Mlembi: Louise Ward
Tsiku La Chilengedwe: 5 Febuluwale 2021
Sinthani Tsiku: 29 Okotobala 2024
Anonim
Zizindikiro, Kuzindikira, ndi Chithandizo cha MALS Artery Compression - Thanzi
Zizindikiro, Kuzindikira, ndi Chithandizo cha MALS Artery Compression - Thanzi

Zamkati

Chidule

Matenda a Median arcuate ligament (MALS) amatanthauza kupweteka kwa m'mimba komwe kumabwera chifukwa cha kutulutsa kwa mitsempha pamitsempha ndi mitsempha yolumikizidwa ndi ziwalo zam'mimba zomwe zili pamwamba pamimba panu, monga m'mimba ndi chiwindi.

Maina ena a vutoli ndi Dunbar syndrome, celiac artery compression syndrome, celiac axis syndrome, ndi celiac trunk compression syndrome.

Akapezeka molondola, chithandizo cha opaleshoni nthawi zambiri chimabweretsa zotsatira zabwino pamkhalidwewu.

Kodi median arcuate ligament syndrome (MALS) ndi chiyani?

MALS ndichizoloŵezi chosowa chokhudza gulu lolimba lotchedwa median arcuate ligament. Ndi MALS, minyewa imasinikiza mwamphamvu motsutsana ndi mtsempha wamagazi ndi mitsempha yoyizungulira, yochepetsa mtsempha wamagazi ndikuchepetsa magazi kudutsa.

Mitsempha ya celiac imatumiza magazi kuchokera ku aorta (mtsempha waukulu womwe umachokera mumtima mwanu) kupita kumimba, chiwindi, ndi ziwalo zina m'mimba mwanu. Mitsempha imeneyi ikapanikizika, magazi omwe akuyenda amadutsa, ndipo ziwalozi sizimapeza magazi okwanira.


Popanda magazi okwanira, ziwalo zam'mimba mwanu sizimapeza mpweya wokwanira. Zotsatira zake, mumamva kupweteka m'mimba, komwe nthawi zina kumatchedwa angina wamatumbo.

Vutoli limapezeka nthawi zambiri mwa azimayi oonda azaka zapakati pa 20 ndi 40. Ndi matenda osatha komanso obwereza.

Matenda a Median arcuate ligament amachititsa

Madokotala sakudziwa chomwe chimayambitsa MALS. Iwo amaganiza kuti chifukwa chokhacho ndikutuluka magazi kokwanira m'mimba chifukwa cham'miyendo yapakatikati yochepetsa mitsempha ya celiac. Tsopano akuganiza kuti zinthu zina, monga kupanikizika kwa mitsempha m'dera lomwelo, zimathandizanso ku vutoli.

Zizindikiro zamatenda a Median arcuate ligament

Zizindikiro zodziwika bwino zomwe zimakhala ndimavutowo m'mimba mukatha kudya, nseru, ndi kusanza zomwe nthawi zambiri zimapangitsa kuti muchepetse thupi.

Malinga ndi National Center for Advancing Translational Sciences, kupweteka m'mimba kumachitika pafupifupi 80 peresenti ya anthu omwe ali ndi MALS, ndipo ochepera 50% amachepetsa. Kuchuluka kwa kuchepa thupi kumakhala kopitilira mapaundi 20.


Mitsempha yamkati yapakati imalumikizidwa ndi chifundiro chanu ndipo imadutsa patsogolo pa aorta yanu pomwe mtsempha wamagazi umachoka. Chizindikiro chanu chimasuntha mukamapuma. Kusuntha komwe kumatulutsa mpweya kumalimbitsa mitsempha, yomwe imafotokozera chifukwa chake zizindikirazo zimachitika makamaka munthu akapuma.

Zizindikiro zina zitha kuphatikiza:

  • chizungulire
  • kuthamanga kwa mtima
  • kutsegula m'mimba
  • thukuta
  • Kutupa m'mimba
  • kuchepa kudya

Kupweteka m'mimba kumatha kuyenda, kapena kutulutsa, kumbuyo kwanu kapena pambali.

Anthu omwe ali ndi MALS amatha kupewa kapena kuopa kudya chifukwa cha zowawa zomwe amamva akamaliza.

Momwe matendawa amapezeka

Kupezeka kwa zinthu zina zomwe zingayambitse kupweteka m'mimba kuyenera kuchotsedwa dokotala asanadziwe za MALS. Izi zimaphatikizapo zilonda zam'mimba, appendicitis, ndi ndulu.

Madokotala amatha kugwiritsa ntchito mayeso osiyanasiyana kuti ayang'ane MALS. Nthawi zina pamafunika mayeso opitilira umodzi. Mayeso omwe angakhalepo ndi awa:


  • Chithandizo cha median arcuate ligament syndrome

    MALS ndi matenda osachiritsika, chifukwa sichitha chokha.

    MALS amachiritsidwa podula mitsempha yapakatikati kuti singathe kupondereza mitsempha ya celiac ndi mitsempha yoyandikana nayo. Izi zitha kuchitika kudzera pamakina a laparoscopic, pogwiritsa ntchito zida zochitira opaleshoni zomwe zimayikidwa pamagawo ang'onoang'ono pakhungu, kapena kudzera mu opaleshoni yotseguka.

    Nthawi zambiri ndiye chithandizo chokha chofunikira. Koma ngati zizindikirazo sizingathe, dokotala wanu angakulimbikitseni njira ina yoyika stent kuti mitsempha ikhale yotseguka kapena kuyika cholozera kuti adutse malo opapatiza a mtsempha wa celiac.

    Kodi chimachitika ndi chiani pambuyo poti opaleshoni yapakatikati ya ligament syndrome?

    Kukhala kuchipatala

    Pambuyo pa opaleshoni ya laparoscopic, mudzakhala mchipatala masiku atatu kapena anayi. Kuchira kuchokera ku opareshoni yotseguka nthawi zambiri kumatenga nthawi yayitali chifukwa chilonda chakuchita opaleshoni chimayenera kuchira mokwanira kuti chisatsegulidwe, ndipo zimatenga matumbo anu kuti azigwiranso ntchito bwinobwino.

    Thandizo lakuthupi

    Pambuyo pa opaleshoni, madokotala anu adzakudzutsani ndikuyenda mozungulira chipinda chanu kenako panjira. Mutha kulandira chithandizo chakuthupi kuti muthandizire pa izi.

    Kuwona ndi kusamalira ululu

    Dokotala wanu adzaonetsetsa kuti gawo lanu logaya limagwira bwino ntchito musanadye chilichonse, kenako chakudya chanu chidzawonjezeredwa monga momwe mumalolera. Zowawa zanu zidzasamaliridwa mpaka zitayendetsedwa bwino. Mukakhala mozungulira popanda zovuta, mwabwerera ku zakudya zachilendo, ndipo kupweteka kwanu kumalamulidwa, mudzatulutsidwa kuchipatala.

    Nthawi yobwezeretsa

    Mukakhala kunyumba, mphamvu zanu ndi mphamvu zanu zimatha kubwerera pang'onopang'ono. Zitha kutenga milungu itatu kapena inayi musanabwerere kuntchito ndi chizolowezi chanu.

    Kutenga

    Zizindikiro za MALS zitha kukhala zosokoneza ndipo zitha kubweretsa kuchepa kwakukulu. Chifukwa ndizosowa, MALS imavuta kupeza, koma vutoli limatha kuchitidwa opaleshoni. Ngakhale kuti nthawi zina pamafunika opaleshoni yachiwiri, mungayembekezere kuchira kwathunthu.

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