Ese ni iki? Uburwayi bwa Median Arcuate Ligament Syndrome (MALS), Ibimenyetso, Impamvu, n’Uko Bivurwa

Uburwayi bwa Median Arcuate Ligament Syndrome (MALS) ni uburwayi buke cyane buterwa n’umwenda w’umubiri witwa median arcuate ligament ushishikaza umusemburo munini utwara amaraso mu ngingo z’igogorwa. Uku gushisikara bishobora kugabanya umuvuduko w’amaraso ajya mu gifu, mu mwijima, no mu zindi ngingo z’inda, bigatuma umuntu yumva ububabare n’ibibazo by’igogorwa.

Tekereza nk’umukandara uhambiriye umuyoboro w’amazi mu murima – iyo umwenda ushishikaza umusemburo, amaraso make ni yo anyuramo. Nubwo iyi mpinduka y’imiterere y’umubiri ibaho kenshi, itera ibimenyetso mu bantu bake gusa. Inkuru nziza ni uko, hakoreshejwe uburyo bwo kubimenya no kubuvura neza, abantu benshi barwaye MALS bashobora kubona ubuvuzi buhagije ku bimenyetso byabo.

Ese ni iki Median Arcuate Ligament Syndrome?

MALS ibaho iyo median arcuate ligament, igice gisanzwe cy’umwijima wawe, ihagaze hasi uko bisanzwe maze igashisikara umusemburo wa celiac. Umusemburo wa celiac ni nk’umuhanda munini utwara amaraso yuzuye ogisijeni ajya mu gifu, mu mwijima, mu nda, no muri pancreas.

Iyi gushisikara bibaho cyane cyane mu gihe umuntu apima. Iyo upimye cyane, umwijima wawe uragenda hasi maze ushobora gushisikara umusemburo kurushaho. Kugabanuka kw’amaraso bituma habaho ikibazo cyitwa ischemia, aho ingingo zawe zibona ogisijeni ihagije kugira ngo zikore neza.

Abantu benshi bafite iyi mpinduka y’imiterere y’umubiri nta bimenyetso na bumwe bagira. Abaganga bemeza ko ibimenyetso bigaragara gusa iyo gushisikara bikabije bihagije kugira ngo bigabanye umuvuduko w’amaraso cyane, cyangwa iyo hari ibindi bintu bituma umubiri wawe uhita ubona ibibazo byo kugabanuka kw’amaraso.

Ibimenyetso bya Median Arcuate Ligament Syndrome ni ibihe?

Ikimenyetso cy’ingenzi cya MALS ni ububabare buhoraho mu nda bushobora kuba ingorabahizi kubana nabwo. Ubu bubabare busanzwe bukunze kugaragara mu gice cy’imbere cy’inda, munsi y’amagongo, kandi bugakomeza nyuma yo kurya.

Dore ibimenyetso by’ingenzi ushobora kugira:

• Ububabare bukomeye mu gice cy’imbere cy’inda bushobora kugera no mu mugongo
• Ububabare buzamuka nyuma yo kurya iminota 15-30 (ububabare bwa postprandial)
• Isesemi no kuruka, cyane cyane nyuma yo kurya
• Gutakaza ibiro bidakozweho kubera gutinya kurya
• Kumva wuzuye vuba iyo uri kurya (early satiety)
• Impiswi cyangwa impinduka mu mirire
• Umunaniro n’intege nke kubera imirire mibi

Bamwe mu bantu bagira n’ibimenyetso bitagenda bikunze nk’umubyibuho, guhumeka nabi, cyangwa umuziki (bruit) abaganga bumva bafashijwe na stethoscope ku nda yawe. Ububabare bukunze guhuzwa no kurya ku buryo abantu benshi batangira kwirinda kurya, bigatuma batakaza ibiro byinshi kandi bagira imirire mibi.

Icyatuma MALS iba ingorabahizi ni uko ibimenyetso bishobora kuba bije rimwe na rimwe kandi bikaba bikomeye mu bihe by’umunaniro cyangwa indwara. Uburyo budateganijwe bw’ububabare bushobora kugira ingaruka ku mibereho yawe n’ibikorwa bya buri munsi.

Impamvu za Median Arcuate Ligament Syndrome ni izihe?

MALS iterwa n’impinduka y’imiterere y’umubiri aho median arcuate ligament yawe ihagaze hasi uko bisanzwe. Iyi myanya ituma ishisikara umusemburo wa celiac, ari wo musemburo munini utwara amaraso mu ngingo z’imbere z’inda.

Impamvu nyamukuru ituma bamwe mu bantu bagira iyi myanya y’umwenda hasi ntiyumvikana neza. Ariko kandi, hari ibintu byinshi bishobora gutera MALS:

• Imikorere y’umubiri kuva ukiri mu nda – wavutse ufite umwenda uhagaze hasi
• Impinduka mu myanya y’umwijima wawe kubera gukura cyangwa gusaza
• Ibisigazwa by’udukoma bikurura umwenda hasi
• Ibibujijwe byo kubaga mu nda bishobora guhindura imiterere y’imbere
• Uburyo bumwe bwo guhumeka butuma umuvuduko w’umwijima wiyongera

Icy’ingenzi ni uko, abantu bagera kuri 25% bashobora kugira ikibazo cyo gushisikara kw’umusemburo wa celiac, ariko abantu bake gusa ni bo bagira ibimenyetso. Ibi bigaragaza ko hari ibindi bintu uretse gushisikara ubwayo bigira uruhare mu iterambere ry’ibimenyetso.

Bamwe mu baganga bemeza ko abantu barwara MALS bashobora kugira ibindi bintu nk’uburyo bworoshye bwo kugabanuka kw’amaraso, uburyo buke bwo gutwara amaraso (backup blood supply), cyangwa guhumeka nabi kubera gushisikara bikaba byatuma bagira ibimenyetso.

Ni ryari ukwiye kujya kwa muganga kubera Median Arcuate Ligament Syndrome?

Ukwiye kujya kwa muganga niba ufite ububabare buhoraho mu gice cy’imbere cy’inda, cyane cyane niba buhora buzamuka nyuma yo kurya. Nubwo indwara nyinshi zishobora gutera ububabare mu nda, uburyo bwihariye bw’ububabare nyuma yo kurya buhujwe no gutakaza ibiro ni ikibazo gikomeye kandi gikenera isuzuma ry’abaganga.

Shaka ubufasha bw’abaganga vuba niba ufite:

• Ububabare bukomeye mu nda bugabanya ibikorwa bya buri munsi
• Gutakaza ibiro bidakozweho birenga ibiro 2.5-5
• Isesemi ihoraho no kuruka nyuma yo kurya
• Gutinya kurya kubera ububabare
• Ibimenyetso byo kutagira imirire ihagije nk’umunaniro, intege nke, cyangwa gutakaza umusatsi

Ukwiye gushaka ubufasha bw’ibitaro byihuse niba ufite ububabare bukomeye mu nda, ibimenyetso byo gukama, cyangwa niba udashobora kurya cyangwa kunywa ibinyobwa mu gihe kirenga amasaha 24. Nubwo MALS ubwayo atari ikibazo cyihuse, ibi bimenyetso bishobora kugaragaza ingaruka cyangwa ibindi bibazo bikomeye.

Ntugatinye kwitabira ibibazo byawe niba ibimenyetso byawe bikomeza. MALS ikunze kuvurwa nabi cyangwa kwirengagizwa kuko ari uburwayi buke kandi ibimenyetso byayo bishobora kumera nk’ibindi bibazo by’igogorwa. Komeza kwandika ibimenyetso byawe byose, ugaragaze igihe ububabare buza, ubukana bwabwo, n’uburyo bujyanye no kurya.

Ibyago bya Median Arcuate Ligament Syndrome ni ibihe?

MALS isa n’aho igira ingaruka ku matsinda amwe y’abantu kurusha ayandi, nubwo umuntu wese ashobora kurwara iyi ndwara. Gusobanukirwa ibi byago bishobora kugufasha wowe n’umuganga wawe gutekereza kuri MALS nk’impamvu ishoboka y’ibimenyetso byawe.

Ibyago by’ingenzi birimo:

• Kuba umugore – abagore barwara inshuro 3-4 kurusha abagabo
• Urubyiruko kugeza hagati – akenshi imenyekana hagati y’imyaka 20-50
• Kuba umuntu ufite umubiri muke cyangwa ufite umubiri mwiza
• Kugira amateka y’umuryango w’ibibazo by’imitsi y’amaraso
• Ibibujijwe byo kubaga mu nda cyangwa imvune
• Indwara zimwe na zimwe zo guhumeka cyangwa uburyo bwo guhumeka

Ubwinshi bw’abagore n’urubyiruko ntibumvikana neza, ariko bamwe mu bashakashatsi bemeza ko ibintu by’imisemburo cyangwa itandukaniro ry’imiterere y’umubiri bishobora kugira uruhare. Kuba ufite umubiri muke bishobora kuba ikibazo kuko hari umwenda muke ukingira imisemburo, bishobora gutuma gushisikara byoroshye gutera ibimenyetso.

Ni ngombwa kwibuka ko kugira ibi byago ntibisobanura ko uzahita urwara MALS. Abantu benshi bafite ibyago byinshi ntibagira ibimenyetso, mu gihe abandi bafite ibyago bike bashobora kurwara iyi ndwara. Ibi bintu bifasha abaganga gusa gutekereza kuri MALS mu nzira yabo yo kuvura.

Ingaruka zishoboka za Median Arcuate Ligament Syndrome ni izihe?

Nubwo MALS ubwayo idahitana umuntu, uburyo buhoraho bw’iyi ndwara bushobora gutera ingaruka nyinshi zigira ingaruka ku buzima bwawe n’imibereho yawe. Ingaruka nyinshi ziterwa no kugabanuka buhoraho kw’amaraso ajya mu ngingo z’inda n’ingaruka z’ububabare buhoraho.

Ingaruka zisanzwe zigiramo:

• Imirire mibi no gutakaza ibiro byinshi kubera kwirinda kurya
• Gukama kubera isesemi ihoraho no kuruka
• Kubura vitamine na minerali
• Umunaniro uhoraho n’intege nke
• Ihangayika n’agahinda bifitanye isano n’ububabare buhoraho
• Kwikurura mu muryango kubera ibimenyetso bidateganijwe

Mu bihe bike, ingaruka zikomeye zishobora kubaho. Gushisikara bikabije bishobora gutera aneurysm mu musemburo wa celiac, aho urukuta rw’umusemburo rugabanuka kandi rugakomera. Bamwe mu bantu bashobora kugira ibibazo byo gutwara amaraso, aho uburyo bwo gutwara amaraso mu ngingo z’inda buzaba buhagije.

Ingaruka zo mu mutwe za MALS ntizikwiye kwirengagizwa. Kubana n’ububabare buhoraho no gutinya kurya bishobora gutera ibibazo bikomeye byo mu mutwe. Abantu benshi bagira ubwoba mu gihe cyo kurya cyangwa mu bihe byo kurya hamwe n’abandi, ibyo bishobora kubangamira imibanire n’akazi cyangwa amashuri.

Kumenya hakiri kare no kuvura birashobora gufasha gukumira ingaruka nyinshi. Gukorana n’itsinda ry’ubuvuzi risobanukiwe na MALS ni ingenzi mu gucunga ibintu byombi by’umubiri n’ibyo mu mutwe by’iyi ndwara.

Uko Median Arcuate Ligament Syndrome imenyekana

Kumenya MALS bishobora kuba bigoye kuko ibimenyetso byayo bihuza n’izindi ndwara nyinshi z’igogorwa. Umuganga wawe azatangira avugana nawe ku bimenyetso byawe n’amateka yawe y’ubuzima, akagira icyo avuga ku mibanire y’ububabare bwawe n’ibiryo.

Uburyo bwo kuvura busanzwe bugizwe n’inzira nyinshi n’ibizamini:

• Isuzuma ry’umubiri ribanziriza igice cy’inda
• CT angiography yo kureba umuvuduko w’amaraso mu musemburo wa celiac
• Doppler ultrasound yo gupima umuvuduko w’amaraso
• MR angiography yo kureba neza imisemburo
• Angiography (catheter-based imaging) mu bihe bimwe na bimwe
• Isuzuma ry’igifu kugira ngo barebe imikorere yacyo

Umuganga wawe azareba ibimenyetso byihariye nk’umuvuduko wiyongereye w’amaraso mu musemburo wa celiac mu gihe upima (guhumeka) n’isura y’umusemburo ushishikajwe mu buryo bw’amashusho. Azifuza kandi gukuraho izindi ndwara zishobora gutera ibimenyetso nk’ibyo.

Rimwe na rimwe, abaganga bakoresha icyo bita ikizamini cya expiratory-inspiratory, aho bagereranya umuvuduko w’amaraso iyo upima ugereranyije n’iyo uhekenya. Muri MALS, gushisikara bikunze kuba bikabije mu gihe upima, bigaragaza itandukaniro rigaragara mu muvuduko w’amaraso hagati y’ibi bihe bibiri.

Kubera ko MALS ari uburwayi buke, ushobora kuba ukeneye kubona abaganga b’inzobere nka gastroenterologists cyangwa vascular surgeons bafite ubunararibonye muri iyi ndwara. Ntucikwe umutima niba bisaba igihe kugira ngo umenye indwara – ukomeze gukorana n’abaganga b’inzobere ni ingenzi.

Uko Median Arcuate Ligament Syndrome ivurwa

Uburyo bwo kuvura MALS bugamije kugabanya gushisikara kw’umusemburo wa celiac no gucunga ibimenyetso byawe. Uburyo nyamukuru bwo kuvura ni ubuvuzi, nubwo umuganga wawe ashobora kugusaba kugerageza uburyo bworoshye mbere, cyane cyane niba ibimenyetso byawe ari bike cyangwa byoroheje.

Uburyo bworoshye bwo kuvura bugizwe na:

• Guhagarika ububabare hakoreshejwe imiti
• Imiti yo kurwanya isesemi kugira ngo ifashe kurya
• Ubufasha mu mirire no guhindura imirire
• Ibiryo bike, bikunze kurya kugira ngo bigabanye ububabare nyuma yo kurya
• Celiac plexus nerve blocks yo kugabanya ububabare

Iyo uburyo bworoshye bwo kuvura budakora, ubuvuzi burabeho. Uburyo nyamukuru bwo kubaga ni median arcuate ligament release, aho abaganga bagabanya umwenda ushishikaza umusemburo wa celiac. Ibi bishobora gukorwa hakoreshejwe ubuvuzi busanzwe cyangwa uburyo buto bwo kubaga.

Ubuvuzi buto bwakunzwe cyane kuko busanzwe bugizwe n’ibikomere bito, ububabare buke, no gukira vuba ugereranije n’ubuvuzi busanzwe. Bamwe mu baganga bakora n’ibindi bikorwa mu gihe cyo kubaga, nka celiac plexus neurolysis, aho bavura imitsi iri hafi y’umusemburo kugira ngo bagabanye ububabare.

Uburyo bwo kubaga bugira umusaruro mwiza, abantu benshi bagira impinduka nziza mu bimenyetso byabo. Ariko kandi, kugabanya ububabare bwose ntibirahari, kandi bamwe mu bantu bashobora kuba bakeneye ubundi buryo bwo kuvura cyangwa ibindi bikorwa. Gukira bisanzwe bisaba ibyumweru bike kugeza ku mezi make, bitewe n’uburyo bwo kubaga bwakoreshejwe.

Uko wakwitwara mu rugo mu gihe ufite Median Arcuate Ligament Syndrome

Nubwo ubuvuzi ari ingenzi kuri MALS, hari uburyo butandukanye ushobora gukoresha mu rugo kugira ngo ufashe gucunga ibimenyetso byawe no kunoza imibereho yawe. Ibi bikorwa bikora neza iyo bihujwe n’ubuvuzi bw’abaganga, atari nk’ibintu byasimbura.

Guhindura imirire bishobora kugira uruhare mu kunoza ubuzima bwawe:

• Kurya ibiryo bike, bikunze kurya umunsi wose
• Hitamo ibiryo byoroshye kunywa nk’isupu, smoothies, n’ibiribwa byoroshye
• Kwima ibiryo byinshi, biremereye bisaba amaraso menshi kugira ngo bigogorwe
• Kunywa amazi ahagije, cyane cyane niba ufite isesemi
• Tegereza ibinyobwa by’imirire niba ibiryo bikomeye bigoye
• Komeza kwandika ibiryo byawe kugira ngo umenye ibiryo bikurura ibimenyetso byawe

Uburyo bwo gucunga ububabare bushobora kugufasha guhangana n’ububabare hagati y’ubuvuzi. Gerageza gushyushya igice cy’imbere cy’inda, ukore imyitozo yo guhumeka, cyangwa ukoreshe uburyo bwo kuruhuka nk’imyitozo yo gutekereza. Bamwe mu bantu basanga imyanya imwe, nko kwicara cyangwa kwigendera imbere gato, bishobora kugabanya ububabare nyuma yo kurya.

Gucunga ibintu byo mu mutwe bya MALS ni ingenzi cyane. Tegereza kwinjira mu matsinda y’ubufasha, haba mu bantu cyangwa kuri internet, aho ushobora kuvugana n’abandi basobanukiwe ibyo uhanganye na byo. Ntugatinye gushaka ubufasha bw’abaganga niba uhanganye n’ubwoba bwo kurya cyangwa agahinda bifitanye isano n’ububabare buhoraho.

Komeza kwandika ibimenyetso byawe byose, harimo ubukana bw’ububabare, igihe kijyanye n’ibiryo, n’ibikugirira akamaro cyangwa ibibi. Aya makuru azaba afite akamaro ku itsinda ryawe ry’ubuvuzi mu guhindura gahunda yawe y’ubuvuzi.

Uko wakwitegura kujya kwa muganga

Kwitoza neza mbere yo kujya kwa muganga bishobora gufasha guhamya ko ubonye uburyo bwo kuvura neza. Kubera ko MALS ari uburwayi buke kandi ibimenyetso byayo bishobora kuba bigoye, kwitegura neza ni ingenzi cyane.

Mbere yo kujya kwa muganga, kora ibi bintu:

• Inyandiko y’ibimenyetso byose harimo ubukana bw’ububabare, igihe, n’ibintu bibitera
• Urutonde rwuzuye rw’imiti n’ibindi ukoresha
• Amateka y’umuryango w’indwara z’imitsi y’amaraso cyangwa iz’igogorwa
• Ibisubizo by’ibizamini byabanje, amashusho, n’ibindi byanditswe by’abaganga
• Urutonde rw’ibibazo ushaka kubajije umuganga wawe
• Amakuru yerekeye uko ibimenyetso bigira ingaruka ku buzima bwawe bwa buri munsi

Andika amakuru yihariye yerekeye ububabare bwawe, nko kumenya igihe bwatangiye, uko bumva, n’uburyo bujyanye no kurya. Andika igihombo cy’ibiro, nubwo kiba gito, kandi usobanure uko ibimenyetso byawe byahindutse uko iminsi igenda.

Tegura ibibazo uzaza kubajije umuganga wawe, nko kumenya ibizamini bishobora kuba bikenewe, uburyo bwo kuvura buhari, n’icyo ugomba kwitega mu gihe cyo gukira niba ugomba kubagwa. Ntugatinye kubabaza ubunararibonye bw’umuganga wawe kuri MALS niba ushobora kubona umuganga w’inzobere.

Tegereza kuzana inshuti cyangwa umuryango wawe wizewe mu nama. Bashobora kugufasha kwibuka amakuru y’ingenzi no kugufasha mu gihe cyo kuganira ku buzima bwawe.

Icyo ukwiye kumenya kuri Median Arcuate Ligament Syndrome

MALS ni uburwayi buke ariko buvurwa bushobora kugira ingaruka ku mibereho yawe niba utabimenye. Ingingo yo gucunga neza ni ukumenya ibimenyetso byihariye – cyane cyane ububabare mu gice cy’imbere cy’inda buzamuka nyuma yo kurya – no gukorana n’abaganga basobanukiwe iyi ndwara.

Nubwo inzira yo kuvura ishobora kuba igoranye kubera ubuke bwa MALS, ntucike umutima niba ufite ibimenyetso bihoraho bihuye n’iyi ndwara. Ukoresheje uburyo bwo kuvura neza, abantu benshi barwaye MALS bashobora kubona ubuvuzi buhagije kandi bagaruka mu buzima busanzwe.

Wibuke ko nturi wenyine muri uru rugendo. Amatsinda y’ubufasha bwa MALS n’abaganga b’inzobere bashobora gutanga ubuyobozi n’ubuvuzi ukeneye. Intambwe y’ingenzi ni ukwitabira ibibazo byawe no gushaka ubufasha bw’abaganga bafata ibimenyetso byawe nk’ibintu bikomeye kandi bafite ubunararibonye mu ndwara z’imitsi y’amaraso zigira ingaruka ku ngingo z’igogorwa.

Ibibazo bikunze kubaho kuri Median Arcuate Ligament Syndrome

Ese MALS irashobora gukira burundu?

Kubaga kugira ngo barekure median arcuate ligament bishobora gutanga ubuvuzi buhagije ku bimenyetso byinshi bya MALS, umusaruro ukaba uri hagati ya 70-90%. Ariko kandi, gukira burundu ntibirahari kuri bose. Bamwe mu bantu bashobora kugira ibimenyetso bike cyangwa bakeneye ubundi buryo bwo kuvura. Icy’ingenzi ni ukukorana n’abaganga b’inzobere kandi ukagira icyizere ku byavuye mu buvuzi.

Ese MALS iraragwa?

MALS ntiifatwa nk’indwara iraragwa mu buryo busanzwe, ariko impinduka y’imiterere y’umubiri itera MALS ishobora kugira ibintu bimwe na bimwe by’imiterere. Abagize umuryango bashobora kuba bafite imiterere nk’iyo, ariko ibi ntibisobanura ko bazahita bagira ibimenyetso. Uruhare runini rwa MALS rusa n’aho rudafite ishingiro, rutabaho nta mateka y’umuryango.

Ese gukira bisaba igihe kingana iki nyuma yo kubagwa kuri MALS?

Igihe cyo gukira gitandukanye bitewe n’uburyo bwo kubaga n’ibintu byihariye. Ukoresheje ubuvuzi buto, abantu benshi bashobora gusubira mu bikorwa byoroheje mu cyumweru 1-2 kandi bagasubira mu bikorwa bisanzwe mu byumweru 4-6. Ubuvuzi busanzwe busaba igihe kinini cyo gukira cy’ibyumweru 6-8. Kugabanya ububabare bwose bishobora gusaba amezi menshi uko umubiri wawe uhindurwa kugira ngo amaraso atware neza.

Ese ibimenyetso bya MALS bishobora gusubira nyuma yo kubagwa?

Nubwo kubaga bigira umumaro, ibimenyetso bishobora gusubira rimwe na rimwe. Ibi bishobora kubaho niba hari ibisigazwa by’udukoma bikora gushisikara, niba hari ibindi bibazo by’imiterere y’umubiri bitakemuwe mu gihe cyo kubaga bwa mbere, cyangwa niba imitsi ikomeza guhumeka nabi. Abantu benshi bakomeza kugira impinduka nziza igihe kirekire, ariko kwitabira ubuvuzi n’abaganga ni ingenzi.

Ese nzagira iki niba abaganga batemera ko ibimenyetso byanjye ari byo?

Ikibabaje ni uko, kubera ko MALS ari uburwayi buke kandi ibimenyetso byayo bishobora kumera nk’ibindi bibazo, bamwe mu bantu bahura n’ubuke bw’abaganga. Komeza kwandika ibimenyetso byawe, shaka abandi baganga, kandi usabe ko woherezwa kubaganga b’inzobere bazi MALS. Amatsinda y’ubufasha bw’abarwayi n’amatsinda kuri internet ashobora gutanga ubufasha mu gushaka abaganga b’inzobere. Ntucikwe umutima – ibimenyetso byawe ni byo kandi bikwiye kuvurwa neza.