Ukuthi yini i-Median Arcuate Ligament Syndrome (MALS)? Izimpawu, Izimbangela, kanye Nokwelashwa

I-Median Arcuate Ligament Syndrome (MALS) iyisimo esingavamile lapho ibhendi yethishu ebizwa ngokuthi i-median arcuate ligament icindezela umthambo omkhulu ophethe igazi ezihlanganyelweni zakho zokugaya. Lokhu kucindezela kunganciphisa ukugeleza kwegazi esiswini sakho, e-liver, nakwezinye izitho zesisu, okuholela ebuhlungwini nasezinkingeni zokugaya.

Cabanga ngakho njengebhande eliqinile eliphakathi kompompi yensimu - uma i-ligament icindezela umthambo, igazi elincane ligeleza. Nakuba lokhu kuhlukahluka komzimba kuvamile, kubangela izimpawu kuphela kubantu abambalwa. Izindaba ezinhle ukuthi ngokuxilongwa okulungile nokwelashwa, abantu abaningi abane-MALS bangathola impumuzo enkulu ezimpawu zabo.

Yini i-Median Arcuate Ligament Syndrome?

I-MALS kwenzeka lapho i-median arcuate ligament, ingxenye evamile yediphragm yakho, ihlala phansi kunokujwayelekile futhi icindezela i-celiac artery. I-celiac artery ifana nomgwaqo omkhulu othatha igazi elicebile nge-oksijini esiswini sakho, e-liver, espleen, nase-pancreas.

Lokhu kucindezela kuvame ukwenzeka ngesikhathi sokuphefumula. Uma uphefumula ngokujulile, i-diaphragm yakho ihamba phansi futhi ingacindezela umthambo ngisho nangaphezulu. Ukugeleza kwegazi okunciphisiwe kudala isimo esibizwa ngokuthi yi-ischemia, lapho izitho zakho zingakutholi oksijini olufanele ukuze zisebenze kahle.

Abantu abaningi bane lokhu kuhlukahluka komzimba ngaphandle kwanoma yiziphi izimpawu. Ochwepheshe bezokwelapha bakholelwa ukuthi izimpawu zivele kuphela lapho ukucindezela kuba nzima ngokwanele ukunciphisa ukugeleza kwegazi, noma lapho ezinye izinto zenza umzimba wakho ube nomuzwa kakhulu wokugijima kwegazi okunciphisiwe.

Ziyini izimpawu ze-Median Arcuate Ligament Syndrome?

Isimpawu esivamile se-MALS yilona buhlungu besisu obuhlala isikhathi eside obukhulu kakhulu ukuphila nalo. Lobu buhlungu ngokuvamile buvela esiswini sakho esiphezulu, ngaphansi kwesifuba sakho, futhi buya kuba sibi ngemuva kokudla.

Nazi izimpawu eziyinhloko ongazihlangabezana nazo:

• Ubuhlungu obukhulu besisu esiphezulu obuningi buya emhlane wakho
• Ubuhlungu obuya kuba sibi ngemizuzu engu-15-30 ngemuva kokudla (okubizwa ngokuthi yi-postprandial pain)
• Ukuphefumula nokugabha, ikakhulukazi ngemuva kokudla
• Ukulahlekelwa isisindo ngaphandle kokuhlose ngenxa yokwesaba ukudla
• Ukuzizwa ugcwele ngokushesha uma udle (ukugcwala ngokushesha)
• Ukuhlanza noma ukushintsha ekuhambeni kwesisu
• Ukukhathala nobuthakathaka ngenxa yokondleka okubi

Abanye abantu nabo bahlangabezana nezimpawu ezingavamile njengokuvuvukala, ukushisa kwesisu, noma umsindo wokugijima (bruit) abaguli abangawuzwa nge-stethoscope phezu kwesisu sakho. Ubuhlungu ngokuvamile buhlangana kakhulu nokudla kangangokuba abantu abaningi baqala ukugwema ukudla, okuholela ekunciphiseni isisindo kakhulu nasekuntulekeni kokudla.

Okwenza i-MALS ibe inselele ngokukhethekile ukuthi izimpawu zingaba yizikhathi ezithile futhi zingaba sibi ngesikhathi socindezeleko noma ukugula. Ukuqagela okungakaze kube khona kobhlungu kungathinta kakhulu ikhwalithi yokuphila nemisebenzi yakho yansuku zonke.

Yini ebangela i-Median Arcuate Ligament Syndrome?

I-MALS ibangelwa ukuhlukahluka komzimba lapho i-median arcuate ligament yakho ihlala phansi kunokujwayelekile. Leli zikhundla liyenza icindezela i-celiac artery, okuyinto umthambo omkhulu ophethe izitho zakho zesisu esiphezulu.

Isizathu esiqondile sokuthi kungani abanye abantu bathuthukisa leli zikhundla le-ligament eliphansi aliqondakali ngokuphelele. Noma kunjalo, izinto eziningi zingase zifake isandla ekukhuleni kwe-MALS:

• Ukwakheka komzimba - uzalwa ne-ligament ebekwe phansi
• Ukushintsha endaweni ye-diaphragm yakho ngenxa yokukhula noma ukuguga
• Ukwenziwa kwe-scar tissue okuhudula i-ligament phansi
• Ukuhlinzwa kwesisu kwangaphambili okungase kushintshe ukwakheka kwangaphakathi
• Izindlela zokuphefumula ezithile ezikhuphula ukucindezela kwe-diaphragmatic

Ngokuthakazelisayo, kuze kube yi-25% yabantu bangase babe nokucindezela okuncane kwe-celiac artery, kodwa kuphela ingxenye encane ethuthukisa izimpawu. Lokhu kusikisela ukuthi ezinye izinto ngaphandle kokucindezela ngokwalo zidlalela indima ekukhuleni kwesimpawu.

Abanye ochwepheshe bezokwelapha bakholelwa ukuthi abantu abathuthukisa i-MALS bangase babe nezinto ezengeziwe njengokuba nomuzwa kakhulu wokunciphisa ukugeleza kwegazi, ukugijima kwegazi okunganele (ukugeleza kwegazi okusekelayo), noma ukuvuvukala kwama-nerve okuvela ekucindezeleni okwenza kube lula ukuba bahlangabezane nezimpawu.

Nini okufanele ubona udokotela nge-Median Arcuate Ligament Syndrome?

Kufanele ubona udokotela uma uhlangabezana nobuhlungu besisu esiphezulu obuhlala isikhathi eside, ikakhulukazi uma buhlala buya kuba sibi ngemuva kokudla. Nakuba izimo eziningi zingabangela ubuhlungu besisu, iphethini ethile yobhlungu ngemuva kokudla ehlangene nokulahlekelwa isisindo iyikhathazo futhi idinga ukuhlolwa kwezokwelapha.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nalokhu:

• Ubuhlungu besisu obukhulu obuphazamisa imisebenzi yansuku zonke
• Ukulahlekelwa isisindo ngaphandle kokuhlose okungaphezu kwamapounds angu-5-10
• Ukuphefumula nokugabha okuhlala isikhathi eside ngemuva kokudla
• Ukwesaba ukudla ngenxa yobhlungu
• Izimpawu zokuntuleka kokudla njengokukhathala, ubuthakathaka, noma ukulahlekelwa izinwele

Kufanele ufunani ukunakekelwa okusheshayo uma uthuthukisa ubuhlungu besisu obukhulu ngokushesha, izimpawu zokulahleka kwamanzi, noma uma ungakwazi ukugcina ukudla noma amanzi phansi ngaphezu kwamahora angu-24. Nakuba i-MALS ngokwayo ingavamile ukuba yingozi, lezi zimpawu zingase zibonise izinkinga noma ezinye izimo ezinkulu.

Unganqikazi ukulwela wena uma izimpawu zakho zihlala. I-MALS ngokuvamile ayixilongwa noma ayinakwe ngoba iyavamile futhi izimpawu zingafana nezinye izimo zokugaya. Gcina idayari eningiliziwe yesimpawu uqaphele ukuthi ubuhlungu buvela nini, ubukhulu bawo, nobuhlobo bawo nokudla.

Ziyini izinto ezingaba yingozi ze-Median Arcuate Ligament Syndrome?

I-MALS ibonakala ithonya amaqembu athile abantu ngaphezu kwabanye, nakuba noma ubani angase athuthukise leli simo. Ukuqonda lezi zinto ezingaba yingozi kungakusiza wena nodokotela wakho ukuba nicabangele i-MALS njengesizathu esingaba khona sezimo zakho.

Izinto eziyinhloko ezingaba yingozi zifaka:

• Ukuba owesifazane - abesifazane bathinteka izikhathi ezingu-3-4 ngaphezulu kunamadoda
• Osemusha kuya kwesiphakathi - ngokuvamile uxilongwa phakathi kweminyaka engu-20-50
• Ukuba unqunu noma unemzimba oqondile
• Ukuba nomlando womndeni wezimo ze-vascular
• Ukuhlinzwa kwesisu kwangaphambili noma ukulimala
• Izifo noma izindlela zokuphefumula ezithile

Ukubakhona okukhulu kwabesifazane nabantu abadala abasebasha akuqondakali ngokuphelele, kodwa abaphenyi abathile bacabanga ukuthi izinto ezithinta ama-hormone noma ukwahlukahluka komzimba kungase kudlale indima. Ukuba unqunu kungase kube yinto eyingozi ngoba kuncane ithishu ezungezile imithambo, okwenza kube lula ukucindezela ukubangela izimpawu.

Kubalulekile ukukhumbula ukuthi ukuba nalezi zinto ezingaba yingozi akusho ukuthi uzokuthuthukisa i-MALS. Abantu abaningi abanezingozi eziningi abakaze bahlangabezane nezimpawu, kanti abanye abanezingozi ezimbalwa bangase bathuthukise leli simo. Lezi zinto zisiza nje odokotela ukuba bacabangele i-MALS enkambisweni yabo yokuxilonga.

Ziyini izinkinga ezingase zenzeke nge-Median Arcuate Ligament Syndrome?

Nakuba i-MALS ngokwayo ingavamile ukuba yingozi empilweni, ubukhulu besimo obuhlala isikhathi eside bungase buholele ezinkingeni eziningi ezinciphisa impilo yakho kanye nekhalithi yokuphila. Izinkinga eziningi zivela ekunciphiseni okuhlala isikhathi eside kokugeleza kwegazi ezithweni zakho zesisu nasemiphumeleni yesibili yobhlungu obuhlala isikhathi eside.

Izinkinga ezivamile zifaka:

• Ukondleka okubi nokulahlekelwa isisindo ngenxa yokugwema ukudla
• Ukushona kwamanzi ngenxa yokuphefumula nokugabha okuhlala isikhathi eside
• Ukuntuleka kwe-vitamin namaminerali
• Ukukhathala nobuthakathaka obuhlala isikhathi eside
• Ukudideka nokukhathazeka okuhlobene nobuhlungu obuhlala isikhathi eside
• Ukuhlukaniswa komphakathi ngenxa yezimpawu ezingakaze kube khona

Ezimweni ezingavamile, izinkinga ezinkulu zingase zithuthuke. Ukucindezela okukhulu kungase kuholele ekwakhekeni kwe-aneurysm e-celiac artery, lapho udonga lomthambo buya buthamba futhi buqhuma. Abanye abantu bangase bathuthukise izinkinga zokugijima kwegazi okusekelayo, lapho ukugijima kwegazi okusekelayo ezithweni zesisu kungabi ngokwanele.

Umphumela we-psychological we-MALS akufanele ucatshangelwe. Ukuphila nobuhlungu obuhlala isikhathi eside nokwesaba ukudla kungase kuholele ezinkingeni ezinkulu zempilo yengqondo. Abantu abaningi bathuthukisa ukukhathazeka ngokudla noma izimo zokudla komphakathi, okungase kuhluphe ubuhlobo futhi kuthinte umsebenzi noma ukufunda.

Ukuxilongwa okulula nokwelashwa kungasiza ukuvimbela izinkinga eziningi. Ukusebenzisana neqembu lokukhathalela impilo eliqonda i-MALS kubalulekile ekulawuleni kokubili izici zokwenyama nezingqondo zalesi simo.

I-Median Arcuate Ligament Syndrome ixilongwa kanjani?

Ukuxilonga i-MALS kungase kube inselele ngoba izimpawu zayo zihlangana nezinye izimo zokugaya. Udokotela wakho ngokuvamile uzoqala ngengxoxo eningiliziwe yezimpawu zakho nomlando wakho wezokwelapha, uqaphele ngokukhethekile ubuhlobo phakathi kobhlungu bakho nokudla.

Inkambiso yokuxilonga ngokuvamile ihlanganisa izinyathelo nezivivinyo eziningi:

• Ukuhlolwa komzimba okuqondene nesisu sakho
• I-CT angiography ukubona ukugeleza kwegazi e-celiac artery
• I-Doppler ultrasound ukulinganisa isivinini sokugeleza kwegazi
• I-MR angiography yokuthola izithombe eziningiliziwe zomthambo
• I-Angiography (ukuthola izithombe nge-catheter) kwezinye izimo
• Ukuhlolwa kokugaya ukudla ukuhlola ukusebenza kwesisu

Udokotela wakho uzobuka izimpawu ezithile njengokwanda kwesivinini sokugeleza kwegazi e-celiac artery ngesikhathi sokuphefumula (ukuphefumula) kanye nokubonakala okuthi "kukhukhulayo" komthambo ocindezelekile ezifundweni zokuthola izithombe. Bazofuna futhi ukukhipha ezinye izimo ezingabangela izimpawu ezifanayo.

Ngezinye izikhathi, odokotela basebenzisa okuthiwa yi-expiratory-inspiratory test, lapho beqhathanisa ukugeleza kwegazi uma uphefumula kunokuba uphefumule. Ku-MALS, ukucindezela ngokuvamile kuba sibi ngesikhathi sokuphefumula, kubonisa umehluko ocacile wokugeleza kwegazi phakathi kwalezi zimo ezimbili.

Ngenxa yokuthi i-MALS iyavamile, ungase udinga ukubona ochwepheshe njengaba gastroenterologists noma abachwepheshe bokuhlinzwa kwemithambo abanawo umuzwa ngalesi simo. Ungadangali uma kuthatha isikhathi ukufinyelela ekuxilongweni - ukuphikelela ekusebenzeni nabachwepheshe bezokwelapha abanolwazi kuyisihluthulelo.

Yini ukwelashwa kwe-Median Arcuate Ligament Syndrome?

Ukwelashwa kwe-MALS kugxile ekuqedeni ukucindezela kwe-celiac artery yakho nasekulawuleni izimpawu zakho. Ukwelashwa okuyinhloko kuyilokho okuhlinzwa, nakuba udokotela wakho angase akukhuthaze ukuzama izindlela zokwelapha ezilula kuqala, ikakhulukazi uma izimpawu zakho zilungile kuya ezingeni eliphakathi.

Izindlela zokwelapha ezilula zifaka:

• Ukulawula ubuhlungu ngemithi
• Imithi yokulwa nokuphefumula ukuze usize ukudla
• Ukusekelwa kokudla nokushintsha ukudla
• Ukudla okuncane, okuvamile ukunciphisa ubuhlungu ngemuva kokudla
• I-Celiac plexus nerve blocks yokunciphisa ubuhlungu

Uma izindlela zokwelapha ezilula zingasebenzi, ukuhlinzwa kuyadingeka. Indlela eyinhloko yokwelapha ngokuhlinzwa ibizwa ngokuthi yi-median arcuate ligament release, lapho ochwepheshe bokuhlinzwa behlukanisa i-ligament ecindezela i-celiac artery yakho. Lokhu kungenziwa ngokuhlinzwa okuvulekile okwenziwayo noma ngezindlela ezincane zokuhlinzwa kwe-laparoscopic.

Ukuhlinzwa kwe-laparoscopic kuye kwaba yinto evamile ngoba ngokuvamile kuhlanganisa ukunqunywa okuncane, ubuhlungu obuncane, nokubuyela emuva okusheshayo uma kuqhathaniswa nokuhlinzwa okuvulekile. Abanye ochwepheshe bokuhlinzwa nabo benza izinqubo ezengeziwe ngesikhathi sokuhlinzwa, njenge-celiac plexus neurolysis, lapho belapha ama-nerve asezungeze umthambo ukuze banikeze impumuzo yobhlungu eyengeziwe.

Izinga lokwenza kahle lokuhlinzwa ngokuvamile lihle, ngabantu abaningi abathuthukisa impumuzo enkulu ezimpawu zabo. Noma kunjalo, impumuzo ephelele yobhlungu ayiqinisekisiwe, futhi abanye abantu bangase badinge ukwelashwa okwengeziwe noma izinqubo. Ukubuyela emuva ngokuvamile kuthatha amasonto ambalwa kuya ezinyangeni ezimbalwa, kuye ngendlela yokwelapha eyenziwe.

Indlela yokuphatha izimpawu ekhaya ngesikhathi se-Median Arcuate Ligament Syndrome?

Nakuba ukwelashwa kwezokwelapha kubalulekile kwi-MALS, kunezindlela eziningi ongazisebenzisa ekhaya ukuze usize ukuphatha izimpawu zakho nokuthuthukisa ikhwalithi yokuphila kwakho. Lezi zindlela zisebenza kangcono uma zihlanganiswe nokukhathalelwa kwezokwelapha kochwepheshe, hhayi njengokushintsha kwakho.

Ukushintsha ukudla kungenza umehluko omkhulu ezingeni lakho lokududuzeka:

• Dla ukudla okuncane, okuvamile usuku lonke
• Khetha ukudla okulula ukukulungisa njengosobho, ama-smoothies, nokuqina okumnene
• Gwema ukudla okukhulu, okunzima okudinga ukugeleza kwegazi okuningi kokugaya
• Hlala uthambile, ikakhulukazi uma uhlangabezana nokuphefumula
• Cabanga ngezinsiza zokudla ezingamafutha uma ukudla okuqinile kunzima
• Gcina idayari yokudla ukuze ubone izinto ezibangela izimpawu zakho zibe sibi

Amathuluzi okulawula ubuhlungu angakusiza ukuba ubhekane nokudumazeka phakathi kokwelashwa kwezokwelapha. Zama ukufaka ubushushu esiswini sakho esiphezulu, ukwenza imizamo yokuphefumula okulula, noma ukusebenzisa amathuluzi okuphumula njengokucamngca. Abanye abantu bathola ukuthi izikhundla ezithile, njengokuhlala uqondile noma ukugoba phambili kancane, zinganciphisa ubuhlungu ngemuva kokudla.

Ukulawula izici zengqondo ze-MALS kubaluleke ngokulinganayo. Cabanga ngokujoyina amaqembu wokusekela, noma ngokomuntu noma ku-inthanethi, lapho ungaxhumana nabanye abantu abaqonda ukuthi uhamba kanjani. Unganqikazi ukufuna ukwelashwa uma ulwa nokukhathazeka ngokudla noma ukudideka okuhlobene nobuhlungu obuhlala isikhathi eside.

Gcina amarekhodi eningiliziwe yezimpawu zakho, kufaka phakathi amazinga obhlungu, isikhathi esihlobene nokudla, nokuthi yini esiza noma yenza izinto zibe sibi. Lolu lwazi luzoba lubalulekile eqenjini lakho lokukhathalela impilo ekuhleni uhlelo lwakho lokwelashwa.

Kufanele ulungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela kahle i-appointment yakho yodokotela kungasiza ukuqinisekisa ukuthi uthola ukuxilongwa okulungile kakhulu nohlelo lokwelashwa oluphumelelayo. Njengoba i-MALS iyavamile futhi izimpawu zingaba yinkimbinkimbi, ukulungiselela okuhle kubaluleke kakhulu.

Ngaphambi kwe-appointment yakho, buthana lolu lwazi olubalulekile:

• Idayari eningiliziwe yesimpawu kufaka phakathi ubukhulu bobhlungu, isikhathi, nezinto ezibangela
• Uhlu oluphelele lwemithi yamanje nezinsiza
• Umlando womndeni wezimo ze-vascular noma zokugaya
• Imiphumela yokuhlola kwangaphambili, izifundo zokuthola izithombe, namarekhodi ezokwelapha
• Uhlu zemibuzo ofuna ukuyibuza udokotela wakho
• Ulwazi mayelana nendlela izimpawu ezithinta ngayo impilo yakho yansuku zonke

Bhala imininingwane ethile mayelana nobuhlungu bakho, njengokuthi kwaqala nini, ukuthi kuzwakala kanjani, nokuthi kuhlobene kanjani nokudla. Qaphela noma yikuphi ukulahlekelwa isisindo, ngisho noma kubonakala kuncane, futhi chaza ukuthi izimpawu zakho zishintshile kanjani ngokuhamba kwesikhathi. Yiba eqotho mayelana nendlela isimo esithinta ngayo umsebenzi wakho, ubuhlobo, nempilo yakho yengqondo.

Lungisa imibuzo okumele uyibuze udokotela wakho, njengokuthi yiziphi izivivinyo ezingase zidingeke, yiziphi izindlela zokwelapha ezitholakalayo, nokuthi yini okufanele uyilinde ngesikhathi sokubuyela emuva uma kuqondiswa ukuhlinzwa. Unganqikazi ukubuza ngomuzwa wodokotela wakho nge-MALS nokuthi ungase uzuze ngokubona ochwepheshe.

Cabanga ngokuletha umngane othembekile noma ilungu lomndeni e-appointment yakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukusekelwa ngokomzwelo ngesikhathi esingase sibe yingxoxo ecindezelayo ngempilo yakho.

Yini okuyisihluthulelo mayelana ne-Median Arcuate Ligament Syndrome?

I-MALS iyisimo esingavamile kodwa esingelashwa esingathinta kakhulu ikhwalithi yokuphila kwakho uma singaxilongwa. Isihluthulelo sokuphathwa okuphumelelayo ukubona izimpawu ezibonakalayo - ikakhulukazi ubuhlungu besisu esiphezulu obuya kuba sibi ngemuva kokudla - nokusebenzisana nabachwepheshe bezokwelapha abaqonda leli simo.

Nakuba uhambo lokuxilonga lungase lube inselele ngenxa yokungavamile kwe-MALS, ungayeke uma uhlangabezana nezimpawu ezihlala isikhathi eside ezifanela leli simo. Ngokuxilongwa okulungile nokwelashwa, abantu abaningi abane-MALS bangathola impumuzo enkulu yesimpawu futhi babuyele ekudleni okujwayelekile nasemisebenzini yansuku zonke.

Khumbula ukuthi awuwedwa kuleli hambo. Amaqembu wokusekela e-MALS nabachwepheshe bezokwelapha abanolwazi bangakunikeza isiqondiso nokukhathalela okudingayo. Isinyathelo esibaluleke kakhulu ukulwela wena nokufuna usizo kwabachwepheshe bezokwelapha abathabatha izimpawu zakho ngokungathi sína futhi abanawo umuzwa ngezimo ze-vascular ezithinta isistimu yokugaya.

Imibuzo evamile ebuzwa mayelana ne-Median Arcuate Ligament Syndrome

Ingase iphiliswe ngokuphelele i-MALS?

Ukuhlinzwa kokukhulula i-median arcuate ligament kungakunikeza impumuzo enkulu yesimpawu kwabantu abaningi abane-MALS, ngezinga lokwenza kahle elihlala liphakathi kuka-70-90%. Noma kunjalo, ukwelashwa okuphelele akuqinisekisiwe kuwo wonke umuntu. Abanye abantu bangase baqhubeke behlangabezana nezimpawu ezincane noma badinge ukwelashwa okwengeziwe. Isihluthulelo ukusebenzisana nochwepheshe bokuhlinzwa abanolwazi nokuba nethemba eliqondile ngemiphumela.

Ingabe i-MALS iyefa?

I-MALS ayibhekwa njengesimo sefa ngendlela ejwayelekile, kodwa ukuhlukahluka komzimba okuholela kwi-MALS kungase kube nengxenye ethile ye-genetic. Amalungu omndeni angase abe nomuzwa wokuba nomzimba ofanayo, kodwa lokhu akusho ukuthi bazokuthuthukisa izimpawu. Izimo eziningi ze-MALS zibonakala zingenamodeli, zenzeka ngaphandle komlando womndeni ocacile.

Kuthatha isikhathi esingakanani ukubuyela emuva ngemuva kokuhlinzwa kwe-MALS?

Isikhathi sokubuyela emuva sihluka kuye ngendlela yokwelapha nezici zomuntu. Ngokuhlinzwa kwe-laparoscopic, abantu abaningi bangabuyela emisebenzini elula phakathi kwamasonto angu-1-2 nemisebenzi evamile phakathi kwamasonto angu-4-6. Ukuhlinzwa okuvulekile ngokuvamile kudinga isikhathi eside sokubuyela emuva samasonto angu-6-8. Impumuzo ephelele yesimpawu ingase ithathe izinyanga eziningi njengoba umzimba wakho uhlanganisa ukugeleza kwegazi okuthuthukisiwe.

Ingabe izimpawu ze-MALS zingabuya ngemuva kokuhlinzwa?

Nakuba ukuhlinzwa ngokuvamile kuphumelela, izimpawu ngezinye izikhathi zingabuya. Lokhu kungase kwenzeke uma i-scar tissue yakheka futhi ibangela ukucindezela okusha, uma kwakunezinkinga ezengeziwe zokwakheka komzimba ezingakaxazululwanga ngesikhathi sokuhlinzwa kokuqala, noma uma ukuzwela kwama-nerve kuhlala. Abantu abaningi bagcina ukuthuthuka kwabo isikhathi eside, kodwa ukunakekelwa kokulandelela neqembu lakho lokukhathalela impilo kubalulekile.

Kufanele ngenze nini uma odokotela bengakholelwa ukuthi izimpawu zami ziyiqiniso?

Ngeshwa, ngoba i-MALS iyavamile futhi izimpawu zingafana nezinye izimo, abanye abantu bahlangabezana nokungaqondi kwabachwepheshe bezokwelapha. Gcina amadayari eningiliziwe yesimpawu, funani imibono yesibili, futhi ucele ukudluliselwa kwabachwepheshe abanolwazi nge-MALS. Amaqembu wokusekela kwabaguli namaqembu ku-inthanethi angakunikeza izinsiza zokuthola odokotela abanolwazi. Ungayeke - izimpawu zakho ziyiqiniso futhi zifanele ukunakekelwa kwezokwelapha okufanele.