"Syndrome Broken ngakau" ranei Takotsubo cardiomyopathy: Take, tātaritanga, Tohu me te rongoā

"Syndrome ngakau Broken" - he ingoa rerekē mō te mate. Ko te take o tenei ingoa e tika ana ki te etiology o te mate, ina mana'o te tangata he ru kaha aronganui, he reira, kotahi te ara ranei tetahi, pā te mahi o te ngakau. Otiia i roto i ētahi wā, e kore e tika i te aberration, engari he tohu o te mate ngakau i roto i te mahi o te pūnaha maumaui. Ko te puna hauora taea kitea e koe tetahi atu ingoa mō te māuiuitanga - ". Takotsubo cardiomyopathy"

Ko te ngako o te mate

Ko te take tino noa o te syndrome he tauhohenga o te tinana ki te mate o te tetahi i aroha. cardiomyopathy ahotea - he mate o te pūnaha cardiac iaia, e faaite ake i roto i te puka o te hūhi i roto i te rohe pouaka i muri i te ahotea nui.

E ai ki ngā tatauranga, kanohi wahine tenei raruraru atu pinepine atu i te tangata, e tika ana ki te kare whakahuatia o te sex ataahua. Ko te tokomaha rawa o ngā take tuhia i roto i te tūroro 60 ki te 70 tau te pakeke.

E ai ki te pūnaha whakamunatanga o pathologies somatic ICD-10, kua tuku "he ngakau maru" syndrome ki rite I42.8.

etiology

Ko te takenga mai tangohia ko mate unknown. Ka taea e anake tetahi amo te huarahi āwhiwhiwhi o te āhua o te whanake māuiuitanga.

Te tīmatanga, i reira te mea he ahua o te ahotea psycho-aronganui, e arata'i ki te tāne i o te pūnaha autonomic. Kei a ia ko nga wehenga pukuaroha, me te parasympathetic. Ko tētahi o ratou ko kawenga mō te tukanga whakangā tinana, te tahi atu - mo tona whakahohenga.

Ēnei tari e rua e kore te mahi wā kotahi. homai tonu tetahi Mahi ara ki te whakarewa i te tahi atu. I roto i te take o te ofatiraa o te pauna ngā e i roto i te mahi haumanu mohiotia te rite "dystonia", i reira te mea he hua koi i roto i te kukū toto o Adrenaline. Tenei taiaki e aukati te mahi o te ngakau i whāiti te pera, me te hoko i nga uaua matua papanga o te tinana.

tohu

Tohu o "syndrome ngakau maru" rite ki nga tohu o te whakaeke ngakau. Ko te kupu, kia wheako te manawanui:

• mamae koi i roto i te whaturei, kua maka i roto i te hoki ringa ranei;
• rerekē i roto i te pēhanga toto;
• dyspnea i muri i te oma tinana iti ranei i roto i tona ngaro;
• ngoikore tinana, te momoe, te kore o te hiahia.

A, no te fehangahangai ki enei tohu i te tangata e "nitroglycerin", e kore e te papa i te wawaotanga whakaora tika. Ko te whakaeke taea muri mo te ia. Heoi, ino o te hauora, i te mea ulungāanga mo te whakaeke ngakau tūturu, e kore e kitea.

atamira whanaketanga

"Syndrome ngakau Broken" puta i roto i te amuamu rohe. Wā o te murunga pūmau o hukihuki whakakapia. disorders Autonomic - ko te ngaro o te tohu āhuatanga o te māuiuitanga. He tāne i roto i te pūnaha io pukuaroha, me te parasympathetic hanga whakaraerae reira. I raro i te mana o tetahi take whakapataritari, te tūranga o e kia he ahotea, rohirohi ara te matao, "syndrome ngakau maru" haere i roto i te wā whakapeka ranei.

puka whakararuraru

Ko te whakarōpū ngā o te tukanga pathological whakaaro reira i roto i ngā o te localization o kino meinga e te uaua ngakau i roto i whakaeke. kia ruia ana rohe ranei te mate. Ko te rerekētanga i waenganui i enei momo e rua?

te kopa lesion E ruia ana o te uaua ngakau he iti mōrearea atu i te rohe. Heoi, e titau te reira aroturuki tupato i te rata. Ko taea faaotiraa o te ahua motuhake o te mate i muri anake i te hiko-. Ki tenei kōwhiringa, arahina te rōpū rangahau kaha ki te whakaaro tetahi huringa morphological i nga kopa o te uaua ngakau.

whakamātautau Medical

kawea te tātaritanga o "syndrome ngakau maru" i roto i runga i te hātepe motuhake e taea ki tatou rerekëtanga ki te mate i pathologies rite.

I te tīmatanga, tirohia te tākuta hītori hauora o te manawanui. Ki tenei mutunga, kia ui ia pātai he raupapa utochyayuschih: kia pehea te roa i mua puta nga tohu mate tuatahi i mua ähua ratou ahua, tetahi o nga mema o te whānau i whakapumautia tenei tātaritanga, etc. He mea nui ki te mahino e whakawhanake te māuiuitanga anake rite ki te whakautu whakapeka aronganui .. wheako. Hoki te hanganga o te mate, ko te oraraa e tika ana o te hui e taea e meinga he taua tauiraa nui i roto i te whaiaroaro o te tinana tangata.

I muri i taua mahere tātaritanga kua whakaritea, e rerekē iti i tetahi atu rangahau o mate Cardiovascular:

• tātari o ngā taumata toto cholesterol o kiato tiketike, me te iti (lipidogram);
• hiko-;
• echocardiography;
• rorohiko atahanga te kōwarotanga autō ranei;
• angiography iaia;
• X-hihi o te ngakau.

Kahore he take ki te haere i roto i te rārangi katoa o ngā whakamātautau. I roto i te take ia takitahi, ka whakatau i te tākuta te rārangi o te taiwhanga, me te mahi rangahau motuhake.

whakaora

Ko te take tangohia o Takotsubo cardiomyopathy he unknown. Na reira, he mahere ao ki te aro tohunga mate tēnei wā e kore e taea e whakaherea. Doctors te tikanga whakahau i te akoranga o te therapy, rite i roto i o ratou te mau parau tumu ki te maimoatanga o te takawhita. Ki reira ka taea e te ārai pōauautanga pērā i whakaeke ngakau patunga ranei.

maimoatanga Drug Kei roto taero antihypertensive: ACE-inhibitors, beta-blockers, blockers konupūmā hongere. Ka rite ki te whētuki aronganui korero auau rite te take o "syndrome ngakau maru". Na reira, mō ngā take haumanu kia whakamahia rongoā e whakatairanga stabilization o te kāwanatanga aronganui. e kore he utu reira whiriwhiri ratou ake. Tuatahi, Me ki kia tangohia akoranga kaua roa enei taero. Tuarua, E ratou he maha nui o ngā pānga taha, a taea tīmata faatîtîraa.

Hei hopu i nga tohu o te syndrome, "he ngakau maru", ka taea e koe te whakamahi i anti-depressants, tranquilizers, vegetostabilizatory. I iti faaiteraa mate pakeke pai ki te whakamahi i taka e hāngai ana huawhenua-. Ko ngawari ratou mahi. Me pānga haumanu ki te tatari i tetahi roa, engari heke te tūponotanga o ngā pānga taha te ki tata kore.

Na i te tinana nui kaha me te pūngao ki te whakakore te whakararuraru, somatic, ki te tangata i roto i te hiahia whakaora riro rawaka kai tōtika. He tuwhera tonu te pātai o te whakawhenumi o te huaora i roto i te puka papa. Heoi, nga painga o kohuke i takea mai i te kai, he nui.

kia hanga Sam kai tango ki pūkete te aroaro o te mate Cardiovascular. Ko te tahua kia tino waho kawhe, tea kaha, waipiro, fatty me ngā kai tote. Ko te whakaaro o tenei mana - ki te whakaiti i te tūponotanga o te atherosclerosis, e fakafaingata'a'ia'i te mahi o te uaua ngakau.

Maimoatanga o "syndrome ngakau maru" ngā o te huinga o ngā tukanga e hāngai ana ki te whakarite hauora me te ārai o pōauautanga ora-te whakawehi. whawhai whaiaro ki tenei mate, ko te tino houhou. He pai ki te kitea he ngaio e ka whakahaere i te tukanga o te therapy, me te whakanohonoho muri. Hei tauira, kia tono noho o te whakapaipai ki tenei raruraru ki Bakulevskogo Heart Center.

ara ki te aukati i

Ārai i te whanaketanga o te syndrome ko te tino uaua, no te mea te mate, ko te whakautu whaiaroaro ki te wheako kaha aronganui. I te tahi atu te ringa, te ahotea - te āhuatanga tinana tangata, e takahi taea te whakawhanakehia.

Ki te mahi i tenei, me piri koe ki nga ture o te ara hauora o te ora - ara, ki te whai wāhi i roto i te mahi whakakori tinana. Ki tenei mutunga, he wiki, me noho te tangata noa i te iti rawa 300 meneti o tona wa. E kore e hoatu e te reira i te tinana ki pikaunga nui, e kino pā te āhua o te kiko ngakau me oko toto.

Ko reira ano hoki kai tōtika nui. Ko te whakamahi o ngā rahinga nui o te kai momona, me te pūngoi whakaoho te whanaketanga o te atherosclerosis, hoko oko, me te huri i te hanganga o te toto. Pohokore pāngia e tāne i hormonal e taea meinga pōauautanga o ngā pūnaha tinana katoa.

He tūranga matua i roto i te ārai angitu o tetahi māuiuitanga whai te haerenga auau ki te tākuta ki te mamae whakamātautau hauora. Ka taea e te tangata te whiriwhiri rite te wahi hapai i ia: i roto i te whare hauora rohe, Bakulevskogo Cardiology Center, he ako tūmataiti i te mafatu. I te wa ano, tūtohu tohunga ki te haere ki te iti rawa kotahi te tau, tae atu i roto i te ngaro o ngā raruraru hauora nui ranei, ki te tohu o te mahi cardiac.

pōauautanga taea

Ahakoa te kore o mehua whakaora ao ki te aro i te māuiuitanga, ko reira tino nui i muri i ki tona rapunga tautuku ki nga whakaritenga katoa o te rata haere. Ehara i te mea e tika ana ki te hoatu ake maimoatanga hauora, he rawaka tautukunga ki te kai tino. E hāngai ana ēnei mehua e kore anake i te whakakore i te mate, engari ano hoki ki te tiaki i te pūnaha Cardiovascular i te whanaketanga o te pōauautanga e whai ake nei:

• kore ngakau ma'i;
• whakaeke ngakau;
• arrhythmia;
• thromboembolism;
• edema pūkahukahu.

outlook

A, no te he tino iti ahotea cardiomyopathy mōrea o te mate, engari tonu i reira. Ki te maimoatanga wā ki te tākuta me te whakatinanatanga o ona taunakitanga katoa, puta whakaora i roto i pā ana ki 2 marama.

E matau nga take waiwai me te mau faaiteraa tuatahi o te tukanga pathological, e kore e mangere ki tona maimoatanga. kia rapu tonu koe tokoni ngaio hauora. I tua atu, enei raraunga hanga reira taea ki te ārai i te whanaketanga o te mate i roto i te tīmatanga o nga wāhanga, reira, ki te karo i te ahua o pōauautanga taea.