Okuqukethwe
Isifo semisipha yenhliziyo, i-Tako-tsubo syndrome sachazwa okokuqala eJapane ngawo-1990. Nakuba i-epidemiologically ifana nesifo senhliziyo, kodwa-ke, ayihlangene nokuvinjelwa kwemithambo yenhliziyo.
Iyini i-Tako-tsubo?
UProf. Claire Mounier-Véhier, udokotela wenhliziyo esibhedlela sase-Lille University, umsunguli we-“Agir pour le Cœur des Femmes” no-Thierry Drilhon, umphathi nomqondisi wezinkampani, usinikeza izincazelo zakhe nge-Tako-tsubo. “Ukwanda kokucindezeleka kuholela ekubeni ntekenteke ngokomzwelo, okungaholela ekukhubazekeni kwemisipha yenhliziyo. Inhliziyo iba yinkinga kakhulu emcimbini, obekungaba yinto encane ngaphansi kwezinye izimo. I-Tako-tsubo, i-break heart syndrome, noma i-stress cardiomyopathy. Izibonakalisa ngezimpawu ezifana nesifo senhliziyo, ikakhulukazi kwabesifazane abakhathazekile, ikakhulukazi ngesikhathi sokunqamuka kokuya esikhathini, nakubantu abasesimweni esibucayi. Kuyisimo esiphuthumayo senhliziyo nemithambo yegazi esasaziwa kakhulu, ukuthi singathathwa ngokungathi sína, ikakhulukazi kulesi sikhathi se-Covid ”.
Yiziphi izimpawu ze-Tako-tsubo?
Isimo sokucindezeleka okukhulu ivuselela isimiso sezinzwa esinozwela, ibangele ukukhiqizwa kwamahomoni okucindezeleka, ama-catecholamines, kwenyusa ukushaya kwenhliziyo, kwenyuse umfutho wegazi futhi kuqinise imithambo yenhliziyo. Ngaphansi komphumela wokukhululwa okukhulu kwalawa mahomoni okucindezeleka, ingxenye yenhliziyo ingase ingasafinyeleli. Inhliziyo "amabhaluni" futhi ithatha isimo se-amphora (i-Tako-tsubo isho ugibe lwe-octopus ngesiJapane).
“Lesi simo kungenzeka sibe yimbangela ukuphazamiseka kwesigqi se-ventricular acute, okungabangela ukufa kungazelelwe, kodwa futhi i-arterial embolism ixwayisa uProfesa Claire Mounier-Véhier. Ukucindezeleka okukhulu kutholakala ezikhathini eziningi “. Nokho, izindaba ezinhle ukuthi lolu hlobo lokuhluleka kwenhliziyo okubuhlungu ngokuvamile luhlehliswa ngokuphelele lapho ukunakekelwa kwenhliziyo kusenesikhathi.
I-Tako-tsubo, abesifazane abazwela kakhulu ekucindezelekeni
Ngokocwaningo olwenziwa abacwaningi baseNyuvesi yaseZurich, olwanyatheliswa ngo-2015 kumagazini othi “New England Journal of Medicine”, ukushaqeka ngokomzwelo (ukulahlekelwa othandekayo, ukuhlukana kwezothando, isimemezelo sokugula, njll.) kodwa futhi ngokomzimba (ukuhlinzwa, ukutheleleka, ingozi, ulaka ...) ngokuvamile okuhlotshaniswa nokukhathala okukhulu (ukukhathala kokuziphatha kanye nomzimba) kuyimbangela ye-Tako-tsubo.
Abesifazane bayizisulu zokuqala (abesifazane abayi-9 kowesilisa oyedwa)ngoba imithambo yabo izwela ikakhulukazi emiphumeleni yamahomoni okucindezeleka futhi ifinyela kalula. Abesifazane abanqamula ukuya esikhathini bachayeka kakhulu kukho ngoba abasavikelwa yi-estrogen yabo yemvelo. Abesifazane abasesimweni esibucayi, abanomthwalo osindayo ongokwengqondo, nabo bavezwa kakhulu. “ Lindela i-Tako-tsubo syndrome, ngokuqinisa ukwesekwa kwengqondo nokwengqondo kwalaba besifazane abasengozini kubalulekile kulesi sikhathi se-Covid, kunzima kakhulu kwezomnotho ”, kugcizelela uThierry Drilhon.
Izimpawu okufanele uzibheke, ukunakekelwa okuphuthumayo
Phakathi kwezimpawu ezivame kakhulu: ukuphelelwa umoya, ubuhlungu obungalindelekile esifubeni obufana nobokuhlaselwa yinhliziyo, obuphuma engalweni nomhlathi, ukushaya kwenhliziyo, ukulahlekelwa ukwazi, ukungakhululeki kwe-vagal.
“Owesifazane oneminyaka engaphezu kuka-50, osesimeni sokunqamuka kokuya esikhathini, osesimweni sokuphuka, akufanele ikakhulukazi angazibukeli phansi izimpawu zokuqala ezihlobene nokucindezeleka okungokomzwelo, kumemeza uProfesa Claire Mounier-Véhier. I-Tako-tsubo syndrome idinga ukulaliswa esibhedlela esiphuthumayo, ukugwema izinkinga ezingathi sína futhi uvumele ukwelashwa kumayunithi okunakekelwa kwenhliziyo okujulile. Ucingo lwe-15 lubalulekile njenge-myocardial infarction, umzuzu nomzuzu ubalulekile! “
Uma izimpawu zivame ukuba nomsindo kakhulu, ukuxilongwa kwe-Tako-Tsubo kuwukuxilongwa kokuhlolwa okwengeziwe. Isekelwe ekufezekeni ngokuhlanganyela kwe-a i-electrocardiogram (izinto ezididayo ezingahlelekile), omaka bezinto eziphilayo (ama-troponins aphakeme ngokumaphakathi), i-echocardiography (izimpawu ezithile zenhliziyo equlekile), I-coronary angiography (ngokuvamile evamile) kanye ne-MRI yenhliziyo (izimpawu ezithile).
Ukuxilongwa kuzokwenziwa ekuhlaziyweni okuhlangene kwalezi zivivinyo ezahlukene.
I-Tako-tsubo syndrome ivamise ukubuyiseleka emuva ngokuphelele, phakathi kwezinsuku ezimbalwa kuya emavikini ambalwa, nge- ukwelashwa kwezokwelapha kokuhluleka kwenhliziyo, ukuvuselelwa kwenhliziyo nemithambo yegazi nokuqapha kwenhliziyo okuvamile. I-Taco-pillar syndrome akuvamile ukuphinde kwenzeke, cishe koku-1 koku-10.
Amathiphu okunciphisa ukucindezeleka okukhulu nokungapheli
Ukunciphisa ukucindezeleka okukhulu nokucindezeleka okungapheli, i-“Agir pour le Cœur des Femmes” yeluleka ukugcinwa kwezinga lempilo ngokusebenzisa ukudla okulinganiselayo,akukho ugwayi, lo ukusetshenziswa kotshwala okusesilinganisweni kakhulu. THE 'umsebenzi ngokomzimba, ukuhamba, ezemidlalo, ukulala ngokwanele ziyizixazululo ezinamandla ezingasebenza “njengezidakamizwa” zokulwa nokucindezeleka.
Izindaba ezimnandi! ” Ngamunye ukuvimbela okuhle nokunomusa, singakwazi vimbela abesifazane abangu-8 kwabayi-10 ukuthi bangangeni esifweni senhliziyo nemithambo yegazi», Ukhumbula uThierry Drilhon.
Ungasebenzisa futhi amasu okuphumula ngokuphefumula, ngokusekelwe esimisweni sokuhambisana kwenhliziyo iyatholakala mahhala kuwebhu noma kuzinhlelo zokusebenza zeselula ezifana ne-Respirelax, ngokusebenzisa i- umkhuba wokuzindla kwengqondo kanye ne-yoga....