Mukati
Chirwere chemoyo chetsandanyama, Tako-tsubo syndrome yakatanga kutsanangurwa muJapan muma1990. Kunyangwe iyo epidemiologically yakafanana nehosha yemoyo, haina, zvisinei, yakabatana nekuvharika kweiyo coronary arteries.
Chii chinonzi Tako-tsubo?
Prof. Claire Mounier-Véhier, chiremba wemwoyo paLille University Hospital, muvambi pamwe chete we“Agir pour le Cœur des Femmes” naThierry Drilhon, maneja uye maneja wemakambani, anotipa tsananguro dzake pamusoro peTako-tsubo. “Kuwedzera kushushikana mupfungwa kunoita kuti munhu aite zinyekenyeke, izvo zvinogona kukonzera kuremara kwetsandanyama yemwoyo. Mwoyo unopinda mukuvhiringika pachiitiko chakawandisa, chaigona kuve chidiki pane mamwe mamiriro. Tako-tsubo, broken heart syndrome, kana stress cardiomyopathy. Inozviratidza nezviratidzo zvakafanana nehosha yemoyo, kunyanya muvakadzi vane shungu, kunyanya panguva yekuenda kumwedzi, uye mune vanhu vari mumamiriro ezvinhu asina kunaka. Injodzi yemoyo ichiri kuzivikanwa zvishoma, kuti itorerwe zvakanyanya, kunyanya munguva ino yeCovid ”.
Ndezvipi zviratidzo zveTako-tsubo?
Mamiriro ezvinhu ekunetseka kwakanyanya inomutsa inonzwira tsitsi sisitimu yetsinga, ichikonzera kugadzirwa kwemahomoni ekushushikana, catecholamines, ayo kuwedzera kurova kwemoyo, kuwedzera BP uye constrict coronary arteries. Pasi pemhedzisiro yekuburitswa kukuru kweaya mahormone ekushushikana, chikamu chemwoyo chinogona kusasimba. Mwoyo "mabharuni" uye unotora chimiro che amphora (Tako-tsubo zvinoreva octopus trap muchiJapan).
"Chiitiko ichi chinogona kunge chiri chikonzero che acute left ventricular rhythm disturbances, izvo zvinogona kukonzera kufa kamwe kamwe, asiwo arterial embolism inoyambira Purofesa Claire Mounier-Véhier. Kushungurudzika kwakanyanya kunowanikwa muhuwandu hwakawanda hwezviitiko “. Zvisinei, mashoko akanaka ndeokuti iyi fomu yeacute heart failure inowanzo gadziriswa zvachose apo kurapwa kwemoyo kunotanga.
Tako-tsubo, vakadzi vanonyanya kufunga nezvekunetseka
Maererano nekuongorora kwakaitwa nevatsvakurudzi veYunivhesiti yeZurich, yakabudiswa muna 2015 mumagazini "New England Journal of Medicine", kushungurudzika mupfungwa (kurasikirwa nemudiwa, kuparara kwerudo, kuziviswa kwechirwere, nezvimwewo) asi Zvakare zvemuviri (kuvhiyiwa, utachiona, tsaona, chisimba ...) zvinowanzoenderana nekuneta kwakanyanya (kuneta kwetsika uye nemuviri) ndizvo zvinokonzeresa Tako-tsubo.
Vakadzi ndivo vekutanga kubatwa (9 vakadzi pamurume 1)nokuti tsinga dzavo dzinonyanya kunetseka nemigumisiro yehomoni yekushungurudzika uye inobvumirana nyore nyore. Vakadzi veMenopausal vanonyanya kuratidzirwa kwairi nekuti ivo havachadzivirirwe neestrogen yavo chaiyo. Vakadzi vari mumamiriro ezvinhu akaoma, vane mutoro unorema wepfungwa, vanoratidzirwawo zvakanyanya. “ Fungidzira Tako-tsubo syndrome, nekusimbisa tsigiro yepfungwa-magariro kune vakadzi vanotambura ava kwakakosha munguva ino yeCovid, yakaoma zvikuru mune zvehupfumi ”, inotsikisa Thierry Drilhon.
Zviratidzo zvekutarisa, zvekuchengetedza emergency
Pakati pezviratidzo zvinowanzoitika: kupfupika kwekufema, kurwadziwa kamwe kamwe muchipfuva kutevedzera kurwiswa kwemoyo, kupenya kuruoko neshaya, kurohwa nehana, kurasikirwa nekuziva, vagal kusagadzikana..
"Mukadzi ane makore anopfuura makumi mashanu, mushure mekuenda kumwedzi, ari mumamiriro ekuputika, haafaniri kunyanya kurerutsa zviratidzo zvekutanga zvine chekuita nekunetseka mupfungwa, anodaro Purofesa Claire Mounier-Véhier. Tako-tsubo syndrome inoda kurapwa kwechimbichimbi, kudzivirira matambudziko akakomba uye kubvumira kurapwa mune yakanyanya cardiological care units. Kufona kwegumi neshanu kwakakosha senge mumyocardial infarction, miniti yega yega inoverengerwa! “
Kana zviratidzo zvichiwanzoita ruzha, kuongororwa kweTako-Tsubo kuongororwa kwekuwedzera bvunzo. Inobva pakubatanidzwa kwekubatana kwe a electrocardiogram (zvisina kurongwa anomalies), mamaki ehupenyu (yakakwira zvine mwero troponins), echocardiography (zviratidzo zvakananga zvemoyo wakaputika), coronary angiography (kazhinji zvakajairika) uye MRI yemwoyo (zviratidzo zvakananga).
Kuongororwa kuchaitwa pakuongororwa kwakabatana kwebvunzo idzi dzakasiyana.
Tako-tsubo syndrome inowanzo gadziriswa zvachose, mukati memazuva mashoma kusvika kumavhiki mashoma, neiyo kurapwa kwehutano hwekutadza kwemoyo, kugadzirisa kwemoyo uye kugara uchitarisisa moyo. Iyo Taco-pillar syndrome kashoma kudzokorora, munharaunda 1 mugumi.
Mazano ekudzikamisa acute uye asingaperi kushushikana
Kudzikamisa kushushikana kwakanyanya uye kusagadzikana kusingaperi, "Agir pour le Cœur des Femmes" inopa zano kuchengetedza kwehupenyu hwehupenyu kuburikidza ne kudya kwakakwana,hapana fodya, ivo kunwa doro zvine mwero zvikuru. THE 'kuita basa, kufamba, mutambo, kurara zvakakwana zvigadziriso zvine simba zvinogona kuita senge anti-stress "zvinodhaka".
Nhau dzakanaka ! ” Neumwe kudzivirira kwakanaka uye kwakanaka, tinogona kudzivirira 8 kubva pavakadzi gumi kuti vasapinda muchirwere chemoyo», Anoyeuka Thierry Drilhon.
Unogonawo kushandisa nzira dzekuzorodza kuburikidza nekufema, zvichibva pamusimboti wekubatana kwemoyo inowanikwa mahara pawebhu kana panharembozha senge Respirelax, kuburikidza ne tsika yekufunga kufungisisa uye yoga....