabwino, kodi madokotala angadziwe bwanji ngati muli ndi matenda a MALS? Ngati dokotala wanu akukayikira kuti muli ndi matenda a MALS, choyamba adzalemba mbiri yonse ya matenda kenako adzakuyezani thupi .

Tsopano, pali matenda ambiri omwe angayambitse kupweteka m'mimba. Mwachitsanzo, akhoza kukhala chilichonse kuyambira appendicitis mpaka gastroparesis mpaka matenda monga zilonda zam'mimba. Chifukwa chake, dokotala wanu ayamba kaye walamula kuti ayesedwe magazi ndi zithunzi zosiyanasiyana kuti athetse matenda omwe angayambitse zizindikiro zanu.

Mayeso a Magazi

Dokotala akhoza kulamula kuyezetsa magazi kamodzi kapena zingapo, monga:

• Kuchuluka kwa Magazi Onse (CBC)
• Gulu Lonse la Kagayidwe kachakudya
• Mayeso a Ntchito ya Chiwindi
• A (SED rate test) kapena (C-reactive protein - CRP test) kuti muwone ngati pali kutupa m'thupi.
• Kuyezetsa kwa chithokomiro - Izi zingaphatikizepo kuyezetsa magazi komanso kuyezetsa zithunzi.

Mayeso Ojambula

• Ultrasound ya m'mimba
• Kuyesa kotsatira matumbo ang'onoang'ono
• Kuyesa kwa mndandanda wa GI wapamwamba

Njira zapadera zoyesera

• Colonoscopy, yomwe imafufuza matumbo akuluakulu
• Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, yomwe imafufuza m'mero, m'mimba, ndi chiyambi cha matumbo ang'onoang'ono.
• Maphunziro a kayendedwe ka thupi amayesa momwe chakudya chimayendera mofulumira m'mimba.

Ngati mayesowa achotsa matenda omwe amapezeka nthawi zambiri, dokotala wanu angakutumizireni kwa dokotala wa matenda a m'mimba kuti akakuyezeni matenda ena apadera. Ena mwa awa ndi awa:

• Angiogram - Izi zimayang'ana momwe mitsempha yamagazi ilili.
• Kufufuza kwa computed tomography ((Computed Tomography - CT scan))
• Kujambula kwa magnetic resonance imaging (MRI)
• Mesenteric Duplex Ultrasound - Izi zimayang'ana makamaka momwe magazi amayendera kudzera mu mtsempha wanu wa celiac, kapena ngati mitsempha yotchedwa celiac plexus ikukanikizidwa ndi ligament imeneyo.

"Mayeso onsewa amachitika kuti adziwe vuto lenileni. Nthawi zina izi zingatenge nthawi, koma ndikofunikira kukhala oleza mtima mpaka mutapeza matenda oyenera."

Kodi (MALS) imachiritsidwa bwanji?

Chabwino, tsopano popeza mwapezeka ndi matenda a MALS, kodi mankhwala ake ndi otani? Dokotala wanu angakulangizeni kuti mugwiritse ntchito 'celiac plexus block' kuti muchepetse ululu wanu wam'mimba. Izi zili ngati jakisoni mu mitsempha yopweteka, zomwe zimalepheretsa mitsempha ina kwakanthawi ndikuchepetsa ululu.

Kuphatikiza apo, chithandizo chachikulu ndi opaleshoni yotchedwa 'median arcuate ligament release' . Opaleshoni iyi imaphatikizapo kudula ndi kuchotsa kapena kumasula ligament yolimba. Izi zimathandiza kuchepetsa kupanikizika kwa 'celiac artery' ndi mitsempha. Pambuyo pa opaleshoni iyi, magazi oyenda kudzera mu 'celiac artery' amabwezeretsedwa, ndipo kupanikizika kwa mitsempha kumachepanso.

Gulu lachipatala lomwe limapereka chithandizo (MALS)

(MALS) ndi vuto losazolowereka. Ndipo chifukwa lingayambitse mavuto akuthupi komanso amisala, mwina pali gulu la akatswiri oti akuthandizeni. Izi zingaphatikizepo:

• Akatswiri a matenda a m'mimba (akatswiri a matenda a m'mimba)
• Madokotala Ochita Opaleshoni Ambiri
• Madokotala Ochita Opaleshoni ya Mitsempha
• Akatswiri Othandiza Kuchepetsa Ululu
• Akatswiri a zamaganizo kapena akatswiri a zamaganizo
• Akatswiri azakudya

Anthu onsewa akugwira ntchito limodzi kuti akupatseni mpumulo. Tangoganizirani, aliyense akukuthandizani pa vuto lanu mwanjira ina.

Ndi zinthu zotani zomwe zingayembekezeredwe ngati pali (MALS)?

Pambuyo pa opaleshoni, zizindikiro nthawi zambiri zimatha. Ndi zoona. Komabe, kafukufuku wina wasonyeza kuti ngakhale pambuyo pa opaleshoni, Median Arcuate Ligament Syndrome (MALS) ikhoza kubwereranso. Palibe chomwe tingachite kuti tipewe izi. Komabe, ndikofunikira kudziwa kusintha kwina m'thupi lanu komwe kungakhale chizindikiro chakuti MALS ikubwerera.Funsani dokotala wanu zizindikiro zoyambirira izi. Iye adzakufotokozerani zomwe muyenera kuyang'anira.

Kodi muyenera kufunsa upangiri wa dokotala liti?

Tanena kuti zizindikiro za MALS zimatha kubwereranso ngakhale mutachita opaleshoni. Ngati zimenezo zitachitika, muyenera kudziwitsa gulu lanu lachipatala.

Tangoganizirani, mukudziwa kuti pali vuto m'mimba mwanu. Mumamva kupweteka kosatha m'mimba mwanu mukatha kudya chakudya chilichonse. Koma ngakhale kuti mumayesedwa nthawi zonse, simunathe kudziwa vutolo kapena chithandizo chake ndi chiyani. Mwina munamvapo kuti zizindikirozi zimayambitsidwa ndi vuto la maganizo osati la thupi. Panthawi ngati iyi, mukazindikira kuti vuto losowali (Median Arcuate Ligament Syndrome) ndilo limayambitsa zizindikiro zanu, mudzamva bwino kwambiri, sichoncho?

Chabwinonso, pali mankhwala othandiza kuchepetsa ululu wanu. Dokotala wanu angakulangizeni opaleshoni. Ngati matendawa ndi MALS, gulu lanu lachipatala lidzakulangizani chithandizo choyenera kuti chikuthandizeni kusangalala ndi chakudya ndi moyo.

Zinthu zofunika kwambiri zomwe tiyenera kukumbukira kuchokera munkhaniyi ndi izi:

• Kupweteka kwambiri m'mimba pamwamba pa chakudya kungakhale chizindikiro chachikulu cha matenda a MALS.
• Izi zimachitika chifukwa chakuti 'median arcuate ligament' imafinya 'celiac artery' ndi mitsempha yogwirizana nayo.
• Mayeso angapo ayenera kuchitidwa kuti adziwe matenda, chifukwa ichi ndi vuto losowa kwambiri ndipo matenda ena ofala ayenera kuchotsedwa.
• Chithandizo chachikulu ndi opaleshoni, koma palinso njira zina zochiritsira ululu, monga celiac plexus block.
• Ngati zizindikiro zibwereranso mutalandira chithandizo, ndikofunikira kwambiri kufunafuna upangiri wa dokotala nthawi yomweyo.
• Kukhala ndi vutoli n'kovuta, kotero chithandizo chamaganizo n'chofunikanso kwambiri . Kumbukirani kuti simuli nokha. Madokotala anu, abale anu, ndi anzanu adzakuthandizani paulendowu.

Matenda a Median Arcuate Ligament, MALS, Ululu wa M'mimba, Ululu Pambuyo pa Kudya, Mitsempha ya Celiac, Opaleshoni, Dongosolo Logaya Chakudya