Nā Hōʻailona, ​​Kānāwai, a me ka mālama ʻana no ka MALS Artery Compression

Anter

• Hōʻike Overview
• He aha ka median arcuate ligament syndrome (MALS)?
• ʻO ke kumu o ka maʻi ligament arcuate median
• ʻO nā ʻōuli o ka ligament arcuate median
• Pehea e ʻike ʻia ai ka maʻi maʻi?
• ʻO ka lāʻau Median arcuate ligament Syndrome
• He aha ka hana ma hope o ke kahakaha ʻana o ka median arcuate ligament syndrome?
• Noho Halemai
• Hoʻoikaika kino
• Ka nānā ʻana a me ka mālama ʻeha ʻana
• Manawa hoʻōla
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO ka median arcuate ligament syndrome (MALS) pili i ka ʻeha o ka ʻōpū i hopena ʻia mai kahi ligament e hoʻokau nei i ke aʻa a me nā ʻalolo e pili ana i nā ʻōnaehana digestive i ka ʻaoʻao kiʻekiʻe o kou ʻōpū, e like me ka ʻōpū a me ke ake.

ʻO nā inoa ʻē aʻe no ka maʻi ʻo Dunbar syndrome, celiac artery compression syndrome, celiac axis syndrome, a me celiac trunk compression syndrome.

Ke hōʻoia pololei ʻia, hopena ka lāʻau ʻoki ʻana i kahi hopena maikaʻi no kēia ʻano.

He aha ka median arcuate ligament syndrome (MALS)?

He kūlana laha ʻole ʻo MALS e pili ana i kahi aho fibrous i kapa ʻia ʻo ka ligament arcuate median. Me MALS, kaomi ikaika ka ligament i ke aʻa o celiac a me nā ʻalolo a puni, e hoʻopili ana i ke aʻa a hoʻoliʻiliʻi i ke kahe o ke koko ma waena ona.

Hāpai ke aʻa celiac i ke koko mai kou aorta (ke aʻa nui mai kou puʻuwai) i kou ʻōpū, ake, a me nā mea ʻē aʻe i loko o kou ʻōpū. Ke kaomi ʻia kēia aʻa, hele ka nui o ke koko e kahe ana i lalo, a ʻaʻole lawa kēia mau mea i ke koko.

Me ka lawa ʻole o ke koko, ʻaʻole lawa nā oxygen i nā ʻōpū o kou ʻōpū. ʻO ka hopena, ʻike ʻoe i ka ʻeha o kou ʻōpū, i kapa ʻia i kekahi manawa ʻo angina kōpū.

Kū pinepine ke ʻano i nā wahine lahilahi ma waena o 20 a 40 mau makahiki. He kūlana hoʻomau a hoʻomau hou ia.

ʻO ke kumu o ka maʻi ligament arcuate median

ʻAʻole maopopo i nā kauka ka mea e kū pono ai iā MALS. Manaʻo lākou ʻo ke kumu wale nō ka lawa ʻole o ke kahe o ke koko i nā ʻōpū o nā ʻōpū ma muli o ka ligament arcuate median e hoʻopili ana i ke aʻa celiac. I kēia manawa manaʻo lākou i nā kumu ʻē aʻe, e like me ka kaomi ʻana o nā ʻalolo i ka wahi like, a hāʻawi pū kekahi i ke ʻano.

ʻO nā ʻōuli o ka ligament arcuate median

ʻO nā hōʻailona hōʻailona e hōʻike i ke ʻano he ʻeha o ka ʻōpū ma hope o ka ʻai ʻana, nausea, a me ka luaʻi e alakaʻi maʻamau i ka pohō kaumaha.

Wahi a ka National Center for Advancing Translational Science, ʻike ʻia ka ʻeha o ka ʻōpū ma kahi o 80 pākēneka o ka poʻe me MALS, a ma lalo iki o 50 pākēneka e nalo ana ke kaupaona. ʻO ka nui o ka pohō kaumaha ma mua o 20 mau paona.

Hoʻopili ka ligament arcuate median i kāu diaphragm a hele i mua o kāu aorta kahi e waiho ai ke aʻa celiac iā ia. Neʻe kāu diaphragm ke hanu ʻoe. ʻO ka neʻe i ka manawa o ka exhalation e hoʻopaʻa i ka ligament, kahi e wehewehe ai i ke kumu o ka hopena o nā ʻōuli ke hemo kekahi kanaka.

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻūpā
• wikiwiki o ka puʻuwai
• pāhoehoe
• ka houʻu ʻana
• ʻōpū ʻōpū
• hoʻēmi ʻai

Hiki i ka ʻeha o ka ʻōpū ke hele, a hoʻomālamalama paha, i kou kua a i ʻole ka pale.

Hiki i nā poʻe me MALS ke pale a makaʻu paha i ka ʻai ʻana no ka ʻeha a lākou e ʻike ai ma hope o kā lākou hana ʻana.

Pehea e ʻike ʻia ai ka maʻi maʻi?

ʻO ke kū ʻana o nā kūlana ʻē aʻe e hiki ai ke hōʻeha i ka ʻeha o ka ʻōpū pono e hemo ʻia ma mua o ka hiki ʻana i ke kauka ke hana i kahi hōʻailona o MALS. Hoʻopili ʻia kēia mau ʻano me ka ulcer, appendicitis, a me ka maʻi o ka gallbladder.

Hiki i nā kauka ke hoʻohana i nā hoʻokolohua like ʻole e nānā iā MALS. I kekahi manawa makemake ʻia ma mua o hoʻokahi hōʻike. ʻO nā hoʻokolohua hiki ke hoʻopili ʻia:

• ʻO ka lāʻau Median arcuate ligament Syndrome

  He kūlana mau ʻo MALS, no laila ʻaʻole ia e hele wale.

  Mālama ʻia ʻo MALS e ke ʻoki ʻana i ka ligament arcuate median i hiki ʻole iā ia ke kaomi i ke aʻa celiac a me nā ʻalolo a puni. Hiki ke hana i kēia ma o ka hana laparoscopic, me ka hoʻohana ʻana i nā mea ʻokiʻoki i hoʻokomo ʻia ma o nā ʻoki liʻiliʻi i ka ʻili, a ma o ka ʻoki ākea.

  ʻO ka manawa pinepine kēlā wale nō ka lapaʻau e pono ai. Akā inā ʻaʻole e hala nā ʻōuli, hiki i kāu kauka ke koi aku i kahi hana ʻē aʻe i kahi stent e hāmama ai ke aʻa a i ʻole hoʻokomo i kahi graft e kāpae i ka wahi hāiki o ke aʻa celiac.

  He aha ka hana ma hope o ke kahakaha ʻana o ka median arcuate ligament syndrome?

  Noho Halemai

  Ma hope o ke kahakaha laparoscopic, noho paha ʻoe i ka haukapila no ʻekolu a ʻehā mau lā paha. ʻO ka hoʻōla hou ʻana mai ke ʻoki hāmama e ʻoi aku ka lōʻihi o ka lōʻihi no ka mea ʻo ka ʻoki ʻana o ka ʻokiʻoki e hoʻōla lawa no laila ʻaʻole ia e wehe hou, a lawe hou i kou ʻōpū e hana hou maʻamau.

  Hoʻoikaika kino

  Ma hope o ke kahakaha ʻana, e ala mua kāu mau kauka iā ʻoe a hele wāwae a puni i kou keʻena a laila nā alaloa. Hiki paha iā ʻoe ke loaʻa i ka hoʻōla kino e kōkua me kēia.

  Ka nānā ʻana a me ka mālama ʻeha ʻana

  E ʻike pono kāu kauka i ka hana maʻamau o kāu digestive tract ma mua o ka hiki iā ʻoe ke hoʻomaka e ʻai i kekahi mea, a laila e hoʻonui ʻia kāu papaʻai e like me ka hoʻomanawanui ʻana. E mālama ʻia kou ʻeha a hiki i ke kāohi maikaʻi ʻana. Ke hiki a puni ʻoe me ka paʻakikī ʻole, ua hoʻi ʻoe i ka papaʻai maʻamau, a kaohi ʻia kou ʻeha, e hoʻokuʻu ʻia ʻoe mai ka haukapila.

  Manawa hoʻōla

  Ke noho nei ʻoe i ka home, hiki i kou ikaika a me kou ikaika ke hoʻi mālie i ka manawa. Hiki iā ia ma ka liʻiliʻi he ʻekolu a ʻehā mau pule ma mua o kou hoʻi ʻana i kāu hana maʻamau a me kāu hana maʻamau.

  ʻO ka lawe lawe ʻana

  Hiki i nā ʻōuli o MALS ke lilo i mea hoʻonāukiuki a alakaʻi paha i ka hōʻemi koʻikoʻi nui. Ma muli o ka mea liʻiliʻi, paʻakikī ka paʻakikī o ka MALS, akā hiki ke mālama ʻia ke ʻano ma ke ʻano o ka ʻoki kino. ʻOiai makemake ʻia kahi ʻoki ʻelua i kekahi manawa, hiki iā ʻoe ke kali i kahi ola holoʻokoʻa.