{"id":5260,"date":"2016-10-18T00:00:00","date_gmt":"2016-10-17T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=9b26b1474238fdc7572e9036d534c3e0"},"modified":"2018-08-21T17:29:59","modified_gmt":"2018-08-21T09:29:59","slug":"%e3%80%90%e4%b8%ad%e9%86%ab%e6%b2%bb%e7%99%82%e3%80%91%e8%ad%9a%e8%ab%87%e5%81%a5%e5%ba%b7%ef%bc%9a%e3%80%8c%e5%bf%83%e7%a2%8e%e3%80%8d%e4%b9%9f%e6%98%af%e7%97%85%ef%bc%9f","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e3%80%90%e4%b8%ad%e9%86%ab%e6%b2%bb%e7%99%82%e3%80%91%e8%ad%9a%e8%ab%87%e5%81%a5%e5%ba%b7%ef%bc%9a%e3%80%8c%e5%bf%83%e7%a2%8e%e3%80%8d%e4%b9%9f%e6%98%af%e7%97%85%ef%bc%9f\/","title":{"rendered":"\u8b5a\u8ac7\u5065\u5eb7\uff1a\u300c\u5fc3\u788e\u300d\u4e5f\u662f\u75c5\uff1f"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u300c\u7834\u788e\u7684\u5fc3\u300d\uff0c\u5f88\u591a\u6642\u5019\u662f\u4f5c\u5bb6\u7528\u4f86\u5f62\u5bb9\u4e00\u500b\u4eba\u975e\u5e38\u60b2\u50b7\uff0c\u60c5\u7dd2\u6fc0\u52d5\u6642\u7684\u5fc3\u60c5\uff1b\u7576\u7136\uff0c\u66f4\u591a\u662f\u7528\u4f86\u5f62\u5bb9\u5931\u6200\u6642\u4eba\u7684\u5fc3\u60c5\u3002\u4f46\u539f\u4f86\u5728\u91ab\u5b78\u4e0a\u771f\u7684\u662f\u6709\u300c\u7834\u788e\u7684\u5fc3\u300d\u9019\u500b\u75c5\uff0c\u53eb\u300c\u5fc3\u788e\u75c7\u5019\u7fa4\u300d \uff08Broken-Heart Syndrome\uff09\u3002<\/p>\n

\u5ffd\u805e\u5669\u8017 \u5fc3\u81df\u8870\u5f31<\/p>\n

\u5728\u4e0d\u4e45\u4e4b\u524d\uff0c\u91ab\u5b78\u754c\u624d\u6b63\u5f0f\u78ba\u8a8d\u9019\u4e00\u7a2e\u75be\u75c5\u3002\u9019\u75c5\u53c8\u7a31\u58d3\u529b\u578b\u5fc3\u808c\u75c5\u8b8a\uff08Stress-induced Cardiomyopathy\uff09\uff0c\u591a\u767c\u751f\u5728\u4e0a\u4e86\u5e74\u7d00\u7684\u5973\u6027\u8eab\u4e0a\u3002\u75c5\u4eba\u5e73\u6642\u53ef\u80fd\u5341\u5206\u5065\u5eb7\uff0c\u5ffd\u7136\u805e\u5f97\u5669\u8017\uff0c\u4f8b\u5982\u89aa\u4eba\u7a81\u7136\u96e2\u4e16\uff0c\u60b2\u75db\u6b32\u7d55\uff0c\u9019\u4e9b\u75c5\u4eba\u6703\u7a81\u7136\u60a3\u4e0a\u5fc3\u81df\u8870\u5f31\uff0c\u53ef\u80fd\u6703\u6709\u5fc3\u53e3\u75db\u3001\u982d\u6688\u3001\u6c23\u4fc3\u7b49\u5fb5\u72c0\uff0c\u9019\u4e9b\u75c5\u4eba\u5728\u7d93\u904e\u8a73\u7d30\u7684\u5fc3\u81df\u6aa2\u67e5\u4e4b\u5f8c\uff0c\u767c\u89ba\u4e0d\u662f\u5fc3\u808c\u6897\u585e\uff0c\u4e0d\u662f\u5fc3\u81df\u8840\u7ba1\u72f9\u7a84\uff08\u51a0\u5fc3\u75c5\uff09\uff0c\u4e5f\u4e0d\u662f\u5fc3\u808c\u708e\uff0c\u4e3b\u8981\u7684\u554f\u984c\u662f\u5fc3\u81df\u808c\u8089\u529f\u80fd\u6e1b\u9000\uff0c\u5c24\u5176\u662f\u5fc3\u81df\u9802\u7aef\u529f\u80fd\u7279\u5225\u8870\u9000\uff0c\u6216\u8005\u767c\u73fe\u5fc3\u81df\u5728\u5c16\u7aef\u7684\u5730\u65b9\u80a5\u5927\uff0c\u6240\u4ee5\u300c\u5fc3\u788e\u75c7\u5019\u7fa4\u300d\u53c8\u540d\u53c8\u540d\u300c\u5fc3\u5c16\u6c23\u7403\u75c7\u5019\u7fa4\u300d\uff08Apical Ballooning Syndrome\uff09\u3002<\/p>\n

\u91ab\u751f\u6703\u4f9d\u64da\u75c5\u4eba\u7684\u75c5\u60c5\u7528\u85e5\uff0c\u75c5\u4eba\u9700\u8981\u76e1\u91cf\u4f11\u606f\uff0c\u901a\u5e38\u5728\u516d\u500b\u661f\u671f\u4e4b\u5f8c\uff0c\u5fc3\u81df\u529f\u80fd\u6703\u6162\u6162\u6062\u5fa9\u904e\u4f86\uff0c\u5927\u90e8\u5206\u75c5\u4eba\u5fc3\u81df\u5b8c\u5168\u6c92\u6709\u554f\u984c\uff0c\u4e5f\u6709\u5c0f\u90e8\u5206\u75c5\u4eba\u6703\u6709\u5fc3\u81df\u8870\u5f31\u6216\u5f15\u8d77\u5176\u4ed6\u4f75\u767c\u75c7\u3002<\/p>\n

\u5fc3\u81df\u5c16\u7aef\u80a5\u5927 \u72c0\u4f3c\u300c\u7ae0\u9b5a\u58fa\u300d<\/p>\n

\u7814\u7a76\u767c\u73fe\u60a3\u4e0a\u9019\u7a2e\u300c\u5fc3\u788e\u75c7\u5019\u7fa4\u300d\u7684\u75c5\u4eba\uff0c\u7531\u65bc\u5fc3\u81df\u5c16\u7aef\u7684\u5730\u65b9\u80a5\u5927\uff0c\u5728\u5fc3\u5c0e\u7ba1\u986f\u5f71\u4e2d\uff0c\u5fc3\u81df\u7684\u5f62\u72c0\u548c\u65e5\u672c\u6f01\u6c11\u820a\u65e5\u7528\u4f86\u6355\u6349\u7ae0\u9b5a\u7684\u7ae0\u9b5a\u58fa\u5341\u5206\u985e\u4f3c\uff0c\u6240\u4ee5\u53c8\u540d\u300c\u7ae0\u9b5a\u58fa\u5fc3\u808c\u75c5\u8b8a\u300d\uff08Takotsubo Syndrome\uff09\u3002<\/p>\n

\u7576\u7136\uff0c\u60a3\u4e0a\u9019\u7a2e\u300c\u5fc3\u788e\u75c7\u5019\u7fa4\u300d\u7684\u75c5\u4eba\uff0c\u4e0d\u4e00\u5b9a\u662f\u9a5a\u805e\u5669\u8017\uff0c\u4e5f\u6709\u662f\u56e0\u548c\u4ed6\u4eba\u71b1\u70c8\u722d\u8ad6\u800c\u60c5\u7dd2\u6fc0\u52d5\u7684\uff0c\u6216\u662f\u8eab\u9ad4\u53d7\u5230\u5de8\u5927\u58d3\u529b\u7684\uff0c\u4f8b\u5982\u5ffd\u7136\u9593\u67d3\u4e0a\u4e86\u91cd\u75c5\u7b49\uff0c\u4e5f\u6709\u53ef\u80fd\u60a3\u4e0a\u6b64\u75c5\u3002\u800c\u5176\u4e2d\u7684\u9ad8\u5371\u56e0\u7d20\u5305\u62ec\u75c5\u4eba\u60a3\u6709\u795e\u7d93\u7cfb\u7d71\u75be\u75c5\uff0c\u6216\u662f\u7cbe\u795e\u75c5\u60a3\u8005\u3002<\/p>\n

\u4fdd\u6301\u5fc3\u60c5\u958b\u6717 \u5c11\u52d5\u6012<\/p>\n

\u6700\u4f73\u7684\u9810\u9632\u65b9\u6cd5\uff0c\u7576\u7136\u4e0d\u662f\u8981\u6211\u5011\u9435\u77f3\u5fc3\u8178\uff0c\u6216\u662f\u8981\u6709\u4e00\u9846\u300c\u6728\u505a\u7684\u5fc3\u300d\uff08Wooden Heart\uff0c\u8c93\u738b\uff08Elvis Presley\uff09\u7684\u540d\u66f2\uff09\u3002\u53ea\u8981\u4fdd\u6301\u5fc3\u60c5\u958b\u6717\uff0c\u5fc3\u5883\u5e73\u548c\uff0c\u4e0d\u8981\u8f15\u6613\u52d5\u6012\uff1b\u8981\u4f5c\u606f\u5b9a\u6642\uff0c\u6709\u9069\u7576\u7684\u904b\u52d5\uff0c\u6700\u597d\u6bcf\u5929\u6709\u4e09\u5341\u5206\u9418\u7684\u904b\u52d5\uff0c\u6709\u5145\u5206\u4f11\u606f\uff0c\u5065\u5eb7\u98f2\u98df\u3002\u4fdd\u6301\u8eab\u5fc3\u5065\u5eb7\uff0c\u662f\u9810\u9632\u300c\u5fc3\u788e\u75c7\u5019\u7fa4\u300d\u7684\u6700\u4f73\u65b9\u6cd5\u3002<\/p>\n

\u4f5c\u8005\u7c21\u4ecb\uff1a\u814e\u75c5\u79d1\u5c08\u79d1\u91ab\u751f\uff0c\u95dc\u5fc3\u5065\u5eb7\uff0c\u95dc\u5fc3\u793e\u6703<\/p>\n

\u6587\uff1a\u8b5a\u570b\u6b0a<\/p>\n

\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/M70515e.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】「破碎的心」，很多時候是作家用來形容一個人非常悲傷，情緒激動時的心情；當然，更多是用來形容失戀時人的心情。但原來在醫學上真的是有「破碎的心」這個病，叫「心碎症候群」 （Broken-Heart Syndrome）。<\/p>\n

忽聞噩耗 心臟衰弱<\/p>\n

在不久之前，醫學界才正式確認這一種疾病。這病又稱壓力型心肌病變（Stress-induced Cardiomyopathy），多發生在上了年紀的女性身上。病人平時可能十分健康，忽然聞得噩耗，例如親人突然離世，悲痛欲絕，這些病人會突然患上心臟衰弱，可能會有心口痛、頭暈、氣促等徵狀，這些病人在經過詳細的心臟檢查之後，發覺不是心肌梗塞，不是心臟血管狹窄（冠心病），也不是心肌炎，主要的問題是心臟肌肉功能減退，尤其是心臟頂端功能特別衰退，或者發現心臟在尖端的地方肥大，所以「心碎症候群」又名又名「心尖氣球症候群」（Apical Ballooning Syndrome）。<\/p>\n

醫生會依據病人的病情用藥，病人需要盡量休息，通常在六個星期之後，心臟功能會慢慢恢復過來，大部分病人心臟完全沒有問題，也有小部分病人會有心臟衰弱或引起其他併發症。<\/p>\n

心臟尖端肥大 狀似「章魚壺」<\/p>\n

研究發現患上這種「心碎症候群」的病人，由於心臟尖端的地方肥大，在心導管顯影中，心臟的形狀和日本漁民舊日用來捕捉章魚的章魚壺十分類似，所以又名「章魚壺心肌病變」（Takotsubo Syndrome）。<\/p>\n

當然，患上這種「心碎症候群」的病人，不一定是驚聞噩耗，也有是因和他人熱烈爭論而情緒激動的，或是身體受到巨大壓力的，例如忽然間染上了重病等，也有可能患上此病。而其中的高危因素包括病人患有神經系統疾病，或是精神病患者。<\/p>\n

保持心情開朗 少動怒<\/p>\n

最佳的預防方法，當然不是要我們鐵石心腸，或是要有一顆「木做的心」（Wooden Heart，貓王（Elvis Presley）的名曲）。只要保持心情開朗，心境平和，不要輕易動怒；要作息定時，有適當的運動，最好每天有三十分鐘的運動，有充分休息，健康飲食。保持身心健康，是預防「心碎症候群」的最佳方法。<\/p>\n

作者簡介：腎病科專科醫生，關心健康，關心社會<\/p>\n

文：譚國權<\/p>\n

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