Ngaba uziva intlungu ebukhali esiswini sakho esingaphezulu emva nje kokuba ugqibile ukutya? Nokuba wenza ntoni na, ayipheli? Ngaba le ntlungu ikukhathaza kangangokuba uyoyika ukutya? Ngaba ukhathazekile kukuba uye kubo bonke oogqirha kwaye wavavanywa, kodwa awufumani sizathu? Eli liva elingenakunceda ngokwenene. Namhlanje, sithetha ngemeko engaqhelekanga ebangela iimpawu ezifanayo, kodwa engaziwa kakhulu.
Yintoni kanye kanye i-MALS? Masiyiqonde ngokulula.
Ukuze sikuqonde oku, makhe sijonge enye into engaphakathi emizimbeni yethu. Cinga ngomthambo wegazi ophambili osuka esifubeni uye esiswini, i-aorta. Oku kufana nombhobho ophambili othumela igazi kuwo onke amalungu omzimba wethu.
Isebe eliphambili lale mithambo yegazi libizwa ngokuba yi-'Celiac Artery'. Eli candelo linika igazi kwizitho ezibalulekileyo esiswini sethu, ezifana nesibindi, isisu kunye nepancreas.
Ngoku, ngaphezulu kwale 'Celiac Artery', kukho i-ligament ebizwa ngokuba yi-'Median Arcuate Ligament', efana ne-arch encinci. Ngokwesiqhelo, igazi lihamba kakuhle phakathi kwezi zimbini ngaphandle kweengxaki.
Kodwa kumntu one-MALS, le 'Median Arcuate Ligament' isezantsi kancinci. Emva koko, okwenzekayo kukuba, icinezela i-'Celiac Artery' kunye ne-bundle yemithambo-luvo ehamba kufutshane nayo (iCeliac Plexus)`. Njengokuba umntu enyathela umbhobho wamanzi, ukuhamba kwamanzi kuyehla, ngenxa yolu xinzelelo, inani legazi eliya kula malungu liyancipha. Kulapho ke loo ntlungu imbi iqala khona.
Oku kukwabizwa ngokuba yi-'Celiac Artery Compression Syndrome'.
Ziziphi iimpawu eziphambili zesifo se-MALS?
Uphawu oluphambili nolucacileyo lwesi sifo yintlungu ebuhlungu esiswini esingaphezulu emva kokutya. Le ntlungu inzima kangangokuba abanye abantu bayoyika ukutya. Bade bazame ukuphepha ukutya kuba besoyika ukuba "ukuba ndiyatya, intlungu iya kubuya."
| Uphawu | Inkcazo |
|---|---|
| Intlungu yesisu | Intlungu ebuhlungu kakhulu esiswini esingaphezulu, ingakumbi emva kokutya. |
| Ukudumba | Ukuziva unegesi okanye udumbile emva kokutya. |
| Isicaphucaphu nokuhlanza | Ukungabi namdla wokutya, isicaphucaphu, kwaye ngamanye amaxesha ukuhlanza. |
| Urhudo | Abanye abantu banokuba nesifo sorhudo. |
| Ukunciphisa umzimba ngaphandle kwesizathu | Ukoyika ukutya kunye nobunzima bokugaya ukutya kunokubangela ukwehla kobunzima obungaphezulu kweekhilogram ezili-10 (iikhilogram ezingama-20). |
Kutheni le nto ezi MALS zenzeka?
Iingcali azikafumani sizathu sicacileyo nesicacileyo sale nto, kodwa kukho iingcamango ezahlukeneyo.
- Into evela ekuzalweni: Abanye abaphandi bathi abanye abantu bazalwa bene-'Median Arcuate Ligament' kwindawo engafanelekanga, engaphantsi kancinci.
- Ezinye izizathu: Kukho enye ingcamango yokuba le meko inokwenzeka njengengxaki yotyando lwesisu okanye umqolo, okanye emva kohlobo oluthile lokwenzakala esiswini.
Iingxaki ezibangelwa kukuxilongwa okulibazisekileyo
Le yenye yezona ngxaki zinkulu kwi-MALS. Esi sifo kunzima kakhulu ukusibona ngokukhawuleza. Kungathatha iinyanga, kwaneminyaka.
Ngenxa yolu buhlungu luqhubekayo kulo lonke eli xesha, abantu abaninzi bayawa, emzimbeni nasengqondweni.
- Iingxaki zengqondo: Iintlungu ezingapheliyo zinokubangela iimeko ezifana nokudakumba .
- Ixhala: Xa ungafumani unobangela wesifo sakho nangona uvavanyo oluninzi lwenziwe, kuqhelekile ukuba uzive ukhathazekile kwaye usoyika kakhulu, uzibuza, "Yintoni ingxaki yam?"
Ugqirha uyixilonga njani i-MALS?
Ugqirha wakho uza kuqala akuphulaphule iimpawu zakho aze akuhlole. Kodwa njengoko besitshilo ngaphambili, kukho ezinye iimeko ezininzi eziqhelekileyo ezinokubangela iintlungu zesisu esingaphezulu, ezifana ne-gastritis, i-appendicitis, kunye namatye enyongo.
Ngoko ke, ngaphambi kokuba ucinge nge-MALS, into yokuqala ugqirha aza kuyenza kukujonga ukuba unayo na kwezi zifo ziqhelekileyo aze aqinisekise ukuba awunazo nganye nganye.Oku kufuna iimvavanyo ezahlukeneyo.
| Uhlobo lovavanyo | Imizekelo |
|---|---|
| Uvavanyo lwegazi | - Ubalo lwegazi olupheleleyo `(CBC)` - Uvavanyo lweMisebenzi yeSibindi - Uvavanyo lwe-`CRP` okanye `ESR`, olujonga imeko yosulelo/yokudumba emzimbeni |
| Uvavanyo lokuFanekisa | - I-Ultrasound yesisu - Uvavanyo lwe-X-ray yesisu `(Uthotho lwe-Upper GI)` |
| Iinkqubo ezikhethekileyo | - I-Endoscopy (i-EGD) - I-Colonoscopy `(I-Colonoscopy)` |
| Uvavanyo olukhethekileyo lokuqinisekisa i-MALS | |
| Nje ukuba uvavanyo oluqhelekileyo lususe ezinye izifo, uya kuthunyelwa kwingcali yezifo zesisu. Olunye okanye ngaphezulu kwezi vavanyo zilandelayo lunokwenziwa ukuze kufunyaniswe ngokuqinisekileyo i-MALS:
| |
Ziziphi iindlela zonyango lwe-MALS?
Wakuba ufunyaniswe une-MALS, kukho unyango olunokukunika isiqabu.
1.Utyando (Ukukhululwa kweMigca ye-Median Arcuate):
Unyango oluphambili nolusebenzayo koku lutyando. Apha, ugqirha usika aze akhulule i-'Median Arcuate Ligament' ebambe umthambo wegazi endaweni yawo. Oku kunciphisa uxinzelelo kumthambo wegazi nakwimithambo-luvo, kwaye ukuhamba kwegazi kuyabuyiselwa. Oku kunceda ekupheliseni phantse ngokupheleleyo iintlungu.
2. Ibhloko yeCeliac Plexus:
Kwezinye iimeko, kukho indlela yokufaka i-"Celiac Plexus" kwi-compressed nerve bundle ukuze kunikelwe isiqabu sexeshana kwintlungu. Oku kunokulawula intlungu.
Iqela lezonyango eliza kukunceda ngale nto
Ngenxa yokuba i-MALS yimeko echaphazela umzimba nengqondo, iingcali ezivela kwiinkalo ezahlukeneyo zisebenza kunye njengeqela ukukunceda.
- Iingcali zeGastroenter: Ngokuyintloko zisebenza ekuxilongeni izifo.
- Oogqirha Botyando (Oogqirha Abaqhelekileyo/Abanemithambo Yegazi): Bayenza utyando.
- Iingcali zokulawula iintlungu: Zinceda ekulawuleni iintlungu.
- Iingcali zengqondo: Zinceda ekulweni noxinzelelo, ixhala, kunye nokudakumba okubangelwa sisifo.
- Iingcali zezokutya: Zibonelela ngeengcebiso malunga nokunyuka kwesisindo okunempilo kunye nokutya okufanelekileyo emva kotyando nangexesha lokunciphisa umzimba.
Kwenzeka ntoni emva konyango? Ngaba kufuneka ndiphinde ndidibane nogqirha?
Emva kotyando, iimpawu zihlala ziphela kakhulu, kwaye ungaphila ubomi obuqhelekileyo.
Nangona kunjalo, kukho ithuba lokuba le meko ibuyele kwakhona kwiimeko ezingaqhelekanga. Akukho ndlela ithile yokuyithintela. Nangona kunjalo, kubalulekile ukuqaphela iimpawu kwangethuba ukuba ziyaphinda zibuye. Ke ngoko, bubulumko ukuthetha nogqirha wakho uze ubuze ukuba zeziphi iimpawu zokuqala ukuba ingxaki iphinda ibuye.
Ukuba iimpawu ezifana nentlungu eqatha yesisu ebezikho ngaphambi kokuba ziphinde zibuye emva kotyando, yazisa iqela lakho lezonyango ngokukhawuleza.
Uhambo lokufumanisa isifo lunokuba lude kwaye ludinise. Kodwa xa ekugqibeleni ufumene unobangela kwaye ufumana unyango, uya kuziva ukhululekile. Uya kukwazi ukonwabela ukutya ngaphandle koloyiko kwakhona kwaye uphile ubomi bakho ngolonwabo.
Umyalezo Wokuya Ekhaya
- I-MALS yimeko engaqhelekanga ebangela iintlungu eziqatha esiswini esingaphezulu emva kokutya.
- Oku kwenzeka kuba i-'Median Arcuate Ligament' icinezela i-'Celiac Artery' kunye nemithambo-luvo enxulumene nayo.
- Kungathatha ixesha ukufumana uxilongo, kwaye kuyinto eqhelekileyo ukuziva uxinezelekile ngelo xesha.
- Ezi mpawu azikho "engqondweni yakho kuphela"; zinesizathu sokwenyani.
- Utyando lunokuphelisa le meko ngempumelelo, nto leyo ekuvumela ukuba uphile ubomi obuqhelekileyo kwakhona.
- Ukuba iimpawu ziphinda zibuye, bonana nogqirha wakho ngoko nangoko.
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