Zoona zomwe zimachititsa kuti mtima ukhale ndi nkhawa komanso umakhudzidwa kwambiri
Chaka chilichonse, pafupi ndi tsiku la Valentine, nyuzipepala zimayimba nkhani pa "matenda osweka mtima," omwe amachititsa kuti anthu (omwe amakhala amantha azimayi azimayi akudwala matendawa) amve zizindikiro zoopsa za mtima pambuyo panthawi ya kupsinjika mtima kwakukulu. Kusokonezeka maganizo. "(Cardiomyopathy ndichidziwitso chachipatala chifukwa cha matenda aliwonse a minofu ya mtima.) Kupanikizika ndi matenda a mtima ndi chikhalidwe cha mtima chomwe chimadziwika bwino kwambiri chomwe chiri chodabwitsa komanso choopsa, koma mwachisangalalo nthawi zambiri chimakhala chosinthika komanso chosakhalitsa - ngati chikuchitiridwa njira yoyenera.
Ndipo mtundu uwu wa matenda a mtima wosweka nthawi zambiri sagwirizana ndi chikondi cholephera.
Kodi Kupanikizika Kwambiri N'kovuta?
Pokhala ndi nkhawa ya mtima, gawo limodzi la minofu ya mtima - nthawi zambiri gawo lalikulu - mwadzidzidzi limasiya kugwira ntchito, zomwe zimayambitsa vuto lalikulu la mtima . Ndi chithandizo champhamvu chamankhwala chikhalidwechi chimakhala chachilendo, ndipo minofu ya mtima imabwerera ku ntchito yachibadwa mkati mwa masiku angapo kapena masabata. Komabe, ngati chithandizo chamankhwala chikuchedwa kuchepetsa matenda okhudzidwa ndi matenda odwala matendawa akhoza kufa.
Kusokonezeka maganizo kumayamba chifukwa cha kukhumudwa kwambiri ndi mwadzidzidzi kapena kupsinjika maganizo. Zochitika zomwe zafotokozedwa zimaphatikizapo nkhani zosayembekezereka za imfa, kuchitira nkhanza kunyumba, kuba ndi zida, komanso phwando lodabwitsa. Chikhalidwechi chimakhala ndi zizindikiro zosonyeza kuti akudwala kwambiri mtima (mavuto aakulu-monga kupweteka pamtima, dyspnea , ndi chiwonongeko).
Pafupifupi anthu 90% omwe ali ndi vutoli ndi akazi, omwe ali ndi zaka zoposa 66.
Sikudziwika chifukwa chake kupsinjika maganizo kumakhudza amayi molakwika.
Chifukwa cha matenda ovutika maganizo sichidziwikiratu, koma akatswiri ambiri amatsutsa izi pamaganizo osamvetsetseka ku mahomoni opweteka (monga adrenaline) pambuyo povutika maganizo. Mkhalidwewu ukhoza kukhala wokhudzana ndi microvascular angina , yomwe imayambitsidwa ndi kuyimitsidwa kwa microvessels (mitsempha yaing'ono yamagazi) mkati mwa minofu ya mtima.
Ena adanena kuti vutoli likhonza kukhala logwirizana ndi mitsempha ya mchere .
Kodi Kupanikizika Kwambiri Kumayambitsa matenda a Cardiomyopathy?
Poyamba kuyesedwa, anthu omwe ali ndi matenda a mtima amayamba kuganiza kuti ali ndi vuto lalikulu la mtima.
Komabe, kusintha kwa ECGs zawo sikunayambe kuwonetsa matenda a mtima, ndipo mayesero a mtima wa enzyme omwe amayenera kutsimikizira kuti matenda a mtima amapezeka sakufunika kwambiri. Komanso, atatengedwa ku labotale ya catheterization , mitsempha yawo yodziwika bwino imapezeka kuti imatseguka (pamene pamayesero a mtima, imodzi mwa mitsempha yamakono ikanatha).
Ndipo potsiriza, anthu ambiri omwe ali ndi matenda ovutika maganizo amapezeka kuti ali ndi mtundu wodabwitsa wa minofu ya mtima (cardiomyopathy) pa zojambula zojambula zithunzi , kumene gawo lawo la "ventlole" lakumanzere lakunja limakhala lachilendo ndi losiyana.
(Ku Japan, kumene matendawa anali oyamba kufotokozera, kumalo osiyanirako kumayendedwe akuti akufanana ndi msampha wa octopus, kapena "takotsubo," choncho chikhalidwe chimatchedwa takotsubo cardiomyopathy.)
Chithandizo cha Kupsinjika Maganizo
Anthu ambiri omwe ali ndi matenda ovutika maganizo amakhala poyamba ali ndi mtima wolephera, ndipo amafuna chisamaliro choopsa komanso cha mtima.
Werengani za mankhwala omwe akudwala . Mwamwayi, ndi chithandizo chamankhwala chamanyazi, samangopulumuka kokha, komanso kuti mtima wawo umakhala wotsimikizika mwa masiku angapo mpaka masabata.
Kodi N'chiyani Chimachititsa Kuti Anthu Azivutika Maganizo?
Kupanikizika kwa mtima kumakhala kosiyana kwambiri. Zimapezeka mwadzidzidzi mwa anthu ena wathanzi (makamaka akazi); Izi zimatsatira mwamsanga zochitika za maganizo aakulu kapena kupsinjika maganizo; zizindikiro zowonetsera zimatanthauza kupweteka kwa mtima; ndipo, pamene ozunzidwa ali odwala kwambiri odwala mtima, ali ndi chisamaliro chokwanira omwe amakhala ndi moyo nthawi zambiri ndipo mtima wamantha nthawi zonse umatha kwathunthu
Ndemanga pa Kupsinjika Maganizo kwa Cardiomyopathy
"Kupanikizika maganizo" ndibwino kwambiri ku matendawa kusiyana ndi mawu otchuka kwambiri akuti "mtima wosweka." Timaganizira za mtima wosweka ngati chinthu chimene chimachitika mukalandira kalata Yokondedwa Yohane, osati zomwe zimachitika mutatha kuona katundu .44 magnum akuwombera pamaso panu.
Ngakhale zili choncho, mawuwa amachititsa kuti anthu adziwe zambiri, ndipo kudziwitsa matenda atsopanowa kwakhala kofalitsidwa mofulumira kwambiri. Ndipo kufalikira kwabwino kuli bwino.
Zisonyezero za kupsinjika maganizo kwadzidzidzi ndizodzidzimutsa kwambiri moti n'zosavuta kuti aliyense amene akukula amalephera kupeza chithandizo chamankhwala; ndipo mawonetseredwe a chikhalidwechi ndi owonetsetsa kuti palibe dokotala yemwe amamuwona mmodzi wa akaziwa amalephera kuzindikira kuti pali chinachake chachikulu chomwe chikuchitika. Choncho, molakwika ngati matenda a mtima, ndiye kuti pangakhale ngozi zochepa zomwe sizidzanyalanyazidwa ndi ozunzidwa kapena ogwira ntchito zamankhwala.
Izi zikusiyana kwambiri ndi zochitika zina zamtima zomwe akazi amapezeka nthawi zambiri kusiyana ndi kupsinjika maganizo. Mmodzi mwa awa ndi matenda a angina ndi a mtima - zomwe zimachitika mobwerezabwereza komanso zoopsa kwa amayi monga amuna, koma zomwe zimakhala ndi zizindikiro za "atypical". Choncho, amayi omwe amavutika ndi matenda a umphawi nthawi zambiri amalephera kupeza chithandizo, ndipo akafunafuna thandizo nthawi zambiri amalephera kuchipatala kwa madokotala awo. Werengani zambiri zokhudzana ndi zochitika zapadera za matenda a mitsempha mwa amayi .
Mawu Ochokera
Mwina kulengeza za "mtima wosweka" kumatengera amayi ndi madokotala ambiri kuti chidziwitso chakuti matenda a mtima mwa amayi ndi osiyana ndi matenda a mtima pakati pa amuna - koma ndi ocheperapo komanso osachepera. Ngati ndi choncho, mawu osagwiritsidwa ntchito omwe akugwiritsidwa ntchito pa vutoli nthawi zonse amatha kukhala chinthu chabwino.
> Zotsatira:
> Prasad A, Dangas G, Srinivasan M, et al. Zizindikiro ndi Zizindikiro za Angiographic Za Odwala ndi Apical Ballooning Syndrome (Takotsubo / Stress Cardiomyopathy) mu mayesero a HORIZONS-AMI: Analongosoka Kuchokera ku Multicenter, International Study of ST-elevation Myocardial Infarction. Chithandizo chamkati; 83: 343.
> Singh K, Carson K, Usmani Z, ndi al. Kukonzekera Mwatsatanetsatane Ndipo Kusintha kwa Meta-Kufufuza Kwa Chigwirizano Ndi Kulimbana Kwambiri Kwa Takotsubo Cardiomyopathy. Int J Cardiol 2014; 174: 696.
> Templin C, Ghadri JR, Diekmann J, et al. Zochitika M'zipatala ndi Zotsatira za Takotsubo (Kupsinjika Maganizo) Kusamalira Cardiomyopathy. N Engl J Med 2015; 373: 929.