Yu gɛt dis strenj pen ɔ swel na yu chɛst? Wi go tɔk bɔt Tietze Syndrome?

Sɔntɛnde yu kin fil shap pen na wan pat na yu chɛst, wit smɔl swɛlin? Lɛk pɔsin we de pinch yu, ɔ we de fil tayt? Dis kin mek wi fred smɔl, bikɔs we wi tink bɔt chɛst pen, wi kin tink wantɛm wantɛm bɔt at prɔblɛm. Tide, wi go tɔk bɔt wan sik wae nɔr kin bɔrku bɔt wae impɔtant wae kin mek pɔrsin gɛt dɛn sik ya, wae dɛn kɔl Tietze Syndrome.

Wetin na di sik we dɛn kɔl Tietze Syndrome?

Fɔ tɔk am simpul wan, Teets syndrome na we di katilej we de na yu rib kech kin wam . E nɔr kin bɔrku, dat min se e nɔr kɔmɔn tin fɔ bɔrku pipul dɛm. Bɔt i kin mek pɔsin fil pen ɛn swel na di fɔs ɛn ɔp pat na di chɛst.

naw luk, di tכp rib dεm na wi chεst (di fכs tεn כ so rib dεm) kכnekt to wan flat bon we de na di midul pan di chεst, we wi kכl di stεnכm , εn katilej de usay dεn kכnεkt. dis katilej na wan kayn rכba, fleksibul tisu we de wok lεk kushכn bitwin di bon dεm. so, we inflameshn de na di joyn dεm usay dεn rib dεm ya kכnekt to di stεnכm, we dεn kכl di costochondral joyn dεm , dis kכndyushכn we dεn kכl Teets sεndrכm de apin.

Yu go dɔn yɛri bɔt wan sik we dɛn kɔl costochondritis . Dat kin min bak se di katilej we de na di rib kech kin inflamesh. Bɔt di Teets syndrome difrɛn smɔl. I kin afɛkt wan pan di 4 rib dɛn nɔmɔ we de ɔp , bɔku tɛm na di sɛkɔn ɔ tɔd rib. Wan ɔda tin we kin mek pɔsin notis se i de swel . Kɔstokɔndraytis nɔ kin mek big, notis swel, na jɔs pen.

Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt Teets syndrome (sɔntɛnde dɛn kin kɔl am costochondral junction syndrome). Bɔt bɔku tɛm, i nɔ kin bi siriɔs sik . Yu kin trit am na os wit rɛst ɛn mɛrɛsin fɔ mek yu fil pen.

Wetin na di sayn dɛm wae de sho se yu gɛt Tietze Syndrome?

Di men tin we yu kin fil pan dis kayn tin na we yu de fil pen na yu chɛst . Dis pen kin bigin wantɛm wantɛm ɔ i kin go ɔp smɔl smɔl. Sɔm pipul dɛn kin se we dɛn jɔs tinap , i kin tan lɛk se dɛn de fil pen na dɛn chɛst we nɔ gɛt wan bɔt , bɔt we dɛn de muf, tɔn dɛn bɔdi, ɔ tek dip briz , di pen kin shap, lɛk we dɛn chuk naif, ɔ lɛk se sɔmbɔdi de ol dɛn ɛn swɛt dɛn . Dis pen kin wɔs we dɛn kɔf, sniz, ɛksesaiz, ɔ es ebi ebi tin . Dis pen de fil na di frɔnt, ɔp pat na di chɛst, bɔku tɛm na wan say nɔmɔ. Sɔmtɛm dis pen kin spre (radiate) bak to di an, sholda, ɛn nɛk .

Di ɔda men sayn na wan lump we de apia na wan ples nɔmɔ . yu go fil am na di כp pat na yu chεst, nia di brεstbon (sternum), bכku tεm arawnd di sεkכn כ tכd rib.I kin tan lɛk smɔl smɔl tin we dɔn swel. Sɔm pipul dɛn se i kin tan lɛk se i gɛt bɔku bɔku wata, i at smɔl . I kin fil wam smɔl we yu tɔch am, i kin rɛd, ɔ ivin chenj in kɔlɔ . Dis ɔl na sayn dɛm fɔ inflamɛns. Dis swɛlin na di tin we de sho se yu gɛt di sik we dɛn kɔl Teets syndrome, ɛn i kin tek sɔm tɛm fɔ mek di swel go dɔŋ ɔl ivin afta di pen dɔn stɔp.

Wetin mek Tietze Syndrome kin apin? Wetin na di tin dɛn we kin mek i apin?

Di simptom dɛm fɔ Teets syndrome kin apin we di katilej na yu rib kech usay yu fil pen kin vɛks ɛn inflamed . Bɔt dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek dis sik, ɔ wetin mek i kin apin di we aw i kin apin. Wetin mek i jɔs afɛkt wan pan di rib dɛn we de ɔp, ɔ wetin mek i kin mek da patikyula swel de? dis na di tin dεm we de mek di Teets sεndrכm frכm di tכpik kכstochondritis.

Bɔku tin dɛn de we wi tink se kin mek dis apin:

• Traumatic injury : We pɔsin gɛt motoka aksidɛnt, we pɔsin fɔdɔm frɔm ayt, ɔ we pɔsin blo bad bad wan na in chɛst we i de ple, dat kin mek i gɛt tit sindrom. di sכft tisu dεm na dis εria kin rεspכnd difrεnt we fכ injuri. Fɔ ɛgzampul, if yu fɔdɔm pan baysikul ɛn nak yu chɛst, ɔ if bɔl we de muv fast fast nak yu chɛst we yu de ple kriket, dis sik kin apin.
• sכm sכm injuri dεm we de ripit (`Microtrauma`) : wan spεsifi k inflammatory kכndishכn kin apin bak bikoz fכ sכm sכm strεs (strεs) dεm we dεn de kכntinyu fכ aplay to yu rib kεj ova tεm. Fɔ ɛgzampul, we pɔsin kin kɔf bɔku tɛm ɛn we i kin kɔf bad bad wan . Imajin se sɔm pipul dɛn kin gɛt kɔf we dɔn de fɔ lɔng tɛm, ɛn di kɔf kin put prɛshɔn pan di mɔsul dɛn ɛn di katilej dɛn na di chɛst ɔltɛm. Dɔn bak, dis sik kin kam bikɔs yu de vɔmit bɔku tɛm, yu de du ɛksɛsayz fɔ es yu wet di rɔŋ we, ɔ yu de nak sɔntin na yu chɛst bɔku tɛm (lɛk sɔm spɔt dɛn).

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Yu kin gɛt Teets sindrom if yu de wɛl frɔm ɔda mɛrɛsin, ɔ if yu gɛt wan sik we nɔ de mɛn we de mek di katilej na yu rib kech wik, ɔ if yu de muv am ɔltɛm. Na sɔm ɛgzampul dɛn ya:

• Rimatik ɛn ɔtoimyun sik dɛm : Dis na sik dɛm we di bɔdi in imyun sistɛm de atak in yon sɛl dɛm. Fɔ ɛgzampul, wan sik we dɛn kɔl rεumatoid at.
• di sik dεm we dεn kin kכnεktiv tisu dεm we dεn kin gεt we dεn kin kכnεkt di bכdi : Dis na sik dεm we dεn kin gεt we de afekt di bכdi in kכnektiv tisu dεm (lεk di kכtilaj).
• Dijeneretiv ɔ inflammatory at at: Na at at sik we di jɔyn dɛn kin pwɛl ɔ inflam.
• Krכnik chεst infεkshכn : Na kכf we kin kכf fכ lכng tεm we kin kכz fכ tin dεm lεk chεst kכnjεshכn כltεm εn brכnkaytis.
• Kɔf ɔ vɔmit we nɔ de dɔn: We yu kɔntinyu fɔ kɔf ɔ vɔmit, dat kin mek yu chɛst prɛshɔn.
• Di ɔpreshɔn we dɛn jɔs du na di eria : If dɛn dɔn du ɔpreshɔn pan yu chɛst, dis kin apin we di tisu dɛn we de rawnd de wɛl.

Aw dɔktɔ kin no dis? (Diagnosis) .

If yu go to dɔktɔ we gɛt chɛst pen, di fɔs tin we i go du na fɔ chɛk fɔ mek shɔ se nɔto at atak . Bikɔs pen na yu chɛst na di tin we de mek yu denja pas ɔl, na di fɔs tin we yu nid fɔ pul kɔmɔt. Afta yu dɔn mek shɔ se i nɔ de, di dɔktɔ go tek tɛm lisin to yu simptom dɛm - aw di pen tan, aw lɔng i dɔn de, we i de wɔs, ɛn if ɛni swel de. Dɔn dɛn go chɛk yu chɛst fɔ si usay di swel de ɛn aw i tan.

Dɔn, dɛn go ɔda sɔm imej tɛst fɔ luk fɔ sayn dɛn fɔ inflamɛns ɔ injuri insay di chɛst. Dɔktɔ dɛn kin no se yu gɛt Teets syndrome afta dɛn dɔn pul ɔl di ɔda tin dɛn we kin mek yu gɛt di sik (diagnosis of exclusion) . Dat min se, dɛn kin kam to dis kɔnklushɔn afta dɛn dɔn pul ɔl ɔda tin dɛn.

Di tɛst dɛn we dɛn kin du na:

• Chɛst X-ray : Fɔ chɛk if yu gɛt prɔblɛm wit yu bon, lɛk nyumonia. Chɛst X-ray kin ɔltɛm nɔmal fɔ di Teets sindrom.
• CT scan ɔ MRI scan : Dɛn tin ya kin sho di sɔft tisu ɛn di katilej we de insay di chɛst klia wan. Dɛn kin ɛp fɔ no usay di inflamɛns de ɛn aw di swɛlin de.
• Ultrasound scan : Dɛn kin yuz dis bak fɔ si tin dɛn lɛk swel, di kɔndishɔn na di katilej, ɛn if wata dɔn gɛda na di eria.
• E.C.G., ɛn ɔda pipul dɛn. (`Electrocardiogram - EKG`) : Dis na tin we dεn kin du fכ chεk di ilektrikal aktiviti na di at εn mek sכh se hat atak nכ de.
• Blɔd tɛst : Chɛk fɔ inflammatory markers na di bɔdi ɛn ruul ɔut ɔda infɛkshɔn.
• Bayopsi : Sɔntɛnde, dɛn kin tek smɔl pat pan di tisu frɔm di say we di swel de ɛn chɛk am ɔnda maykroskɔp. Bɔku tɛm dɛn kin du dis fɔ mek shɔ se natin nɔ de we siriɔs pas dis, lɛk kansa.

Wetin na di tritmɛnt dɛm fɔ dis? (Tritmɛnt)

We yu sɔft tisu dɛn inflam, dɛn nid tɛm ɛn rɛst fɔ mek dɛn wɛl. Na dat dɔktɔ dɛn kin advays.

• Rɛst : Nɔ de fa frɔm di tin dɛn we de mek yu fil pen mɔ, mɔ di tin dɛn we de mek yu gɛt prɛshɔn pan di chɛst, fɔ sɔm tɛm.
• Di tin dɛn we de mek pɔsin nɔ fil pen : Di tin dɛn we dɛn kin bay we dɛn de sɛl pen kin ɛp fɔ ridyus di pen ɛn swɛlin. Bɔku tɛm, dɔktɔ dɛn kin tɛl yu fɔ tek mɛrɛsin dɛn we dɛn kɔl nonsteroidal anti-inflammatory drugs (NSAIDs ) (lɛk ibuprofen ɛn naproxen). Dɛn tin ya kin ridyus di inflamɛns, we kin ɛp fɔ ridyus di pen.
• Tek am izi : Yu nɔ go ebul fɔ go skul ɔ wok, bɔt yu go nid fɔ tek am izi, avɔyd fɔ du tin dɛn we tranga, fɔ ɛksesaiz, ɔ fɔ es ebi ebi tin dɛn fɔ sɔm tɛm . As yu de wɛl smɔl smɔl, yu kin bigin fɔ wok bak smɔl smɔl.
• Ɔt ɔ kol pak : Sɔm pipul dɛn kin gɛt fridɔm we dɛn put ɔt wata bɔtul ɔ ays pak na di say we dɛn de fil pen.

Bɔt if yu stil fil se yu nid fɔ tek NSAID afta lɛk tɛn dez, tɛl yu dɔktɔ. Dis na bikɔs if yu tek dɛn fɔ lɔng tɛm, dat kin mek yu gɛt sayd ɛfɛkt , mɔ yu bɛlɛ prɔblɛm. Dɔn yu dɔktɔ kin tɛl yu fɔ chenj to ɔda mɛrɛsin, lɛk asetaminofɛn (e.g. Panadol), ɔ gi yu kɔtizɔn injɛkshɔn dairekt na di say we di inflamɛns de. Dis injɛkshɔn de kɛr di mɛrɛsin go dairekt to di say we di inflamɛns de, ɛn dis de gi di mɛrɛsin kwik kwik wan.

Sɔm pipul dɛn nid fɔ gɛt tritmɛnt fɔ lɛ dɛn stɔp fɔ sniz, kɔf, ɛn vɔmit bifo dɛn chɛst wɛl. If dɛn tin ya kɔntinyu, di katilej we de na di chɛst nɔ go gɛt bɛtɛ chans fɔ wɛl. Tɔk to yu dɔktɔ ɔltɛm bɔt aw yu de wɛl.

Di tin we impɔtant pas ɔl na fɔ nɔ ɛva kɔntinyu fɔ yuz ɛni mɛrɛsin we yu nɔ gɛt dɔktɔ in advays, mɔ di mɛrɛsin dɛn lɛk NSAID.

Wetin kin apin to pɔrsin wae gɛt Tietze Syndrome? Yu tink se dɛn go wɛl? (Status ɛn Rikɔvayshɔn - Prɔgnosis)

Costochondral junction syndrome (dεn kin kכl am bak Teets syndrome) na wan tεmporari kכndyushכn , we min se i nכto wan kכndyushכn we de fכ כltεm. Yu kin ɛkspɛkt fɔ mek yu wɛl ful wan . Bɔrku pipul kin wɛl insay sɔm wiks , sɔmtɛm wan ɔr tu mɔnt. Bɔt sɔm pipul dɛn bɔdi kin tek lɔng tɛm, ivin sɔm mɔnt fɔ mek i wɛl. Sɔntɛnde, di swel kin kɔntinyu fɔ sɔm mɔnt afta di pen dɔn go. I go go smɔl smɔl.

Na smɔl tɛm nɔmɔ, i kin tan lɛk se di sik we dɛn kɔl Teets syndrome dɔn go ɛn afta dat i kin kam bak. Bikɔs ɔf difrɛn tin dɛm ɛn tin dɛm wae kin mek pɔrsin gɛt dis sik (lɛk wae pɔrsin kin kɔf ɔltɛm), sɔm pipul dɛm kin gɛt dis sik fɔ lɔng tɛm pas ɔda pipul dɛm, ɔr kin kam bak.

We yu gɛt chɛst pen, mɔ we yu nɔ no di tin we kin mek yu fil pen, na so i rili biI de mek pɔsin fred. Dat na nɔmal tin. Bɔt, Teets syndrome nɔto sɔntin we yu fɔ fred ɔ we go mek yu layf de pan denja . Pan ɔl we i nɔ kin fayn fɔ sɔm tɛm, dɛn kin trit am na os te i wɛl.

Di big prɔblɛm wit Teets syndrome kin bi fɔ gɛt kɔrɛkt diagnosis . Bikɔs na wan sik we nɔ kin apin so ɔltɛm ɛn i gɛt sayn dɛn we fiba bɔku ɔda sik dɛn (especially chest pen), yu dɔktɔ go gɛt fɔ pul ɔl ɔda tin bifo dɛn no se yu gɛt Teets syndrome. Dat kin tek sɔm tɛm.

Faynal Mɛsej fɔ Tek-Hom

Okay, so naw we wi don tok boht Tietze Syndrome, a op se yu geht beta andastan. Na sɔm tin dɛn we yu fɔ mɛmba:

• Tit sindrom na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt di katilej na di rib kech .
• Di men sayn dɛm na we yu de fil pen na yu chɛst ɛn yu kin si wan say swel we yu kin si .
• Bɔrku tɛm dis nɔr kin bi siriɔs sik ɛn dɛn kin trit am na os wit rɛst, mɛrɛsin fɔ mek yu fil pen, ɛn sɔntɛm ɔda tritmɛnt dɛn lɛk aw dɔktɔ tɛl yu.
• Bɔt if yu gɛt pen na yu chɛst, yu fɔ rili go to dɔktɔ fɔ no di rayt tin we mek yu fil pen . Bikɔs i rili impɔtant fɔ mek shɔ se nɔto siriɔs tin lɛk at atak. Nɔ panik, bɔt go to dɔktɔ fɔ advays.
• Wae yu dɔn gɛt kɔrɛkt diagnosis ɛn fala di dɔktɔ in instrɔkshɔn, yu kin wɛl ɔlsay frɔm dis sik . I impɔtant fɔ peshɛnt.

So, if yu ɔr pɔrsin wae yu sabi gɛt dɛn kayn sik ya, nɔr panik ɛn go to dɔktɔ. Dɔn dɛn kin rɔn di tɛst dɛn we dɛn nid ɛn no di rayt tin we de apin. Wi de wish ɔlman gud wɛlbɔdi!

` Tietze Syndrome, Chɛst Pen, Rib Kartilaj, Chɛst Swɛlin, Kɔstokɔndraytis, Chɛst Pen