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Author: sang_kuriang

Saket Dada---->tolong!

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Post time 17-4-2009 10:36 AM | Show all posts
kat bahagian atas pedih2 menyucuk nyucuk..??

costo chondritis.. tak pon plueritis (pleua: lapisan yang membalut paru2)... boleh gak..
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Post time 17-4-2009 10:42 AM | Show all posts
saranan sy pergi bekam itupun kalau awak nak.takut awak tak biasa.Sebab dlm bdn kita ni dgn makan aneka benda byk toksin terkumpul mesti akan buat badan kita lama kelamaaan mesti jam punya so pergi bekam dia akan buang semua toksin yg mengganggu sistem badan kita so kita badan akan rasa lebih ringan dan selesa.Biasanya kena pergi 3 kali lepas tu rasakanlah sendiri perubahannya .Sunnah Nabi pun jadi disamping mengubat dapat pahala lagi.
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Post time 19-4-2009 08:00 AM | Show all posts
Ramai yg konpius antara heart attack & heartburn sbb simptomnya hmpir sama.
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Post time 19-4-2009 09:41 AM | Show all posts
Originally posted by musang_pulut at 19-4-2009 08:00
Ramai yg konpius antara heart attack & heartburn sbb simptomnya hmpir sama.


heart attack ni slalunye characterize by persistent chest pain ,nausea n vominting,shortness of breath...
heartburn (pedih hulu hati) ni disebabkan acid perut naik ke throrax,may cause burning sensation at your chest part ....kdg2 akn ad rase pait kat mulut sbb acid perut tu...
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Post time 19-4-2009 09:43 AM | Show all posts
from Arissa_Sofea

1. Sakit dada disebabkan oleh jantung (acute coronary syndrome)
-datang secara tiba2 'sudden onset'
-boleh berlaku pada bila2 masa even semasa rehat atau tidur
-karakter nyer: central (tengah2) ataupun epigastric, terasa seperti tekanan yang berat, in extreme cases terasa macam 'crushing' atau pun ditindih...sangat sakit!!!
-constant..sentiasa rasa...berpanjangan >15minit
-maybe dilegakan sedikit oleh GTN spray
-simptom2 yang berkaitan: sesak nafas, loya2, muntah, berdebar2....

TEst yang confirm: perubahan pada ECG (ST elevation/T wave inversion), blood test level 12 jam troponin naik, nampak blockage dalam angiogram koronari...
Chest X-ray: boleh jadi normal, boleh jadi nampak heart failure

.....ni namenye Myocardia Infarction..ad 2 typt NSTEMI and STEMI...both disebabkan kekurangan oxygen tok tissue jantung ,menyebabkan tisu tersebut mati dan sakit yg amat sgt...

[ Last edited by  datin_mude at 19-4-2009 09:45 ]
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Post time 19-4-2009 10:56 AM | Show all posts
My chest pain started sebab batuk berpanjangan - many many hours.  Pastu I also used a treadmill - kononnya nak cepat slim. I ran/walked on the treadmill for almost 2 hours.  

So, combination of batuk & over exercise my chest muscles rabak kot.  That caused my chest pain - which was 2 years ago. Until now I have the pain - it flares up once in a while.  Kalau dah sakit sangat I take a ride to Genting Highlands - tak tahu kenapa but the cold weather heals the pain.  

Now, I discovered another remedy - protein shake.  My husband does weight training and drinks that concoction for muscle repair.  He made the drink for me - his theory if its torn muscle maybe protein drink can help to repair.  Alhamdullillah sekarang ni dah tak sesakit macam dulu.  Harap-harap janganlah datang sakit dada tu lagi. Takut, ngeri and sakit.  :geram:
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Post time 19-4-2009 11:25 AM | Show all posts

Reply #26 AnitaSabrina's post

Costochondritis le tuh...
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Post time 19-4-2009 03:01 PM | Show all posts
ada masa2 sakit ada gak esp kalo batuk yg kerap...bila kena tu tensen...chk doktor dia kata normal arr tuh sbb geseran sbb batuk...

lagi satu bila makan telur banyak...angin kot
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Post time 19-4-2009 07:11 PM | Show all posts

Reply #27 musang_pulut's post

That is what I was told.  Its costochronditis.  I suppose I should be thankful its not heart problem.  

My mum has heart problems with 3 stents.  I don't want to suffer a heart problem.  My costo makes me more aware of my health.  Its already painful with muscle pain (costo).  I can't imagine what its like to have heart problem.

I've seen my mum suffer heart pain where she can hardly breathe.  She just leaned on the bed post and couldn't move.  Only after the angiogram & stents put in she's better.
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Post time 20-4-2009 02:20 AM | Show all posts
err correction costochonditis bukan exactly berkaitan dengan muscle....

costo (dada/tulang rusuk)-chondro (cartilage)-itis (inflammation)...

adalah dgn kata lain radang cartilage rusuk.....bukan muscle....misnomer
org yg ader costochondritis ni...bila tekan dekat bahagian cartilage rusuk tu...akan rasa sakit.....

however, kalau nak diagnose chest pain yang berasal dari muscle ataupun chest wall....everything else must be excluded.....

barula....kita boleh kata 'musculoskeletal chest pain'....satu subtype bawah ni ialah costochonditis...subtype lain seperti chest wall tendinitis, muscle strain/spasm dll.


kalau kat A+E....dh semua investigation buat i.e. ecg negative, chest x-ray ok, troponin normal...tekan dada sakit...bolehla diagnose costochondritis secara umumnyer....even though kita taktau adakah ianya berpunca dari cartilage or muscle or tendon

kalau aku kerja kat A+E...aku akan prefer tulis dalam notes "impression=musculoskeletal chest pain"....

[ Last edited by  Arissa_Sofea at 20-4-2009 02:25 ]
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Post time 20-4-2009 02:30 AM | Show all posts
bukan apa......kalau patient tu cakap sakit dia kat belakang ke kat tepi bawah ketiak ke......tak kena la kita nak diagnose costochondritis...

sbb cartilage tu kat depan....

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Post time 20-4-2009 08:51 AM | Show all posts

Reply #31 Arissa_Sofea's post

Arissa

just to confirm..

btul ke costochondritis takde ubat.
Just consume pain killer to relieve the pain...

apa beza dgn Tietze's syndrome
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Post time 20-4-2009 11:47 AM | Show all posts

Reply #31 Arissa_Sofea's post

Thank you for clarifying.  So means it could be cartilage inflammation?  Will taking glucosamine + chondroitin help in healing?
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Post time 20-4-2009 06:57 PM | Show all posts

Reply #32 musang_pulut's post and #33 AnitaSabrina's post

costochondritis ni benign jer....macam tendinitis gitu...

so treatment dier kalau nak cepat lega adalah anti-inflammatory....bukan pain killer jer...
kena pain killer yang ader anti-inflammatory action...

macam panadol...lambat la lega...sbb panadol takde anti-inflammatory action...panadol analgesia/antipyretic

macam codeine ke tramadol ke...lambat jugak lega...sbb tu analgesia jer...

so kena la ambik NSAIDs....cth: ponstan, voltarol/voltaren, ibuprofen...barula cepat lega....tapi kena hati2 dgn kekerapan dose tu....sbb boleh sebabkan ulcer perut....
yang mmg dah ader ulcer perut tak digalakkan...

anyway, doc akan rekemen panadol jugak...sbb it's the safest drug....panadol boleh hilangkan sakit....badan kita akan lega sendiri

Tietze syndrome....hmmmm....tu soklan MRCP tu...syndrome ni rare la...dia bolela dikatakan a severe form of costochondritis....where cartilage to bengkak dan akan press nerve dekat chest wall....menyebabkan referred pain ke bahu dan lengan....

tu jarang la....MRCP suka soklan macam ni...."rare of the common, and common of the rare"


reply anita:

glucosamine and chondroitin are drugs which are not in the BNF (British national Formulary)...maknanyer kalau bagi saya....glucosamine n chondroitin ni adalah herbal medicine....alternative medicine.....kat hospital takder...

dalam regimen management athritis pun takde ubat2 ni.....so, patient ambik ubat2 ni atas decision diorang sendiri....mmg kita nampak good effects with glucosamine in athritis....tapi not properly studied....

tapi tu untuk athritis...bukanla costochondritis....the answer is honestly...I don't know if they would help...

[ Last edited by  Arissa_Sofea at 20-4-2009 19:03 ]
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Post time 25-4-2009 05:29 PM | Show all posts
yup... I pernah dpt patient chest pain. EKG normal...
then after 20 minutes he got cyanosis....
bila dah cardiac arrest kteorg wat cpr...
tapi sedihnyer x berjaya
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