txheem
Cov kab mob plawv, Tako-tsubo syndrome tau piav qhia thawj zaug hauv Nyij Pooj hauv 1990s. Txawm hais tias nws yog kab mob sib kis zoo ib yam li lub plawv nres, nws tsis yog, txawm li cas los xij, txuas rau kev cuam tshuam ntawm cov hlab ntsha coronary.
Tako-tsubo yog dab tsi?
Prof. Claire Mounier-Véhier, kws kho plawv ntawm Lille University Tsev Kho Mob, co-founder ntawm "Agir pour le Cœur des Femmes" nrog Thierry Drilhon, tus thawj coj thiab tus thawj coj ntawm cov tuam txhab, muab peb cov lus piav qhia ntawm Tako-tsubo. "Kev tsim cov kev ntxhov siab ua rau muaj kev xav tsis zoo, uas tuaj yeem ua rau tuag tes tuag taw ntawm cov leeg nqaij. Lub plawv mus rau hauv lub xeev ntawm bewilderment ntawm qhov xwm txheej ntau dhau, uas tuaj yeem ua tsis tseem ceeb hauv lwm qhov xwm txheej. Nws yog Tako-tsubo, mob plawv tawg, lossis kev nyuaj siab cardiomyopathy. Nws tshwm sim nws tus kheej los ntawm cov tsos mob zoo ib yam li lub plawv nres, feem ntau yog cov poj niam ntxhov siab, tshwj xeeb tshaj yog nyob rau lub sij hawm ntawm menopause, thiab nyob rau hauv cov neeg nyob rau hauv ib tug precarious teeb meem. Nws yog qhov xwm txheej ceev ntawm lub plawv tseem tsis tshua paub, yuav tsum tau ua tib zoo saib, tshwj xeeb tshaj yog nyob rau lub sijhawm ntawm Covid ”.
Dab tsi yog cov tsos mob ntawm Tako-tsubo?
Ib qho xwm txheej ntawm kev ntxhov siab activates lub sympathetic paj hlwb, ua rau zus tau tej cov tshuaj hormones kev nyuaj siab, catecholamines, uas. nce plawv dhia, nce ntshav siab thiab constrict coronary hlab ntsha. Raws li qhov tshwm sim ntawm kev tso tawm loj ntawm cov tshuaj hormones kev ntxhov siab, ib feem ntawm lub plawv yuav tsis cog lus lawm. Lub plawv "balloons" thiab siv cov duab ntawm ib qho amphora (Tako-tsubo txhais tau tias octopus ntxiab hauv Japanese).
“Qhov tshwm sim no muaj feem cuam tshuam rau mob sab laug ventricular atherosclerosis cuam tshuam, uas tuaj yeem ua rau tuag sai, tab sis kuj arterial embolism ceeb toom xibfwb Claire Mounier-Véhier. Kev ntxhov siab mob tshwm sim nyob rau hauv feem coob ntawm cov neeg mob ". Txawm li cas los xij, txoj xov zoo yog qhov ntawd daim ntawv no ntawm mob plawv tsis ua hauj lwm yog feem ntau reversible kiag li thaum kho mob plawv ntxov.
Tam sim no, cov poj niam rhiab heev rau kev ntxhov siab
Raws li kev tshawb fawb los ntawm cov kws tshawb fawb hauv University of Zurich, luam tawm xyoo 2015 hauv phau ntawv xov xwm "New England Journal of Medicine", qhov kev xav tsis zoo (poob tus neeg hlub, kev sib hlub sib hlub, tshaj tawm txog kev mob, thiab lwm yam) tab sis. thiab lub cev (kev phais, kev kis mob, kev sib tsoo, kev ua phem ...) feem ntau cuam tshuam nrog kev qaug zog (kev coj ncaj ncees thiab lub cev qaug zog) yog qhov tshwm sim ntawm Tako-tsubo.
Cov poj niam yog thawj cov neeg raug tsim txom (9 poj niam rau 1 txiv neej)vim hais tias lawv cov hlab ntsha yog tshwj xeeb yog rhiab heev rau cov teebmeem ntawm cov tshuaj hormones kev ntxhov siab thiab kev cog lus yooj yim dua. Menopausal poj niam yog tag nrho cov ntau raug rau nws vim lawv tsis muaj kev tiv thaiv los ntawm lawv tej yam ntuj tso estrogen. Cov poj niam nyob rau hauv cov xwm txheej tsis txaus ntseeg, nrog lub nra hnyav ntawm kev puas siab puas ntsws, kuj raug nthuav tawm heev. “ Cia siab tias Tako-tsubo syndrome, los ntawm kev txhawb nqa kev puas siab puas ntsws-kev txhawb nqa rau cov poj niam uas tsis muaj zog. yog qhov tseem ceeb nyob rau lub sijhawm no ntawm Covid, kev lag luam nyuaj heev ”, hais txog Thierry Drilhon.
Cov tsos mob los saib xyuas, kev kho mob xwm txheej ceev
Ntawm cov tsos mob feem ntau: ua tsis taus pa, dheev mob nyob rau hauv lub hauv siab mimicing ntawm lub plawv nres, radiating rau caj npab thiab puab tsaig, palpitations, tsis nco qab, vagal tsis xis nyob.
"Ib tug poj niam muaj hnub nyoog tshaj 50 xyoo, postmenopausal, nyob rau hauv ib qho teeb meem ntawm rupture, yuav tsum tshwj xeeb tshaj yog tsis underestimate thawj cov tsos mob txuas mus rau lub siab lub ntsws kev nyuaj siab, hu rau tus xibfwb Claire Mounier-Véhier. Tako-tsubo syndrome yuav tsum tau pw hauv tsev kho mob xwm txheej ceev, kom tsis txhob muaj teeb meem loj thiab tso cai rau kev kho mob hauv cov chaw kho mob plawv. Kev hu ntawm 15 yog qhov tseem ceeb xws li hauv myocardial infarction, txhua feeb suav! “
Yog tias cov tsos mob feem ntau nrov nrov, qhov kev kuaj mob ntawm Tako-Tsubo yog ib qho kev kuaj mob ntxiv. Nws yog raws li kev sib koom ua ke ntawm a electrocardiogram (unsystematic anomalies), me cim roj ntsha troponins (mob siab siab), echocardiography (cov cim tshwj xeeb ntawm lub plawv plawv), coronary angiography (feem ntau li qub) thiab plawv MRI (cov cim tshwj xeeb).
Kev kuaj mob yuav raug ua los ntawm kev sib koom ua ke ntawm cov kev xeem sib txawv no.
Tako-tsubo Syndrome feem ntau yog rov qab ua dua, tsis pub dhau ob peb hnub mus rau ob peb lub lis piam, nrog rau kev kho mob ntawm lub plawv tsis ua hauj lwm, kev kho mob plawv thiab kev saib xyuas mob plawv tsis tu ncua. Taco-pillar Syndrome tsis tshua muaj tshwm sim, nyob ib ncig ntawm 1 ntawm 10.
Cov lus qhia kom txo qis kev ntxhov siab thiab mob ntev
Txhawm rau txo qis kev ntxhov siab thiab kev ntxhov siab ntev, "Agir pour le Cœur des Femmes" qhia txog kev saib xyuas lub neej zoo los ntawm kev ua haujlwm zoo. noj zaub mov zoo,tsis muaj luam yeeb, lub haus cawv heev. LUB 'lub cev ua siTaug kev, ntaus pob, pw tsaug zog txaus yog cov kev daws teeb meem muaj zog uas tuaj yeem ua los tiv thaiv kev ntxhov siab "tshuaj yeeb".
Xov xwm zoo! ”Los ib kev tiv thaiv zoo thiab zoo, peb ua tau tiv thaiv 8 ntawm 10 tus poj niam los ntawm kev kis kab mob plawv», Nco qab Thierry Drilhon.
Koj tuaj yeem siv tau cov tswv yim so los ntawm kev ua pa, raws li lub hauv paus ntsiab lus ntawm lub plawv coherence muaj pub dawb hauv lub vev xaib lossis hauv cov ntawv thov mobile xws li Respirelax, los ntawm kev xyaum mindfulness meditation thiab yoga....