Mals

Umuhogo wa median arcuate ligament uhuza igituza n'inda, ukaba ari wo munzira w'ikirenge gikuru cy'amaraso mu mubiri, cyitwa aorta. Ubusanzwe, uwo muhogo uca hejuru ya aorta. Umuvuduko w'amaraso wa celiac uherereye hepfo gato y'umuhango.

MALS ishobora kubaho kuri umuntu uwo ari we wese, ndetse no ku bana. Amazina yindi ya MALS ni:

• Celiac axis syndrome.
• Dunbar syndrome.

Ibimenyetso bya MALS birimo:

• Kugira ububabare mu nda nyuma yo kurya cyangwa gukora imyitozo ngororamubiri.
• Ububabare mu nda bugabanuka iyo umuntu agaramye imbere cyangwa inyuma cyangwa ahagaze ari kurya.
• Gutinya kurya kubera ububabare.
• Kugabanuka k'uburemere bitateganijwe.
• Kuziba mu nda.
• Impiswi.
• Kubeera no kuruka.

Hari impamvu nyinshi zitandukanye ziterwa n'ububabare bw'inda. Niba ububabare bw'inda bukomeza nubwo wakoresheje uburyo bwo kuvura mu rugo, hamagara umuganga wawe. Ukeneye gukorerwa isuzuma ry'umubiri ryuzuye n'ibizamini kugira ngo hamenyekane icyo kibazo.

Niba ububabare bw'inda bukomeye kandi imyitozo ngororamubiri cyangwa kwimuka bikongera ububabare, hamagara umuganga wawe ako kanya. Shaka ubufasha bw'abaganga ako kanya niba ububabare bw'inda buherekejwe na:

• Amara amaraso.
• Umuhango.
• Isesemi no kuruka bidaheza.
• Kubabara cyane iyo ukoze ku nda.
• Kuvimba kw'inda.
• Guhindagurika kw'uruhu cyangwa amaso yera, bizwi kandi nka jaundice.

Rimwe na rimwe, ububabare bw'inda yo hejuru bushobora kwitiranywa n'ububabare bwo mu gituza. Rimwe na rimwe, ububabare bwo mu gituza bushobora guterwa n'igitero cy'umutima. Hamagara 911 cyangwa ubufasha bw'abaganga mu gihe cy'ububabare bwo mu gituza cyangwa mu nda yo hejuru, haba hari ibindi bimenyetso cyangwa nta byo.

• Ububabare buhambaye cyangwa bukabije bukwirakwira mu menyo, mu ijosi, mu bitugu, no mu kuboko kimwe cyangwa byombi.
• Ububabare buramara iminota mike cyangwa burushaho kuba bubi iyo umuntu akora imyitozo ngororamubiri.
• Guhumeka nabi.
• Imyotsi ikonje.
• Kuzenguruka cyangwa intege nke.
• Isesemi cyangwa kuruka.

Icyateye indwara ya median arcuate ligament syndrome, izwi kandi nka MALS, ntikiramenyekana.

Kubera ko impamvu ya MALS ititewe neza, ibintu byongera ibyago ntibiramenyekana. Indwara ya Median arcuate ligament syndrome igaragara cyane mu bakuru kurusha abana. Igaragara cyane kandi mu bagore kurusha abagabo.

MALS kandi yagaragaye mu mpanga zivukana, bityo irashobora kuba ifitanye isano n'imiterere y'umuntu.

Bamwe bagiye bagira indwara ya median arcuate ligament syndrome nyuma y'ubuganga bw'umwijima cyangwa imvune ikomeye mu gice cy'igifu kiri hejuru.

Kugira ngo hamenyekane indwara ya median arcuate ligament syndrome, izwi kandi nka MALS, umuganga akureba akakubaza ibibazo ku bimenyetso ufite. Umuhanga mu buvuzi ashobora kumva ijwi ry'umuhengeri, ryitwa bruit, iyo ateze amatwi umura wanyu akoresheje stethoscope. Iryo jwi rishobora kubaho iyo umuyoboro w'amaraso ugoswe.

Kubera ko uburwayi bwinshi bushobora gutera ububabare mu nda, ubusanzwe uba ukeneye ibizamini byinshi kugira ngo hamenyekane icyateye ubwo bubabare kandi hagamye izindi ndwara zishobora kubaho.

Ibizamini bikorwa kugira ngo hamenyekane indwara ya median arcuate ligament syndrome birimo:

• Ibizamini by'amaraso. Ibi bizamini bikorwa kugira ngo harebwe ubuzima bw'umwijima, imboro, impyiko n'izindi nzego z'umubiri. Igipimo cy'uturemangingo tw'amaraso (complete blood cell count) kigaragaza urugero rw'uturemangingo tw'amaraso yera n'umutuku. Urugero rwinshi rw'uturemangingo tw'amaraso yera bishobora kugaragaza ko hari ubwandu.
• Upper endoscopy. Ubu buryo buzwi kandi nka esophagogastroduodenoscopy, cyangwa EGD. Bukorwa kugira ngo harebwe umuyoboro w'ibiryo, umura n'igice cyo hejuru cy'umwanya muto. Mu gihe cya EGD, muganga ayobora umuyoboro muremure, woroshye ufite camera ku mpera ye amanuka mu munwa nyuma yo gushyiramo imiti ibitera uburibwe. Nanone, ibice by'umubiri, bizwi nka biopsies, bishobora gukurwaho kugira ngo bipimwe.
• Magnetic resonance imaging (MRI). MRI ikoresha amabuye y'amabuye y'ubumara n'amayugi ya radiyo kugira ngo ikore amashusho arambuye y'agace k'umubiri kaba kigaragazwa. Rimwe na rimwe, hari ibara, ryitwa contrast, ritangwa mu mubiri binyuze mu mitsi. Iryo bara rigaragaza uko amaraso anyura mu mitsi. Ibi bita magnetic resonance angiogram, cyangwa MRA.
• Abdominal computerized tomography (CT). CT scan ikoresha X-rays kugira ngo ikore amashusho y'ibice by'umubiri. Iki kizamini gishobora kugaragaza niba umuyoboro w'amaraso wa celiac ugoswe cyangwa ukingiranye. Hari ibara, ryitwa contrast, rishobora gutangwa mu mubiri binyuze mu mitsi. Iryo bara rifasha imitsi y'amaraso kugaragara neza ku mashusho y'ibizamini. Iyo hakoreshejwe ibara, icyo kizamini cyitwa computerized tomography angiogram.
• Celiac plexus block. Imiti ibitera uburibwe iterwa mu mitsi iri ku mpande zombi z'umuyoboro w'amaraso wa celiac. Imiti ibitera uburibwe imamara amasaha menshi. Ubu buryo buhuza ibyabaye mu gihe cy'ubuganga bwo kuvura MALS. Iki kizamini kenshi gikoreshwa kugira ngo hamenyekane abantu bashobora gukira neza babajwe na MALS.

Ubuganga ni bwo buryo bwonyine bwo kuvura indwara ya median arcuate ligament syndrome, izwi kandi nka MALS. Ubuganga bwa MALS bushobora kunoza cyangwa kugabanya ibimenyetso mu bantu benshi.

Kubabara no kwiheba bikunze kuba nk'umuringa. Kubabara bishobora gutuma wiheba. Kwiheba bishobora gutuma ububabare bwiyongera. Ububabare bwa MALS bushobora gutuma bigorana kurya, gukora imyitozo ngororamubiri, gusinzira no gukora imirimo ya buri munsi.

Uburyo bwo kuruhuka, nko guhumeka mu buryo buhamye no kuzirikana, bishobora kugabanya ububabare no kunoza ubuzima bwo mu mutwe.

Ikigo cy'igihugu gishinzwe uburwayi bwa MALS gitanga amakuru n'aho abantu barwaye indwara ya median arcuate ligament syndrome bashobora kubona ubufasha. Nanone, ubaze umwe mu bagize itsinda ry'ubuvuzi ryawe kugira ngo akugire inama y'itsinda ry'ubufasha riri mu gace utuyemo.