Ichokwadi chaicho chinokonzera kushungurudzika kwepfungwa uye zvakakosha
Gore negore, pedyo neChristine's Day, mapepanhau anomhanya nyaya pamusoro pe "chirwere chepfungwa chinoputsika," mamiriro ezvinhu umo vanhu (kazhinji vanowanzopedza mamenopaopausal) vanoona zvirwere zvakakomba zvemwoyo zvinotevera mushure mekunyanya kunetseka mupfungwa.Broken heart syndrome inozivikanwa navanachiremba se " kushungurudzika kwepfungwa. "(Cardiomyopathy inongova chirevo chezvechiremba chepfungwa chero ipi zvayo yepfungwa yemwoyo.) Kushungurudzika kwepfungwa kunetseka kwechimiro chemuviri mutsva chinoshamisa uye chinotyisa, asi icho chinonakidza chinowanzoshandurwa uye chenguva-kana chikarapwa nenzira yakarurama.
Uye rudzi urwu rwakaora mwoyo rwemwoyo kazhinji haruna chokuita nehutano hwakakundikana.
Chii Chinokonzera Kushushikana?
Mukudzvinyirirwa kwechirwere chepfungwa, chikamu chemuviri wemwoyo - kazhinji chikamu chikuru - kamwe-kamwe chinorega kushanda, zvichiita kuti mwoyo unetseke kukanganisa . Nekutsvaga kwekurapa kwechiremba mamiriro acho kazhinji anowanikwa kwenguva refu, uye moyo wemisumbu inodzokera kune imwe nguva basa mukati memazuva mashomanana kana mavhiki. Zvisinei, kana kurapwa kwechiremba kunonoka kudengenyeka kwemoyo kunogona kuuraya.
Kushungurudzika kwepfungwa kunokonzerwa nekudengenyeka uye nekukurumidza kunetseka mupfungwa kana mupfungwa. Zvinonzi zvinokonzera zvinosanganisira nhau dzisingatarisirwi nezvekufa, kushungurudzwa mumusha, kupamba zvombo, uye kunyange chikamu chinoshamisa. Mamiriro acho ezvinhu anowanzoita zviratidzo zvinoratidza kuora mwoyo kwepfungwa (kukuvadzwa kukuru-sekurwadziwa kwepfupa, dyspnea , uye pfungwa yekuparadzwa kunouya).
Inenge 90% yevanhu vane chirwere ichi vakadzi, avo vane muvhareji wemakore makumi matanhatu.
Hazvizivikanwi kuti sei kushungurudzika kwemoyo kunokanganisa vakadzi vasingaverengeki.
Chinokonzera kushushikana kwepfungwa chinokanganisa hazvizivikanwi, asi nyanzvi dzakawanda dzinozvipa mhosva pamusana unowanzosarudzwa pamakemikari anokonzera kushungurudza (zvakadai seadrenaline) mushure mekurwadziwa mupfungwa. Mamiriro acho angave akaenzana ne microvascular angina , iyo inokonzerwa nekudzivirira kwe microvessels (midziyo miduku yeropa) mukati memutsipa wemwoyo.
Vamwe vakataurira kuti chirwere ichi chinogona kunge chichienderana nekodonary artery spasm .
Kunyanya Kushungurudzika Kwenyendo Kwenyika Kunowanikwa Sei?
Paunotanga kuongororwa, vanhu vane dambudziko rekushaya mwoyo mupfungwa vanotanga kufungidzirwa kuva nekutambudzika kwemwoyo.
Zvisinei, kuchinja paEECGs yavo hakusi kuenzaniswa nekurwisa kwepfungwa, uye kuongorora kwemapenzi emoyo kunofanirwa kusimbisa kurwisa kwemwoyo kunowanikwa kuti kusanyanya kukwidziridzwa. Uyezve, kana uchitorwa ku laboratori ye catheterization , mairiyari avo anoona kuti akazaruka (asi muchokwadi chekurwadziwa kwemwoyo, imwe yemaroto inonzi coronary ingadai yave yakavharwa).
Uye pakupedzisira, vanhu vakawanda vane dambudziko rekushaya moyo mupfungwa vanoonekwa kuti vane rudzi rwemwoyo rwemutsipa unoshayiwa simba (cardiomyopathy) pamakumbo echocardiography , uko chikamu chevashandi vavo vari kuruboshwe "mabhaloni" kunze munzira isina kujairika uye yakasiyana.
(MuJapan, apo iyi mamiriro ekutanga akarondedzerwa, kuenzanirana kwemaodzanyemba kwemaodzanyemba kunonzi kunofanana nemusungo we octopus, kana kuti "takotsubo," saka chiitiko chinonzi takotsubo cardiomyopathy.)
Kurapa Kwepfungwa Dzakakosha Cardiomyopathy
Vanhu vazhinji vane chirwere chepfungwa chinokonzera kushushikana kwepakutanga vane kukanganisa kwemwoyo kwakanyanya, uye vanoda kushungurudzika uye kwakanyanyisa kutarisira mwoyo.
Verenga pamusoro pekurapwa kwemwoyo kusakatika . Nenzira yakanaka, nekurwara kwechisimba, havaiti chete chete, asiwo chirwere chavo chinowanzogadzirisa zvachose mumazuva mashomanana kusvika kumavhiki.
Chii Chinokonzera Kushungurudza Cardiomyopathy Yakasiyana?
Kushungurudzika kwepfungwa kunonyanya kumira. Zvinowanzoerekana zvaitika mune vamwe vanhu vane utano (kazhinji vakadzi); iyo inotevera nguva inotevera chiitiko chekurwadziwa mupfungwa kana kumanikidzwa kwepanyama; zviratidzo zvinouya zvinoratidzira kurwisa kwemwoyo; uye, nepo vanhu vanenge vachirwara zvakakomba nemwoyo kusakundikana, nekutarisirwa kwakakodzera ivo vanowanzopona uye chirwere chemoyo chinowanzoparara zvachose
A Comment on Stress Cardiomyopathy
"Kushungurudzika kwepfungwa" inonyanya kuratidzira kune iyi mamiriro kupfuura izwi rinonyanya kutaurwa, "mwoyo wakaputsika chirwere." Tinowanzofunga nezvepfungwa yakaputsika sechinhu chinoitika mushure mokuwana tsamba inofadza John, kwete chimwe chinhu chinoitika mushure mokuona akatakurwa .44 magnum shoved muchiso chako.
Kunyange zvakadaro, izwi iri rakaguma nehuwandu hwekuparidzirwa, uye ruzivo rwechirwere ichi chitsva zvakakonzerwa nokukurumidza nekuparadzirwa kwose. Uye izvo zvakapararira kuziva kune zvakanaka.
Zviratidzo zvekunetseka kwepfungwa zvinokanganisa zvakanyanya uye zvakanyanya zvokuti zvinenge zvisingaoneki kuti ani naani anozvigadzira anokundikana kutsvaga rubatsiro rwechiremba; uye kuratidzwa kwechimiro chechiitiko chacho zvakajeka zvokuti hapana chiremba anoona mumwe wevakadzi ava angakundikana kuona kuti chimwe chinhu chakakomba chiri kuitika. Saka, sekuipa kwakafanana nekudya mwoyo cardiomyopathy ndeyekuti, zvishoma kune ngozi shoma iyo ichange isingafurwi kana nevanoshungurudzwa kana nevashandi vezvoutano.
Izvi zvinomiririra zvakasiyana nemamwe mimwe mamiriro ezvinhu emwoyo anowanikwa nevakadzi vanowanzowedzera kudarika kushushikana kwepfungwa. Mukuru pakati peizvi ndezvekutsvaga uye kushaya mwoyo - mamiriro ezvinhu anowanzoitika uye anotyisa kune vakadzi sevarume, asi izvo zvinowanzouya ne "zviratidzo". Saka, vakadzi vanotambura nehutachiona hwehutano vanowanzokundikana kutsvaka rubatsiro, uye kana vatsva rubatsiro ivo kazhinji vanokundikana kuwana kubva kuvarapi vavo. Verenga zvakawanda pamusoro pezvinhu zvakasiyana-siyana zvechironary artery chirwere muvakadzi .
Shoko Rinobva
Zvichida kuparidzirwa pamusoro pe "broken heart syndrome" kuchaita kuti vakadzi vakawanda uye vanachiremba varambe vachifunga nezvechiitiko chekuti chirwere chemwoyo muvakadzi chakasiyana nechirwere chemwoyo mumarume - asi chinowanzoitika uye hachina kuuraya. Kana zvakadaro, izwi risina kururama rinoshandiswa nokuda kwechiitiko ichi kuburikidza nehuwandu hwemashoko huchazoitika kuva chinhu chakanaka.
> Sources:
> Prasad A, Dangas G, Srinivasan M, et al. Chiitiko neAngiographic Zviratidzo zvevarwere neApical Ballooning Syndrome (Takotsubo / Stress Cardiomyopathy) muHORIZONS-AMI muedzo: Kuongorora kubva kune Multicenter, International Study ye ST-elevation Myocardial Infarction. Catheter Cardiovasc Interv 2014; 83: 343.
> Singh K, Carson K, Usmani Z, et al. Ongororo Yakarongeka Uye Meta-Kuongororwa Kwechiitiko Uye Correlates Of Recurrence Of Takotsubo Cardiomyopathy. Int J Cardiol 2014; 174: 696.
> Templin C, Ghadri JR, Diekmann J, et al. Zviratidzo zveKliniki uye Zvibereko zveTakutsubo (Kushungurudzika) Cardiomyopathy. N Engl J Med 2015; 373: 929.