Ubuhlungu besisu ngemva kokudla: Ake sixoxe nge-Median Arcuate Ligament Syndrome (MALS).

Uzwa ubuhlungu obungavamile esiswini sakho esingaphezulu ngemva kokudla? Ngezinye izikhathi ubuhlungu bukhulu kangangokuthi wesaba ukudla, akunjalo? Abantu abaningi babhekene nalokhu okuhlangenwe nakho. Namuhla, sizokhuluma ngesimo esingabangela lezi zimpawu, kodwa akuvamile kakhulu.

Iyini i-Median Arcuate Ligament Syndrome (MALS)?

Kulungile, pho iyini i-Median Arcuate Ligament Syndrome? Kalula nje, yisimo esibangelwa izicubu ezibizwa ngokuthi i-'Median Arcuate Ligament' esifubeni sethu, ezicindezela i-'Celiac Artery' , umthambo wegazi omkhulu othwala igazi uye esiswini sethu, kanye ne -'Celiac Plexus' , uhlelo lwezinzwa oluseduze.

Cabanga nje, le 'median arcuate ligament' ifana ne-arch. Itholakala eduze 'kwe-aorta' yethu, umthambo wegazi oyinhloko othwala igazi lisuka enhliziyweni liye emzimbeni wonke. 'Umthambo we-celiac' uyigatsha elibalulekile eliphuma kule 'aorta'.

Ngokuvamile, le 'median arcuate ligament' kufanele ibe ngaphezu 'kwe-celiac artery'. Kodwa kumuntu one-(MALS), le ligament ingase ibe ngaphansi kunokujwayelekile. Kwenzekani-ke? Le ligament icindezela 'i-celiac artery'. Njengalapho umuntu ecindezela ipayipi lamanzi, amanzi ayayeka ukugeleza, ukugeleza kwegazi kulo mthambo wegazi kuyaphazamiseka. Akukhona lokho kuphela, kodwa nezinzwa eziseduze nazo zingacindezelwa.

Yingakho uthola ubuhlungu obukhulu esiswini sakho esingaphezulu ngemva kokudla. Ngezinye izikhathi ubuhlungu bukhulu kangangokuthi wesaba ukudla ngoba ucabanga ukuthi kuzoba nzima futhi. (MALS) ibizwa nangokuthi:

• (Isifo Sokucindezeleka Kwemithambo Ye-Celiac)
• (I-Celiac Axis Compression Syndrome)
• (I-Dunbar Syndrome)

Ziyini izimpawu ze-(MALS)?

Manje ake sibheke izimpawu ze-(MALS). Eyinhloko ubuhlungu esiswini esingaphezulu ngemva kokudla . Lesi yisibonakaliso sokuqala esivelayo. Abanye abantu bathi lobu buhlungu bukhulu kangangokuthi bayesaba ukudla, besaba ukuthi izimpawu zizophinde zivele. Kunezinye izimpawu, ezinye zazo yilezi:

• Isisu esivuvukele
• Ukuya esiswini, lokho kusho uhudo ((Uhudo))
• Isicanucanu nokuhlanza
• Ukwehlisa isisindo ngaphandle kwesizathu esicacile, mhlawumbe amakhilogremu angu-20 noma ngaphezulu.

Yiziphi izimbangela ze-(MALS)?

Ochwepheshe abakakazi kahle ukuthi yini ebangela i-MALS. Abanye abacwaningi bathi abanye abantu bazalwa bene-median arcuate ligament eyakhiwe ngendlela engavamile. Abanye bakholelwa ukuthi i-MALS ingakhula njengenkinga yokuhlinzwa kwesisu, ukuhlinzwa komgogodla, noma ukulimala okukhulu kwesisu.

Yiziphi izinkinga ezingaba khona ngenxa ye-(MALS)?

Ngokuvamile, abantu abane-MALS abatholakali izinyanga, ngisho neminyaka. Cabanga nje, baphila nobuhlungu obungapheli phakathi naleso sikhathi. Lobuhlungu obuqhubekayo bungaholela ezinkingeni zempilo yengqondo. Isibonelo, ukucindezeleka . Futhi, uma ukuxilongwa kungenziwa naphezu kokuhlolwa okuningi futhi kungekho ukwelashwa okutholakalayo, kungabangela ukukhathazeka okukhulu.

Cabanga nje ukuthi kukhona umuntu ogama lakhe linguNalini, ohlushwa yisisu njalo uma edla. Uma eya kodokotela, benza ukuhlolwa okulandelanayo, kodwa lesi sifo asitholakali. Abanye baze bathi, 'Kumelwe ukuba unenkinga yengqondo.' Pho-ke uNalini udabukile futhi ukhathazekile kangakanani, akunjalo? Lolu hlobo lolwazi (i-MALS) lungaba yinto evamile kubantu abanalo.

Odokotela baxilonga kanjani (i-MALS)?

Kulungile, odokotela bathola kanjani ukuthi une-MALS? Uma udokotela wakho esola ukuthi une-MALS, uzoqala ngokuthatha umlando ophelele wezokwelapha bese enza ukuhlolwa ngokomzimba .

Manje, kunezimo eziningi ezingabangela ubuhlungu besisu esingaphezulu. Isibonelo, kungaba yinoma yini kusukela ku-appendicitis kuya ku-gastroparesis kuya ezimweni ezifana nesifo sesilonda se-peptic. Ngakho-ke, udokotela wakho uzoqala ngoku-oda ukuhlolwa kwegazi okuhlukahlukene kanye nokuhlolwa kwezithombe ukuze akhiphe lezi zimo ezivamile ezingase zibangele izimpawu zakho.

Ukuhlolwa Kwegazi

Udokotela angase acele ukuhlolwa kwegazi okukodwa noma ngaphezulu, njengokuthi:

• Inani Eliphelele Legazi (i-CBC)
• Iphaneli Ephelele Ye-Metabolic
• Ukuhlolwa Kokusebenza Kwesibindi
• Ukuhlolwa kwe-A (SED rate test) noma (C-reactive protein - CRP test) ukuhlola ukuvuvukala emzimbeni
• Ukuhlolwa kwe-thyroid - Lokhu kungafaka ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe.

Ukuhlolwa Kwezithombe

• I-Ultrasound Yesisu
• Ukuhlolwa kokulandela amathumbu amancane
• Ukuhlolwa kochungechunge lwe-GI oluphezulu

Izinqubo zokuhlola ezikhethekile

• I-colonoscopy, ehlola amathumbu amakhulu
• I-Esophagogastroduodenoscopy (EGD) / I-Upper Endoscopy, ehlola umphimbo, isisu, kanye nokuqala kwamathumbu amancane
• Izifundo zokunyakaza zilinganisa ukuthi ukudla kuhamba ngokushesha kangakanani ohlelweni lokugaya ukudla.

Uma lezi zivivinyo zigwema izimo ezivamile, udokotela wakho angakudlulisela kudokotela wezifo zamathumbu ukuze uthole izivivinyo ezikhethekile. Ezinye zazo zifaka:

• I-Angiogram - Lokhu kuhlola isimo semithambo yegazi.
• Ukuhlolwa kwe-computed tomography ((Computed Tomography - CT scan))
• Ukuskena kwe-magnetic resonance imaging (MRI)
• I-Mesenteric Duplex Ultrasound - Lokhu kubheka ngqo ukuthi igazi ligeleza kanjani emthanjeni wakho we-celiac, noma ukuthi imizwa ebizwa ngokuthi i-celiac plexus icindezelwa yilowo mthambo.

"Zonke lezi zivivinyo zenziwa ukuze kutholakale ukuthi inkinga iyini ngempela. Ngezinye izikhathi lokhu kungathatha isikhathi, kodwa kubalulekile ukuba nesineke uze uthole ukuxilongwa okufanele."

Iphathwa kanjani (i-MALS)?

Kulungile, njengoba usutholakale une-MALS, yiziphi izindlela zokwelapha? Udokotela wakho angase akuncomele 'i-celiac plexus block' ukusiza ekunciphiseni ubuhlungu besisu sakho. Lokhu kufana nokufaka umjovo emthanjeni obuhlungu, okhubaza okwesikhashana eminye yemizwa futhi unciphise ubuhlungu.

Ngaphezu kwalokho, ukwelashwa okuyinhloko ukuhlinzwa okubizwa ngokuthi 'ukukhululwa kwe-median arcuate ligament' . Lokhu kuhlinzwa kuhilela ukusika nokususa noma ukukhulula i-ligament eqinile. Lokhu kunciphisa ingcindezi 'emthanjeni we-celiac' kanye nemizwa. Ngemva kwalokhu kuhlinzwa, ukugeleza kwegazi 'emthanjeni we-celiac' kuyabuyiselwa, futhi ingcindezi emithanjeni nayo iyancishiswa.

Ithimba lezokwelapha elelaphayo (i-MALS)

(MALS) yisimo esingavamile. Futhi ngenxa yokuthi singabangela izinkinga zempilo yomzimba neyengqondo, cishe kukhona ithimba lochwepheshe abazokusiza. Lokhu kungafaka:

• Odokotela bezifo zesisu (ochwepheshe bezifo zesisu)
• Odokotela Abahlinzayo Abajwayelekile
• Odokotela Abahlinza Imithambo Yemithambo
• Ochwepheshe Bokulawula Ubuhlungu
• Odokotela bezengqondo noma izazi zengqondo
• Ochwepheshe bezokudla

Bonke laba bantu basebenzisana ukuze bakunike impumuzo. Cabanga nje, ngamunye ekusiza ngenkinga yakho ngendlela ehlukile.

Yiziphi izinto ezingalindelwa uma kukhona (i-MALS)?

Ngemva kokuhlinzwa, izimpawu zivame ukuphela. Lokho kuyiqiniso. Kodwa-ke, ucwaningo oluthile lukhombisile ukuthi ngisho nangemva kokuhlinzwa, i-Median Arcuate Ligament Syndrome (MALS) ingaphinde ivele. Akukho esingakwenza ukuvimbela ukuthi ingenzeki. Kodwa-ke, kubalulekile ukuqaphela ezinye izinguquko emzimbeni wakho ezingaba yizimpawu zokuthi i-MALS iyabuya.Buza udokotela wakho ukuthi yiziphi lezi zimpawu zokuqala. Uzochaza ukuthi yini okufanele uyiqaphele.

Kufanele ufune nini iseluleko sezokwelapha?

Sishilo ukuthi izimpawu ze-MALS zingaphinde zibuye ngisho nangemva kokuhlinzwa. Uma lokho kwenzeka, kufanele nakanjani wazise ithimba lakho lezokwelapha.

Cabanga nje, uyazi ukuthi kukhona okungahambi kahle esiswini sakho. Uzwa ubuhlungu obungabekezeleleki engxenyeni engenhla yesisu sakho ngemva kokudla ngakunye. Kodwa naphezu kokuhlolwa okuqhubekayo, awukwazanga ukuthola ukuthi inkinga iyini noma ukuthi ukwelashwa kwayo kuyini. Kungenzeka ukuthi uke wezwa nokuthi lezi zimpawu zibangelwa inkinga yengqondo kunokuba yinkinga engokomzimba. Ngesikhathi esinjengalesi, lapho ufunda ukuthi lesi simo esingavamile (i-Median Arcuate Ligament Syndrome) siyimbangela yezimpawu zakho, uzozizwa ukhululekile kakhulu, akunjalo?

Okungcono nakakhulu, kunezindlela zokwelapha ezingasiza ekunciphiseni ubuhlungu bakho. Udokotela wakho angase akuncomele ukuhlinzwa. Uma ukuxilongwa kuyi-MALS, ithimba lakho lezokwelapha lizoncoma ukwelashwa okufanele ukuze likusize ujabulele ukudla nokuphila futhi.

Izinto ezibaluleke kakhulu okudingeka sizikhumbule kule ndaba yilezi:

• Ubuhlungu obukhulu esiswini esingaphezulu ngemva kokudla kungaba uphawu oluyinhloko lwe-MALS.
• Lokhu kwenzeka ngoba 'i-median arcuate ligament' icindezela 'umthambo we-celiac' kanye nezinzwa ezihambisana nawo.
• Kudingeka kwenziwe izivivinyo eziningana ukuze kutholakale ukuthi unesifo esingakanani, njengoba lesi kuyisimo esingavamile futhi ezinye izifo ezivamile kudingeka zisuswe.
• Ukwelashwa okuyinhloko ukuhlinzwa, kodwa kunezinye izindlela zokwelapha ubuhlungu, njenge-celiac plexus block.
• Uma izimpawu zibuya ngemva kokwelashwa, kubaluleke kakhulu ukufuna iseluleko sezokwelapha ngokushesha.
• Ukuphila nalesi simo kunzima, ngakho-ke ukwesekwa ngokomzwelo nakho kubaluleke kakhulu . Khumbula ukuthi awuwedwa. Odokotela bakho, umndeni wakho, nabangani bakho bazokusiza kulolu hambo.

I- Median Arcuate Ligament Syndrome, i-MALS, Ubuhlungu Besisu, Ubuhlungu Ngemva Kokudla, I-Celiac Artery, Ukuhlinzwa, Isistimu Yokugaya Ukudla