Eseme ry’umwobo wa Foramen Ovale utagira ikibazo? Ibimenyetso, Intandaro, n’Ubuvuzi

Eseme ry’umwobo wa foramen ovale utagira ikibazo (PFO) ni umwobo muto uri hagati y’ibice bibiri byo hejuru by’umutima wawe utashoboye gufunga neza nyuma yo kuvuka. Uwo mwobo uba uri kuri buri wese mbere yo kuvuka ariko urashira wenyine mu mezi make ya mbere nyuma yo kuvuka. Iyo usigaye ufunguye, bita foramen ovale utagira ikibazo, kandi bigira ingaruka ku bantu umwe kuri bane ku isi.

Abantu benshi bafite PFO babaho ubuzima busanzwe nta kibazo na kimwe. Iki kibazo akenshi ntikimenyekana kuko gake cyane gitera ibimenyetso cyangwa ibibazo by’ubuzima. Ariko rero, gusobanukirwa icyo PFO bivuze ku buzima bwawe bishobora kugufasha gufata ibyemezo byiza bijyanye n’ubuvuzi bwawe.

Eseme ry’umwobo wa Foramen Ovale utagira ikibazo ni iki?

Eseme ry’umwobo wa foramen ovale utagira ikibazo ni ukugira umwobo muto usa n’igitambaro kiri hagati y’ibice by’umutima wawe byo hejuru iburyo n’ibyo ibumoso (ibice byo hejuru). Mu gihe cy’iterambere ry’umwana uri mu nda, uwo mwobo ufasha amaraso guca mu mwijima kuko abana babona umwuka binyuze mu mubyeyi wabo aho guhumeka umwuka.

Nyuma yo kuvuka, igitutu cyiyongera mu gice cy’ibumoso cy’umutima gisanzwe gishishikaza icyo gitambaro, gifunga umwobo burundu. Iyo bitabaye, usigara ufite umwobo muto hagati y’ibice by’umutima. Utekerezeho nk’umudugudu wagombaga gufungwa ariko usigara ufunguye gato.

Uwo mwobo uba muto, akenshi aba afite ubugari buke cyane, rimwe na rimwe aba afite milimetero nke. Mu bihe byinshi, ukora nk’ikibaba gifungura inzira imwe, gikundira amaraso kuva iburyo ajya ibumoso gusa mu gihe runaka, nko iyo ukomereye, ukiruka cyangwa ugomba gukora imbaraga.

Ni ibihe bimenyetso by’Eseme ry’umwobo wa Foramen Ovale utagira ikibazo?

Abantu benshi bafite PFO nta bimenyetso na bimwe bagira mu buzima bwabo bwose. Iki kibazo akenshi kimenyekana mu buryo butunguranye mu bipimo by’umutima bikorwa kubera izindi mpamvu. Iyo ibimenyetso bibayeho, akenshi biba bito kandi bishobora kutagaragaza neza PFO.

Dore ibimenyetso bishobora kugaragaza PFO, nubwo bishobora guturuka ku zindi mpamvu nyinshi:

• Guhumeka nabi bitasobanuwe, cyane cyane mu gihe cy’imikino
• Uburwayi butasobanuwe, cyane cyane ugereranyije n’ibikorwa byawe
• Uburwayi bwa Migraine, cyane cyane ubwo bufite ibibazo byo kubona (bita migraine ifite aura)
• Kubabara mu gituza rimwe na rimwe cyangwa guhumeka nabi
• Kumva ucika intege cyangwa ukarwara, cyane cyane iyo uhagurutse vuba

Ni ingenzi kwibuka ko ibyo bimenyetso bisanzwe kandi akenshi bifite ibindi bisobanuro. Kugira ibyo bimenyetso ntibisobanura ko ufite PFO, kandi kugira PFO ntibihamya ko uzagira ibimenyetso.

Eseme ry’umwobo wa Foramen Ovale utagira ikibazo rituruka he?

PFO ntiterwa n’icyo wakoze cyangwa utarakora mu gihe cyo gutwita cyangwa mu bwana. Ni igice gisanzwe cy’iterambere ry’umwana uri mu nda kitasohoje inzira yo gufunga nyuma yo kuvuka.

Mu gihe cyo gutwita, umwobo wa foramen ovale ukora inshingano ikomeye yo gufasha amaraso kuva mu gice cy’iburyo cy’umutima ajya mu gice cy’ibumoso, akazenguruka mu mwijima uri gutera imbere. Nyuma yo kuvuka, impinduka nyinshi zibaho zisanzwe zifunga uwo mwobo. Igisagara mu gice cy’ibumoso cy’umutima kiyongera uko imwijima itangira gukora, mu gihe igisagara mu gice cy’iburyo cy’umutima kigabanuka.

Rimwe na rimwe, igitambaro gifunga umwobo ntikibona uburyo bwo guhuza neza n’urukuta rw’umutima. Ibi bishobora kuba kubera impamvu zitandukanye, harimo n’imiterere y’umuntu igira ingaruka ku iterambere ry’umutima. Nta kintu cyihariye cyabiteye cyangwa cyakwirindwa - ni ukugira impinduka mu iterambere risanzwe ry’umutima.

Ni ryari ukwiye kubona muganga kubera Eseme ry’umwobo wa Foramen Ovale utagira ikibazo?

Ukwiye kubona muganga niba ufite ibibazo by’ubwonko bitasobanuwe, cyane cyane niba uri muto kandi udafite ibyago bisanzwe byo kurwara indwara z’ubwonko. Nubwo indwara nyinshi z’ubwonko ziterwa n’ibindi bintu, PFO rimwe na rimwe ishobora gufasha ibice bito by’amaraso kuva mu gice cy’iburyo cy’umutima ajya mu bwonko.

Suzuma kuvugana na muganga niba ufite migraine ikomeye ifite aura igira ingaruka ku buzima bwawe bwa buri munsi. Ubushakashatsi bumwe bwerekana isano iri hagati ya PFO na zimwe mu bwoko bwa migraine, nubwo iyo sano itarasobanuwe neza.

Ukwiye kandi gushaka ubuvuzi niba ufite guhumeka nabi bitasobanuwe, cyane cyane niba bifatanije no kubabara mu gituza cyangwa gucika intege. Nubwo PFO gake cyane gitera ibibazo byo guhumeka, ni byiza kubisuzuma niba ibimenyetso bigira ingaruka ku mibereho yawe.

Niba uteganya kuba umunyamwuga wo koga mu mazi cyangwa gukora ibikorwa bikubiyemo impinduka zikomeye z’igitutu, banza uvugane na muganga wawe ku bijyanye no gusuzuma PFO. Iki kibazo gishobora kongera ibyago byo kurwara indwara ziterwa no guhindagurika kw’igitutu muri izo mimerere.

Ni ibihe bintu byongera ibyago byo kurwara Eseme ry’umwobo wa Foramen Ovale utagira ikibazo?

PFO ntabwo ifite ibyago bisanzwe kuko ari impinduka mu iterambere iba mbere yo kuvuka. Ariko rero, ibintu bimwe bishobora kugira ingaruka ku buryo umwobo ufunga neza nyuma yo kuvuka cyangwa bikongera ibyago byo kugira ibimenyetso.

Amateka y’umuryango ashobora kugira uruhare, kuko imiryango imwe isa n’ifite umubare munini wa PFO. Ibi bigaragaza ko imiterere y’umuntu ishobora kugira ingaruka ku iterambere ry’umutima n’uburyo umwobo wa foramen ovale ufunga neza.

Ubunini bw’umwobo bushobora gutandukana ukurikije umuntu. Imyobo minini ishobora kuba ifite ibyago byinshi byo gutera ibimenyetso cyangwa ingaruka, nubwo imyobo minini ya PFO akenshi iba idatera ibimenyetso mu buzima bwose.

Kugira ibindi bibazo by’umutima byavutse bishobora kongera ibyago byo kugira PFO, kuko ibyo bibazo rimwe na rimwe biba hamwe. Ariko rero, PFO ishobora kandi ikabaho mu bantu bafite imitima isanzwe.

Ni izihe ngaruka zishoboka za Eseme ry’umwobo wa Foramen Ovale utagira ikibazo?

Ingaruka ikomeye cyane ya PFO ni indwara z’ubwonko, cyane cyane mu bantu bakuru batararengeje imyaka badafite ibindi bintu byongera ibyago byo kurwara indwara z’ubwonko. Ibi bibaho iyo igice cy’amaraso gikora mu mitsi (akenshi mu birenge) kikajya mu gice cy’iburyo cy’umutima, hanyuma kikanyura muri PFO kikajya mu gice cy’ibumoso kikajya mu bwonko.

Ariko rero, ni ingenzi kwibuka ko iyo ngaruka ari nke cyane. Abantu benshi bafite PFO ntibagira indwara z’ubwonko, kandi indwara nyinshi z’ubwonko ziterwa n’ibindi bintu, ndetse no mu bantu bafite PFO.

Bamwe mu bantu bafite PFO bashobora kugira ibimenyetso bikomeye mu gihe cy’imikino yongera igitutu mu gituza, nko guhagarika imizigo cyangwa imyitozo runaka yo guhumeka. Igisagara cyiyongereye gishobora by'agateganyo kongera amaraso anyura mu mwobo, bigatera guhumeka nabi cyangwa ibindi bimenyetso.

Ku bantu bakora ibikorwa bikubiyemo impinduka z’igitutu, nko koga mu mazi cyangwa kujya mu kirere kiri hejuru, PFO ishobora kongera ibyago byo kurwara indwara ziterwa no guhindagurika kw’igitutu. Ibi bibaho iyo utubuto twa azote bisanzwe byakurwaho n’imwijima ahubwo bikajya mu mimerere y’amaraso.

Gake cyane, PFO ishobora gutera umwuka muke mu maraso, cyane cyane niba hari ibindi bibazo by’umutima cyangwa imwijima. Ibi bishoboka cyane mu bantu bafite imyobo minini cyangwa ibindi bibazo by’umutima.

Eseme ry’umwobo wa Foramen Ovale utagira ikibazo rimenyanwa gute?

PFO imenyekana hakoreshejwe ikizamini cyitwa echocardiogram, gikoreshwa mu buryo bw’amajwi kugira ngo hafatwe amashusho y’umutima wawe. Uburyo busanzwe bwitwa “ubushakashatsi bw’utubuto” cyangwa contrast echocardiogram, aho muganga wawe ashyira utubuto twa saline tudakora nabi mu maraso yawe mu gihe afata amashusho y’umutima wawe akoresheje ultrasound.

Muri icyo kizamini, uzaryama ku ruhande rwawe mu gihe umukozi ashyira igikoresho cya ultrasound ku gituza cyawe. Niba ufite PFO, utubuto tuzagera mu gice cy’ibumoso cy’umutima, bikemerera ibyavuye mu isuzuma.

Rimwe na rimwe, transesophageal echocardiogram (TEE) irakenewe kugira ngo habeho ishusho isobanutse. Ibi bikubiyemo gushyira umuyoboro muto, woroshye ufite igikoresho cya ultrasound mu mazuru yawe kugira ngo ubone amashusho ava imbere mu gifu cyawe. Nubwo ibyo bishobora kuba bibi, uzabona imiti igutera ubunebwe kugira ngo uburyo bworoshye.

Muganga wawe ashobora kandi gukora ibindi bipimo kugira ngo akureho ibindi bibazo cyangwa asuzume ubuzima bwawe bwose bw’umutima. Ibyo bishobora kuba harimo electrocardiogram (EKG) kugira ngo asuzume uburyo umutima wawe ukora cyangwa ibindi bipimo by’amashusho ukurikije ibimenyetso byawe.

Ni iki kivura Eseme ry’umwobo wa Foramen Ovale utagira ikibazo?

Abantu benshi bafite PFO ntibakenera kuvurwa na gato. Niba udafite ibimenyetso kandi utarahuye n’ingaruka, muganga wawe ashobora kugusaba gukurikiranwa gusa aho kuvurwa.

Ku bantu bafite indwara z’ubwonko zishobora kuba ziterwa na PFO, uburyo bwo kuvura burimo imiti cyangwa uburyo bwo gufunga umwobo. Imiti igabanya amaraso nka aspirine cyangwa anticoagulants y’amabwiriza ishobora gufasha gukumira ko amaraso akora cyangwa kugabanya ibyago byo gutera ibibazo.

Mu bihe bimwe na bimwe, muganga wawe ashobora kugusaba uburyo bwo gufunga PFO. Ibi bikubiyemo gushyira igikoresho gito mu mitsi y’amaraso kugera ku mutima wawe no kugishyira hejuru y’umwobo kugira ngo ufungwe. Uburyo bwo kuvura busanzwe bukorwa hakoreshejwe umwobo muto mu kibuno aho gukora igikorwa cyo kubaga umutima.

Ibyemezo byo kuvura PFO biterwa n’ibintu byinshi, birimo imyaka yawe, ubuzima bwawe bwose, ibyago byo kurwara indwara z’ubwonko, n’ubunini bw’umwobo. Muganga wawe azakorana nawe kugira ngo amenye uburyo bwiza bukubereye.

Ku bantu bafite migraine ishobora kuba iterwa na PFO, ibimenyetso byo kuvura biracyari bike. Ubushakashatsi bumwe bwerekana ko gufunga PFO bishobora gufasha kugabanya migraine, ariko ibi ntibyemewe kuri buri wese.

Uburyo bwo gucunga Eseme ry’umwobo wa Foramen Ovale utagira ikibazo mu rugo?

Niba ufite PFO ariko nta bimenyetso, ushobora kubaho ubuzima busanzwe nta kintu cyihariye ukora. Ibikorwa byinshi bya buri munsi, imyitozo ngororamubiri, ndetse n’imikino ikomeye ni byiza ku bantu bafite PFO.

Ariko rero, hari igihe ushobora gushaka kwitondera. Niba uteganya koga mu mazi, banza uvugane na muganga wawe, kuko PFO ishobora kongera ibyago byo kurwara indwara ziterwa no guhindagurika kw’igitutu. Ushobora kuba ukeneye imyitozo yihariye cyangwa impinduka mu bikoresho.

Witondere umubiri wawe mu gihe cy’imikino ikubiyemo gufata umwuka cyangwa gukora imbaraga, nko guhagarika imizigo cyangwa imyitozo runaka ya yoga. Niba ufite guhumeka nabi bitasanzwe cyangwa gucika intege, reba ko uhagaritse kandi wirinda gukomeza ibyo bimenyetso.

Niba ufashe imiti igabanya amaraso, kurikiza amabwiriza ya muganga wawe neza ku bijyanye n’umwanya wo kuyifata no kuyikurikirana. Menya ibimenyetso byo kuva amaraso, nko kubabara bitasanzwe, kuva amaraso igihe kirekire mu bikomere, cyangwa amaraso mu nkari cyangwa mu ntege.

Komeza ubuzima bwiza bw’umutima binyuze mu myitozo ngororamubiri, indyo yuzuye, no kudakoresha itabi. Nubwo ibyo bintu bitazafunga PFO yawe, bizafasha kugumisha sisitemu yawe y’umutima ikora neza.

Uko wakwitegura gusura muganga wawe?

Mbere yo gusura muganga, andika ibimenyetso byose wahuye na byo, nubwo bisa n’ibidafite aho bihuriye n’umutima wawe. Vuga igihe biba, igihe biba, n’icyo bisa n’ikibitera.

Zana urutonde rw’imiti yose ufashe, harimo imiti yo kuvura indwara n’ibindi byongerwamo. Nanone, kora amakuru yerekeye amateka y’ubuzima bw’umutima w’umuryango wawe, kuko ibyo bishobora kuba bifite aho bihuriye n’ubuvuzi bwawe.

Tegura ibibazo bijyanye n’umwanya wawe. Ushobora kwibaza ku bijyanye n’ibikorwa ugomba kwirinda, igihe ushobora gusubira gusura muganga, cyangwa ibimenyetso bikwiye gutuma ushaka ubuvuzi bw’ihutirwa.

Niba ubona umuganga w’inzobere, zana kopi y’ibipimo byose by’umutima cyangwa amashusho yafashwe mbere. Ibi bizafasha muganga wawe gusobanukirwa neza ibyawe adasubiramo ibizamini bitari ngombwa.

Tegereza kuzana umuntu wo mu muryango wawe cyangwa inshuti yawe mu gihe ugiye gusura muganga, cyane cyane niba muganira ku bijyanye n’uburyo bwo kuvura. Bazagufasha kwibuka amakuru akomeye no kugufasha mu gihe ufashe ibyemezo.

Icyingenzi cyo kumenya ku bijyanye n’Eseme ry’umwobo wa Foramen Ovale utagira ikibazo?

Ikintu cy’ingenzi cyo gusobanukirwa kuri PFO ni uko ari ikintu gisanzwe kandi akenshi kidakora nabi. Abantu bagera kuri 25% bafite iki kibazo, kandi abenshi babaho ubuzima busanzwe, bwiza nta kibazo na kimwe bazi.

Niba wamenyeshejwe ko ufite PFO, ntukagire impungenge. Kugira iki kibazo ntibisobanura ko uri mu kaga gakomeye ko kugira ibibazo bikomeye by’ubuzima. Abantu benshi bafite PFO ntibagira ingaruka, kandi iyo ibibazo bibayeho, uburyo bwo kuvura buraboneka.

Korana n’itsinda ryawe ry’abaganga kugira ngo umenye uburyo bwiza bukubereye. Uko byagenda kose, haba gukurikirana gusa, imiti, cyangwa uburyo bwo gufunga umwobo, muganga wawe azagufasha gufata icyemezo gikubereye.

Ibuka ko PFO ari igice gito cy’ubuzima bwawe bwose. Shyira imbaraga mu kugumisha ubuzima bwiza bw’umutima binyuze mu myitozo ngororamubiri, indyo yuzuye, no gukurikiza amabwiriza ya muganga wawe ku bijyanye n’umwanya wawe.

Ibibazo byakunda kubaho ku bijyanye n’Eseme ry’umwobo wa Foramen Ovale utagira ikibazo

Ese Eseme ry’umwobo wa Foramen Ovale utagira ikibazo ari ikintu kibangamira?

Ku bantu benshi, PFO si ikintu kibangamira na gato. Abenshi mu bantu bafite PFO babaho ubuzima busanzwe nta kibazo na kimwe cy’ubuzima gifitanye isano n’iki kibazo. Nubwo ingaruka nke nka stroke zishobora kubaho, ni nke cyane, kandi abantu benshi bafite PFO ntibagira ibibazo bikomeye.

Ese Eseme ry’umwobo wa Foramen Ovale utagira ikibazo rishobora kwifunga ubwaryo mu bantu bakuru?

Iyo ugeze mu bukuru, PFO gake cyane yifunga ubwayo. Uwo mwobo usanzwe ufunga mu bwana cyangwa usigara ufunguye mu buzima bwose. Ariko rero, ibi ntibisobanura ko ukeneye kuvurwa - abantu bakuru benshi bafite PFO babaho ubuzima busanzwe nta kuvurwa.

Ese Eseme ry’umwobo wa Foramen Ovale utagira ikibazo rigira ingaruka ku gihe cyo kubaho?

PFO ntabwo igira ingaruka ku gihe cyo kubaho ku bantu benshi bayifite. Abantu benshi bafite PFO babaho igihe kirekire kandi nta kibazo na kimwe cy’ubuzima bafite gifitanye isano n’iki kibazo. Nubwo ingaruka zibaho, akenshi zivurwa.

Ese nshobora gukora imyitozo ngororamubiri nk’uko bisanzwe niba mfite Eseme ry’umwobo wa Foramen Ovale utagira ikibazo?

Yego, abantu benshi bafite PFO bashobora gukora imyitozo ngororamubiri nk’uko bisanzwe kandi bagakora imikino yose, harimo n’imikino ikomeye. Igikorwa kimwe gishobora gusaba kwitondera ni ukoga mu mazi, ugomba kubiganiraho na muganga wawe kubera ibyago byo kurwara indwara ziterwa no guhindagurika kw’igitutu.

Ese nzakenera gukurikiranwa buri gihe niba mfite Eseme ry’umwobo wa Foramen Ovale utagira ikibazo?

Niba ufite PFO ariko nta bimenyetso, ntabwo usanzwe ukeneye gukurikiranwa cyangwa gusubira gusura muganga kubera PFO. Ariko rero, muganga wawe ashobora kugusaba gukurikiranwa buri gihe nk’igice cy’ubuvuzi bwawe bwose, cyane cyane niba ufite ibindi bintu byongera ibyago byo kurwara indwara z’umutima cyangwa indwara z’ubwonko.