Chɛst pen, bɔt nɔto at prɔblɛm? Lɛ wi tɔk bɔt (Noncadiac Chest Pain) .

Imajin se yu fil pen na yu chɛst wantɛm wantɛm, lɛk we dɛn put ebi ebi wet pan am. Yu nɔ tink se i de mek yu fred? Wi maynd de rayd wit fred, "Dis na hat atak?" Da fred de rili mek sɛns. Bɔt yu no se nɔto ɔl di pen we pɔsin kin gɛt na in chɛst kin mek pɔsin gɛt at prɔblɛm. Sɔmtɛm de tin wae kin mek pɔrsin gɛt dis pen kin bi sɔmtin wae nɔr gɛt natin fɔ du wit de at. Tide, insay dis atikul, wi go tɔk bɔt dis chɛst pen we de mek bɔku pipul dɛn fred, bɔt nɔ gɛt ɛnitin fɔ du wit di at, we dɛn kɔl (Noncardiac Chest Pain - NCCP) .

Fɔ tɔk am simpul wan, wetin dis rili de tɔk bɔt?

Nɔnkardiak Chɛst Pen (NCCP) na jɔs wan chɛst pen we kin apin we nɔ gɛt ɛni prɔblɛm wit yu at. I kin fil jɔs lɛk angina, na dat mek bɔku tɛm i kin kɔnfyus ɛn mek wi fred.

Naw yu kin de tink se, "If nɔto di at, wetin mek i de at na di chɛst?" Dat na gud kwɛstyɔn. wi εsophagus de rili nia usay wi at de insay wi chεst, we di it de go na di bεlε we wi de it. di pen signal dεm frכm di tu כgan dεm na di sem nεv sεstem de kכri to di bren. So sɔmtɛm di bren nɔ kin ebul fɔ no if di pen de kɔmɔt na di at ɔ na di εsophagus. I tan lɛk se yu fil prɔblɛm nia yu lɛk se na prɔblɛm na os.

wetin bכku pan wi kכl "at bכn" nכto rili at prכblεm, bכt na inflameshn we de kכz fכ di bεlε asid we de rayz כp insay di εsophagus. Pan ɔl di nem, i nɔ gɛt natin fɔ du wit di at. Dis na wan praymɛnt ɛgzampul fɔ NCCP.

Aw dis pen kin fil? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

As wi bin dɔn tɔk, dis pen kin rili fiba di pen we pɔsin kin gɛt we i gɛt at atak. So i kin at smɔl fɔ no difrɛns bitwin dɛn tu. Lɛ wi tek wan luk pan wetin na dɛn sayn ya.

Dis pen kin bigin sɔmtɛm afta yu dɔn it bɔku it ɔr wae yu fil strɛs. I kin las frɔm sɔm sɛkɔn to sɔm awa. If di pen pas sɔm minit, i go fayn fɔ mek yu go to dɔktɔ wantɛm wantɛm.

Wetin mek dis de apin? Wetin na di men rizin dɛn?

Okay, naw lɛ wi si wetin ɔda tin dɛn kin de mek dis pen, if nɔto di at.

1. Prɔblɛm dɛn we de na di εsophageal

Dis na di rizin we kin mek dɛn gɛt NCCP.

• GERD (Gastroesophageal Reflux Disease): Fɔ tɔk am simpul wan, dis na sik we kin apin we di gastritis kin rili bad. di asid we de na di bεlε de kam כp εn travul go כp di εsophagus insay di trot. dis asid de bכn di wכl dεm na di εsophagus, we de mek i inflameshn εn pen. Dis na wetin wi bin de kɔl "at-bɔn" lɛk aw wi bin dɔn tɔk bɔt bifo tɛm.
• Esophagitis: Apat frɔm GERD, ɔda infekshɔn, sɔm mɛrɛsin, ɔ alɛji kin mek di layn na di esophagus swel. Dis swɛlin kin mek yu chɛst pen bak.
• Prɔblɛm dɛn na di mɔsul dɛn na di εsophageal: Wi εsophagus na wan tiub we dɛn mek wit mɔsul dɛn. If dɛn mɔsul ya nɔ wok fayn, dɛn kin spasm ɔ tayt wantɛm wantɛm. Dis kin mek yu chɛst pen bad bad wan ɛn i nɔ kin izi fɔ swɛla.
• Esophageal Hypersensitivity: Sɔm pipul dɛn kin gɛt rili sɛnsitiv nerves na dɛn esophagus. Ivin smɔl chenj na di prɛshɔn, ɔ ivin smɔl asid, we nɔmal pɔsin nɔ go notis, dɛn kin fil am as big pen to dɛn.

2. Pen we de na di mɔskul ɛn skel

Sɔmtɛm di pen nɔ kin kɔmɔt insay di chɛst, bɔt na di chɛst wɔl.

• di chɛst pen kin kam bak bikɔs ɔf tin dɛn lɛk we di rib dɔn rɔtin, di rib we dɔn brus, ɔ di katilej we de kɔnɛkt di rib dɛn we de inflamɛns (kɔstochondritis) .
• Wan simpul we fɔ no dis na fɔ pres yu finga dairekt pan di say we yu de fil pen ɛn if di pen go bɔku, i go mɔs bi se na pen we gɛt fɔ du wit mɔsul ɔ bon lɛk dis.

3. Saykolojik Kɔndishɔn dɛn

Dis na tin we bɔku pipul dɛn kin sɔprayz, bɔt i rili impɔtant.

• Tin dɛm wae wi kin fil insay wi at, lɛk strɛs, wɔri, ɛn pwɛl hat kin sho se wi de fil pen na wi bɔdi, mɔr lɛk pen na wi chɛst.
• Imajin se yu kin fil bad bad wan ɛn wɔri wantɛm wantɛm (panik atak), i nɔ kin izi fɔ yu fɔ blo, yu chɛst kin tayt, yu at kin bit kwik kwik wan, ɛn yu kin fil lɛk se yu gɛt at atak. Pan ɔl we dis na mental stet, de pen wae yu kin fil na 100% rial pen.

4. Di Kɔndishɔn dɛn we de na di Lɔng

Pan ɔl we i nɔ kin apin so ɔltɛm, sɔm tin dɛn bak we kin mek pɔsin fil pen na in chɛst, lɛk we di pleura effusion ɔ nyumothorax .

Aw dɔktɔ dɛn kin fɛn dis?

Yu kin go na ɔspitul, mɔ di Imejɛnsi Dipatmɛnt (ETU), wit chɛst pen.We yu go, di fɔs tin we di dɔktɔ go du na fɔ chɛk if yu gɛt at sik we go mek yu layf de pan denja. Na dat na di tin we impɔtant pas ɔl.

1. Fɔ kɔnfirm se no at sik nɔ de:

• Blɔd tɛst: Dɛn tin ya kin chɛk fɔ si if di ɛnzaym dɛn kin gɛda na di blɔd we pɔsin gɛt at atak.
• ECG (Electrocardiogram): Dɛn kin chɛk di ilɛktrik wok we di at de du fɔ si if ɛnitin de we nɔ fayn.
• Ɛksesaiz strɛs tɛst: Dɛn kin tek ECG we yu de du ɛksɛsayz fɔ si aw yu at de ansa we yu strɛs.
• At CT skan: Dɛn kin du dis tɛst fɔ si if ɛnitin dɔn blok na di blɔd vesel dɛn na di at.

Na afta yu dɔn du ɔl dɛn tɛst ya ɛn yu 100% shɔ se di tin we de mek yu chɛst de pen nɔto yu at nɔmɔ di dɔktɔ go kam fɔ no se yu gɛt NCCP.

2. Neks, fɛn di rizin:

• Dɔn dɛn kin sɛn yu to dɔktɔ we de mɛn yu bɛlɛ .
• na de, dεn kin du tεst dεm lεk כ p εndoskopi (we dεn kin ɛgzamin di εsophagus εn bεlε wit tכb wit kεmεra), εsophageal manometry, כ εsophageal pH test fכ tray fכ no di εksεkt kכz fכ di pen.
• Sɔntɛnde yu dɔktɔ go fɔs tray sɔm mɛrɛsin fɔ GERD (lɛk Proton Pump Inhibitors - PPIs). If dɛn mɛrɛsin dɛn de ridyus yu chɛst pen, dɛn kin kɔnfyus se na GERD na di kɔz.

Wetin na di tritmɛnt dɛn?

Di tritmɛnt dipen pan wetin mek yu de fil pen.

• If di kɔz na GERD: Dɛn kin gi mɛrɛsin lɛk proton pump inhibitors (PPI) we de ridyus di bɛlɛ asid prodakshɔn. Dɛn tritmɛnt ya na di tritmɛnt dɛm wae dɛn kin yuse pas ɔl ɛn wae kin woke fayn fayn wan.
• If di kɔz na prɔblɛm wit di mɔsul dɛm na di urethra: Mɛrɛsin ɔ ɔda tritmɛnt de fɔ rilaks dɛn mɔsul dɛm ɔ fɔ mek dɛn wok bak.
• If de kɔz na strɛs ɔr wɔri: Saikɔlɔjik tritmɛnt ɛn strɛs mɛnejɛmɛnt rili impɔtant. Dɔn bak, sɔmtɛm dɛn kin gi dɛn mɛrɛsin wae de mek pɔrsin fil bad , lɛk trisayklik antidipreshɔn ɔ SSRI , insay rili smɔl dos. Dɛn mɛrɛsin ya nɔr kin jɔs yuse fɔ trit pwɛl hat, bɔt dɛn kin yuse dɛn bak fɔ kɔntrol di pen wae de kam na yu nerv fɔ lɔng tɛm. So if yu dɔktɔ gi yu mɛrɛsin, nɔ tink se, "A nɔ kray, wetin mek a de gi dis mɛrɛsin?"

Nɔnkardiak Chɛst Pen nɔ kin mek pɔsin in layf de pan denja. Bɔt i kin rili afɛkt yu kwaliti layf. E nɔr izi fɔ liv wit de fred ɔltɛm fɔ pen na yu chɛst. Dɔn bak, if dɛn nɔ trit di ɔndalayn kɔz (e.g. GERD), i kin mek ɔda prɔblɛm dɛn apin as tɛm de go.