Mamae uma, engari ehara i te raruraru ngākau? Me kōrero tātou mō (Mamae uma kore-ngākau)

Whakaarohia kei te pāngia koe e te mamae o tō uma, me te mea he taumaha kei runga. Kāore ianei koe e mataku? Ka tere haere tō tātou hinengaro i te mataku, "He mate manawa tēnei?" He tika tonu taua mataku. Engari i mōhio koe, ehara i te mea ko te mamae o te uma katoa he raruraru manawa. I ētahi wā ko te take o tēnei mamae he mea kāore he pānga ki te manawa. I tēnei rā, i roto i tēnei tuhinga, ka kōrerohia e tātou tēnei mamae o te uma e mataku ana te tini o te tangata, engari kāore e pā ana ki te manawa, e mōhiotia ana i roto i te rongoā ko (Noncondriac Chest Pain - NCCP) .

Ki te kī ngāwari, he aha te tikanga o tēnei?

Ko te mamae uma kore-ngākau (NCCP) he mamae noa iho i te uma e puta ana, kāore he raruraru ki te ngākau. Ka rite tonu te mamae ki te mamae e puta mai ana i te whakaekenga ngākau (angina). Koia te take e whakapoauau ai, e whakamataku ai hoki i a tātou.

Tērā pea kei te whakaaro koe, "Ki te kore te ngākau, he aha i mamae ai te uma?" He pātai pai tēnā. Kei te tata tonu te esophagus ki te wāhi kei roto i te uma te ngākau, koinei te wāhi e haere ai te kai ki te puku ina kai tātou. Ko ngā tohu mamae mai i ngā whekau e rua ka haria ki te roro e te pūnaha io kotahi. Nō reira, i ētahi wā, kāore e taea e te roro te kī mēnā kei te ngākau te mamae, kei te esophagus rānei. He rite ki te rongo i tētahi raruraru i te taha, me te mea he raruraru kei te kāinga.

Ko te mea e kīia nei e te tini o tātou ko te "ngāwhā o te ngākau" ehara i te mea he raruraru ngākau, engari he mumura i puta mai i te pikinga ake o te waikawa o te puku ki roto i te korokoro. Ahakoa te ingoa, kāore he pānga ki te ngākau. He tauira pai tēnei o te NCCP.

He aha te āhua o tēnei mamae? He aha ngā tohu?

E ai ki te kōrero i mua ake nei, he rite tonu tēnei mamae ki te mamae e pāngia ana e te mate manawa. Nō reira, he uaua pea te wehewehe i waenga i ngā mea e rua. Me titiro tātou ki ēnei tohu.

Ka tīmata pea tēnei mamae i ētahi wā i muri i te kai nui, i te wā rānei e pāngia ana koe e te ahotea. Ka roa pea mai i te torutoru hēkona ki te torutoru hāora. Mena ka roa te mamae mō te neke atu i te torutoru meneti, he mea whakaaro nui kia rapu tohutohu hauora tonu.

He aha tēnei e tupu nei? He aha ngā take matua?

Āe, kia titiro tātou he aha atu ngā mea e pā ai tēnei mamae, ki te kore te ngākau.

1. Ngā raruraru o te korokoro

Koinei te take tino noa mō te NCCP.

• GERD (Mate Reflux Gastroesophageal): Ki te whakarāpopototanga, he āhuatanga tēnei e puta ana ina kaha te gastritis. Ka piki ake te waikawa i roto i te puku ka haere ki runga i te esophagus ki roto i te korokoro. Ka tahuna e tēnei waikawa ngā pakitara o te esophagus, ka puta te mumura me te mamae. Koinei te mea i huaina e tātou ko te "ngāwhara o te ngākau" i kōrerohia e tātou i mua ake nei.
• Esophagitis: Haunga te GERD, ka pupuhi te arai o te korokoro i ētahi atu mate, ētahi rongoā, mate pāwera rānei. Ka mamae hoki te uma i tēnei pupuhi.
• Ngā raruraru uaua o te korokoro: He ngongo uaua te korokoro. Ki te kore e mahi tika ēnei uaua, ka taea e rātou te kōpeke, te whakawhāiti rānei. Ka taea e tēnei te whakararu i te uma me te uaua ki te horomi.
• Te Tairongo Nui o te Korokoro: He tino tairongo ngā io o te korokoro o ētahi tāngata. Ahakoa he iti noa te panonitanga o te pēhanga, he iti noa rānei te waikawa, e kore e kitea e te tangata noa, ka taea tonu te rongo he mamae nui ki a rātou.

2. Mamae o te Uaua

I ētahi wā, kāore te mamae e puta mai i roto i te uma, engari mai i te pakitara o te uma.

• Ka taea hoki te mamae o te uma te puta mai i ngā āhuatanga pēnei i te rara haehae, te rara maru, te mumura rānei o te kiriuhi e hono ana i ngā rara (costochondritis) .
• Ko tētahi huarahi māmā ki te tautuhi i tēnei ko te pēhi tika i tō matihao ki te wāhi e mamae ana koe, ā, ki te kaha haere te mamae, he mamae uaua, he mamae wheua rānei pēnei.

3. Ngā Āhuatanga Hinengaro

He mea miharo tēnei ki te tini, engari he mea tino nui.

• Ko ngā mea e pā ana ki a tātou i roto, pērā i te ahotea, te manukanuka, me te pouri, ka puta hei mamae tinana, inā koa te mamae o te uma.
• Whakaarohia kei te pāngia koe e te mataku me te manukanuka ohorere (whakaekenga mataku), he uaua ki te manawa, he kikī tō uma, he tere ake te pao o tō ngākau, ā, e rite ana koe ki te pāngia e te whakaekenga ngākau. Ahakoa he āhua hinengaro tēnei, ko te mamae e pā ana ki a koe he mamae tūturu 100%.

4. Ngā Āhuatanga o te Pūkahukahu

Ahakoa he onge, ka taea hoki te mamae o te uma te puta mai i ētahi mate pūkahukahu, pērā i te pleural effusion , te pneumothorax rānei.

Me pēhea te kitenga a ngā tākuta i tēnei?

Ka haere koe ki te hōhipera, inā koa ki te Tari Urutā (ETU), me te mamae o te uma.Ina haere koe, ko te mea tuatahi ka mahia e te tākuta ko te tirotiro mēnā he mate manawa tōu e morearea ana ki te ora. Koinei te mea nui.

1. Te whakaū kāore he mate ngākau:

• Ngā whakamātautau toto: Ka tirohia e ēnei ngā whākōkī e kohia ana i roto i te toto i te wā o te whakaeke ngakau.
• ECG (Electrocardiogram): Ka tirohia te ngohe hiko o te ngākau kia kitea ai mēnā he tauira rerekē.
• Whakamātautau ahotea whakakori tinana: Ka mahia he ECG i a koe e whakakori tinana ana hei tirotiro i te urupare a tō ngākau ki te ahotea.
• Matawai CT o te ngākau: Ka taea tēnei whakamātautau hei tirotiro mēnā he aukati kei roto i ngā oko toto o te ngākau.

Kia oti ēnei whakamātautau katoa te mahi, ā, kia tino mōhio hoki koe ehara i te ngākau te pūtake o tō mamae uma, ka whakatau te tākuta kei a koe te NCCP.

2. Muri iho, kimihia te take:

• Kātahi pea ka tukuna koe ki tētahi tohunga puku .
• I reira, ka mahia ngā whakamātautau pēnei i te endoscopy o runga (te tirotiro i te korokoro me te puku ki te ngongo me te kāmera), te manometry korokoro , te whakamātautau pH korokoro rānei hei rapu i te tino pūtake o te mamae.
• I ētahi wā ka whakamātau tuatahi tō tākuta i ētahi rongoā mō te GERD (pērā i ngā Proton Pump Inhibitors - PPI). Mēnā ka whakaitihia e aua rongoā te mamae o tō uma, ka taea te whakaū ko te GERD te take.

He aha ngā maimoatanga?

Ko te maimoatanga e whakawhirinaki ana ki te pūtake o tō mamae.

• Mena ko te GERD te take: Ka hoatu ngā rongoā pēnei i ngā aukati papu proton (PPI) hei whakaiti i te hanga waikawa o te puku. Koinei ngā maimoatanga e whakamahia whānuitia ana, ā, e tino whai hua ana hoki.
• Mena he raruraru kei ngā uaua o te urethra te take: He rongoā, he maimoatanga rānei hei whakangāwari i aua uaua, hei whakaora rānei i tā rātou mahi.
• Mena ko te ahotea, ko te manukanuka rānei te take: He mea tino nui te rongoā hinengaro me te whakahaere ahotea. Waihoki, i ētahi wā ka hoatu ngā rongoā ārai pouri , pērā i ngā rongoā ārai pouri tricyclic , SSRI rānei, i roto i ngā horopeta tino iti. Ehara i te mea ko te rongoā anake te rongoā e whakamahia ana mō te pouri, engari ka whakamahia hoki hei whakahaere i te mamae io mō te wā roa. Nō reira, ki te tohua he rongoā e tō tākuta, kaua e whakaaro, "Kāore au i te porangi, he aha koe i homai ai i tēnei rongoā ki ahau?"

Ehara i te mea he mea whakamataku te mamae o te uma, ehara i te mamae ngākau. Heoi, ka pā nui pea ki te kounga o tō oranga. Ehara i te mea ngāwari te noho me te wehi tonu mō te mamae o te uma. Waihoki, ki te kore e rongoatia te take matua (hei tauira, te GERD), ka arahi pea ki ētahi atu raruraru i roto i te wā.