Kia ora! Kua whakaarohia e koe te wheua papatahi i waenganui o tō uma? He tokomaha o tātou e kī ana ko te 'wheua uma'. Ko ētahi e kī ana ko te 'sternum'. Nō reira, i te reo Pākehā, e kīia ana ko te 'sternum'. He wheua tino nui tēnei, e tiaki ana i ngā whekau maha i roto i tō tātou uma, ā, e hono ana ki ētahi atu wheua me ngā uaua. Me kōrero taipitopito tātou mō tēnei i tēnei rā?
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He aha tēnei wheua uma (sternum)? He aha tāna mahi?
Ki te kī māmā noa, ko te sternum te wheua roa, papatahi, āhua-T kei mua o tō uma, kei waenganui tonu. E kiia ana hoki e ētahi ko te wheua uma. Ka taea e koe te pā ki waenganui o tō uma ki tō ringa, ā, ka pā koe ki tēnei wheua.
Ehara tēnei i te wheua noa iho. He mahi tino nui tāna.
- Te tiaki: Whakaarohia, he tino tairongo ngā whekau o roto i te uma o tō tātou ngākau, o ō tātou pukahukahu, o te puku o runga, me te korokoro. Nō reira, ki te pā mai he tūponotanga ki ēnei whekau, ko te sternum, ko ngā rara ) e piri ana ki a ia, me te rara e hono ana i a rātou, he rite ki te whakangungu rakau kei mua hei tiaki i a rātou mai i a ia.
- Ngā hononga ki ētahi atu wheua me ngā uaua: Kāore te sternum e mahi takitahi. Ka piri ō wheua kara (e kiia nei ko ngā clavicle) ki te tihi o te sternum. Waihoki, ka piri te nuinga o ngā rara ki reira. Ka piri hoki ngā uaua o te uma me te puku o runga ki reira.
- Te āwhina i te manawa: Ina manawa koe, ka neke whakamua, ka neke whakamuri hoki tō uma. Ka āwhinahia tēnei nekehanga e te sternum, me ngā rara e hono ana ki a ia e te kiriuhi. Ahakoa ehara i te nekehanga nui, he mea tino nui tēnei mō te tukanga manawa.
He aha ngā wāhanga o te sternum?
Ahakoa te āhua o te sternum he wheua roa kotahi, e toru ngā wāhanga matua. E ai ki ētahi he rite ki te hoari.
1. Manubrium: Koinei te wāhanga o te sternum he whānui ake, ā, he rite te āhua ki te kakau o te hoari. Ka honoa ō wheua kaki e rua me te takirua rara tuatahi ki tēnei manubrium.
2. Tinana o te Uha: Koinei te wāhanga waenga, te wāhanga roa, te wāhanga papatahi. He rite tōna āhua ki te mata o te hoari. Ka honoa ngā rara tuatoru ki te whitu ki tēnei wāhanga.
3. Tukanga Xiphoid: He wāhanga iti, koi tēnei o te sternum i raro iho i te sternum. He rite tōna āhua ki te pito o te hoari. He mea hanga ki te kiriuhi. Heoi, i a tātou e pakeke haere ana, ka huri haere hei wheua, arā, ka "whakapūmau".
Nō reira, ka honoa aua wāhanga e toru hei hanga i te sternum katoa. E ono inihi te roa i te nuinga o te wā.
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View Clinical Details →Mena he mamae kei waenganui o tō uma, he aha ngā take?
Nā, me titiro tātou ki ngā take e mamae ai, e kore ai e pai te āhua o te sternum, o waenganui rānei o te uma. I ētahi wā ka puta mai tēnei mamae i raro, i muri rānei i te sternum. Ka kiia e mātou ko te 'Mamae o raro o te sternum'. He maha ngā wā ka puta mai tēnei i ngā raruraru e pā ana ki te puku me te esophagus.
Āe, kia tirohia tātou he aha ngā tino take o te mamae o te uma o waenganui:
Te mate pukupuku o te korokoro
He tino take noa tēnei. E honoa ana ngā rara ki te sternum e tētahi wahi o te kiriuhi. Ka puta te costochondritis ina mumura taua kiriuhi nā te mate, te whara, te mate rānei pērā i te rumatiki. Ka puta he mamae nui ki te rohe o ngā rara i roto i te uma, pērā i te maripi e wero ana i te sternum i ia taha. Ka mamae ina pā atu koe, ā, ka wera pea.
Pectus Carinatum
Koinei te wā e nui ake ai te piko o te sternum ki mua i te mea noa. Ka kiia hoki tēnei e ētahi he 'uma kūkupa'. Kāore te nuinga o te tangata e pāngia e ngā tohu nui. Heoi, ka pāngia pea ētahi e te mamae o te uma, inā koa i te wā e pupuri ana i ētahi tūranga, e mahi ana rānei i ētahi mahi.
Whati o te sternum
He whati tika tēnei o te sternum. Ka puta i te nuinga o te wā ina pā te kaha o te mea ki te uma. Whakaarohia he aituā motuka, he aituā hākinakina, he hinganga rānei mai i te teitei. Tērā anō ngā whati i puta mai i te pānga tika ki te uma , ā, tērā anō hoki ngā whati i puta mai i te pānga ā-kore .
Te Whara o te Hononga Sternoclavicular
Ko te wāhi e tūtaki ai tō tātou wheua kara (‘Clavicle’) ki te sternum e kiia ana ko te ‘‘Hononga Sternoclavicular’’. He raruraru tino onge tēnei. Heoi, ki te pāngia tēnei hononga e ngā mea pēnei i te mate, te whara, te rumatiki rānei, ka mamae, ka pakari hoki.
Ngā mate o te wheua kaki
Ka hono te wheua koko ki ngā pito e rua o runga o te sternum. Nō reira, ki te pā he mea ki te wheua koko, ka pā te mamae ki te sternum. Tērā pea nā ngā aituā, ngā whara hākinakina, ngā hinganga, me ētahi atu.
Te taumahatanga o te uaua
Mena ka whara ngā uaua me ngā uaua e hono ana ki te sternum, arā, ki te tōia (Muscle Strain), ka pā mai hoki te mamae ki te rohe sternum. Tērā pea nā te kaha rawa o te mahi, te tākaro hākinakina, te maremare nui rawa rānei .
Hernia Hiatal
Koinei te wā e pana ai te wāhanga o runga o tō puku mā roto i te diaphragm ka tomo ki roto i tō uma. Ka mamae pea te uma, i raro noa iho i te sternum. He momo hernia hiatal noa anō hoki tēnei.
Te whakahokinga waikawa/GERD
Ina hoki mai te waikawa o te puku ki te korokoro ('Acid Reflux'), ka pakaru te arai o te korokoro, ka puta he kare wera me te mamae i waenganui o te uma. He mea noa tēnei i roto i te hunga e pāngia ana e te gastritis, e mōhiotia ana ko te 'GERD (Gastroesophageal Reflux Disease)'.
Te āhua o te pleurisy
Ka puta te pleurisy ina mumura ngā kiriuhi e karapoti ana i ō tātou pukahukahu (ngā 'pleurae'). Tērā pea ka puta tēnei i ētahi mate pūnaha ārai mate, mate pukahukahu, mate huakita, mate huaketo rānei. Ka taea hoki e tēnei te mamae i raro i te sternum.
Bronchitis
Ko te mate pūkahukahu he mumura o te trachea me te bronchi, arā, ngā ara manawa matua e anga atu ana ki ngā pukahukahu. Ka mamae anō hoki te uma i tēnei. Ka puta he hūpē i roto i ngā pukahukahu, me te maremare ka roa pea mō ngā wiki.
Pūkahukahu
Ko te niumōnia he mumura o ngā pēke hau (alveoli) i roto i ngā pukahukahu. Ina tupu tēnei, ka kī tonu i te wai, ka puta he mamae nui ki te uma. Ka taea hoki te rongo i tēnei mamae i muri i te sternum.
He aha ngā āhuatanga noa e kitea ana i roto i ēnei āhuatanga?
Āe, kua mārama koe inaianei he maha ngā take o te mamae o te uma. Nō reira, i runga i ia take, ka rerekē pea ngā tohu. Engari i te nuinga o te wā, ko te tohu matua ko te mamae, te kore rānei e pai ki waenganui o te uma .
Kia titiro tātou ki ētahi o ngā āhuatanga motuhake ka kitea i roto i ētahi o ngā āhuatanga i kōrerotia i runga ake nei:
- Ko te costochondritis:
- Ka piki ake te mamae ina whakakorikori tinana koe, ina totoro tō totoro, ina manawa nui, ina maremare rānei.
- Ka mamae ina pāngia.
- He mamae nui e puta mai ana i ngā taha e rua o te sternum.
- Mena kua whati te sternum (Whāwhati o te sternum):
- Ka kino haere te mamae ina maremare koe, ina kaha rānei te manawa.
- Tērā pea kua maru, kua pupuhi hoki taua wāhi.
- Tērā pea ka uaua ki a koe te manawa.
- Ko te hernia hiatal ko:
- Kei te haere tonu ngā taonga.
- He wera i roto i te uma, me te mea kua kī te puku ('Indigestion').
- He uaua ki te horomi, me te mea kei te mau tetahi mea i roto i te korokoro (ina koa ka takoto)
- Ko te Reflux waikawa ko:
- E ahua ana kei te piki ake anō ngā mea o roto i te puku ki roto i te korokoro.
- Te mumura o te korokoro.
- Mamae ana tōku korokoro, me te mea kei te mau tetahi mea i roto i tōku korokoro. (Ka kino ake ēnei i muri i te kai)
He maha atu anō ngā tohu pēnei, kei runga i te āhua o te mate. Ko te mea nui, ki te pāngia koe e te mamae o te uma, kaua e warewaretia, engari me rapu tohutohu hauora.
He aha ngā rongoā hei rongoā mō te mamae o te sternum?
Ko te rongoā mō te mamae o te uma e whakawhirinaki ana ki te pūtake. He rerekē te rongoā mō ia mate.
Hei hoatu i ētahi tauira:
- Mō te costochondritis, ko te okioki te rongoā pai rawa atu. Me hoatu he wā ki tō uma me ō rara kia ora ai. Hei tāpiri, ka tohua pea e tō tākuta he rongoā whakamamae mamae me ētahi rongoā ārai-mumura (pērā i ngā NSAID). He tino onge te werohanga corticosteroid hei whakaiti i te mumura.
- Mō te pectus carinatum (uma e kokiri ana) , ka hiahiatia pea he tautoko motuhake, ā, i ētahi wā tino kino, ka hiahiatia pea he pokanga.
- Mena ka whati te sternum , ka whakawhirinaki te maimoatanga ki tōna kaha. Mō te whati iti, he nui te okiokinga me ngā rongoā whakamamae. Heoi, ki te tino kino, me mahi pokanga pea hei hono anō i te sternum.
- Mō ngā āhuatanga pēnei i te reflux waikawa , ka taea te whakamahi i ngā huringa momo noho (te kai pai, te whakaiti i ētahi kai, te whakamutu i te momi hikareti), me ngā rongoā hei whakaiti i te waikawa o te puku (pēnei i ngā antacids me ngā aukati papu proton - PPI).
Nō reira, ka kite koe i te hiranga o te kimi i te pūtake. Koia te mea nui kia kite i te tākuta, kia tika te tautuhi mate, kia tika hoki te maimoatanga.
Āhea koe me toro atu ki te tākuta mēnā he mamae kei waenganui o tō uma?
Kāore he take e mataku ai koe ina pāngia koe e te mamae o te uma, engari me toro atu koe ki te tākuta i ētahi wā. Ko ētahi o ēnei ko:
- Mena i puta tō mamae i muri tonu i tētahi momo aituā (whara) .
- Ki te kore te mamae e memeha i muri i ētahi rā , ki te mau tonu rānei te kore whakamarie.
- Ki te mea kei te kino haere te mamae i roto i te wā .
- Mena kei te haere tahi te mamae me te ruaki nui, ki te ruaki toto rānei koe .
I tēnei wā, ka taea e te tākuta te tautuhi i te pūtake o tō mamae, me te whakarato i tētahi mahere maimoatanga e tika ana mōna.
He mate manawa tēnei mamae? Me pēhea te wehewehe? (Mamae o te uma, mamae o te hope, mamae o te ngākau rānei)
He mea tino nui tēnei. Ko tētahi o ngā mea e wehingia ana e te tini o te tangata ina pāngia rātou e te mamae o te uma, ko te kore e mōhio mēnā he mate manawa. Engari he rerekētanga iti i waenganui i te mamae e pā ana ki te sternum me te mamae e puta ana i te wā o te mate manawa.
He maha ngā wā ka tīmata ohorere te mamae o te sternum. Heoi, i mua i te pā mai o te mate manawa, tera pea ētahi atu tohu motuhake e pā ana ki taua mate.
Ko ngā tohu o te mate manawa ka uru pea ki (tētahi, neke atu rānei) o ēnei e whai ake nei:
* He kare ā-roto e kikī ana, e piri ana, e pēhia ana rānei i waenganui o te uma. Ka taea hoki e tēnei mamae te horapa ki te ringa, ki te kauae, ki ngā niho rānei.
* Te werawera, inā koa te werawera makariri.
* Whakapairuaki.
* Te uaua ki te manawa.
* Te ngoikore o te ngākau, me te mea kua ngaro te māramatanga.
Ki te pāngia koe e tētahi o ēnei tohu, rapua tonutia he awhina hauora. Ko te tikanga me haere koe ki te hōhipera tata, me waea atu rānei ki te waka tūroro. Ka taea e te mate manawa te whakararu i te ora.
Ahakoa kāore i te tino kino te mamae o te sternum, he mea tino nui kia mōhio ki tēnei rerekētanga.
Nā, he aha ngā mea e tika ana kia maumahara tātou?
Āe, anei ētahi o ngā mea matua hei maumahara māu mai i ngā mea i kōrerohia e tātou i tēnei rā:
- Ko te sternum, he wheua i waenganui o te uma, he wāhanga tino nui o te tinana e tiaki ana i ngā whekau nui o roto, e tautoko ana hoki i ētahi atu wheua me ngā uaua.
- He maha ngā take e mamae ai te waenganui o tō uma. Ko ētahi he māmā noa iho, ko ētahi me rapu awhina hauora.
- I te nuinga o te wā, kāore ēnei mamae i te tino kino. Heoi, ki te mau tonu te mamae, he kino rawa, he āwangawanga rānei āu, me toro atu ki te tākuta.
- Ko te mea nui: Me wehewehe i waenga i te mamae o te uma me ngā tohu o te mate ngakau. Mena kei a koe ngā tohu o te mate ngakau, rapua tonutia he awhina hauora.
Nō reira, mā te mōhio ki tō tinana ka tere ai tō mahi mena ka pā mai he raruraru hauora. Kia ora tonu!
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