Nyeri ulu hati: Perbedaan antara revisi

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'''Nyeri ulu hati''' (Bahasa Inggris: '''''heartburn'''''),<ref>{{Cite web|last=|first=|date=|title=Heartburn (Nyeri Ulu Hati)|url=https://www.halodoc.com/kesehatan/heartburn-nyeri-ulu-hati|website=halodoc.com|language=id-ID|access-date=14 Juni 2024}}</ref> juga dikenal sebagai '''pirosis''', '''kardialgia''', atau '''gangguan asam pencernaan''',<ref>{{cite web | url=http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/ger-and-gerd-in-adults/Pages/overview.aspx | title=Gastroesophageal Reflux (GER) and Gastroesophageal Reflux Disease (GERD) in Adults | work=The National Institute of Diabetes and Digestive and Kidney Diseases | access-date=2015-07-24 | url-status=live | archive-url=https://web.archive.org/web/20150725032223/http://www.niddk.nih.gov/health-information/health-topics/digestive-diseases/ger-and-gerd-in-adults/Pages/overview.aspx | archive-date=2015-07-25 }}</ref> adalah sensasi terbakar di [[dada]] bagian tengah atau perut bagian tengah atas.<ref name=":2">{{DorlandsDict|four/000047500|heartburn}}</ref><ref name="ReferenceA">{{cite book |title=Differential diagnosis in primary care |url=https://archive.org/details/differentialdiag0000coll_4edi |publisher=Wolters Kluwer Health/Lippincott Williams & Wilkins |location=Philadelphia |year=2008 |pages=[https://archive.org/details/differentialdiag0000coll_4edi/page/211 211] |isbn=978-0-7817-6812-2 }}</ref><ref>{{cite web|url=http://www.merriam-webster.com/medical/pyrosis|title=Pyrosis Medical Definition - Merriam-Webster Medical Dictionary|work=merriam-webster.com|access-date=24 July 2015|url-status=live|archive-url=https://web.archive.org/web/20150725013215/http://www.merriam-webster.com/medical/pyrosis|archive-date=25 July 2015}}</ref> Nyeri ulu hati biasanya disebabkan oleh regurgitasi [[asam lambung]] (''gastric reflux'') ke [[Esofagus|kerongkongan]]. Ini merupakan gejala utama [[penyakit refluks gastroesofagus]] (GERD).<ref>{{Cite web|title=Heartburn|url=https://www.nlm.nih.gov/cgi/mesh/2005/MB_cgi?mode&term=heartburn|url-status=live|archive-url=https://web.archive.org/web/20160312161013/http://www.nlm.nih.gov/cgi/mesh/2005/MB_cgi?mode&term=heartburn|archive-date=2016-03-12|access-date=2015-07-24|work=National Library of Medicine}}</ref>
 
Gambaran umum lainnya untuk nyeri ulu hati (selain rasa terbakar) adalah ber[[serdawa]], mual, diremas, ditusuk, atau sensasi tertekan di dada. Nyeri sering kali timbul di dada (tepat di belakang tulang dada) dan bisa menjalar ke leher, tenggorokan, atau sudut lengan. Karena dada merupakan rumah bagi organ-organ penting lainnya selain kerongkongan (termasuk jantung dan paru-paru), tidak semua gejala nyeri ulu hati bersifat esofagus.<ref name=":4">{{cite book | vauthors = Johnson K, Ghassemzadeh S | chapter = Chest Pain |date=2024 | title = StatPearls | chapter-url = http://www.ncbi.nlm.nih.gov/books/NBK470557/ |access-date=2024-04-28 |place=Treasure Island (FL) |publisher=StatPearls Publishing |pmid=29262011 }}</ref>
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==Definisi==
Istilah [[dispepsia]] mencakup nyeri ulu hati dan sejumlah gejala lainnya.<ref>{{cite book| veditors = Duvnjak M |title=Dyspepsia in clinical practice|date=2011|publisher=Springer|location=New York|isbn=9781441917300|page=2|edition= |url=https://books.google.com/books?id=UGpATfS5-T8C&pg=PA2|url-status=live|archive-url=https://web.archive.org/web/20150621133125/https://books.google.ca/books?id=UGpATfS5-T8C&pg=PA2|archive-date=2015-06-21}}</ref> Gangguan pencernaan terkadang didefinisikan sebagai kombinasi nyeri ulu hati dan [[mulas]].<ref>{{cite journal | vauthors = Delaney B, Ford AC, Forman D, Moayyedi P, Qume M | title = Initial management strategies for dyspepsia | journal = The Cochrane Database of Systematic Reviews | issue = 4 | pages = CD001961 | date = October 2005 | pmid = 16235292 | doi = 10.1002/14651858.CD001961.pub2 | veditors = Delaney B }} {{Retracted |doi=10.1002/14651858.cd001961.pub3}}</ref> Nyeri ulu hati umumnya digunakan secara bergantian dengan penyakit refluks gastroesofagus dan bukan hanya untuk menggambarkan gejala rasa terbakar di dada.<ref>{{cite book | vauthors = Sajatovic , Loue S, Koroukian SM |title=Encyclopedia of aging and public health | url = https://archive.org/details/encyclopediaofag0000unse_f9v1 |publisher=Springer |location=Berlin |year=2008 |pages=[https://archive.org/details/encyclopediaofag0000unse_f9v1/page/419 419] |isbn=978-0-387-33753-1 }}</ref>
 
==Perbedaan Diagnosa==
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===Koktail GI===
Meredakan gejala 5 hingga 10 menit setelah pemberian [[lidokain]] kental dan antasida meningkatkan kecurigaan bahwa nyeri berasal dari esofagus.<ref>{{cite book |title=Differential diagnosis in primary care |url=https://archive.org/details/differentialdiag0000coll_4edi |publisher=Wolters Kluwer Health/Lippincott Williams & Wilkins |location=Philadelphia |year=2008 |pages=[https://archive.org/details/differentialdiag0000coll_4edi/page/213 213] |isbn=978-0-7817-6812-2 }}</ref> Namun hal ini tidak mengesampingkan potensi penyebab jantung<ref>{{cite journal | vauthors = Swap CJ, Nagurney JT | title = Value and limitations of chest pain history in the evaluation of patients with suspected acute coronary syndromes | journal = JAMA | volume = 294 | issue = 20 | pages = 2623–2629 | date = November 2005 | pmid = 16304077 | doi = 10.1001/jama.294.20.2623 | doi-access = free }}</ref> karena 10% kasus ketidaknyamanan akibat penyebab jantung membaik dengan antasida.<ref>{{cite book | vauthors = Hanke BK, Schwartz GR |title=Principles and practice of emergency medicine |publisher=Williams & Wilkins |location=Baltimore |year=1999 |pages=[https://archive.org/details/principlespracti00geor/page/656 656] |isbn=978-0-683-07646-2 |url-access=registration |url=https://archive.org/details/principlespracti00geor/page/656 }}</ref>
 
===Biokimia===