He mamae kei waenganui o tō uma? Kia mōhio tātou ki te Sternum!

Ka pāngia koe e te mamae, te kikī, te kōpiripiri rānei i waenganui o tō uma i ētahi wā? Hei whakamārama, ko te wheua papatahi kei waenganui o tō uma. Ina tae mai tēnei mamae, he tokomaha e mataku ana, "He mate manawa tēnei?" He tika taua mataku, engari ehara i te mea ko ngā mamae uma katoa he mate manawa. He maha atu anō ngā take mō te mamae i waenganui o tō uma. Nō reira, i tēnei rā, me kōrero tātou mō tēnei wheua nui kei waenganui o tō tātou uma, te sternum, ngā take e mamae ai, me ngā mea me mōhio tātou.

He aha tēnei sternum? Ko tōna tikanga ko te wheua waenga o te uma.

Ki te kī māmā noa, ko te sternum te wheua papatahi, āhua-T kei waenganui o tō uma, kei mua. Ahakoa e kīia ana ko "sternum" i te reo Sinhala, e mōhiotia ana e te nuinga ko te "uma" i roto i te reo noa.

Ehara tēnei i te wheua noa iho. He mahi tino nui tēnei.

Ngā mahi matua o te sternum

• Te tiaki: Ko te sternum, me te rib cage, te whakangungu rakau matua e tiaki ana i ngā okana tino tairongo me te tino nui o te tinana, pērā i te ngākau me ngā pukahukahu . Ka tiaki hoki i te puku, te korokoro, me ngā uaua toto nui.
• Te Whakaritenga: He rite tēnei ki te pūwāhi o tō tātou pūnaha angaanga. Ka hono atu tō tātou wheua kara (clavicle) me ngā takirua rara e ono o runga ki tēnei sternum. Ka hono atu hoki ki ētahi uaua i te uma me te puku o runga.
• Āwhina i te manawa: Ahakoa kāore te sternum e neke tika ana, mā te kiriuhi ngāwari, e hono ana i ngā rara ki a ia, ka taea e te uma te whānui me te whakawhāiti paku i a tātou e manawa ana, e whakaputa ana hoki i te manawa.

He aha ngā wāhanga o te sternum?

Ki te titiro tātou ki tēnei wheua o waenganui o te uma, e toru ngā wāhanga matua o roto. Ka taea e tātou te whakaaro he rite ki tētahi hoari kua hurihia ki raro.

1. Manubrium: Koinei te wāhanga whānui rawa atu, te wāhanga kaha rawa atu hoki o te sternum, kei te tihi. He rite ki te kakau o te hoari. Ka piri ō tātou wheua kaki e rua me te takirua rara tuatahi ki tēnei wāhanga.

2. Tinana: Koinei te wāhanga waenga, te wāhanga roa rawa, me te wāhanga papatahi. He rite tōna āhua ki te mata o te hoari. Ka piri ngā rara mai i te tuatoru ki te whitu o ngā rara ki tēnei wāhanga.

3. Tukanga Xiphoid: Koinei te wāhanga iti, koi i te raro o te sternum. He rite ki te pito o te hoari. I a tātou e tamariki ana, ko te nuinga o te wā he mea hanga ki te kiriuhi. I a tātou e pakeke haere ana, ka huri haere hei wheua (ka whakapūmau). Ka pā pea ētahi tāngata ki tēnei wāhanga hei puku iti ina pā atu rātou.

He aha i mamae ai tēnei wheua rara o waenganui? Ngā take matua

Āe, kua tae tātou ki te wāhanga tino nui. He maha ngā take e pā ai te mamae ki te rohe o te sternum. Ko ētahi e pā ana ki te wheua tonu, ko ētahi e pā ana ki ngā uaua e karapoti ana, ki te kiriuhi, ki ngā hononga rānei. Ko ētahi atu mamae ka puta mai i ngā raruraru ki ētahi atu okana o te uma, engari ka rongohia e tātou i waenganui o te uma. Me titiro tātou ki ēnei take i roto i tētahi ripanga.

He aha ngā tohu o ia mate?

Nā, me titiro tātou ki ngā tohu ka pā ki a koe i roto i ia o ēnei āhuatanga. Mā te mōhio ki ēnei ka āwhina i a koe ki te whakamārama i tō āhuatanga ki tō tākuta.

Te mate pukupuku o te korokoro

• He mamae koi, he mamae wero i waenganui, i ngā taha e rua rānei o te uma.
• Ka piki ake te mamae ina manawa hōhonu koe, ina maremare, ina tihe, ina nekehia rānei tō uma.
• Ka tino mamae te pēhi i tō matihao ki te wāhi mamae.
• I ētahi wā ka horapa hoki tēnei mamae ki ngā ringa me ngā pakihiwi.

Whati o te puku

• Te mamae nui kua pā mai i muri i te aituā.
• Ka kino haere te mamae ina manawa ana, ina maremare ana rānei.
• Te pupuhi me te maru (te tae kikorangi) i te wāhi e mamae ana.
• Te uaua ki te manawa.

Te rerenga waikawa

• He kare e mura ana i waenganui o te uma (he ngau o te uma) . Me te mea kei te mura.
• Ka piki ake tēnei i muri tata i te kai, i te takoto rānei ki te moe.
• He reka kawa i roto i te waha, he kai rānei e hoki mai ana i te korokoro .
• Te mimi pinepine.

Te taumahatanga o te uaua

• Te mamae ka piki ake i te tahuritanga o te uma, te hapai i te ringa, te mahi rānei i tētahi mahi.
• Ka iti haere te mamae i te okiokinga.
• Te mamae i te wā e whakakukū ana ngā uaua o tō uma.

He aha ngā maimoatanga mō tēnei mamae?

Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te pūtake o tō mamae. Koia te mea nui kia kite koe i te tākuta kia tika ai te tātaritanga . Ka tirotirohia koe e te tākuta, ā, ki te tika, ka whakaritea he whakamātautau pēnei i te hihi-X, te ECG rānei hei whakatau i te pūtake.

• Mō te mamae o te hope me te uaua: Ko te okioki te rongoā pai rawa atu. Tērā pea ka tūtohutia kia whakamahia ngā rongoā mamae (hei tauira, ngā NSAID) me te whakamahana i te wāhi e mamae ana.
• Mō te whati o te sternum: Ka rerekē te maimoatanga i runga i te āhua o te whati. Mō ngā whati iti, he rawaka te okiokinga me ngā rongoā whakamamae. Heoi, mō ngā whati kino, me mahi pea te pokanga.
• Mō te reflux waikawa: Ka hoatu ngā huringa āhua noho (hei tauira, te whakaiti i ngā kai raukikī, hinuhinu, te mutu takoto i muri i te kai) me ngā rongoā hei whakahaere i te waikawa o te puku (antacids, PPI).
• Mō ngā mate pāwera: Mena he mate kitakita pērā i te niumōnia, ka hoatu he paturopi.

He mate manawa tēnei? Me pēhea koe e mōhio ai ki te rerekētanga?

Koinei te pātai nui rawa atu a te katoa. He rerekētanga kei waenganui i te mamae e pā ana ki te sternum me te mamae e puta ana i te wā o te whakaeke ngakau.

Koinei ngā tohu tino kitea o te mate ngakau:

• He mamae, he pēhanga rānei e kore e taea te manawanui i waenganui o te uma, me te mea nei e pēhia ana, e kuruhia ana, e herea ana rānei .
• Ka horapa pea tēnei mamae ki te ringa maui, ki te pakihiwi, ki te kaki, ki te kauae, ki te tuara rānei .
• Te uaua ki te manawa me te wheezing.
• Te werawera nui (te werawera makariri).
• Te whakapairuaki, te ruaki , me te ānini.

He rerekē, i roto i te āhua pēnei i te "costochondritis", ka pā te mamae ina pēhia te wāhi mamae ki tō maihao (kāore e tupu i roto i te whakaeke ngakau), ā, ka rerekē te mamae ina nekehia tō tinana me te manawa.

Āhea tātou me tino kite i te tākuta?

Mena ka pāngia koe e tētahi o ngā āhuatanga e whai ake nei, me rapu tohutohu hauora koe.

• Mena i puta te mamae i muri i tētahi aituā.
• Mena ka piki haere te mamae i ia rā, i ia rā.
• Mena ka puta ngā tohu pēnei i te uaua ki te manawa, te werawera nui, me te whanoke me te mamae (haere tonu ki te ETU).
• Mena kei te haere tahi te mamae me te ruaki nui, te ruaki toto rānei.
• Ki te kore te mamae e memeha ahakoa kua tangohia ngā rongoā whakamamae mamae auau.