Patent foramen ovale

Patent foramen ovale (PFO) igomba pakati peiyo kuruboshwe uye kurudyi atria (kumusoro makamuri) emoyo. Iri gomba riripo mune wese munhu asati aberekwa, asi kazhinji rinowanzovhara nguva pfupi mushure mekuzvarwa. PFO ndiyo inonzi gomba painotadza kuvhara zvakasununguka mushure mekunge mwana azvarwa.

A foramen ovale inobvumira ropa kufamba-famba mumapapu. Mapapu emwana haashandiswe kana ichikura mudumbu, saka gomba harikonzere matambudziko mumwana asati aberekwa.

Kuvhura kunofanirwa kuvhara munguva pfupi mushure mekuberekwa, asi dzimwe nguva hakuiti. Munenge munhu mumwe pavanhu vana, kuvhura kwacho hakutovhara. Kana ikasavhara, inonzi PFO.

Chikonzero chePFO hachizivikanwe. Iko hakuna kuzivikanwa njodzi zviitiko. Inogona kuwanikwa pamwe chete nezvimwe zvisina kujairika pamoyo senge atrial septal aneurysms kana Chiari network.

Vacheche vane PFO uye hapana kumwe kukanganisa kwemoyo vasina zviratidzo. Vamwe vanhu vakuru vane PFOs vanotamburawo nemusoro wemagraine.

Echocardiogram inogona kuitwa kuti uongorore PFO. Kana iyo PFO isingaonekwe nyore, chiremba wezvemwoyo anogona kuita "bubble test." Mushonga weSaline (mvura yemunyu) jekiseni mumuviri sezvo chiremba wezvemwoyo anotarisa moyo pane iyo ultrasound (echocardiogram) yekutarisa. Kana PFO iripo, tudiki mhepo mabhuru anozoonekwa achifamba kubva kurudyi kuenda kuruboshwe divi remoyo.

Aya mamiriro haarapwa kunze kwekunge paine mamwe matambudziko emoyo, zviratidzo, kana kana munhu wacho aine sitiroko inokonzerwa neropa rinovhara kuuropi.

Kurapa kazhinji kazhinji kunoda nzira inonzi catheterization yemoyo, inoitwa nachiremba wezvemweya akadzidziswa kuti asimbise zvachose PFO. Kuvhura moyo kuvhiya hakuchina kushandiswa kurapa mamiriro aya kunze kwekunge kumwe kuvhiya kuri kuitwa.

Mucheche uyo asina kumwe kukanganisika kwemoyo anozove nehutano hwakajairika uye hurefu hwehupenyu.

Kunze kwekunge paine zvimwe zvikanganiso, hapana zvinetswa kubva kuPFO kazhinji.

Vamwe vanhu vanogona kunge vane mamiriro ekushomeka kwekufema uye akadzika arterial eropa okisijeni mazinga kana vakagara kana vakamira. Izvi zvinonzi platypnea-orthodeoxia. Izvi hazviwanzo.

Kazhinji, vanhu vane PFO vanogona kunge vaine mwero wakakwira weimwe mhando yesitiroko (inonzi paradoxical thromboembolic stroke). Mukurohwa kunokatyamadza, ropa rinovhara iro rinobuda mutsinga (kazhinji mutsinga dzegumbo) rinosununguka roenda kurudyi kwemoyo. Kazhinji, ichi chinovhara chaizoramba chichienda kumapapu, asi mune mumwe munhu ane PFO, iyo clot inogona kupfuura nepaburi kuenda kuruboshwe kwemoyo. Inogona ipapo kupomberwa kunze kumuviri, kufamba kuenda kuuropi uye kunamatira ipapo, kudzivirira ropa kuyerera kune icho chikamu cheuropi (sitiroko).

Vamwe vanhu vanogona kutora mishonga yekudzivirira kuwanda kweropa.

Fonera wako mupi wezvehutano kana mwana wako atendeuka bhuruu kana achichema kana kuita ura, achinetseka kupa chikafu, kana kuratidza kukura kwakashata.

PFO; Kuberekwa kwemoyo kuremara - PFO

• Mwoyo - chikamu kuburikidza nepakati

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Therrien J, Marelli AJ. Congenital chirwere chemoyo muvakuru. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chits. 61.

Webb GD, Smallhorn JF, Therrien J, Redington AN. Congenital chirwere chemoyo mune mukuru uye wevarwere murwere. Mune: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Chirwere Chemwoyo cheBraunwald: A Chinyorwa cheCardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019: chits. 75.