He aha te Mate Pūtau Arcuate Waenganui (MALS)? Tohutohu, Take, me te Maimoatanga

Ko te Mate Pūtau Arcuate Waenganui (MALS) tētahi āhuatanga onge e pēhi ana tētahi poka kiko e kiia nei ko te pūtau arcuate waenganui i te uaua nui e whakarato ana i te toto ki ōu whekau kai. Ka taea e tēnei pehi te whakaiti i te rere o te toto ki tō kopu, ate, me ētahi atu whekau o te kopu, ā, ka arahi ki te mamae me ngā raruraru kai.

Whakaarohia he whitiki kaha kei te hope kōwhiti – ina pehia e te pūtau te uaua, ka iti te rere o te toto. Ahakoa he mea noa tēnei rerekētanga tinana, ka puta noa ngā tohu ki te iti o te hunga. Ko te rongo pai, mā te whakamātautau tika me te maimoatanga, ka taea e te nuinga o te hunga e mate ana i te MALS te rapu whakaora nui mai i ō rātou tohu.

He aha te Mate Pūtau Arcuate Waenganui?

Ka puta te MALS ina noho te pūtau arcuate waenganui, he wāhanga noa o tō manawa, i raro iho i te tikanga, ā, ka pēhi i te uaua celiac. Ko te uaua celiac he rite ki te huarahi nui e kawe ana i te toto whai-hākari-oxygen ki tō kopu, ate, kōpū, me te pancreas.

Ka puta tēnei pehi i te nuinga o te wā i te manawa. Ina manawa hohonu koe, ka neke iho tō manawa, ā, ka taea te pehi atu i te uaua. Ko te iti o te rere o te toto ka hanga tētahi āhuatanga e kiia nei ko te ischemia, kei reira ngā whekau e kore e whiwhi i te nui o te oxygen hei mahi tika.

He tokomaha te hunga e whai ana i tēnei rerekētanga tinana kahore he tohu. E whakapono ana ngā tohunga hauora ko ngā tohu anake te whanake ina ka tino kaha te pehi ki te whakaiti i te rere o te toto, ki te whai rātou i ētahi atu take e tino pā ana ki te iti o te rere o te toto.

He aha ngā tohu o te Mate Pūtau Arcuate Waenganui?

Ko te tohu tino noa o te MALS ko te mamae o te kopu roa e tino uaua ana ki te noho tahi. Ka puta tēnei mamae i te nuinga o te wā i roto i tō kopu o runga, i raro iho i tō riu, ā, ka kaha ake i muri i te kai.

Ko ēnei ngā tohu matua ka pā atu ki a koe:

• Te mamae nui o te kopu o runga ka taea te horapa ki tō tua
• Te mamae e kaha ake ana i te 15-30 meneti i muri i te kai (e kiia ana ko te mamae postprandial)
• Te ruaki me te ruaki, ina koa i muri i ngā kai
• Te ngaro o te taumaha kahore he whakaaro na te wehi ki te kai
• Te ngākau tere ki te kai (te makona wawe)
• Te korere ranei ngā huringa i ngā nekehanga o te whekau
• Te ngenge me te ngoikore mai i te kai iti

Ka pā atu ētahi tohu iti ki ētahi atu, pēnei i te pupuhi, te ngakau, te tangi (bruit) e taea ana e ngā tākuta te whakarongo ki te stethoscope i runga i tō kopu. Ka tino hono te mamae ki te kai, no reira ka tīmata te maha o te hunga ki te karo i te kai, ka arahi ki te ngaro nui o te taumaha me ngā ngoikore kai.

Ko te mea e tino wero ai te MALS ko te taea te puta mai o ngā tohu me te kaha ake i ngā wā o te ahotea, te mate ranei. Ka taea e te āhua kore whakapono o te mamae te pā kino ki tō kounga o te ora me ō mahi o ia rā.

He aha ngā take o te Mate Pūtau Arcuate Waenganui?

Ko te MALS te take o te rerekētanga tinana kei reira tō pūtau arcuate waenganui e noho ana i raro iho i te tikanga. Ko tēnei wāhi ka pēhi i te uaua celiac, koinei te oko toto nui e whakarato ana i ō whekau kopu o runga.

Ko te take tika he aha ētahi e whanake ana i tēnei wāhi pūtau iti kahore i tino mōhiotia. Heoi, ka taea e ētahi take te whai wāhi ki te whanaketanga o te MALS:

• Te tinana whānau – i whānau koe me te pūtau e noho ana i raro
• Ngā huringa i te wāhi o tō manawa na te tipu, te koroheketanga ranei
• Te hanganga o te kiko tohu e toia ana te pūtau iho
• Ngā pokanga kopu o mua ka taea te whakarereke i te tinana o roto
• Ētahi āhua manawa e whakanui ana i te pehanga manawa

He mea whakamīharo, tae atu ki te 25% o te taupori ka taea te whai i tētahi taumata o te pehi uaua celiac, engari he iti noa te hunga e whanake ana i ngā tohu. Ka whakaatu mai tēnei ko ētahi atu take i tua atu i te pehi anake te whai wāhi ki te whanaketanga o ngā tohu.

E whakapono ana ētahi tohunga hauora ko te hunga e whanake ana i te MALS ka whai pea i ētahi atu take pēnei i te tino pā atu ki te iti o te rere o te toto, te kore o te rere toto tautoko (te whakarato toto tautoko), te mamae ranei o te io mai i te pehi e tino pā ana ki te whanake i ngā tohu.

Nōhea te haere ki te tākuta mō te Mate Pūtau Arcuate Waenganui?

Me haere koe ki te tākuta mena kei te pā atu koe ki te mamae o te kopu o runga, ina koa mena ka kaha ake tonu i muri i te kai. Ahakoa he maha ngā āhuatanga e taea te arahi ki te mamae o te kopu, ko te tauira motuhake o te mamae i muri i te kai me te ngaro o te taumaha he mea whakaaro nui, me te whakamātautau hauora.

Rapua te tiaki hauora inaianei mena ka pā atu koe ki:

• Te mamae nui o te kopu e āwangawanga ana ki ngā mahi o ia rā
• Te ngaro o te taumaha kahore he whakaaro neke atu i te 5-10 pauna
• Te ruaki me te ruaki tonu i muri i ngā kai
• Te wehi ki te kai na te mamae
• Ngā tohu o te ngoikore kai pēnei i te ngenge, te ngoikore, te ngaro o te makawe ranei

Me rapu koe i te tiaki āwangawanga mena ka whanake koe i te mamae nui o te kopu, ngā tohu o te maroke, ki te kore e taea e koe te pupuri i te kai, te wai ranei mō te neke atu i te 24 haora. Ahakoa ko te MALS kahore i te mea āwangawanga, ka taea e ēnei tohu te tohu i ngā raruraru, ētahi atu āhuatanga kino ranei.

Kaua e whakaroa ki te tautoko i a koe mena ka mau tonu ō tohu. Ka tino whakamātautau he, kāhore ranei e kitea te MALS na te mea he onge, ā, ka rite ngā tohu ki ētahi atu āhuatanga o te whekau kai. Pupurihia he rārangi tohu taipitopito e tohu ana i te wā e puta mai ai te mamae, tōna kaha, me tōna hononga ki te kai.

He aha ngā take morearea mō te Mate Pūtau Arcuate Waenganui?

E kite ana te MALS i ētahi rōpū o te iwi neke atu i ētahi atu, ahakoa tetahi ka taea te whanake i tēnei āhuatanga. Ko te mōhiotanga ki ēnei take morearea ka taea te āwhina i a koe me tō tākuta ki te whakaaro ki te MALS hei take pea mō ō tohu.

Ko ngā take morearea matua ko ēnei:

• Ko te wahine – ka pā atu ki ngā wāhine 3-4 wā atu i ngā tāne
• Te taitamariki ki te tau waenganui – ka tino kitea i waenganui i ngā tau 20-50
• Te angiangi, te ahua kikokiko ranei
• Te whai i te hītori whānau o ngā āhuatanga uaua
• Ngā pokanga kopu o mua, te whara ranei
• Ētahi āhuatanga manawa, āhua ranei

Ko te nui ake o te pānga ki ngā wāhine me ngā tāne taitamariki kahore i tino mōhiotia, engari e whakaaro ana ētahi kairangahau ko ngā take hormonal, ngā rerekētanga tinana ranei te whai wāhi.

He mea nui te mahara ko te whai i ēnei take morearea kahore e tikanga ka whanake koe i te MALS. He tokomaha te hunga e whai ana i ngā take morearea maha kahore he tohu, ā, ko ētahi atu e whai ana i ngā take morearea iti ka taea te whanake i te āhuatanga. Ka āwhina noa ēnei take i ngā tākuta ki te whakaaro ki te MALS i roto i ō rātou tukanga whakamātautau.

He aha ngā raruraru pea o te Mate Pūtau Arcuate Waenganui?

Ahakoa ko te MALS kahore i te mea kino, ko te āhua roa o te āhuatanga ka arahi ki ngā raruraru maha e pā kino ana ki tō hauora me tō kounga o te ora. Ko te nuinga o ngā raruraru ka puta mai i te whakaiti tonu o te rere o te toto ki ō whekau kopu me ngā pānga tuarua o te mamae roa.

Ko ngā raruraru noa ko ēnei:

• Te ngoikore kai me te ngaro nui o te taumaha mai i te karo i te kai
• Te maroke mai i te ruaki me te ruaki tonu
• Ngā ngoikore huaora me ngā kohuke
• Te ngenge me te ngoikore roa
• Te pouri me te manukanuka e pā ana ki te mamae roa
• Te motu hapori na te āhua kore whakapono o ngā tohu

I roto i ngā take onge, ka taea te whanake i ngā raruraru nui ake. Ka taea e te pehi nui te arahi ki te hanganga aneurysm i roto i te uaua celiac, kei reira te pakitara oko e ngoikore ana, e pupuhi ana. Ka taea e ētahi te whanake i ngā raruraru rere toto tautoko, kei reira te whakarato toto tautoko ki ngā whekau kopu ka kore e ranea.

Kaua e whakaiti i te pānga hinengaro o te MALS. Ko te noho tahi me te mamae roa me te wehi ki te kai ka arahi ki ngā wero hauora hinengaro nui. Ka whanake te maha o te hunga i te manukanuka mo ngā kai, ngā hui kai hapori ranei, ka taea te uaua ki ngā whānau me te pā ki te mahi, te kura ranei.

Ka taea e te whakamātautau me te maimoatanga wawe te āwhina i te aukati i te maha o ēnei raruraru. Ko te mahi tahi me tētahi rōpū hauora e mōhio ana ki te MALS he mea nui mō te whakahaere i ngā āhuatanga tinana me ngā āhuatanga hinengaro o tēnei āhuatanga.

Me pēhea te whakamātautau i te Mate Pūtau Arcuate Waenganui?

Ka taea te wero te whakamātautau i te MALS na te mea ka rite ngā tohu ki ētahi atu āhuatanga o te whekau kai. Ka tīmata tō tākuta ki te kōrero taipitopito mō ō tohu me tō hītori hauora, me te aro nui ki te hononga i waenganui i tō mamae me te kai.

Ko te tukanga whakamātautau ka whai pea i ngā kaupae me ngā whakamātautau maha:

• Te tirotiro tinana e aro ana ki tō kopu
• Te CT angiography hei whakaatu i te rere o te toto i roto i te uaua celiac
• Te Doppler ultrasound hei ine i ngā tere rere o te toto
• Te MR angiography mō te whakaahua uaua taipitopito
• Te angiography (te whakaahua whakauru-catheter) i ētahi wā
• Ngā ako whakamahinga kopu hei tirotiro i te mahi o te kopu

Ka rapu tō tākuta i ngā tohu motuhake pēnei i te tere o te rere o te toto i roto i te uaua celiac i te wā e manawa ana (e manawa ana) me te ahua "whakapae" o te uaua i pehia i runga i ngā ako whakaahua. Ka hiahia hoki rātou ki te whakakore i ētahi atu āhuatanga e taea te arahi ki ngā tohu rite.

I ētahi wā, ka whakamahi ngā tākuta i te mea e kiia nei ko te whakamātautau expiratory-inspiratory, kei reira e whakarite ana rātou i te rere o te toto ina manawa koe i te wā e manawa ana koe. I roto i te MALS, ka kaha ake te pehi i te wā e manawa ana, e whakaatu ana i te rerekētanga marama i te rere o te toto i waenganui i ēnei āhua e rua.

Na te mea he onge te MALS, ka hiahia pea koe ki te kite i ngā tohunga pēnei i ngā gastroenterologists, ngā taote uaua ranei e whai wheako ana ki tēnei āhuatanga. Kaua e pouri mena ka roa te wā ki te whai i te whakamātautau – ko te mau tonu ki te mahi tahi me ngā kaiwhakarato hauora mohio he mea nui.

He aha te maimoatanga mō te Mate Pūtau Arcuate Waenganui?

Ko te maimoatanga mō te MALS e aro ana ki te whakaora i te pehi o tō uaua celiac me te whakahaere i ō tohu. Ko te maimoatanga matua he pokanga, ahakoa ka tūtohutia e tō tākuta te whakamātautau i ngā huarahi whakaora tuatahi, ina koa mena he ngawari ki te waenganui ō tohu.

Ko ngā whiringa maimoatanga whakaora ko ēnei:

• Te whakahaere mamae me ngā rongoā
• Ngā rongoā anti-nausea hei āwhina i te kai
• Te tautoko kai me ngā whakarereketanga kai
• Ngā kai iti, maha i te rā hei whakaiti i te mamae i muri i te kai
• Ngā poraka io celiac plexus mō te whakaora mamae

Ina kahore he hua ngā maimoatanga whakaora, ka hiahiatia te whakauru pokanga. Ko te huarahi pokanga matua e kiia nei ko te tuku pūtau arcuate waenganui, kei reira ngā taote e wehewehe ana i te pūtau e pehi ana i tō uaua celiac. Ka taea te mahi i tēnei mā te pokanga tuwhera tuku iho, ngā hangarau laparoscopic iti ranei.

Kua tino rongonui te pokanga laparoscopic na te mea ka whai pea i ngā wahi iti, te iti o te mamae, te tere ake o te ora i te pokanga tuwhera. Ka mahi hoki ētahi taote i ētahi atu tukanga i te wā o te pokanga, pēnei i te neurolysis celiac plexus, kei reira e whakahaere ana i ngā io kei te taha o te uaua hei whakarato i te whakaora mamae atu.

Ko te rereketanga angitu mō te pokanga he pai te nuinga, me te nuinga o te hunga e whai ana i te whakapai nui i ō rātou tohu. Heoi, kahore i te whakamanahia te whakaora mamae katoa, ā, ka hiahia pea ētahi ki ētahi atu maimoatanga, tukanga ranei. Ko te ora ka roa pea i ngā wiki maha ki ngā marama torutoru, kei runga i te huarahi pokanga i whakamahia.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te Mate Pūtau Arcuate Waenganui?

Ahakoa he mea nui te maimoatanga hauora mō te MALS, he maha ngā rautaki ka taea e koe te whakamahi i te kāinga hei āwhina i te whakahaere i ō tohu me te whakapai ake i tō kounga o te ora. Ka pai te mahi o ēnei huarahi ina honoa ki te tiaki hauora ngaio, ehara i te whakakapi mōna.

Ka taea e ngā whakarereketanga kai te whakarereke nui i tō taumata whakamarie:

• Kai iti ake, maha atu i te rā
• Kōwhiria ngā kai ngāwari ki te kai pēnei i ngā hupa, ngā smoothies, me ngā āhua ngawari
• Karohia ngā kai nui, mamae e hiahia ana ki te nui atu o te rere o te toto mō te kai
• Noho makona, ina koa mena kei te pā atu koe ki te ruaki
• Whakaarohia ngā taapiri kai wai mena he uaua te kai
• Pupurihia he rārangi kai hei whakatau i ngā mea e kaha ake ai ō tohu

Ka taea e ngā hangarau whakahaere mamae te āwhina i a koe ki te whakahaere i te mamae i waenganui i ngā maimoatanga hauora. Tamatahia te whakamahana i tō kopu o runga, te mahi i ngā mahi manawa ngawari, te whakamahi ranei i ngā hangarau whakahākinakina pēnei i te whakaaroaro. Ka kite ētahi ko ētahi wāhi, pēnei i te noho tika, te tōia atu ranei ki mua, ka taea te whakaiti i te mamae i muri i te kai.

Ko te whakahaere i ngā āhuatanga hinengaro o te MALS he mea nui. Whakaarohia te uru atu ki ngā rōpū tautoko, i te tangata ranei i runga i te ipurangi, kei reira ka taea e koe te hono atu ki ētahi atu e mōhio ana ki te mea kei te pā atu koe. Kaua e whakaroa ki te rapu tohutohu mena kei te whawhai koe ki te manukanuka mo te kai, te pouri ranei e pā ana ki te mamae roa.

Pupurihia ngā rārangi taipitopito o ō tohu, tae atu ki ngā taumata mamae, te wā e pā ana ki ngā kai, me te mea e āwhina ana, e kaha ake ranei ngā mea.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite pai mō tō hui tākuta ka taea te āwhina i te whakarite ka whiwhi koe i te whakamātautau tika me te mahere maimoatanga whai hua. Na te mea he onge te MALS, ā, ka taea te wero ngā tohu, he mea nui te whakarite pai.

I mua i tō hui, kohikohia ēnei korero nui:

• Te rārangi tohu taipitopito tae atu ki te kaha o te mamae, te wā, me ngā mea e arahi ana
• Te rārangi katoa o ngā rongoā me ngā taapiri o nāianei
• Te hītori whānau o ngā āhuatanga uaua, whekau kai ranei
• Ngā hua whakamātautau o mua, ngā ako whakaahua, me ngā rēkōta hauora
• Te rārangi o ngā pūrongo e hiahia ana koe ki te ui ki tō tākuta
• Ngā korero mo te āhua o ngā tohu ki tō oranga o ia rā

Tuhia ngā kōrero motuhake mō tō mamae, pēnei i te wā i tīmata ai, te āhua o te āhua, me te hononga tika ki te kai. Kia mōhio ki tetahi ngaro o te taumaha, ahakoa he iti te ahua, ā, whakaahuahia te āhua o ō tohu i te wā.

Whakaritea ngā pūrongo ki te ui ki tō tākuta, pēnei i ngā whakamātautau pea e hiahiatia ana, ngā whiringa maimoatanga e wātea ana, me te mea e tatari ana i te wā ora mena ka tūtohuhia te pokanga. Kaua e whakaroa ki te ui mō te wheako o tō tākuta ki te MALS me te pea ka whai hua koe ki te kite i tētahi tohunga.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau ranei ki tō hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui me te whakarato tautoko hinengaro i te wā pea he kōrero ahotea mō tō hauora.

He aha te mea nui mō te Mate Pūtau Arcuate Waenganui?

Ko te MALS he āhuatanga onge engari ka taea te whakaora e taea te pā kino ki tō kounga o te ora mena kahore e whakamātautauhia. Ko te ki mō te whakahaere angitu ko te mohio wawe ki ngā tohu motuhake – ina koa te mamae o te kopu o runga e kaha ake ana i muri i te kai – me te mahi tahi me ngā kaiwhakarato hauora e mōhio ana ki tēnei āhuatanga.

Ahakoa ka taea te wero te haerenga whakamātautau na te mea he onge te MALS, kaua e tukua mena kei te pā atu koe ki ngā tohu mau tonu e rite ana ki tēnei āhuatanga. Mā te whakamātautau tika me te maimoatanga, ka taea e te nuinga o te hunga e mate ana i te MALS te whiwhi whakaora nui i ngā tohu me te hoki ki te kai noa me ngā mahi o ia rā.

Kia mahara kahore koe i te kotahi i roto i tēnei haerenga. Ka taea e ngā hapori tautoko MALS me ngā kaiwhakarato hauora mohio te whakarato i te aratohu me te tiaki e hiahia ana koe. Ko te mahi nui ko te tautoko i a koe me te rapu awhina mai i ngā tohunga hauora e tango ana i ō tohu nui me te whai wheako ki ngā āhuatanga uaua e pā ana ki te pūnaha whekau kai.

Ngā pūrongo e ui pinepinetia ana mō te Mate Pūtau Arcuate Waenganui

Ka taea te whakaora katoa te MALS?

Ka taea e te pokanga hei tuku i te pūtau arcuate waenganui te whakarato whakaora nui i ngā tohu mō te nuinga o te hunga e mate ana i te MALS, me ngā rereketanga angitu e tae ana ki te 70-90%. Heoi, kahore i te whakamanahia te whakaora katoa mō te katoa. Ka mau tonu pea ētahi ki ngā tohu iti, ki te hiahia ranei ki ētahi atu maimoatanga. Ko te ki ko te mahi tahi me ngā taote wheako me te whai i ngā tumanakohanga pono mo ngā hua.

He mea whakatūpato te MALS?

Kahore te MALS e whakaarohia he āhuatanga whakatūpato i te tikanga tuku iho, engari ko te rerekētanga tinana e arahi ana ki te MALS pea he wāhanga ira. Ka tino whai pea ngā mema whānau i te tinana rite, engari kahore tēnei e tikanga ka whanake rātou i ngā tohu. Ko te nuinga o ngā take o te MALS he mea koretake, e puta ana kahore he tauira whānau marama.

E hia te roa o te ora i muri i te pokanga MALS?

Ko te wā ora ka rerekē kei runga i te huarahi pokanga me ngā take takitahi. Mā te pokanga laparoscopic, ka taea e te nuinga o te hunga te hoki ki ngā mahi mārama i roto i te 1-2 wiki me ngā mahi noa i roto i te 4-6 wiki. Ko te pokanga tuwhera ka hiahia pea ki te wā ora roa atu o te 6-8 wiki. Ka roa pea te whakaora katoa i ngā tohu i ngā marama maha i te wā e whakarite ana tō tinana ki te pai ake o te rere o te toto.

Ka hoki mai ngā tohu MALS i muri i te pokanga?

Ahakoa he pai te pokanga, ka hoki mai pea ngā tohu. Ka puta pea tēnei mena ka hangai te kiko tohu me te arahi ki te pehi hou, mena he take tinana atu kahore i whakahaerea i te wā o te pokanga tuatahi, te mau tonu ranei o te io. Ko te nuinga o te hunga e pupuri ana i ō rātou whakapainga roa, engari he mea nui te tiaki whai muri ki tō rōpū hauora.

Me pēhea taku mahi mena kahore ngā tākuta e whakapono ko ō tohu he pono?

He mea whakaaro, na te mea he onge te MALS, ā, ka rite ngā tohu ki ētahi atu āhuatanga, ka whai pea ētahi i te whakaaro whakapae mai i ngā kaiwhakarato hauora. Pupurihia ngā rārangi tohu taipitopito, rapuhia ngā whakaaro tuarua, ā, tonoa ngā tohutoro ki ngā tohunga e mōhio ana ki te MALS. Ka taea e ngā rōpū tautoko manuhiri me ngā hapori ipurangi te whakarato i ngā rauemi mō te rapu i ngā tākuta mohio. Kaua e tukua – he pono ō tohu, me te tika te tiaki hauora.