Munyori: Louise Ward
Zuva Rekusika: 5 Kukadzi 2021
Gadziridza Zuva: 29 Gumiguru 2024
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Median arcuate ligament syndrome (MALS) inoreva kurwadziwa kwepamuviri kunokonzerwa nemutsinga unosundira tsinga uye tsinga dzakabatana nenhengo dzekugaya muchikamu chepamusoro chedumbu rako, senge dumbu uye chiropa.

Mamwe mazita eiyo mamiriro ndeye Dunbar syndrome, celiac artery compression syndrome, celiac axis syndrome, uye celiac trunk compression syndrome.

Kana ichinyatso kuongororwa, kurapwa kunowanzo guma nemhedzisiro yakanaka yeichi chiitiko.

Chii chinonzi median arcuate ligament syndrome (MALS)?

MALS chiitiko chisingawanzo sanganisira bhendi ine fibrous inonzi median arcuate ligament. Iine MALS, iyo ligament inotsimbirira yakasimba kurwisa ariaceli uye tsinga dzakatenderedza, kudzikisira tsinga uye kudzikisa kuyerera kweropa kuburikidza nayo.

Iyo artery celiac inoendesa ropa kubva kune yako aorta (iyo hari hombe inouya kubva pamoyo wako) kuenda kudumbu rako, chiropa, uye dzimwe nhengo mudumbu rako. Kana tsinga iyi yakadzvanywa, huwandu hweropa huchiyerera kuburikidza nahwo hunodzikira, uye nhengo idzi hadziwane ropa rakaringana.


Pasina ropa rakaringana, nhengo dziri mudumbu rako hadziwane oxygen yakakwana. Nekuda kweizvozvo, iwe unonzwa kurwadziwa mudumbu mako, izvo zvinonzi dzimwe nguva kunonzi ura hwemukati.

Mamiriro acho anowanzoitika mumadzimai matete ari pakati pemakore makumi maviri nemakumi mana ekuberekwa. Icho chimiro chisingaperi uye chinodzokororwa.

Median arcuate ligament syndrome inokonzeresa

Vanachiremba havana chokwadi kuti chii chaizvo chinokonzeresa MALS. Ivo vaifunga kuti iyo yega chikonzero chakange chisina kukwana kuyerera kweropa kunhengo dzemudumbu nekuda kweiyo yepakati arcuate ligament kudzikisira iyo celiac arteri. Zvino ivo vanofunga zvimwe zvinhu, sekumanikidza kwemitsipa munzvimbo imwechete, zvinobatsirawo kumamiriro acho.

Median arcuate ligament syndrome zviratidzo

Zviratidzo zvinozivikanwa zvinoratidza mamiriro acho ezvinhu kurwadziwa kwepamuviri mushure mekudya, kusvotwa, uye kurutsa izvo zvinowanzo kutungamira kuonda.

Sekureva kweNational Center for Advancing Translational Sayenzi, kurwadziwa mudumbu kunoitika munenge makumi masere muzana yevanhu vane MALS, uye zvishoma pasi pe50 muzana vanorasikirwa nehuremu. Huwandu hwekudzikira huremu hunowanzopfuura mapaundi makumi maviri.


Iyo yepakati arcuate ligament yakasungirirwa kune yako diaphragm uye inopfuura pamberi peaorta yako uko iyo celiac artery inoisiya iyo. Diaphragm yako inofamba kana iwe uchifema. Iko kufamba panguva yekufema kunosimbisa iyo ligament, iyo inotsanangura kuti nei zviratidzo zvichinyanya kuitika kana munhu achinge afema.

Zvimwe zviratidzo zvinogona kusanganisira:

  • dzungu
  • kukurumidza kurova kwemoyo
  • manyoka
  • vangadikitira
  • dumbu kudumbuka
  • kuderera kwechido

Iko kurwadziwa kwepamuviri kunogona kufamba, kana kupenya, kumusana kwako kana parutivi.

Vanhu vane MALS vanogona kunzvenga kana kutya kudya nekuda kwekurwadziwa kwavanonzwa mushure mekuzviita.

Iyo iyo chirwere chinoonekwa

Kuvapo kwemamwe mamiriro anogona kukonzera kurwadziwa kwemudumbu kunofanirwa kusarongedzwa chiremba asati aongorora chirwere cheMALS. Aya mamiriro anosanganisira ulcer, appendicitis, uye nduru chirwere.

Vanachiremba vanogona kushandisa bvunzo dzakasiyana dzakasiyana kutsvaga MALS. Dzimwe nguva zvinopfuura bvunzo imwe chete inodiwa. Bvunzo dzinogona kuitika dzinosanganisira:


  • Median arcuate ligament syndrome kurapwa

    MALS chirwere chisingaperi, saka hachiendi choga.

    MALS inorapwa nekucheka iyo yepakati arcuate ligament kuitira kuti igone kumanikidza iyo celiac arteri uye yakakomberedza tsinga zvakare. Izvi zvinogona kuitwa kuburikidza neparasoscopic maitiro, uchishandisa zvekuvhiya zvigadzirwa zvakaiswa kuburikidza akati wandei madiki kutsemuka muganda, kana kuburikidza pachena kuvhiya.

    Kazhinji ndiyo chete kurapwa kunodiwa. Asi kana zviratidzo zvikasapera, chiremba wako anogona kukurudzira imwe nzira yekuti aise stent yekuchengetedza arteri yakavhurika kana kuisa kubatanidza kupfuudza nzvimbo nhete yeteriac.

    Chii chinoitika mushure median arcuate ligament syndrome kuvhiyiwa?

    Kugara muchipatara

    Mushure mekuvhiyiwa kweparoscopic, ungangogara muchipatara kwemazuva matatu kana mana. Kudzoreredza kubva pakuvhiya kwakavhurika kunotora nguva yakati rebei nekuti ronda rekuvhiya rinofanirwa kupora zvakakwana kuti risavhurwe, uye zvinotora ura hwako kuti hunyatsoita mushe zvekare.

    Kurapa kwepanyama

    Mushure mekuvhiyiwa, vanachiremba vako vachatanga kukusimudza uye kufamba-famba mukamuri rako uyezve nzira dzekufamba. Iwe unogona kugamuchira kurapwa kwemuviri kuti ubatsire neizvi.

    Kucherechedza uye kurwadziwa kwekutambudzika

    Chiremba wako anozove nechokwadi chekuti rako rekugaya rinoshanda zvakajairika usati watanga kudya chero chinhu, uyezve kudya kwako kuchawedzerwa sekuregererwa. Kutambudzika kwako kuchachengetwa kusvikira yanyatso kudzorwa. Paunenge uchikwanisa kutenderera pasina chinetso, wadzokera kuchikafu chakajairika, uye kurwadziwa kwako kuchidzorwa, unenge waburitswa muchipatara.

    Nguva yekudzosa

    Kana uchinge wave kumba, simba rako uye simba rako zvinogona kudzoka zvishoma nezvishoma nekufamba kwenguva. Zvinogona kutora angangoita mavhiki matatu kana mana usati wadzokera kune wako wenguva dzose chiitiko uye maitiro.

    Kutora

    Zviratidzo zveMALS zvinogona kunetsa uye zvinogona kutungamira mukuremerwa uremu. Nekuti hazviwanzo, MALS inonetsa kuongorora, asi mamiriro acho anogona kurapwa. Kunyangwe kuvhiyiwa kwechipiri dzimwe nguva kuchidikanwa, unogona kutarisira kupora kwakazara.

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