Kubabara mu nda nyuma yo kurya: Reka tuvuge kuri Median Arcuate Ligament Syndrome (MALS)

Ese wumva ububabare budasanzwe mu nda yawe yo hejuru nyuma yo kurya? Hari igihe ububabare buba bukomeye cyane ku buryo utinya kurya, si byo se? Abantu benshi bahura n'iki kibazo. Uyu munsi, tugiye kuvuga ku ndwara ishobora gutera ibi bimenyetso, ariko ntabwo ari ibintu bikunze kugaragara.

Indwara y'imitsi yo mu bwonko (Median Arcuate Ligament Syndrome - MALS) ni iki?

None se, Median Arcuate Ligament Syndrome ni iki? Muri make, ni indwara iterwa n'agace kitwa 'Median Arcuate Ligament' mu gituza cyacu, gakandagira kuri 'Celiac Artery' , umuyoboro munini w'amaraso ujyana amaraso mu nda yacu, na 'Celiac Plexus' , uturemangingo tw'imitsi turi hafi aho.

Tekereza, iyi 'median arcuate ligament' imeze nk'umusemburo. Iherereye hafi y ' 'aorta' yacu, umuyoboro w'amaraso munini utwara amaraso ava mu mutima ajya mu mubiri wose. 'Umutsi wo mu bwoko bwa celiac' ni ishami ry'ingenzi riva kuri iyi 'aorta'.

Ubusanzwe, iyi 'median arcuate ligament' igomba kuba iri hejuru ya 'celiac artery'. Ariko ku muntu ufite (MALS), iyi ligament ishobora kuba iri hasi kurusha uko bisanzwe. Bigenda bite se? Iyi ligament ikanda 'celiac artery'. Nk'uko umuntu akanda umuyoboro w'amazi, amazi arahagarara, amaraso atembera muri uyu muyoboro w'amaraso arahungabana. Si ibyo gusa, ahubwo n'imitsi iri hafi aho ishobora gukandamizwa.

Niyo mpamvu ubabara cyane mu nda yo hejuru nyuma yo kurya. Hari igihe ububabare buba bukomeye cyane ku buryo utinya kurya kuko utekereza ko bizakugora nanone. (MALS) nanone yitwa:

• (Indwara yo gukanda imitsi yo mu bwonko bwa Celiac)
• (Indwara yo gucika intege mu gice cya Celiac Axis)
• (Indwara ya Dunbar)

Ni ibihe bimenyetso bya (MALS)?

Noneho reka turebe ibimenyetso bya (MALS). Ikintu nyamukuru ni ububabare mu nda yo hejuru nyuma yo kurya . Iki ni cyo kimenyetso cya mbere kigaragara. Hari abantu bavuga ko ubu bubabare bukabije ku buryo batinya kurya, batinya ko ibimenyetso bizagaruka. Hari n'ibindi bimenyetso, bimwe muri byo ni:

• Inda yabyimbye
• Kujya mu nda, bivuze impiswi ((Impiswi))
• Isesemi no kuruka
• Kugabanya ibiro nta mpamvu igaragara, wenda ibiro 20 cyangwa birenga.

Ni izihe mpamvu zitera (MALS)?

Impuguke ntiziramenya neza impamvu ya MALS. Abashakashatsi bamwe bavuga ko hari abantu bavukana umugozi udasanzwe wa arcuate ligament. Abandi bizera ko MALS ishobora gutera ikibazo cyo kubagwa mu nda, kubagwa uruti rw'umugongo, cyangwa gukomereka mu nda bikomeye.

Ni izihe ngorane zishobora guterwa na (MALS)?

Akenshi, abantu barwaye MALS bamara amezi menshi cyangwa imyaka batabimenye. Tekereza, babana n'ububabare budakira muri icyo gihe. Ubu bubabare bukomeza bushobora gutera ibibazo byo mu mutwe. Urugero, kwiheba . Nanone, iyo indwara idasuzumwe nubwo habayeho ibizamini byinshi kandi nta muti uhari, bishobora gutera impungenge zikomeye.

Tekereza ko hari umuntu witwa Nalini, ubabara mu nda buri gihe iyo ariye. Iyo agiye kwa muganga, bakora ibizamini bikurikira, ariko indwara ntigaragara. Hari n'abantu bavuga bati 'Ugomba kuba ufite ikibazo cyo mu mutwe.' None se Nalini agomba kuba ababaye kandi ahangayikishijwe n'iki kibazo, si byo se? Ubu bwoko bw'ibintu (MALS) bushobora kuba busanzwe ku bantu barwaye iki kibazo.

Ni gute abaganga basuzuma indwara (MALS)?

None se, abaganga bamenya bate ko ufite MAT? Niba umuganga wawe akeka ko ufite MAT, abanza gukora amateka yuzuye y'ubuzima hanyuma akore isuzuma ry'umubiri .

Ubu, hari indwara nyinshi zishobora gutera ububabare mu nda yo hejuru. Urugero, zishobora kuba ikintu cyose kuva kuri appendicitis kugeza kuri gastroparesis kugeza ku ndwara nk'indwara y'ibisebe byo mu gifu. Bityo, muganga wawe azabanza gutegeka ko hakorwa ibizamini bitandukanye by'amaraso n'ibizamini byo gufata amashusho kugira ngo agaragaze izo ndwara zisanzwe zishobora gutera ibimenyetso byawe.

Ibipimo by'amaraso

Muganga ashobora gutegeka ko amaraso apimwa rimwe cyangwa menshi, urugero:

• Umubare w'amaraso yuzuye (CBC)
• Igice cyuzuye cya Metabolic Panel
• Ibipimo by'imikorere y'umwijima
• Ikizamini cya (SED rate test) cyangwa (C-reactive protein - CRP test) kugira ngo harebwe niba hari ububyimbirwe mu mubiri.
• Ibipimo bya tiroyide - Ibi bishobora kuba birimo ibizamini by'amaraso ndetse n'ibizamini byo gufata amashusho.

Ibizamini byo Gushushanya

• Ultrasound yo mu nda
• Ikizamini cyo gukurikirana amara mato
• Isuzuma rya GI ryo hejuru

Uburyo bwihariye bwo gupima

• Insuzuma ya colonoscopy, isuzuma amara manini
• Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, isuzuma umwobo, igifu, n'intangiriro y'amara mato.
• Inyigo z’uburyo ibiryo bigenda byihuta mu buryo bw’igogora.

Niba ibi bizamini bitagaragaza ko hari indwara zisanzwe, muganga wawe ashobora kukwohereza kwa muganga w’indwara zo mu nda kugira ngo agupime ibipimo byihariye. Bimwe muri ibyo birimo:

• Angiogramu - Ibi bigenzura imiterere y'imitsi y'amaraso.
• Isuzuma rya "computer tomography" ((Computed Tomography - CT scan))
• Isuzuma rya MRI (magnetic resonance imaging)
• Ultrasound ya Mesenteric Duplex - Iyi ultrasound ireba cyane cyane uburyo amaraso atembera mu mitsi yawe ya celiac, cyangwa niba imitsi yitwa celiac plexus irimo gukandamizwa n'iyo ligament.

"Ibi bizamini byose bikorwa kugira ngo hamenyekane neza ikibazo. Hari igihe ibi bishobora gufata igihe, ariko ni ngombwa kwihangana kugeza igihe umenye neza."

Indwara ya (MALS) ivurwa ite?

None se, ubu ko wamaze gupimwa indwara ya MALS, ni ubuhe buryo bwo kuvura? Muganga wawe ashobora kukugira inama yo gukoresha 'celiac plexus block' kugira ngo bigufashe kugabanya ububabare bwo mu nda. Ibi ni nko guterwa urushinge mu mitsi ibabaza, bigatuma imitsi imwe n'imwe ihagarika by'agateganyo kandi ikagabanya ububabare.

Byongeye kandi, uburyo bw'ingenzi bwo kuvura ni ukubaga bwitwa 'median arcuate ligament release' . Ubu buryo bwo kubaga bukubiyemo gukata no gukuraho cyangwa kurekura ligament ikomeye. Ibi bigabanya umuvuduko ku 'artery ya celiac' n'imitsi. Nyuma y'ubu buryo bwo kubaga, amaraso atembera muri 'artery ya celiac' arasubizwa, kandi umuvuduko ku mitsi nawo uragabanuka.

Itsinda ry'abaganga bavura (MALS)

(MALS) ni indwara idakunze kugaragara. Kandi kubera ko ishobora gutera ibibazo by'ubuzima bw'umubiri n'ubwo mu mutwe, birashoboka ko hari itsinda ry'inzobere zizagufasha. Muri izi ndwara harimo:

• Inzobere mu ndwara zo mu gifu (inzobere mu ndwara zo mu gifu)
• Abaganga Bakuru b'Abaganga
• Abaganga b'imitsi
• Inzobere mu kuvura ububabare
• Abaganga b'indwara zo mu mutwe cyangwa inzobere mu by'imitekerereze
• Abahanga mu mirire

Aba bantu bose barimo gukorera hamwe kugira ngo bagufashe mu gihe cy'ibibazo. Tekereza, buri wese agufasha mu kibazo cyawe mu buryo butandukanye.

Ni ibihe bintu bishobora kwitegwa niba hari (MALS)?

Nyuma yo kubagwa, ibimenyetso bikunze kugabanuka. Ibyo ni ukuri. Ariko, ubushakashatsi bumwe na bumwe bwagaragaje ko na nyuma yo kubagwa, indwara ya Median Arcuate Ligament Syndrome (MALS) ishobora kugaruka. Nta kintu na kimwe twakora ngo tuyibuze. Ariko, ni ngombwa kumenya izindi mpinduka mu mubiri wawe zishobora kuba ikimenyetso cy'uko MALS irimo kugaruka.Baza muganga wawe ibimenyetso bya mbere. Azagusobanurira ibyo ugomba kwitondera.

Ni ryari ukwiye gushaka inama z'abaganga?

Twavuze ko ibimenyetso bya MALS bishobora kugaruka ndetse na nyuma yo kubagwa. Niba ibyo bibaye, ugomba kumenyesha itsinda ry’abaganga bawe.

Tekereza, uzi ko hari ikibazo kiri mu nda yawe. Ugira ububabare bukabije mu gice cyo hejuru cy'igifu cyawe nyuma ya buri funguro. Ariko nubwo ukomeje gupimwa, ntabwo washoboye kumenya ikibazo cyangwa uburyo kivurwa. Ushobora no kuba warumvise ko ibi bimenyetso biterwa n'ikibazo cyo mu mutwe aho guterwa n'ikibazo cy'umubiri. Muri iki gihe nk'iki, numenya ko iyi ndwara idasanzwe (Median Arcuate Ligament Syndrome) ari yo itera ibimenyetso byawe, uzumva uhumurijwe cyane, si byo se?

Ikindi kandi, hari uburyo bwo kugabanya ububabare bwawe. Muganga wawe ashobora kukugira inama yo kubagwa. Niba indwara ya MATAL yagaragaye, itsinda ry’abaganga rizakugira inama yo kugufasha kwishimira ibiryo no kongera kubaho.

Ibintu by'ingenzi tugomba kwibuka muri iyi nkuru ni

• Kubabara cyane mu nda yo hejuru nyuma yo kurya bishobora kuba ikimenyetso cy'ingenzi cya MALS.
• Ibi bibaho kubera ko 'median arcuate ligament' ikanda 'imitsi yo mu bwoko bwa celiac' n'imitsi ijyana nayo.
• Hakenewe ibizamini byinshi kugira ngo hamenyekane indwara, kuko iyi ari indwara idakunze kugaragara kandi izindi ndwara zisanzwe zigomba gukurwaho.
• Uburyo bw'ingenzi bwo kuvura ni ukubagwa, ariko hari ubundi buryo bwo kuvura ububabare, nka celiac plexus block.
• Iyo ibimenyetso bigarutse nyuma yo kuvurwa, ni ngombwa cyane gushaka inama kwa muganga vuba.
• Kubana n'iki kibazo biragoye, bityo inkunga y'amarangamutima nayo ni ingenzi cyane . Wibuke ko utari wenyine. Abaganga bawe, umuryango wawe n'inshuti zawe bazagufasha muri uru rugendo.

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