He aha ka Median Arcuate Ligament Syndrome (MALS)? Nā hōʻailona, nā kumu, a me ka mālama

ʻO ka Median Arcuate Ligament Syndrome (MALS) kahi kūlana maʻamau ʻole kahi e kaomi ai kahi kāʻei o nā pūnaewele i kapa ʻia ʻo ka median arcuate ligament i kahi ʻāpana nui e lawe ana i ke koko i kou mau kino digestive. Hiki i kēia kaomi ke hoʻemi i ke kahe koko i kou ʻōpū, ate, a me nā kino ʻē aʻe o ka ʻōpū, e alakaʻi ana i ka ʻeha a me nā pilikia digestive.

E noʻonoʻo e like me kahi kāʻei paʻa a puni kahi hose māla - i ka wā e kāomi ai ka ligament i ke artery, emi iho ke kahe koko. ʻOiai he mea maʻamau kēia hoʻololi anatomical, ʻo ia wale nō ka mea e hoʻokumu ai i nā hōʻailona i kahi hapa liʻiliʻi o nā kānaka. ʻO ka ʻoiaʻiʻo maikaʻi, me ka hōʻike kūpono a me ka mālama ʻana, hiki i ka hapa nui o nā kānaka me MALS ke loaʻa kahi kōkua nui mai kā lākou mau hōʻailona.

He aha ka Median Arcuate Ligament Syndrome?

Hana ʻia ka MALS i ka wā e noho ai ka median arcuate ligament, kahi ʻāpana maʻamau o kou diaphragm, ma lalo o ka maʻamau a e kaomi i ke celiac artery. ʻO ke celiac artery e like me kahi ala nui e lawe ana i ke koko momona oxygen i kou ʻōpū, ate, spleen, a me ka pancreas.

Hana pinepine ʻia kēia kaomi i ka wā e hanu ai. I ka wā e hanu hohonu ai ʻoe, e neʻe i lalo kou diaphragm a hiki ke kaomi hou aku i ke artery. Hoʻokumu ka kahe koko emi i kahi kūlana i kapa ʻia ʻo ischemia, kahi ʻaʻole lawa ka oxygen i kāu mau kino e hana pono ai.

He nui nā kānaka i kēia hoʻololi anatomical me ka ʻole o nā hōʻailona. Manaʻo nā loea lapaʻau e ulu wale nā ​​hōʻailona i ka wā e lilo ai ka kaomi i mea nui e kaupalena nui ai i ke kahe koko, a i ʻole i ka wā e hana ai nā mea ʻē aʻe i kou kino i ʻoi aku ka maʻalahi i ke kahe koko emi.

He aha nā hōʻailona o ka Median Arcuate Ligament Syndrome?

ʻO ka hōʻailona maʻamau loa o ka MALS ka ʻeha ʻōpū lōʻihi e hiki ke paʻakikī loa ke ola pū me ia. Hana pinepine ʻia kēia ʻeha ma kou ʻōpū luna, ma lalo pono o kou ribcage, a pinepine ʻia e ʻoi aku ka ʻino ma hope o ka ʻai ʻana.

Eia nā hōʻailona nui āu e ʻike ai:

• ʻEha nui ma ka ʻōpū o luna e hiki ke pālahalaha i kou kua
• ʻEha e ʻoi aku ka ʻino ma hope o ka ʻai ʻana i nā minuke 15-30 (i kapa ʻia ʻo ka ʻeha ma hope o ka ʻai ʻana)
• Nausea a me ka luaʻi, ʻoi aku hoʻi ma hope o ka ʻai ʻana
• Pau ke kaumaha me ka manaʻo ʻole ma muli o ka makaʻu i ka ʻai ʻana
• Piha koke ka ʻōpū i ka ʻai ʻana (hoʻopiha koke)
• Kūpīpī a i ʻole nā ​​hoʻololi i nā neʻe o ka ʻōpū
• Luhi a nāwaliwali mai ka nele o ka meaʻai

Loaʻa nō hoʻi i kekahi poʻe nā hōʻailona maʻamau ʻole e like me ka pupu ʻana, ka puhi ʻana o ka naʻau, a i ʻole ka leo kani (bruit) e lohe ai nā kauka me ka stethoscope ma luna o kou ʻōpū. Hoʻopili pinepine ʻia ka ʻeha me ka ʻai ʻana, no laila ke hoʻomaka nei ka nui o nā kānaka e pale aku i ka ʻai ʻana, e alakaʻi ana i ka emi nui o ke kaumaha a me ka nele o ka meaʻai.

ʻO ka mea e pilikia ai ka MALS, ʻo ia ka hiki ke intermittent nā hōʻailona a hiki ke ʻoi aku ka ʻino i nā manawa o ke kaumaha a i ʻole ka maʻi. Hiki i ke ʻano unpredictable o ka ʻeha ke hoʻopilikia nui i kou ola a me kāu mau hana i kēlā me kēia lā.

He aha ka mea e hoʻoulu ai i ka Median Arcuate Ligament Syndrome?

Hoʻoulu ʻia ka MALS e kahi ʻano anatomical kahi e noho ai kou median arcuate ligament ma lalo o ka maʻamau. Hoʻoikaika kēia kūlana iā ia e hoʻoemi i ka celiac artery, ʻo ia ka moku koko nui e hānai ana i kou mau ʻōpū o luna.

ʻAʻole maopopo loa ke kumu kikoʻī no ke aha e loaʻa ai i kekahi poʻe kēia kūlana ligament haʻahaʻa. Eia naʻe, hiki i kekahi mau mea ke kōkua i ka hoʻomohala ʻana o ka MALS:

• Anatomy Congenital - ua hānau ʻia ʻoe me ka ligament i kau ʻia ma lalo
• Nā hoʻololi i kou kūlana diaphragm ma muli o ka ulu ʻana a i ʻole ka ʻelemakule
• Hoʻokumu ʻia ka ʻili ʻili e huki i ka ligament i lalo
• Nā hana ʻoki ʻōpū ma mua e hiki ke hoʻololi i ka anatomy kūloko
• Kekahi mau ʻano hanu e hoʻonui i ke kaomi diaphragmatic

He mea kupanaha, a hiki i ka 25% o ka heluna kanaka ke loaʻa i kekahi ʻano o ke komo ʻana o ka artery celiac, akā he hapa liʻiliʻi wale nō ka poʻe e loaʻa ai nā hōʻailona. Ke hōʻike nei kēia i nā mea ʻē aʻe ma mua o ke komo ʻana wale nō e pāʻani ana i ka hoʻomohala ʻana o nā hōʻailona.

Manaʻo kekahi mau loea lapaʻau e loaʻa paha i nā kānaka e loaʻa ai ka MALS nā mea hou aku e like me ka nui o ka maʻalahi i ka emi ʻana o ke kahe koko, ka lawa ʻole o ka holo koko collateral (ka lako koko kākoʻo), a i ʻole ka huhū o nā aʻalolo mai ke komo ʻana e hoʻolilo iā lākou i mea ʻoi aku ka maʻalahi e ʻike i nā hōʻailona.

I ka wā e ʻike ai i ke kauka no ka Median Arcuate Ligament Syndrome?

Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe ka ʻeha mau o ka ʻōpū o luna, ʻoi aku inā e ʻoi aku ka ʻino ma hope o ka ʻai ʻana. ʻOiai he nui nā kūlana e hiki ke hoʻokumu i ka ʻeha o ka ʻōpū, ʻo ke ʻano kūikawā o ka ʻeha ma hope o ka ʻai ʻana me ka nalowale o ke kaumaha he mea hopohopo a pono i ka loiloi lapaʻau.

E ʻimi koke i ka mālama lapaʻau inā ʻike ʻoe i:

• ʻEha nui o ka ʻōpū e hoʻopilikia ana i nā hana o kēlā me kēia lā
• Ka nalowale o ke kaumaha ʻaʻole i manaʻo ʻia ma mua o 5-10 paona
• Ka luaʻi a me ka luaʻi mau ma hope o ka ʻai ʻana
• Makau i ka ʻai ʻana ma muli o ka ʻeha
• Nā hōʻailona o ka nele o ka meaʻai e like me ka luhi, ka nāwaliwali, a i ʻole ka nalowale o ka lauoho

Pono ʻoe e ʻimi i ka mālama pilikia inā loaʻa iā ʻoe ka ʻeha koke a nui o ka ʻōpū, nā hōʻailona o ka nele o ka wai, a i ʻole inā ʻaʻole hiki iā ʻoe ke mālama i ka meaʻai a i ʻole nā wai no ka lōʻihi ma mua o 24 mau hola. ʻOiai ʻaʻole ka MALS iho he pilikia maʻamau, hiki i kēia mau hōʻailona ke hōʻike i nā pilikia a i ʻole nā kūlana koʻikoʻi ʻē aʻe.

Mai kānalua e kākoʻo iā ʻoe iho inā mau ana kāu mau hōʻailona. Hoʻomaopopo pinepine ʻia a i ʻole nānā ʻole ʻia ka MALS no ka mea he mea maʻamau ʻole ia a ua like nā hōʻailona me nā kūlana ʻē aʻe o ka ʻōnaehana digestive. E mālama i kahi moʻolelo kikoʻī o nā hōʻailona e hoʻomaopopo ana i ka wā e loaʻa ai ka ʻeha, kona ikaika, a me kona pilina i ka ʻai ʻana.

He aha nā kumu pilikia no ka Median Arcuate Ligament Syndrome?

Me he mea lā, ʻoi aku ka hopena o ka MALS i kekahi poʻe ma mua o nā poʻe ʻē aʻe, ʻoiai hiki i kekahi ke loaʻa kēia maʻi. Hiki i ka hoʻomaopopo ʻana i kēia mau mea pilikia ke kōkua iā ʻoe a me kāu kauka e noʻonoʻo i ka MALS ma ke ʻano he kumu hiki ke loaʻa i kāu mau hōʻailona.

ʻO nā mea pilikia nui loa:

• ʻO ka wahine - ʻoi aku ka nui o ka hopena i nā wāhine ma mua o nā kāne i 3-4 manawa
• ʻŌpio a waena - ʻoi aku ka nui o ka ʻike ʻia ma waena o nā makahiki 20-50
• ʻO ka lahilahi a i ʻole ke kino lahilahi
• Ke loaʻa ka mōʻaukala ʻohana o nā maʻi vascular
• Nā hana ʻokiʻoki ʻōpū ma mua a i ʻole ka hōʻeha
• Kekahi mau maʻi hanu a i ʻole nā ​​ʻano

ʻAʻole maopopo loa ke kumu o ka nui o ka hopena i nā wāhine a me nā ʻōpio, akā manaʻo kekahi mau mea noiʻi he mea pili paha nā mea hormonal a i ʻole nā ​​ʻokoʻa i ke kino. Hiki i ka lahilahi ke lilo i mea pilikia no ka mea ʻaʻohe nui o ka ʻiʻo e hoʻopuni ana i nā arteries, hiki ke hana i ka compression e hoʻokumu i nā hōʻailona.

He mea nui e hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o kēia mau mea pilikia e hōʻoiaʻiʻo ʻoe e loaʻa iā ʻoe ka MALS. Nui nā kānaka me nā mea pilikia he nui ʻaʻole loaʻa nā hōʻailona, ​​ʻoiai ke loaʻa i nā poʻe ʻē aʻe me nā mea pilikia liʻiliʻi ka maʻi. Kūkulu wale kēia mau mea i nā kauka e noʻonoʻo i ka MALS i kā lākou kaʻina hana hoʻoholo.

He aha nā pilikia hiki ke loaʻa i ka Median Arcuate Ligament Syndrome?

ʻOiai ʻaʻole pinepine ka MALS i ka hoʻoweliweli i ke ola, hiki i ke ʻano lōʻihi o ka maʻi ke alakaʻi i nā pilikia he nui e hoʻopilikia nui i kou olakino a me kou ola. ʻO ka hapa nui o nā pilikia e kū mai ana mai ka emi mau ʻana o ke kahe koko i kou mau ʻōpū a me nā hopena lua o ka ʻeha lōʻihi.

ʻO nā pilikia maʻamau:

• Ka nele o ka meaʻai a me ka emi nui o ke kaumaha mai ka pale ʻana i ka ʻai
• Ka maloʻo ʻana o ke kino mai ka luaʻi mau a me ka luaʻi
• Ka nele o nā wikamina a me nā minelala
• Ka luhi mau a me ka nāwaliwali
• Kaumaha a me ka hopohopo e pili ana i ka ʻeha mau loa
• Ka noho kaʻawale mai ke kaiāulu ma muli o nā hōʻailona i ʻike ʻole ʻia

I nā hihia kakaikahi, hiki ke ulu nā pilikia koʻikoʻi hou aku. Hiki i ke komo ʻana ikaika ke alakaʻi i ka hoʻokumu ʻana o ka aneurysm i loko o ke kīʻaha celiac, kahi e nāwaliwali ai ka paia o ke kīʻaha a puʻupuʻu. Hiki i kekahi poʻe ke loaʻa nā pilikia o ka holo koko collateral, kahi e lawa ʻole ai ka lako koko kākoʻo i nā ʻōpū o ka ʻōpū.

ʻAʻole pono e hoʻoemi ʻia ka hopena psychological o MALS. ʻO ke ola ʻana me ka ʻeha mau loa a me ka makaʻu o ka ʻai ʻana hiki ke alakaʻi i nā pilikia olakino noʻonoʻo nui. He nui nā kānaka e hoʻomohala i ka hopohopo e pili ana i nā meaʻai a i ʻole nā kūlana ʻai kaiāulu, kahi hiki ke hoʻoikaika i nā pilina a hoʻopilikia i ka hana a i ʻole ka hana kula.

Hiki i ka ʻike mua ʻana a me ka mālama ʻana ke kōkua i ka pale ʻana i nā pilikia he nui o kēia mau mea. ʻO ka hana pū ʻana me ka hui olakino e hoʻomaopopo ana iā MALS he mea nui ia no ka mālama ʻana i nā ʻaoʻao kino a me ka manaʻo o kēia kūlana.

Pehea ka hōʻike ʻana o ka Median Arcuate Ligament Syndrome?

Hiki ke paʻakikī ka hōʻike ʻana iā MALS no ka mea ua like kona mau hōʻailona me nā kūlana ʻai ʻē aʻe he nui. E hoʻomaka maʻamau kāu kauka me ka kūkākūkā kikoʻī e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino, e hoʻolohe nui ana i ka pilina ma waena o kou ʻeha a me ka ʻai ʻana.

ʻO ke kaʻina hana hōʻike maʻamau e komo pū ana i nā ʻanuʻu a me nā hoʻokolohua he nui:

• Nānā kino e nānā ana i kou ʻōpū
• CT angiography e ʻike i ka holo koko i loko o ke kīʻaha celiac
• Doppler ultrasound e ana i ka wikiwiki o ka holo koko
• MR angiography no ka kiʻi kikoʻī o ke kīʻaha
• Angiography (kiʻi catheter-based) i kekahi mau hihia
• Nā haʻawina hoʻopau ʻana o ka ʻōpū e nānā i ka hana o ka ʻōpū

E nānā aku kāu kauka i nā hōʻailona kūikawā e like me ka wikiwiki o ke kahe koko i loko o ke aʻa celiac i ka wā e hanu ai a me ke ʻano “kākiʻo” o ke aʻa i hoʻoneʻe ʻia ma nā haʻawina kiʻi. Makemake nō hoʻi lākou e kāpae i nā kūlana ʻē aʻe e hiki ke hoʻoulu i nā hōʻailona like.

I kekahi manawa, hoʻohana nā kauka i ka mea i kapa ʻia ʻo ka hoʻokolohua expiratory-inspiratory, kahi e hoʻohālikelike ai lākou i ke kahe koko i ka wā e hanu ai ʻoe ma mua o ka wā e hanu ai ʻoe. Ma MALS, hoʻonui pinepine ʻia ka hoʻoneʻe ʻana i ka wā e hanu ai, e hōʻike ana i ka ʻokoʻa maopopo i ke kahe koko ma waena o kēia mau kūlana ʻelua.

No ka mea he mea maʻamau ʻole ka MALS, pono paha ʻoe e ʻike i nā loea e like me nā gastroenterologists a i ʻole nā ​​​​kauka vascular i loaʻa ka ʻike me kēia kūlana. Mai hoʻohilahila inā lōʻihi ka manawa e hōʻea ai i kahi ʻike - ʻo ka hoʻomau ʻana i ka hana pū ʻana me nā mea lawelawe olakino akamai ka mea nui.

He aha ka lāʻau lapaʻau no ka Median Arcuate Ligament Syndrome?

ʻO ka lāʻau lapaʻau no ka MALS e kau i ka hoʻomaha ʻana i ka hoʻoneʻe ʻana o kāu aʻa celiac a me ka hoʻokele ʻana i kāu mau hōʻailona. ʻO ka lāʻau lapaʻau nui ka ʻoki kino, ʻoiai paha e ʻōlelo aku kāu kauka e hoʻāʻo i nā ala mālama mālie ma mua, ʻoiai inā he māmā a waena paha kāu mau hōʻailona.

ʻO nā koho mālama mālie e komo pū me:

• Ka hoʻokele ʻeha me nā lāʻau lapaʻau
• Nā lāʻau lapaʻau anti-nausea e kōkua i ka ʻai ʻana
• Ke kākoʻo hānai a me nā hoʻololi ʻai
• Nā ʻai liʻiliʻi, pinepine e hoʻemi i ka ʻeha ma hope o ka ʻai ʻana
• Nā poloka aʻa celiac plexus no ka hoʻomaha ʻana i ka ʻeha

Ke kūleʻa ʻole nā ​​​​lāʻau lapaʻau mālie, pono ka hana ʻoki kino. ʻO ke ala ʻoki kino nui ka mea i kapa ʻia ʻo ka hoʻokuʻu ʻana o ka ligament arcuate waena, kahi e hoʻokaʻawale ai nā kauka i ka ligament e hoʻoneʻe nei i kāu aʻa celiac. Hiki ke hana ʻia kēia ma o ka ʻoki kino ākea maʻamau a i ʻole nā ​​​​ʻenehana laparoscopic liʻiliʻi.

Ua lilo ka ʻoki kino laparoscopic i mea kaulana loa no ka mea, maʻamau, he ʻuʻuku nā ʻokiʻoki, emi ka ʻeha, a wikiwiki ka hoʻōla ʻana ma mua o ka ʻoki kino ākea. Hana pū kekahi mau kauka i nā hana hou aku i ka wā o ka ʻoki kino, e like me ka celiac plexus neurolysis, kahi e mālama ai lākou i nā aʻalolo a puni ke aʻa koko e hāʻawi i ka hōʻoluʻolu ʻeha hou aku.

Maikaʻi loa ka holomua o ka ʻoki kino, me ka nui o nā kānaka e ʻike ana i ka hoʻomaikaʻi nui ʻana i ko lākou mau hōʻailona. Eia naʻe, ʻaʻole hōʻoia ʻia ka hōʻoluʻolu piha ʻana o ka ʻeha, a pono paha kekahi poʻe i nā lāʻau lapaʻau hou aʻe a i ʻole nā ​​hana. Hoʻōla maʻamau i nā hebedoma he nui a i kekahi mau mahina paha, ma muli o ke ʻano o ka ʻoki kino i hoʻohana ʻia.

Pehea e mālama ai i nā hōʻailona ma ka home i ka wā o ka Median Arcuate Ligament Syndrome?

ʻOiai he mea nui ka mālama lapaʻau no ka MALS, aia kekahi mau hana hiki iā ʻoe ke hoʻohana ma ka home e kōkua i ka mālama ʻana i kou mau hōʻailona a hoʻomaikaʻi i kou ola. Hana maikaʻi kēia mau ala ke hui pū ʻia me ka mālama lapaʻau ʻoihana, ʻaʻole ma ke ʻano he pani no ia.

Hiki i nā hoʻololi ʻai ke hoʻolilo i kahi ʻokoʻa nui i kou pae ʻoluʻolu:

• ʻAi i nā ʻai liʻiliʻi, pinepine a puni ka lā
• E koho i nā meaʻai maʻalahi e hoʻoheheʻe ʻia e like me nā soup, smoothies, a me nā ʻano palupalu
• E pale i nā meaʻai nui, kaumaha e pono ai ka nui o ke kahe koko no ka hoʻoheheʻe ʻana
• E inu wai nui, ʻoiai inā ʻoe e ʻeha i ka nausea
• E noʻonoʻo i nā mea hoʻohui wai momona inā paʻakikī ka ʻai paʻa
• E mālama i kahi moʻolelo ʻai e ʻike i nā mea hoʻonāukiuki e hoʻopilikia i kou mau hōʻailona

Hiki i nā ʻenehana mālama ʻeha ke kōkua iā ʻoe e kū i ka ʻoluʻolu ma waena o nā lāʻau lapaʻau. E ho'āʻo e kau i ka wela i kou ʻōpū luna, e hoʻomaʻamaʻa i nā hana hanu mālie, a i ʻole e hoʻohana i nā hana hoʻomaha e like me ka noʻonoʻo. Loaʻa i kekahi poʻe kahi kūlana kūikawā, e like me ke noho pololei a i ʻole ke kūlou iki i mua, hiki ke hoʻemi i ka ʻeha ma hope o ka ʻai ʻana.

He mea nui like ʻo ka mālama ʻana i nā ʻaoʻao manaʻo o ka MALS. E noʻonoʻo e komo i nā hui kākoʻo, ma ke kino a i ʻole ma ka pūnaewele, kahi e hiki ai iā ʻoe ke pilina me nā poʻe ʻē aʻe e hoʻomaopopo ana i kāu mea e hele nei. Mai kānalua e ʻimi i ka ʻōlelo aʻo inā ke paio nei ʻoe me ka hopohopo e pili ana i ka ʻai ʻana a i ʻole ka kaumaha e pili ana i ka ʻeha mau loa.

E mālama i nā moʻolelo kikoʻī o kāu mau hōʻailona, ​​e komo pū ana i nā pae ʻeha, ka manawa e pili ana i nā meaʻai, a me nā mea e kōkua ai a i ʻole e hoʻopilikia ai i nā mea. E waiwai kēia ʻike no kāu hui mālama ola i ka hoʻoponopono ʻana i kāu papa hoʻoponopono.

Pehea ʻoe e hoʻomākaukau ai no kāu kau ʻana i ke kauka?

Hiki i ka hoʻomākaukau pono ʻana no kāu kau ʻana i ke kauka ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka hōʻailona pololei loa a me ka papa hoʻoponopono maikaʻi loa. ʻOiai he mea maʻamau ʻole ka MALS a hiki ke paʻakikī nā hōʻailona, ​​he mea nui loa ka hoʻomākaukau maikaʻi.

Ma mua o kāu kau ʻana, e hōʻiliʻili i kēia ʻike nui:

• Ka moʻolelo hōʻailona kikoʻī e komo pū ana i ka ikaika o ka ʻeha, ka manawa, a me nā mea hoʻonāukiuki
• Papa piha o nā lāʻau lapaʻau a me nā mea hoʻohui i kēia manawa
• Mōʻaukala ʻohana o nā kūlana vascular a i ʻole digestive
• Nā hopena hoʻokolohua ma mua, nā haʻawina kiʻi, a me nā moʻolelo lapaʻau
• Papa inoa o nā nīnau āu e makemake ai e nīnau i kāu kauka
• ʻIke e pili ana i ke ʻano o ka hopena o nā hōʻailona i kou ola i kēlā me kēia lā

E kākau i nā kikoʻī kikoʻī e pili ana i kou ʻeha, e like me ka manawa i hoʻomaka ai, pehea ka manaʻo, a pehea hoʻi ka pilina pololei me ka ʻai ʻana. E hoʻomaopopo i kekahi poho kaumaha, ʻoiai inā he mea liʻiliʻi, a e wehewehe i ke ʻano o ka loli ʻana o kāu mau hōʻailona i ka manawa. E kūpaʻa i ke ʻano o ka hopena o ke kūlana i kāu hana, nā pilina, a me ke olakino noʻonoʻo.

E hoʻomākaukau i nā nīnau e nīnau i kāu kauka, e like me nā hoʻokolohua e pono ai, nā koho mālama e loaʻa, a me ka mea e manaʻo ai i ka wā hoʻōla inā paipai ʻia ka ʻoki kino. Mai kānalua e nīnau e pili ana i ka ʻike o kāu kauka me ka MALS a inā paha e pōmaikaʻi ʻoe mai ka ʻike ʻana i kahi loea.

E noʻonoʻo e lawe mai i kahi hoaaloha a i ʻohana paha i hilinaʻi ʻia i kāu kūkā. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike koʻikoʻi a hāʻawi i ke kākoʻo manaʻo i ka wā e hiki mai ana ke kūkākūkā pilikia e pili ana i kou olakino.

He aha ka mea nui e pili ana i ka Median Arcuate Ligament Syndrome?

He maʻi maʻamau ʻole akā hiki ke mālama ʻia ka MALS e hiki ke hoʻopilikia nui i kou ola maikaʻi inā waiho ʻia me ka ʻike ʻole ʻia. ʻO ke kī i ka hoʻokele holomua ka ʻike mua ʻana i nā hōʻailona hiʻohiʻona - ʻoi aku hoʻi ka ʻeha o ka ʻōpū luna e ʻoi aku ka ʻino ma hope o ka ʻai ʻana - a me ka hana pū ʻana me nā mea lawelawe olakino e hoʻomaopopo ana i kēia maʻi.

ʻOiai paʻakikī ka huakaʻi hōʻailona ma muli o ka maʻamau ʻole o ka MALS, mai haʻalele inā ʻike ʻoe i nā hōʻailona mau loa e kūlike me kēia maʻi. Me ka hōʻailona kūpono a me ka mālama ʻana, hiki i ka hapanui o nā kānaka me ka MALS ke loaʻa ka hōʻoluʻolu nui o nā hōʻailona a hoʻi i ka ʻai maʻamau a me nā hana o kēlā me kēia lā.

E hoʻomanaʻo ʻaʻole ʻoe wale nō i kēia huakaʻi. Hiki i nā kaiāulu kākoʻo MALS a me nā mea lawelawe olakino akamai ke hāʻawi i ke alakaʻi a me ka mālama āu e pono ai. ʻO ka hana nui loa ka pale ʻana no ʻoe iho a me ka ʻimi ʻana i ke kōkua mai nā limahana lapaʻau e lawe koʻikoʻi i kou mau hōʻailona a loaʻa ka ʻike me nā kūlana vascular e hoʻopilikia ana i ka ʻōnaehana digestive.

Nā nīnau pinepine e pili ana i ka Median Arcuate Ligament Syndrome

Hiki ke ho'ōla loa ʻia ka MALS?

Hiki i ka ʻoki kino e hoʻokuʻu i ka median arcuate ligament ke hāʻawi i ka hōʻoluʻolu nui o nā hōʻailona no ka hapanui o nā kānaka me ka MALS, me nā helu holomua maʻamau mai 70-90%. Eia naʻe, ʻaʻohe hōʻoia o ka hoʻōla piha no nā kānaka a pau. Hiki i kekahi poʻe ke hoʻomau i nā hōʻailona māmā a pono paha i nā mālama hou aku. ʻO ke kī ka hana pū ʻana me nā kauka ʻoki akamai a loaʻa nā manaʻo kūpono e pili ana i nā hopena.

He mea hoʻoilina anei ka MALS?

ʻAʻole manaʻo ʻia ka MALS he maʻi hoʻoilina ma ke ʻano kuʻuna, akā naʻe, ʻo ka loli anatomical e alakaʻi ai i ka MALS paha he ʻāpana genetic. Hiki i nā lālā o ka ʻohana ke ʻoi aku ka nui o ka anatomy like, akā ʻaʻole kēia manaʻo e loaʻa iā lākou nā hōʻailona. ʻO ka hapa nui o nā hihia o ka MALS e like me ka sporadic, e kū mai ana me ka ʻole o kahi ʻano ʻohana maopopo.

Pehea ka lōʻihi o ka hoʻōla ma hope o ka ʻoki MALS?

Hoʻololi ka manawa hoʻōla ma muli o ke ʻano o ka ʻoki a me nā kumu pilikino. Me ka ʻoki laparoscopic, hiki i ka hapa nui o nā kānaka ke hoʻi i nā hana māmā i loko o 1-2 mau pule a me nā hana maʻamau i loko o 4-6 mau pule. ʻO ka ʻoki wehe maʻamau e pono ai ka manawa hoʻōla lōʻihi o 6-8 mau pule. Hiki i ka hoʻōla piha ʻana o nā hōʻailona ke lawe i kekahi mau mahina e hoʻoponopono ai kou kino i ke kahe koko maikaʻi.

Hiki i nā hōʻailona MALS ke hoʻi mai ma hope o ka ʻoki?

ʻOiai he maikaʻi maʻamau ka ʻoki, hiki i nā hōʻailona ke hoʻi mai i kekahi manawa. Hiki paha kēia inā hana ʻia ka ʻili ʻili a hoʻokumu i ka hoʻoikaika hou, inā aia nā pilikia anatomical ʻē aʻe i ʻole i mālama ʻia i ka wā o ka ʻoki mua, a i ʻole inā mau ka maʻi nerve. ʻO ka hapa nui o nā kānaka e mālama i kā lākou holomua lōʻihi, akā naʻe, he mea nui ka mālama hoʻomau me kāu hui lapaʻau.

He aha kāu e hana ai inā ʻaʻole manaʻo nā kauka i kāu mau hōʻailona he ʻoiaʻiʻo?

ʻO ka mea pōʻino, no ka mea he mea maʻamau ʻole ka MALS a ua like nā hōʻailona me nā kūlana ʻē aʻe, ke kūʻē nei kekahi poʻe i ka kānalua mai nā mea lawelawe olakino. E mālama i nā moʻolelo hōʻailona kikoʻī, e ʻimi i nā manaʻo ʻelua, a e noi i nā kuhikuhi i nā loea i ʻike i ka MALS. Hiki i nā hui kākoʻo maʻi a me nā kaiāulu pūnaewele ke hāʻawi i nā kumuwaiwai no ka loaʻa ʻana o nā kauka akamai. Mai haʻalele - ʻoiaʻiʻo kāu mau hōʻailona a pono lākou i ka mālama lapaʻau kūpono.