Unonzwa sekuti moyo wako warwadziwawo here? Ngatitaure nezve "Broken Heart Syndrome" iyi!

Wakambonzwa moyo wako uchirova here, chipfuva chako chichioma, kana kufema kwako kuchioma paunenge uchisuruvara, uchishamisika, kana kuti uchifara zvakanyanya? Kunyangwe tese tichitaura nezvekuva ne "moyo wakaputsika," pane chikonzero chekurapa cheizvi. Vanachiremba vanodana chirwere ichi kuti "Broken Heart Syndrome" kana kuti "Takotsubo Cardiomyopathy." Usazvidya moyo, ichi chirwere chinogona kurapwa zvachose kana chikarapwa nemazvo.

Chii chinonzi "Broken Heart Syndrome" chaizvo?

Zvichitaurwa zviri nyore, iyi inyaya iyo chikamu chetsandanyama yemwoyo chinongoerekana chapera simba kwenguva pfupi. Funga nezvazvo nenzira iyi: kana rumwe rutivi rwemwoyo wako rukava "usimbe" zvishoma, zvimwe zvikamu zvinofanirwa kushanda nesimba kuti zvipombe ropa mumuviri wako wese. Kushaya simba uku kunowanzoitika mushure mekushushikana kwakanyanya kwemuviri kana kwepfungwa.

Kana tsandanyama yemwoyo yapera simba, mwoyo hauwani ropa raunoda, uye haupombi ropa nemazvo. Unoziva, sero rega rega mumuviri wedu rinoda okisijeni, uye ndizvo zvinowana ropa. Saka kana moyo usingashande nemazvo, zvinokanganisa muviri wese.

Kune mamwe mazita akati wandei echirwere ichi:

• Takotsubo Cardiomyopathy
• Kubata Mabharumu Kwemudumbu Kunokonzerwa Neganda Cardiomyopathy kana kuti Transient Apical Ballooning Syndrome
• Kushungurudzika Kwemwoyo kana Kushungurudzika Kwemwoyo Kunokonzerwa Nekushushikana
• Gebrochenes-Herz Syndrome (Iri izwi rechiGerman, rinoreva "moyo wakaputsika")

Ndeapi marudzi makuru echirwere ichi?

Kune mhando huru ina dze "Broken Heart Syndrome." Idzi dzinopatsanurwa zvichienderana nechikamu chemwoyo chinokanganiswa:

1. Rudzi rweApical: Urwu ndirwo rudzi rwakajairika , rwunoverengera vanhu vanopfuura 80% yevarwere. Izvi zvinokanganisa hafu yepasi yemoyo. Fungidzira chikamu chepazasi chemoyo chichibuda sebharumu.

2. Rudzi rwepakati pe ventricular: Rudzi urwu runokanganisa chikamu chepakati chemakamuri epasi emoyo, ma ventricles. Nzvimbo yakakanganiswa inoita sebhandi rakatenderedza moyo. Zvikamu zviri pamusoro nepazasi pebhandi iri zvinoshanda zvakajairika.

3. Rudzi rweBasal: Izvi zvakafanana nerudzi rwepakati peventricular, asi "bhandi" rakakanganiswa riri pamusoro zvishoma mumoyo. Muchiitiko ichi, chikamu chiri pasi pebhandi chete ndicho chinoshanda zvakanaka. Izvi hazviwanzoitiki , zvinoitika muvanhu vanosvika 2% chete.

4. Focal type: Iyi ndiyo mhando isingawanzoitiki , inowanikwa muinenge 1% yezviitiko. Murudzi urwu, nzvimbo diki chete yemoyo ndiyo inokanganiswa. Nzvimbo inobatwa inoonekwa sebundu diki.

Dambudziko iri rakajairika zvakadii?

Zvakaonekwa kuti vanhu vanosvika 2% vanouya kuzoona vanachiremba vachifunga kuti vane chirwere chemwoyo vane chirwere ichi chinonzi "Broken Heart Syndrome." Zvisinei, nekuti dzimwe nguva vanachiremba havagone kuchiongorora nemazvo, vaongorori vanotenda kuti nhamba chaiyo yevarwere inogona kunge yakakwira.

Dambudziko iri, rinonzi Takotsubo Cardiomyopathy, rinonyanya kubata vakadzi . 89% yezvirwere zvakataurwa vakadzi. Njodzi yacho yakanyanya kukwira mushure mekuguma kuenda kumwedzi (kazhinji pakati pemakore 58 ne77).

Chimwe chikonzero cheizvi chinofungidzirwa kuti hormone inonzi ``estrogen'' iri mumiviri yevakadzi inodzivirira moyo kubva kumahormone anokuvadza anogadzirwa nemuviri panguva yekushushikana. Sezvatinokura, huwandu hwe``estrogen'' uhwu hunoderera, zvichiita kuti zvive nyore kuti mwoyo ukanganisike nekushushikana kamwe kamwe.

Zviratidzo zvacho ndezvipi?

Unogona kuona zviratidzo zve "Broken Heart Syndrome" mukati memaminitsi kusvika maawa kubva pachiitiko chinorwadza. Mahormone anoburitswa nekushushikana anombo "pengesa" tsandanyama dzemwoyo kwenguva pfupi. Zviratidzo zvacho zvakafanana nezvechirwere chemwoyo chakajairika .

Zviratidzo zvikuru ndeizvi:

• Kurwadziwa kwechipfuva kwakakomba kamwe kamwe (angina).
• Kutadza kufema zvakanaka.
• Kushaya simba kwe ventricle yekuruboshwe yemoyo (ichi chiratidzo chinogona kuonekwa navanachiremba kuburikidza nemiedzo).
• Kusarongeka kwemutinhimira wemoyo (arrhythmias).
• Kuderera kweropa (hypotension).
• Kunzwa sekuti moyo wako uri kurova nekukurumidza (kurova kwemoyo).
• Kashoma, kurasikirwa nepfungwa (syncope).

Chii chinosiyanisa pakati pe "Broken Heart Syndrome" nechirwere chemwoyo?

Nekuti zviratidzo zvezvose zvakafanana (kurwadziwa pachipfuva, kushaya mweya), ungafunga kuti uri kurwara nemoyo. Asi musiyano mukuru ndewekuti mu "Broken Heart Syndrome" hapana kuvharika kwetsinga dzemwoyo dzinopa ropa kumoyo. Zvakare, kazhinji hapana kukuvara kwechigarire kumoyo. Kazhinji, kupora kunokurumidza uye kwakakwana.

Chii chinokonzera izvi?

Kunyange hazvo vaongorori vachiri kusakwanisa kuwana chikonzero chimwe chete, vanotenda kuti chinokonzerwa nekushushikana kwepfungwa kana kwemuviri kamwe kamwe. Funga nezvekurwadziwa kwaunonzwa mushure mekurasikirwa nemunhu waunoda, kuva mutsaona, kana kurasikirwa nebasa rako. Paunenge uri pasi pekushushikana kwakawanda, kungave kwemuviri kana kwepfungwa, muviri wako unoburitsa mahormone ekushushikana muropa rako. Nyanzvi dzinotenda kuti mahormone aya anokanganisa kwenguva pfupi kugona kwemoyo kushanda.

Zvisinei, vanhu vashoma kwazvo (veavo vanorwara neTakotsubo Cardiomyopathy) vangasakwanisa kuwana chero chiitiko chinoshungurudza chiri pachena.

Hapana humbowo huripo hunoratidza kuti chirwere ichi chinopfuudzwa kubva kuvabereki kuenda kuvana.

Ndezvipi zvinonetsa mupfungwa nemuviri zvinogona kukonzera izvi?

Mienzaniso yezvinhu zvinokonzeresa kushushikana kwepfungwa kamwe kamwe:

• Kusuruvara kukuru kunokonzerwa nerufu rwemudiwa, kana kurasikirwa kukuru (kuparara kwehukama, kurasikirwa nemusha, mari, kana chipfuwo chaunoda).
• Kunyangwe mashoko akanaka dzimwe nguva anogona kutungamira kune izvi! (Semuenzaniso, pati isingatarisirwi panguva isingatarisirwi, kukwezvana kukuru kwerotari).
• Kugamuchira mashoko akaipa.
• Zviitiko zvinorwadza zvakaita setsaona nekudengenyeka kwenyika.
• Kutya kukuru (kuenda kunotaurirana pamberi peboka revanhu, kutarisana nekubirwa nezvombo).
• Hasha dzakanyanya.

Mienzaniso yezvinhu zvinokonzeresa kushushikana kwemuviri kamwe kamwe:

• Kurwadziwa kwakanyanya.
• Chiitiko chinonetesa zvikuru chemuviri.
• Matambudziko ehutano: kurwiswa neasthma, matambudziko ekufema zvakanyanya, pfari, sitiroko, fivha yakanyanya, hypoglycemia, kubuda ropa zvakanyanya, kana kuvhiyiwa.

Ndiani ane mukana mukuru wekukura izvi?

Une mukana mukuru wekuwana chirwere che "Broken Heart Syndrome" kana :

• Kana uri mukadzi .
• Kana une makore anopfuura makumi mashanu .
• Kana wakamborwara nepfungwa (sekushushikana kana kuora mwoyo).
• Kana wakambova nechirwere chetsinga (sekubatwa nepfari kana sitiroko).

Ndezvipi zvinetso zvinogona kukonzera izvi?

Matambudziko e "Broken Heart Syndrome" haawanzoitiki , asi dzimwe nguva anogona kunge akakomba. Mamwe acho ndeaya:

• Kuzvimba kwemapapu.
• Kuputika kweventricle yekuruboshwe (kashoma).
• Kuvharika kweropa kubva mu ventricle yekuruboshwe.
• Kukundikana kwemoyo.
• Ropa rakagwamba rakanamira pamadziro eventricle yekuruboshwe.
• Kuderera kweropa (Hypotension).
• Maitiro asina kujairika emutinhimira wemwoyo (arrhythmia).
• Kuvhunduka kwemwoyo chirwere chinokonzerwa nekusashanda zvakanaka kwemoyo.
• Kuvharika kwemoyo.
• Kashoma, kunyange rufu runogona kuitika.

Zvakakosha: Kunyangwe matambudziko aya asingawanzoitiki, zvakakosha kutsvaga rubatsiro rwechiremba kana zviratidzo zvangoonekwa.

Vanachiremba vanoona sei izvi?

Chiremba achatanga akuongorora muviri wako uye obvunza nezvenhoroondo yako yehutano. Zvadaro, vanogona kuita bvunzo dzinoverengeka kuti vasimbise chirwere chako:

• Kuongororwa kweropa: Kuongororwa kwema enzyme chaiwo anoburitswa nemasero emhasuru dzemwoyo akakuvara muropa.
• EKG (ECG - Electrocardiogram): Muedzo unonyora mashandiro emagetsi emwoyo.
• Coronary angiography: Kuongororwa kweX-ray kwakakosha kwekutarisa kana paine kuvharika kwetsinga dzemwoyo. Izvi zvichabatsira kuona kana ichi chirwere chemwoyo kana kwete.Zvakakosha zvikuru .
• Echocardiography: Kuongororwa kwe ultrasound kuti uone mashandiro, saizi, uye chimiro chemoyo.
• X-ray yechipfuva.
• MRI yemoyo (Magnetic Resonance Imaging): Muedzo unogona kuburitsa mifananidzo yakadzama yemoyo.
• Ventriculogram: Dhayi inopinzwa mu ventricle yekuruboshwe yemoyo, uye X-ray inotorwa kuti ione hukuru hwekamuri iroro uye kushanda kwayo pakupomba ropa.

Kunyangwe bvunzo dzichigona kuratidza nzvimbo dzakakuvara mumoyo, coronary angiography inokosha kusimbisa kuti haisi chirwere chemwoyo. Izvi zvinodaro nekuti, kusiyana nechirwere chemwoyo, mu "Broken Heart Syndrome" tsinga dziri mumoyo hadzina kuvharika.

Ndezvipi zviri kurapwa?

Kunyange hazvo pasina "mushonga" chaiwo we "Broken Heart Syndrome" kana "Takotsubo Cardiomyopathy", vanhu vazhinji vanopora zvizere nemishonga.

Mhando dzemishonga inoshandiswa pakurapa:

• Aspirin: Inovandudza kutenderera kweropa uye inodzivirira kuumbwa kweropa.
• Mishonga inodzivirira ropa (Angiotensin-Converting Enzyme inhibitors) kana kuti maARB (Angiotensin Receptor Blockers): Inoderedza BP uye inoderedza kuzvimba mumoyo.
• Beta-blockers: Inoderedza kurova kwemoyo.
• Mishonga inobvisa mvura mumuviri: Deredza huwandu hwemvura yakawandisa mumuviri.

Kashoma, kana mwoyo uchida rubatsiro rwekupomba ropa, zvingava zvakakosha kushandisa mudziyo wakaita se "intra-aortic balloon pump" kana "left ventricular assist device".

Pane matambudziko kana migumisiro yekurapwa here?

Kazhinji, mimwe yemigumisiro inogona kuitika panguva yekurapwa uku kwe '(Takotsubo Cardiomyopathy)' ndeiyi:

• Kurwara kana kusawirirana nemishonga, kana matambudziko nemimwe mishonga yauri kutora.
• Pane mukana mudiki wekubuda ropa, hutachiona, kuvharika kweropa, sitiroko, kana kurwara nemoyo nekuda kwe "left ventricular assist device" kana "intra-aortic balloon pump" isingawanzo shandiswa.

Ndichakurumidza sei kupora mushure mekurapwa?

Vanhu vazhinji vanotanga kunzwa zviri nani pavanorapwa chirwere che "Broken Heart Syndrome." Izvi zvinogona kuitika pavanenge vari muchipatara, kana kuti zvinogona kuitika mukati memaawa mashoma kana mazuva mashoma mushure mekutanga kurapwa.

Pane nzira dzekudzivirira izvi kuti zvisaitike here?

Hapana nzira chaiyo yekudzivirira kukura kwe "Broken Heart Syndrome". Zvisinei,Kudzidza kugadzirisa kushushikana uye nzira dzekugadzirisa matambudziko kunogona kukubatsira kuderedza kushushikana kwemuviri nepfungwa.

Maitiro ekuzorora anogona kubatsira zvikuru. Heano mimwe mienzaniso:

• Kudzidzira yoga, kufungisisa, kunyora pasi, kana kufunga zvakanaka.
• Kugeza mumvura inodziya.
• Kupisa matanda ezvinonhuwira.
• Kufema mweya kwenguva refu, wakadzika uye kufema zvishoma nezvishoma.

Zvichienderana nechikonzero chekushushikana kwako, ungangoda kubatana neboka rekutsigirana kuti mutaure nezvazvo uye mugovane nzira dzekugadzirisa dambudziko racho. Ungangodawo kutsvaga rubatsiro kubva kune nyanzvi yekupa mazano.

Pamusoro pezvo, kutora tsika dzakanaka kunogonawo kubatsira kudzora kushushikana kwemuviri nepfungwa. Maitiro aya anosanganisira:

• Kudya chikafu chinovaka muviri (semuenzaniso, chikafu cheMediterranean).
• Kurovedza muviri nguva dzose (maminitsi makumi matatu kanenge mazuva mashanu pasvondo).
• Kurara kwemaawa ari pakati pemanomwe nemapfumbamwe zuva rega rega.
• Kupedza nguva nevamwe.
• Kupinda kuongororwa kwehutano nekuongororwa kwehutano nenguva.
• Dzivisa fodya, zvinodhaka, uye kushandisa doro zvakanyanya. (Kana uchida rubatsiro rwekurega, chiremba wako anogona kukutungamira).

Mamiriro ezvinhu aya acharamba achitikanganisa here? Chii chiri kutarisirwa?

"Broken Heart Syndrome" kana kuti "Takotsubo Cardiomyopathy" chirwere chenguva pfupi kune vanhu vazhinji . Ungangopora pasina matambudziko emwoyo kwenguva refu.

Kana uine chirwere che "Broken Heart Syndrome" nekuda kwedambudziko rehutano renguva refu (rakadai sestroke, asthma, kana pfari), shanyira chiremba wako kuti akubatsire kugadzirisa matambudziko iwayo ehutano.

Muzvimwe zviitiko, chiremba wako anogona kukurudzira kuti udzokorore echocardiogram mavhiki mana kusvika matanhatu mushure mechiitiko ichi kuti uve nechokwadi chekuti hauna mamwe matambudziko ehutano hwemwoyo uye kuti ventricle yako yekuruboshwe iri kushanda zvakanaka zvakare.

Mamiriro ezvinhu aya acharamba aripo kwenguva yakareba sei?

Kazhinji, vanhu vanopora kubva muchiitiko chinoshungurudza mukati memazuva mashoma kusvika mavhiki mashoma. Zvisinei, vanhu vazhinji vanogona kushaya simba kwemwedzi yakati wandei mushure mekusangana ne "Broken Heart Syndrome." Izvi zvinogona dzimwe nguva kukonzera kuora mwoyo. Kana izvi zvikaitika kwauri, iva nechokwadi chekutsvaga rubatsiro kubva kuna chiremba.

Maonero e "Broken Heart Syndrome"

Vanhu vanobatwa nechirwere che "Broken Heart Syndrome" nekuda kwechirwere (chakadai sekurwara kana kuvhiyiwa) vanogona kuva nemigumisiro yakaipa zvishoma pane avo vanobatwa nechirwere ichi nekuda kwechiitiko chepfungwa.

Kunyangwe varume vasinganyanyi kuwana chirwere ichi, vane mukana wekuva nemigumisiro yakaipa. Izvi zvinogona kunge zvichikonzerwa nekuti vane zvimwe zvirwere zvakakomba.

Vaongorori vakaona kuti kutora mishonga inonzi ACE inhibitors kana kuti ARBs kunowedzera makore ekurarama.

Huwandu hwevanhu vanofa ne "Broken Heart Syndrome" hwakaderera zvikuru . Huri pakati pe0% ne8%. Kazhinji, ichi chirwere chenguva pfupi chinopora zvizere.

Ndinozvitarisira sei?

Ungangoda kuramba uchitora mishonga yako yawakanyorerwa kwemwedzi mitatu kusvika mitanhatu. Kana uine Broken Heart Syndrome, chinhu chakanakisa chaunogona kuita kuti uzvitarisire ndekunwa mishonga yako sezvawakanyorerwa uye kuona chiremba wako sezvakakurudzirwa. Zvese izvi zvakakosha nekuda kwenjodzi dzinouya kwenguva refu dzinouya neTakotsubo Cardiomyopathy.

Dambudziko iri rinogona kudzoka, kana kuti mamwe matambudziko ehutano anogona kumuka mavhiki kusvika makore mushure mechikamu chekutanga. Rinodzoka pakati pe4% ne10% yevanhu vakamborwara naro.

Unofanira kuona chiremba rini?

Kana ukaona zviratidzo zvitsva kana kuti ukaona shanduko muzviratidzo zvako (kunyanya kana zvichikanganisa maitiro ako ezuva nezuva), kurumidza kuona chiremba wako. Kana zvisina kudaro, chiremba wako achakupa nguva yekutevera kana zvichidikanwa.

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Nekuti zviratidzo zve "Broken Heart Syndrome" zvakafanana nezvechirwere chemwoyo, unofanira kuenda kuchipatara kana ukaona chimwe chezviratidzo zvechirwere chemwoyo. Zviratidzo izvi ndeizvi:

• Kurwadziwa kwechipfuva (angina).
• Kutadza kufema zvakanaka.
• Kana ukanzwa kurasikirwa nepfungwa nenzira isinganzwisisike, kana kuti uchinzwa dzungu uye uchida kupera simba kakawanda.
• Kunzwa sekuti moyo wako uri kurova nekukurumidza (kurova kwemoyo).
• Kana kurova kwemoyo wako kuchinonoka kana kuti kuchikurumidza, kana kuti uchinzwa sekuti mwoyo wako uri kusvetuka-svetuka kana kuti uri kuwedzera kurova.

Kana uine chimwe chezviratidzo zve "Broken Heart Syndrome" kana "Takotsubo Cardiomyopathy", tsvaga rubatsiro rwechiremba nekukurumidza. Nzira chete yekuziva zvechokwadi kana uine "Broken Heart Syndrome", chirwere chemwoyo, kana rimwe dambudziko rehutano ndeyekuongororwa.

Mibvunzo ipi yandinofanira kubvunza chiremba wangu?

Unogona kubvunza chiremba wako mibvunzo yakaita seiyi:

• Ndinofanira kutora mishonga yandakanyorerwa kwenguva yakareba sei?
• Ndinofanira here kuita mimwe miedzo (yekutevera bvunzo)?
• Ndinofanira kuuya kuzokuonai kangani?

Kushushikana kwakajairika kwehupenyu hwezuva nezuva kunogona kukonzera "Broken Heart Syndrome" here?

Zvingangoita kuti kwete. Zviratidzo zvinotanga mushure mechiitiko chinowanzoitika kana chinoshungurudza zvakanyanya.Kana uchirwadziwa pachipfuva kana kushaya mweya kunyangwe uchinetseka zvishoma nezuva, enda kuna chiremba.

Zviratidzo zvinogara zviripo hazviwanzo kuva chiratidzo che "Broken Heart Syndrome." Chiremba wako anogona kukubatsira kudzidza kudzora kushushikana, kunyora mishonga kana kunetseka kuri dambudziko, kana kuraira kuongororwa kana vachifungidzira kuti pane dambudziko rehutano risingawanikwe.

"Broken Heart Syndrome" chirwere chakakomba here?

Kashoma, hongu. Avo vane zvirwere zvakakomba kana zvisina kugadzikana vangada kutariswa zvakanyanya uye vangada kurapwa kwepamusoro-soro, senge michina yekutsigira.

Zvichienderana nekuti tsandanyama dzemwoyo wako dzakasimba zvakadii, chiremba wako anogonawo kukurudzira kuti mwoyo wako ushande zvakanaka.

Zvinhu zvinonyanya kukosha zvaunofanira kuyeuka

Tose takambonzwa vanhu vachitaura nezvekunzwa "kuora mwoyo." Asi "Broken Heart Syndrome," kana kuti Takotsubo Cardiomyopathy, chirwere chaicho chinogona kuitika mushure mekunge wasangana nekushushikana kwepfungwa kana kwemuviri kamwe kamwe.

Mashoko akanaka ndeekuti ichi chirwere chenguva pfupi uye kazhinji hachikonzeri kukuvara kwemoyo zvachose. Zvisinei, nekuti zviratidzo zvakafanana nezvechirwere chemwoyo, usambozviongorora wofunga kuti une "Broken Heart Syndrome." Gara uchiongororwa nechipatara che emergency. Kuongororwa chete ndiko kunogona kuona kana zviratidzo zvemoyo wako zviri chirwere chemwoyo, "Broken Heart Syndrome," kana chimwe chirwere chehutano.

chirwere chemwoyo chakatyoka , takotsubo cardiomyopathy, kurwara nemoyo, kushushikana, kurwadziwa pachipfuva, kupererwa nemweya, hutano hwevakadzi