သင္ေသသြားေသာ္ ၊ သင္ဖြားေသာေျမ သင္တို့ေျမသည္ ၊ အေျခတိုးျမင့္ က်န္ေကာင္းသင့္၏ ။ [ေဇာ္ဂ်ီ ]

ပုခံုးဆစ္ရယ္က တျဖစ္ျဖစ္ကိုက္တယ္ကြဲ ့..

51 comments:

seesein said... | Tuesday, June 21, 2011 5:36:00 PM

ဖြားကိေရ စာေလးေတြ ဖတ္သြားျပီ
ေက်းဇူး အမ်ားၾကီးတင္ပါတယ္
ဖြားဖြားကိလည္း နာက်င္မႈ ဒုကၡမွ ကင္းေ၀းပါေစ

ခင္မင္တဲ့
seesein

လသာည said... | Tuesday, June 21, 2011 5:48:00 PM

မကိေရ..

ဒီပို႔စ္ေလး.. တအားကို ဗဟုသုတရပါတယ္။ တိုက္ဆိုင္စြာ သိခ်င္ေနတာ။ အခုအဆင္ေျပသြားျပီ။ မကိပိုစ္ေလး အကုန္ကူးသြားပါတယ္...။ အခုလို ေရးေပးတာ မကိကို ေက်းဇူးအမ်ားၾကီး တင္ပါတယ္ေနာ္။

လသာည said... | Tuesday, June 21, 2011 5:52:00 PM

ေအာ္ေမ့သြားေတာ့မလို႔..။ မကိရဲ့ ေ၀ဒနာေလးလည္း အျမန္ဆံုး ေပ်ာက္ကင္းပါေစေနာ္။

ဝက္ဆလူး said... | Tuesday, June 21, 2011 6:46:00 PM

မကိ ေရ ... အျမန္ဆံုး သက္သာ ေပ်ာက္ကင္းပါေစေတာ္ .....

ကိုေဇာ္ said... | Tuesday, June 21, 2011 7:15:00 PM

မကိက အဆတစ္ေထာင္ ပိုေခ်ာတာေပါ႔ ဘီလူးေခ်ာ။

ahphyulay said... | Tuesday, June 21, 2011 8:29:00 PM

အင္း..
မမကီ ၊ ေက်းဇူး တင္တယ္။
ကြ်န္ေတာ္တို ့ ေဆာက္လုပ္ေရးလုပ္သား
ေတြ အတြက္ သိပ္ အသံုးတည္ ့တာပဲ။
ကူး ထားလိုက္ၿပီ..။

လရိပ္အိမ္ said... | Tuesday, June 21, 2011 8:53:00 PM

ေက်းဇူးတင္ပါတယ္။

ျမစ္က်ဳိးအင္း said... | Tuesday, June 21, 2011 10:27:00 PM

ပံုထဲက နည္းေလးေတြ မွတ္ထားလိုက္ျပီ။ တခါတေလ အိပ္တာမမွန္ရင္ ပုခံုးနဲနဲ မ်က္သလိုျဖစ္တတ္တယ္။ အဲဒီပံုထဲကအတိုင္း လုပ္ၾကည့္အံုးမယ္။ ေက်းဇူးမကီ။

လရိပ္အိမ္ said... | Tuesday, June 21, 2011 10:31:00 PM

ဒူးဆစ္အရြတ္အေၾကာင္းလဲသိခ်င္ပါတယ္မမကိ

ေခ်ာ(အစိမ္းေရာင္လြင္ျပင္) said... | Wednesday, June 22, 2011 2:07:00 AM

မွတ္သြားတယ္ မွတ္သြားတယ္
ဒီနည္းေလး အသံုး၀င္တယ္
အဲလို ခနခနျဖစ္တာ ခုမွ ေသခ်ာလုပ္ဦးမယ္ ေက်းဇူးမကီ

အိမ့္ခ်မ္းေျမ့ said... | Wednesday, June 22, 2011 8:02:00 AM

မေလး ဖတ္သြားတယ္။
ေ၀မွ်ေပးတာ ေက်းဇူးတင္ပါတယ္။

Anonymous said... | Wednesday, June 22, 2011 11:23:00 AM

မကိ ေရ

အမလည္း ပုခံုး၂ဘက္ က တခါတခါ မွာ ၁မိနစ္ေလာက္ တအားနာတယ္ ပခံုးမွာ ဘာအားမွ မရွိေတာ႔ သလိုျဖစ္သြားတယ္ ဒါေပမဲ႕ အဲဒီ တမိနစ္ေလာက္ ၿပီးသြားရင္ေတာ႔ မနာျပန္ဘူး တခါတေလ တပတ္ ႏွစ္ပတ္ေလာက္ ေနၿပီး တခါ နာျပန္ေရာ ၂ဘက္ေတာ႔ ၿပိဳင္မနာဘူး အဲလိုျဖစ္ေနတာ ၆လ ေလာက္ေတာ႔ ရွိသြားပါၿပီ
အခုပိုစ္႔ ထဲကလို ျဖစ္တာလား ဒါမွ မဟုတ္ ေရာဂါ တခုခု ရဲ႕ ေရွ႕ေျပးလား ႀကံဳလို႕ ေမးတဲ႕ လူနာ အျဖစ္သေဘာမထားပါနဲ႕ ေနာ္ ဟားးးးးးးးး


ေရႊစင္ဦး

မအိမ္သူ said... | Wednesday, June 22, 2011 3:14:00 PM

အဲဒီလို ပုခံုးနာတာ ဒူးနာတာေတြက မိန္းမေတြမွာ ပိုအျဖစ္မ်ားတယ္ထင္တယ္ေနာ္။

kiki said... | Wednesday, June 22, 2011 4:25:00 PM

မေရႊစင္...
ပုခံုးဆစ္ရယ္မွ မဟုတ္ ၊ တကိုယ္လံုး ရွိတဲ့ အဆစ္ေတြမွာ နာက်င္တတ္တာဟာ အဓိက အားျဖင့္ ေတာ့ lnfammation ေယာင္ရမ္းျခင္းေၾကာင့္ ျဖစ္တာ မ်ားပါတယ္။ ဒါေပမဲ့ ေယာင္ယမ္းျခင္းေၾကာင့္နာတာဆိုရင္ တမိနစ္ ႏွစ္မိနစ္လို အခ်ိန္တိုတို အတြင္း ေပ်ာက္မသြားနုိင္ပါဘုူး ။နာရီေပါင္းမ်ားစြာ တခ်ိဳ့လည္းရက္ေပါင္းမ်ားစြာနာေလ့ရွိပါတယ္။
ဒီေတာ့ တျခား အေျခအေန ျဖစ္နိုင္စရာေလးေတြ စဥ္းစားၾကည့္ရေအာင္။
ဘယ္အခ်ိန္မ်ိဳးမွာ ပိုနာတတ္သလည္း ။ ဥပမာ - မနက္ေစာေစာ အခ်ိန္မ်ိ္ဳး၊ ေအးတဲ့အခ်ိန္မ်ိဳး၊ လွဳပ္ရွားေနတဲ့ အခ်ိန္မ်ိဳး ။ စသျဖင့္ ေပါ့။
မနက္ေစာေစာနာျပီး ေန့လည္ ပူလာတဲ့ အခ်ိန္ မ်ိဳးမွာ နာက်င္မွဳဟာ သူ ့ဟာသူေပ်ာက္သြားတတ္ရင္ေတာ့ Rheumatoid Arthritis ေခၚတဲ့ အဆစ္ေယာင္ေရာဂါေၾကာင့္လဲျဖစ္နိုင္ပါတယ္။ဒါေပမဲ့ သူက လက္ေကာက္ဝတ္ ၊လက္ဆစ္ ေျခဆစ္ ေသးေသးေလးေတြမွာ ပို အျဖစ္မ်ားတယ္။ အခ်ိန္ကလည္း တမိနစ္ထက္ ပိုၾကာပါတယ္။ နာရီပိုင္းေလာက္ေပါ့ ။ေနပူလာရင္ သက္သာသြားတတ္တယ္။

တမိနစ္ေလာက္ပဲနာတဲ့ အခ်ိန္မွာ ပုခံုး တေနရာထဲမွာ နာေနတာ ေသခ်ာသလား လို ့ျပန္စမ္းစစ္ၾကည့္ပါ ။ ပုခံုး နဲ့တြဲျပီး လက္ေမာင္းထိ၊ လည္ပင္း ေမးရိုးနားထိ ေတာက္ေလွ်ာက္ဆြဲျပီးနာတာလားလို ့ သတိထားၾကည့္ပါ။ အဲ့ဒါဆို ရင္ Refer Pain ျဖစ္နိုင္တယ္။ ဆိုလိုတာက ပုခံုးမွာျဖစ္တဲ့ေရာဂါေၾကာင့္မဟုတ္ပဲ အျခားတေနရာ အဂၤါတခုမွာ နာတဲ့ ခံစားမွဳ ကို အာရံုေၾကာခ်င္းတူေနတဲ့ ပုခံုးမွာ လာျပီး ခံစားေနရတာ မ်ိဳးေပါ့။ ဥပမာ - ႏွလံုးေသြးေၾကာေၾကာင့္ ေခတၱခဏ ေအာက္ဆီဂ်င္မလံုေလာက္လို့ ႏွလံုးၾကြက္သားနာက်င္တာ( Angina Pectoris ) ဆို ရင္ refer pain က ဘယ္ဖက္ ပုခံုး၊ လက္ေမာင္း၊လည္ပင္း။ေမးရိုး ထိ ေတာက္ေလွ်ာက္နာတတ္ပါတယ္။ သူ ့က် မ်ားေသာအားျဖင့္ ညာဖက္ ပုခံုး နာတာမျဖစ္တတ္ပါဘုူး.၊ ဒါေၾကာင့္ အဲ့လို မၾကာခဏ နာျပီး မိနစ္ပိုင္းေလးမွာ ေပ်ာက္သြားတတ္တာမ်ိဳး ရွိေနရင္ ႏွလံုးေသြးေၾကာ က်ဥ္းမွဳ ေၾကာင့္ျဖစ္တဲ့ Ischemic heart ရွိိ မရွိ္ ေသခ်ာ စစ္ေဆးဖို့ အေရးၾကီးပါတယ္။ ,ႏွလံုးအေျမွးပါးေယာင္ျခင္း(Pericarditis), ႏွလံုးေသြးေၾကာမၾကီး ေဖါင္းပြျခင္း(Aortic Aneyrysm ) အစရွိတဲ့ ႏွလံုးနဲ့ဆက္စပ္တဲ့ ေရာဂါ ေတြမွာလည္း Refer pain ရွိတတ္ပါတယ္။

Refer Pian ျဖစ္ေစတတ္တဲ့-ပုခံုးဆစ္နာေစတဲ့ တျခား အေၾကာင္းေတြ ကေတာ့ အဆုပ္ေၾကာင့္ ( ဥပမာ-အဆုပ္အေျမွးပါးေယာင္၊ အဆုပ္ကင္ဆာ၊အဆုပ္အတြင္းေခါင္းမွာ ေလခို၊) ။ အစာအိမ္ နဲ့ အစာမ်ိဳ ျပြန္ေယာင္ယမ္းျခင္းေၾကာင့္၊ အသည္း၊ သရက္ရြက္၊သည္းေျခ အစရွိတဲ့ ဝမ္းတြင္းကလီစာ ေယာင္ယမ္းျခင္းေတြေၾကာင့္လည္း ျဖစ္နိုင္ပါေသးတယ္.. ဒါေပမဲ့ အဲဒီ အေၾကာင္းရင္းေတြေၾကာင့္ ပုခံုးဆစ္မွာ လာျပီးနာက်င္တာဟာလည္း အခ်ိန္တိုတိုေလး နာတတ္တာမ်ိဳး မဟုတ္ပါဘူး။

ဒါေၾကာင့္ ပုခံုးဆစ္နာတယ္ဆိုရာမွာ အျခား ေရာဂါတခုခုု ျဖစ္နိုင္ေျခေတြ အမ်ားၾကီး ရွိနိုင္ပါတယ္။ အေကာင္းဆံုးကေတာ့ ဆရာဝန္နဲ့ ျပသ စစ္ေဆးပါ။ ECG ၊ ေသြးေဖါက္စစ္ေဆးတာ မ်ိဳးလုပ္သင့္တယ္ လို့ထင္ပါတယ္။(Cardiac enzyme ။ lipid profile, liver funcion စသျဖင့္ေပါ့ )။

ေနာက္က်ရင္ မေခ်ာင္ဘူး ဆိုျပီး ဖဘ မွာ လာေအာ္သြားလို့.. ျမန္ျမန္ ျပန္ ေျဖလိုက္ တယ္။။

ခင္တဲ့ မကိ..

...အလင္းစက္မ်ား said... | Wednesday, June 22, 2011 7:29:00 PM

ဗဟုနဲ ့ သုတ အေတာ္ေလး ရသြားပါတယ္ မကိေရ... Refer Pain ေတြကို လည္း ဂုစိုက္တယ္ ၾကားလို ့ ၀မ္းသာပါတယ္။ က်ေနာ္ကိုယ္တုိင္ Gastritis မၾကာခဏ ျဖစ္တဲ့အတြက္ ဘယ္ဖက္လက္ေမာင္း (shoulder joint အပါအ၀င္) နဲ ့ မၾကာခဏ ရန္ျဖစ္၇တတ္ပါတယ္။

မကိ အတြက္ဆိုရင္ေတာ့ က်ေနာ့အေနနဲ ့တစ္ခု ထပ္ျဖည့္ခ်င္ပါေသးတယ္။ အမ်ဳိးသမီး အဆစ္ ေရာင္ရမ္းျခင္းအတြက္ Autoimmune Disorders ေတြကိုလည္း မေမ့မေလ်ာ့ေစခ်င္ပါဘူးလုိ ့ပါဗ်ား။ Immune Complex ေတြ Deposit ျဖစ္လို ့မ်ား ဒီျပသနာ ျဖစ္သလား။ အဲ့လိုေလး ေတြးမိပါတယ္။ ဂုစိုက္ေစခ်င္ပါတယ္လို ့..........

(သိသေလာက္၀င္ေဖာသြားသည္ ဟီးဟီး)

Anonymous said... | Thursday, June 23, 2011 1:41:00 AM

(5) Injection - ျပင္းထန္စြာခံစားေနရပါက အဆစ္ထဲသို့ Steroid ပါတဲ့ ေဆးမ်ိဳးထိုးေပးလို့ရပါေသးတယ္

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