"Inhliziyo ephukile syndrome" noma Takotsubo zenhliziyo: Izimbangela, Ihlahlubo, Izimpawu kanye Ukwelashwa

"Inhliziyo ephukile syndrome" - igama engavamile lesi sifo. Umsuka leli gama ngenxa etiology lesi sifo lapho umuntu enomuzwa shock ezinamandla ezingokomzwelo, kuba ngandlela-thile, ezithinta umsebenzi inhliziyo. Kodwa kwezinye izimo, ukwephula akuzona nje wayephazamisekile, kodwa uphawu yesifo senhliziyo ekusebenzeni ohlelweni. Imithombo yezokwelapha ungathola elinye igama zokugula - ". Takotsubo zenhliziyo"

Ingqikithi yalo isifo

Imbangela ezivame kakhulu lesi sifo endleleni umzimba osabela ngayo lapho kufa umuntu esimthandayo. Ukucindezeleka zenhliziyo - isifo semithambo uhlelo inhliziyo, esizibonakalisa ifomu ukungakhululeki endaweni esifubeni ngemuva kwengcindezi enkulu.

Ngokwezibalo, abesifazane babhekene nale nkinga kaningi kunabantu, ngenxa imizwelo uzwakalise wobulili fair. Inani elikhulu izimo ezilotshwe iziguli abaneminyaka engu-60 kuya kwengu-70.

Ngokusho kohlelo ukubethela ka pathologies ukuphathwa kwabathintwayo ICD-10, "inhliziyo ephukile" syndrome ubizwa ngokuthi I42.8.

omsakazo

Umsuka eliqondile izifo ezingaziwa. Omunye nje ukuthi nokwami mshini eseduze kanjani ukuthuthukisa egunjini lokuhlolwa kwezifo.

Ekuqaleni, kukhona uhlobo ukucindezeleka psycho-ngokomzwelo, okuholela Ukungadli kohlelo autonomic. Siqukethe izigaba nozwela futhi parasympathetic. Omunye wabo unesibopho umzimba ukuphumula inqubo, elinye - for ukusebenza yayo.

Lezi zindawo ezimbili, ayisoze yasebenza kanyekanye. Umsebenzi munye njalo unika indlela ukwethula nomunye. Uma ukwephula esele ekhona ukuthi umkhuba emtholampilo ngokuthi "dystonia" yaziwa, kukhona ukwanda okukhulu kwezincwadi emakamu igazi adrenaline. Lokhu i-hormone ebambezela umsebenzi kwenhliziyo olugcwele imithambo futhi kulimaze imisipha Indwangu eyinhloko emzimbeni.

izimpawu

Izimpawu "Inhliziyo yabo iphukile syndrome" efana izimpawu yinhliziyo. Ngakho, isiguli bangezwa:

• ubuhlungu obuhlabayo ku sternum, uxoshiwe emhlane noma ingalo;
• ekushintshashintsheni umfutho wegazi;
• dyspnea ngemva kokuvivinya umzimba okuncane noma ukungezwakali kwawo;
• ubuthakathaka bomzimba, ukozela, ukungabi iphango.

Lapho sibhekene lezi zimpawu umuntu ethatha "nitroglycerin", ithebhulethi akanayo kokungenela efanele zokwelapha. Ukuhlaselwa ingahlala isikhashana. Nokho, Ukuwohloka impilo, okuyinto sici for the isifo senhliziyo Okuyınqo, is hhayi waphawula.

isigaba zentuthuko

"Inhliziyo ephukile syndrome" livela ukushesha. Izinkathi ukuthethelelwa nzile nokuquleka esikhundleni. iziyaluyalu autonomic - kuyinto engekho izimpawu sici egunjini lokuhlolwa kwezifo. Ukungadli nonozwela futhi parasympathetic isimiso sezinzwa kwenza kube sengozini. Ngaphansi kwethonya yimuphi isici ingqondo, indima okungenzeka ube ukucindezeleka, ukukhathala noma amakhaza, 'ephukile enhliziyweni syndrome "iya esigabeni oyingozi.

amafomu disorder

Ukwahlukaniswa ekhona yenqubo sokugembula ucabangela yona ngekuya kwasendaweni umonakalo odalwe imisipha yenhliziyo phakathi nokuhlasela. Lesi sifo kungabonakala ngokukhukhumala kwentamo noma wendawo. Umehluko phakathi kwalezi izinhlobo ezimbili?

Ehlasela umzimba lesion izicubu imisipha yenhliziyo lingaphansi kuyingozi ukwedlula lendawo. Nokho, kudinga aqashelwe ngokucophelela udokotela. Ukunqunywa ifomu ethile isifo kungenzeka kuphela emva electrocardiogram. With le ndlela, iqembu labacwaningi elaliholwa amandla ukucabangela noma yiziphi izinguquko morphological e izicubu imisipha yenhliziyo.

ngihlolwa

Ukuxilongwa "Inhliziyo yabo iphukile syndrome" Kwenziwa ku algorithm ethize esenza ukuba ukuhlukanisa yilesi sifo pathologies efanayo.

Ekuqaleni, udokotela ehlola umlando wezempilo wesiguli. Kuze kube yimanje, angase acele imibuzo uchungechunge utochyayuschih: kudalo uvele izimpawu isifo lokuqala okuyinto stressors kwandulelwe ukubukeka kwabo, omunye amalungu omndeni kwaqinisekiswa lokhu uphethwe, njll Kubalulekile ukuqonda ukuthi zokugula eba kuphela njengempendulo acute ngokomzwelo .. nakho. Ukuze ukwakheka lesi sifo khona ledzingekako umcimbi angabangela ushintsho olunjalo okuphawulekayo zomzimba zomzimba womuntu.

Ngemva kwalokho inikezwa uhlelo zokuxilonga, okuyinto akuhlukile kangako kunoma iyiphi enye inhlolo-vo ka izifo zenhliziyo nemithambo yegazi:

• ukuhlaziya amazinga egazi cholesterol high density futhi ongaphakeme (lipidogram);
• electrocardiogram;
• echocardiography;
• ikhompyutha noma-magnetic resonance imaging,
• angiography semithambo;
• X-ray zenhliziyo.

Asikho isidingo zidlule lonke uhlu ukuhlolwa. Endabeni ngayinye icala ngabanye, udokotela ziyonquma uhlu izifundo laboratory futhi zisebenza ngokwehlukana.

zokwelapha

Izimbangela esiqondile Takotsubo zenhliziyo alwaziwa. Ngakho-ke, uhlelo jikelele ukuze silwe Ochwepheshe isifo okwamanje asikwazi ukunikeza. Odokotela bavame inkambo yokwelapha, ezifanayo izimiso zabo ekwelapheni nomfutho wegazi ophezulu. Nge kungavimbela yezinkinga ezifana isifo senhliziyo noma unhlangothi.

ukwelashwa izidakamizwa yakhiwa antihypertensive izidakamizwa: ACE-inhibitor, beta-blocker, blocker-calcium channel. Ngenxa njalo isikhulumi ukuhlukumezeka ngokomzwelo njengoba imbangela "ephukile inhliziyo syndrome." Ngakho-ke, ngenhloso zokwelapha kumele kusetshenziswe imithi ekhuthaza sinjalo isimo ngokomzwelo. Khetha yabo akuyona zinkulu. Okokuqala, le mithi okudingeka zithathwe izifundo kunalokho eside. Okwesibili, banalo inqwaba side effects kanye kungase kubangele umlutha.

Ukuze asebenze ngokuzimisela ukuze kuboshwe izimpawu yalesi sifo, "inhliziyo ephukile", ungasebenzisa anti-depressants, zinhlungu, vegetostabilizatory. Ngezinye ongaphakeme kobukhulu isifo ukubonakaliswa kangcono ukusebenzisa amalungiselelo yemifino ezisekelwe. Isenzo wabo ethambile. imiphumela zokwelapha kudingeka ukulinda isikhathi eside, kodwa ematfuba side effects kuyehla kube cishe zero.

Ngakho ukuthi umzimba kwadingeka amandla esanele namandla ukuqeda disorder ukuphathwa kwabathintwayo, umuntu ukuba alulame bayayidinga ukudla okunomsoco. Umbuzo ka nokwenziwa amavithamini ngefomu ithebhulethi elisavulekele. Nokho, izinzuzo namaminerali ethathwe ukudla, nawo njengomnyango mkhulu kakhulu.

Sam Ukudla kufanele kwenziwe kucatshangelwa khona izifo zenhliziyo nemithambo yegazi. Imenyu kufanele ayifakiwe ngokuphelele ikhofi, itiye eqinile, utshwala, okunamafutha kanye nokudla okunosawoti. Inhloso yalesi amandla - ukunciphisa ingozi atherosclerosis, inkimbinkimbi umsebenzi imisipha yenhliziyo.

Ukwelashwa "ephukile inhliziyo syndrome" siqukethe iqoqo izinqubo okuhloswe ngaso lula impilo kanye nokuvinjelwa izinkinga ezisongela ukuphila. Self ekulweni lesi sifo engathandeki kakhulu. Kungcono ukuthola abangochwepheshe iyolawula inqubo yokwelapha kanye nokuvuselelwa okwalandela. Ngokwesibonelo, izakhamuzi zase-inhloko-dolobha kule nkinga angafaka isicelo Bakulevskogo Inhliziyo Centre.

izindlela zokunqanda

Vimbela ukuthuthukiswa sifo kunzima kakhulu, ngoba lesi sifo impendulo bokuphila kumuzwa ezinamandla ezingokomzwelo. Ngakolunye uhlangothi, ukucindezeleka - umzimba womuntu sici, okuyinto kwakuthiwa lingathuthukiswa.

Ukuze wenze lokhu, kumele zithobele imithetho ngendlela enempilo zokuphila - okungukuthi, ukuhlanganyela emsebenzini ngokomzimba. Kuze kube yimanje, ngesonto, indoda evamile kufanele bachithe okungenani imizuzu engama-300 wesikhathi sakhe. akufanele ukunikeza umzimba noma kuze layisha ngokweqile, okuyinto kabi kuthinte isimo izicubu inhliziyo nemithambo yegazi.

Libuye umsoco obalulekile. Ukusetshenziswa eliningi ukudla amanoni ikhalori kuphakamisa ukuthuthukiswa isifo sokuqina kwemithambo yegazi, kulimaze izitsha nokushintsha ukwakheka kwegazi. Ukungondleki icuphe ukungalingani hormone kungabangela izinkinga zesifo zonke zomzimba.

A indima ebalulekile zokuvimbela ngempumelelo iyiphi zokugula udlala ukuvakashelwa njalo udokotela ukuba ibhekane ngihlolwa. Man Ungakhetha kahle lapho uyiphatha: eklinikhi wesifunda, Bakulevskogo nezenhliziyo Centre, ucwaningo yangasese ngudokotela wenhliziyo. Ngesikhathi esifanayo, ochwepheshe batusa ukuba uvakashele okungenani kanye ngonyaka, kuhlanganise ngokungabi bikho izinkinga zempilo ezingathí sina noma uma izimpawu umsebenzi inhliziyo.

yezinkinga kungenzeka

Nakuba engakwazanga ukuwaphendula wezinyathelo jikelele kwelapha ulwe a zokugula, kubaluleke kakhulu ngemva ukuthola yayo ukuhambisana nayo yonke nezidingo udokotela ukuba khona. Akubalulekile ukuba bangayeki zokwelapha, kuyinto ukuhambisana esanele ukudla okuqinile. Lezi zinyathelo yenzelwa hhayi kuphela ukuqeda isifo, kodwa futhi ukuvikela uhlelo senhliziyo nemithambo yegazi kusukela ekuthuthukiseni nezinkinga ezilandelayo:

• ezingamahlalakhona ukuhluleka kwenhliziyo;
• yisifo senhliziyo;
• arrhythmia;
• thromboembolism;
• edema yamaphaphu.

ukuba nombono ongafani ngeke

Lapho ukucindezeleka zenhliziyo ingozi yokufa liphansi kakhulu, kodwa basayibambile. Ngempatho esifike ngesikhathi udokotela kanye nokusentshenziswa kwe zonke izincomo zalo, yokutakula kwenzeka ezinyangeni 2.

Ukwazi izimbangela futhi ukubonakaliswa kokuqala inqubo sokugembula, unganqikazi nokwelashwa kwakhe. Kufanele ngokushesha nokufuna usizo lochwepheshe bezokwelapha. Ngaphezu kwalokho, lezi idatha enze kube nokwenzeka ukuba ukuvimbela ukuthuthukiswa isifo okwakuhlalwa kuzo lapho kusaqalwa, ngakho-ke, ukugwema ukubonakala ngenxa yezinkinga kungenzeka.