Chhung natna hi thinlung lam harsatna a ni fo em? Nocardiac chest pain chungchang hi i zir dawn nia!

I rilruah a châng chuan tightness , tightness, a nih loh leh na i nei em? Kan thinlungah thil dik lo a awm nia kan hriat hian kan hlau fo thin a ni lawm ni? Mahse, i hria em, rilru natna zawng zawng hi thinlung atanga lo chhuak a ni lo. A chang chuan doctor i pan chuan test an ti a, ‘Thinlung lamah harsatna a awm lo’ an ti thin. Chuti a nih chuan eng nge thleng? Chu chu vawiinah kan sawi dawn a ni, rilru natna, thinlung nena inzawm lo, rilru natna. Hei hi damdawi lam chuan `Noncardiac Chest Pain (NCCP)` an ti a.

Chuti a nih chuan, he noncardiac chest pain hi eng nge ni?

A awlsam zawngin sawi ila, `Noncardiac Chest Pain (NCCP)` hi i rilruah, a bik takin i rilru lai takah, thinlung awmna hmunah a awm fo thin. Amaherawhchu hei hi thinlung natna engmah avanga lo awm a ni lo. Mi tam tak tan chuan he natna chi hrang hrang kan neih chhan ber chu chaw kawng (esophagus ) (kan ei huna ka atanga chaw ei tur phurtu tube) a harsatna vang a ni. Chung zingah chuan `Gastroesophageal Reflux Disease (GERD)` an tih hi a tam ber a ni. Kan zingah hian hei hi "gastritis" emaw "reflux" emaw tihzualna a ni, a dik em? Chu bâkah, stress, lungkhamna, leh lungngaihna ang chi thilte pawh hi rilru natna awm reng angin a lang thei bawk. A châng chuan lung lama harsatna leh taksa ruh (muscle spasm) ang chi thilte pawhin rilru natna a thlen nghal thei bawk. Mahse `NCCP` hi natna kal zel, chronic condition anga pawm a ni.

He hrehawmna hi eng ang nge a nih? Heart attack ang mai a ni em?

Ni e, a tam zawkah chuan he non-cardiac chest pain hi angina ang maiin a awm thin. Miin i rilru a hnim emaw, a hnim emaw, i rilruah thil rit tak dah emaw ang maiin a awm thei. He natna hi i rilru ruh lai tak (sternum) hnung lamah a awm tam ber . A châng chuan dinglam, veilam emaw, a laiah dinglam emaw pawh a ni thei. Heart attack ang bawkin he natna hi i kawr, i kut veilam emaw, i hnungzang emaw thlenga kal ang maiin a awm thei bawk.

Heng thil hmang hian thil dang i hrethiam thei mai thei. Entirnan, he natna hi i ei zawh hnuah a lo thleng thei a ni. A nih loh leh, rilru chhunga kang, "heartburn" kan tih chu he natna nen hian a lo thleng thei bawk. He natna hi minute engemaw zat a daih thei a, a chang chuan darkar engemaw zat a awm thei bawk.

Ngaihtuah teh, zanriah tui tak i ei a, thil rimtui tlem te nen, rei vak lo hnuah i mut dawn chuan i rilru lai takah kang ang maiin i hria a. Mi thenkhat chuan, ‘Gas a ni ngei ang’ tiin an ngaihtuah thin. Mahse hetiang hi a thleng fo a nih chuan `GERD` chhinchhiahna a ni thei a, chu chuan rilru natna a thlen thei bawk.

Engvangin nge ril na hi thinlung natna ang maia a hriat?

Hei hi thil mak tak angin a lang thei a, mahse a chhan a awm. Kan rilru chhungah hian trachea hi thinlung hnaih takah a awm a.. Organ pahnih atanga natna signal lo lut chu sensory nervous system pakhat kaltlangin thluak lamah a kal a. Chuvangin, a chang chuan heng natna chi hnih hi a symptoms ringawt atanga thliar hran a harsa hle.

Mahse, esophageal reflux nena inzawm symptom dang i neih chuan, chu chu i pum chhunga thil awmte chu i esophagus-ah a rawn let leh ang tih i hriat chuan, chu chu i natna chu i thinlung nen a inzawm lo tih chhinchhiahna a ni thei. Mahse, i esophagus-a muscle spasm emaw visceral hypersensitivity ang chi condition te hi hriat a harsa deuh thei.

Hetiang dinhmun hi engtiang chiahin nge a awm?

He non-cardiac chest pain hi kan ngaihtuah aiin a tam zawk. Report thenkhatah chuan puitling 25% velin he natna hi an vei a ni. Emergency room-a rilru natna neia lo kal zinga 50% leh 75% inkar chu thinlung lam natna an neih thu an hriat hnuah an haw leh thin. Vawi tam tak chu heng thil thlengte hi sawifiah theih loh, lungkhamna emaw lungkhamna emaw avanga lo awm emaw, ``NCCP'' emaw anga chhiar an ni.

Engtin nge rilru natna hi a nasat em tih i hriat theih ang?

Hei hi a pawimawh ber a ni. Heart attack leh non-cardiac chest pain hi nangmah chauhin i hre thei lo mai thei. Chuvangin rilru natna eng pawh hi ngaih pawimawh tur a ni.

• Natna chu a intan nghal a, minute nga aia rei a nih chuan emergency room-ah kal nghal ngei ang che.
• Minute tlemte chhungin a natna chu a reh a, emergency a ni lo a nih pawhin, a chhan hriat chian nan a rang thei ang bera doctor pan a pawimawh hle.

Non-cardiac chest pain, a chhan eng pawh ni se, a lo awm leh thei tih hre reng ang che. I nunphung pawh a nghawng thei bawk.

Thinlung nena inzawm lo, rilru natna thlentu lian ber berte chu engte nge ni?

Kan sawi tawh ang khan he `NCCP` dinhmun hi i esophagus (i ka atanga i pum thlenga ei tur phurtu tube) a harsatna vang a ni fo thin. Hei hi chaw kawng natna engemaw zat a awm a, chungte chu:

Gastroesophageal Reflux Disease (GERD) natna a ni a, a rilru a hah lutuk a, a rilru a buai em em bawk a.

Hei hi a chhan ber a ni . NCCP vei zaa 50 leh 60 inkar chuan he natna hi an nei a ni. A awlsam zawngin, hei hi stomach acid chu esophagus atanga a rawn chhuah hun a ni.

Esophageal muscle a lo chhuak thin

Hetiang natna hi oesophagus-a muscle-te contraction pangngai lo, overactive lutuk vang pawh a ni thei. Ke ruh (esophagus)-ah pawh a awm thei a, kea hnim hring ang maiin a awm thei bawk.

Achalasia a ni

Hei hi thil awm lo tak a ni. Heta thil thleng chu chaw kawng hnuai lam tawp lama valve (sphincter) chu a inhawng tha lo a ni. Tichuan ei tur chu pum chhungah a lut thei lo va, chaw kawng chhungah a tang ta a ni.

Esophageal hypersensitivity a awm bawk

Hei hi hriatna lama harsatna a ni. Chu chu, chaw kawng bang chhunga thau, nerve leh receptor te chu an sensitive lutuk tihna a ni. Pressure, pulling leh acid, a tlangpuiin an hriat thin te pawh hi heng mite hian natna angin an hre thin.

Chaw ei kawng (esophagus) a inflammation

Infection, food allergy (e.g., eosinophilic esophagitis) , emaw peptic ulcer natna te hian chaw kawng chu a ti na thei a, a hliam bawk a, chu chuan rilru natna a thlen thei bawk.

Esophagus chhunga tissue pangngai lo awm

A châng chuan chaw kawng chhungah hian tissue pangngai lo, ring emaw web emaw te chu a lo thang lian thei a, chaw kawng chu a tikhawlo thei a ni.

A chang chuan doctor-te hian heng zinga pakhat mah hi an hmu thei lo. Mahse thinlung lam harsatna a awm lo tih finfiah a nih chuan "functional chest pain of presumed esophageal origin" an ti a ni.

Eng thil dang nge hetiang hian rilru natna thlen thei?

Esophagus lama harsatna bakah hian he `NCCP` dinhmun hi a lo awm theih chhan dang a awm bawk. Mahse, hengte hi a tam lo hle:

• Chhung, rilru bang emaw, ruhro emaw-a taksa ruh emaw ruh emaw lama harsatna a awm. Puled muscle emaw, rib lama harsatna emaw ang maiin.
• Lung natna rei tak, a bik takin lung natna khuh tu membrane pleura (pleura) a kaihhnawih te.
• Pum lama harsatna, entirnan pumpui ulcer.
• Rilru lama harsatna nei. Natna lama harsatna, lungkhamna, lungkhamna, leh lungngaihna ang chi thilte .

He rilru natna nen hian symptom dang a awm em?

Ni e, non-cardiac chest pain nei tam tak chuan GERD nena inzawm symptom dang an nei bawk. Entirnan, lungphu leh acid reflux te. Digestive complaint dang, ril na, regurgitation, leh ei harsa te pawh a awm fo bawk. Functional NCCP vei zinga 80% vel chuan functional digestive disorder dang, a chhan chiang tak nei lo an nei tih hmuhchhuah a ni. Chung zinga a tam ber chu Irritable Bowel Syndrome (IBS) (27% vel) leh functional abdominal bloating (22% vel) te an ni.

Mi thenkhat tan chuan he rilru natna hi rilru lam natna (psychological symptoms) nen pawh a inzawm tlat a ni. Chu chu, lungkhamna, lungkhamna, leh lungngaihna ang chi thilte a ni. Natna thlentu chu thil dang a ni tih hmuhchhuah ni mah se, he rilru lam hawi pawh hi a inzawm thei bawk. Dik tak chuan psychological symptoms leh esophageal hypersensitivity te, chubakah chest inflammation te hi inzawmna nghet tak a awm a ni. Stress hian digestive system symptoms a thlen thei a, chu symptoms chuan stress a tipung thei bawk. Doctor-te chuan hei hi kan intestines leh thluak inkara gut-brain connection chak lohna engemaw zat vang a ni thei niin an ngai .

Eng risk factors nge hei hi nghawng?

Direct cause ni lo mahse, heng thilte hi non-cardiac chest pain nen a inzawm tih hmuhchhuah a ni:

• High Body Mass Index (BMI) - Hei hian i san zawng nena inmil aia tam rihna neih tihna a ni.
• Meizial zuk emaw, zuk leh hmuam hman emaw.
• `NSAIDs` (Nonsteroidal Anti-inflammatory Drugs) - Hei hian non-steroidal anti-inflammatory drugs (e.g. natna tidamtu ibuprofen leh diclofenac ang chi) hman fo tihna a ni.
• Hlauhthawnna .

Engtin nge he natna hi hriat chhuah a nih?

Lung natna ang chi i rilru natna i neih chuan i tih hmasak ber tur chu emergency room-ah kal a ni. Chutah chuan chhinchhiahna pawimawh zawng zawng , i thisen sang leh i heart rate te chu an la ang a, taksa enfiahna kimchang an nei ang. Tichuan, heart attack emaw heart disease emaw a awm leh awm loh an enfiah ang. Hei hian `EKG (Electrocardiogram)` test (thinlung electric hnathawh chhinchhiahna natna nei lo test) leh thisen test te a huam dawn a ni. Heng thisen test te hian heart attack laia heart atanga chhuak protein thenkhat awm leh awm loh a hriat theih a ni. Lung lam harsatna a awm loh tih finfiah a nih hnuah chauh ``non-cardiac chest pain'' (NCCP) i nei tih hmuhchhuah a ni ang.

Cardiologist emaw, i chhungkaw doctor emaw chuan thinlung lam harsatna a awm lo tih a nemnghet hnuah, gastroenterologist hnenah an refer mai thei che a ni . Esophageal condition, a bik takin GERD a enfiah ang.

Chutianga tih theih dân pakhat chu damdawi proton-pump inhibitor (PPI) tih hi a ni. Hengte hi GERD damdawi tha tak tak an ni. He damdawi i hman hnua i natna lan chhuah dan a lo ṭhat chuan a chhan hriat theih a ni.

Test dangte chu chaw kawng pH study , esophageal motility test , upper endoscopy, a nih loh leh ultrasound te pawh a ni thei. Heng taksa test bakah hian doctor chuan i medical history a zawt ang a, i stress leh emotional factors te a sawipui ang.

Hei hi eng enkawlna nge ni?

Enkawlna \ha tak pe tur chuan i non-cardiac chest na chhan dik tak i zawn chhuah a ngai a ni. Enkawlna kawng hrang hrang a awm a:

Acid reflux hmanga enkawl dan tur

Mi tam zawk ang bawkin i NCCP hi GERD avanga lo awm a nih chuan enkawlna chu a awlsamin a hlawk tlangpui. Proton Pump Inhibitor (PPI) te hi a tha hle.GERD damdawi hman tlanglawn ber a ni. PPI hian stomach glands atanga acid siam chhuah a tihtlem avangin hna a thawk a ni. Hei hian ulcer a tidam a, acid avanga chhiatna a tihziaawm bawk. Enkawlna hi a tlangpuiin a natna lan chhuah dan control nan dose sang tak atanga tan thin a ni. Tichuan, a dose hniam zawk chu thla hnih atanga thla li chhung an chhunzawm leh thin. PPIs hian GERD leh a side effects enkawlnaah 90% velin a thawk tha hle. Hengte hian hna a thawh loh chuan i NCCP hi thil dang vang a ni mai thei.

Natna titawp thei

A dawta hman tlanglawn ber chu damdawi tha tak a ni. Chungte chu damdawi chi khat , tricyclic antidepressants (TCAs) an tih zingah an tel tlangpui. Mahse, depression atana hman aiin a tlem zawk hle. TCAs side effects hi tuar harsa i tih chuan antidepressant chi dang pawhin a pui thei bawk. Selective serotonin reuptake inhibitors (SSRI) te hian NCCP hmangin hlawhtlinna engemaw zat an nei a, mahse TCAs angin an dinhmun a tha lo hle.

Emotional leh behavioral therapies te pawh a awm bawk

Kan sawi tawh angin, thinlung nena inzawm lo rilru natna hi a chang chuan lungngaihna, lungkhamna emaw, stress emaw nen a inzawm thei a ni. Psychotherapy hian heng thilte hi a chinfel sak thei a, rilru natna awm fo pawh a ti tlem thei bawk. Cognitive Behavioral Therapy (CBT) hian rilru hahna emaw, lungkhamna emaw thlen thei ngaihtuahna tihdanglam emaw, tihbo emaw a zirtir che a ni. Biofeedback hi rilru leh taksa enkawlna kaihhruaina a ni. I taksain thil engemaw (ngaihtuahna pawh tel) a chhan dan a thlak danglam thei che a ni. In lamah pawh stress management technique (e.g., meditation, exercise, relaxation technique) i hmang thei bawk.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Chest na hi thil hlauhawm tak a ni thei a, a bik takin thinlung natna atanga lo chhuak ang maia hriat a nih chuan. Hetiang natna hi neih fo hian lungngaihna a thlen thei a, nun nuam i tih theihna pawh a tibuai thei bawk.

Chuvangin, rilru na reng reng i neih chuan ngai pawimawh rawh. Damdawi lam thurawn lak chu tikhawtlai suh.

I rilru natna chhan zawn chhuah nan hian theihtawp chhuah leh test engemaw zat a ngai mai thei. Mahse, a phu a ni. A chhan chu a tam zawkah chuan a chhan i hmuh hnuah chuan enkawl a awlsam hle. A chhan chu a buaithlak deuh a nih pawhin, i taksain ei leh in, stress leh ngaihtuahna a chhân lêt dân chu i zir tam thei hle. Chu hriatna chuan hun rei tak dam lehna kawngah a pui ang che. Chuvangin, i taksa hriselna hi uluk takin enkawl rawh.

` Chhung na, Lung natna, GERD, Esophagus, Stress, Digestive system, Noncardiac Chest Pain