Unonzwa kurwadziwa kwakanyanya mudumbu rako repamusoro mushure mekunge wapedza kudya here? Pasinei nezvaunoita, hazviperi here? Kurwadziwa uku kunokunetsa zvekuti unotya kudya here? Wakagumbuka here kuti wakaenda kuna chiremba wese uye wakaongororwa, asi uchiri kushaya chikonzero? Ichi chiitiko chisina maturo. Nhasi, tiri kutaura nezvechirwere chisingawanzoitiki chinokonzera zviratidzo zvakafanana, asi chisingazivikanwi zvakanyanya.
Chii chaizvo chinonzi MALS? Ngatizvinzwisise zviri nyore.
Kuti tinzwisise izvi, ngatitarisei chimwe chinhu chiri mukati memiviri yedu. Funga nezvetsinga huru yeropa inoenda kubva pachipfuva chedu ichienda mudumbu, aorta. Izvi zvakafanana nepombi huru inotumira ropa kumativi ese emuviri wedu.
Bazi guru retsinga iyi rinonzi `Celiac Artery`. Izvi zvinopa ropa kunhengo dzakakosha mudumbu redu, dzakadai sechiropa, dumbu, nepancreas.
Iye zvino, pamusoro peiyi 'Celiac Artery', pane ligament inonzi 'Median Arcuate Ligament', iyo yakaita se arch diki. Kazhinji, ropa rinoyerera zvakanaka pakati pezviviri izvi pasina matambudziko.
Asi kune munhu ane MALS, iyi 'Median Arcuate Ligament' iri pasi zvishoma. Zvadaro, chinoitika ndechekuti, inodzvanya 'Celiac Artery' netsinga dzinoenda pedyo nayo '(Celiac Plexus)'. Kungofanana neapo munhu anotsika papombi yemvura, kuyerera kwemvura kunoderera, nekuda kwekumanikidzwa uku, huwandu hweropa rinoenda kunhengo idzodzo hunoderera. Ndipo panotanga kurwadziwa kwakanyanya.
Izvi zvinonziwo `Celiac Artery Compression Syndrome`.
Ndezvipi zviratidzo zvikuru zvechirwere cheMALS?
Chiratidzo chikuru uye chinonyanya kuoneka chechirwere ichi kurwadziwa kwakanyanya mudumbu mushure mekudya. Kurwadziwa uku kwakanyanya zvekuti vamwe vanhu vanotya kudya. Vanotoedza kusadya chikafu vachitya kuti "kana ndikadya, kurwadziwa kuchadzoka."
| Chiratidzo | Tsananguro |
|---|---|
| Kurwadziwa kwedumbu | Kurwadziwa kwakanyanya mudumbu repamusoro, kunyanya mushure mekudya. |
| Kuzvimba | Kunzwa kunhuwa kana kuzvimba mushure mekudya. |
| Kusvotwa nekurutsa | Kushaya chido chekudya, kuda kurutsa, uye dzimwe nguva kurutsa. |
| Manyoka | Vamwe vanhu vanogonawo kuva nemanyoka. |
| Kuderedza uremu pasina chikonzero | Kutya kudya uye matambudziko ekugaya chikafu zvinogona kukonzera kudzikira kwehuremu nekupfuura makirogiramu gumi (mapaundi makumi maviri). |
Sei MALS idzi dzichiumbwa?
Nyanzvi hadzisati dzawana chikonzero chakajeka uye chaicho cheizvi, asi kune dzidziso dzinoverengeka.
- Chimwe chinhu chinobva pakuzvarwa: Vamwe vaongorori vanoti vamwe vanhu vanozvarwa vaine `Median Arcuate Ligament` panzvimbo isiriyo, yakaderera zvishoma.
- Zvimwe zvikonzero: Pane imwe dzidziso yekuti chirwere ichi chinogona kuitika sedambudziko rekuvhiyiwa kwemudumbu kana musana, kana mushure mekukuvadzwa kwemudumbu.
Matambudziko anokonzerwa nekunonoka kuongororwa chirwere
Iri ndiro rimwe rematambudziko makuru eMALS. Chirwere ichi chakaoma zvikuru kuona nekukurumidza. Zvinogona kutora mwedzi, kunyange makore.
Nekuda kwekurwadziwa uku kuri kuramba kuripo munguva ino yese, vanhu vazhinji vari kuparara, mumuviri nemupfungwa.
- Matambudziko epfungwa: Kurwadziwa kusingaperi kunogona kukonzera matambudziko akadai sekuora mwoyo .
- Kuzvidya Mwoyo: Kana usingakwanise kuwana chikonzero chechirwere chako pasinei nekuongororwa kakawanda, zvakajairika kuti unzwe kunetseka kukuru uye kutya, uchizvibvunza kuti, "Chii chiri kundinetsa?"
Chiremba anoongorora sei chirwere cheMALS?
Chiremba wako achatanga ateerera zviratidzo zvako uye okuongorora. Asi sezvatakambokurukura, kune zvimwe zvirwere zvakawanda zvinogona kukonzera kurwadziwa mudumbu, zvakaita segastritis, appendicitis, uye matombo emudumbu.
Saka, usati wafungidzira kuti une chirwere cheMALS, chinhu chekutanga chinoitwa nachiremba ndechekutarisa kana uine chimwe chezvirwere izvi zvakajairika uye kuve nechokwadi chekuti hauna chimwe nechimwe chazvo.Izvi zvinoda bvunzo dzakasiyana-siyana.
| Rudzi rwekuyedza | Mienzaniso |
|---|---|
| Kuongororwa kweRopa | - Kuverengwa kweropa rose `(CBC)` - Miedzo yeChiropa - bvunzo dze `CRP` kana `ESR`, dzinoongorora hutachiona/zvirwere zvekuzvimba mumuviri |
| Miedzo yeKufungidzira | - Ultrasound yedumbu - Kuongororwa kweX-ray yedumbu `(Upper GI series)` |
| Maitiro Akakosha | - Endoscopy (EGD) - Colonoscopy `(Colonoscopy)` |
| Miedzo yakakosha yekusimbisa MALS | |
| Kana bvunzo dzose dzaratidza kuti hapana zvimwe zvirwere, uchaendeswa kuna chiremba wezvekudya. Imwe kana kupfuura yeongororo dzinotevera inogona kuitwa kuti unyatsoongorora chirwere cheMALS:
| |
Ndezvipi zvinorapwa zveMALS?
Kana wangoonekwa uine MALS, kune mishonga inogona kukupa zororo.
1.Kuvhiya (Kuburitswa KwemaLigament eMedian Arcuate):
Kurapa kukuru uye kunoshanda zvikuru kweizvi kuvhiyiwa. Pano, chiremba anovhiya anocheka nekuburitsa `Median Arcuate Ligament` iri kubata tsinga yeropa panzvimbo. Izvi zvinoderedza kumanikidzwa kwetsinga yeropa netsinga, uye kufamba kweropa kunodzoserwa. Izvi zvinobatsira kubvisa marwadzo zvachose.
2. Chivharo cheCeliac Plexus:
Mune zvimwe zviitiko, pane nzira yekuisa "Celiac Plexus" mutsinga dzakamanikidzwa kuti ipe zororo rekurwadziwa kwenguva pfupi. Izvi zvinogona kudzora marwadzo.
Chikwata chezvekurapa chichakubatsira neizvi
Nekuti MALS chirwere chinokanganisa muviri nepfungwa, nyanzvi dzemhando dzakasiyana dzinoshanda pamwe chete sechikwata kuti dzikubatsire.
- Vanachiremba vezvematumbu: Vanonyanya kushanda pakuongorora zvirwere.
- Vanachiremba Vezvekuvhiya (Vanachiremba Vezvekuvhiya Vemitsipa Yeropa/Vetsinga Dzeropa): Ndivo vanoita kuvhiya uku.
- Nyanzvi dzekurapa marwadzo: Dzinobatsira kudzora marwadzo.
- Nyanzvi dzepfungwa: Dzinobatsira pakurwisa kushushikana, kuzvidya mwoyo, uye kuora mwoyo kunokonzerwa nechirwere ichi.
- Nyanzvi dzezvekudya: Vanopa mazano ekuwedzera huremu hwakanaka uye kudya kwakakodzera mushure mekuvhiyiwa uye panguva yekudzikisa huremu.
Chii chinoitika mushure mekurapwa? Ndinofanira kuona chiremba zvakare here?
Mushure mekuvhiyiwa, zviratidzo zvinowanzodzikira zvakanyanya, uye unogona kurarama hupenyu hwakajairika.
Zvisinei, pane mukana wekuti chirwere ichi chidzoke zvakare mune dzimwe nguva dzisingawanzoitiki. Hapana nzira chaiyo yekudzivirira. Zvisinei, zvakakosha kuziva zviratidzo nekukurumidza kana zvikadzoka zvakare. Saka, kuchenjera kutaura nachiremba wako uye kubvunza kuti zviratidzo zvepakutanga zvaive zvipi kana dambudziko racho rikadzoka zvakare.
Kana zviratidzo zvakaita sekurwadziwa kwemudumbu kwakanyanya zvakavapo usati wavhiyiwa, zivisa timu yako yezvekurapa nekukurumidza.
Rwendo rwekuongorora chirwere runogona kuva rurefu uye runonetesa. Asi kana wawana chikonzero uye wagamuchira kurapwa, uchanzwa zororo guru. Uchakwanisa kunakidzwa nechikafu usingatyi zvakare uye kurarama hupenyu hwako uchifara.
Mharidzo Yekuenda Nayo Kumba
- MALS chirwere chisingawanzoitiki chinokonzera kurwadziwa kwakanyanya mudumbu mushure mekudya.
- Izvi zvinoitika nekuti `Median Arcuate Ligament` inodzvanya `Celiac Artery` pamwe netsinga dzayo.
- Zvinogona kutora nguva kuti chirwere chiongororwe, uye zvakajairika kunzwa kushushikana panguva iyoyo.
- Zviratidzo izvi hazvisi "mupfungwa dzako chete"; zvine chikonzero chaicho chemuviri.
- Kuvhiyiwa kunogona kurapa chirwere ichi zvinobudirira, zvichikubvumidza kurarama hupenyu hwakajairika zvakare.
- Kana zviratidzo zvikadzoka, kurumidza kuonana nachiremba wako.
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