Mals

Ho okumu ka ligament arcuate waena i kahi ala ma waena o ka umauma a me ka ʻōpū no ke kīʻaha koko nui o ke kino, i kapa ʻia ʻo ka aorta. Ma ke ʻano maʻamau, hele ka ligament ma luna o ka aorta. Aia ka artery celiac ma lalo pono o ke ʻāʻī.

Hiki i ka MALS ke loaʻa i kekahi, ʻoiai nā keiki. ʻO nā inoa ʻē aʻe no ka MALS:

• Celiac axis syndrome.
• Dunbar syndrome.

Nā hōʻailona o ka MALS e komo pū ana me:

• ʻEha ʻōpū ma hope o ka ʻai ʻana a i ʻole ka hoʻoikaika kino.
• Ke emi ke ʻeha ʻōpū ma ka kūlou i mua a i hope paha a i ʻole ke kū ʻana i ka wā e ʻai ana.
• Makau i ka ʻai ʻana i ka meaʻai ma muli o ka ʻeha.
• Pau ke kaumaha me ka manaʻo ʻole.
• Pūpū.
• Diarrhea.
• Nā ʻōpū a me ka luaʻi.

He nui nā kumu like ʻole o ka ʻeha ʻōpū. Inā mau ka ʻeha ʻōpū ʻoiai me ka mālama home, kāhea i kāu limahana mālama ola. Pono ʻoe i kahi hoʻokolokolo kino piha a me nā hoʻokolohua e hoʻoholo ai i ke kumu kūikawā.

Inā ʻino loa kou ʻeha ʻōpū a ʻoi aku ka ʻino ma muli o ka hana a i ʻole ka neʻe ʻana, e kāhea koke i kāu limahana mālama ola. E kiʻi koke i ke kōkua lapaʻau inā loaʻa kāu ʻeha ʻōpū me:

• Ka wai koko mai ka ʻōpū.
• Ke kuni.
• Ka luhi a me ka luaʻi ʻaʻole e hala.
• ʻEha nui ke pā i kou ʻōpū.
• Pehu o ka ʻōpū.
• Melemele o ka ʻili a i ʻole nā ​​keʻokeʻo o nā maka, i kapa ʻia hoʻi he jaundice.

I kekahi manawa, hiki ke huikau ʻia ka ʻeha ʻōpū luna me ka ʻeha umauma. I kekahi manawa, hiki i ka ʻeha umauma ke loaʻa mai kahi hoʻouka naʻau. E kāhea i ka 911 a i ʻole ke kōkua lapaʻau pilikia inā loaʻa iā ʻoe ka ʻeha umauma a i ʻole ka ʻeha ʻōpū luna me a i ʻole me kekahi o kēia mau hōʻailona:

• Ka ʻeha haki a i ʻole ka ʻeha kuni e pālahalaha ana i kou ihu, ʻāʻī, poʻohiwi, a me hoʻokahi a ʻelua paha lima.
• Ka ʻeha e mau ana ma mua o kekahi mau minuke a ʻoi aku ka ʻino me ka hana.
• Ka hanu pōkole.
• Ka hou ʻana o ke anu.
• Ka luhi a i ʻole ka nāwaliwali.
• Ka luhi a i ʻole ka luaʻi.

ʻAʻole maopopo ka kumu kūpono o ka maʻi median arcuate ligament syndrome, i kapa ʻia hoʻi ʻo MALS.

ʻAʻole maopopo ka kumu o ka MALS, no laila ʻaʻole maopopo nā mea pilikia. ʻOi aku ka nui o ka maʻi Median arcuate ligament syndrome i nā mākua ma mua o nā keiki. ʻOi aku hoʻi ka nui i nā wāhine ma mua o nā kāne.

Ua ʻike ʻia hoʻi ka MALS i nā māhoe hoʻokahi, no laila hiki i ka genetics ke pāʻani i kahi kuleana.

Ua loaʻa i kekahi poʻe ka maʻi median arcuate ligament syndrome ma hope o ka ʻoki ʻana o ka pancreas a i ʻole ka hōʻeha ʻana i ka ʻōpū o luna.

No ka hōʻoiaʻana i ka maʻi median arcuate ligament syndrome, i kapa ʻia hoʻi ʻo MALS, e nānā kekahi limahana olakino iā ʻoe a e nīnau i nā nīnau e pili ana i kou mau hōʻailona. Hiki i ke limahana olakino ke lohe i kahi kani ʻūhā, i kapa ʻia ʻo bruit, i ka hoʻolohe ʻana i kou ʻōpū me kahi stethoscope. Hiki ke hana kēia kani i ka wā e liʻiliʻi ai ka moku koko.

No ka mea, nui nā kūlana e hiki ke hoʻoulu i ka ʻeha ʻōpū, maʻamau ʻoe e loaʻa i nā hoʻokolohua he nui e ʻimi i ke kumu a kāpae i nā kūlana ʻē aʻe i hiki ke loaʻa.

ʻO nā hoʻokolohua e hōʻoiaʻiʻo i ka maʻi median arcuate ligament syndrome e komo pū paha:

• Nā hoʻokolohua koko. Hana ʻia kēia mau hoʻokolohua e nānā i nā kūlana olakino e pili ana i ke ate, pancreas, nā puʻupaʻa a me nā ʻāpana ʻē aʻe o ke kino. Hōʻike ka helu piha o nā sela koko i ka nui o nā sela koko keʻokeʻo a me nā sela koko ʻulaʻula. Hiki i ka nui o nā sela koko keʻokeʻo ke ʻōlelo aku aia kahi maʻi.
• Upper endoscopy. Kīaʻia kēia kaʻina hana ʻo esophagogastroduodenoscopy, i ʻike ʻia ʻo EGD. Hana ʻia ia e ʻike i ka esophagus, ʻōpū a me ka ʻāpana luna o ka ʻōpū liʻiliʻi. I ka wā o kahi EGD, e alakaʻi ke kauka i kahi paipu lōʻihi, palupalu me kahi kāmela ma ka hopena i lalo i ka ʻāʻī ma hope o ka hoʻopili ʻana i ka lāʻau lapaʻau. Eia kekahi, hiki ke wehe ʻia nā ʻāpana o nā pūnaewele, i kapa ʻia ʻo biopsies, no nā hoʻokolohua labo.
• Magnetic resonance imaging (MRI). Hoʻohana ka MRI i nā mea huki a me nā nalu lekiō e hana i nā kiʻi kikoʻī o ka wahi kino e aʻo ʻia ana. I kekahi manawa, hāʻawi ʻia ka waihoʻoluʻu, i kapa ʻia ʻo contrast, ma o ka IV. Hōʻike ka waihoʻoluʻu i ke ʻano o ke koko e hele ana ma nā arteries. Kīaʻia kēia ʻo ka magnetic resonance angiogram, i ʻike ʻia hoʻi ʻo MRA.
• Abdominal computerized tomography (CT). Hoʻohana ka CT scan i nā X-rays e hana i nā kiʻi cross-sectional o nā ʻāpana o ke kino. Hiki i kēia hoʻokolohua ke hōʻike inā ua liʻiliʻi a pani paha ka celiac artery. Hiki ke hāʻawi ʻia ka waihoʻoluʻu, i kapa ʻia ʻo contrast, ma o ka IV. Kūleʻa ka waihoʻoluʻu i nā moku koko e ʻike ʻia maopopo aku ma nā kiʻi hoʻokolohua. I ka wā e hoʻohana ʻia ai ka waihoʻoluʻu, kīaʻia ka hoʻokolohua ʻo computerized tomography angiogram.
• Celiac plexus block. Hoʻokomo ʻia ka lāʻau lapaʻau i nā aʻalolo e noho ana ma kēlā ʻaoʻao o ka celiac artery. Loaʻa ka lāʻau lapaʻau no kekahi mau hola. Hoʻohālikelike kēia lapaʻau i ka mea e hana ana i ka wā o ka ʻoki e mālama i ka MALS. Hoʻohana pinepine ʻia kēia hoʻokolohua e aʻo i ka mea e hana maikaʻi ai me ka ʻoki MALS.

ʻO ka ʻoki kino wale nō ka lāʻau lapaʻau no ka median arcuate ligament syndrome, i kapa ʻia hoʻi ʻo MALS. Hiki i ka ʻoki kino no ka MALS ke hoʻomaikaʻi a hoʻemi paha i nā hōʻailona i ka hapa nui o nā kānaka.

Hoʻopili pinepine ka ʻeha a me ke kaumaha i loko o kahi pōʻaiapuni. Hiki i ka ʻeha ke hoʻonāukiuki iā ʻoe. Hiki i ke kaumaha ke hoʻoʻino i ka ʻeha. Hiki i ka ʻeha MALS ke hoʻopilikia i ka ʻai, ka hoʻoikaika kino, ka hiamoe a me nā hana o kēlā me kēia lā.

Hiki i nā ʻano hoʻomaha, e like me ka hanu hohonu a me ka noʻonoʻo, ke hoʻemi i ka ʻeha a me ka hoʻomaikaʻi ʻana i ke olakino noʻonoʻo.

Hāʻawi ka National MALS Foundation i ka ʻike a me nā pilina no nā kānaka me ka median arcuate ligament syndrome. Eia kekahi, e noi i kahi lālā o kāu hui mālama ola e hāʻawi i kahi hui kākoʻo ma kou wahi.