Ese wumva umutima wawe nawe wababaye? Reka tuvuge kuri iyi "Broken Heart Syndrome"!

Ese wigeze wumva umutima wawe utera cyane, igituza cyawe kikakugora, cyangwa guhumeka kwawe kukagora iyo wumva ubabaye, utangaye, cyangwa wishimye cyane? Nubwo twese tuvuga ko ufite "umutima ubabaye," mu by'ukuri hari impamvu y'ubuvuzi ibitera. Abaganga babyita "Broken Heart Syndrome" cyangwa "Takotsubo Cardiomyopathy." Ntugahangayike, iyi ni indwara ishobora gukira burundu iyo ivuwe neza.

"Indwara y'umutima yacitse" ni iki mu by'ukuri?

Mu magambo make, iyi ni indwara aho igice cy'imitsi y'umutima gicika intege mu buryo butunguranye kandi bw'igihe gito. Tekereza kuri ubu buryo: iyo uruhande rumwe rw'umutima wawe rubaye "urunebwe", ibindi bice bigomba gukora cyane kugira ngo bipompe amaraso mu mubiri wawe wose. Ubu ntege nke bukunze kubaho nyuma y'imihangayiko ikomeye y'umubiri cyangwa iy'amarangamutima.

Iyo imitsi y'umutima icitse intege, umutima ntubona amaraso ukeneye, kandi ntushobora gusohora amaraso neza. Urabizi, buri turemangingo two mu mubiri wacu dukeneye umwuka wa ogisijeni, kandi ni cyo amaraso abona. Niba rero umutima udakora neza, bigira ingaruka ku mubiri wose.

Hari andi mazina menshi y'iki kibazo:

• Takotsubo indwara y'umutima
• Indwara yo kugabanya imitsi mu mubiri (Apical Ballooning Syndrome) cyangwa indwara y'igihe gito yo kugabanya imitsi mu mubiri (Apical Ballooning Syndrome).
• Indwara y'umutima iterwa n'stress cyangwa indwara y'umutima iterwa n'stress
• Indwara ya Gebrochenes-Herz (Iri ni ijambo ry'Ikidage, risobanura "umutima wamenetse")

Ni ubuhe bwoko bw'ingenzi bw'iyi ndwara?

Hari ubwoko bune bw'ingenzi bwa "Broken Heart Syndrome." Ubu bwoko bushyirwa mu byiciro hashingiwe ku gice cy'umutima cyafashwe:

1. Ubwoko bw'imitsi: Ubu ni bwo bwoko bukunze kugaragara cyane , bugizwe n'abarwayi barenga 80%. Ibi bigira ingaruka ku gice cyo hasi cy'umutima. Tekereza igice cyo hasi cy'umutima kimeze nk'ikirahure.

2. Ubwoko bw'imitsi yo hagati: Ubu bwoko bugira ingaruka ku gice cyo hagati cy'ibyumba byo hasi by'umutima, imitsi yo hasi. Agace kagize ikibazo kameze nk'umutsi ukikije umutima. Ibice biri hejuru no munsi y'uyu mutsi bikora neza.

3. Ubwoko bw'ibanze: Ubu busa n'ubwoko bw'imitsi yo hagati, ariko "umukandara" wafashwe uba uri hejuru gato mu mutima. Muri iki gihe, igice kiri munsi y'umukandara ni cyo cyonyine gikora neza. Ibi ni gake cyane , bibaho gusa ku bantu bagera kuri 2% by'abantu.

4. Ubwoko bw'inyuma: Ubu ni bwo bwoko budasanzwe , buboneka hafi 1% by'abantu. Muri ubu bwoko, agace gato cyane k'umutima ni ko gafatwa n'ingaruka. Agace kafashwe n'ingaruka kagaragara nk'agace gato.

Iyi ndwara ikunze kugaragara gute?

Byagaragaye ko abantu bagera kuri 2% baza kwa muganga bibwira ko bafite indwara y'umutima bafite iyi ndwara yitwa "Broken Heart Syndrome." Ariko, kubera ko rimwe na rimwe abaganga badashobora kuyisuzuma neza, abashakashatsi bemeza ko umubare nyawo w'abarwayi ushobora kuba munini.

Iyi ndwara, yitwa Takotsubo Cardiomyopathy, yibasira cyane abagore . 89% by'abayirwaye ni abagore. Ingaruka ziba nyinshi cyane cyane nyuma yo gucura (ubusanzwe hagati y'imyaka 58 na 77).

Impamvu imwe itera ibi ikekwa ko ari uko imisemburo yitwa "estrogen" mu mibiri y'abagore irinda umutima imisemburo mibi ikorwa n'umubiri mu gihe cy'ihungabana. Uko tugenda dusaza, iki gipimo cya "estrogen" kiragabanuka, bigatuma umutima ushobora kugira ingaruka ku hungabana ritunguranye.

Ibimenyetso ni ibihe?

Ushobora kugira ibimenyetso bya "Broken Heart Syndrome" mu minota mike cyangwa amasaha make nyuma y'ikibazo gikomeye. Imisemburo iva mu stress "ituma imitsi y'umutima ihungabana by'agateganyo". Ibimenyetso bisa n'iby'indwara isanzwe y'umutima .

Ibimenyetso by'ingenzi ni ibi bikurikira:

• Kubabara mu gatuza bitunguranye (angina).
• Kugorwa no guhumeka.
• Gucika intege kw'umutima wo mu gice cy'ibumoso (iki ni ikimenyetso abaganga bashobora kubona binyuze mu bipimo).
• Ubudahangarwa bw'imitsi y'umutima (arrhythmias).
• Umuvuduko w'amaraso uri hasi (hypotension).
• Kumva umutima wawe urimo gutera cyane (gutera cyane).
• Ni gake cyane, gutakaza ubwenge (syncope).

Ni irihe tandukaniro riri hagati ya "Broken Heart Syndrome" n'indwara y'umutima?

Kubera ko ibimenyetso byabyo byombi bisa cyane (kubabara mu gatuza, guhumeka nabi), ushobora gutekereza ko ufite indwara y'umutima. Ariko itandukaniro rikomeye ni uko muri "Broken Heart Syndrome" nta mitsi y'umutima ifungana itanga amaraso mu mutima. Nanone, ubusanzwe nta kwangirika guhoraho k'umutima. Akenshi, gukira biba byihuse kandi byuzuye.

Ni iki gitera ibi?

Nubwo abashakashatsi batarabasha kugaragaza impamvu n'imwe, bemeza ko iterwa n'ihungabana rikomeye ryo mu mutwe cyangwa mu mubiri. Tekereza ku gahinda wumva nyuma yo kubura uwo ukunda, kugira impanuka, cyangwa gutakaza akazi. Iyo uri mu stress nyinshi, zaba iz'umubiri cyangwa izo mu mutwe, umubiri wawe urekura imisemburo itera stress mu maraso yawe. Impuguke zizera ko iyi misemburo ibangamira by'igihe gito ubushobozi bw'umutima bwo gukora.

Ariko, umubare muto cyane w'abantu (mu bafite Takotsubo Cardiomyopathy) bashobora kutabona ikintu icyo ari cyo cyose gihangayikishije.

Nta gihamya kiraboneka kigaragaza ko iyi ndwara yandurira abana mu buryo bw'uturemangingo kuva ku babyeyi.

Ni iyihe mihangayiko yo mu mutwe no ku mubiri ishobora gutera ibi?

Ingero z'ibintu bitera stress mu mutwe mu buryo butunguranye:

• Agahinda gakomeye gaterwa n'urupfu rw'umuntu ukunda, cyangwa igihombo gikomeye (gusenyuka k'umubano, gutakaza urugo, amafaranga, cyangwa itungo ryakundwaga).
• Ndetse n'inkuru nziza rimwe na rimwe zishobora gutuma ibi bibaho! (Urugero, ibirori bitunguranye mu gihe kidasanzwe, tombola nini).
• Kwakira inkuru mbi.
• Ibintu bibabaje nk'impanuka n'imitingito y'isi.
• Ubwoba bukomeye (kujya kuvuga imbere y'itsinda, guhangana n'ubujura bwitwaje intwaro).
• Uburakari bukabije.

Ingero z'ibintu bitera stress ku mubiri mu buryo butunguranye:

• Ububabare bukomeye.
• Igikorwa cy'umubiri kirushya cyane.
• Ingorane z'ubuzima: indwara ya asima, ingorane zikomeye zo guhumeka, gucika intege, guhagarara k'umutima, umuriro mwinshi, hypoglycemia, kuva amaraso menshi, cyangwa kubagwa.

Ni nde ufite amahirwe menshi yo kubyiteza imbere?

Ufite amahirwe menshi yo kurwara indwara ya "Broken Heart Syndrome" niba :

• Niba uri umugore .
• Niba ufite imyaka irenga 50 .
• Niba warigeze kugira indwara yo mu mutwe (nk'imihangayiko cyangwa kwiheba).
• Niba warigeze kugira indwara y'imitsi (nk'indwara zo mu bwonko cyangwa indwara zo mu bwonko).

Ni izihe ngorane ibi bishobora gutera?

Ingorane za "Broken Heart Syndrome" ni gake cyane , ariko rimwe na rimwe zishobora kuba zikomeye. Zimwe muri zo ni izi:

• Kubyimba kw'ibihaha.
• Guturika kw'inkondo y'ibumoso (bidakunze kugaragara).
• Kuziba kw'amaraso ava mu gice cy'ibumoso cy'umutima.
• Kunanirwa k'umutima.
• Amaraso yapfutse mu rukuta rw'umuvuduko w'amaraso w'ibumoso.
• Umuvuduko w'amaraso uri hasi (Hypotension).
• Imiterere idasanzwe y'umutima (arrhythmia).
• Ihungabana ry’umutima ni indwara iterwa no kudakora neza k’umutima.
• Umutima ufunganye.
• Ni gake cyane, ndetse n'urupfu rushobora kubaho.

Icy'ingenzi: Nubwo izi ngorane zidakunze kugaragara, ni ngombwa gushaka inama kwa muganga ibimenyetso bikimara kugaragara.

Abaganga babibona bate?

Muganga azabanza kugusuzuma umubiri akakubaza amateka y'ubuzima bwawe. Hanyuma, bashobora gukora ibizamini byinshi kugira ngo bemeze ko urwaye:

• Isuzuma ry'amaraso: Isuzuma imisemburo runaka irekurwa n'uturemangingo tw'imitsi y'umutima twangiritse mu maraso.
• EKG (ECG - Electrocardiogram): Ikizamini cyandika imikorere y'amashanyarazi y'umutima.
• Angiografiya y'umutima: Ikizamini cyihariye cya X-ray kugira ngo harebwe niba hari imitsi y'umutima yazibye. Ibi bizafasha kumenya niba ari indwara y'umutima cyangwa atari yo.Ni ingenzi cyane .
• Echocardiography: Isuzuma rya ultrasound rigamije kureba imikorere, ingano, n'imiterere y'umutima.
• X-ray yo mu gituza.
• MRI y'umutima (Magnetic Resonance Imaging): Ikizamini gishobora gutanga amashusho arambuye y'umutima.
• Ventriculogram: Irangi rishyirwa mu gice cy'ibumoso cy'umutima, hanyuma hagafatwa X-ray kugira ngo harebwe ingano y'icyo cyumba n'uburyo gitemba amaraso neza.

Nubwo ibizamini bishobora kwerekana ahantu hangiritse mu mutima, angiografiya y'umutima ni ingenzi kugira ngo hemezwe ko atari indwara y'umutima. Ibi biterwa nuko, bitandukanye n'indwara y'umutima, muri "Broken Heart Syndrome" imitsi yo mu mutima idafunze.

Ni ubuhe buryo bwo kuvura?

Nubwo nta "muti" wihariye wa "Broken Heart Syndrome" cyangwa "Takotsubo Cardiomyopathy", abantu benshi bakira neza bakoresheje imiti.

Ubwoko bw'imiti ikoreshwa mu kuvura:

• Aspirine: Ituma amaraso atembera neza kandi ikarinda kubyimba kw'amaraso.
• Imiti igabanya umuvuduko w'amaraso (Angiotensin-Converting Enzyme inhibitors) cyangwa ARBs (Angiotensin Receptor Blockers): Igabanya umuvuduko w'amaraso kandi ikagabanya ububyimbirwe mu mutima.
• Beta-blockers: Igabanya umuvuduko w'umutima.
• Imiti igabanya ubukana bw'amazi: Kugabanya amazi menshi mu mubiri.

Ni gake cyane, niba umutima ukeneye ubufasha mu gupompa amaraso, bishobora kuba ngombwa gukoresha igikoresho nka "pump ya balloon intra-aortic" cyangwa "igikoresho gifasha ventricular y'ibumoso".

Ese hari ingorane cyangwa ingaruka mbi z'ubuvuzi?

Muri rusange, zimwe mu ngaruka mbi zishobora kubaho muri ubu buryo bwo kuvura `(Takotsubo Cardiomyopathy)` ni:

• Ubwivumbure cyangwa ingaruka mbi ku miti, cyangwa ibibazo uhura na byo mu yindi miti ufata.
• Hari ibyago bike byo kuva amaraso, kwandura, kuvura amaraso, gucika imitsi, cyangwa indwara z'umutima bitewe n'igikoresho gifasha mu mitsi y'ibumoso cyangwa "ipompo y'inyuma y'umuyoboro w'amaraso".

Nzakira vuba gute nyuma yo kuvurwa?

Abantu benshi batangira kumva bameze neza iyo bahabwa ubuvuzi bwa "Broken Heart Syndrome." Ibi bishobora kubaho bari mu bitaro, cyangwa bikabaho mu masaha make cyangwa iminsi mike nyuma yo gutangira kuvurwa.

Ese hari uburyo bwo gukumira ibi?

Nta buryo bwihariye bwo gukumira indwara ya "Broken Heart Syndrome". Ariko,Kwiga uburyo bwo gucunga imihangayiko no gukemura ibibazo bishobora kugufasha kugabanya imihangayiko y'umubiri n'iy'ubwonko.

Uburyo bwo kuruhuka bushobora gufasha cyane. Dore ingero zimwe na zimwe:

• Gukora yoga, gutekereza cyane, kwandika mu gihe urimo kwandika, cyangwa kwitonda.
• Kwiyuhagira mu mazi y'akazuyazi.
• Gutwika imibavu.
• Guhumeka umwuka muremure kandi wimbitse no kuwusohora buhoro buhoro.

Bitewe n'impamvu igutera stress, ushobora gushaka kujya mu itsinda rigufasha kuganira kuri iyo stress no gusangira ingamba zo guhangana nayo. Ushobora kandi gushaka ubufasha ku mujyanama w'inzobere.

Byongeye kandi, kugira ingeso nziza bishobora no gufasha mu gucunga imihangayiko y'umubiri n'iy'ubwonko. Izi ngeso zirimo:

• Kurya indyo yuzuye intungamubiri (urugero, indyo yo mu nyanja ya Mediterane).
• Imyitozo ngororamubiri isanzwe (nibura iminota 30 iminsi itanu mu cyumweru).
• Kuryama amasaha ari hagati ya arindwi na cyenda buri munsi.
• Gumarana umwanya n'abandi.
• Kwitabira ibizamini by'ubuvuzi no kwisuzumisha ubuzima ku gihe.
• Irinde ibikomoka ku itabi, ibiyobyabwenge, n'inzoga nyinshi. (Niba ukeneye ubufasha bwo kubireka, muganga wawe arashobora kugufasha).

Ese iki kibazo kizakomeza kutugiraho ingaruka? Ni iki giteganijwe?

"Broken Heart Syndrome" cyangwa "Takotsubo Cardiomyopathy" ni indwara y'igihe gito ku bantu benshi . Ushobora gukira nta kibazo cy'umutima cy'igihe kirekire ufite.

Niba ufite "Broken Heart Syndrome" bitewe n'ikibazo cy'ubuzima cy'igihe kirekire (nk'imitsi yo mu bwonko, asima, cyangwa ibicurane), reba muganga wawe kugira ngo akufashe mu gukemura ibyo bibazo by'ubuzima.

Mu bihe bimwe na bimwe, muganga wawe ashobora kukugira inama yo gusubiramo echocardiogram nyuma y'ibyumweru bine kugeza kuri bitandatu nyuma y'ibyabaye kugira ngo urebe neza ko nta bindi bibazo by'umutima ufite kandi ko ventricle yawe y'ibumoso yongeye gukora neza.

Iki kibazo kizamara igihe kingana iki?

Ubusanzwe, abantu bakira ikibazo cy’ingutu mu minsi mike cyangwa ibyumweru bike. Ariko, abantu benshi bashobora kubura imbaraga mu mezi menshi nyuma yo kugira "Broken Heart Syndrome." Ibi rimwe na rimwe bishobora gutera kwiheba. Ibi nibikubaho, menya neza ko washaka ubufasha kwa muganga.

Igitekerezo ku "Syndrome y'Umutima Ucitse"

Abantu barwara indwara ya "Broken Heart Syndrome" bitewe n'uburwayi (nk'indwara cyangwa kubagwa) bashobora kugira ingaruka mbi gato ugereranyije n'abarwara iyo ndwara bitewe n'ikibazo cyo mu mutwe.

Nubwo abagabo badakunze kurwara iyi ndwara, bashobora kugira ingaruka zikomeye cyane. Ibi bishobora guterwa n'izindi ndwara zikomeye.

Abashakashatsi basanze gufata imiti yitwa ACE inhibitors cyangwa ARB byongera igihe cyo kubaho.

Igipimo cy'impfu zikomoka kuri "Broken Heart Syndrome" kiri hasi cyane . Giri hagati ya 0% na 8%. Kenshi na kenshi, iyi ni indwara y'igihe gito ikira neza.

Nitwara nte?

Ushobora gukenera gukomeza gufata imiti wahawe na muganga mu gihe cy'amezi atatu kugeza kuri atandatu. Niba ufite indwara y'umutima yacitse, ikintu cyiza ushobora gukora kugira ngo witeho ni ukunywa imiti yawe uko wanditswe kandi ukabonana na muganga wawe uko wabisabwe. Ibi byombi ni ingenzi cyane kubera ingaruka z'igihe kirekire zizanwa na Takotsubo Cardiomyopathy.

Iyi ndwara ishobora kongera kugaruka, cyangwa izindi ngorane z'ubuzima zishobora kuvuka nyuma y'ibyumweru cyangwa imyaka myinshi nyuma y'icyorezo cya mbere. Igaruka hagati ya 4% na 10% by'abantu bayirwaye.

Ni ryari ukwiye kujya kwa muganga?

Niba ugaragaje ibimenyetso bishya cyangwa ukabona impinduka mu bimenyetso byawe bisanzwe (cyane cyane niba bigira ingaruka ku buzima bwawe bwa buri munsi), hita ubonana na muganga wawe. Bitabaye ibyo, muganga wawe azaguha gahunda zo gukurikirana indwara uko bikenewe.

Ni ryari ugomba kujya mu Ishami ry’Ubuvuzi bw’Ingoboka (ETU) ?

Kubera ko ibimenyetso bya "Broken Heart Syndrome" bisa n'iby'indwara y'umutima, ugomba kujya kwa muganga niba ubonye kimwe mu bimenyetso by'indwara y'umutima. Ibi bimenyetso ni ibi bikurikira:

• Kubabara mu gatuza (angina).
• Kugorwa no guhumeka.
• Niba uhuye n'ikibazo cyo guta ubwenge mu buryo budasanzwe, cyangwa se ukumva uzunguye kandi hafi gucika intege inshuro nyinshi.
• Kumva umutima wawe urimo gutera cyane (gutera cyane).
• Niba umutima wawe utera buhoro cyangwa vuba cyane, cyangwa niba wumva umutima wawe urimo gusimbuka cyangwa utera ibiremereye.

Niba ufite kimwe mu bimenyetso bya "Broken Heart Syndrome" cyangwa "Takotsubo Cardiomyopathy", shaka ubufasha bwihutirwa bwa muganga. Uburyo bwonyine bwo kumenya neza niba ufite "Broken Heart Syndrome", indwara y'umutima, cyangwa ikindi kibazo cy'uburwayi ni ukwipimisha.

Ni ibihe bibazo ngomba kubaza muganga wanjye?

Ushobora kubaza muganga wawe ibibazo nk'ibi:

• Ni igihe kingana iki ngomba gufata imiti yandikiwe na muganga?
• Ese nkeneye gukora ibindi bizamini (ibizamini bikurikira)?
• Ni kangahe nkwiye kuza kugusura?

Ese imihangayiko isanzwe yo mu buzima bwa buri munsi ishobora gutera "Broken Heart Syndrome"?

Birashoboka cyane, oya. Ibimenyetso bitangira nyuma y'ikintu gitunguranye cyangwa gihangayikishije cyane.Niba ubabara mu gituza kenshi cyangwa ukumva udafite umwuka mwiza nubwo waba ufite stress iciriritse buri munsi, gana muganga.

Ibimenyetso bidashira akenshi si ikimenyetso cya "Broken Heart Syndrome." Muganga wawe ashobora kugufasha kumenya uburyo bwo gucunga stress, kuguha imiti niba ufite ikibazo cyo guhangayika, cyangwa gutumiza ibizamini niba bakeka ko hari ikibazo cy'ubuzima kitaramenyekana.

Ese "Broken Heart Syndrome" ni indwara ikomeye?

Yego ni gake cyane. Abafite indwara zikomeye cyangwa zidakomeye bashobora gukenera gukurikiranirwa hafi kandi bashobora gukenera ubuvuzi buhanitse, nk'ibikoresho bibafasha mu byuma.

Bitewe n'uko imitsi y'umutima wawe ifite intege nke, muganga wawe ashobora no kukugira inama yo kuvura indwara z'umutima.

Ibintu by'ingenzi ugomba kwibuka

Twese twumvise abantu bavuga ku kumva umuntu "afite umutima ubabaye." Ariko "Broken Heart Syndrome," cyangwa Takotsubo Cardiomyopathy, ni indwara nyayo ishobora kubaho nyuma yo guhura n'ibibazo by'amarangamutima cyangwa by'umubiri bitunguranye.

Inkuru nziza ni uko iyi ari indwara y'igihe gito kandi akenshi ntitera kwangirika guhoraho k'umutima. Ariko, kubera ko ibimenyetso bisa n'iby'indwara y'umutima, ntukigere wisuzuma ngo utekereze ko ufite "Broken Heart Syndrome". Buri gihe ujye kwisuzumisha mu cyumba cy'ubutabazi. Ibipimo ni byo byonyine bishobora kwemeza niba ibimenyetso by'umutima wawe ari indwara y'umutima, "Broken Heart Syndrome," cyangwa ikindi kibazo cy'ubuzima.

` indwara y'umutima wacitse, takotsubo cardiomyopathy, indwara y'umutima, stress, ububabare mu gituza, kubura umwuka, ubuzima bw'abagore