Ndechipi Kusiyana Kwepfungwa-Yakabatana Nechipfuva Nhamo uye Nhamo Dambudziko?
Inenge makumi mana kubva muzana yevanhu vane nhamo yekutambudzika chirwere chinorwadza mumapfupa avo. Zviratidzo zvekurwadziwa kwepachifu zvakanyorwa muDaagnostic uye Statistical Manual yeMental disorders, DSM-5 . pasi pezviratidzo zvinosangana ne panic attack . Ungave kana usina chirwere chinotyisa, marwadzo mubhokisi inonzwika alamu. Mhedziso yekutanga, uye zvakakodzera kudaro, ndeyekuti uri kutarisana nekukanganisika kwemoyo kana chimwe chiitiko chemoyo.
Izvi zvinogona kutumira vanhu vakawanda kuimba yepamhanho yepamhanho yekubatsira. Asi, kazhinji zviratidzo zvekurwadziwa kwepachifu zvinosanganiswa nekutya chirwere hazvifananidzi nemwoyo uye hazviiti, kazhinji, zvinofungidzirwa zvakakomba.
Zvimwe zvinopikisana neAtypical Chest Pain
Vashandi vakaparadzanisa kurwadziwa kwepfupa pasi pemisoro ye "inowanzo" uye "inypical." Kutambudzika kwepfupa kunofungidzirwa kunge kunowanzoenderana nechiitiko chomwoyo. Chirwere cheAtypical chepfu, kune rumwe rutivi, chinofungidzirwa kuderedza mukana wekuti marwadzo ane mutsara wemoyo. Asi, kutsanangura chii "chinowanzo" uye "chiitiko" hachigadziriswa nemiganhu yakajeka. Uye, kunyange zvazvo kurwadziwa kwepachipfuva chepfupa kunoderedza mukana wekutambudzika kwemoyo, vamwe vanhu vanoita, zvechokwadi, vane marwadzo emapfupa emapfupa ane chirwere chemwoyo kana chimwe chiitiko chemoyo. Izvi zvingave zvakanyanya kuwanzana kuvakadzi, sezvo chirwere chepfungwa munavakadzi kazhinji chiine zviratidzo zvakasiyana nehosha yemwoyo muvarume.
Zvinotevera zvinopa mhedziso yakawanda yezvinhu zvinowanzoonekwa sehutano hwehutano hwepfupa hunoratidza hutambudzi hwemoyo uye hutambudzi hwepfupa hunenge huripo hunowanzobatanidzwa nekutya chirwere.
Hazvifananidzi kushanda senhumbi yekuzvidzivirira. Utano hwose hwepfupa hunofanira kuongororwa nachiremba wekunyatsoongorora. Ramba uchifunga izvi kunyange iwe wakanga uine chirwere chinotyisa chinokonzera kurwadziwa kwepfuva munguva yakapfuura. Vanhu vane kutya kwepfungwa vanogona kuva nechirwere chepfungwa sevaya vasina dambudziko rekutyisa, uye, sezvakataurwa gare gare, zvinogona kunge zvakanyanya kuve zvirwere zvemoyo
Chiratidzo Chepfupa Inosangana Nezvinetso Zvomwoyo
"Zviratidzo" zvepfungwa zvakabatana nemarwadzo emapfupa zvinosanganisira:
- Kuwedzera kwepfupa remapfupa kunosvika pakunyanyisa mushure memaminetsi mashomanana
- Kurwadziwa nguva dzose, kumanikidzwa kana kunetseka
- Pain in the substernal area (pasi pefupa refupa) kana kuruboshwe rwechifuva
- Urombo hunofamba kana hunobuda kubva muchipfuva kuenda kune dzimwe nzvimbo, dzakadai seimwe kana kuti maoko maviri, mapepa kana musana
- Marwadzo anounzwa nokushanda (kunyange zvazvo angina isina kugadzikana inogona kuunza kurwadziwa pasina kuedza)
Atypical Chest Pain Inosangana nePanic Disorder
"Atypical" kurwadziwa kwepfupa kunogona kusanganisira:
- Kubvarura kana kubaya kurwadziwa kwepfupa (chinyorwa icho chinopinza kana kupwanya kurwadziwa kwepfuva kunogonawo kuva zviratidzo zvemamiriro ezvinhu akaoma zvakadai seplmm embolism)
- Hurwa nemapfupa inenge iri nguva pfupi
- Pain inowanikwa munzvimbo duku
- Marwadzo anoitika pasina kuedza
- Chifupa Inhamo inofamba inosangana nekutya kana kutyisa
- Nhamo iyo inonunurwa kana yakaipisisa paunoshandura nzvimbo
- Urombo hunogona kudzokororwa kana hunoipisisa nekudzvinyirira pamusoro penzvimbo yekutambudzika
Mitral Valve Prolapse uye Panic Dambudziko
Mitral valve prolapse (MVP) chirwere chinowanzoitika, chinokanganisa anenge mana kusvika mashanu muzana yevanhu vakuru vose. Chaizvoizvo, MVP inosanganisira chirwere chemwoyo chinenge chisina kujairika icho "chinotenderera" kana kuti chinodonha kumashure, zvichiita kuti ropa ridzoke zvakare kuburikidza nekuvhura kwevhavha.
Vanhu vazhinji vane MVP havana zviratidzo. Vamwe vangave vane zvinyunyuta zvekuneta, mwoyo pamapapiro, kurwadziwa kwepfupa, kushushikana uye migraine musoro . Kune vazhinji vevanhu, MVP inokonzera kusava nemigumisiro isingagumi uye haipindiri nemabasa ese ehupenyu.
Kutsvakurudza kwakaratidza humwe uchapupu hwekubatana pakati peMVP uye panic disorder . Zvakawanda zvekutsvakurudza uku zvinoratidza kuti MVP inowanzoitika kune avo vane chirwere chinotyisa kana zvimwe zvinetso zvekuzvidya mwoyo . Pane humwe kukakavara, zvisinei, kana kuti kana kwete iko kubatana uku kuripo. Zvidzidzo zvenguva yemberi, zvatinotarisira, zvichatipa mhinduro yakajeka.
Dambudziko reMwoyo uye Kunetseka Kwepfungwa
Pakave nedzidzo dzakawanda dzakaedza kuratidza kuwirirana pakati pezvinetso zvekuzvidya mwoyo uye chirwere chemwoyo. Kuongororwa kwezvinoitwa nevakadzikadzi Health Initiative yevakadzi ve postmenopausal vakaratidza kuti avo avo vanotaura nezvekuzara kwepisikisi kurwisa mukati memwedzi mitanhatu yekubvunzurudzwa, vaiva nematambudziko matatu okuva nekurwadziwa kwepfungwa, rufu rwemwoyo-kana kurwisa pamusoro makore mashanu. Ichi chidzidzo chakawana zvakare kuti avo avo vakarondedzera kutyisidzika kwevhunduka kwaive kaviri kaviri kuti vafe kubva pane chimwe chikonzero mumakore mashanu anotevera chidzidzo.
Asi, chidzidzo ichi, sevamwe vakaedza kuratidzira kuwirirana pakati pepenic disorder nehosha yemwoyo, havana kupa mhinduro yekupedzisira. Vadzidzi vekudzidza uku vakapindura mibvunzo miviri yekuongorora pamusoro pekutarisana "nekukurumidza kushamiswa kwekutya kutyisa, kunetseka, kana kusanzwisisika zvikuru" uye "chiitiko chisinganzwisisiki chekukurumidza kana kusagadzikana kwepfungwa." Izvi zvakaita kuti vabvunzurudze vabvunze vatori vechikamu mibvunzo pamusoro pe gumi nembiri panic attack zviratidzo mumwedzi mitanhatu yapfuura.
Zvimwe zviratidzo zvinosangana nekutya kusangana zvakafanana nematambudziko emwoyo, asi hazvina kufanana nemoyo. Vatori vechikamu chekudzidza ichi avo vakataura nezve "zviratidzo zvekutyisa" mukati memwedzi mitanhatu yapfuura vakanga vasingazivikanwi pakati pekuvhiringidzika kumwe chete, kurwiswa kwevhunduku vashomanana kana kurwisana kunotyisa kwechirwere zvinoratidza kutyisa chirwere. Zvinokwanisika kuti vamwe vevaya vakapindura zvakanaka kune mibvunzo yekuongorora pamusoro pekutyisidzira kunogona kunge vave vachiwana dambudziko remoyo risingazivikanwi.
Izvo zvakaoma, pane zvakanakisisa, kuratidza kuwirirana pakati pezvirwere zvepfungwa nekutya kwekutya. Muchidimbu, vanhu vane dambudziko rekushungurudzika vane mikana yakakwirira yokusvuta, kushandisa doro , kusava nekurovedza muviri, kuneta, kuwedzerwa kweropa uye kuwedzera cholesterol. Izvi zvinozivikanwa kuti zvinokonzerwa nechirwere chemwoyo. Zvichida kana iwe usina chirwere chinotyisa, vazhinji vashandi vanobvumirana: Deredzai maitiro ako anozviisa pangozi uye kuderedza dambudziko rako rekushaya chirwere chemwoyo.
Pasi Pacho Pamusoro Pechipfuva Muvanhu Vari Nechirwere Chinetso
Zvakajeka kuti kutya kwepfungwa kunobatanidza kurwadziwa kwepfuva, asi kudukusa pachena kana avo vane dambudziko rekutyisa vane mikana yekurwadziwa nechirwere chemwoyo. Zviratidzo zvekurwadziwa kwepfupa zvine chokuita nekutyisidzika kwepfungwa kana izvo zvakabatana nehutano hwemwoyo zvinogona kusiyana zvakasiyana, asi pakati pevanhu varipo pane zvakawanda zvinowanikwa. Panguva imwecheteyo, tinoziva kuti kutsvaga kurapwa kwechimbichimbi kunogona kuita mutsauko kune avo vane chirwere chepfungwa chinosangana nepfupa.
Kusvikira taziva zvakawanda, avo vanorarama nekutya dambudziko vanofanira kutsvaga kurapwa nokukurumidza pamarwadzo echipfuva. Izvi zvinogona kutungamirira kumusana usina kufanira nguva yekushanyira pane imwe nguva, asi pales pakuenzanisa nemukana wekushayikwa kwepfungwa kunorwadza kwakabatana nokuzvisiya semhepo inotyisa. Kuchengetedzwa kwechiremba kune avo vane hutsinye hwemwoyo kwakavandudzika mumakore achangobva kupfuura, asi kuvimba kune vanhu vanoenda kutarisiro iyoyo munguva. Pasinei nokuti une chirwere chinotyisa kana kwete, tarisa mazano aya ekuti ungapukunyuka sei kurwisa kwemwoyo mumaawa ekutanga.
Sources:
Foldes-Busque, G., Fleet, R., Denis, I. uye al. Kusakanganiswa Kwepasiki Kurwisana nevarwere neConcardiac Chest Pain. Psychosomatics . 2015. 56 (5): 513-20.
Foldes-Busque, G., Hamel, S., Belleville, G. et al. Zvimwe Zvinosanganiswa Nehutano Hwangu MuChinhu Chisina Mwoyo Chepfungwa Pavanorwara neCormorbid Panic Disorder. BioPsychoSocial Medicine . 2016. 10:30.
Tully, P., Wittert, G., Turnbull, D. et al. Panic Dambudziko uye Chiitiko Coronary Heart Disease: Ongororo Yakarongeka uye Meta-Analysis Protocol. Kuongorora kwakagadzirika . 2015. 4:33.