Foramen Ovale

Umunwa wa patent foramen ovale (PFO) ni umwobo mu mutima utasibye uko byagombye nyuma yo kuvuka. Uwo mwobo ni umwobo muto usa n'igitambaro kiri hagati y'ibyumba by'umutima wo hejuru. Ibyumba by'umutima wo hejuru byitwa atria.

Uko umwana akura mu nda, umwobo witwa foramen ovale (foh-RAY-mun oh-VAY-lee) uba hagati y'ibyumba by'umutima wo hejuru. Ubusanzwe urafunga mu buto. Iyo foramen ovale idafunze, bita patent foramen ovale.

Abantu benshi ntibakenera kuvurwa patent foramen ovale.

Patent foramen ovale iboneka mu bantu hafi umwe kuri bane. Abantu benshi bafite iyi ndwara ntibabizi. Patent foramen ovale ikunze kuvumburwa mu bipimo by’ibindi bibazo by’ubuzima.

Ntabwo birasobanutse icyatuma umwenge wa foramen ovale ukomeza gufungura mu bamwe. Uburanga bushobora kugira uruhare.

Umunwa wa foramen ovale ukinguye, uzwi kandi nka patent foramen ovale (PFO) akenshi ntabwo uterwa n'ingaruka. Bamwe mu bantu bafite PFO bashobora kugira ibindi bimenyetso by'umutima.

Ingaruka zishoboka za patent foramen ovale zishobora kuba:

• O2 nke mu maraso. Gake, patent foramen ovale ishobora gutuma amaraso menshi anyura mu mwijima. Ibi bituma igipimo cya ogisijeni mu maraso kigabanuka, ikibazo kizwi nka hypoxemia.
• Impindurwa y'ubwonko (Stroke). Rimwe na rimwe ibice bito by'amaraso bikunze kuboneka mu mitsi bishobora kujya mu mutima. Bishobora kunyura muri patent foramen ovale bikajya mu gice cy'ibumoso cy'umutima. Kuva aho, bishobora kujya mu bwonko bikabuza amaraso kugera aho agomba kugera, bigatera impindurwa y'ubwonko (stroke) iterwa no kubura amaraso.

Ubushakashatsi bumwe bwagaragaje ko patent foramen ovales (PFOs) ari nyinshi mu bantu bafite impindurwa y'ubwonko zitazwi n'ububabare bukabije bw'umutwe bufite aura. Ariko hakenekwa ubushakashatsi burenze. Akenshi, hariho izindi mpamvu z'ibi bibazo. Akenshi ni amahirwe gusa ko umuntu afite PFO.

Ubusanzwe, patent foramen ovale imenyekana iyo ibizamini bikorewe ikindi kibazo cy'ubuzima. Niba umuvuzi wawe atekereza ko ushobora kuba ufite patent foramen ovale (PFO), ibizamini byo kubona ishusho y'umutima bishobora gukorwa.

Niba ufite patent foramen ovale kandi wari waragize stroke, umuvuzi wawe ashobora kukwerekeza kwa muganga wahuguwe mu bibazo by'ubwonko n'imikorere y'imiterere y'umubiri. Uyu muvuzi yitwa neurologue.

Ibizamini byitwa echocardiogram bikoreshwa mu kumenya PFO. Iki kizamini gikoresha amaseseme y'amajwi mu gukora amashusho y'umutima ukubita. Echocardiogram igaragaza imiterere y'umutima. Igaragaza kandi uko amaraso acura mu mutima no mu mivure y'umutima.

Iyi ni echocardiogram isanzwe. Ifata amashusho y'umutima uvuye hanze y'umubiri. Umuvuzi ashyira igikoresho cya ultrasound, cyitwa transducer, ku buryo bukomeye ku ruhu hejuru y'agace k'umutima. Igikoresho cyandika amajwi y'amaseseme ava mu mutima. Mudasobwa ihindura ayo majwi mu mashusho yimuka.

Ubundi buryo bw'ubu buryo bushobora gukoreshwa mu kumenya patent foramen ovale, harimo:

Color-Doppler. Iyo amaseseme y'amajwi akubise ku uturemangingo tw'amaraso tugenda mu mutima, ahindura ijwi. Izi mpinduka zitwa Doppler signals. Zigaragara mu mimerere itandukanye kuri echocardiogram. Iki kizamini gishobora kwerekana umuvuduko n'icyerekezo cy'amaraso mu mutima.

Niba ufite patent foramen ovale, ubu bwoko bwa echocardiogram ubusanzwe bwerekana amaraso acura hagati y'ibice by'umutima wo hejuru.

Ubushakashatsi bwa saline contrast, bwitwa kandi bubble study. Mu gihe cya echocardiogram isanzwe, umuti wa sterile salt urimo utubuto duto twamazi utangwa na IV. Utubuto tugenda ku ruhande rw'iburyo rw'umutima. Bishobora kuboneka kuri echocardiogram.

Niba nta mwobo uri hagati y'ibice by'umutima wo hejuru, utubuto turamutsa mu mwijima. Niba ufite patent foramen ovale, utubuto tumwe na tumwe tugaragara ku ruhande rw'ibumoso rw'umutima.

Patent foramen ovale ishobora kugorana kwemeza kuri echocardiogram isanzwe. Umuvuzi wawe ashobora kugusaba iki kizamini kugira ngo arebe neza umutima.

Transesophageal echocardiogram ifata amashusho y'umutima uvuye imbere mu mubiri. Ifatwa nk'uburyo bwizewe cyane bwo kumenya patent foramen ovale.

Muri iki kizamini, igikoresho cyoroshye kirimo igikoresho cya ultrasound kiyoborwa mu mazuru no mu muyoboro uhuza akanwa n'igifu. Uyu muyoboro witwa esophagus.

• Color-Doppler. Iyo amaseseme y'amajwi akubise ku uturemangingo tw'amaraso tugenda mu mutima, ahindura ijwi. Izi mpinduka zitwa Doppler signals. Zigaragara mu mimerere itandukanye kuri echocardiogram. Iki kizamini gishobora kwerekana umuvuduko n'icyerekezo cy'amaraso mu mutima.

  Niba ufite patent foramen ovale, ubu bwoko bwa echocardiogram ubusanzwe bwerekana amaraso acura hagati y'ibice by'umutima wo hejuru.

• Ubushakashatsi bwa saline contrast, bwitwa kandi bubble study. Mu gihe cya echocardiogram isanzwe, umuti wa sterile salt urimo utubuto duto twamazi utangwa na IV. Utubuto tugenda ku ruhande rw'iburyo rw'umutima. Bishobora kuboneka kuri echocardiogram.

  Niba nta mwobo uri hagati y'ibice by'umutima wo hejuru, utubuto turamutsa mu mwijima. Niba ufite patent foramen ovale, utubuto tumwe na tumwe tugaragara ku ruhande rw'ibumoso rw'umutima.

Abenshi bafite patent foramen ovale ntibakenera kuvurwa. Niba PFO iboneka igihe ikizamini cya echocardiogram gikorerwa izindi mpamvu, uburyo bwo gupfuka icyuho busanzwe ntabwo bukorwa.

Iyo kuvura kwa PFO bibaye ngombwa, bishobora kuba birimo:

Muganga wawe ashobora kugutegurira imiti kugira ngo agabanye ibyago byo gukwirakwira amaraso binyuze muri patent foramen ovale. Imiti igabanya amaraso ishobora gufasha bamwe bafite patent foramen ovale bamaze kugira umwijima.

Niba ufite PFO n'igipimo cy'oxygène mu maraso gito cyangwa umwijima utasobanuwe, ushobora gukenera uburyo bwo gupfuka icyuho.

Gupfuka patent foramen ovale kugira ngo hirindwe migraine ntabwo biherutse gusabwa nk'ubuvuzi bwa mbere. Gupfuka patent foramen ovale kugira ngo hirindwe umwijima usubiramo bikorwa gusa nyuma y'uko abaganga bahuguwe mu ndwara z'umutima n'iz'imitsi bavuze ko ubu buryo buzagufasha.

Uburyo bwo gupfuka patent foramen ovale burimo:

Gupfuka ibikoresho. Muri ubu buryo, umuganga ashyiramo umuyoboro muto, woroshye witwa catheter mu mubiri w'amaraso mu gice cy'imboro. Impera ya catheter ifite igikoresho cyo gupfuka PFO. Umuganga ayobora ibikoresho ku mutima kugira ngo afunge icyuho.

Ingaruka mbi zo gupfuka ibikoresho ni nke. Bishobora kuba birimo gusaduka kw'umutima cyangwa imiyoboro y'amaraso, kwimuka kw'igikoresho, cyangwa gutera umutima hadahuje umuvuduko.

Gupfuka imitima. Muri ubu buvuzi bw'umutima, umuganga akoresha imishumi gupfuka PFO. Ubu buvuzi bushobora gukorwa hakoreshejwe umunwa muto cyane. Bishobora gukorwa hakoreshejwe ubuhanga bwa roboti.

Niba kubagwa ku mutima bikenewe kubindi mpamvu, umuganga wawe ashobora kugutegurira ko ubu buvuzi bukorwa icyarimwe.

• Imiti

• Uburyo bwa catheter bwo gupfuka icyuho

• Kubagwa kugira ngo hapfukwe icyuho

• Gupfuka ibikoresho. Muri ubu buryo, umuganga ashyiramo umuyoboro muto, woroshye witwa catheter mu mubiri w'amaraso mu gice cy'imboro. Impera ya catheter ifite igikoresho cyo gupfuka PFO. Umuganga ayobora ibikoresho ku mutima kugira ngo afunge icyuho.

  Ingaruka mbi zo gupfuka ibikoresho ni nke. Bishobora kuba birimo gusaduka kw'umutima cyangwa imiyoboro y'amaraso, kwimuka kw'igikoresho, cyangwa gutera umutima hadahuje umuvuduko.

• Gupfuka imitima. Muri ubu buvuzi bw'umutima, umuganga akoresha imishumi gupfuka PFO. Ubu buvuzi bushobora gukorwa hakoreshejwe umunwa muto cyane. Bishobora gukorwa hakoreshejwe ubuhanga bwa roboti.

  Niba kubagwa ku mutima bikenewe kubindi mpamvu, umuganga wawe ashobora kugutegurira ko ubu buvuzi bukorwa icyarimwe.

Niba uzi ko ufite patent foramen ovale, ariko nta bimenyetso ufite, birashoboka ko nta mipaka izabaho ku mirimo yawe.

Niba ugiye gukora ingendo ndende, ni ngombwa gukurikiza amabwiriza yo kwirinda imikaya y'amaraso. Niba uri mu modoka, fata akaruhuko kandi ugire ingendo ngufi. Mu ndege, komeza unywe amazi menshi kandi ugenda buri gihe bishoboka.