Izimpawu, Ukuxilongwa, kanye Nokwelapha i-MALS Artery Compression

-Delile

• Ukubuka konke
• Yini i-median arcuate ligament syndrome (MALS)?
• Izimbangela zeMedian arcuate ligament syndrome
• Izimpawu zeMedian arcuate ligament syndrome
• Sitholakala kanjani lesi sifo
• Ukwelashwa kweMedian arcuate ligament syndrome
• Kwenzekani ngemuva kokuhlinzwa kwe-median arcuate ligament syndrome?
• Ukuhlala esibhedlela
• Ukwelashwa ngokomzimba
• Ukuqapha nokuphathwa kobuhlungu
• Isikhathi sokutakula
• Ukuthatha

Ukubuka konke

I-Median arcuate ligament syndrome (i-MALS) ibhekisa ebuhlungwini besisu obuvela emgudwini odudula umthambo nezinzwa ezixhunywe ezithweni zokugaya engxenyeni ephezulu yesisu sakho, njengesisu nesibindi.

Amanye amagama alesi simo yi-Dunbar syndrome, i-celiac artery compression syndrome, i-celiac axis syndrome, ne-celiac trunk compression syndrome.

Lapho kutholakala ngokunembile, ukwelashwa okuhlinzekwayo kuvame ukuletha imiphumela emihle yalesi simo.

Yini i-median arcuate ligament syndrome (MALS)?

I-MALS yisimo esingajwayelekile esifaka ibhendi enemicu ebizwa nge-median arcuate ligament. Nge-MALS, i-ligament icindezela ngokuqinile ngokumelene nomthambo we-celiac nezinzwa ezizungezile, kunciphisa umthambo futhi kunciphise ukuhamba kwegazi kuwo.

Umthambo we-celiac uhambisa igazi lisuke ku-aorta yakho (umthambo omkhulu ovela enhliziyweni yakho) uye esiswini sakho, isibindi, nezinye izitho esiswini sakho. Lapho lo mthambo ucindezelwa, inani legazi eligelezayo liyehla, futhi lezi zitho azitholi igazi elanele.

Ngaphandle kwegazi elanele, izitho esiswini sakho azitholi umoya-mpilo owenele. Ngenxa yalokho, uzwa ubuhlungu esiswini sakho, kwesinye isikhathi esibizwa ngokuthi i-angina yamathumbu.

Lesi simo sivela kakhulu kwabesifazane abancane abaneminyaka ephakathi kwengama-20 nengu-40 ubudala. Kuyisimo esingalapheki nesiphindaphindayo.

Izimbangela zeMedian arcuate ligament syndrome

Odokotela abaqiniseki ukuthi yini ngempela edala ama-MALS. Babevame ukucabanga ukuthi okuwukuphela kwembangela bekunganele ukugeleza kwegazi kwezitho zesisu ngenxa yomthambo ophakathi we-arcuate ligament unciphisa umthambo we-celiac. Manje bacabanga ukuthi ezinye izinto, njengokucindezelwa kwezinzwa endaweni efanayo, nazo zifaka isandla kulesi simo.

Izimpawu zeMedian arcuate ligament syndrome

Izimpawu ezivelele eziveza lesi simo ubuhlungu besisu ngemuva kokudla, isicanucanu nokuhlanza okuvame ukuholela ekwehliseni isisindo.

Ngokusho kweNational Center for Advancing Translational Sciences, ubuhlungu besisu benzeka kubantu abangamaphesenti angama-80 abane-MALS, bese kuthi abangaphansi kwamaphesenti angama-50 banciphe. Inani lokwehla kwesisindo imvamisa lingaphezu kwamakhilogremu angama-20.

I-median arcuate ligament inamathiselwe ku-diaphragm yakho futhi idlula phambi kwe-aorta yakho lapho umthambo we-celiac ushiya khona. I-diaphragm yakho ihamba lapho uphefumula. Ukunyakaza ngesikhathi sokuphefumula kuqinisa i-ligament, okuchaza ukuthi kungani izimpawu zenzeka ikakhulu lapho umuntu ephefumula.

Ezinye izimpawu zingafaka:

• isiyezi
• ukushaya kwenhliziyo okusheshayo
• isifo sohudo
• ukujuluka
• ukuqunjelwa esiswini
• ukuncipha kokudla

Ubuhlungu besisu bungahamba, noma buphume, buye emuva noma ohlangothini lwakho.

Abantu abane-MALS bangagwema noma besabe ukudla ngenxa yobuhlungu ababuzwayo ngemuva kokwenza.

Sitholakala kanjani lesi sifo

Ukuba khona kwezinye izimo ezingadala ubuhlungu besisu kumele kukhishwe ngaphandle ngaphambi kokuba udokotela enze ukuxilongwa kwe-MALS. Lezi zimo zibandakanya isilonda, i-appendicitis, nesifo se-gallbladder.

Odokotela bangasebenzisa izivivinyo eziningi ezahlukahlukene ukubheka ama-MALS. Kwesinye isikhathi kudingeka izivivinyo ezingaphezu kwesisodwa. Ukuhlolwa okungenzeka kufaka:

• Ukwelashwa kweMedian arcuate ligament syndrome

  I-MALS yisimo esingelapheki, ngakho-ke ngeke ihambe yodwa.

  I-MALS iphathwa ngokusika i-median arcuate ligament ukuze ingaphinde icindezele umthambo we-celiac nezinzwa ezizungezile. Lokhu kungenziwa ngenqubo ye-laparoscopic, kusetshenziswa amathuluzi okuhlinza afakwa ngezicucu ezimbalwa ezincane esikhunjeni, noma ngokuhlinzwa okuvulekile.

  Imvamisa yilokho kuphela ukwelashwa okudingekayo. Kodwa uma izimpawu zingapheli, udokotela wakho angancoma enye inqubo yokwenza ukubeka i-stent ukugcina umthambo uvulekile noma ukufaka ubumbano ukuze kudlule indawo encane yomthambo we-celiac.

  Kwenzekani ngemuva kokuhlinzwa kwe-median arcuate ligament syndrome?

  Ukuhlala esibhedlela

  Ngemuva kokuhlinzwa kwe-laparoscopic, cishe uzohlala esibhedlela izinsuku ezintathu noma ezine. Ukululama ekuhlinzeni okuvulekile kuvame ukuthatha isikhashana ngoba inxeba lokuhlinzwa kufanele liphole ngokwanele ukuze lingaphinde livuleke, futhi kuthatha amathumbu akho isikhathi eside ukusebenza ngokujwayelekile futhi.

  Ukwelashwa ngokomzimba

  Ngemuva kokuhlinzwa, odokotela bakho bazokuvusa kuqala bazulazule egumbini lakho bese behamba emaphaseji. Ungathola ukwelashwa ngokomzimba ukusiza ngalokhu.

  Ukuqapha nokuphathwa kobuhlungu

  Udokotela wakho uzoqiniseka ukuthi umgudu wakho wokugaya ukudla usebenza ngokujwayelekile ngaphambi kokuthi uqale ukudla noma yini, bese ukudla kwakho kuzokwandiswa njengokuvumelekile. Ubuhlungu bakho buzophathwa kuze kube bulawulwa kahle. Lapho ukwazi ukuzungeza ngaphandle kobunzima, ubuyele ekudleni okujwayelekile, futhi ubuhlungu bakho bulawulwa, uzokhishwa esibhedlela.

  Isikhathi sokutakula

  Uma ususekhaya, amandla nokuqina kwakho kungabuya kancane kancane ngokuhamba kwesikhathi. Kungathatha okungenani amasonto amathathu kuya kwamane ngaphambi kokuthi ubuyele emsebenzini wakho ojwayelekile nakwindlela ejwayelekile.

  Ukuthatha

  Izimpawu ze-MALS zingakhathaza futhi zingaholela ekulahlekelweni kwesisindo okukhulu. Ngoba akuvamile, i-MALS kunzima ukuyixilonga, kodwa isimo singelashwa ngokuhlinzwa. Yize kwesinye isikhathi kudingeka ukuhlinzwa kwesibili, ungalindela ukululama okuphelele.