"Broken zuciya ciwo" ko Takotsubo cardiomyopathy: Sanadin, ganewar asali, Alamun kuma Jiyya

"Broken zuciya ciwo" - wani sabon abu da sunan da cutar. Asalin wannan sunan saboda da etiology da cutar a lokacin da wani mutum ji mai karfi tunanin tura, shi ne, ko ta wani hanya, shafi aikin zuciya. Amma a wasu lokuta, take hakki ne da ba kawai wani aberration, amma wani alama na zuciya cuta a cikin aiki na tsarin. A likita kafofin za ka iya samun wani sunan Pathology - "Takotsubo cardiomyopathy."

Jigon da cuta

Mafi na kowa hanyar da ciwo ne na jiki ta dauki ga mutuwar wanda kake auna. Danniya cardiomyopathy - wata cuta daga jijiyoyin bugun gini cardiac tsarin, wanda bayyana kanta a cikin nau'i na rashin jin daɗi a cikin kirji yankin bayan da tsananin gajiya.

Bisa kididdigar da, mata suna fuskantar wannan matsala mafi sau da yawa fiye da maza, saboda da bayyana tausaya na gaskiya jima'i. The most yawan lokuta a rubuce cikin marasa lafiya shekaru 60 zuwa shekaru 70.

Bisa ga boye-boye tsarin na somatic pathologies ICD-10, "karayar zuciya" ciwo ake cewa I42.8.

etiology

A daidai asalin shi ne ba a sani ba cututtuka. Daya iya kawai zaton da m inji na yadda tasowa Pathology.

Da farko, akwai wani irin Psycho-wani tunanin danniya, wadda take kaiwa zuwa wani rashin daidaituwa daga cikin autonomic tsarin. Ya kunshi na m da parasympathetic rarrabuwa. Daya daga cikinsu shi ne alhakin jiki shakatawa tsari, da sauran - domin ta kunnawa.

Wadannan biyu sassan taba aiki a lokaci guda. Aiki daya ko da yaushe bada hanya da kaddamar da wani. A hali na take hakkin da data kasance balance cewa a asibiti yi ne da aka sani a matsayin "dystonia", akwai wani kaifi karuwa a cikin jini taro na adrenaline. Wannan hormone hana aikin da zuciya ta takaita da jijiyoyi da kuma tareda žata masana'anta babban tsokoki na jiki.

cututtuka

Alamun "karye zuciya ciwo" kama da bayyanar cututtuka na zuciya. Saboda haka, haƙuri iya samun:

• kaifi zafi a cikin sternum, an jefa a baya ko hannu;
• hawa da sauka a cikin jini.
• dyspnea bayan kadan jiki exertion ko a cikin rashi.
• jiki rauni, drowsiness, rashin ci.

Lokacin da tsayar da wadannan cututtuka da mutum daukan "nitroglycerin", da kwamfutar hannu ba shi da wani dace warkewa baki. A hari na iya wuce wa wani lõkaci. Duk da haka, tabarbarewar kiwon lafiya, wanda shi ne halayyar ga real zuciya harin, ba ya lura.

raya ci gaban mataki

"Broken zuciya ciwo" ya auku a leaps da haddi. Lokaci na barga gafarar seizures maye gurbinsu. Autonomic cuta - shi ne babu halayyar bayyanar cututtuka na Pathology. An rashin daidaituwa a cikin m, kuma parasympathetic juyayi tsarin sa shi m. Ƙarƙashin rinjayar da wani sa factor, rawar da wanda zai iya zama mai danniya, ko kuma gajiya har ma da sanyi, "karye zuciya ciwo" ke a cikin m mataki.

siffofin cuta

A data kasance rarrabuwa na pathological aiwatar da la'akari da shi a cikin sharuddan na sarrafawa da lalacewar ta wurin sa zuciya tsoka a lokacin harin. A cuta na iya zama yaxuwa ko na gida. Bambanci tsakanin wadannan biyu siffofin?

Yaxuwa rauni tsokoki na zuciya tsoka ne kasa hatsari fiye da gida. Duk da haka, shi na bukatar mai da hankali monitoring da wani likita. Tabbatar da dalilin da takamaiman tsari na cuta mai yiwuwa ne kawai bayan da electrocardiogram. Tare da wannan zabin, da bincike tawagar jagoranci karfi da la'akari da wani morphological canje-canje a cikin tsokoki na zuciya tsoka.

Medical jarrabawa

Ganewar asali da "karye zuciya ciwo" ne da za'ayi a kan wani takamaiman algorithm cewa yale mu mu bambance da cutar daga irin wannan pathologies.

Da farko, likita na nazarin haƙuri da likita tarihi. Don wannan karshen, ya iya tambayar jerin utochyayuschih tambayoyi: tsawon lokacin da suka wuce ya bayyana da farko cuta cututtuka wanda stressors gabãta su bayyanar, daya daga cikin 'yan uwa da aka tabbatar da wannan ganewar asali, da dai sauransu Yana da muhimmanci a fahimci cewa Pathology tasowa kawai a matsayin mayar da martani ga m wani tunanin .. kwarewa. Domin samuwar cutar wajibi ne kasancewar wani taron cewa zai iya haifar da irin wannan gagarumin canji a cikin Physiology na jikin mutum.

Bayan da aka sanya bincike shirin, wanda ya bambanta kadan daga wani binciken da na zuciya da jijiyoyin jini cututtuka:

• bincike na jini cholesterol matakan high kuma low yawa (lipidogram).
• electrocardiogram.
• echocardiography.
• kwamfuta ko Magnetic rawa Dabarar.
• jijiyoyin bugun gini angiography.
• X-haskoki na zuciya.

Babu bukatar ka ta hanyar dukan jerin gwaje-gwaje. A kowane mutum hali, likita zai ƙayyade jerin dakin gwaje-gwaje da kuma aikin nazarin dabam.

kwantar da hankali

A daidai Sanadin Takotsubo cardiomyopathy ne ba a sani ba. Saboda haka, a duniya da shirin magance cutar kwararru a halin yanzu ba zai iya bayar da. Doctors yawanci rubũta a hanya na far, irin wannan a cikin ka'idodin da magani daga hauhawar jini. Tare da shi zai iya hana rikitarwa kamar ciwon zuciya ko bugun jini.

Drug magani qunshi antihypertensive kwayoyi: ACE-hanawa, beta-blockers, alli tashar blockers. Kamar yadda wani m magana tunanin rauni a matsayin hanyar "karye zuciya ciwo". Saboda haka, domin warkewa dalilai ya kamata a yi amfani da magunguna da inganta karfafawa da wani tunanin jihar. Zabi nasu ne ba shi daraja. Da fari dai, wadannan kwayoyi bukatar da za a dauka wajen dogon darussa. Abu na biyu, suna da babban adadin illa da kuma iya fararwa jaraba.

Don tsara bayyanar cututtuka na ciwo, "karayar zuciya", za ka iya amfani da anti-depressants, tranquilizers, vegetostabilizatory. A low tsanani cutar manifestations mafi yi amfani da kayan lambu na tushen shirye-shirye. Su mataki ne softer. Warkewa effects bukatar jira wani ba, amma yiwuwar illa an rage zuwa kusan sifili.

Saboda haka cewa jiki yana da isasshen ƙarfin da makamashi don kawar da somatic cuta, wani mutum a dawo da bukatar samun isasshen abinci mai gina jiki. The tambaya na assimilation na bitamin a kwamfutar hannu tsari ne har yanzu a bude. Duk da haka, amfanin ma'adanai samu daga abinci, shi ne babban.

Sam rage cin abinci ya kamata a yi la'akari da kasancewar cututtukan zuciya. A menu kamata a gaba daya cire kofi, karfi da shayi, barasa, m da m abinci. Manufar wannan ikon - to rage hadarin atherosclerosis, wanda dagula aiki na zuciya tsoka.

Jiyya na "karye zuciya ciwo" kunshi wani sa na hanyoyin da nufin gudanar da kiwon lafiya da kuma rigakafin rai-barazanar rikitarwa. Kai yaki da wannan cuta ne musamman a ke so. Yana da kyau a samu wani kwararren wanda zai sarrafa aiwatar da far da m fi. Alal misali, mazauna babban birnin kasar zuwa wannan matsala na iya tambaya to Bakulevskogo Zuciya Center.

hanyoyin hana

Hana da ci gaban da ciwo ne da wuya sosai, saboda cutar ne physiological mayar da martani ga m wani tunanin gwaninta. A daya hannun, danniya - jikin mutum alama, wanda a rubuce za a iya ci gaba.

Don yin wannan, dole ne ka bi da dokokin da lafiya hanya na rayuwa - wato, su shiga cikin jiki aiki. Don wannan karshen, a mako, wata al'ada mutum dole ne ku ciyar a kalla 300 minti na zamaninsa. Ya kamata a ba jiki zuwa wuce kima lodi, wanda mugun shafi jihar na zuciya tsoka da jini.

Yana da muhimmanci abinci mai gina jiki. A amfani da manyan yawa na kitse da kuma kalori abinci tsokani ci gaban atherosclerosis, tareda žata tasoshin da kuma canza abun da ke ciki na jini. Tamowa triggers hormonal rashin daidaituwa da cewa zai iya sa rikitarwa dukkan jiki tsarin.

A muhimmiyar rawa a cikin nasara rigakafin wani Pathology taka akai ziyara a wani likita sha likita jarrabawa. Man iya zabar daidai inda ya rike: a gundumar asibitin, Bakulevskogo Cardiology Center, mai zaman kansa binciken da wani likitan zuciyar. A daidai wannan lokaci, masana bayar da shawarar zuwa ziyarci akalla sau daya a shekara, ciki har da in babu tsanani kiwon lafiya matsaloli ko idan bayyanar cututtuka na cardiac aiki.

zai yiwu rikitarwa

Duk da rashin duniya warkewa matakan magance wani Pathology, yana da muhimmanci a bãyan ganewa to bi da dukan bukatun da halartar likita. Ba lallai ba ne su daina shan magani, ya ishe yarda wani m rage cin abinci. Wadannan matakan da aka yi niyya ba kawai a kawar da cuta, amma kuma ya kare zuciya da jijiyoyin jini tsarin daga ci gaban da wadannan matsalolin:

• kullum zuciya maye.
• ciwon zuciya.
• arrhythmia.
• thromboembolism.
• na huhu edema.

Outlook

Lokacin da danniya cardiomyopathy hadarin mutuwa ne musamman low, amma har yanzu akwai. Tare dace magani ga likita da kuma aiwatar da duk ta shawarwari, dawo da ta auku a cikin game da 2 watanni.

Sanin muhimmi haddasawa da kuma na farko manifestations na pathological tsari, kada ku yi shakka, tare da magani. Ya kamata ka nan da nan nemi sana'a taimakon likita. Bugu da kari, wadannan data sa shi yiwuwa su hana ci gaban cuta a farkon matakai, saboda haka, don kauce wa bayyanar yiwu rikitarwa.