Ka rongo koe i te mamae nui i tētahi wāhanga o tō uma i ētahi wā, me te pupuhi iti? Pēnei i te mea e mirimiri ana tetahi i a koe, e pēhia ana rānei? He mea whakamataku pea tēnei, nā te mea ina whakaaro tātou ki te mamae o te uma, ka whakaaro tonu tātou ki te raruraru o te ngākau. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga onge engari he mea nui ka puta ai ēnei tohu, e kiia nei ko te Tietze Syndrome.
He aha te mate Tietze?
He māmā noa iho, ko te mate Teets he mumura o te kiriuhi i roto i tō rara . Kāore i te tino noa, arā, ehara i te mate noa mō te nuinga o te tangata. Engari ka mamae, ka pupuhi hoki i te uma o mua me te uma o runga.
Titiro mai, ko ngā rara o runga o tō tātou uma (ngā rara tuatahi tekau pea) e hono ana ki tētahi wheua papatahi i waenganui o te uma, e kiia nei ko te sternum , ā, kei reira te kiriuhi e hono ai rātou. He momo kiko rapa, ngāwari tēnei kiriuhi e mahi ana hei urunga i waenganui i ngā wheua. Nō reira, ina mumura ngā hononga e hono ana ēnei rara ki te sternum, e kiia nei ko ngā hononga costochondral , ka puta tēnei āhuatanga e kiia nei ko te Teets syndrome.
Kua rongo pea koe i tētahi mate e kīia nei ko te costochondritis . Kei roto hoki i tēnā ko te mumura o te kiriuhi i roto i te rara. Engari he rerekē te mate Teets. I te nuinga o te wā ka pā ki tētahi o ngā rara e whā i runga ake nei , ko te nuinga o te wā ko te rara tuarua, tuatoru rānei. Ko tētahi atu āhuatanga ko te pupuhi e kitea ana . Ko te nuinga o te wā, kāore te costochondritis e puta he pupuhi nui, e kitea ana, he mamae noa iho.
Kāore anō kia tino mōhiotia e ngā tākuta te pūtake o te mate Teets (e kiia ana ko te costochondral junction syndrome). Engari i te nuinga o te wā, ehara i te mate kino . Ka taea te rongoā i te kāinga mā te okioki me ngā rongoā whakamamae mamae.
He aha ngā tohu o te mate Tietze?
Ko te mea nui ka pā ki a koe i tēnei āhuatanga ko te mamae o te uma . Ka tīmata ohorere tēnei mamae, ka piki haere rānei. E kī ana ētahi tāngata, ina tū noa rātou , he rite ki te mamae puhoi, taumaha i roto i te uma , engari ina neke rātou, ina tahuri ō rātou tinana, ina manawa hōhonu rānei, ka koi te mamae, pērā i te wero a te maripi, i te mea rānei kei te hopu tetahi, kei te kōpiri rānei i a rātou . Ka kino ake tēnei mamae ina maremare rātou, ina tihe, ina whakakorikori tinana, ina hiki rānei i tētahi mea taumaha . Ka pā tēnei mamae ki mua, ki te taha whakarunga o te uma, he maha ngā wā i te taha kotahi anake. I ētahi wā ka horapa (whanui) tēnei mamae ki te ringa, ki te pakihiwi, me te kaki .
Ko tētahi atu tohu matua ko te pupuhi e puta mai ana i te wāhi kotahi anake . Ka pāngia e koe i te taha whakarunga o tō uma, e tata ana ki te wheua uma (sternum), i te nuinga o te wā i te taha o te rara tuarua, tuatoru rānei.He rite tonu ki tētahi puku iti, pupuhi. E ai ki ētahi he rite ki tētahi puku pupuhi, he paku mārō . Tērā pea ka mahana ki te pā atu, ka whero, ka memeha rānei te tae . He tohu mumura ēnei katoa. Ko tēnei pupuhi te āhuatanga tino kitea o te mate Teets, ā, ka roa pea te wā ka memeha katoa te pupuhi ahakoa kua memeha te mamae.
He aha te take e puta ai te mate Tietze? He aha ngā take?
Ka puta ngā tohu o te mate Teets ina riri, ka mumura te kiriuhi i roto i tō rara e mamae ana koe . Engari kāore anō kia mōhiotia e ngā tākuta te take o tēnei, me te take rānei e pēnei ai. He aha i pā ai ki tētahi o ngā rara i runga ake nei, he aha rānei i puta ai taua pupuhi motuhake? Koinei ngā mea e wehewehe ana i te mate Teets mai i te costochondritis noa.
He maha ngā mea e whakaaro ana mātou kei te pūtake pea tēnei:
- Whara whara : Ka pā te mate pāwera i te uma i te aituā motuka, te hinganga mai i te teitei, te whiunga kino rānei ki te uma i te wā e takaro ana. Tērā pea ka rerekē te urupare a ngā kiko ngohengohe o tēnei wāhi ki ngā whara. Hei tauira, ki te hinga koe i te pahikara ka pā ki tō uma, ki te pā rānei te pōro tere e neke ana i te uma i a koe e takaro ana i te kirikiti, ka pā pea tēnei āhuatanga.
- Ngā whara iti, auau (`Microtrauma`) : Ka puta pea he mate mumura motuhake nā te taumahatanga iti (te ahotea) e pā tonu ana ki tō rara i roto i te wā. Hei tauira, te maremare pinepine, te kaha . Whakaarohia kei te maremare ētahi tāngata kua roa e mau ana, ā, ka pēhia tonutia e te maremare ngā uaua me te kiriuhi o te uma. Waihoki, ka puta pea tēnei mate i te ruaki pinepine, te mahi hē i ngā mahi hiki taumaha, te patu tonu rānei i tetahi mea i roto i te uma (pērā i ētahi hākinakina).
Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei? (Ngā Take Tūpono)
He nui ake te tūponotanga ka pāngia koe e te mate Teets mēnā kei te ora koe i tētahi atu mate hauora, mēnā rānei he mate mau tonu tōu e ngoikore ai te kiriuhi i roto i tō rara, mēnā rānei kei te neke haere tonu koe. Anei ētahi tauira:
- Ngā mate rūmātiki me ngā mate ārai mate : Ko ēnei ngā mate e whakaekehia ai e te pūnaha ārai mate o te tinana ōna ake pūtau. Hei tauira, te rūmātiki rūmātiki.
- Ngā mate hononga tuku iho : He mate tuku iho ēnei e pā ana ki ngā kiko hono o te tinana (pērā i te kiriuhi).
- Te rumatiki pirau, te mumura rānei: Ngā āhuatanga rumatiki e pirau ai, e mumura ai rānei ngā hononga.
- Ngā mate pukupuku mau tonu o te uma : He maremare roa e puta mai ana i ngā āhuatanga pēnei i te pupuhi pinepine o te uma me te bronchitis.
- Maremare mau tonu, ruaki rānei: Ka pēhia te uma e te maremare tonu, te ruaki rānei.
- Pokanga tata nei i te rohe : Mena kua pokangahia tō uma, ka puta pea tēnei āhuatanga i te wā e ora ana ngā kiko e karapoti ana.
Me pēhea te mōhio o te tākuta ki tēnei? (Tauātanga)
Ki te haere koe ki te tākuta me te mamae o te uma, ko te mea tuatahi ka mahia e ia ko te tirotiro kia kore ai he mate ngakau . Nā te mea ko te mamae o te uma te mea tino morearea, koinei te mea tuatahi me whakakore e koe. Kia mōhio ai kāore, ka whakarongo te tākuta ki ō tohumate - he aha te ahua o te mamae, te roa o te wā e noho ana, te wā ka kino haere, me te mea he pupuhi. Kātahi ka tirotirohia tō uma kia kite ai kei hea te pupuhi me tōna āhua.
Kātahi ka tonoa ētahi whakamātautau whakaahua hei rapu i ngā tohu o te mumura, o te whara rānei i roto i te uma. Ka tātaritatia e ngā tākuta te mate Teets i muri i te whakakorenga i ngā āhuatanga katoa e puta ai ō tohu (tātaritanga o te whakakorenga) . Arā, ka tae rātou ki tēnei whakatau i muri i te whakakorenga i ngā mea katoa.
Ko ngā whakamātautau ka taea te mahi ko:
- X-ray o te uma : Hei tirotiro mō ngā raruraru wheua, pērā i te niumōnia. He mea noa ngā X-ray o te uma i te mate Teets.
- Matawai CT, matawai MRI rānei : Ka taea e ēnei te whakaatu mārama ake i ngā kiko ngohengohe me te kiriuhi i roto i te uma. Ka taea e rātou te āwhina ki te whakatau i te wāhi o te mumura me te whānuitanga o te pupuhi.
- Matawai Ultrasound : Ka taea hoki te whakamahi i tēnei hei tirotiro i ngā mea pēnei i te pupuhi, te āhua o te kiriuhi, me te kite mēnā kua kohia te wai ki te wāhi.
- E.C.G. (`Electrocardiogram - EKG`) : He mea tino mahi tēnei hei tirotiro i te ngohe hiko o te ngākau, kia kore ai he whakaeke ngākau.
- Ngā whakamātautau toto : Tirohia mēnā he tohu mumura kei roto i te tinana, kia kore ai e kitea ētahi atu mate.
- Kohikohi pūtau : I ētahi wā, ka tangohia he wahi kiko iti mai i te wāhi e pupuhi ana, ka tirohia i raro i te karuārai. He maha ngā wā ka mahia tēnei hei tirotiro kia kore ai he mate kino atu, pērā i te mate pukupuku.
He aha ngā maimoatanga mō tēnei? (Maimoatanga)
Ina mumura ō kiko ngohengohe, me whai wā me te okiokinga kia ora ai. Koinā te tohutohu a ngā tākuta.
- Okiokinga : Me karo i ngā mahi e whakanui ana i te mamae, inā koa ngā mahi e pēhi ana i te uma, mō tētahi wā.
- Ngā rongoā mamae : Ka taea e ngā rongoā mamae e hokona ana i waho o te rongoā te āwhina i te whakaiti i te mamae me te pupuhi. He maha ngā wā ka tūtohu ngā tākuta i ngā rongoā e kiia nei ko ngā rongoā anti-inflammatory kore-steroidal (NSAID ) (pērā i te ibuprofen me te naproxen). Ka whakaitihia e ēnei te mumura, ka āwhina hoki ki te whakaiti i te mamae.
- Kia ata noho : Kāore e taea e koe te haere ki te kura, ki te mahi rānei, engari me ata noho koe, karohia ngā mahi uaua, te whakakori tinana, te hiki taumaha rānei mō tētahi wā . I a koe e ora haere ana, ka taea e koe te hoki haere ki te mahi.
- Ngā pēke wera, ngā pēke makariri rānei : Ka kitea e ētahi he whakamarie mā te pani i tētahi pounamu wai wera, i tētahi pēke huka rānei ki te wāhi mamae.
Heoi, ki te hiahia tonu koe ki te tango i ngā NSAID i muri i ngā rā tekau pea, me kōrero ki tō tākuta. Nā te mea ka pā mai ngā pānga kino ki te roa o te wā e tangohia ana, inā koa ngā raruraru o te puku. Kātahi pea ka kī atu tō tākuta kia huri koe ki tētahi atu rongoā, pērā i te acetaminophen (hei tauira, Panadol), ka werohanga cortisone rānei ki te wāhi e mumura ana. Ka tukuna tika te rongoā e tēnei werohanga ki te wāhi e mumura ana, ā, ka tere te whakaora.
Me rongoā ētahi tāngata kia mutu ai te tihe, te maremare, me te ruaki i mua i te oranga o ō rātou uma. Mēnā ka mau tonu ēnei āhuatanga, ka iti ake te tūponotanga o te ora o te kiriuhi i roto i te uma. Kōrero tonu ki tō tākuta mō tō tukanga whakaora.
Ko te mea nui kia kaua rawa e whakamahi tonu i tētahi rongoā me te kore he tohutohu a te tākuta, inā koa ngā rongoā pēnei i te NSAID.
He aha te mea ka pā ki te tangata e pangia ana e te Tietze Syndrome? Ka ora anō rātou? (Tūnga me te Whakaora - Matapae)
He mate rangitahi te Costochondral junction syndrome (e mōhiotia ana ko te Teets syndrome), arā, ehara i te mate tuturu. Ka taea e koe te tumanako ka ora katoa . Ka ora te nuinga o te tangata i roto i ētahi wiki , i ētahi wā i te marama, i ngā marama e rua rānei. Heoi, tera pea ka roa ake te ora o te tinana o ētahi tāngata, tae atu ki ngā marama. I ētahi wā, ka mau tonu te pupuhi mō ngā marama i muri i te ngaronga o te mamae. Ka memeha haere.
He onge te ahua ka memeha haere te mate Teets, kātahi ka hoki mai anō. Nā ngā take me ngā āhuatanga mōrearea maha (pērā i te maremare tonu), ka roa ake pea te mate o ētahi tāngata i ētahi atu, ka hoki anō rānei.
Ina mamae tō uma, ina koa kāore koe i te mōhio ki te take, he tino mamaeHe whakamataku. He mea noa tēnā. Heoi, ehara te mate Teets i te mea hei wehi, hei mea mōrearea rānei ki te ora . Ahakoa he āhua kore whakamarie pea mō tētahi wā, ka taea te rongoā ki te kāinga kia pai ake rā anō.
Ko te wero nui rawa atu o te mate Teets ko te kimi i te tautuhi tika . Nā te mea he mate onge noa iho, ā, he rite ngā tohu ki ētahi atu mate (ina koa te mamae o te uma), me whakakore e tō tākuta ngā āhuatanga katoa i mua i te tautuhi i a koe me te mate Teets. Tērā pea ka roa te wā.
Karere Whakamutunga mō te Tango ki te Kāinga
Āe, nā te mea kua kōrero tātou mō te Tietze Syndrome, ko te tumanako kua mārama ake koe. Anei ētahi mea hei maumahara māu:
- He mate mumura onge te mate niho e pā ana ki te kiriuhi o te rara .
- Ko ngā tohu matua ko te mamae o te uma me te pupuhi e kitea ana i tētahi wāhi .
- Ehara tēnei i te mate kino i te nuinga o te wā , ā, ka taea te rongoā i te kāinga mā te okioki, te tango i ngā rongoā whakamamae, me ētahi atu maimoatanga pea e ai ki ngā tohutohu a te tākuta.
- Heoi, ki te mamae tō uma, me toro atu koe ki te tākuta kia kitea ai te tino take . He mea nui hoki kia mōhio koe ehara i te mea kino pērā i te mate manawa. Kaua e mataku, engari me rapu tohutohu hauora.
- Kia tika te tātaritanga o tō mate, ā, kia whai hoki i ngā tohutohu a te tākuta, ka taea e koe te ora katoa i tēnei mate . He mea nui kia manawanui.
Nō reira, ki te pāngia koe, tētahi atu rānei e mōhio ana koe e ēnei tohu, kaua e mataku, engari me toro atu ki te tākuta. Kātahi ka taea e rātou te whakahaere i ngā whakamātautau e tika ana, kia kitea ai te āhua o te mate. Kia ora koutou katoa!
Te Mate Tietze, Mamae Uma, Kirita Ripeka, Pupuhi Uma, Costochondritis, Mamae Uma











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