"Syndrome Broken intliziyo" okanye Takotsubo cardiomyopathy: Oonobangela, diagnosis, Iimpawu and Treatment

"Syndrome intliziyo Broken" - igama engaqhelekanga ukuba esi sifo. Imvelaphi eli gama ngenxa umyalezo kwesi sifo xa umntu uziva wothukile eyomeleleyo iimvakalelo, oko kukuthi, indlela enye okanye omnye, kuchaphazela umsebenzi kwentliziyo. Kodwa kwezinye iimeko, yanyhashwa babumbe aberration nje, kodwa iliphawu nesifo sentliziyo ekusebenzeni kwale nkqubo. Le mithombo zonyango uyakwazi ukufumana elinye igama ngezifo - ". Takotsubo cardiomyopathy"

Kakuhle eli sifo

Unobangela oqhelekileyo lesi sifo indlela komzimba ekufeni ngumntu omthandayo. Stress cardiomyopathy - sisifo olujikeleza kwentliziyo, esizibonakalisa ngokohlobo kabi kwindawo esifubeni emva okukhulu.

Ngokutsho manani, abasetyhini bajongene le ngxaki rhoqo kunabantu, ngenxa imvakalelo ezixeliweyo besini ngobulungisa. Elona nani likhulu lamatyala ezibhalwe izigulane abaneminyaka eyi-60 ukuya kuma-70.

Ngokutsho kwinkqubo ufihlo lwe ezimbi somatic ICD-10, 'intliziyo eyaphukileyo' syndrome ubizwa ngokuba I42.8.

umyalezo weimeyile

Imvelaphi eqondile izifo ezingaziwayo. Umntu kuthathwa kuphela indlela eyiyona ngayo ukuphuhlisa ngezifo.

Ekuqaleni, kukho uhlobo uxinezeleko yengqondo-ngokweemvakalelo, nto leyo ekhokelela ukuba ukungalingani kwenkqubo yawo. Luquka kokohlukana novelwano kunye parasympathetic. Enye yazo inoxanduva inkqubo ukuphumla umzimba, enye - software yayo.

La masebe mabini zange isebenze ngexesha elinye. Umsebenzi enye usoloko unika indlela ukuqalisa omnye. Kwimeko zokugxojwa nentsalela ekhoyo ukuba practice clinical yaziwa ngokuba "DYSTONIA", kukho ukwanda elibukhali egazini yoxinaniso adrenaline. Le hormone ophazamisa umsebenzi sentliziyo ukuvala imithambo kwaye ngokonakalisa imisipha laphu iphambili umzimba.

iimpawu

Iimpawu "intliziyo eyaphukileyo syndrome" efana iimpawu ngenxa yesifo sentliziyo. Ngenxa yoko, isigulane bangaziva:

• intlungu okukhulu kwentamo, iye uphose ngasemva okanye ingalo;
• eguquguqukayo wegazi;
• dyspnea emva amandla kancinane emzimbeni okanye ukungabikho kwalo;
• ubuthathaka emzimbeni, ukozela, ukungabi namdla.

Xa ezi mpawu umntu ethatha "nitroglycerin", eli cwecwe akanalo ungenelelo efanelekileyo nezinyangayo. Ukuhlaselwa ingahlala okwethutyana. Noko ke, ukonakala impilo, nto leyo luphawu ukuba isifo sentliziyo lenene, akukho waphawula.

isigaba yophuhliso

"Syndrome intliziyo Broken" livela ephala. Amaxesha kuxolelwe nokuzinzileyo sokuwa indawo. izifo yawo - kuba ukungabikho iimpawu uphawu le ngezifo. An ukungalingani kwinkqubo novelwano kwaye parasympathetic luvo kwenza kube sengozini. Phantsi yempembelelo nayiphi na into ingqondo, indima elinokuba yi ni ntshikilelo, ukudinwa okanye ukubanda, "syndrome intliziyo eyaphukileyo 'iye kwinqanaba oyingozi.

iifom disorder

Ulwahlulo akhoyo inkqubo zophendlo lwezifo ingqalelo kuyo ngokwemiqathango eyendawo yomonakalo obangelwe imisipha intliziyo ngexesha uhlaselo. Isifo kungabonakala ngokukhukhumala kwentamo okanye zasekuhlaleni. Umahluko phakathi kwezi ntlobo zimbini?

izixwexwe sisilonda esidumbileyoesingaphakathi kwentamo kwemisipha intliziyo akanangozi kunemithetho yendawo. Nangona kunjalo, oku kufuneka esweni ngenyameko udokotela. Ukubekwa ifomu ezithile esi sifo kunokwenzeka kuphela emva kokuba electrocardiogram. Xa olu khetho, iqela lophando kwakhokelela amandla ukuqwalasela naluphi na utshintsho morphological kwi nezihlunu imisipha yenhliziyo.

iimviwo Medical

Uxilongo of "intliziyo eyaphukileyo syndrome" ikhutshwa phandle phezu algorithm ethile evumela ukuba ezohlula sifo evela ezimbi ezifanayo.

Ekuqaleni, lo kugqirha imbali yezonyango yesigulane. Ukuza kuthi ga ngoku, aze abuze imibuzo uthotho utochyayuschih: eyadlulayo wabonakala elide kangakanani iimpawu sifo okokuqala apho stressors ngaphambi imbonakalo yazo, omnye wamalungu osapho lwakhe ukuqinisekisile oku sifo, njl Kubalulekile ukuqonda ukuba ngezifo iphuhlisa kuphela nje impendulo ezifo iimvakalelo .. amava. Ukuze kwakhiwe esi sifo kuyimfuneko khona i isiganeko enze inguqu ebonakalayo kwindawo amalungu omzimba womntu.

Emva koko isicwangciso diagnostic sele uwunikiwe, eyahluke kancinane naluphi na uphando izifo sentliziyo:

• uhlalutyo amazinga cholesterol igazi ezixineneyo nezisezantsi (lipidogram);
• electrocardiogram;
• echocardiography;
• ikhompyutha okanye magnetic ekuvakaleni kwelizwi umfanekiso;
• angiography yegazi;
• -X-reyi zentliziyo.

Akukho mfuneko iphumele uluhlu lonke uvavanyo. Kwimeko nganye ngamnye, ugqirha uza kuqinisekisa uluhlu lwe elebhu kwaye esebenza izifundo ngokwahlukeneyo.

ayini

Iimbangi ngqo Takotsubo cardiomyopathy ayaziwa. Ngoko ke, isicwangciso jikelele yokulwa iingcali sifo ngoku bengenako ukufundisa. Oogqirha ngokuqhelekileyo ukumisela izifundo unyango, efanayo imigaqo yabo unyango wegazi. Kunye oko kunokuthintela iingxaki ezifana nesifo sentliziyo okanye istroke.

unyango Drug yenziwa iziyobisi umfutho: ACE-inhibitors, beta-blocker, blocker calcium channel. Njengoko isithethi udandatheko rhoqo njengonobangela "syndrome intliziyo eyaphukileyo". Ngoko ke, iinjongo zonyango kufuneka kusetyenziswe amayeza ezikhuthaza nokuzinziswa karhulumente ngokweemvakalelo. Khetha ezabo angafanele ngayo. Okokuqala, la machiza kufuneka kuthathwe iikhosi kunokuba elide. Okwesibini, kufuneka kukho inani elikhulu yeziphumo ebezingalindelekanga kwaye kungabangela ikhoboka.

Ukuze abophe iimpawu onaso, "intliziyo eyaphukileyo", ungasebenzisa anti-depressants, uxinezeleko, vegetostabilizatory. Xa obubonakala eliphantsi isifo ubungqongo ngcono ukusebenzisa amalungiselelo semifuno-based. isenzo sabo lithambile. neziphumo zonyango kufuneka ulinde ixesha elide, kodwa amathuba neziphumo ebezingalindelekanga kuyehla ukya ekupheleni nya.

Ngoko ke, ukuba umzimba amandla aneleyo kunye namandla ukuphelisa disorder somatic, umntu odinga recovery ukufumana isondlo esaneleyo. Umbuzo nokwenziwa iivithamini azipilisi namanje evulekile. Nangona kunjalo, iinzuzo kwezimbiwa ezivela ukutya, yeyabahlali.

Sam ukudla kufuneka zenziwe kuthathelwa ingqalelo ubukho nesifo sentliziyo. Le menu kufuneka ngokupheleleyo ngaphandle ikofu, iti eyomeleleyo, utywala, okunamafutha kunye nokutya enetyuwa. Injongo yale mandla - ukunciphisa ingozi ngenxa yamafutha, leyo nzima umsebenzi izihlunu zentliziyo.

Unyango "syndrome intliziyo eyaphukileyo 'iquka iseti neenkqubo ezijolise ekuququzeleleni impilo kunye nokuthintela iingxaki ezisongela ubomi. Self ukulwa esi sifo ayinqweneleki kakhulu. Kungcono ufumane umsebenzi oza ukulawula inkqubo unyango kunye nokuvuselelwa elandelayo. Umzekelo, abahlali ikomkhulu kule ngxaki angafaka isicelo Bakulevskogo Heart Centre.

iindlela zokunqanda

Iyaluthintela uphuhliso onaso kunzima kakhulu, kuba unesifo intsabelo okuye amava eyomeleleyo ngokweemvakalelo. Kwelinye icala, uxinzelelo - ifitsha umzimba womntu, oko kwakubekwe zenzelwe.

Ukuze wenze oku, umele ngqo imigaqo ngendlela esempilweni yobomi - oko kukuthi, ukuba wenze into ebonakalayo. Ukuza kuthi ga ngoku, iveki, indoda eqhelekileyo kufuneka bachithe imizuzu engama-300 ngexesha lakhe. Kufuneka sinike umzimba ukuya imithwalo kakhulu, nto leyo kakubi kuchaphazela imeko inyama yentliziyo kunye imithambo yegazi.

Kwakhona isondlo ebalulekileyo. Ukusetyenziswa kukuninzi ukutya okunamafutha kunye osidingayo kuphakamisa ukuphuhliswa ngenxa yamafutha, umonakalo izitya natshintsha nokwakheka igazi. Ukungondleki ekwenyukeni kungalingani kwamadlala ezinokubangela iingxaki zonke iinkqubo zomzimba.

A indima ephambili nokuthintela ngempumelelo nayiphi ngezifo kudlala utyelelo rhoqo kugqirha ukuze baye kuvavanyo lonyango. Umntu uyakwazi ukukhetha kanye apho uyiphatha: ekliniki kwisithili, Bakulevskogo Cardiology Centre, isifundo yabucala yi cardiologist. Kwangaxeshanye, iingcali yaleza ukutyelela ubuncinane kanye ngonyaka, kuquka kungekho iingxaki zempilo kakhulu okanye ukuba iimpawu umsebenzi intliziyo.

iingxaki kunokwenzeka

Nangona isilela amanyathelo unyango jikelele ukuze kuliwe i ngezifo, kubaluleke kakhulu emva kokuba efumanise yayo ukuthobela zonke iimfuno gqirha khona. Akukho mfuneko yokuba ukunikezela unyango, ukungqinelana Kumanele ukutya engqongqo. La manyathelo zijoliswe kuphela xa ukuphelisa esi sifo, kodwa ukukhusela yegazi ukusuka kuphuhliso iingxaki zilandelayo:

• senhliziyo ezingapheliyo;
• ukuhlaselwa yintliziyo;
• arrhythmia;
• thromboembolism;
• nokudumba miphungeni.

Outlook

Xa stress cardiomyopathy umngcipheko lokufa liphantsi kakhulu, kodwa apho. Nge unyango ngexesha kugqirha kunye nozalisekiso lwazo zonke izindululo, ukuchacha kwenzeka kwiinyanga 2.

Ukwazi nezizathu ezikwiingcambu kunye ezibonisa yokuqala inkqubo lwezidumbu, musa ukuthandabuza, kunye nonyango lwakhe. Kufuneka ngoko nangoko ufune uncedo lonyango lobungcali. Ukongeza, ezi data kwenza kube lula ukuba iyaluthintela uphuhliso sifo usaqala, ke ngoko, ukunqanda ukuvela iingxaki kunokwenzeka.