Kurwadziwa kwemudumbu mushure mekudya: Ngatitaurei nezveMedian Arcuate Ligament Syndrome (MALS).

Unonzwa kurwadziwa kusinganzwisisike mudumbu rako repamusoro mushure mekudya here? Dzimwe nguva kurwadziwa kwacho kwakanyanya zvekuti unotya kudya, handiti? Vanhu vazhinji vanosangana nedambudziko iri. Nhasi, tichataura nezvechirwere chinogona kukonzera zviratidzo izvi, asi hazviwanzoitiki.

Chii chinonzi Median Arcuate Ligament Syndrome (MALS)?

Saka chii chinonzi Median Arcuate Ligament Syndrome? Zvichitaurwa zviri nyore, chirwere chinokonzerwa nenyama inonzi 'Median Arcuate Ligament' iri muchipfuva chedu, ichidzvanya pa 'Celiac Artery' , tsinga huru yeropa inotakura ropa kuenda mudumbu redu, uye 'Celiac Plexus' , tsinga dziri pedyo.

Fungidzira, 'median arcuate ligament' iyi yakaita se arch. Iri pedyo ne 'aorta' yedu, tsinga huru yeropa inotakura ropa kubva pamoyo kuenda kumuviri wese. 'Celiac artery' ibazi rinokosha rinobuda kubva ku 'aorta' iyi.

Kazhinji, 'median arcuate ligament' iyi inofanira kunge iri pamusoro pe'celiac artery'. Asi kune munhu ane (MALS), ligament iyi inogona kunge iri pasi pane yakajairwa. Chii chinoitika ipapo? Ligament iyi inodzvanya 'celiac artery'. Kungofanana nemunhu paanodzvanya pombi yemvura, mvura inomira kuyerera, ropa rinoyerera nemutsinga iyi yeropa rinokanganiswa. Kwete izvozvo chete, asi tsinga dziri pedyo dzinogonawo kudzvanywa.

Ndosaka uchirwadziwa zvakanyanya mudumbu rako repamusoro mushure mekudya. Dzimwe nguva kurwadziwa kwacho kwakanyanya zvekuti unotya kudya nekuti unofunga kuti zvichave zvakaoma zvakare. (MALS) inonziwo:

• (Celiac Artery Compression Syndrome)
• (Celiac Axis Compression Syndrome)
• (Dunbar Syndrome)

Ndezvipi zviratidzo zve (MALS)?

Iye zvino ngatitarisei zviratidzo zve (MALS). Chikuru kurwadziwa mudumbu repamusoro mushure mekudya . Ichi ndicho chiratidzo chekutanga chinoonekwa. Vamwe vanhu vanoti kurwadziwa uku kwakanyanya zvekuti vanotya kudya, vachitya kuti zviratidzo zvichadzokazve. Kune zvimwe zviratidzo, zvimwe zvacho ndeizvi:

• Dumbu rakazvimba
• Kuenda mudumbu, zvinoreva manyoka ((Manyoka))
• Kusvotwa nekurutsa
• Kudzikira huremu pasina chikonzero chakajeka, pamwe makirogiramu makumi maviri kana kupfuura.

Ndezvipi zvinokonzera chirwere che (MALS)?

Nyanzvi hadzisati dzaziva kuti chii chinokonzera MALS. Vamwe vaongorori vanoti vamwe vanhu vanozvarwa vaine ligament yepakati isina kuumbwa zvakanaka. Vamwe vanotenda kuti MALS inogona kukura sedambudziko rekuvhiyiwa kwedumbu, kuvhiyiwa kwemusana, kana kukuvara kwakanyanya mudumbu.

Ndezvipi zvinetso zvinogona kuitika nekuda kwe (MALS)?

Kazhinji, vanhu vane MALS havawanzoonekwa kwemwedzi yakawanda, kunyange makore. Fungidzira, vanorarama nekurwadziwa kusingaperi munguva iyoyo. Kurwadziwa uku kunoramba kuripo kunogona kutungamira kumatambudziko ehutano hwepfungwa. Semuenzaniso, kuora mwoyo . Zvakare, kana chirwere chisina kuongororwa pasinei nekuongororwa kwakawanda uye pasina kurapwa kuripo, zvinogona kukonzera kunetseka kukuru.

Fungidzira kuti pane munhu anonzi Nalini, ane kurwadziwa nemudumbu pese paanodya. Paanoenda kuna vanachiremba, vanoongororwa kamwe chete, asi chirwere chacho hachionekwi. Vamwe vanhu vanototi, 'Unofanira kunge uine dambudziko repfungwa.' Saka Nalini anofanira kunge achishungurudzika uye achinetseka zvakadii, handiti? Rudzi urwu rwechiitiko (MALS) runogona kuitika kuvanhu vane chirwere ichi.

Vanachiremba vanoongorora sei chirwere (MALS)?

Saka vanachiremba vanozviziva sei kana uine MALS? Kana chiremba wako achifungidzira kuti une MALS, anotanga anyora nhoroondo yezvekurapa kwake uye ozoongorora muviri wake .

Pari zvino, kune zvirwere zvakawanda zvinogona kukonzera kurwadziwa mudumbu. Semuenzaniso, zvinogona kuva chero chinhu kubva paappendicitis kusvika pagastroparesis kusvika kuzvirwere zvakaita sechirwere chemaronda emudumbu. Saka, chiremba wako achatanga araira kuongororwa kweropa kwakasiyana-siyana uye kuongororwa kwemifananidzo kuti abvise zvirwere izvi zvinogona kukonzera zviratidzo zvako.

Kuongororwa kweRopa

Chiremba anogona kuraira kuongororwa kweropa kamwe chete kana kupfuura, zvakaita se:

• Kuwanda Kweropa Rakazara (CBC)
• Panel Yakakwana yeMetabolic
• Kuedzwa kweChiropa
• A (SED rate test) kana (C-reactive protein - CRP test) yekutarisa kuzvimba mumuviri.
• Kuongororwa kwethyroid - Izvi zvinogona kusanganisira kuongororwa kweropa pamwe nekuongororwa kwemifananidzo.

Miedzo yeKufungidzira

• Ultrasound yedumbu
• Kuongororwa kwekutevera ura hudiki
• Ongororo yepamusoro yeGI series

Maitiro ekuyedza akakosha

• Colonoscopy, iyo inoongorora ura hukuru
• Esophagogastroduodenoscopy (EGD) / Upper Endoscopy, iyo inoongorora gumbo, dumbu, uye kutanga kweura hudiki.
• Zvidzidzo zvekufamba zvinoyera kuti chikafu chinofamba nekukurumidza sei nemudumbu.

Kana bvunzo idzi dzisiri dzezvirwere zvinowanzoonekwa, chiremba wako anogona kukutumira kuna chiremba wezvekudya kuti akuongororwe zvakanyanya. Zvimwe zvacho zvinosanganisira:

• Angiogram - Izvi zvinoongorora mamiriro etsinga dzeropa.
• Ongororo ye computed tomography ((Computed Tomography - CT scan))
• Kuongororwa kwemagnetic resonance imaging (MRI)
• Mesenteric Duplex Ultrasound - Izvi zvinonyatsotarisa kuti ropa rinoyerera sei mutsinga yako yeceliac, kana kuti tsinga dzinonzi celiac plexus dziri kudzvanywa ne ligament iyoyo.

"Kuongororwa kwese uku kunoitwa kuti paonekwe kuti dambudziko nderei chaizvo. Dzimwe nguva izvi zvinogona kutora nguva, asi zvakakosha kuti uve nemoyo murefu kusvika wawana chirwere chakakodzera."

(MALS) inorapwa sei?

Zvakanaka, zvino zvawaonekwa uine MALS, ndedzipi nzira dzekurapa? Chiremba wako anogona kukurudzira 'celiac plexus block' kuti ikubatsire kuderedza marwadzo emudumbu. Izvi zvakafanana nekubaiwa jekiseni mutsinga inorwadza, zvichiita kuti dzimwe tsinga dzisashande kwenguva pfupi uye kuderedza marwadzo.

Pamusoro pezvo, kurapwa kukuru kunonzi 'median arcuate ligament release' . Kuvhiya uku kunosanganisira kucheka nekubvisa kana kusunungura ligament yakasimba. Izvi zvinoderedza kumanikidzwa kwe'celiac artery' netsinga. Mushure mekuvhiya uku, kuyerera kweropa kuburikidza ne'celiac artery' kunodzorerwa, uye kumanikidzwa kwetsinga kunoderedzwawo.

Chikwata chekurapa chinorapa (MALS)

(MALS) chirwere chisingawanzoitiki. Uye nekuti chinogona kukonzera matambudziko emuviri nepfungwa, pane chikwata chenyanzvi kuti chikubatsire. Izvi zvinogona kusanganisira:

• Nyanzvi dzezvekudya (nyanzvi dzezvirwere zvemudumbu)
• Vanachiremba Vezvekuvhiya
• Vanachiremba veTsananguro dzeMitsipa yeropa
• Nyanzvi dzekurapa marwadzo
• Vanachiremba vepfungwa kana vanachiremba vepfungwa
• Nyanzvi dzezvekudya

Vanhu ava vese vari kushanda pamwe chete kuti vakubatsire. Fungidzira, mumwe nemumwe achikubatsira padambudziko rako nenzira yakasiyana.

Ndezvipi zvinhu zvinogona kutarisirwa kana paine (MALS)?

Mushure mekuvhiyiwa, zviratidzo zvinowanzopera. Izvozvo ndezvechokwadi. Zvisinei, kumwe kutsvagurudza kwakaratidza kuti kunyangwe mushure mekuvhiyiwa, Median Arcuate Ligament Syndrome (MALS) inogona kudzoka. Hapana chatinogona kuita kuti tisaitike. Zvisinei, zvakakosha kuziva nezvedzimwe shanduko mumuviri wako dzinogona kuva zviratidzo zvekuti MALS iri kudzoka.Bvunza chiremba wako kuti zviratidzo izvi zvekutanga ndezvipi. Iye achakutsanangurira zvaunofanira kutarisa.

Unofanira kutsvaga mazano ekurapa rini?

Tataura kuti zviratidzo zveMALS zvinogona kudzoka kunyangwe mushure mekuvhiyiwa. Kana izvozvo zvikaitika, unofanira kuzivisa timu yako yezvekurapa.

Fungidzira, unoziva kuti pane chimwe chinhu chisina kumira zvakanaka mudumbu mako. Unonzwa kurwadziwa kusingatsungiririki mudumbu rako mushure mekudya kwega kwega. Asi pasinei nekuongororwa nguva dzose, hauna kukwanisa kuziva kuti dambudziko racho nderei kana kuti kurapwa kwaro ndekwei. Ungave wakatonzwa kuti zviratidzo izvi zvinokonzerwa nedambudziko repfungwa kwete remuviri. Panguva yakaita seiyi, paunodzidza kuti chirwere ichi chisingawanzoitiki (Median Arcuate Ligament Syndrome) ndicho chinokonzera zviratidzo zvako, uchanzwa zororo guru, handiti?

Zviri nani, kune mishonga inobatsira kuderedza marwadzo ako. Chiremba wako anogona kukurudzira kuvhiyiwa. Kana chirwere ichi chiri cheMALS, timu yako yezvekurapa ichakurudzira kurapwa kwakakodzera kuti ikubatsire kunakidzwa nechikafu uye nehupenyu zvakare.

Zvinhu zvinonyanya kukosha zvatinofanira kurangarira kubva munyaya iyi ndeizvi:

• Kurwadziwa kwakanyanya mudumbu mushure mekudya kunogona kuva chiratidzo chikuru cheMALS.
• Izvi zvinoitika nekuti 'median arcuate ligament' inodzvanya 'celiac artery' pamwe netsinga dzayo.
• Kuongororwa kwakawanda kunofanirwa kuitwa kuti chirwere chiongororwe, sezvo ichi chiri chirwere chisingawanzoitiki uye zvimwe zvirwere zvakajairika zvinofanira kubviswa.
• Kurapa kukuru kuvhiyiwa, asi kune dzimwe nzira dzekurapa marwadzo, dzakadai se celiac plexus block.
• Kana zviratidzo zvikadzoka mushure mekurapwa, zvakakosha kutsvaga rubatsiro rwechiremba nekukurumidza.
• Kurarama nechirwere ichi kwakaoma, saka rutsigiro rwepfungwa rwakakoshawo zvikuru . Yeuka kuti hausi wega. Vanachiremba vako, mhuri, neshamwari vachakubatsira parwendo urwu.

` Median Arcuate Ligament Syndrome, MALS, Marwadzo emudumbu, Marwadzo mushure mekudya, Celiac Artery, Kuvhiyiwa, Sisitimu yekugaya chikafu