Yu tink se chɛst pen na at prɔblɛm ɔltɛm? Lɛ wi lan bɔt di pen we nɔ de na di chɛst we nɔ de mek wi at!

Sɔntɛnde yu kin fil tayt , tayt, ɔ pen na yu chɛst? Bɔku tɛm wi kin fred we wi fil se sɔntin nɔ de apin to wi at, nɔto so? Bɔt yu no, nɔto ɔl di pen we pɔsin kin gɛt na in chɛst na di at kin mek i fil. Sɔntɛnde we yu go to dɔktɔ, dɛn kin du tɛst ɛn se, ‘No prɔblɛm nɔ de wit di at.’ So wetin de apin? Na dat wi go tɔk bɔt tide, chɛst pen we nɔ gɛt natin fɔ du wit di at. dis na mεdikal dεn kכl am `Nכnkardiak Chεst Pen (NCCP)`.

So, wetin na dis nɔ-kardiak chɛst pen?

Fɔ tɔk am simpul wan, `Noncadiac Chest Pain (NCCP)` na pen we kin apin bɔku tɛm na yu chɛst, mɔ na di midul pan di chɛst, usay di at de. Bɔt nɔto ɛni at sik kin kam wit dis. fכ bכku pipul dεm, di men rizin fכ dis kayn pen na prכblεm wit di εsophagus (di tכb we de kכri it frכm di mכt to di bεlε we wi de sכlow). pan dεm, wan kכndyushכn we dεn kכl `Gastroesophageal Reflux Disease (GERD)` na di wan we kכmכn pas כl. Na wi, dis na exacerbation of "gastritis" ɔ "reflux", nɔto so? Apat frɔm dat, tin dɛm lɛk strɛs, wɔri, ɛn pwɛl hat kin tan lɛk pen wae de kɔntinyu fɔ de na yu chɛst. Sɔntɛnde, tin dɛn lɛk prɔblɛm wit lɔng lɔng ɛn mɔsul dɛn kin spam kin mek bak yu chɛst pen wantɛm wantɛm. Bɔt dɛn no `NCCP` as wan sik we de kɔntinyu, we nɔ de mɛn.

Aw dis pen kin fil? Yu tink se i tan lɛk at atak?

Yɛs, bɔku tɛm, dis pen we nɔ de na di chɛst we nɔ de na di at kin fil lɛk angina . I kin fil lɛk se sɔmbɔdi de swɛt yu chɛst, swɛt am, ɔ put ebi ebi wet pan yu chɛst. dis pen kin fil bכku tεm bihayn di midul bon na yu chεst (sternum) . Sɔntɛnde, i kin de na di rayt say, lɛft say, ɔ rayt na di midul. Jɔs lɛk aw at atak, dis pen kin fil bak lɛk se i de go na yu nɛk, lɛft an, ɔr bak.

Yu kin ebul fɔ ɔndastand ɔda tin wit dɛn tin ya. Fɔ ɛgzampul, dis pen kin kam afta yu dɔn it. Ɔ, we yu de bɔn na di chɛst, we wi kɔl "at bɔn" , kin kam wit dis pen. Dis pen kin te fɔ sɔm minit, ɔr sɔmtɛm i kin las fɔ sɔm awa.

Imajin, yu it gud dina, wit smɔl spays, ɛn afta sɔm tɛm, we yu go slip, yu kin fil lɛk se yu de bɔn na yu chɛst. Sɔm pipul dɛn kin tink se, ‘I go mɔs bi se na gas.’ Bɔt if dis kin apin bɔku tɛm, i kin bi sayn fɔ `GERD`, we kin mek bak yu chɛst pen.

Wetin mek di trot pen kin fil lɛk at at?

Dis kin tan lɛk se i strenj, bɔt rizin de fɔ dat. Insay wi chɛst, di trakya de rili nia di at.. di pen signal dεm frכm di tu כgan dεm de kכri to di bren tru di sem sεns nεv sεstem. So, sɔmtɛm i kin rili at fɔ no difrɛns bitwin dɛn tu kayn pen ya bay di sayn dɛm nɔmɔ.

Bɔt if yu gɛt ɔda sayn dɛn we gɛt fɔ du wit di εsophageal reflux, we na we yu fil lɛk se di tin dɛn we de insay yu bɛlɛ de kam bak ɔp yu εsophagus, dat kin bi sayn fɔ se di pen nɔ gɛt ɛnitin fɔ du wit yu at. כltu, kכndishכn dεm lεk mכsul dεm we de spam na yu εsophagus כ visceral hypersensitivity kin at fכ no sכmtεm.

Aw dis sik kin kɔmɔn?

Dis nɔr-kadyak chɛst pen kin bɔku pas aw wi kin tink. Sɔm ripɔt dɔn sho se lɛk 25% pan di big pipul dɛn kin sɔfa wit dis sik. Bitwin 50% ɛn 75% pan di pipul dɛm wae kin kam na di imejensi rum wit chɛst pen, dɛn kin sɛn dɛn na os afta dɛn dɔn no se dɛn gɛt at sik. Bɔrku tɛm, dɛn kin klas dɛn kayn kes ya as tin wae nɔr kin ɛksplen, wae kin kam bikɔs ɔf strɛs ɔr wɔri, ɔr lɛk ``NCCP.''

Aw yu go no if pen na yu chɛst siriɔs?

Dis na di tin we impɔtant pas ɔl. Yu nɔ go ebul fɔ no di difrɛns bitwin at atak ɛn nɔr-kadyak chɛst pen fɔ yusɛf. So, dɛn fɔ tek ɛni pen na in chɛst siriɔs wan.

• If di pen na nyu tin ɛn i dɔn te pas fayv minit, yu fɔ go na imejensi rum wantɛm wantɛm.
• Ivin if de pen dɔn go insay sɔm minit ɛn nɔto imejensi, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan fɔ no wetin de mek yu fil am.

Mɛmba se, di pen we nɔ de na di chɛst we nɔ de na di at, ilɛk wetin mek i de fil, kin kam bak. I kin afɛkt yu kwaliti layf bak.

Wetin na di men tin wae kin mek yu gɛt chɛst pen wae nɔr gɛt natin fɔ du wit di at?

as wi bin se, dis `NCCP` kכndyushכn kin kכz fכ prכblεm wit yu εsophagus (di tכb we de kכri it frכm yu mכt to yu bεlε). Bɔku sik dɛn de na di εsophagus we kin afɛkt dis:

Gastroesophageal Riflɔks Disizin (GERD) .

Dis na di tin we kin mek pɔsin gɛt dis sik pas ɔl . Bitwin 50 ɛn 60 pasɛnt pan di wan dɛn we gɛt NCCP gɛt dis sik. Fɔ tɔk am simpul wan, dis na we di bɛlɛ asid de kam ɔp di εsophagus.

Di mɔsul dɛn we de na di ɛsophageal spasm

dis kayn pen kin apin bak bikoz fכ abnכmal, ova aktiv kכntrikshכn dεm na di mכsul dεm na di εsophagus. i kin apin bak na di εsophagus, jכs lεk wan lump na di leg.

Achalasia we dɛn kɔl

Dis na tin we nɔ kin apin so ɔltɛm. wetin de apin ya na di valv (sphincter) we de na di lכw εnd pan di εsophagus nכ de opin fayn fayn wan. Dɔn it nɔ kin ebul fɔ pas insay di bɛlɛ ɛn i kin stɔp na di εsophagus.

di εsophageal haypasεnsitiviti

Dis na wan sik wae de mek pɔrsin nɔr de fil fayn. Dat min se di mכsul dεm, di nεv dεm, εn di rεsεpכta dεm na di wכl dεm na di εsophagus kin sεnsitiv pasmak. Ivin prɛshɔn, pul, ɛn asid we dɛn kin fil nɔmal, dɛn pipul ya kin fil lɛk pen.

Inflameshɔn na di εsophagus

Infεkshכn, alerji fכ it (e.g., eosinophilic esophagitis) , כ pεptik כlsa sik kin mek di εsophagus inflamed εn inju, we kin mek bak di chεst pen.

Abnɔmal tisu na di εsophagus

Sɔntɛnde, abnɔmal tisu, lɛk ring ɔ wɛb, kin gro insay di εsophagus, ɛn blok di εsophagus.

Sɔntɛnde, dɔktɔ dɛn nɔ kin ebul fɔ fɛn ɛni wan pan dɛn tin ya we kin mek pɔsin gɛt dis sik. bכt we dεn kכnfכm se nכ at prכblεm de, dεn kכl am "functional chest pain of presumed esophageal origin."

Us ɔda tin dɛn kin mek yu chɛst pen lɛk dis?

apat frכm prכblεm wit di εsophagus, כda rizin dεm de we mek dis `NCCP` kכndyushכn kin apin. Bɔt dɛn tin ya nɔ kin bɔku:

• Prɔblɛm wit mɔsul ɔ bon na di chɛst, chɛst wɔl, ɔ spayna. Lɛk mɔsul we dɛn pul ɔ prɔblɛm wit rib.
• di sik dεm we de kכmכt na di lכng, spεshal wan dεm we de involv di pleura, di mεmbran we de kכba di lכng.
• Bɛlɛ prɔblɛm, fɔ ɛgzampul, bɛlɛ ɔlsa.
• Prɔblɛm dɛn we pɔsin kin gɛt na in maynd. Tin dɛm lɛk pen, strɛs, wɔri, ɛn pwɛl hat .

Ɛni ɔda sayn de wit dis chɛst pen?

Yes, bɔrku pipul dɛm wae nɔr de fil pen na dɛn at kin gɛt ɔda sayn dɛm bak wae gɛt fɔ du wit GERD. Fɔ ɛgzampul, at bɔn ɛn asid riflɔks. Ɔda kɔmplen dɛn we kin kam pan pɔsin we de digest, lɛk we pɔsin in trot kin at, we i kin swɛla bak, ɛn we i nɔ kin izi fɔ swɛla, kin bɔku bak. Dɛn dɔn si se na lɛk 80% pan di pipul dɛn we gɛt NCCP we de wok fayn, gɛt ɔda prɔblɛm dɛn we de mek pɔsin digest we nɔ gɛt klia kɔz. di wan dεm we kכmכn pas כl na di Irritable Bowel Syndrome (IBS) (lεk 27%) εn fכnshכnal bכdi blo (lεk 22%).

Fɔ sɔm pipul dɛm, dis chɛst pen kin gɛt fɔ du bak wit saykilɔjik sayn dɛm. Dat min se, tin dɛm lɛk strɛs, wɔri, ɛn pwɛl hat. Ivin if dɛn si se di tin we de mek pɔsin fil pen na ɔda tin, dis saykilɔjik aspek kin gɛt fɔ du wit am bak. infakt, strכng kכnεkshכn de bitwin di saykolojik simptom dεm εn di εsophageal hypersensitivity, εn bak di chεst inflameshn. Stret kin mek yu gɛt sɔm kayn sik dɛn na yu dijestiv sistɛm, ɛn dɛn sayn dɛn de kin mek yu strɛs mɔ ɛn mɔ. Dɔktɔ dɛn biliv se dis kin bi bikɔs ɔf sɔm wik we di gut ɛn bren kɔnekshɔn bitwin wi intestin ɛn bren .

Us tin dɛn we kin mek pɔsin gɛt dis sik?

Pan ɔl we nɔto dairekt kɔz, dɛn dɔn si se dɛn tin ya gɛt fɔ du wit pen na in chɛst we nɔ de na di at:

• High Body Mass Index (BMI) - Dis min se yu fɔ gɛt mɔ wet pas aw i fit fɔ yu ayt.
• Fɔ smok ɔ fɔ smok.
• `NSAIDs` (Nonsteroidal Anti-inflammatory Drugs) - Dis min se yu fɔ yuz nɔ-steroidal anti-inflammatory drɔgs bɔku tɛm (e.g. pen kil lɛk ibuprofen ɛn diclofenac).
• Wɔri .

Aw dɛn kin no dis sik?

If yu de fil pen na yu chɛst we tan lɛk at atak, di fɔs tin we yu fɔ du na fɔ go na di imejensi rum. Na de, dɛn go tek ɔl di impɔtant sayn dɛn lɛk yu blɔd prɛshɔn ɛn yu at rit, ɛn du wan kɔmplit ɛgzam fɔ yu bɔdi. Dɔn, dɛn go chɛk fɔ si if pɔsin gɛt at atak ɔ at sik. dis go inklud `EKG (Electrocardiogram)` tεst (tεst we nכ de pen we de rεkכd di ilektrikal aktiviti fכ di at) εn bכdi tεst. Dɛn blɔd tɛst ya kin no if sɔm prɔtin dɛn de we di at kin pul we pɔsin gɛt at atak. Na afta dεn kכnfכm se nכ hat prכblεm de, dεn go no se yu gεt ``non-cardiac chest pain'' (NCCP).

Afta dɔktɔ we de mɛn yu at ɔ yu famili dɔktɔ dɔn kɔnfirm se no at prɔblɛm nɔ de, i go mɔs bi se dɛn go sɛn yu to dɔktɔ we de mɛn yu bɛlɛ . I go chɛk fɔ di tin dɛn we de na di εsophageal, mɔ di GERD.

Wan we fɔ du dis na fɔ gi yu wan mɛrɛsin we dɛn kɔl proton-pump inhibitor (PPI) . Dis na mɛrɛsin dɛn we rili wok fɔ GERD. If yu sik dɛn kin bɛtɛ afta yu dɔn yuz dis mɛrɛsin, i kin ɛp fɔ no wetin mek yu gɛt dis sik.

כda tεst dεm kin bi f כ stכdi di pH pan di εsophagus , wan εsophageal motility test , wan כp εndoskopi, כ wan כltra saund . Apat frɔm dɛn bɔdi tɛst ya, di dɔktɔ go aks yu bɔt yu mɛdikal istri ɛn tɔk bɔt yu strɛs ɛn aw yu de fil.

Wetin na di tritmɛnt dɛm fɔ dis?

Fɔ mek yu gɛt di tritmɛnt we go wok fayn, yu nid fɔ fɛn di rayt tin we mek yu nɔ de fil pen na yu chɛst. Bɔku tritmɛnt dɛn de we yu kin pik:

Asid riflɔks tritmɛnt dɛn

If, lɛk bɔku pipul dɛn, yu NCCP na GERD, di tritmɛnt kin simpul ɛn i kin wok fayn. Proton Pɔmp Inhibitɔ dɛn (PPI dɛn) .na di mɛrɛsin we dɛn kin yuz mɔ fɔ GERD. di PPI dεm de wok bay we dεn de ridyus di asid we di bεlε gland dεm de mek. Dis kin ɛp fɔ mɛn ɔlsa ɛn ridyus di damej we asid kin mek. Bɔku tɛm, di tritmɛnt kin bigin wit ay doz fɔ kɔntrol di sayn dɛm. Dɔn, dɛn kin kɔntinyu fɔ gi am smɔl doz fɔ tu to 4 mɔnt. PPI dεm na bכt 90% ifektiv fכ trit GERD εn in sayd ifekt dεm. If dɛn tin ya nɔ wok, yu NCCP kin bi bikɔs ɔf ɔda tin.

Di tin dɛn we de mek pɔsin nɔ fil pen

Di nɛks tritmɛnt we dɛn kin yuz we go wok fayn na di mɛrɛsin dɛn we de mek pɔsin nɔ fil pen. Dɛn tin ya kin de pan wan klas ɔf drɔgs we dɛn kɔl tricyclic antidepressants (TCA) . Bɔt dɛn kin gi dɛn di dos we smɔl pas di wan dɛn we dɛn kin yuz fɔ pwɛl hat. If yu si se i nɔ izi fɔ bia wit di sayd ɛfɛkt dɛm wae TCA kin gɛt, ɔda kayn mɛrɛsin wae de mek yu fil bad kin ɛp bak. Sεlektiv sεrotonin riuptek inhibito dεm (SSRI) dεn sho sכm sakses wit NCCP, bכt dεn nכ establish fayn fayn wan lεk di TCA dεm.

Di tritmɛnt dɛn we pɔsin kin gɛt we i de fil ɛn di we aw i de biev

Wi dɔn tɔk se sɔmtɛm wae pɔrsin de fil na yu chɛst wae nɔr gɛt natin fɔ du wit de at kin gɛt fɔ du wit pwɛl hat, wɔri, ɔr strɛs. Saykotɛrapi kin ɛp fɔ adrɛs dɛn tin ya ɛn ridyus di pen we pɔsin kin gɛt na in chɛst. Cognitive Behavioral Therapy (CBT) de tich yu fɔ chenj ɔ pul di we aw yu de tink we de mek yu strɛs ɔ wɔri. Bayofidbak na wan tritmɛnt we de gayd maynd-bɔdi. I de ɛp yu fɔ chenj di we aw yu bɔdi de ansa sɔm tin dɛn we de mek yu fil fayn (inklud di tin dɛn we yu de tink bɔt). Yu kin tray bak fɔ yuz strɛs mɛnejɛmɛnt tɛknik dɛm na os (e.g., mɛditeishɔn, ɛksɛsayz, rilaks tɛknik dɛm).

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Chɛst pen kin bi tin wae de mek pɔrsin frayd, mɔr lɛk wae yu fil lɛk se i de kɔmɔt frɔm at sik. If yu gɛt dis kayn pen ɔltɛm, dat kin mek yu at pwɛl ɛn i kin ambɔg yu fɔ ɛnjɔy yu layf.

So, if yu de fil pen na yu chɛst ɔltɛm, tek am siriɔs wan. Nɔ delay fɔ go to dɔktɔ.

Fɔ fɛn wetin de mek yu chɛst de pen kin tek sɔm tɛm ɛn sɔm tɛst. Bɔt i fayn fɔ du am. Bikɔs bɔku tɛm, wans yu dɔn fɛn di kɔz, i kin rili simpul fɔ trit. Ilɛksɛf di tin we kin mek yu gɛt dis sik kɔmplikt smɔl, yu kin lan bɔku tin bɔt aw yu bɔdi kin biev we yu it, strɛs, ɛn tin dɛn we yu de tink bɔt. Dat no go ɛp yu we yu de go fɔ mek yu wɛl fɔ lɔng tɛm. So, tek kia ɔf yu bɔdi wɛlbɔdi.

` Chɛst pen, At sik, GERD, Ɛsophagus, Strɛs, Dijestiv sistɛm, Nɔnkardiak Chɛst Pen