He aha te Patent Foramen Ovale? Tohutohu, Take, me te Maimoatanga

Ko te Patent foramen ovale (PFO) tētahi rua iti kei waenganui i ngā ruma o runga o tō ngākau, kāore i kati pai i muri i te whānautanga. Kei te katoa tēnei tuwhera i mua i te whānautanga, engari ka mau tonu ki roto i ngā marama tuatahi o te ora. Ki te noho tonu te tuwhera, ka kiia he patent foramen ovale, ā, e pā ana ki te 1 i roto i ngā tāngata 4 puta noa te ao.

Ko te nuinga o ngā tāngata e PFO ana e ora ana i ngā oranga noa, kāore hoki e mōhio ana kei a rātou. Ka kore te tikanga e kitea, nā te mea ka rāre e puta mai ngā tohu, kāore rānei e pā ki te hauora. Heoi, ko te mārama ki te tikanga o te PFO mō tō hauora ka āhei te awhina i a koe ki te whakatau i ngā whakatau e pā ana ki tō tiaki.

He aha te Patent Foramen Ovale?

Ko te Patent foramen ovale tētahi tuwhera iti rite ki te parirau kei waenganui i ngā atria matau me te maui o tō ngākau (ngā ruma o runga). I te wā o te whānautanga, ka tukuna e tēnei tuwhera te toto ki te taha o ngā pūkahukahu, nā te mea ka whiwhi ngā pēpi i te hauora mai i te placenta o tō rātou whaea, kāore i te manawa.

I muri i te whānautanga, ka pēhi te pehanga nui ake i te atria maui i tēnei parirau ki te kati, ka mau tonu te tuwhera. Ki te kore e puta tēnei, ka toe koe ki te rua iti kei waenganui i ngā ruma o te ngākau. Whakaarohia he tatau e tika ana kia kati, engari kei te tuwhera iti tonu.

Ko te tuwhera he iti noa iho, he torutoru millimita te whānui. I te nuinga o ngā take, ka mahi ia rite ki te taumanu kotahi-ara, ka tukuna te toto mai i te matau ki te maui i raro i ētahi tikanga, pēnei i te wa e koe e kohu, e hamama, e kaha ana.

He aha ngā tohu o te Patent Foramen Ovale?

Ko te nuinga o ngā tāngata e PFO ana kāore he tohu i roto i o rātou oranga katoa. Ka kitea te tikanga i te wā o ngā whakamātautau ngākau e mahia ana mō ētahi take. Ki te puta mai ngā tohu, he ngawari noa iho, ā, ka kore pea e tohu tika ki te PFO.

Ko ēnei ngā tohu ka taea te tohu i te PFO, ahakoa he maha atu ngā take:

• Te poto o te manawa kāore i te whakamārama, ina koa i te wā o te mahi tinana
• Te ngenge e kore e rite ki tō taumata mahi
• Ngā mamae o te mahunga migraine, ina koa ngā mea e pā ana ki ngā raru tirohanga (e kiia ana ko te migraine me te aura)
• Te mamae o te uma, te tere o te ngākau
• Te mōrearea, te mārama o te mahunga, ina koa i te wa e tu ana koe

He mea nui kia mahara ko ēnei tohu he noa, ā, he maha atu ngā whakamārama. Ko te whai i ēnei tohu kāore e tino tikanga kei a koe te PFO, ā, ko te whai i te PFO kāore e whakamana ka pāngia koe e ngā tohu.

He aha ngā take o te Patent Foramen Ovale?

Kāore te PFO i puta mai i tetahi mea i mahi koe, kāore rānei i mahi i te wā o te hapu, i te tamarikitanga. He wāhanga noa iho tēnei o te whānautanga o te pēpi kāore i oti te tukanga kati i muri i te whānautanga.

I te wā o te hapu, ka mahi te foramen ovale i tetahi mahi nui mā te tuku i te toto ki te rere tika mai i te atria matau ki te atria maui, ka ngaro ngā pūkahukahu e whanake ana. I muri i te whānautanga, ka puta mai ētahi huringa e kati ana i tēnei tuwhera. Ka piki ake te pehanga i te atria maui i te wā e tīmata ana te mahi o ngā pūkahukahu, ka heke iho te pehanga i te atria matau.

I etahi wā, kāore te parirau kiko e hipoki ana i te tuwhera e hono pai ki te pakitara o te ngākau. Ka taea tēnei te puta mai mō ngā take rerekē, tae atu ki ngā take ira e pā ana ki te whanaketanga o te kiko ngākau. Kāore he take motuhake, kāore hoki e taea te aukati – he rerekētanga noa iho tēnei i te whanaketanga noa o te ngākau.

Nōhea te haere ki te taakuta mō te Patent Foramen Ovale?

Me haere koe ki te taakuta ki te pāngia koe e ngā mate roro kāore i te whakamārama, ina koa ki te taitamariki koe, kāore hoki e whai i ngā take morearea o te mate roro. Ahakoa he maha atu ngā take o te nuinga o ngā mate roro, ka taea e te PFO te tuku i ngā toto iti ki te haere mai i te taha matau o tō ngākau ki tō roro.

Whakaarohia te arotake hauora ki te whai koe i ngā mamae o te mahunga migraine nui e pā ana ki tō oranga o ia rā. E whakaatu ana etahi rangahau i te hononga kei waenganui i te PFO me ētahi momo migraine, ahakoa kāore tēnei hononga i te tino mārama.

Me rapu hoki koe i te tiaki hauora ki te pāngia koe e te poto o te manawa kāore i te whakamārama, ina koa ki te haere tahi me te mamae o te uma, te mōrearea. Ahakoa ka rāre te PFO e pā ki ngā raruraru manawa, he mea tika kia tirotirohia mena kei te pā ngā tohu ki tō kounga ora.

Ki te whakaaro koe ki te waiata hei kaiwaiata pūtea, ki te whakauru ki ngā mahi e pā ana ki ngā huringa pehanga nui, kōrerohia te whakamātautau PFO ki tō taakuta. Ka taea e te tikanga te whakapiki i te morearea o te mate decompression i ēnei ahuatanga.

He aha ngā take morearea mō te Patent Foramen Ovale?

Kāore te PFO e whai i ngā take morearea noa, nā te mea he rerekētanga whanaketanga tēnei e puta ana i mua i te whānautanga. Heoi, ka taea e ētahi take te pā ki te kati tika o te tuwhera i muri i te whānautanga, te whakapiki rānei i tō tūponotanga ki te whai i ngā tohu.

Ka taea te mahi a te whānau, i te mea ka kitea etahi whānau he nui ake te PFO. E whakaatu ana tēnei ko ngā take ira ka taea te pā ki te whanaketanga o te ngākau, me te kati rānei o te foramen ovale.

Ka rerekē te rahi o te tuwhera mai i te tangata ki te tangata. Ka taea e ngā tuwhera nui ake te pā atu ki ngā tohu, ki ngā raruraru rānei, ahakoa ko ngā PFO nui ka noho kore tohu i roto i te ora.

Ko te whai i ētahi atu āhuatanga ngākau i te wā o te whānautanga ka taea te whakapiki i te tūponotanga o te PFO, i te mea ka puta tahi ēnei āhuatanga. Heoi, ka taea e te PFO te puta, ā, ka puta i ngā tāngata e whai ana i ngā ngākau noa.

He aha ngā raruraru pea o te Patent Foramen Ovale?

Ko te raruraru nui rawa atu o te PFO ko te mate roro, ina koa ki ngā tāngata taitamariki kāore e whai i ētahi atu take morearea o te mate roro. Ka puta tēnei ina hangaia he toto i roto i ngā uaua (i te nuinga i ngā waewae) ka haere ki te taha matau o te ngākau, ka haere atu i te PFO ki te taha maui, ki runga ki te roro.

Heoi, he mea nui kia mārama ko tēnei raruraru he rāre rawa. Ko te nuinga o ngā tāngata e PFO ana kāore e pāngia e te mate roro, ā, he maha atu ngā take o te nuinga o ngā mate roro ahakoa kei ngā tāngata e whai ana i te PFO.

Ka taea e ētahi tāngata e PFO ana te whai i ngā tohu nui ake i ngā mahi e whakapiki ana i te pehanga i te uma, pēnei i te whakakī, i ētahi mahi manawa. Ka taea e te pehanga whakapiki te whakapiki i te rere o te toto i roto i te tuwhera, ka puta pea te poto o te manawa, ki ētahi atu tohu rānei.

Mō ngā tāngata e whakauru ana ki ngā mahi e pā ana ki ngā huringa pehanga, pēnei i te tūtaki, te rere ki ngā teitei teitei, ka taea e te PFO te whakapiki i te morearea o te mate decompression. Ka puta tēnei ina haere ngā pupuhi hau e tika ana kia tāraia e ngā pūkahukahu ki te rere toto o te uaua.

Ka rāre, ka taea e te PFO te whakauru ki ngā taumata hauora iti i roto i te toto, ina koa ki te whai koe i ētahi atu raruraru ngākau, pūkahukahu rānei. He mea tino pea tēnei te puta i ngā tāngata e whai ana i ngā tuwhera nui ake, i ētahi atu āhuatanga ngākau rānei.

Me pēhea te whakatau i te Patent Foramen Ovale?

Ka whakatauhia te PFO mā te echocardiogram, e whakamahi ana i ngā ngaru oro hei hanga i ngā pikitia o tō ngākau. Ko te tikanga tino noa ko te "whakamātautau pupuhi" te echocardiogram whakapae, kei hea ka whakauruhia e tō taakuta ngā pupuhi saline kore kino ki roto i tō rere toto i te wa e tango ana i ngā whakaahua ultrasound o tō ngākau.

I te wā o tēnei whakamātautau, ka takoto koe i tō taha i te wa e whakatakoto ana te kaimahi i tetahi pūāhua ultrasound ki runga i tō uma. Ki te whai koe i te PFO, ka puta mai ngā pupuhi ki te haere mai i te taha matau o tō ngākau ki te taha maui, ka whakamana i te whakatau.

I etahi wā, ka hiahiatia he transesophageal echocardiogram (TEE) mō te tirohanga marama ake. Ka uru atu tēnei ki te tuku i tetahi pūtau angiangi, ngawari me te pūāhua ultrasound ki raro i tō korokoro hei tiki i ngā whakaahua mai i roto i tō esophagus. Ahakoa ka rangona tēnei he kore pai, ka whiwhi koe i te whakaora hei whakapāha te tukanga.

Ka taea hoki e tō taakuta te mahi i ngā whakamātautau atu hei whakakore i ētahi atu āhuatanga, te aromatawai rānei i tō hauora ngākau katoa. Ka taea tēnei te whakauru i te electrocardiogram (EKG) hei tirotiro i tō tere ngākau, i ētahi atu rangahau whakaahua rānei i runga i ō tohu.

He aha te maimoatanga mō te Patent Foramen Ovale?

Ko te nuinga o ngā tāngata e PFO ana kāore e hiahia ki tetahi maimoatanga. Ki te kore koe e whai tohu, kāore hoki koe i pāngia e ngā raruraru, ka tūtohu pea tō taakuta i te tirotiro noa atu i te whakauru.

Mō ngā tāngata kua pāngia e te mate roro e pā ana pea ki te PFO, ko ngā whiringa maimoatanga ko ngā rongoā, he tukanga rānei hei kati i te tuwhera. Ka taea e ngā rongoā whakaheke toto pēnei i te aspirin, i ngā anticoagulants rongoā te āwhina i te aukati i te hanga o ngā toto, te whakaiti rānei i te morearea o te puta mai o ngā raruraru.

I etahi wā, ka tūtohu pea tō taakuta i tetahi tukanga e kiia nei ko te kati PFO. Ka uru atu tēnei ki te tuku i tetahi taputapu iti i roto i ngā uaua toto ki tō ngākau, ka whakatakoto ki runga i te tuwhera hei kati.

Ko te whakatau mo te maimoatanga PFO e whakawhirinaki ana ki ngā take maha, tae atu ki tō tau, hauora katoa, morearea mate roro, me te rahi o te tuwhera. Ka mahi tahi tō taakuta me koe hei whakatau i te huarahi pai mō tō ahuatanga motuhake.

Mō ngā tāngata e whai ana i ngā mamae o te mahunga migraine e pā ana pea ki te PFO, he iti ake te mārama o ngā mōhiotanga mō te maimoatanga. E whakaatu ana etahi rangahau ko te kati i te PFO ka taea te āwhina i te whakaiti i ngā migraine, engari kāore tēnei i te whakamana mō te katoa.

Me pēhea te whakahaere i te Patent Foramen Ovale i te kāinga?

Ki te whai koe i te PFO, engari kāore he tohu, ka taea e koe te ora i tō oranga noa me te kore he whakarite motuhake. Ko te nuinga o ngā mahi o ia rā, te whakakī, tae atu ki ngā hākinakina kaha he haumaru mō ngā tāngata e PFO ana.

Heoi, he torutoru ngā ahuatanga ka hiahia pea koe ki te tiaki atu. Ki te whakaaro koe ki te tūtaki, kōrerohia tēnei ki tō taakuta tuatahi, i te mea ka taea e te PFO te whakapiki i te morearea o te mate decompression. Ka hiahia pea koe ki te whakangungu motuhake, ki ngā whakarerekētanga taputapu rānei.

Aro atu ki tō tinana i ngā mahi e uru ana ki te pupuri i tō manawa, te kaha rānei, pēnei i te whakakī, i ētahi āhua yoga rānei. Ki te pāngia koe e te poto o te manawa, te mōrearea rānei, tangohia he okioki, kaua hoki e pehi i ēnei tohu.

Ki te tango koe i ngā rongoā whakaheke toto, whai i ngā tohutohu a tō taakuta mō te horoinga, te tirotiro rānei. Kia mōhio ki ngā tohu o te toto, pēnei i te whākū, te roa o te toto mai i ngā kotinga, te toto rānei i roto i tō mimi, i tō paru.

Whakahaere i te hauora ngākau pai mā te whakakī noa, te kai rite, te kore rānei e pāpaho. Ahakoa kāore ēnei mahi e kati i tō PFO, ka āwhina rātou ki te pupuri i tō pūnaha ngākau hauora.

Me pēhea te whakarite mō tō whakatau taakuta?

I mua i tō whakatau, tuhia ētahi tohu kua pāngia koe, ahakoa kaore pea e hono ki tō ngākau. Whakauruhia te wā e puta ai, te roa o te roa, me te mea e whakaohooho ana i a rātou.

Kawe mai he rārangi o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā-ā-kaute, ngā taapiri rānei. Huihuia hoki ngā mōhiohio e pā ana ki te hītori hauora ngākau o tō whānau, i te mea ka taea tēnei te hono ki tō tiaki.

Whakaritea ngā pātai e pā ana ki tō ahuatanga motuhake. Ka hiahia pea koe ki te ui e pā ana ki ngā herenga mahi, te wā e hiahiatia ana ngā whakatau whai muri, te tohu rānei e tika ana kia rapu koe i te tiaki tere.

Ki te kite koe i tetahi tohunga, kawe mai ngā tārua o ngā whakamātautau ngākau o mua, ngā rangahau whakaahua rānei. Ka āwhina tēnei i tō taakuta ki te mārama ki tō whakaahua katoa me te kore e whakahoki i ngā whakamātautau kāore e hiahiatia.

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei ki tō whakatau, ina koa ki te kōrero koe e pā ana ki ngā whiringa maimoatanga. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio nui, te whakarato rānei i te tautoko i te wā o te whakatau.

He aha te mea nui e pā ana ki te Patent Foramen Ovale?

Ko te mea nui rawa atu kia mārama e pā ana ki te PFO ko te mea noa rawa, kāore hoki e kino. E 25% o ngā tāngata e whai ana i tēnei āhuatanga, ā, ko te nuinga e ora ana i ngā oranga noa, hauora me te kore e mōhio ana kei a rātou.

Ki te whakatau koe ki te PFO, ngana kia kaua e manukanuka. Ko te whai i tēnei āhuatanga kāore e tino tikanga kei te morearea nui koe mō ngā raruraru hauora nui. Ko te nuinga o ngā tāngata e PFO ana kāore e pāngia e ngā raruraru, ā, ina puta mai ngā raruraru, he maimoatanga whai hua kei te wātea.

Mahi tahi me tō rōpū hauora hei whakatau i te huarahi pai mō tō ahuatanga motuhake. Ahakoa ko te tirotiro noa, te rongoā, te tukanga rānei hei kati i te tuwhera, ka āwhina tō taakuta i a koe ki te whakatau e tika ana mōu.

Kia mahara ko te PFO he wāhanga iti noa iho tēnei o tō whakaahua hauora katoa. Aro atu ki te pupuri i te hauora ngākau pai mā te whakakī noa, te kai hauora, te whai rānei i ngā tohutohu a tō taakuta mō tō ahuatanga motuhake.

Ngā pātai e ui pinepinetia ana e pā ana ki te Patent Foramen Ovale

He morearea te Patent Foramen Ovale?

Mō te nuinga o ngā tāngata, kāore te PFO e morearea. Ko te nuinga o ngā tāngata e PFO ana e ora ana i ngā oranga noa me te kore he raruraru hauora e pā ana ki te āhuatanga. Ahakoa ka taea te puta mai ngā raruraru rāre pēnei i te mate roro, he rāre, ā, ko te nuinga o ngā tāngata e PFO ana kāore e pāngia e ngā raruraru nui.

Ka taea te kati i te Patent Foramen Ovale i roto i ngā pakeke?

Kia tae rawa koe ki te pakeketanga, ka rāre rawa te kati i te PFO. Ko te tuwhera ka kati i te tamarikitanga, ka noho tonu rānei i roto i te ora. Heoi, kāore tēnei e tino tikanga e hiahia ana koe ki te maimoatanga – ko te nuinga o ngā pakeke e PFO ana e ora ana noa me te kore he whakauru.

E pā ana te Patent Foramen Ovale ki te roa o te ora?

Kāore te PFO e pā ki te roa o te ora mō te nuinga o ngā tāngata e whai ana. Ko te nuinga o ngā tāngata e PFO ana e whai ana i ngā roa ora noa, kāore hoki e pāngia e ngā raruraru hauora e pā ana ki te āhuatanga. Ahakoa ka puta mai ngā raruraru, he tikanga te maimoatanga.

Ka taea e au te whakakī noa me te Patent Foramen Ovale?

Ae, ko te nuinga o ngā tāngata e PFO ana ka taea te whakakī noa, te whakauru ki ngā momo mahi tinana katoa, tae atu ki ngā hākinakina whakataetae. Ko te mahi anake e hiahia pea ana ki te whakaaro motuhake ko te tūtaki, me kōrero koe ki tō taakuta nā te morearea o te mate decompression.

Ka hiahia ahau ki te tirotiro noa mena kei ahau te Patent Foramen Ovale?

Ki te whai koe i te PFO, engari kāore he tohu, kāore koe e hiahia ki te tirotiro noa, ki ngā whakatau whai muri rānei mō te PFO. Heoi, ka tūtohu pea tō taakuta i ngā tirotiro waatea hei wāhanga o tō tiaki hauora katoa, ina koa ki te whai koe i ētahi atu take morearea mō te mate ngākau, mate roro rānei.