Zamkatimu
Matenda a minofu ya mtima, matenda a Tako-tsubo adafotokozedwa koyamba ku Japan mu 1990s. Ngakhale kuti ndi epidemiologically yofanana ndi matenda a mtima, komabe, sikugwirizana ndi kutsekeka kwa mitsempha ya mitsempha.
Kodi Tako-tsubo ndi chiyani?
Prof. Claire Mounier-Véhier, katswiri wa zamtima pachipatala cha Lille University Hospital, woyambitsa nawo "Agir pour le Cœur des Femmes" ndi Thierry Drilhon, woyang'anira ndi woyang'anira makampani, amatipatsa kufotokozera kwake pa Tako-tsubo. “Kuchulukana kwa kupsinjika maganizo kumabweretsa kufooka kwamalingaliro, komwe kungayambitse kufa ziwalo zamtima. Mtima umakhala wosokonezeka pazochitika zambiri, zomwe zikadakhala zazing'ono panthawi zina. Ndi Tako-tsubo, broken heart syndrome, kapena stress cardiomyopathy. Kumawonekera ndi zizindikiro zofanana ndi matenda a mtima, makamaka mwa amayi omwe ali ndi nkhawa, makamaka pa nthawi ya kusintha kwa thupi, komanso mwa anthu omwe ali pachiwopsezo. Ndi vuto lamtima lamtima lomwe silikudziwikabe kwambiri, lomwe silingaganizidwe mozama, makamaka munthawi ino ya Covid ”.
Kodi zizindikiro za Tako-tsubo ndi ziti?
Mkhalidwe wa kupsinjika kwakukulu imayambitsa dongosolo lamanjenje lachifundo, limayambitsa kupanga mahomoni opsinjika, catecholamines, omwe kuonjezera kugunda kwa mtima, kuonjezera kuthamanga kwa magazi ndi kutsekereza mitsempha ya m'mitsempha. Pansi pa kutulutsidwa kwakukulu kwa mahomoni opsinjika awa, gawo la mtima silingagwirenso. Mtima "mabaluni" ndipo umakhala ngati amphora (Tako-tsubo amatanthauza msampha wa octopus mu Japanese).
"Zochitika izi zitha kukhala chifukwa cha pachimake kumanzere yamitsempha yamagazi rhythm kusokonezeka, amene angayambitse imfa mwadzidzidzi, komanso arterial embolism akuchenjeza Pulofesa Claire Mounier-Véhier. Kupsinjika kwakukulu kumapezeka nthawi zambiri “. Komabe, uthenga wabwino ndi wakuti mtundu uwu wa kulephera kwa mtima pachimake nthawi zambiri umakhala wosinthika kwathunthu pamene chithandizo cha mtima chimayamba msanga.
Tako-tsubo, akazi tcheru kwambiri kupsinjika maganizo
Malinga ndi kafukufuku wopangidwa ndi ofufuza a ku yunivesite ya Zurich, lofalitsidwa mu 2015 mu nyuzipepala "New England Journal of Medicine", kusokonezeka maganizo (kutayika kwa wokondedwa, kusweka kwachikondi, kulengeza matenda, etc.) Komanso thupi (opaleshoni, matenda, ngozi, nkhanza ...) zomwe nthawi zambiri zimagwirizanitsidwa ndi kutopa kwambiri (kutopa kwamakhalidwe ndi thupi) ndizomwe zimayambitsa Tako-tsubo.
Akazi ndi omwe adazunzidwa koyamba (akazi 9 kwa mwamuna mmodzi)chifukwa mitsempha yawo imakhudzidwa kwambiri ndi zotsatira za mahomoni opsinjika maganizo ndipo amalumikizana mosavuta. Azimayi osiya kusamba amakumana nawo kwambiri chifukwa satetezedwanso ndi estrogen yawo yachilengedwe. Azimayi omwe ali m'mavuto, omwe ali ndi vuto lalikulu la maganizo, amawonekeranso kwambiri. “ Yembekezerani matenda a Tako-tsubo, mwa kulimbikitsa chithandizo chamaganizo ndi chikhalidwe cha amayi omwe ali pachiopsezo ndikofunikira munthawi ino ya Covid, zovuta kwambiri zachuma ”, akutsindika Thierry Drilhon.
Zizindikiro zoyang'anira, chithandizo chadzidzidzi
Zina mwa zizindikiro zodziwika bwino: kupuma movutikira, kupweteka kwadzidzidzi pachifuwa kutengera matenda a mtima, kutulutsa dzanja ndi nsagwada, kugunda kwa mtima, kutaya chidziwitso, kusapeza bwino kwa vagal..
“Mzimayi wazaka zoposa 50, wosiya kusamba, amene ali mumkhalidwe wosweka, makamaka sayenera kupeputsa zizindikiro zoyamba zogwirizanitsidwa ndi kupsinjika maganizo kwakukulu, anatero Profesa Claire Mounier-Véhier. Matenda a Tako-tsubo amafunika kugonekedwa kuchipatala mwadzidzidzi, kuti apewe zovuta zazikulu komanso kulola chithandizo m'magawo osamalira odwala kwambiri amtima. Kuitana kwa 15 ndikofunikira monga mumyocardial infarction, mphindi iliyonse imawerengera! “
Ngati zizindikiro nthawi zambiri zimakhala zaphokoso kwambiri, kuzindikirika kwa Tako-Tsubo ndikuzindikira kwa mayeso owonjezera. Zimatengera kukwaniritsidwa kwa mgwirizano wa a electrocardiogram (zosagwirizana ndi dongosolo), zolembera zachilengedwe (ma troponins okwera kwambiri), zojambula zithunzi (zizindikiro zenizeni za mtima wotupa), coronary angiography (nthawi zambiri zachilendo) ndi mtima MRI (zizindikiro zenizeni).
Matendawa adzapangidwa pakuwunika kophatikizana kwa mayeso osiyanasiyanawa.
Matenda a Tako-tsubo nthawi zambiri amatha kusintha, mkati mwa masiku ochepa mpaka masabata angapo, ndi matenda chithandizo chamankhwala cha kulephera kwa mtima, kukonzanso mtima kwa mtima komanso kuyang'anira mtima nthawi zonse. Taco-pillar syndrome sizichitika kawirikawiri, pafupifupi 1 mwa 10.
Malangizo ochepetsera kupsinjika kwakukulu komanso kosatha
Kuti achepetse kupsinjika kwakukulu komanso kupsinjika kwakanthawi, "Agir pour le Cœur des Femmes" imalangiza kusungitsa moyo wabwino kudzera m'moyo. zakudya zopatsa thanzi,palibe fodya, ndi kumwa mowa pang'onopang'ono. THE 'olimbitsa thupi, kuyenda, masewera, kugona mokwanira ndi mayankho amphamvu omwe amatha kukhala ngati anti-stress "mankhwala".
Nkhani yabwino! ” Mmodzi kupewa zabwino ndi zabwino, tikhoza kuteteza amayi 8 mwa 10 kuti asadwale matenda amtima», Akukumbukira Thierry Drilhon.
Mungagwiritsenso ntchito njira zotsitsimula mwa kupuma, zochokera pa mfundo ya mgwirizano wa mtima kupezeka kwaulere pa intaneti kapena pama foni am'manja monga Respirelax, kudzera pa kuchita masewera olimbitsa thupi ndi yoga....