Mals

Ko te here ārai ā-ārai waenganui e hanga ana i te huarahi i waenganui i te uma me te puku mō te oko toto nui o te tinana, ko te aorta te ingoa. I te nuinga o te wā, ka whiti te here i te aorta. Kei raro i te kopu te oko celiac.

Ka taea e te MALS te puta ki te tangata katoa, tae atu ki ngā tamariki. Ko ētahi atu ingoa mō te MALS ko:

• Te mate o te ārai celiac.
• Te mate o Dunbar.

Ko ngā tohu o te MALS e whai ake nei:

• Te mamae o te puku i muri i te kai, i te whakakori rānei.
• Ka pai ake te mamae o te puku mā te pēhi i mua, i muri rānei, i te tū rānei i te wā e kai ana.
• Te wehi ki te kai i te kai nā te mamae.
• Te ngaro o te taumaha kahore i whakaarohia.
• Te pupū.
• Te ruaki.
• Te ruaki me te ruaki.

He maha ngā take rerekē o te mamae o te puku. Ki te haere tonu te mamae o tō puku ahakoa te tiaki whare, waea atu ki tō kaimahi hauora. Me whai koe i te whakamātautau tinana katoa me ngā whakamātautau hei whakatau i te take motuhake.

Ki te kino te mamae o tō puku, ā, ka kaha ake te mamae i te mahi, i te nekehanga rānei, waea atu tonu ki tō kaimahi hauora. Rapua te awhina hauora tonu mehemea ka puta te mamae o tō puku me:

• Ngā paru toto.
• Kirika.
• Ngakau me te ruaki kaore e mutu.
• Te mamae nui ina pa atu koe ki tō puku.
• Te pupuhi o te puku.
• Te kōwhai o te kiri, o te ma o ngā kanohi rānei, e kiia ana hoki ko te mate kōwhai.

I etahi wā, ka taea te whakapohehe i te mamae o te puku o runga me te mamae o te uma. I etahi wā, ko te mamae o te uma te take o te ngakau. Waea atu ki te 911, ki te awhina hauora āwangawanga rānei, ki te mamae o te uma, o te puku o runga rānei me ētahi tohu, kāore rānei:

• Te mamae whakangū, te mamae wera rānei e horapa ana ki tō kauae, ki tō kaki, ki ō pokohiwi, ki te ringa kotahi, ki ngā ringa e rua rānei.
• Te mamae e roa atu ana i ngā meneti torutoru, kāore rānei e kino ake te mamae i te mahi.
• Te poto o te manawa.
• Te werawera makariri.
• Te moepuku, te ngoikore rānei.
• Ngakau, te ruaki rānei.

Ko te take tino tika o te mate o te uaua median arcuate, e kiia ana hoki ko te MALS, kaore i te mohiotia.

Mō te kore e tino mōhiotia te take o te MALS, ka kore e marama ngā take tūpono. He maha ake te puta o te mate huangō median arcuate ligament syndrome ki ngā pakeke atu i ngā tamariki. He maha ake hoki te puta ki ngā wāhine atu i ngā tāne.

Kua kitea hoki te MALS ki ngā tāngata whāngai kotahi, na reira pea he wāhi te ira tangata.

Kua whanake etahi i te mate huangō median arcuate ligament syndrome i muri i te pokanga pancreatic, i te whara pakaru rānei ki te rohe o te puku o runga.

Kaore he uara (NaN)

Hei whakatau i te mate o te uaua median arcuate, e kiia ana hoki ko te MALS, ka tirotiro te tohunga hauora i a koe ka uiui ki nga tohu o to tinana. Ka rongo pea te tohunga hauora i te tangi o te wai, e kiia ana he bruit, ina whakarongo ana ki to kopu me te stethoscope. Ka puta pea te tangi ina whakaitihia te oko toto.

Na te mea he maha nga ahuatanga ka puta ai te mamae o te kopu, ka maha tonu nga whakamatautau hei kimi i te take me te whakakore i etahi atu ahuatanga pea.

Ko nga whakamatautau hei whakatau i te mate o te uaua median arcuate ka uru atu ki:

• Ngā whakamātautau toto. Ka mahia ēnei whakamātautau hei tirotiro i ngā āhuatanga hauora e pā ana ki te ate, te pancreas, ngā whatukuhu me ētahi atu wāhanga o te tinana. Ka whakaatu te tau o ngā pūtau toto katoa i te taumata o ngā pūtau toto ma me ngā pūtau toto whero. Ka taea e te nui o te tau o ngā pūtau toto ma te tikanga kei reira te mate.
• Upper endoscopy. E kiia ana hoki tenei mahi ko te esophagogastroduodenoscopy, e mohiotia ana ko te EGD. Ka mahia hei kite i te esophagus, te kopu me te wahi o runga o te whekau iti. I te wa o te EGD, ka arataki te taote i tetahi pūtau roa, ngawari me te kamera kei te pito ki raro i te korokoro i muri i te whakamahinga i te rongoa whakahaumaru. I tua atu, ka taea te tango i ngā tauira kiko, e kiia ana ko ngā biopsies, mō ngā whakamātautau taiwhanga.
• Whakaahua whakaata manawa (MRI). Ka whakamahi te MRI i ngā maheni me ngā ngaru reo hei hanga i ngā whakaahua taipitopito o te wāhi o te tinana e akohia ana. I etahi wā, ka hoatu te tae, e kiia ana ko te whakakotahi, mā te IV. Ka whakaatu te tae me pēhea te neke o te toto i roto i ngā ātiretī. E kiia ana tenei ko te angiogram whakaata manawa, e mohiotia ana hoki ko te MRA.
• Tomokarapu rorohiko o te kopu (CT). Ka whakamahi te CT scan i ngā X-rays hei hanga i ngā whakaahua tapawhā o ngā wāhanga o te tinana. Ka taea e tenei whakamātautau te whakaatu mena kua whakaitihia te ātiretī celiac, kua aukati rānei. Ka taea te hoatu he tae, e kiia ana ko te whakakotahi, mā te IV. Ka āwhina te tae i ngā oko toto kia kitea mārama ake i ngā whakaahua whakamātautau. Ina whakamahia te tae, ka kiia te whakamātautau ko te angiogram tomokarapu rorohiko.
• Te aukati o te plexus celiac. Ka werohia te rongoā whakahaumaru ki ngā ngongo kei ia taha o te ātiretī celiac. Ka roa te rongoā whakahaumaru mo etahi haora. Ka rite tenei maimoatanga ki te mea e puta ana i te wa o te pokanga hei whakaora i te MALS. Ka whakamahia tenei whakamātautau ki te ako i te hunga ka pai pea ki te pokanga MALS.

Ko te pokanga anake te rongoā mō te mate o te here median arcuate, e kiia ana hoki ko te MALS. Ka taea e te pokanga mō te MALS te whakapai ake i ngā tohu, te whakaiti rānei i ngā tohu i te nuinga o te iwi.

Ko te mamae me te ahotea e ahu whakahurihuri ana. Ka taea e te mamae te whakawehi i a koe. Ka taea e te ahotea te whakaiti i te mamae. Ka āhei pea te mamae o te MALS te whakawhāiti i te kai, te whakakori tinana, te moe, me te mahi i ngā mahi o ia rā.

Ka āhei pea ngā tikanga whakahaumaru, pēnei i te manawa hohonu me te whakaaroaro, te whakaiti i te mamae me te whakapai ake i te hauora hinengaro.

Ka whakarato te Poari MALS o te Motu i ngā korero me ngā hononga mō te hunga e pangia ana e te mate o te uaua median arcuate. Tīkina atu, ui atu ki tētahi mema o tō rōpū hauora kia tūtohutia he rōpū tautoko kei tō rohe.