ʻO ka maʻi ʻo Tako Tsubo kahi maʻi o ka ʻiʻo o ka puʻuwai i hōʻike ʻia e ka hemo ʻole o ka ventricle hema. Mai kona wehewehe mua ʻana ma Iapana i ka makahiki 1990, ua ʻike ʻia ka maʻi ʻo Tako Tsubo ma ka honua holoʻokoʻa. Eia nō naʻe, ma hope o 30 mau makahiki o ka hoʻoikaika nui ʻana e hoʻomaopopo maikaʻi i kēia maʻi, ua kaupalena ʻia ka ʻike o kēia manawa.

ʻO ka maʻi ʻo Tako Tsubo kahi maʻi o ka ʻiʻo o ka puʻuwai i hōʻike ʻia e ka hemo ʻana o ka ventricle hema.

Lawe ʻia kēia cardiomyopathy i kona inoa mai ka Japanese "octopus trap", ma muli o ke ʻano o ka ventricle hema i ka hapa nui o nā hihia: ʻo ka bloating ma ka piko o ka puʻuwai a ʻokiʻoki i kona kumu. ʻIke ʻia ʻo Takotsubo maʻi ʻo "broken heart syndrome" a me "apical ballooning syndrome".

ʻO ka maʻi Takotsubo ma kahi o 1 a 3% o nā maʻi āpau a puni ka honua. Wahi a ka palapala, ma kahi o 90% o nā maʻi me ka maʻi maʻi he mau wahine ma waena o 67 a 70 mau makahiki. ʻO nā wāhine ma luna o 55 ka nui o ka pilikia o ka hoʻomohala ʻana i ka maʻi ma mua o nā wahine ma lalo o 55 a ʻoi aku ka nui o ka pilikia ma mua o nā kāne.

ʻO nā hōʻailona maʻamau o Tako Tsubo syndrome:

• ʻEha ʻeha o ka umauma;
• Dyspnea: pilikia a pilikia paha i ka hanu ʻana;
• A syncope: nalo koke ka ʻike.

ʻO ka hōʻike ʻana o ka maʻi Takotsubo i hoʻoulu ʻia e ke koʻikoʻi koʻikoʻi o ke kino hiki ke hoʻomalu ʻia e ka hōʻike ʻana o ka maʻi koʻikoʻi. I nā poʻe maʻi me ka ischemic stroke a i ʻole ka hopu ʻana, ʻaʻole pinepine ka maʻi Takotsubo me ka ʻeha o ka umauma. ʻO ka hoʻohālikelike ʻana, ʻoi aku ka nui o nā maʻi me nā koʻikoʻi o ka naʻau i ka ʻeha o ka umauma a me ka palpitations.

He mea nui e hoʻomaopopo i kahi ʻāpana o nā mea maʻi me Takotsubo Syndrome ke hōʻike mai me nā hōʻailona e kū mai ana mai kona mau pilikia:

• Puuwai poho;
• ʻO ka edema puʻupuʻu;
• ʻO kahi pōʻino o ka lolo;
• ʻO ka haʻalulu cardiogenic: hiki ʻole i ka pauma naʻau;
• Hoʻopaʻa naʻau ;

ʻO ka hōʻailona o ka maʻi Takotsubo he paʻakikī ke hoʻokaʻawale mai ka infarction myocardial acute. Eia nō naʻe, i kekahi mau maʻi hiki ke ʻike ʻia ma o ka hoʻololi ʻana i ka electrocardiogram (ECG) a i ʻole ka piʻi koke ʻana o nā biomarkers cardiac - nā huahana i hoʻokuʻu ʻia i loko o ke koko i ka wā e pōʻino ai ka naʻau.

ʻO ka coronary angiography me ka ventriculography hema - qualitative a quantitative radiography o ka hana ventricular hema - ua manaʻo ʻia ʻo ia ka mea hana diagnostic maʻamau no ka hoʻokuʻu ʻana a hōʻoia paha i ka maʻi.

ʻO kahi mea hana, i kapa ʻia he helu InterTAK, hiki ke alakaʻi koke i kahi hōʻailona o Takotsubo syndrome. Ua helu ʻia mai nā helu 100, ua hoʻokumu ʻia ka helu InterTAK ma nā ʻāpana ʻehiku: 

• Ka wahine (25 points);
• ʻO ke ola o ke koʻikoʻi noʻonoʻo (24 mau helu);
• Ka noho 'ana o ke kaumaha kino (13 points);
• ʻO ka nele o ke kaumaha o ka māhele ST ma ka electrocardiogram (12 mau helu);
• Ka moʻolelo noʻonoʻo (11 mau helu);
• Moʻolelo Neurological (9 mau helu);
• ʻO ka lōʻihi o ka manawa QT ma ka electrocardiogram (6 mau helu).

Hoʻopili ʻia kahi helu ʻoi aku ma mua o 70 me ka likelika o ka maʻi e like me 90%.

Hoʻokumu ʻia ka hapa nui o nā maʻi Takotsubo e nā hanana koʻikoʻi. ʻOi aku ka maʻamau o nā mea hoʻoulu kino ma mua o nā pilikia o ka naʻau. Ma ka ʻaoʻao ʻē aʻe, ʻoi aku ka nui o nā poʻe maʻi kāne e kahi hanana koʻikoʻi o ke kino, ʻoiai ʻo nā wahine ke ʻike pinepine ʻia kahi hoʻoulu manaʻo. ʻO ka hope, hiki mai nā hihia me ka loaʻa ʻole o kahi stressor maopopo.

Nā mea hoʻoulu kino

Ma waena o nā mea hoʻoikaika kino:

• Nā hana kino: ka māla ikaika a i ʻole ka haʻuki;
• ʻO nā kūlana olakino a i ʻole nā ​​hanana pōʻino: ʻaʻole hanu ʻeha (ka hānō, ka maʻi obstructive obstructive pulmonary maʻi hope loa), ka pancreatitis, cholecystitis (ka maʻi o ka gallbladder), pneumothorax, nā ʻeha traumatic, sepsis, chemotherapy, radiotherapy, hapai, ʻāpana cesarean, uila, kokoke-lele, hypothermia, cocaine, ka waiʻona a i ʻole ka hoʻihoʻi ʻana i ka opioid, ka make ʻana o carbon monoxide, etc.
• ʻO kekahi mau lāʻau lapaʻau, e like me nā hoʻāʻo koʻikoʻi dobutamine, nā hoʻokolohua electrophysiological (isoproterenol a i ʻole epinephrine), a me nā beta-agonists no ka hānō a i ʻole ka maʻi obstructive pulmonary maʻi;
• ʻO ke keʻakeʻa nui ʻana o ke aʻa coronary;
• ʻO nā manaʻo o ka ʻōnaehana nerve: hahau, ʻeha poʻo, intracerebral hemorrhage a i ʻole convulsions;

Nā mea hoʻoulu manaʻo

Ma waena o nā mea hoʻonāukiuki psychological:

• Ke kaumaha: ka make ʻana o kekahi lālā o ka ʻohana, hoa aiʻole pipi;
• Nā paio pili kanaka: ka hemo a i ʻole ka kaʻawale ʻana o ka ʻohana;
• ʻO ka makaʻu a me ka makaʻu: ʻaihue, hoʻouka a haʻi ʻōlelo;
• Huhū: hoʻopaʻapaʻa me ka ʻohana a i ʻole ke konohiki;
• Ka hopohopo: maʻi pilikino, mālama keiki a home ʻole paha;
• Nā pilikia pili kālā a i ʻole ʻoihana: nā poho piliwaiwai, ka panakalupa ʻoihana a i ʻole ka nalowale ʻoihana;
• ʻO nā mea ʻē aʻe: nā hoʻopiʻi, hoʻopono ʻole, hoʻopaʻa ʻia o kekahi lālā o ka ʻohana, nalowale i ka hihia kānāwai, etc.
• ʻO nā pōʻino kūlohelohe e like me ke olai a me ke kahe.

ʻO ka mea hope loa, pono e hoʻomaopopo ʻia ʻaʻole maikaʻi nā hopena o ka maʻi maʻi: hiki i nā hanana manaʻo maikaʻi ke hoʻoulu i ka maʻi: kahi pāʻina haʻohaʻo i ka lā hānau, ka ʻoiaʻiʻo o ka lanakila ʻana i ka jackpot a me ka nīnauele hana maikaʻi, a pēlā aku. i wehewehe ʻia ʻo "happy heart syndrome".

Ma hope o ka hihia mua o Takotsubo Syndrome, hiki i nā maʻi ke hoʻi hou, ʻoiai he mau makahiki ma hope. Me he mea lā e hōʻike ana kekahi mau mea i ka hoʻomaikaʻi ʻana i ke ola i hoʻokahi makahiki a me ka emi ʻana o kēia helu hoʻi hou ʻana:

• ACE inhibitors: kaohi lākou i ka hoʻololi ʻana o ka angiotensin I i ka angiotensin II - kahi enzyme e hoʻopaʻa ai i nā kīʻaha koko - a hoʻonui i nā pae o bradykinin, kahi enzyme me nā hopena vasodilating;
• ʻO Angiotensin II receptor antagonists (ARA II): pale lākou i ka hana o ka enzyme eponymous.
• Hiki ke noʻonoʻo ʻia kahi lāʻau antiplatelet (APA) ma hope o ka hoʻokipa ʻana i ka hale maʻi inā loaʻa ka maʻi ventricular hema hema e pili ana me ka hoʻomau mau ʻana o ka ʻōpū apical.

ʻO ka hana kūpono o nā catecholamines keu - nā pūhui organik i hoʻohui ʻia mai tyrosine a hana ma ke ʻano he hormone a i ʻole neurotransmitter, ka mea maʻamau o ia mau adrenaline, norepinephrine a me dopamine - i ka hoʻomohala ʻana o Takotsubo cardiomyopathy ua hoʻopaʻapaʻa ʻia no ka manawa lōʻihi, a pēlā. Ua manaʻo ʻia nā beta blockers ma ke ʻano he hoʻolālā therapeutic. Eia nō naʻe, ʻaʻole i manaʻo maikaʻi ʻia lākou i ka wā lōʻihi: ʻike ʻia kahi helu hoʻihoʻi o 30% i nā maʻi i mālama ʻia me nā beta-blockers.

ʻO nā ala lapaʻau ʻē aʻe e ʻimi ʻia, e like me nā anticoagulants, nā lāʻau hormonal no ka menopause a i ʻole ka mālama psychotherapeutic.

Hiki ke hoʻokaʻawale ʻia nā kumu pilikia no ka maʻi Takotsubo i ʻekolu mau ʻano nui:

• Nā kumu hormonal: ʻo ka manaʻo nui o nā wahine postmenopausal e hōʻike ana i ka hopena hormonal. ʻO nā haʻahaʻa estrogen haʻahaʻa ma hope o ka menopause hiki ke hoʻonui i ka susceptibility o nā wahine i ka maʻi Takotsubo, akā nele ka ʻikepili ʻōnaehana e hōʻike ana i kahi loulou ma waena o nā mea ʻelua;
• Nā kumu genetic: hiki i ka genetic predisposition ke launa pū me nā mea pili i ke kaiapuni e makemake ai i ka hoʻomaka ʻana o ka maʻi, akā ma ʻaneʻi hoʻi, nele nā ​​haʻawina e ʻae ana i kēia ʻōlelo hoʻolaha;
• Nā maʻi noʻonoʻo a me nā neurological: Ua hōʻike ʻia kahi kiʻekiʻe o ka psychiatric - hopohopo, puʻuwai, inhibition - a me nā maʻi neurological i nā maʻi me Takotsubo syndrome.