Matšoao, Tlhahlobo le Phekolo ea MALS Artery Compression

Litaba

• Kakaretso
• Median arcuate ligament syndrome (MALS) ke eng?
• Matšoao a "median arcuate ligament syndrome" a baka
• Matšoao a Medium arcuate ligament syndrome
• Kamoo lefu le fumanoang kateng
• Phekolo ea "median arcuate ligament syndrome"
• Ho etsahalang kamora ho buuoa ka methapo ea methapo ea methapo?
• Ho lula sepetlele
• Phekolo ea 'mele
• Tlhokomelo le taolo ea bohloko
• Nako ea ho hlaphoheloa
• Tsela

Kakaretso

Median arcuate ligament syndrome (MALS) e bolela bohloko ba mpeng bo bakoang ke mokokotlo o sutumelang mothapong le methapo e hokahane le litho tsa tšilo ea lijo karolong e kaholimo ea mpa ea hau, joalo ka mpa le sebete.

Mabitso a mang a boemo bona ke Dunbar syndrome, celiac artery compression syndrome, celiac axis syndrome le celiac trunk compression syndrome.

Ha e fumanoa ka nepo, kalafo ea ho buoa hangata e baka sephetho se setle bakeng sa boemo bona.

Median arcuate ligament syndrome (MALS) ke eng?

MALS ke boemo bo sa tloaelehang bo amanang le sehlopha sa likhoele se bitsoang median arcuate ligament. Ka MALS, ligament e hatella ka thata khahlanong le mothapo oa celiac le methapo e e potileng, e fokotsa methapo le ho fokotsa phallo ea mali ka eona.

Mothapo oa celiac o tsamaisa mali ho tsoa aorta ea hau (methapo e meholo e tsoang pelong ea hau) ho ea mpeng, sebeteng le litho tse ling ka mpeng. Ha mothapo ona o petelitsoe, mali a phallang ka har’a oona a ea tlaase, ’me litho tsena ha li fumane mali a lekaneng.

Ntle le mali a lekaneng, litho tsa mpa ea hau ha li fumane oksijene e lekaneng. Ka lebaka leo, u utloa bohloko ka mpeng, eo ka linako tse ling e bitsoang angina ea mala.

Boemo bona bo hlaha khafetsa ho basali ba basesaane ba pakeng tsa lilemo tse 20 le 40. Ke boemo bo sa foleng le bo iphetang.

Matšoao a "median arcuate ligament syndrome" a baka

Lingaka ha li tsebe hantle hore na hantle-ntle li baka MALS ke eng. Ba ne ba tloaetse ho nahana hore sesosa feela ke phallo ea mali e sa lekanang lithong tsa mpa ka lebaka la methapo e bohareng e fokotsang methapo ea leqhoa. Hona joale ba nahana hore lintlha tse ling, joalo ka khatello ea methapo sebakeng se le seng, le tsona li tlatsetsa boemong bona.

Matšoao a Medium arcuate ligament syndrome

Matšoao a khethollang boemo ke bohloko ba mpeng kamora ho ja, ho nyekeloa ke pelo le ho hlatsa tse atisang ho lebisa ho theoleng boima ba 'mele.

Ho ea ka Setsi sa Naha sa Tsoelo-pele ea Saense ea Phetolelo, bohloko ba mpeng bo hlaha ho batho ba ka bang liperesente tse 80 ba nang le MALS, mme ba ka tlase ho liperesente tse 50 ba theola boima ba 'mele. Boima ba boima ba 'mele hangata bo feta liponto tse 20.

Moriana o bohareng o hokahantsoe le diaphragm ea hau mme o feta ka pela aorta ea hau moo mothapo oa celiac o o tlohelang. Diaphragm ea hau e tsamaea ha o hema. Motsamao o tsoang nakong ea moea o tiisa mothapo, o hlalosang hore na hobaneng matšoao a hlahella haholo ha motho a tsoa.

Matšoao a mang a kenyeletsa:

• ho tsekela
• lebelo le otlang pelo
• letšollo
• ho fufuleloa
• ho senya mpa
• ho fokotsa takatso ea lijo

Mahlaba a ka mpeng a ka tsamaea, kapa a phatsima, ho ea mokokotlong kapa lehlakoreng.

Batho ba nang le MALS ba ka qoba kapa ba tšaba ho ja ka lebaka la bohloko boo ba bo utloang kamora ho bo etsa.

Kamoo lefu le fumanoang kateng

Boteng ba maemo a mang a ka bakang bohloko ba mpeng bo tlameha ho qheleloa ka thoko pele ngaka e ka hlahloba MALS. Maemo ana a kenyelletsa seso, appendicitis le lefu la gallbladder.

Lingaka li ka sebelisa liteko tse fapaneng ho batla MALS. Ka linako tse ling ho hlokahala liteko tse fetang e le 'ngoe. Liteko tse ka bang teng li kenyelletsa:

• Phekolo ea "median arcuate ligament syndrome"

  MALS ke boemo bo sa foleng, kahoo e ke ke ea tloha ka bo eona.

  MALS e alafshoa ka ho seha methapo ea methapo e bohareng e le hore e se hlole e khona ho hatella mothapo oa celiac le methapo e e potileng. Sena se ka etsoa ka ts'ebetso ea laparoscopic, ho sebelisoa lisebelisoa tsa ho buoa tse kentsoeng ka likhahla tse nyane letlalong, kapa ka ts'ebetso e bulehileng.

  Hangata ke eona feela kalafo e hlokahalang. Empa haeba matšoao a sa fele, ngaka ea hau e kanna ea khothaletsa ts'ebetso e ngoe ho beha stent ho boloka mothapo o butsoe kapa ho kenya sehlomathiso ho feta sebakeng se moqotetsane oa mothapo oa celiac.

  Ho etsahalang kamora ho buuoa ka methapo ea methapo ea methapo?

  Ho lula sepetlele

  Ka mor'a ho buuoa ka laparoscopic, mohlomong u tla lula sepetlele matsatsi a mararo kapa a mane. Ho hlaphoheloa opereisheneng e bulehileng hangata ho nka nako e teletsana hobane leqeba la ho buuoa le tlameha ho fola ka ho lekana hore le se hlole le buloa hape, 'me ho nka mala a hao nako e telele ho sebetsa ka mokhoa o tloaelehileng hape.

  Phekolo ea 'mele

  Kamora ho buuoa, lingaka tsa hau li tla u phahamisa pele ebe li tsamaea ka phapusing ea hau ebe li latela liphasejeng. U ka fumana kalafo ea 'mele ho thusa ka sena.

  Tlhokomelo le taolo ea bohloko

  Ngaka ea hau e tla netefatsa hore tšilo ea hau ea tšilo ea lijo e sebetsa ka mokhoa o tloaelehileng pele o ka qala ho ja eng kapa eng, mme lijo tsa hau li tla eketsoa joalo ka ha li mamelloa. Bohloko ba hau bo tla laoloa ho fihlela bo laoloa hantle. Ha u ka potoloha ntle le bothata, u khutletse lijong tse tloaelehileng, 'me bohloko ba hao bo laoloa, o tla lokolloa sepetlele.

  Nako ea ho hlaphoheloa

  Ha u se u le hae, matla le mokoka li ka khutla butle ha nako e ntse e tsamaea. Ho ka nka bonyane libeke tse tharo ho isa ho tse 'ne pele u khutlela mesebetsing e tloahelehileng.

  Tsela

  Matšoao a MALS a ka khathatsa mme a ka lebisa ho lahleheloa ke boima ba 'mele. Hobane ke ka seoelo, MALS ho leng thata ho e fumana, empa boemo bo ka phekoloa ka bongaka. Le ha ho hlokahala hore opereishene ea bobeli e hlokahale, u ka lebella ho fola ka botlalo.