"Wosweka mtima syndrome" kapena Takotsubo cardiomyopathy: Zoyambitsa, Matendawa, Zizindikiro ndi Chithandizo

"Wosweka mtima syndrome" - dzina zachilendo matendawa. Chiyambi cha dzina ili chifukwa etiology matendawa pamene munthu akuona wamphamvu maganizo mantha, ndi, njira imodzi kapena wina, bwanji ntchito za mtima. Koma nthawi zina, kuyan'anila sikuti tangokhala aberration, koma chizindikiro cha matenda a mtima mu ntchito kwa dongosolo. Magwero zachipatala mungapeze dzina lina kudwala - ". Takotsubo cardiomyopathy"

Akamanena za matenda

Chifukwa ambiri a matendawa ndi thupi anachita imfa ya wokondedwa. Kupanikizika cardiomyopathy - matenda a dongosolo mtima mtima, amene kumaonekera mwa mawonekedwe a kusapeza m'dera pachifuwa pambuyo nkhawa kwambiri.

Malinga ndi ziwerengero akazi vuto kawirikawiri kuposa amuna, chifukwa kukhudzika mtima akazi okongola. Chiwerengero chachikulu kwambiri milandu olembedwa odwala zaka 60 70.

Malinga ndi dongosolo kubisa wa pathologies somatic ICD-10, "a mtima wosweka" syndrome amatchedwa kuti I42.8.

etiology

Magwero enieni ndi matenda osadziwika. Limodzi likhoza kulanda pafupifupi limagwirira mmene osauka kudwala.

Poyamba, pali mtundu wa maganizo psycho-maganizo, kumene kumachititsa vutoli a dongosolo autonomic. Amakhala ndi magulu wachifundo ndi parasympathetic. Mmodzi wa iwo ndi udindo thupi ndondomeko zosangalatsa, ndi ena - chifukwa kutsegula ake.

m'madipatimenti awiriwa konse ntchito imodzi. Ntchito limodzi nthawi zonse amapereka njira kukhazikitsa wina. Ngati kuphwanya bwino alipo kuti kuchita matenda chikudziwika ngati "dystonia", pali kuwonjezeka lakuthwa mu ndende magazi a zikuwonjezereka masiku ano. timadzi Izi likuletsa ntchito ya mtima ndi kuchepetsa mitsempha ndi kuwononga nsalu minofu chachikulu cha thupi.

zizindikiro

Zizindikiro za "syndrome wosweka mtima" ofanana ndi zizindikiro za nthenda ya mtima. Choncho, kuleza mtima nacho:

• kupweteka kwambiri mu sternum ndi, wachotsedwa kumbuyo kapena mkono;
• kusinthasintha magazi;
• dyspnea pambuyo pang'ono zofuna kukhetsa thukuta kapena sanamwe;
• thupi kufooka, kugona, kusafuna kudya.

Tikakumana ndi zizindikiro munthu wapatuka "nitroglycerin", phale alibe yoyenera achire alowererepo. kumuukira ukhoza kwa kanthawi. Komabe, kuwonongeka kwa thanzi, ndilo khalidwe la kuukira weniweni mtima, si anati.

siteji kakulidwe

"Wosweka mtima syndrome" amapezeka leaps ndi malire. Nthawi chikhululukiro khola la khunyu m'malo. matenda Autonomic - ndi yonena za zizindikiro khalidwe la kudwala lapansi. An vutoli mu dongosolo wachifundo ndi parasympathetic mantha kuvumbitsira osatetezeka. Mchikakamizo cha chinthu chilichonse n'zothandiza, udindo omwe mwina nkhawa, kutopa kapena kuzizira, "wosweka syndrome mtima" akupita mu gawo pachimake.

mitundu matenda

Gulu analipo a ndondomeko pathological kuganizira mofatsa mawu a kutanthauzira kwa zinawonongedwa ndi minofu mtima pa kuukira. Matendawa akhoza kukhala akakufunsani kapena m'deralo. Kusiyana mitundu awiriwa?

Akakufunsani chotupa zimakhala za minofu mtima si owopsa kuposa m'deralo. Komabe, pamafunika polojekiti kusamala ndi dokotala. Khama la mawonekedwe enieni matenda n'chotheka pambuyo electrocardiogram lapansi. Ndi njirayi, gulu lochita kafukufuku lotsogoleredwa mphamvu kuganizira kusintha kulikonse morphological mu zimakhala za minofu mtima.

Kupenda Medical

Matenda a "syndrome wosweka mtima" ikuchitika pa aligorivimu yeniyeni kuti amatilola kusiyanitsa matenda kuchokera pathologies ofanana.

Poyamba, Adokotala mbiri kuchipatala wodwalayo. Kuti zimenezi zitheke, iye angapemphe mndandanda utochyayuschih mafunso: utali zapitazo anaonekera zizindikiro matenda woyamba stressors unachitika maonekedwe awo, mmodzi wa m'banja lidatsirizika matenda ichi, etc. Nkofunika kudziwa kuti kudwala akufotokozera okha monga ayankhe kuti pachimake maganizo .. zinachitikira. Mapangidwe matenda n'kofunika kuli chochitika umene ungamuphe kusintha ngati yofunika kwambiri Maphunziro Akakhalidwe Kazolengedwa m'thupi la munthu.

Pambuyo kuti akapatsidwa dongosolo matenda amene amasiyana pang'ono kuchokera kafukufuku wina uliwonse wa matenda a mtima:

• kusanthula milingo magazi mafuta a mkulu ndi otsika kachulukidwe (lipidogram);
• electrocardiogram;
• echocardiography;
• kompyuta kapena chapamwamba kwambiri;
• mtima angiography;
• X-ray za mtima.

Musaphwanye kudutsa mndandanda wonse wa mayesero. Nthaŵi iliyonse munthu, adokotala kudziwa mndandanda wa zasayansi ndi zinchito maphunziro payokha.

zochiritsira

Zimayambitsa yeniyeni Takotsubo cardiomyopathy sakudziwika. Choncho, dongosolo chilengedwe kulimbana akatswiri matenda panopa sangathe kupereka. Madokotala zambiri mankhwala njira ya mankhwala ofanana mu mfundo zawo kuti mankhwala a matenda oopsa. Ndi ingam'lepheretse mavuto monga mtima kapena matenda opha ziwalo.

mankhwala limapangidwa antihypertensive mankhwala: Ace-zoletsa, beta-blockers, calcium njira blockers. Monga kawirikawiri wokamba kuvutika maganizo monga chifukwa cha "wosweka syndrome mtima". Choncho, zolinga achire ayenera kugwiritsidwa ntchito mankhwala omwe amalimbikitsa olimba a boma maganizo. Sankhani awo sikuthandiza. Choyamba, mankhwala ayenera kumwedwa maphunziro m'malo yaitali. Kachiwiri, ali ndi chiwerengero chachikulu mavuto ndi lingachititse osokoneza.

Kudzagwira zizindikiro za matendawa, "mtima wosweka", mungagwiritse ntchito odana depressants, asamakhale ndi nkhawa, vegetostabilizatory. Pa otsika kusalekerera mawonetseredwe matenda bwino ntchito yokonzekera masamba ofotokoza. zochita zawo ndi lililonse limatisokoneza. Zotsatira achire kudikira kenanso, koma Mwina mavuto yafupika pafupifupi ziro.

Kotero kuti thupi ndi mphamvu zokwanira ndi mphamvu kuthetsa matenda somatic, munthu kuchira amafunika kudya mokwanira. Funso wa kuloŵerera wa mavitamini mu mawonekedwe piritsi udakalipo. Komabe, ubwino mchere anachokera ku chakudya, ndi zoopsa.

Sam zakudya ayenera kukhala kutenga nkhani pamaso pa matenda a mtima. menyu ayenera kwathunthu lilibe khofi, tiyi wamphamvu, mowa, mafuta ndi zakudya mchere. Cholinga cha mphamvu ichi - kuchepetsa chiopsezo cha atherosclerosis, amene complicates ntchito ya minofu mtima.

Kuchiza ndi "mtima wosweka syndrome mtima" imakhala ya njira umalimbana mutsogolo umoyo ndi kuteteza mavuto moyo pachiswe. Self kukamenyana matenda ndi osafunika kwambiri. Ndi bwino kupeza dokotala amene udzalamulira ndondomeko ya mankhwala ndipo anayamba konzanso. Mwachitsanzo, anthu a likulu kuti vutoli akhoza kuzigwiritsa ntchito Bakulevskogo Mtima Center.

njira kuteteza

Kupewa chitukuko cha matenda ndi zovuta, chifukwa matenda akuchitanji thupi kuti zinachitikira amphamvu maganizo. Komano, nkhawa - thupi la munthu chizindikiro zimene theoretically akhoza kuphunzira.

Kuti tichite zimenezi, muyenera kutsatira malamulo a njira zabwino moyo - ndicho, kuchita masewera olimbitsa thupi. Kuti izi yotsiriza, sabata, munthu wabwinobwino ayenera mphindi zosachepera 300 nthawi yake. Sitiyenera thupi kuti akatundu kwambiri, zomwe zoipa bwanji boma la minofu mtima ndi mitsempha ya magazi.

Ndi zakudya zofunika. Ntchito wambiri mafuta ndi calorie chakudya amakwiya chitukuko cha atherosclerosis, kuwononga ziwiya ndi kusintha zikuchokera magazi. Kutupikana akapsa m'thupi vutoli zomwe zingachititse mavuto a machitidwe onse thupi.

A yofunika kwambiri kupewa bwino kudwala chilichonse chimagwira ulendo zonse kwa dokotala chokuchititsani Kupenda mankhwala. Munthu akhoza kusankha chimodzimodzi pamene anathetsa: kuchipatala chigawo, Bakulevskogo Cardiology Center, malo obisika mowerengera mwa cardiologist a. Pa nthawi yomweyo, akatswiri amalangiza kukaona kamodzi pachaka, kuphatikizapo pakalibe matenda aakulu kapena ngati zizindikiro za ntchito mtima.

zosokonezeka zotheka

Ngakhale kupanda miyeso chilengedwe achire kulimbana ndi kudwala, n'kofunika kwambiri pambuyo kudziwika ake kuti kumvera malamulo onse a dokotala nawo. Si koyenera kuti ndisiye mankhwala, ndi kugwilizana zokwanira zakudya kwambiri. zonsezi Cholinga osati kuthetsa matenda, komanso kuteteza dongosolo mtima pa chitukuko cha mavuto otsatirawa:

• aakulu kulephera mtima;
• mtima;
• arrhythmia;
• thromboembolism;
• m'mapapo mwanga edema.

kaonedwe

Pamene maganizo cardiomyopathy chiopsezo imfa otsika kwambiri, koma apo. Ndi mankhwala pa nthawi yake kwa dokotala ndi kukhazikitsa malangizo ake onse, kuchira amapezeka pafupifupi 2 miyezi.

Kudziwa chimayambitsa ndi maonekedwe yoyamba ya ndondomeko pathological, musazengereze ndi chithandizo. Muyenera yomweyo kupempha thandizo dokotala. Komanso deta izi n'zotheka kupewa chitukuko cha matenda mu magawo oyambirira Choncho, asapanikize anthu ndi mavuto zotheka.