He raruraru ngākau tonu te mamae o te uma? Me ako tātou mō te mamae o te uma ehara i te mamae ngākau!

Kei te rongo koe i te kikī , te kōpiripiri, te mamae rānei i roto i tō uma i ētahi wā? He maha ngā wā ka mataku tātou ina rongo tātou kei te hē tetahi mea i roto i tō tātou ngākau, tika? Engari i mōhio koe, ehara i te mea ko te ngākau te take o ngā mamae katoa o te uma. I ētahi wā ka haere koe ki te tākuta, ka whakahaerehia he whakamātautau, ā, ka mea mai, 'Kāore he raruraru o te ngākau.' Nō reira, he aha te mea e tupu ana? Koinei tā tātou e kōrero ai i tēnei rā, arā, ko te mamae o te uma kāore e pā ana ki te ngākau. E kiia ana tēnei e te rongoā ko te 'Noncondriac Chest Pain (NCCP)'.

Nā, he aha tēnei mamae uma ehara i te mamae ngākau?

Ki te kī māmā noa, ko te 'Mamae Uma Kore-Ngakau (NCCP)' he mamae e puta pinepine ana i roto i tō uma, inā koa i waenganui o te uma, te wāhi kei reira te ngākau. Heoi, ehara tēnei i te mate ngākau. Mō te tini o te tangata, ko te take matua o tēnei momo mamae he raruraru ki te esophagus (te ngongo e kawe ana i te kai mai i te waha ki te puku ina horomia e tātou). I roto i ēnei, ko te mate e kiia nei ko te 'Mate Reflux Gastroesophageal (GERD)' te mea tino noa. I roto i a tātou, he whakanui ake tēnei i te "gastritis" "reflux" rānei, tika? Hei tāpiri, ko ngā mea pēnei i te ahotea, te manukanuka, me te pouri ka puta mai hei mamae uma tonu. I ētahi wā, ko ngā mea pēnei i ngā raruraru pukahukahu me ngā uaua ka puta te mamae o te uma. Engari ko te 'NCCP' e mōhiotia ana he mate tonu, he mate mau tonu.

He aha te āhua o tēnei mamae? He rite ki te mate manawa?

Ae, i te nuinga o te wā, ko tēnei mamae uma ehara i te mamae ngākau he rite ki te angina . Ka rite ki te mea kei te pēhia tō uma e tetahi, kei te pēhia, kei te utaina rānei he taumaha ki runga i tō uma. Ko te nuinga o te wā ka pā tēnei mamae ki muri i te wheua waenga o tō uma (sternum) . I ētahi wā ka pā ki te taha matau, ki te taha maui, ki te taha matau rānei i waenganui. Pērā i te mate ngākau, ka rite hoki tēnei mamae ki te mea ka pā ki tō kaki, ki tō ringa maui, ki tō tuara rānei.

Tērā pea ka taea e koe te mārama ki tētahi atu mea e pā ana ki ēnei mea. Hei tauira, ka puta pea tēnei mamae i muri i tō kai. Tērā rānei, ka puta mai he kare wera i roto i te uma, e kiia nei e tātou ko te "ngāwhā" , me tēnei mamae. Ka roa pea tēnei mamae mō ētahi meneti, i ētahi wā ka roa pea mō ētahi haora.

Whakaarohia, ka kai koe i tētahi tina reka, he iti nei te mea kakara, ā, i muri i tētahi wā, ina haere koe ki te moenga, ka rongo koe i te werawera i waenganui o tō uma. E whakaaro ana ētahi tāngata, 'He hau pea.' Engari ki te tupu pinepine tēnei, he tohu pea nō te 'GERD', ka mamae ai hoki te uma.

He aha te mamae o te korokoro e rite ana ki te mamae o te ngakau?

He āhua rerekē pea tēnei, engari he take anō tōna. I roto i te kōhao o tō tātou uma, kei te tata rawa te trachea ki te ngākau.Ka haria ngā tohu mamae mai i ngā whekau e rua ki te roro mā te pūnaha io pūoro kotahi. Nō reira, he tino uaua i ētahi wā ki te wehewehe i waenga i ēnei momo mamae e rua i runga i ngā tohu anake.

Heoi, ki te mea kei a koe ētahi atu tohu e pā ana ki te reflux esophageal, arā, ko te wā e rongo ana koe kei te hoki mai ngā ihirangi o te puku ki roto i tō esophagus, he tohu pea tēnā kāore te mamae e pā ana ki tō ngākau. Heoi, ko ngā āhuatanga pēnei i te pupuhi o te uaua i roto i tō esophagus, te hypersensitivity visceral rānei, ka uaua ake te tautuhi.

He pēhea te noa o tēnei āhuatanga?

He nui ake te kitea o tēnei mamae uma, ehara i te mamae ngākau, i tā tātou e whakaaro nei. E ai ki ētahi pūrongo, tata ki te 25% o ngā pakeke e pāngia ana e tēnei mate. I waenga i te 50% me te 75% o te hunga e haere mai ana ki te rūma whawhati tata me te mamae uma, ka tukuna ki te kāinga i muri i te tātaritanga he mate ngākau tō rātou. He maha ngā wā, ka whakarōpūtia ēnei take he mate kāore i te whakamāramatia, he mate i puta mai i te ahotea, i te manukanuka rānei, he "NCCP" rānei.

Me pēhea te mōhio mēnā he nui te mamae o te uma?

Koinei te mea tino nui. Tērā pea kāore e taea e koe te wehewehe i waenga i te mate manawa me te mamae uma ehara i te mamae ngākau. Nō reira, me aro nui ki ngā mamae uma katoa.

• Mena he mamae hou te mamae, ā, kua neke atu i te rima meneti te roa, me haere tonu ki te rūma whawhati tata.
• Ahakoa ka memeha haere te mamae i roto i ētahi meneti, ā, ehara i te mea ohorere, he mea nui kia tere tonu te toro atu ki te tākuta kia kitea ai te take.

Kia maumahara, ka taea e te mamae o te uma ehara i te mamae o te ngākau, ahakoa te take, te hoki mai anō. Ka pā hoki ki te kounga o tō oranga.

He aha ngā tino take o te mamae o te uma, kāore e pā ana ki te ngākau?

E ai ki tā mātou i kōrero ai i mua ake nei, ko tēnei mate `NCCP` ka puta mai i te raruraru o tō korokoro (te ngongo e kawe ana i te kai mai i tō waha ki tō puku). He maha ngā mate o te korokoro ka pā ki tēnei:

Te Mate Reflux Gastroesophageal (GERD)

Koinei te tino take . Kei waenganui i te 50 me te 60 ōrau o ngā tūroro NCCP tēnei mate. He māmā noa iho, koinei te wā e piki ake ai te waikawa o te puku ki te korokoro.

Ngā mamae o te uaua esophagus

Ka puta anō hoki tēnei momo mamae nā te kaha rawa o te kōpeketanga o ngā uaua o te korokoro, pērā i te puku i te waewae.

Ākarahia

He āhuatanga onge tēnei. Ko te mea e tupu ana i konei, kāore te takirere (sphincter) i te pito o raro o te esophagus e tuwhera tika. Kātahi ka kore e taea e te kai te uru ki roto i te puku, ā, ka mau ki roto i te esophagus.

Te aro nui ki te korokoro

He mate pāwera tēnei. Arā, ka tino pāngia ngā uaua, ngā io, me ngā kaiwhakawhiwhi i roto i ngā pakitara o te korokoro e te tairongo. Ahakoa te pēhanga, te kukume, me te waikawa e rangona ana i te nuinga o te wā, ka mamae tonu ēnei tāngata.

Te mumura o te korokoro

Ka mumura, ka whara hoki te korokoro i ngā mate pāwera, ngā mate pāwera kai (hei tauira, te eosinophilic esophagitis) , te mate pukupuku peptic rānei, ka mamae ai te uma.

He kiko rerekē i roto i te korokoro

I ētahi wā, ka tupu pea ngā kiko rerekē, pērā i ngā mowhiti, i ngā tukutuku rānei, ki roto i te korokoro, ka aukati i te korokoro.

I ētahi wā, kāore e kitea e ngā tākuta tētahi o ēnei take. Engari ina whakaūtia kāore he raruraru ngākau, ka kiia ko te "mamae uma mahi e whakapaetia ana he take mai i te esophagus."

He aha atu ngā mea ka pā mai ai tēnei mamae o te uma?

Haunga ngā raruraru o te korokoro, tera atu anō ngā take ka puta ai tēnei mate `NCCP`. Heoi, he iti ake te kitea o ēnei:

• Ngā raruraru uaua, wheua rānei i te uma, i te pakitara o te uma, i te tuaiwi rānei. Pērā i te uaua kua toia, i te raruraru rānei ki te rara.
• Ngā mate pūkahukahu mau tonu, inā koa ko ērā e pā ana ki te pleura, te kiriuhi e hipoki ana i ngā pūkahukahu.
• Ngā raruraru puku, hei tauira, te mate puku.
• Ngā raruraru hinengaro. Ngā mea pēnei i te mamae, te ahotea, te manukanuka, me te pouri .

He tohu anō kei te taha o tēnei mamae o te uma?

Ae, he maha ngā tāngata e mamae ana te uma, ehara i te mamae o te ngākau, he tohu anō hoki e pā ana ki te GERD. Hei tauira, ko te mamae o te uma me te reflux waikawa. He mea noa anō hoki ētahi atu amuamu nakunaku, pērā i te mamae o te korokoro, te ruaki, me te uaua ki te horomi. Tata ki te 80% o ngā tāngata e whai NCCP mahi ana kua kitea he mate nakunaku mahi kē atu kāore he take mārama. Ko ngā mea tino noa ko te Irritable Bowel Syndrome (IBS) (tata ki te 27%) me te pupuhi puku mahi (tata ki te 22%).

Ki ētahi tāngata, e pā ana tēnei mamae o te uma ki ngā tohu hinengaro. Arā, ngā mea pēnei i te ahotea, te manukanuka, me te pouri. Ahakoa he take kē te mamae, ka taea hoki te hono atu ki tēnei āhuatanga hinengaro. Inaa, he hononga kaha kei waenganui i ngā tohu hinengaro me te mate pāwera o te korokoro, tae atu ki te mumura o te uma. Ka taea e te ahotea te whakaputa i ngā tohu o te pūnaha nakunaku, ā, ka taea e aua tohu te whakanui ake i te ahotea. E whakapono ana ngā tākuta he ngoikore pea te hononga puku-roro i waenganui i ō tātou whekau me te roro .

He aha ngā āhuatanga mōrearea e pā ana ki tēnei?

Ahakoa ehara i te tino take, kua kitea he hononga ēnei āhuatanga ki te mamae o te uma ehara i te mamae o te ngākau:

• Teitei o te Taupū Papatipu Tinana (BMI) - Ko te tikanga he nui atu tō taumaha i te mea e tika ana mō tō teitei.
• Te momi hikareti, te whakamahi tupeka rānei.
• Ngā `NSAID` (Non-steroidal Anti-inflammatory Drugs) - Ko te tikanga tēnei ko te whakamahi pinepine i ngā rongoā non-steroidal anti-inflammatory (hei tauira, ngā rongoā whakamamae mamae pēnei i te ibuprofen me te diclofenac).
• Te manukanuka .

Me pēhea te tautuhi i tēnei mate?

Mena kei te pāngia koe e te mamae o te uma e rite ana ki te mate manawa, ko te mea tuatahi me mahi e koe ko te haere ki te rūma whawhati tata. I reira, ka tangohia e rātou ngā tohu ora katoa , pēnei i tō toto toto me te tere o te manawa, ā, ka mahia he whakamātautau tinana katoa. Kātahi ka tirohia e rātou mēnā he mate manawa, he mate manawa rānei. Kei roto i tēnei ko te whakamātautau `EKG (Electrocardiogram)` (he whakamātautau kore mamae e tuhi ana i te mahi hiko o te manawa) me ngā whakamātautau toto. Ka taea e ēnei whakamātautau toto te kite i te aroaro o ētahi pūmua e tukuna ana e te manawa i te wā o te mate manawa. Kia whakaūtia rā anō kāore he raruraru manawa, ka kitea ai koe he `mamae uma kore-ngākau'' (NCCP).

Kia whakaūtia e te tākuta ngakau, e tō tākuta whānau rānei kāore he raruraru ngakau, tera pea ka tukuna koe e rātou ki te tākuta puku . Ka tirohia e ia ngā mate o te korokoro, inā koa ko te GERD.

Ko tētahi huarahi hei mahi i tēnei ko te tohu i tētahi rongoā e kiia nei ko te aukati papu-porotini (PPI) . He rongoā tino whai hua ēnei mō te GERD. Mēnā ka pai ake ō tohu i muri i te whakamahinga o tēnei rongoā, tera pea ka āwhina ki te whakatau i te take.

Ko ētahi atu whakamātautau ka uru atu ki te rangahau pH o te korokoro , te whakamātautau nekehanga o te korokoro , te tirotiro i te taha whakarunga, te tirotiro i te okana rānei. Haunga ēnei whakamātautau tinana, ka pātai te tākuta mō tō hītori hauora, ā, ka kōrero mō tō ahotea me ngā āhuatanga kare ā-roto.

He aha ngā maimoatanga mō tēnei?

Hei whakarato i tētahi maimoatanga whai hua, me kimi e koe te tino take o tō mamae uma ehara i te mamae o te ngākau. He maha ngā kōwhiringa maimoatanga:

Ngā maimoatanga reflux waikawa

Mena, pērā i te nuinga o te tangata, ko tō NCCP i puta mai i te GERD, he māmā noa iho te maimoatanga, ā, he whai hua hoki. Ngā Ārai Papu Porotene (PPI)Ko te rongoā tino whakamahia mō te GERD. Mā te whakaiti i te nui o te waikawa e whakaputaina ana e ngā repe puku ka mahi ngā PPI. Ka āwhina tēnei ki te whakaora i ngā mate puku me te whakaiti i te kino i puta mai i te waikawa. I te nuinga o te wā ka tīmata te maimoatanga me te horopeta nui hei whakahaere i ngā tohu. Kātahi ka haere tonu te horopeta iti mō ngā marama e rua ki te whā. Tata ki te 90% te whai huatanga o ngā PPI ki te rongoā i te GERD me ōna pānga taha. Ki te kore ēnei e mahi, tera pea he take kē atu i puta ai tō NCCP.

Ngā aukati mamae

Ko te rongoā whai hua e whai ake nei e whakamahia whānuitia ana ko ngā rongoā aukati mamae. Nō roto ēnei i tētahi akomanga rongoā e kiia nei ko ngā rongoā ārai mamae tricyclic (TCA) . Heoi, he iti ake te horopeta e hoatu ana i ērā e whakamahia ana mō te pouri. Mena he uaua ki a koe te aro atu ki ngā pānga taha o ngā TCA, tera pea ka āwhina ētahi atu momo rongoā ārai mamae. Kua whakaatuhia e ngā aukati whakahokinga serotonin whiriwhiri (SSRI) ētahi angitu ki te NCCP, engari kāore i te tino mōhiotia pērā i ngā TCA.

Ngā rongoā kare ā-roto me ngā rongoā whanonga

Kua kōrero mātou ko te mamae o te uma kāore e pā ana ki te ngākau ka pā pea ki te pouri, te manukanuka, te ahotea rānei. Ka taea e te hinengaro whakaora te āwhina i te whakatika i ēnei take me te whakaiti i te auau o te mamae o te uma. Ka ako te Whakaora Whanoke Hinengaro (CBT) i a koe ki te whakarerekē, ki te whakakore rānei i ngā tauira whakaaro e puta ai te ahotea, te manukanuka rānei. Ko te urupare koiora he rongoā hinengaro-tinana ārahi. Ka āwhina i a koe ki te whakarerekē i te huarahi e urupare ai tō tinana ki ētahi whakaohooho (tae atu ki ngā whakaaro). Ka taea hoki e koe te whakamātau i ngā tikanga whakahaere ahotea i te kāinga (hei tauira, te whakaaroaro, te whakakori tinana, ngā tikanga whakangā).

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea whakamataku te mamae o te uma, ina koa ka rite ki te mea nō te mate ngākau. Ka pāngia koe e tēnei momo mamae i ia wā, ā, ka whakararuraru i a koe ki te harikoa i te ao.

Nō reira, ki te mamae tonu tō uma, me aro nui ki tēnā. Kaua e whakaroa ki te rapu tohutohu hauora.

Tērā pea he uaua, he whakamātautau hoki te kimi i te pūtake o tō mamae uma. Engari he pai te mahi. Nā te mea i te nuinga o te wā, ina kitea e koe te pūtake, he tino māmā te rongoā. Ahakoa he uaua te pūtake, he nui ngā mea ka taea e koe te ako mō te urupare a tō tinana ki te kai, ki te ahotea, me ngā whakaaro. Mā taua mōhiotanga koe e āwhina i a koe i tō ara ki te whakaoranga mō te wā roa. Nō reira, tiakina tō hauora tinana.

Mamae o te uma, Mate ngākau, GERD, Esophagus, Taumahatanga, Pūnaha nakunaku, Mamae uma kore-ngākau