Mals

Umgxobo ophambili we-arcuate udala indlela phakathi kwesifuba nendawo yesisu yomthombo omkhulu wegazi lomzimba, obizwa ngokuthi yi-aorta. Ngokuvamile, umgxobo uya ngaphesheya kwe-aorta. I-artery ye-celiac ihleli ngaphansi komqhele. MALS ingahlasela noma ubani, ngisho nezingane. Amanye amagama e-MALS yi:

• I-Celiac axis syndrome.
• I-Dunbar syndrome.

Izimpawu ze-MALS zihlanganisa:

• Ubuhlungu besisu ngemva kokudla noma ukuzivocavoca.
• Ubuhlungu besisu buyaphuka uma ukhukhumala phambili noma emuva noma uma umi udlala.
• Ukwesaba ukudla ngenxa yobuhlungu.
• Ukulahlekelwa isisindo okungahloseki.
• Ukukhukhumeka.
• Idiarrhea.
• Ukupukelela nokugabha.

Ziningi izimbangela ezahlukene zokuzwa ubuhlungu esiswini. Uma ubuhlungu besiswini buqhubeka naphezu kokunakekelwa ekhaya, shayela udokotela wakho. Udinga ukuhlolwa ngokuphelele komzimba kanye nezivivinyo ukuze kutholakale imbangela ethile.

Uma ubuhlungu besiswini bukhulu futhi ukuhamba noma ukuzindla kukwenza bube sibi, shayela udokotela wakho ngokushesha. Thola usizo lokuthiwa ngokushesha uma ubuhlungu besiswini buqala nge:

• Izisu ezigcwele igazi.
• Ukuvuvukala.
• Ukuphefumula nokugabha okungapheli.
• Ubuhlungu obukhulu lapho uthinta isisu sakho.
• Ukukhula kwesisu.
• Ukukhanya kwesikhumba noma amehlo amhlophe, okuthiwa futhi yi-jaundice.

Ngezinye izikhathi ubuhlungu besiswini esingaphezulu kungadida nobuhlungu esifubeni. Ngezinye izikhathi ubuhlungu esifubeni bungabangelwa ukuhlaselwa yinhliziyo. Shayela u-911 noma usizo lokuthiwa lwezokwelapha uma unebuhlungu esifubeni noma esiswini esingaphezulu ngaphandle noma nganoma yiziphi izimpawu ezilandelayo:

• Ubuhlungu obucindezela noma obuqhuma obuya esigqokweni sakho, entanyeni, emahlombe, nengalo eyodwa noma zombili.
• Ubuhlungu obuhlala isikhathi esingaphezu kwemizuzu embalwa noma obube sibi ngenxa yomsebenzi.
• Ukuphefumula okufushane.
• Ukubila okubandayo.
• Ukukhungatheka noma ubuthakathaka.
• Ukuphefumula noma ukugabha.

Imbangela eqondile yesiguli se-median arcuate ligament syndrome, esibizwa nangokuthi i-MALS, ayaziwa.

Ngenxa yokuthi imbangela ye-MALS ayiqondakali kahle, izimbangela zezingozi azicaci. I-Median arcuate ligament syndrome ivame kakhulu kubantu abadala kunasezinganeni. Iphinde ivame kakhulu kwabesifazane kunamadoda.

Le-MALS iye yabonwa nakwizintathu ezingafani, ngakho-ke igenetics ingase ibe nomthelela.

Abanye abantu baye bathuthukisa i-median arcuate ligament syndrome ngemuva kokuhlinzwa kwesisu noma ukulimala okukhulu endaweni engaphezulu yesisu.

Ukuthola i-median arcuate ligament syndrome, ebizwa nangokuthi i-MALS, ochwepheshe bezempilo bayakuhlola futhi bakubuze imibuzo mayelana nezimpawu zakho. Ochwepheshe bezempilo bangase bezwe umsindo wokugqugquzela, obizwa ngokuthi yi-bruit, uma belalele isisu sakho nge-stethoscope. Umsindo ungase ube khona lapho i-blood vessel icindezelekile.Ngenxa yokuthi izimo eziningi zingabangela ubuhlungu besisu, ngokuvamile uba namavivinyo amaningi ukuthola imbangela nokususa ezinye izimo ezingase zibe khona.Ivivinyo lokuthola i-median arcuate ligament syndrome lingafaka:

• Izivivinyo zegazi. Lezi zivivinyo zenziwa ukuhlola izimo zempilo ezihilela isibindi, i-pancreas, izinso nezinye izingxenye zomzimba. Ukubalwa kwamaseli egazi okuphelele kubonisa amazinga amaseli amhlophe nawobomvu. Inani eliphezulu lamaseli amhlophe egazi lingasho ukuthi kukhona ukutheleleka.
• I-Upper endoscopy. Le nqubo ibizwa nangokuthi i-esophagogastroduodenoscopy, eyaziwa ngokuthi yi-EGD. Yenziwa ukubona i-esophagus, isisu kanye nengxenye engaphezulu yomthambo omncane. Ngesikhathi se-EGD, udokotela uqondisa ummese omde, oluthambile olunezikhamera ekupheleni phansi komlomo ngemuva kokusebenzisa imithi yokunciphisa ubuhlungu. Futhi, amasampula e-tissue, abizwa ngokuthi yi-biopsies, angasuswa ukuze avivinywe elabhoratri.
• Ukuqoshwa kwe-Magnetic resonance (MRI). I-MRI isebenzisa ama-magnets namaza erediyo ukwenza izithombe eziningiliziwe zesifunda somzimba esifundwayo. Ngezinye izikhathi, i-dye, ebizwa ngokuthi yi-contrast, inikezwa nge-IV. I-dye ibonisa indlela igazi elihamba ngayo ngezinsimbi. Lokhu kubizwa ngokuthi yi-magnetic resonance angiogram, eyaziwa nangokuthi yi-MRA.
• I-Abdominal computerized tomography (CT). I-CT scan isebenzisa i-X-rays ukudala izithombe zesigaba sezingxenye zomzimba. Lo mvivinyo ungabonisa ukuthi i-celiac artery icindezelekile noma ivaliwe. I-dye, ebizwa ngokuthi yi-contrast, ingase inikezwe nge-IV. I-dye iyasiza izithelo zegazi zibonakale ngokucacile ezithombeni zomvivinyo. Uma kusetshenziswa i-dye, lo mvivinyo ubizwa ngokuthi yi-computerized tomography angiogram.
• I-Celiac plexus block. Imithi yokunciphisa ubuhlungu iboshelwa emithanjeni ehlala ngakwesinye uhlangothi lwe-celiac artery. Imithi yokunciphisa ubuhlungu ihlala amahora ambalwa. Le nqubo ifana nalokho okwenzeka ngesikhathi sokuhlinzwa kokwelapha i-MALS. Lo mvivinyo ngokuvamile usetshenziswa ukufunda ukuthi ubani ongenza kahle ngokuhlinzwa kwe-MALS.

Ukuhlinzwa kuphela ukwelashwa kwe-median arcuate ligament syndrome, okuthiwa futhi yi-MALS. Ukuhlinzwa kwe-MALS kungathuthukisa noma kunciphisa izimpawu kubantu abaningi.

Ubuhlungu nokucindezeleka kuvame ukuqhubeka njengomgqikithi. Ubuhlungu bungakwenza uzizwe ucindezelekile. Ukucindezeleka kungenza ubuhlungu bube buhlungu kakhulu. Ubuhlungu be-MALS bungenza kube nzima ukudla, ukuzivocavoca, ukulala nokwenza imisebenzi yansuku zonke.

Izindlela zokuphumula, njengokuphefumula okujulile nokubheca, zinganciphisa ubuhlungu futhi zithuthukise impilo yengqondo.

IFoundation ye-National MALS inikeza ulwazi noxhumano lwabantu abane-median arcuate ligament syndrome. Futhi, cela ilungu leqembu lakho lokunakekelwa kwezempilo ukuthi likuncoma iqembu lokusekela endaweni yakini.