Kua pāngia koe e te mamae ohorere, te mamae koi i roto i tō uma, pērā i te mea e pēhia ana tō korokoro e te tangata, i a koe e kai ana, e inu ana rānei? Me te mea kei te mau te kai i roto i tō korokoro? He tokomaha te hunga e mataku ana he mate manawa tēnei, engari ehara i te mea koinei tonu te āhua. Tērā pea nā te pupuhi rerekē o ngā uaua o tō korokoro te take o tēnei. I tēnei rā, ka kōrero tātou mō ngā pupuhi korokoro, arā, ngā "Pīrori Poroporo Poroporo", i roto i tētahi huarahi māmā e mārama ai koe.
He aha ngā kōpeketanga o te esophagus?
Ki te kī ngāwari, ko tō tātou korokoro he ngongo i hangaia ki ngā uaua e kawe ana i te kai e horomia ana e tātou mai i tō tātou korokoro ki tō tātou puku. I te nuinga o te wā, ina horomia e tātou tetahi mea, ka whakapoto ngā uaua o tēnei ngongo i roto i te āhua auau, pērā i te ngaru, hei pana i te kai ki raro ki roto i tō tātou puku. I roto i te rongoā, ka kiia tēnei tukanga ko te "peristalsis".
Heoi, ki te mea kei a koe tētahi mate e kiia nei ko te "Esophageal Spasms", ka koretake te manawataki o ēnei uaua. Ka pupuhi noa iho, kāore he hononga, ka pupuhi nui rawa atu rānei, ka kaha rawa. Whakaarohia he rite ki tētahi paipa wai e aukatia ohoreretia ana i te wāhi kotahi.
Ina pakari, ina pēpeke ngā uaua, kāore e taea te heke ngāwari o te kai me te inu. Koinei te wā ka uaua koe ki te horomi, ka mamae hoki te uma. I ētahi wā, ka hoki mai anō te kai i horomia (ka ruaki).
He momo matua o tēnei mate?
Ae, e rua ngā momo matua. He mea nui kia mārama ki ēnei.
| Momo Ānini | Hei whakarāpopototanga, he aha te mea ka tupu? |
|---|---|
| Te pupuhi o te korokoro tawhiti (te horapa rānei) | I tēnei, ka whakawhāiti ngā uaua o te pito o raro o te korokoro i roto i te āhua pōrearea, kāore hoki i te taunga. Koia te take e kitea ai te kai kua horomia e ngana ana ki te hoki ake ki roto i te korokoro. |
| Te korokoro nui rawa te whakawhāiti (nutcracker, jackhammer rānei) | I tēnei wā, ahakoa he tika te manawataki o ngā uaua e whakawhāiti ana, he kaha ake, he nui ake te haruru o ngā whakawhāiti i te tikanga. He rite ki te patu ki te hama. Ka pā mai pea te mamae nui i te wā e horomia ana, me te ahua o te kikī o te uma. |
He aha ngā tohu? He aha te āhua o te mate?
Ko ngā tohu matua e rua, ko te mea tino kitea o tēnei mate, ko te uaua ki te horomi (dysphagia) me te mamae o te uma kāore e pā ki te ngākau . Heoi, ka pāngia ētahi tāngata e tēnei mate me te kore he tohu.
He mea tino nui: Ko te mea whakamataku i konei, ko te mamae o te uma ka rite tonu ki te mate manawa. Nō reira, ki te mamae nui tō uma, kāore i te whakamāramatia, ā, neke atu i te rima meneti te roa, kaua e whakaaro he mea kē atu. Haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU). He mea nui kia tino mōhio koe ehara i te mea kino pērā i te mate manawa.
He ngawari pea ngā tohu, engari he kino i ētahi wā. Mō ētahi tāngata, ka puta noa i muri i te kai. Mō ētahi atu, ka puta ohorere mai, kāore he take e kitea ana. Ka roa pea mō ētahi meneti, mō te haora, neke atu rānei.
| Te āhua o ō kare ā-roto | Whakaahuatanga |
|---|---|
| He pēpi/piripiri te uma | Tērā pea ka rite ki te pēhihia ana te waenganui o te uma e tetahi, i raro noa iho i te sternum, me te mea kei te utaina he taumaha ki runga. |
| Ngau mamae | Tērā pea ka rongo koe i te werawera i roto i tō uma. |
| Te horapa o te mamae | Ko te mamae e tīmata ana i waenganui o te uma, ka rangona i ētahi wā me te mea ka toro ki te kaki, ki te ringa maui, ki te tuara rānei. |
| Te uaua ki te horomi (Dysphagia) |
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He aha tēnei e tupu nei? He aha ngā take?
Ina hoki, kāore anō kia mōhiotia e ngā tākuta te tino take o tēnei. Heoi, e whakaponohia whānuitia ana nā te ngoikore o ngā io e whakahaere ana i ngā uaua o te korokoro i puta ai. Pērā i te ara poto i roto i te ara iahiko hiko, ka whakararuraruhia ngā tohu mai i ngā io ki ngā uaua.
He maha atu anō ngā āhuatanga ka pā ki tēnei:
- Mate GERD: He maha ngā wā, ka pāngia hoki te hunga whai mate nei e te GERD (Gastroesophageal Reflux Disease). E whakaponohia ana ka taea e te roa o te wā e pāngia ai ngā io o te esophagus te pāngia e tēnei waikawa.
- Ētahi rongoā: Kua kitea e ngā rangahau hou ko te hunga e whakamahi ana i ngā rongoā whakamamae kaha pēnei i ngā opioids mō te neke atu i te toru marama ka nui ake te tūponotanga ka pāngia rātou e tēnei mate.
Ngā mea e whakaoho ana i tēnei ponana
Mō ētahi tāngata, ka puta ake ēnei tohu i ētahi āhuatanga. Tērā pea ka āwangawanga koe mō ēnei mea.
- I te wā e kai ana, e inu ana rānei, ahakoa tino wera , tino makariri rānei.
- I ngā wā o te ahotea nui, te manukanuka rānei.
- I ētahi wā i te wā e whakakori tinana ana .
Engari ka taea e tēnei mamae te puta i ngā wā katoa, kāore he take.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Nā te mea he rite ēnei tohu ki ērā o ētahi atu mate, he uaua pea te tautuhi he aha tonu te '(Esophageal Spasms)'.
1. Te whakarite kia kore koe e pāngia e te mate manawa: Ina haere koe ki te tākuta me te mamae o te uma, ko te mea tuatahi ka mahia e te tākuta ko te whakarite kia kore koe e pāngia e te mate manawa kino. Mō tēnā, ka whakahaerehia e rātou he whakamātautau pēnei i te ECG (Electrocardiogram) .
2. Te whakakore i ētahi atu take noa: Muri iho, ka whakahaerehia ētahi whakamātautau hei whakarite kāore he atu āhuatanga noa e puta ai ēnei tohu.
- Endoscopy o Runga: I tēnei mahi, ka whakauruhia he ngongo iti, ngāwari me te kāmera e piri ana mā te waha, ka uru ki roto i te korokoro me te puku hei tirotiro ki roto. Mā tēnei ka āwhina ki te kite mēnā he huringa, he hapa hanganga, he aukati rānei.
- Esophagram (Horomanga Pāriuma): I tēnei whakamātautau, ka hoatu he wai e kīia nei ko te barium hei inu māu, ā, ka tangohia he whakaahua hihi-X. Mā tēnei ka taea e koe te kite mārama mēnā he aukati, he whaiti rānei (he whakawhāiti) i roto i te esophagus.
3. Ngā whakamātautau motuhake: Mena kāore e taea te kimi i te pūtake mai i ngā mea o runga ake nei, ka whakahaerehia ēnei whakamātautau hei whakatau mena koinei tonu te mate.
- Manometri Esophageal: Koinei te whakamātautau pai rawa atu, me te whakamātautau pono rawa atu hei tautuhi tika i tēnei mate (paerewa koura).I roto i tēnei, ka tukuna he ngongo tino angiangi ki raro i te korokoro mā te ihu. Kātahi ka tonoa koe kia horomia he wai iti, ā, ka rerekē te pēhanga i roto i ngā uaua korokoro i a koe e horomi ana, ā, ka inehia te tauira o ngā whakawhāititanga. Mena he maha ngā whakawhāititanga rerekē e puta ana i te wā kotahi, koinei tētahi o ngā tohu matua o tēnei mate.
He aha ngā maimoatanga mō tēnei?
Ko te whāinga matua o te maimoatanga he whakangāwari i ngā uaua o te urethra me te whakaiti i ngā tohu. Mēnā kāore he tohu, kāore pea koe e hiahia ki tētahi maimoatanga.
Ngā mea ka taea e koe te mahi i te kāinga
Kua whakaatuhia e ngā rangahau ka taea e te hinu pepa te whakangāwari i ngā uaua maeneene o te korokoro. Mā te tāpiri i ētahi pata hinu pepa ki tētahi karāhe wai me te inu i taua mea ka āwhina pea ki te whakamama i ētahi tohu iti. He mea āwhina hoki te kimi i te wā me te aha ngā kai e whakaoho ai i tō mamae ngākau, me te karo i aua kai.
Rongoā
Ka tohua pea e tō tākuta ngā rongoā pēnei i ēnei hei whakahaere i ngā tohu:
- Ngā aukati hongere konupūmā: He rongoā ēnei mō te toto toto tiketike. Ina tangohia i mua i te kai, ka whakangāwari i ngā uaua o te korokoro, ka māmā ake te horomi.
- Ngā Nitrates: Āwhina ki te whakaiti i te mamae o te uma.
- Ngā rongoā ārai pouri tricyclic: Ina hoatu i roto i ngā horopeta iti, ka āwhina ēnei ki te whakaiti i te mamae mā te whakahaere i ngā io e tairongo ana ki te mamae.
Ngā werohanga paitini botulinum (Botox®)
Ki te kore e angitu ētahi atu maimoatanga, ka whakauruhia he ngongo, he rite ki te endoscopy, ā, ka werohia te Botox ki roto i ngā uaua o te korokoro. Mā tēnei ka whakakorea aua uaua mō te wā poto. Kātahi ka mutu te pupuhi. Heoi, ko te pānga o tēnei ka roa mō te ono marama anake.
Pokanga
Ka mahia tēnei i ngā wā tino kino anake, ā, kāore he maimoatanga kē atu i angitu. Ka kiia tēnei pokanga he "Myotomy." Ka tapahia e te tākuta he iti ki ngā uaua i raro i te korokoro. Kātahi ka ngaro te kaha o ngā uaua ki te whakawhāiti. Kātahi ka taea e te kaha ā-papa te neke iho o te kai.
Āhea ahau me toro atu ki te tākuta?
He mea tino nui tēnei nā te mea he rite tonu ngā tohu ki te mate manawa.
| Ki te pā mai ēnei tohu ki a koe, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera! | |
|---|---|
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| Mena ka roa ake ēnei tohu i te rua wiki, me toro atu ki te tākuta. | |
Ki te mau tonu ngā tohu pēnei i te mamae o te uma, te uaua rānei ki te horomi, kaua e warewaretia he mea noa, engari me kōrero ki tō tākuta. |
Karere Tangohia ki te Kāinga
- Ko ngā ānini o te esophagus he āhuatanga e mamae ai te uma me te kikī o te uma i te wā e horomia ai te kai, ka whakararuraru hoki i ngā mahi o ia rā.
- Ka rite pea tēnei mamae o te uma ki te mate manawa i ētahi wā. Nō reira, ki te pāngia koe e te mamae o te uma ohorere, kāore he whakamārama, haere tonu ki te Tari Ohotata (ETU) o te hōhipera, kaua e whakaaro ki tētahi atu mea.
- Ahakoa kāore i te mōhiotia te tino take o tēnei, tera pea he pānga tō te GERD me ētahi rongoā.
- He pai ngā maimoatanga hei whakahaere i tēnei mate, nō reira, ki te pā mai ngā tohumate, kaua e wareware noa, engari me kōrero ki tō tākuta.
- Ehara tēnei i te mate kino e morearea ai te ora, e puta ai rānei ngā mate kino pērā i te mate pukupuku. Nō reira kaua e mataku noa.
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