Iimpawu, ukufumanisa isifo, kunye nonyango lwe-MALS Artery Compression

Umxholo

• Ushwankathelo
• Yintoni iMedian arcuate ligament syndrome (MALS)?
• I-median arcuate ligament syndrome ibangela
• Iimpawu zeMedian arcuate ligament syndrome
• Isifo sifunyanwa njani
• Unyango lweMedian arcuate ligament syndrome
• Kwenzeka ntoni emva kokuhlinzwa kotyando lwe-ligament syndrome?
• Ukuhlala esibhedlele
• Ulungiso lwenyama
• Ukuqwalaselwa kunye nolawulo lweentlungu
• Ixesha lokufumana kwakhona
• Ukuthatha

Ushwankathelo

I-median arcuate ligament syndrome (i-MALS) ibhekisa kwintlungu yesisu ebangelwa ligament yokutyhala kumthambo kunye neentsimbi ezixhumeke kumalungu okugaya kwindawo ephezulu yesisu sakho, njengesisu kunye nesibindi.

Amanye amagama ale meko yi-Dunbar syndrome, i-celiac artery compression syndrome, i-celiac axis syndrome, kunye ne-celiac trunk compression syndrome.

Xa kufunyaniswe ukuba ichanekile ngokuchanekileyo, unyango lotyando luhlala lukhokelela kwisiphumo esihle sale meko.

Yintoni iMedian arcuate ligament syndrome (MALS)?

I-MALS yimeko enqabileyo ebandakanya ibhendi enemicu ebizwa ngokuba yi-median arcuate ligament. Nge-MALS, i-ligament icinezela ngokuqinileyo ngokuchasene nomthambo we-celiac kunye ne-nerves ezijikelezileyo, ukunciphisa umthambo kunye nokunciphisa ukuhamba kwegazi kuyo.

Umthambo we-celiac uhambisa igazi kwi-aorta yakho (umthambo omkhulu ovela entliziyweni yakho) uye kwisisu sakho, isibindi kunye namanye amalungu esiswini sakho. Xa lo mthambo ucinezelwe, isixa segazi esihamba ngayo siyehla, kwaye la malungu akafumani gazi laneleyo.

Ngaphandle kwegazi elaneleyo, amalungu esiswini sakho akafumani oksijini yaneleyo. Ngenxa yoko, uziva iintlungu esiswini sakho, ngamanye amaxesha esibizwa ngokuba ngamathumbu angina.

Imeko yenzeka rhoqo kubafazi ababhityileyo abaphakathi kweminyaka engama-20 nama-40 ubudala. Yimeko engapheliyo nephindaphindayo.

I-median arcuate ligament syndrome ibangela

Oogqirha abaqinisekanga ukuba yintoni kanye kanye ebangela i-MALS. Babedla ngokucinga ukuba oyena nobangela kukungoneli kwegazi kwizitho zesisu ngenxa ye-median arcuate ligament enciphisa i-celiac artery. Ngoku bacinga ezinye izinto, njengokucinezelwa kwemithambo-luvo kwindawo enye, nazo zinegalelo kule meko.

Iimpawu zeMedian arcuate ligament syndrome

Iimpawu ezibalaseleyo ezibonisa le meko ziintlungu zesisu emva kokutya, isicaphucaphu, kunye nokugabha okuhlala kukhokelela ekwehliseni umzimba.

NgokweZiko leLizwe leNzululwazi yoPhuculo lweNguqulelo, iintlungu zesisu zenzeka malunga neepesenti ezingama-80 zabantu abane-MALS, kwaye ngaphantsi nje kweepesenti ezingama-50 bancipha. Isixa sokulahleka kwesisindo sihlala ngaphezulu kweepawundi ezingama-20.

I-median arcuate ligament iqhotyoshelwe kwi-diaphragm yakho kwaye idlula phambi kwe-aorta yakho apho umthambo we-celiac uyishiya khona. Uvalo lwakho luhamba xa uphefumla. Ukuhamba ngexesha lomphunga kuqinisa i-ligament, echaza ukuba kutheni iimpawu zivela ikakhulu xa umntu ephuma.

Ezinye iimpawu zingabandakanya:

• isiyezi
• ukukhawuleza kwentliziyo
• urhudo
• ukubila
• isisu esiswini
• ukunciphisa ukutya

Intlungu yesisu inokuhamba, okanye ikhuphe, ibuyele emqolo okanye kwi-flank.

Abantu abane-MALS banokukuphepha okanye boyike ukutya ngenxa yeentlungu abazivayo emva kokwenza kwabo.

Isifo sifunyanwa njani

Ubukho bezinye iimeko ezinokubangela iintlungu zesisu kufuneka zingabandakanywa ngaphambi kokuba ugqirha enze uxilongo lwe-MALS. Ezi meko zibandakanya isilonda, i-appendicitis, kunye nesifo se-gallbladder.

Oogqirha banokusebenzisa iimvavanyo ezahlukeneyo ukukhangela i-MALS. Ngamanye amaxesha kufuneka ngaphezulu kovavanyo olunye. Uvavanyo olunokwenzeka lubandakanya:

• Unyango lweMedian arcuate ligament syndrome

  I-MALS yimeko engapheliyo, ngoko ayizukuhamba yodwa.

  I-MALS iphathwa ngokusika i-median arcuate ligament ukuze ingabinakho ukucinezela umthambo we-celiac kunye ne-nerves ezingqonge kwakhona. Oku kunokwenziwa ngenkqubo ye-laparoscopic, kusetyenziswa izixhobo zoqhaqho ezifakwe kwizinto ezimbalwa ezenziweyo kulusu, okanye ngotyando oluvulekileyo.

  Rhoqo kukuphela konyango olufunekayo. Kodwa ukuba iimpawu azihambanga, ugqirha wakho unokucebisa enye inkqubo yokubeka i-stent ukugcina umthambo uvulekile okanye ufake i-graft ukugqithisa indawo encinci ye-celiac artery.

  Kwenzeka ntoni emva kokuhlinzwa kotyando lwe-ligament syndrome?

  Ukuhlala esibhedlele

  Emva kotyando lwe-laparoscopic, uya kuhlala esibhedlele iintsuku ezintathu okanye ezine. Ukubuyela kwimeko yoqhaqho oluvulekileyo kuhlala kuthatha ixesha elide kuba inxeba lotyando kufuneka linyange ngokwaneleyo ukuze lingaphindi livuleke, kwaye kuthatha amathumbu akho ukuba asebenze ngokwesiqhelo kwakhona.

  Ulungiso lwenyama

  Emva kotyando, oogqirha bakho baya kuqala bakuphakamise kwaye bajikeleze igumbi lakho emva koko kwiipaseji. Unokufumana unyango ngokwasemzimbeni ukunceda ngale nto.

  Ukuqwalaselwa kunye nolawulo lweentlungu

  Ugqirha wakho uya kuqinisekisa ukuba indlela yakho yokwetyisa isebenza ngesiqhelo ngaphambi kokuba uqale ukutya nantoni na, emva koko ukutya kwakho kuya kwandiswa njengoko kunyamezelekile. Intlungu yakho iya kulawulwa kude kube ilawulwe kakuhle. Xa unokujikeleza ngaphandle kobunzima, ubuyele kwisidlo esiqhelekileyo, kwaye iintlungu zakho ziyalawulwa, uya kukhutshwa esibhedlele.

  Ixesha lokufumana kwakhona

  Nje ukuba usekhaya, amandla akho kunye nokuqina kunokubuyela ngokuthe ngcembe ngokuhamba kwexesha. Ingathatha ubuncinci iiveki ezintathu ukuya kwezine ngaphambi kokuba ubuyele kwimisebenzi yesiqhelo nakwisiqhelo.

  Ukuthatha

  Iimpawu ze-MALS zinokukhathaza kwaye zinokukhokelela ekulahlekeni kobunzima. Kuba kunqabile, i-MALS kunzima ukuyichonga, kodwa imeko inokunyangwa. Nangona utyando lwesibini ngamanye amaxesha ludingeka, unokulindela ukubuyela ngokupheleleyo.