Uzwa ubuhlungu obukhulu esiswini sakho esingaphezulu ngemva nje kokuqeda ukudla? Kungakhathaliseki ukuthi wenzani, abupheli? Ingabe lobu buhlungu bukukhathaza kakhulu kangangokuthi wesaba ukudla? Ukhungathekile yini ukuthi uye kubo bonke odokotela futhi wahlolwa, kodwa awukatholi imbangela? Lokhu kuyinto engenakusiza ngempela. Namuhla, sikhuluma ngesimo esingavamile esibangela izimpawu ezifanayo, kodwa esingaziwa kakhulu.
Iyini ngempela i-MALS? Masiyiqonde kalula.
Ukuze siqonde lokhu, ake sibheke okunye okungaphakathi emizimbeni yethu. Cabanga ngomthambo wegazi oyinhloko osuka esifubeni sethu uye esiswini sethu, i-aorta. Lokhu kufana nombhobho oyinhloko othumela igazi kuzo zonke izingxenye zomzimba wethu.
Igatsha elikhulu lalo mthambo libizwa ngokuthi 'i-Celiac Artery'. Lokhu kunikeza igazi ezithweni ezibalulekile esiswini sethu, njengesibindi, isisu kanye ne-pancreas.
Manje, ngaphezu kwale 'Celiac Artery', kukhona i-ligament ebizwa ngokuthi i-'Median Arcuate Ligament', efana ne-arch encane. Ngokuvamile, igazi ligeleza kahle phakathi kwalezi ezimbili ngaphandle kwezinkinga.
Kodwa kumuntu one-MALS, le 'Median Arcuate Ligament' itholakala phansi kancane. Bese, okwenzekayo, icindezela i-'Celiac Artery' kanye nenqwaba yezinzwa ezisondela kuyo '(i-Celiac Plexus)'. Njengoba nje umuntu enyathela ipayipi lamanzi, ukugeleza kwamanzi kuyancipha, ngenxa yalokhu kucindezela, inani legazi eliya kulezo zitho zomzimba liyancipha. Yilapho-ke lobo buhlungu obukhulu buqala khona.
Lokhu kubizwa nangokuthi 'i-Celiac Artery Compression Syndrome'.
Yiziphi izimpawu eziyinhloko zesifo se-MALS?
Uphawu oluyinhloko nolusobala kakhulu lwalesi sifo ubuhlungu obukhulu esiswini esingaphezulu ngemva kokudla. Lobuhlungu bukhulu kangangokuthi abanye abantu bayesaba ukudla. Bazama ngisho nokugwema ukudla besaba ukuthi "uma ngidla, ubuhlungu buzobuya."
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu besisu | Ubuhlungu obukhulu, obukhulu esiswini esingaphezulu, ikakhulukazi ngemva kokudla. |
| Ukuqunjelwa | Ukuzizwa unegesi noma uvuvukele ngemva kokudla. |
| Isicanucanu nokuhlanza | Ukulahlekelwa yisifiso sokudla, isicanucanu, futhi ngezinye izikhathi ukuhlanza. |
| Uhudo | Abanye abantu bangase babe nesifo sohudo. |
| Ukwehlisa isisindo ngaphandle kwesizathu | Ukwesaba ukudla kanye nobunzima bokugaya ukudla kungaholela ekunciphiseni isisindo okungaphezu kwamakhilogremu ayi-10 (amakhilogremu angama-20). |
Kungani la ma-MALS akheka?
Ochwepheshe abakasitholi isizathu esicacile nesiqondile salokhu, kodwa kunemibono eminingana.
- Into evela ekuzalweni: Abanye abacwaningi bathi abanye abantu bazalwa bene-'Median Arcuate Ligament' endaweni engafanele, ephansi kancane.
- Ezinye izimbangela: Kukhona omunye umbono wokuthi lesi simo singaba yinkinga yokuhlinzwa kwesisu noma umhlane, noma ngemva kohlobo oluthile lokulimala esiswini.
Izinkinga ezibangelwa ukuxilongwa okulibazisekile
Lesi esinye sezinselele ezinkulu nge-MALS. Kunzima kakhulu ukusibona lesi sifo ngokushesha. Kungathatha izinyanga, ngisho neminyaka.
Ngenxa yalobu buhlungu obuqhubekayo phakathi nalesi sikhathi, abantu abaningi bayawa, ngokomzimba nangokwengqondo.
- Izinkinga zengqondo: Ubuhlungu obungapheli bungabangela izimo ezifana nokucindezeleka .
- Ukukhathazeka: Uma ungakwazi ukuthola imbangela yokugula kwakho naphezu kokuhlolwa okuningi, kuvamile kakhulu ukuzizwa ukhathazekile kakhulu futhi wesaba, uzibuza ukuthi, "Kwenzenjani kimi?"
Udokotela uyixilonga kanjani i-MALS?
Udokotela wakho uzoqala alalele izimpawu zakho bese ekuxilonga. Kodwa njengoba sixoxile ngaphambili, kunezinye izimo eziningi ezivamile ezingabangela ubuhlungu besisu esingaphezulu, njenge-gastritis, i-appendicitis, kanye namatshe enyongo.
Ngakho-ke, ngaphambi kokusola i-MALS, into yokuqala udokotela azokwenza ukuhlola ukuthi unazo yini lezi zifo ezivamile futhi aqinisekise ukuthi awunazo ngasinye ngasinye.Lokhu kudinga ukuhlolwa okuhlukahlukene.
| Uhlobo lokuhlola | Izibonelo |
|---|---|
| Ukuhlolwa Kwegazi | - Inani eliphelele legazi `(CBC)` - Ukuhlolwa Komsebenzi Wesibindi - Ukuhlolwa kwe-`CRP` noma `ESR`, okuhlola ukutheleleka/izimo zokuvuvukala emzimbeni |
| Ukuhlolwa Kwezithombe | - I-Ultrasound Yesisu - Ukuhlolwa kwe-X-ray yesisu `(Uchungechunge lwe-GI oluphezulu)` |
| Izinqubo Ezikhethekile | - I-Endoscopy (i-EGD) - I-Colonoscopy `(I-Colonoscopy)` |
| Ukuhlolwa okukhethekile ukuqinisekisa i-MALS | |
| Uma ukuhlolwa okujwayelekile sekususe ezinye izimo, uzothunyelwa kudokotela wezifo zamathumbu. Ukuhlolwa okukodwa noma ngaphezulu kwalokhu okulandelayo kungenziwa ukuze kutholakale ngokuphelele i-MALS:
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Yiziphi izindlela zokwelapha i-MALS?
Uma usutholakale une-MALS, kunezindlela zokwelapha ezingakunikeza impumuzo.
1.Ukuhlinzwa (Ukukhululwa Kwe-Median Arcuate Ligament):
Ukwelashwa okuyinhloko nokuphumelela kakhulu kwalokhu ukuhlinzwa. Lapha, udokotela ohlinzayo usika futhi akhulule i-'Median Arcuate Ligament' ebambe umthambo wegazi endaweni yawo. Lokhu kunciphisa ingcindezi emthanjeni wegazi nasezinzwa, futhi ukugeleza kwegazi kuyabuyiselwa. Lokhu kusiza cishe ukuqeda ubuhlungu ngokuphelele.
2. Ibhloko le-Celiac Plexus:
Kwezinye izimo, kunendlela yokufaka i-"Celiac Plexus" esigxotsheni sezinzwa ezicindezelwe ukuze kutholakale impumuzo yesikhashana ebuhlungwini. Lokhu kungalawula ubuhlungu.
Ithimba lezokwelapha elizokusiza ngalokhu
Ngenxa yokuthi i-MALS iyisimo esithinta kokubili ngokomzimba nangokwengqondo, ochwepheshe abavela emikhakheni ehlukahlukene basebenza ndawonye njengeqembu ukuze bakusize.
- Odokotela Bezifo Zesisu: Basebenza ngokuyinhloko ekuxilongeni izifo.
- Odokotela Abahlinzayo (Odokotela Abajwayelekile/Abahlinzayo Bemithambo Yemithambo): Bahlinza.
- Ochwepheshe bokuphatha ubuhlungu: Basiza ekuphatheni ubuhlungu.
- Izazi zengqondo: Zisiza ngokucindezeleka, ukukhathazeka, kanye nokucindezeleka okubangelwa yilesi sifo.
- Ochwepheshe Bezokudla: Nikeza izeluleko ngokukhula kwesisindo okunempilo kanye nokudla okufanele ngemva kokuhlinzwa kanye nangesikhathi sokunciphisa isisindo.
Kwenzekani ngemva kokwelashwa? Ingabe ngidinga ukubona udokotela futhi?
Ngemva kokuhlinzwa, izimpawu zivame ukuphela kakhulu, futhi ungaphila impilo evamile.
Kodwa-ke, kunethuba lokuthi lesi simo sizophinde sibuye ezimweni ezingavamile. Ayikho indlela ethile yokusivimbela. Kodwa-ke, kubalulekile ukuqaphela izimpawu kusenesikhathi uma ziphinde zibuye. Ngakho-ke, kuwukuhlakanipha ukukhuluma nodokotela wakho bese ubuza ukuthi yiziphi izimpawu zokuqala uma inkinga iphinda ibuye.
Uma izimpawu ezifana nobuhlungu obukhulu besisu ziphinde zibuya ngemva kokuhlinzwa, yazisa ithimba lakho lezokwelapha ngokushesha.
Uhambo lokuthola isifo lungaba lude futhi lukhathaze. Kodwa uma ekugcineni uthola imbangela futhi uthola ukwelashwa, uzozizwa ukhululekile kakhulu. Uzokwazi ukujabulela ukudla ngaphandle kokwesaba futhi uphile impilo yakho ngenjabulo.
Umlayezo Wokuya Nawe Ekhaya
- I-MALS yisimo esingavamile esibangela ubuhlungu obukhulu esiswini esingaphezulu ngemva kokudla.
- Lokhu kwenzeka ngoba i-'Median Arcuate Ligament' icindezela i-'Celiac Artery' kanye nezinzwa ezihambisana nayo.
- Kungathatha isikhathi ukuthola ukuxilongwa, futhi kuyinto evamile ukuzizwa ucindezelekile phakathi naleso sikhathi.
- Lezi zimpawu azikho "engqondweni yakho kuphela"; zinembangela yangempela engokwenyama.
- Ukuhlinzwa ngokuvamile kungayelapha ngempumelelo lesi simo, okukuvumela ukuthi uphile impilo evamile futhi.
- Uma izimpawu ziphinde zibuya, bona udokotela wakho ngokushesha.
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