Amaqiniso ngemuva kokucindezeleka kwengqondo nokuthinta okukhulu
Unyaka ngamunye, eduze noSuku luka-Valentine, amaphephandaba agijima izindaba "nge-heart syndrome ephukile," isimo lapho abantu (ngokuvamile abafazi be-postmenopausal) bezwa izimpawu ezinzima zesifo senhliziyo ngemuva kwesigameko sokucindezeleka ngokomzwelo okukhulu. I-heart syndrome ephukile iyaziwa odokotela ngokuthi " ukucindezeleka ngokweqile. "(I-Cardiomyopathy iyigama lezokwelapha kwanoma yisiphi isifo senhliziyo yesisu.) Ukucindezeleka kwesifo senhliziyo yisimo senhliziyo esanda kuvela esiyinkimbinkimbi futhi esinzima, kodwa lokho ngenhlanhla kuvame ukuguqulwa futhi kwesikhashana - uma uphathwa ngendlela efanele.
Futhi lolu hlobo lwe-heart syndrome ephukile ngokuvamile aluhlangene nokuthandana kwehlulekile.
Kuyini Ukucindezeleka I-Cardiomyopathy?
Ekucindezelekeni kwe-cardiomyopathy, ingxenye yesisipha senhliziyo - ngokuvamile isabelo esikhulu - ngokungazelelwe iphela ukusebenza, okuholela ekuhlulekeni kwenhliziyo ekulu . Ngokunakekelwa ngokweqile kwezokwelapha isimo sivame ukuhamba isikhathi eside, futhi imisipha yenhliziyo ibuyele emsebenzini ojwayelekile ngaphakathi kwezinsuku ezimbalwa noma amasonto. Kodwa-ke, uma ukunakekelwa kwezokwelapha kubambezelekile ukucindezeleka kwengqondo kungase kubulale.
Ukucindezeleka ukukhathazeka ngokweqile kubangelwa ukuhlukumezeka ngokweqile nangokomzwelo noma ukucindezeleka ngokomzimba. Okubhaliwe okubandakanyekile kufaka izindaba ezingalindelekile zokufa, ukuhlukunyezwa kwekhaya, ukuphanga ngezikhali, ngisho neqembu elimangazayo. Isimo ngokuvamile sibonisa izimpawu ezibonisa ukuhlaselwa kwenhliziyo ejulile (ubuhlungu obukhulu be-chest, njengo- dyspnea , nomqondo wengozi ezayo).
Abantu abangaba ngu-90% abanalesi simo ngabesifazane, abaneminyaka yobudala engama-66.
Ayaziwa ukuthi kungani ukucindezeleka kwenhliziyo kuphazamisa abesifazane ngokungafani.
Isimbangela sokucindezeleka kwengqondo isaziwa, kodwa ochwepheshe abaningi bayaligxeka ngendlela engavamile yokucindezeleka kwama-hormone (njenge-adrenaline) ngemva kokuhlukunyezwa ngokomzwelo. Isimo singase sihlotshaniswe nama- angina ezincane , okubangelwa ukucindezelwa kwe-microvessels (iminyana emincane yegazi) ngaphakathi kwesisu senhliziyo.
Abanye baye baveza ukuthi lesi simo singase sihlotshaniswe ne- coronary artery spasm .
Ukucindezeleka Kanjani I-Cardiomyopathy?
Uma kuqala ukuhlolwa, abantu abanesifo sengqondo sokucindezeleka kokuqala bacatshangwa ukuthi banesifo senhliziyo enkulu.
Kodwa-ke, izinguquko kuma- ECG awo azijwayele ukuhlaselwa kwenhliziyo, futhi ukuhlolwa kwe-enzyme yenhliziyo okumele kuqinisekiswe ukuthi ukuhlaselwa kwenhliziyo kuyatholakala ukuthi akufanele kuphakanyiswe kakhulu. Ngaphezu kwalokho, uma kuthathwa i-laboratory ye- catheterization , i- artery coronary (i-coronary arteries ) iyatholakala evulekile (kuyilapho ekuhlaselweni kwenhliziyo kwangempela, enye yezinkinga zomzimba zizovela).
Futhi ekugcineni, abantu abaningi abanezinkinga zokucindezeleka kwezinhliziyo zitholakala ukuthi banezinhlobo eziyingqayizivele zokukhubazeka kwesisindo senhliziyo (i-cardiomyopathy) ku- echocardiography , lapho ingxenye ethile ye-ventricle yabo "kwesibhaluni" yangaphandle ngendlela engavamile futhi ehlukile.
(EJapane, lapho lesi simo sachazwa khona kuqala, i-ballooning ehlukile ye-ventricle engakwesobunxele kuthiwa ifana nesicupho se-octopus, noma "takotsubo," ngakho isimo sibhekwa ngokuthi i-takotsubo cardiomyopathy.)
Ukwelashwa Kokucindezeleka Kwe-Cardiomyopathy
Abantu abaningi abanezinkinga zokucindezeleka ngokweqile ekuqaleni banokuhluleka okukhulu kwenhliziyo, futhi badinga ukunakekelwa kwenhliziyo nokuhlukumezeka okukhulu.
Funda mayelana nokwelashwa kwenhliziyo . Ngenhlanhla, ngokunakekelwa kwezokwelapha okunamandla, akugcini kuphela ukuthi basinda, kodwa futhi ukukhubazeka kwabo ngokuvamile kuxazulula ngokuphelele ezinsukwini ezimbalwa kuya kwamasonto.
Yini Eyenza Ukucindezeleka I-Cardiomyopathy Yodwa?
Ukucindezeleka ukukhathazeka ngokweqile isimo esiyingqayizivele ngempela. Kwenzeka ngokuzumayo kwabanye abantu abanempilo (ngokuvamile abesifazane); ngokushesha kulandela isiqephu sokucindezeleka ngokomzwelo noma ngokomzimba; izimpawu zokuveza ziphakamisa kakhulu ukuhlaselwa kwenhliziyo; kanti, ngenkathi izisulu ziqala ukugula ngokuhlukumezeka kwenhliziyo, ngokunakekelwa okufanele zivame ukuhlala futhi i-cardiomyopathy ihlale iphela ngokuphelele
I-Comment on Stress Cardiomyopathy
"Ukugcizelela ukukhathazeka komzimba" kuyisikhathi esingcono kakhulu salesi simo kunamazwi athandwa kakhulu, "i-heart syndrome ephukile." Ngokuvamile sicabanga ngenhliziyo ephukile njengento eyenzeka emva kokuthola incwadi kaJohane ethandekayo, hhayi into eyenzeka ngemva kokubona ilayishiwe .I-magnum engu -44 idutshulwe ebusweni bakho.
Noma kunjalo, leli gama liye laholela ekusakazeni okuningi, futhi ulwazi ngalesi sifo esisha ngenxa yalokho selusakazwa ngokushesha futhi lwasakazwa kabanzi. Futhi ukuqwashisa okubanzi kulungile.
Izimpawu zokucindezeleka kokukhathazeka komzimba zivele ngokuzumayo futhi zinzima kakhulu kangangokuthi cishe akunakwenzeka ukuthi noma ubani owenzayo uyohluleka ukuthola usizo lwezokwelapha; futhi ukubonakaliswa ngokomzimba kwalesi simo kubonakala ngokucacile ukuthi akekho udokotela obona omunye walaba besifazane ongakwahluleka ukubona ukuthi kukhona okubalulekile okwenzekayo. Ngakho-ke, njengokubi njengokucindezeleka kwe-cardiomyopathy, okungenani kukhona ingozi encane engayinakwa noma izisulu zayo noma abasebenzi bezokwelapha.
Lokhu kuhluke kakhulu kwezinye izimo zenhliziyo eziningana ezitholwa ngabesifazane abavame kakhulu kunokucindezeleka ukukhathazeka ngokweqile. Oyinhloko phakathi kwazo kukhona ukuhlaselwa kwe- angina nokushaya inhliziyo - izimo ezivame futhi eziyingozi kwabesifazane njengamadoda, kodwa lokho ngokuvamile kubonisa "izimpawu ezingenasifo". Ngakho-ke, abesifazane abahlushwa isifo somugogodla ngokuvamile abahluleki ukufuna usizo, futhi uma befuna usizo kaningi bahluleka ukuwuthola odokotela babo. Funda kabanzi mayelana nezici eziyingqayizivele ze-coronary artery isifo kwabesifazane .
Izwi elivela
Mhlawumbe ukukhangisa ezungeze "i-heart syndrome ephukile" kuzokwenzela ukunakekelwa kakhudlwana kwabesifazane nabodokotela ngokujwayelekile ukuthi isifo senhliziyo kubantu besifazane asifani nesifo senhliziyo emadodeni - kodwa asivamile futhi asibulali. Uma kunjalo, igama elisetshenzisiwe elingasetshenziselwa lesi simo kuwo wonke ama-media mass luyoba into enhle.
> Imithombo:
> I-Prasad A, iDangas G, iSrinivasan M, et al. Ukukhubazeka kanye nezimo ze-Angiographic of Iziguli ezine-Apical Ballooning Syndrome (Takotsubo / Stress Cardiomyopathy) kuhlolo lwe-HORIZONS-AMI: i-Analysis From A Multicenter, International Study of ST-elevation Myocardial Infarction. I-Catheter Cardiovasc Interv 2014; 83: 343.
> Singh K, Carson K, Usmani Z, et al. Ukubuyekezwa Okuhlelekile Nokuhlaziywa Kwe-Meta-Ukuhlaziywa Kwe-Incidence No-Correlates Yokuphindaphindiwe Kwe-Takotsubo Cardiomyopathy. Int J Cardiol 2014; 174: 696.
> Templin C, Ghadri JR, Diekmann J, et al. Izici zomtholampilo Nemiphumela ye-Takotsubo (Ukucindezeleka) Ukunakekela umzimba. N Engl J Med 2015; 373: 929.