Intlungu yesisu emva kokutya: Masithethe ngeMedian Arcuate Ligament Syndrome (MALS).

Ngaba uziva intlungu engaqhelekanga esiswini sakho esingaphezulu emva kokutya? Ngamanye amaxesha intlungu iba nkulu kangangokuba uyoyika ukutya, akunjalo? Abantu abaninzi bajongana nale meko. Namhlanje, siza kuthetha ngemeko enokubangela ezi mpawu, kodwa ayiqhelekanga kangako.

Yintoni iMedian Arcuate Ligament Syndrome (MALS)?

Kulungile, yintoni ke iMedian Arcuate Ligament Syndrome? Ngamafutshane, yimeko ebangelwa sisicwili esibizwa ngokuba yi-'Median Arcuate Ligament' esifubeni sethu, sicinezela i-'Celiac Artery' , umthambo wegazi omkhulu othwala igazi uye esiswini sethu, kunye ne -'Celiac Plexus' , inkqubo yemithambo-luvo ekufutshane.

Khawuthelekelele, le 'median arcuate ligament' ifana ne-arch. Ifumaneka kufutshane ne -'aorta' yethu, umthambo wegazi oyintloko othwala igazi lisuka entliziyweni ukuya emzimbeni wonke. 'I-celiac artery' lisebe elibalulekileyo eliphuma kule 'aorta'.

Ngokwesiqhelo, le 'median arcuate ligament' kufuneka ibe ngaphezulu 'kwe-celiac artery'. Kodwa kumntu one-(MALS), le ligament inokuba sezantsi kunesiqhelo. Kwenzeka ntoni ke ngoko? Le ligament icinezela 'celiac artery'. Njengaxa umntu ecinezela umbhobho wamanzi, amanzi ayayeka ukuhamba, ukuhamba kwegazi kulo mthambo wegazi kuyaphazamiseka. Akunjalo kuphela, kodwa nemithambo-luvo ekufutshane nayo inokucinezelwa.

Yiyo loo nto ufumana intlungu ebukhali esiswini sakho esingaphezulu emva kokutya. Ngamanye amaxesha intlungu iba nkulu kangangokuba uyoyika ukutya kuba ucinga ukuba kuza kuba nzima kwakhona. (MALS) ikwabizwa ngokuba:

• (Isifo sokucinezelwa kwemithambo yeCeliac)
• (Isifo sokucinezelwa kwe-Celiac Axis)
• (Isifo sikaDunbar)

Zithini iimpawu ze-(MALS)?

Ngoku makhe sijonge iimpawu ze-(MALS). Eyona iphambili yintlungu esiswini esingaphezulu emva kokutya . Olu luphawu lokuqala oluvelayo. Abanye abantu bathi le ntlungu inzima kangangokuba bayoyika ukutya, kuba besoyika ukuba ezi mpawu ziya kuphinda zivele. Kukho ezinye iimpawu, ezinye zazo zezi:

• Isisu esidumbileyo
• Ukuya esiswini, oko kuthetha urhudo ((Urhudo))
• Isicaphucaphu nokuhlanza
• Ukunciphisa umzimba ngaphandle kwesizathu esicacileyo, mhlawumbi iikhilogram ezingama-20 nangaphezulu.

Zithini izizathu ze-(MALS)?

Iingcali azikayazi kakuhle into ebangela i-MALS. Abanye abaphandi bathi abanye abantu bazalwa bene-median arcuate ligament eyakhiwe ngendlela engaqhelekanga. Abanye bakholelwa ukuba i-MALS inokukhula njengengxaki yotyando lwesisu, utyando lomqolo, okanye ukwenzakala okukhulu kwesisu.

Ziziphi iingxaki ezinokubakho ngenxa ye-(MALS)?

Amaxesha amaninzi, abantu abane-MALS abafumani zimpawu kangangeenyanga, kwaneminyaka. Khawuthelekelele, baphila neentlungu ezingapheliyo ngelo xesha. Le ntlungu iqhubekayo inokukhokelela kwiingxaki zempilo yengqondo. Umzekelo, ukudakumba . Kwakhona, xa ukuxilongwa kungenziwanga nangona uvavanyo oluninzi kwaye kungekho nyango lufumanekayo, kunokubangela ixhala elikhulu.

Khawucinge nje ukuba kukho umntu ogama linguNalini, onesifo sesisu rhoqo xa esitya. Xa esiya koogqirha, benza uvavanyo olunye emva kolunye, kodwa esi sifo asifumaneki. Abanye abantu bade bathi, 'Kufuneka ukuba unengxaki yengqondo.' Ngoko ke uNalini umele ukuba ukhathazekile kwaye ukhathazekile kangakanani, akunjalo? Olu hlobo lwamava (i-MALS) lunokuxhaphaka kubantu abanalo.

Oogqirha baxilonga njani isifo (i-MALS)?

Kulungile, oogqirha bafumanisa njani ukuba une-MALS? Ukuba ugqirha wakho ukrokrela ukuba une-MALS, uza kuqala abhale imbali epheleleyo yezonyango aze emva koko enze uvavanyo lomzimba .

Ngoku, kukho iimeko ezininzi ezinokubangela iintlungu zesisu esingaphezulu. Umzekelo, inokuba yiyo nantoni na ukusuka kwi-appendicitis ukuya kwi-gastroparesis ukuya kwiimeko ezifana nesifo sesilonda se-peptic. Ngoko ke, ugqirha wakho uya kuqala acele uvavanyo lwegazi olwahlukeneyo kunye novavanyo lwemifanekiso ukuze asuse ezi meko ziqhelekileyo ezinokubangela iimpawu zakho.

Uvavanyo lwegazi

Ugqirha angayalela uvavanyo lwegazi olunye okanye ngaphezulu, olufana nolu:

• Inani elipheleleyo legazi (i-CBC)
• Iphaneli ebanzi yeMetabolic
• Uvavanyo lweMisebenzi yeSibindi
• Uvavanyo lwe-A (SED rate test) okanye (C-reactive protein - CRP test) ukujonga ukudumba emzimbeni
• Uvavanyo lwe-thyroid - Oku kungabandakanya uvavanyo lwegazi kunye novavanyo lwemifanekiso.

Uvavanyo lokuFanekisa

• I-Ultrasound yesisu
• Uvavanyo lokulandelela amathumbu amancinci
• Uvavanyo lwe-Upper GI series

Iinkqubo zovavanyo olukhethekileyo

• I-colonoscopy, ehlola amathumbu amakhulu
• I-Esophagogastroduodenoscopy (EGD) / I-Upper Endoscopy, ehlola umphimbo, isisu, kunye nokuqala kwamathumbu amancinci
• Izifundo ze-motility zilinganisa indlela ukutya okuhamba ngokukhawuleza ngayo kwinkqubo yokugaya ukutya.

Ukuba ezi mvavanyo azinazo izifo eziqhelekileyo, ugqirha wakho unokukuthumela kwi-gastroenterologist ukuze ufumane iimvavanyo ezikhethekileyo. Ezinye zezi ziquka:

• I-Angiogram - Le ijonga imeko yemithambo yegazi.
• Uvavanyo lwe-computed tomography ((Computed Tomography - CT scan))
• Iskeni se-magnetic resonance imaging (MRI)
• I-Mesenteric Duplex Ultrasound - Oku kujonga ngokukodwa indlela igazi elihamba ngayo kwimithambo yakho ye-celiac, okanye ukuba imithambo-luvo ebizwa ngokuba yi-celiac plexus icinezelwa yiloo ligament.

"Zonke ezi mvavanyo zenziwa ukuze kufunyaniswe ukuba yintoni kanye kanye ingxaki. Ngamanye amaxesha oku kungathatha ixesha, kodwa kubalulekile ukuba nomonde ude ufumane uxilongo olufanelekileyo."

Iphathwa njani (i-MALS)?

Kulungile, ngoku ekubeni ufunyenwe une-MALS, zeziphi iindlela zonyango? Ugqirha wakho unokucebisa 'i-celiac plexus block' ukunceda ekunciphiseni iintlungu zesisu sakho. Oku kufana nokufaka inaliti kwimithambo-luvo ebuhlungu, okwethutyana ukhubaze eminye yemithambo-luvo kwaye unciphise iintlungu.

Ukongeza, unyango oluphambili lutyando olubizwa ngokuba yi-'median arcuate ligament release' . Olu tyando lubandakanya ukusika nokususa okanye ukukhulula i-ligament eqinileyo. Oku kunciphisa uxinzelelo 'kwi-celiac artery' kunye nemithambo-luvo. Emva kolu tyando, ukuhamba kwegazi 'kwi-celiac artery' kuyabuyiselwa, kwaye uxinzelelo kwimithambo-luvo luyancitshiswa.

Iqela lezonyango elinyanga abantu (i-MALS)

(i-MALS) yimeko engaqhelekanga. Kwaye kuba inokubangela iingxaki zempilo yomzimba neyengqondo, kusenokwenzeka ukuba kukho iqela leengcali ezinokukunceda. Ezi zingabandakanya:

• Iingcali zeGastroenterologists (iingcali kwizifo zesisu)
• Oogqirha Abaqhelekileyo
• Oogqirha beMithambo
• Iingcali zoLawulo lweeNhlungu
• Iingcali zengqondo okanye iingcali zengqondo
• Iingcali zezondlo

Bonke aba bantu basebenzisana ukukunika isiqabu. Khawucinge, ngamnye ekunceda ngengxaki yakho ngendlela eyahlukileyo.

Zeziphi izinto ezinokulindelwa ukuba kukho (ii-MALS)?

Emva kotyando, iimpawu zihlala ziphela. Yiyo loo nto. Nangona kunjalo, uphando oluthile lubonise ukuba nasemva kotyando, iMedian Arcuate Ligament Syndrome (MALS) inokuphinda ivele. Akukho nto sinokuyenza ukuthintela ukuba ingenzeki. Nangona kunjalo, kubalulekile ukuqaphela ezinye iinguqu emzimbeni wakho ezinokuba ziimpawu zokuba iMALS iyabuya.Buza ugqirha wakho ukuba zeziphi ezi mpawu zokuqala. Uza kukuchazela ukuba yintoni omawuyiqaphele.

Ufanele ufune nini ingcebiso kagqirha?

Sikhankanyile ukuba iimpawu ze-MALS zinokuphinda zibuye nasemva kotyando. Ukuba oko kuyenzeka, ngokuqinisekileyo kufuneka wazise iqela lakho lezonyango.

Khawuthelekelele, uyazi ukuba kukho into engalunganga esiswini sakho. Uva iintlungu ezinganyamezelekiyo kwinxalenye ephezulu yesisu sakho emva kokutya ngakunye. Kodwa nangona uvavanyo oluqhubekayo, awukwazanga ukufumanisa ukuba yintoni ingxaki okanye unyango lwayo. Usenokuba ukhe weva nokuba ezi mpawu zibangelwa yingxaki yengqondo kunokuba zibangelwe yingxaki yomzimba. Ngexesha elinje, xa ufunda ukuba le meko ingaqhelekanga (iMedian Arcuate Ligament Syndrome) yimbangela yeempawu zakho, uya kuziva ukhululekile, akunjalo?

Okungcono nangakumbi, kukho unyango olunokukunceda uthomalalise iintlungu zakho. Ugqirha wakho unokucebisa utyando. Ukuba uxilongiwe yi-MALS, iqela lakho lezonyango liya kukucebisa unyango olufanelekileyo ukuze ukuncede ukonwabele ukutya nobomi kwakhona.

Ezona zinto zibalulekileyo ekufuneka sizikhumbule kweli bali zezi:

• Intlungu ebuhlungu esiswini esingaphezulu emva kokutya inokuba luphawu oluphambili lwe-MALS.
• Oku kwenzeka kuba 'i-median arcuate ligament' icinezela 'umthambo we-celiac' kunye nemithambo-luvo enxulumene nawo.
• Kufuneka kwenziwe uvavanyo oluninzi ukuze kufunyanwe isifo, njengoko esi sisifo esingaqhelekanga kwaye ezinye izifo eziqhelekileyo kufuneka zingabikho.
• Unyango oluphambili lutyando, kodwa kukho ezinye iindlela zonyango lweentlungu, ezifana ne-celiac plexus block.
• Ukuba iimpawu zibuya emva konyango, kubaluleke kakhulu ukufuna ingcebiso kagqirha ngokukhawuleza.
• Ukuphila nale meko kunzima, ngoko ke inkxaso yeemvakalelo nayo ibaluleke kakhulu . Khumbula ukuba awuwedwa. Oogqirha bakho, usapho kunye nabahlobo bakho baya kukunceda kolu hambo.

I- Median Arcuate Ligament Syndrome, i-MALS, Intlungu Yesisu, Intlungu Emva Kokutya, Umthambo WeCeliac, Utyando, Inkqubo Yokugaya