"Broken mwoyo chirwere" kana Takotsubo cardiomyopathy: Zvinokonzera, chirwere, Zviratidzo neMarapirwo

"Broken mwoyo chirwere" - ane zita kujairika kuti chirwere. Mabviro zita iri nokuda etiology chirwere kana munhu anonzwa yakasimba mupfungwa kuvhunduka, ndiko, imwe nzira kana imwe, kukanganisa basa mwoyo. Asi mune zvimwe zviitiko, kutyorwa havasi chinhu chete aberration, asi chiratidzo chemwoyo iri kushanda hurongwa. The dzokurapa mabhuku unogona kuwana rimwe zita zvokurwara - ". Takotsubo cardiomyopathy"

Musimboti chirwere

Vakawanda mhaka chirwere muviri pakafa rwomudiwa. Stress cardiomyopathy - chirwere vascular cardiac ezvinhu, iyo kunooneka pacharo muchimiro kusagadzikana mune mubhokisi nharaunda pashure zvikuru mupfungwa.

Maererano nenhamba, vakadzi vanotarisana nechinetso ichi kakawanda kupfuura vanhu, nokuda akaratidza manzwiro ari akanaka pabonde. Nhamba huru vanenge zvakanyorwa varwere vane makore 60 kusvika 70 makore.

Maererano encryption gadziriro yose somatic pathologies ICD-10, "mwoyo wakaputsika" chirwere anonzi I42.8.

etiology

Mavambo chaiyo zvirwere USINGAZIKAMWI. Mumwe anogona chete apfuudzire anofungidzirwa mashandiro sei dzichiri zvokurwara.

Pakutanga, pane rudzi psycho-mupfungwa, iyo inotungamira kuti kusaenzana ari autonomic hurongwa. Inoitwa aimunzwira tsitsi uye parasympathetic kupesana. Mumwe wavo ari kukonzera muviri kutandara kwacho, mumwe - nokuda kwayo activation.

madhipatimendi maviri aya haana kushanda panguva imwe chete. Chiito chimwe nguva dzose anopa nzira nokuparura mumwe. Kana kutyora aripo pachiyero kuti kurapwa tsika anonzi "dystonia", pane yakapinza kuwedzera ropa wevasungwa pakati adrenaline. kemikari Iri kunokutadzisa basa kwomwoyo kuderedza arteries uye kunokuvadza chinokosha huru tsandanyama dzomuviri.

zviratidzo

Zviratidzo "wakaputsika mwoyo chirwere" rakafanana zviratidzo chomwoyo. Saka, murwere anogona kuona:

• marwadzo ari sternum, akadzingwa ari shure kana ruoko;
• nokufamba BP;
• dyspnea pashure zvishomanana mumuviri nesimba kana wayo ndisipo;
• Kurwara, hope, kushaya kudya.

Patinosangana zviratidzo izvi munhu anotora "nitroglycerin", hwendefa hauna zvakakodzera kuchirapa kupindira. The Kurwisa anogona kugara kwechinguvana. Zvisinei, Kuipa utano, izvo zvinoita kuti mwoyo chaizvo nokurwisa, haina kuchengetwa.

Makuriro Danho

"Broken mwoyo chirwere" unowanikwa kusvetuka uye miganhu. Nguva yakadzikama kuregererwa pfari kutsiviwa. Autonomic zvirwere - ndiko pasina maitiro zviratidzo zviri zvokurwara. An kusaenzana mune tsitsi uye parasympathetic tsinga zvinoita nyore. Vakadhakwa upi unotokonya chinhu, basa iro angava kushushikana, kurukutika kana kunyange kuchitonhora, "wakaputsika mwoyo chirwere" anoenda iri rikwanise danho.

siyana nyonganyonga

The huripo kupatsanura pakati pathological kwacho kufunga nayo panyaya localization kuti zvakakanganiswa mwoyo tsandanyama panguva kurwisa. The chirwere zvingava diffuse kana dzomunharaunda. Kusiyana izvi kaviri?

Diffuse lesion nyama pamusoro pomwoyo hazvikoshi ngozi pane veko. Zvisinei, zvinoda kungwarira kuongorora nachiremba. Kutsunga maduramazwi chimiro chirwere zvinogoneka chete pashure kwemwoyo unonzi, electrocardiograph. With nezvechisarudzo ichi, kutsvakurudza chikwata akatungamirira simba kuti funga chero morphological kuchinja munyama nomwoyo tsandanyama.

Medical ongororo

Chirwere kuti "wakaputsika mwoyo chirwere" rinoitwa pasi dzakananga algorithm kuti tikwanise kusiyanisa chirwere kubva zvakafanana pathologies.

Pakutanga, chiremba anoongorora nhoroondo murwere zvokurapa. Kuti izvi zvidaro, anogona kubvunza mibvunzo yaitevedzana utochyayuschih: sei kare akazviratidza yokutanga chirwere zviratidzo izvo zvinoshungurudza asati chimiro chavo, mumwe vomumhuri hwakasimbiswa chirwere ichi, etc. Zvakakosha kunzwisisa kuti zvokurwara hwapedyo chete sezvo mhinduro chenjera mupfungwa .. ruzivo. Nokuti paumbwe chirwere kunokosha ariko chiitiko zvinogona kukonzera kuchinja chinokosha wakadai physiology womunhu muviri.

Pashure kuti basa chirwere plan, izvo anosiyana zvishoma kubva mimwe ongororo zvemwoyo:

• Kuongororwa kweropa remafuta akawandisa kwevari yakakwirira uye vakaderera arambe achirema (lipidogram);
• unonzi, electrocardiograph;
• echocardiography;
• kombiyuta kana rinobva resonance kuri;
• vascular angiography;
• Maekisirei mwoyo.

No vanofanira kuenda rose mazita nemiedzo. In munhu mhosva nomumwe, chiremba achasarudza ndandanda kwomurabhoritari uye dzichipfekeka zveBhaibheri vachiravana.

kurapwa

Chaiwo zvinokonzera Takotsubo cardiomyopathy harizivikanwi. Saka, urongwa yezvisikwa kurwisa zvirwere nyanzvi pari havagoni kupa. Doctors kazhinji mishonga nzira yokurapa, zvakafanana mitemo yavo nokurapa neBP. With rinogona kudzivisa matambudziko akadai mwoyo kurwisa kana sitiroko.

Drug kurapwa unotora antihypertensive zvinodhaka: ACE-FIs, Beta-blockers, karusiyamu mugero blockers. Somunhu kakawanda mutauri mupfungwa kunotevera ave kukonzera "wakaputsika mwoyo chirwere". Naizvozvo, nokuti kuchirapa zvinangwa zvinofanira kushandiswa mishonga kuti pave Kudzikamiswa mupfungwa wehurumende. Sarudza yavo haisi zviripo. Chekutanga, mishonga iyi inofanira kutorwa nani refu mapoka. Chechipiri, vane vazhinji nemishonga uye kungamutsawo kwajairika.

Kusunga zviratidzo zvechirwere chirwere, "mwoyo wakaputsika", unogona kushandisa Anti-kuora mwoyo, mapiritsi, vegetostabilizatory. Yakaderera nekuomarara chirwere kuratidzwa nani kushandisa gadziriro miriwo anotsanangura. Chiito ravo manyoro. Kuchirapa Migumisiro vanofanira wakamirireiko, asi ndingangokuvara nemishonga ipfupi kusvika razero.

Kuti muviri aiva nesimba zvakakwana uye simba yokubvisa somatic nyonganyonga, munhu kupora vanoda kugamuchira yokuwana zvokudya. Mubvunzo kuitwa mavhitamini mu piritsi muchimiro richakazaruka. Zvisinei, zvinobatsira zvicherwa zvinobva zvokudya, zviri zvikuru.

Sam Kudya zvinofanira kuitwa kufungisisa kuvapo zvemwoyo chirwere. The Muterere anofanira kunze chose kofi, simba tii, doro, mafuta uye wakawanda zvokudya. Chinangwa simba ichi - kuti yekuzvidzivirira atherosclerosis, iyo zvinoomesa basa pomwoyo.

Mabatirwo "wakaputsika mwoyo chirwere" rine yakatarwa maitirwo zvainanga kufambisa utano uye kudzivirira yematambudziko zvinouraya. Self pakurwisa zvirwere izvi zvikuru kunaka. Zviri nani kuwana nenyanzvi achaita kudzora muitiro yokurapa kwaizotevera vapore. Somuenzaniso, vagari guru kuti dambudziko iri angashanda kuna Bakulevskogo Heart Center.

nzira kudzivirira

Kudzivirira kukura chirwere zvakaoma chaizvo, nokuti chirwere ndiye vasiri kufarira simba mupfungwa ruzivo. Ukuwo, mupfungwa - muviri womunhu chikabviswa, izvo hunonzi chinogona kukudziridzwa.

Kuti aite izvi, unofanira kuomerera mitemo nenzira utano noupenyu - kureva kuita kurovedza muviri. Kwaizvozvi, vhiki, hwandaiva murume anofanira kupedza kwemaminitsi 300 nguva yake. Hazvifaniri kupa muviri kunyanyisa mitoro, ayo zvazvinoita mamiriro mwoyo rinenge nemidziyo ropa.

Zvinokoshawo kudya kunovaka. Kushandiswa yakawanda mafuta uye mafuta zvokudya chinokurwadzai kukura atherosclerosis, kukanganisa midziyo uye kuchinja murwiyo ropa. Kushaya zvinokonzera hormone kusaenzana anogona kukonzera matambudziko ose muviri enyika.

A rinokosha pakuti kudzivirirwa upi zvokurwara kunoita nguva kushanyira chiremba kuzosangana dzokurapa kuongorora. Man anogona kusarudza chaiyo apo iye kugadzirisa: mudunhu kiriniki, Bakulevskogo Cardiology Center, muchihwande kudzidza pedyo cardiologist. Panguva iyoyowo, nyanzvi dzinokurudzira kuti kushanyira kanenge kamwe pagore, kusanganisira pasina zvinetso zvakakomba zvoutano kana kana zviratidzo cardiac basa.

zvinogoneka yematambudziko

Pasinei kushaya yezvisikwa kuchirapa matanho kurwisa munhu zvokurwara, zviri zvikuru namarudzi vasabatwa kutevedza zvose zvinodiwa kupinda chiremba. Hazvina zvakakodzera kupa yokurapwa, ndiyo abvume kwakakwanira munhu wakaoma kudya. Matanho aya nechinangwa kwete chete kubvisa chirwere, asi kudzivirira kumwoyo kubva kukura zvinotevera yematambudziko:

• chisingaperi mwoyo kutadza;
• mwoyo kurwisa;
• arrhythmia;
• thromboembolism;
• pulmonary edema.

mataridzikiro

Kana kushushikana cardiomyopathy ngozi rufu yakaderera zvikuru, asi vachiriko. With nenguva kurapwa kuti chiremba uye Implementation dzose dzave dzayo, kupora rinowanikwa munenge 2 months.

Kuziva zvinokonzera uye kutanga zvinoratidza pathological muitiro, usazeza mukurapwa kwake. Unofanira pakarepo kutsvaka nyanzvi rubatsiro. Uyezve, mashoko aya kuti tikwanise kudzivisa kukura chirwere mukuvamba mumatanho Naizvozvo, kudzivisa chimiro zvichibvira yematambudziko.