ʻEha ka umauma, akā ʻaʻole ia he pilikia puʻuwai? E kamaʻilio kākou e pili ana i (ʻEha umauma ʻaʻole cardiac)

E noʻonoʻo ʻoe ua manaʻo koke ʻoe i ka ʻeha ma kou umauma, me he mea lā he kaumaha kaumaha e kau ʻia ana ma luna. ʻAʻole anei ia e hoʻohoka iā ʻoe? Holo ko mākou manaʻo me ka makaʻu, "He hōʻeha puʻuwai anei kēia?" He mea kūpono kēlā makaʻu. Akā, ua ʻike anei ʻoe, ʻaʻole nā ​​​​​​ʻeha umauma a pau i hana ʻia e ka pilikia puʻuwai. I kekahi manawa ʻo ke kumu o kēia ʻeha he mea ia ʻaʻohe pili me ka puʻuwai. I kēia lā, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i kēia ʻeha umauma e hoʻoweliweli nei i nā poʻe he nui, akā ʻaʻole pili i ka puʻuwai, kahi i ʻike ʻia ma ke ʻano lapaʻau ʻo (Noncardiac Chest Pain - NCCP) .

I ka ʻōlelo maʻalahi, he aha maoli kēia?

ʻO ka ʻeha umauma ʻaʻole puʻuwai (NCCP) he ʻeha umauma wale nō ia e kū mai ana me ka ʻole o ka pilikia me kou puʻuwai. Hiki ke like ia me ka angina, ʻo ia ke kumu e huikau pinepine ai a hoʻoweliweli iā mākou.

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Inā ʻaʻole ia he puʻuwai, no ke aha e ʻeha ai i ka umauma?" He nīnau maikaʻi kēlā. Aia ko kākou esophagus ma kahi kokoke loa i kahi o ko kākou puʻuwai i loko o ko kākou umauma, ʻo ia kahi e hele ai ka meaʻai i ka ʻōpū i ka wā e ʻai ai kākou. Lawe ʻia nā hōʻailona ʻeha mai nā ʻāpana ʻelua i ka lolo e ka ʻōnaehana nerve hoʻokahi. No laila, i kekahi manawa, ʻaʻole hiki i ka lolo ke ʻike inā paha e hele mai ana ka ʻeha mai ka puʻuwai a i ʻole ka esophagus. Ua like ia me ka manaʻo ʻana i kahi pilikia ma ka ʻaoʻao e like me he pilikia lā ma ka home.

ʻO ka mea a mākou e kapa nei he "heartburn" ʻaʻole ia he pilikia puʻuwai, akā, he mumū i hoʻokumu ʻia e ka piʻi ʻana o ka waikawa o ka ʻōpū i loko o ka esophagus. ʻOiai ka inoa, ʻaʻohe ona pili i ka puʻuwai. He laʻana maikaʻi kēia o NCCP.

Pehea ke ʻano o kēia ʻeha? He aha nā hōʻailona?

E like me ka mea i ʻōlelo ʻia ma mua, ua like loa kēia ʻeha me ka ʻeha i loaʻa i ka wā o ka hōʻeha puʻuwai. No laila hiki ke paʻakikī iki ka hoʻokaʻawale ʻana ma waena o nā mea ʻelua. E nānā kākou i ke ʻano o kēia mau hōʻailona.

Hiki i kēia ʻeha ke hoʻomaka i kekahi manawa ma hope o ka ʻai nui a i ʻole ke kaumaha ʻoe. Hiki iā ia ke mau mai kekahi mau kekona a i kekahi mau hola. Inā ʻoi aku ka lōʻihi o ka ʻeha ma mua o kekahi mau minuke, he mea naʻauao ke ʻimi koke i ke kōkua lapaʻau.

No ke aha lā kēia e hana nei? He aha nā kumu nui?

ʻAe, e nānā kākou i nā mea ʻē aʻe e hiki ai ke hoʻoulu i kēia ʻeha, inā ʻaʻole ka puʻuwai.

1. Nā pilikia o ka esophagus

ʻO kēia ke kumu maʻamau o ka NCCP.

• GERD (Maʻi Reflux Gastroesophageal): I ka ʻōlelo maʻalahi, he ʻano kēia e kū mai ana i ka wā e lilo ai ka gastritis i mea koʻikoʻi. Piʻi aʻe ka waikawa i loko o ka ʻōpū a hele i luna o ka esophagus i loko o ka puʻu. Hoʻopau kēia waikawa i nā paia o ka esophagus, e hoʻoulu ai i ka mumū a me ka ʻeha. ʻO kēia ka mea a mākou i kapa ai ʻo "heartburn" e like me kā mākou i kamaʻilio ai ma mua.
• Esophagitis: Ma waho aʻe o GERD, hiki i nā maʻi ʻē aʻe, kekahi mau lāʻau lapaʻau, a i ʻole nā ​​​​​​allergies ke hoʻoulu i ka uhi o ka esophagus e pehu. Hiki i kēia pehu ke hoʻoulu i ka ʻeha o ka umauma.
• Nā pilikia ʻiʻo esophageal: ʻO ko kākou esophagus he ʻōmole i hana ʻia me nā ʻiʻo. Inā ʻaʻole hana pono kēia mau ʻiʻo, hiki iā lākou ke spasm a ʻūlū koke paha. Hiki i kēia ke hana i ka ʻeha nui o ka umauma a me ka paʻakikī i ka moni ʻana.
• ʻO ka Hypersensitivity o ka Esophagus: He ʻeha loa nā aʻalolo o kekahi poʻe i loko o ko lākou esophagus. ʻOiai kahi loli liʻiliʻi o ke kaomi, a i ʻole kahi liʻiliʻi o ka waikawa, ʻaʻole e ʻike ʻia e ke kanaka maʻamau, hiki ke manaʻo ʻia he ʻeha nui iā lākou.

2. ʻEha Musculoskeletal

I kekahi manawa, ʻaʻole hele mai ka ʻeha mai loko mai o ka umauma, akā, mai ka paia o ka umauma mai.

• Hiki ke hana ʻia ka ʻeha o ka umauma e nā kūlana e like me ka iwi ʻaoʻao i haehae ʻia, ka iwi ʻaoʻao i pala, a i ʻole ka mumū o ke cartilage e hoʻopili ana i nā iwi ʻaoʻao (costochondritis) .
• ʻO kahi ala maʻalahi e ʻike ai i kēia, ʻo ke kaomi pololei ʻana i kou manamana lima ma kahi āu e ʻeha nei a inā e hoʻonui ʻia ka ʻeha, he ʻeha paha ia e pili ana i ka ʻiʻo a i ʻole ka iwi e like me kēia.

3. Nā Kūlana Noʻonoʻo

He mea kupanaha kēia i nā mea he nui, akā he mea nui loa ia.

• ʻO nā mea a mākou e manaʻo ai i loko, e like me ke kaumaha, ka hopohopo, a me ke kaumaha, hiki ke hōʻike ʻia ma ke ʻano he ʻeha kino, ʻoi aku ka ʻeha o ka umauma.
• E noʻonoʻo ʻoe ua manaʻo koke ʻoe i ka makaʻu nui a me ka hopohopo (panic attack), paʻakikī ka hanu ʻana, ʻūlū kou umauma, kuʻi wikiwiki kou puʻuwai, a manaʻo ʻoe e like me ka loaʻa ʻana o ka hōʻeha puʻuwai. ʻOiai he kūlana noʻonoʻo kēia, ʻo ka ʻeha āu e manaʻo nei he 100% ʻeha maoli.

4. Nā kūlana o ka māmā

ʻOiai he mea kakaikahi, hiki ke hana ʻia ka ʻeha o ka umauma e kekahi mau maʻi māmā, e like me ka pleural effusion a i ʻole pneumothorax .

Pehea e ʻike ai nā kauka i kēia?

Hele ʻoe i ka haukapila, ʻoiai ke Keʻena ʻOihana Pilikia (ETU), me ka ʻeha o ka umauma.Ke hele ʻoe, ʻo ka mea mua a ke kauka e hana ai, ʻo ia ke nānā inā he maʻi puʻuwai hoʻoweliweli kou. ʻO ia ka mea nui.

1. Ke hōʻoia nei ʻaʻohe maʻi puʻuwai:

• Nā hoʻāʻo koko: Nānā kēia i nā enzymes e hōʻiliʻili i loko o ke koko i ka wā o ka hōʻeha puʻuwai.
• ECG (Electrocardiogram): Nānā ʻia ka hana uila o ka puʻuwai e ʻike inā he mau ʻano ʻē.
• Hoʻāʻo koʻikoʻi hoʻoikaika kino: Lawe ʻia kahi ECG i kou hoʻoikaika kino ʻana e ʻike i ke ʻano o ka pane ʻana o kou puʻuwai i ke koʻikoʻi.
• ʻO ke scan CT o ka puʻuwai: Hiki ke hana ʻia kēia hoʻāʻo e ʻike inā he mau ālai ʻana i loko o nā kīʻaha koko o ka puʻuwai.

Ma hope wale nō o ka hana ʻana i kēia mau hoʻokolohua a pau a me ka maopopo 100% ʻaʻole ʻo kou puʻuwai ke kumu o kou ʻeha umauma, e hiki ai i ke kauka ke hoʻoholo he NCCP kou.

2. A laila, e ʻimi i ke kumu:

• A laila hiki ke kuhikuhi ʻia ʻoe i kahi gastroenterologist .
• Ma laila, hana ʻia nā hoʻokolohua e like me ka endoscopy luna (ka nānā ʻana i ka esophagus a me ka ʻōpū me kahi paipu me ke kāmela), manometry esophageal, a i ʻole ka hoʻāʻo pH esophageal e hoʻāʻo e ʻimi i ke kumu pololei o ka ʻeha.
• I kekahi manawa e hoʻāʻo mua kāu kauka i kekahi mau lāʻau lapaʻau no GERD (e like me nā Proton Pump Inhibitors - PPIs). Inā hōʻemi kēlā mau lāʻau lapaʻau i kou ʻeha umauma, hiki ke hōʻoia ʻia ʻo GERD ke kumu.

He aha nā lāʻau lapaʻau?

Aia ka lāʻau lapaʻau i ke kumu o kou ʻeha.

• Inā ʻo GERD ke kumu: Hāʻawi ʻia nā lāʻau lapaʻau e like me nā mea hoʻopaʻa proton pump (PPI) e hōʻemi ana i ka hana ʻakika o ka ʻōpū. ʻO kēia nā lāʻau lapaʻau i hoʻohana pinepine ʻia a maikaʻi loa.
• Inā he pilikia me nā ʻiʻo i loko o ka urethra ke kumu: Aia nā lāʻau lapaʻau a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe e hoʻomaha ai i kēlā mau ʻiʻo a hoʻihoʻi i kā lākou hana.
• Inā he kaumaha a hopohopo paha ke kumu: He mea nui loa ka hoʻōla noʻonoʻo a me ka hoʻokele kaumaha. Eia kekahi, i kekahi manawa hāʻawi ʻia nā antidepressants , e like me nā tricyclic antidepressants a i ʻole SSRIs , i nā dosis haʻahaʻa loa. ʻAʻole hoʻohana wale ʻia kēia mau lāʻau lapaʻau e mālama i ke kaumaha, akā hoʻohana ʻia nō hoʻi e kāohi i ka ʻeha aʻalolo lōʻihi. No laila, inā kuhikuhi kāu kauka i kahi lāʻau lapaʻau, mai noʻonoʻo, "ʻAʻole au he pupule, no ke aha wau e hāʻawi nei i kēia lāʻau lapaʻau?"

ʻAʻole hoʻoweliweli pinepine ka ʻeha umauma ʻaʻole puʻuwai i ke ola. Eia nō naʻe, hiki iā ia ke loaʻa ka hopena koʻikoʻi i kou ʻano ola. ʻAʻole maʻalahi ke ola me ka makaʻu mau i ka ʻeha umauma. Eia kekahi, inā ʻaʻole mālama ʻia ke kumu kumu (e laʻa me GERD), hiki iā ia ke alakaʻi i nā pilikia ʻē aʻe i ka hala ʻana o ka manawa.