Kua pāngia koe e te mamae wero i te taha o tō uma ina huri whakarere tō tinana, ina manawa hōhonu, ina kata nui rānei? He tokomaha e āwangawanga ana he raruraru ngākau. Engari ehara i te mea ko te ngākau te take o ngā mamae uma katoa. Inaa, he pūnaha uaua kei roto i tō tātou tinana he mea nui ki te tukanga manawa, engari kāore tātou e kōrero nui mōna. I tēnei rā kei te kōrero tātou mō tēnei pūnaha uaua nui e huna ana i waenganui i ō tātou rara, arā, ko ngā Uaua Intercostal.
He aha ēnei uaua i waenganui i te kōpū?
Ki te kī ngāwari, koinei ngā uaua e hono ana i ō rara tetahi ki tetahi. Whakaarohia tō kete rara he arawhata. Ko ngā kaupae o taua arawhata ko ngā rara. Ko ēnei kaupae, arā, ko ngā rara, e hono ana tetahi ki tetahi, ā, e pupuri ana kia kaha, kia ngāwari hoki e ēnei uaua intercostal. Ko te kupu "intercostal" i ahu mai i te kupu Latina mō "i waenganui i ngā rara."
Kei roto i ngā mokowā i waenganui i ngā rara ēnei uaua, e kiia ana i roto i ngā kupu hauora ko ngā "mokowā i waenganui i ngā hope". Ehara i te mea ko ngā uaua anake kei roto i ēnei mokowā, engari ko ngā uaua toto hoki e tuku toto ana ki a rātou me ngā io e kawe ana i ngā kare ā-roto. Nō reira, he pūnaha tino uaua, he mea nui hoki tēnei.
He aha te mea e tupu ana ki ēnei uaua?
Ko te mahi matua, ko te mahi nui rawa atu o ēnei uaua, ko te āwhina i te tukanga manawa. Ina manawa koe, ina whakaputa manawa koe, ka whānui, ka whakawhāiti hoki tō rara, tika? Ko ēnei Uaua o te Iwi me te uaua nui e kiia nei ko te diaphragm e wehe ana i te uma me te puku te mea e whakahaere ana i taua tukanga.
Pērā i te tīma e hoe ana i tētahi poti, ka mahi tahi ēnei uaua ki te whakawhānui me te whakawhāiti i te kōhao o te uma.
- Ina manawa koe (te manawa): Ka whakawhāiti ngā uaua o waho o te ihu, ka kukume i te rara ki runga, ki waho hoki. Ka whakanuia ake te wāhi i roto i ngā pukahukahu, ā, ka whakaitihia te pēhanga. Nō reira, ka kumea aunoatia te hau mai i waho ki roto i ngā pukahukahu.
- Ina whakapūha koe i te manawa (Te whakapūha): Ka whakawhāiti ngā uaua o roto o te ihu, ka kukume i te rara ki roto, ki raro anō hoki, ka pēhi. Ka puta he pēhanga ki runga i ngā pukahukahu, ka panaia te hau ki roto ki waho.
Haunga te manawa, ka āwhina ēnei uaua ina hiahia koe ki te pupuhi tere i te hau mai i ō pukahukahu, pērā i te wā e maremare nui ana koe, e tihe ana, e kata ana, e aue ana rānei.
Kia tirohia ake tātou ēnei momo uaua e toru me ā rātou mahi.
| Momo Uaua | Mahi Matua |
|---|---|
| Ngā uaua intercostal o waho | He āwhina nui ki te manawa . |
| Ngā uaua intercostal o roto | He āwhina nui ki te manawa . |
| Ngā uaua intercostal o roto rawa | I te wā e whakapūha ana, ka tautokona ngā uaua intercostal o roto. |
He aha ngā āhuatanga noa e pā ana ki ngā uaua intercostal?
Pērā i tētahi atu uaua, ka pāngia pea ēnei uaua i waenganui i ngā ihu e ngā mate maha, ngā whara, me ngā āhuatanga hauora.
- Te kino o te uaua: Koinei te mea tino noa. Whakaarohia te hiki i tētahi mea taumaha, te takahurihuri ohorere i tō tinana i a koe e takaro ana i ngā hākinakina, te maremare nui rānei i muri i tētahi rā roa. I ēnei wā, ka taea e ēnei uaua te pēhi, te haehae, te kōpeke rānei.
- Ngā rara whati: Mena ka whati tetahi rara nā te aituā, nā te hinganga rānei, ka pakaru pea ngā uaua intercostal e karapoti ana.
- Te pokanoa ki ngā tohu mai i te roro: I roto i ētahi mate pūnaha io, pērā i te amyotrophic lateral sclerosis (ALS), ka ngoikore ngā tohu mai i te roro ki ngā uaua. Ka taea e tēnei te ngoikore o ngā uaua e whai wāhi ana ki te manawa.
- Te whara o te taurakira: Mena ka pakaru ngā io i te aituā ki te taurakira, ka taea e ēnei uaua te pararutiki.
- Ngā maimoatanga hauora: I ētahi wā, ka pāngia ēnei uaua i te wā e pokanga ana i ngā pukahukahu, i ngā maimoatanga rānei pērā i te thoracostomy, arā, ko te whakatakoto i tētahi ngongo ki roto i te uma.
I ētahi wā, ko te mamae e pā ana ki a koe, tera pea nā te mate e kiia nei ko te "costochondritis." He mumura tēnei o te kiriuhi e hono ana i ngā rara ki te wheua "sternum" i waenganui o te uma. Ehara tēnei i te raruraru uaua, engari he tino ōrite ngā tohu, ā, ka taea te pohehe mōna.
Me pēhea te mōhio ki tētahi raruraru o ēnei uaua? He aha ngā tohu?
Mena he raruraru ō uaua i waenganui i ō hope, tera pea ka pāngia koe e ngā tohu maha. Ko ētahi o ēnei tohu he rite ki ērā o te mate manawa, ka mataku ai te tini o te tangata. Heoi, he mārama ngā rerekētanga i waenga i ēnei tohu.
| Tohu | Whakamārama Māmā |
|---|---|
| Mamae uma uaua | He mamae koi, he werowero te nuinga o te wā. Ka piki ake te mamae ina manawa hōhonu koe, ina maremare, ina tahuri rānei tō tinana. Ka taea e koe te tohu ki te wāhi tika o te mamae. Ko te mamae o te mate manawa he rite ki te pēhi i waenganui o te uma. |
| Pupuhi | Tērā pea ka kite koe i te pupuhi iti i te wāhi i pakaru ai te uaua. |
| Marumarutanga | Ki te pakaru tetahi uaua i tētahi aituā, ka kikorangi pea te kiri o taua wāhi. |
| Te ngoikore, te pararutiki rānei | Mēnā ka pakaru ngā io, ka uaua pea te manawa, ka ngoikore rānei ngā uaua o tō uma. |
| Āhua ohorere: Ngā whakahokinga o te uaua i waenganui i te kōpū | |
| Ngā whakahokinga o te ihu waenga | He mate kino tēnei e hiahia ana kia rapua te awhina hauora tonu.Ki te mea kei te keri te kiri i waenganui i ngā rara ki roto i te manawa, he tohu tēnei he tino uaua te manawa. He tino noa tēnei āhuatanga i roto i ngā tamariki nohinohi e pangia ana e ngā mate manawa. Ki te kite koe i tētahi tohu pēnei, me kawe tonu rātou ki te Tari Mate Urutā (ETU) o te hōhipera tata. |
Me pēhea te tirotiro a te tākuta i tēnei?
Ina haere koe ki te tākuta me ēnei tohu, ka whakahaerehia e ia ētahi whakamātautau hei kimi i te pūtake.
- Whakamātautau tinana: Koinei te mea tuatahi ka mahia. Ka pātai atu te tākuta ki a koe i ētahi pātai, pēnei i te tīmatanga o te mamae me te wā ka kino haere. Kātahi ka whakarongo rātou ki tō uma, ka pēhi i te wāhi e mamae ana, ā, ka mātakitaki i tō manawa.
- Ngā whakamātautau whakaahua: Ka āwhina ēnei ki te tirotiro i te āhua o ngā uaua, ngā wheua, me ngā kiko e karapoti ana. Tērā pea ka mahia he ultrasound, he whakaahua aukume rānei (MRI) mēnā e tika ana.
- Ngā whakamātautau io: Mena kei te whakapaetia he kino o te io, ka taea te whakahaere i tētahi rangahau kawe io, e ine ana i te tere o te haere o ngā tohu mā roto i ngā io, i tētahi electromyography rānei, e ine ana i te ngohe hiko o ngā uaua.
Kāore pea koe e hiahia ki ēnei whakamātautau katoa. Mā tō tākuta e whakatau ko tēhea whakamātautau te mea tino tika māu i runga i ō tohu me tō āhua.
He aha tāu e mahi nei hei maimoatanga?
Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki tō āhua, tōna kaha, me te take.
I te nuinga o te wā, kāore e hiahiatia he maimoatanga motuhake mō ngā uaua iti. Ka ora ake i roto i te wā. I roto i ēnei āhuatanga, ka hoatu pea e te tākuta ētahi tohutohu penei:
- Okiokinga: Kaua e mahi i ngā mahi e whakanui ana i te mamae mō ētahi rā.
- Hukapapa: Mō ngā rā tuatahi e rua ki te toru, tāpirihia he putea hukapapa ki te wāhi e mamae ana, e pupuhi ana hoki, he maha ngā wā i te rā.
- Ngā rongoā mamae: Tangohia te paracetamol, tētahi atu rongoā mamae rānei kua tohua e tō tākuta.
Heoi, ki te nui te mamae, he uaua ki te manawa, ki te mea rānei nā tētahi atu mate hauora nui te raruraru, me whai maimoatanga motuhake pea. Nō reira , he pai ake, he haumaru hoki te kōrero ki tō tākuta kia kitea ai te maimoatanga pai rawa atu māu.
Ahakoa kei te pānui koe i tēnei tuhinga, kei te mahi tonu ō uaua i waenganui i ō hope, kāore koe e mōhio. Kei muri i ia manawa e manawa ana koe, kei reira te mahi a ēnei uaua. Kāore tātou e whakaaro ki a rātou kia tika rā anō tā rātou mahi. Engari ina puta he raruraru iti noa iho, ka kore e taea e te mamae te whakaaro ki tētahi atu mea. Nō reira, ki te mea he tohu, he ruarua rānei āu mō ēnei uaua, kaua e whakaroa ki te rapu tohutohu hauora.
Karere Tangohia ki te Kāinga
- Ko ngā uaua intercostal he rōpū uaua kei waenganui i ō rara, he mea nui mō te tukanga manawa.
- Ehara i te mea he raruraru ngākau te mamae o te uma katoa. Ko te mamae koi e piki haere ana ina manawa hōhonu koe, ina maremare, ina tahuri rānei tō tinana, tera pea nā te kōpeketanga o te uaua.
- Ka pakaru pea ēnei uaua nā ngā aituā, te nui rawa o te korikori tinana, te maremare roa rānei.
- Ki te kume te kiri i waenganui i ngā rara ki roto i te wā e manawa ana (ngā whakahokinga o te ihu ki waenganui i te hope), he mate kino rawa atu tēnei, ā, me tere tonu te whakauru ki te Tari Ohotata (ETU) o te hōhipera.
- Mena kei te mamae tō uma, kei te uaua rānei te manawa, me toro atu ki tō tākuta kia tika ai te tātaritanga me te maimoatanga.
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