Shin Kullin Ovale Na'urar Oram na Tsayawa Tsakanin Tsari?
Dukanmu muna da rami a zuciyarmu. Jinin yana gudana sosai ta hanyar jikin jaririn da ba a haifa ba idan aka kwatanta da wanda yaro. Ɗaya daga cikin, jini yana gudana ta hanyar buɗewa tsakanin gefen hagu da dama na zuciya ta wurin budewa da ake kira oval foramen.
Da farko numfashin iska, duk da haka, ƙwanƙiri na hagu tsakanin gefen hagu da dama na zuciya ya canza, kuma wani ɓangaren nama yana sintiri oval.
Tun daga wannan lokacin, jinin yana gudana a cikin tsari wanda kusan dukkanin manya.
Wani lokaci, ko da yake, oval na foramen ba ya rufe hatimi, barin abin da ake kira furotin oval, ko PFO. Wannan shi ne ainihin mara kyau kuma an ce ya shafi mutum daya cikin mutane biyar.
Kamar yadda ya ji tsoro kamar yadda yake da alaka tsakanin bangarorin biyu na zuciya, yawancin bincike sun nuna cewa PFO ba su da wata mummunar rauni. Wasu likitoci, duk da haka, sun yi imanin cewa PFO zai iya ƙara haɗarin kututtuka.
Ta yaya Yayi aiki?
Ka'idar tana kama da wannan: ƙwayar jini yana kafa a kafafu kuma yana tafiya ta cikin kwayar cutar har zuwa zuciya. Ana aikawa jini ta gefen dama na zuciya zuwa ga huhu don sauke carbon dioxide da kuma ɗaukar nauyin oxygen. Jirgin jini inda wannan musayar canjin ya kasance kadan ne, kuma kowane ƙyallen da ke tafiya a cikin sutura ( alamar ) za a iya cirewa a cikin huhu.
Wannan fitarwa na halitta zai iya wucewa, ko da yake, idan jini yana iya tafiya daga hannun dama zuwa gefen hagu na zuciya ba tare da jigilar huhu ba. Zai iya yin wannan idan akwai rami tsakanin bangarori na zuciya kamar PFO, kuma idan mai karɓar digiri wani lokaci ya fi girma a gefen dama na zuciya fiye da hagu (wanda ba a sani ba ne).
A karkashin waɗannan yanayi, ƙwarar jini zai iya tafiya zuwa gefen hagu na zuciya, inda aka fitar da shi cikin jiki, ciki har da kwakwalwa, inda gurgun jini ya ɓoye jinin jini kuma yana haifar da bugun jini . Kwayar da ke tafiya a cikin irin wannan salon ana kiransa hoton jigilar, daga para (biyu) da doxical (gefe).
Zabuka
Akwai hanyoyi biyu na aikin idan wani da ke da PFO yana da bugun jini ba tare da wani dalili ba. Hanyar farko, kamar yadda ka'idojin likitoci na likitancin Amurka (ACCP) na shekarar 2012 ya bada shawara, shine amfani da maganin rigakafi kamar aspirin. Idan ɓararen yatsun yana cikin kafafun kafa, an yi amfani da matakan da ake kira heparin ko warfarin .
Hanya na biyu shine rufe hatimin PFO. Wannan yana da sha'awa ga marasa lafiya da suka kamu da bugun jini kuma suka karbi labarin mai ban mamaki cewa akwai "rami a zuciyarsu." A karkashin waɗannan yanayi, mutum yana son ya yi duk abin da zai yiwu don kiyaye shi daga samun wani, mai yiwuwa har ma mafi tsanani, bugun jini.
Matsalar ita ce, yayin da yake rufe PFO zai zama abin da ya kamata ya yi, bincike mai zurfi bai nuna amfaninta ga wannan ɓarna ba.
Hanyar da ta fi dacewa ta sintiri wani oval maras kyau yana da hanya mai ɓoyewa.
Wani likitan horar da ya yi amfani da kwayar halitta ta hanyar jikin jikin a cikin zuciya, inda aka yi amfani da na'urar don rufe PFO. Wata hanya ta ƙunshi ƙarin tiyata.
Ƙarin karatu game da rufewar PFO a bugun jini ba nuna wani amfani ga ko dai hanya ba. Ɗaya daga cikin gwaji mafi kyau, wanda ake kira HASUMIYA 1, ya dubi mutanen da ke da shekaru 60 tare da PFO wanda ya sha fama da bugun jini ko kuma kai hare-hare mai saurin kai . Ba wai kawai babu amfani bayan shekaru biyu, amma mutanen da suke da hanyar da aka yi sun fi samun ciwon magungunan ƙwayar cuta ko ƙari mai tsanani fiye da wadanda suka sami magani kawai.
Sakamakon su ya zama abin takaici ga mutanen da suka lura cewa a wasu, ƙaramin bincike akan ƙullin na'urar yana kama aiki. Kamar kowane jarrabawa, LITTAFI 1 yana da lahani. Masu ba da shawara sun nuna cewa mai yiwuwa na'urar mafi kyau zai iya rage hadarin rikitarwa, ko kuma girman samfurin bai isa ba. Wancan ya ce, LITTAFI 1 yana da mafi kyawun shaida na kowane gwajin da aka rigaya, kuma sakamakon ya fi ƙarfin. yayin da wasu sun yi jayayya cewa ci gaba a cikin fasahohin da aka yi amfani da shi a ƙulli na PFO iya yanzu ya tabbatar da amfani da shi, ƙididdigar ita ce aikin kula da lafiyar yana ci gaba, kuma zai iya ƙetare rufewar PFO.
Ƙarshe
Cibiyar Nazarin Harkokin Kasuwancin Amirka kuma mafi ƙaddara ba ta da amfani ga hanya a PFO, ko da yake rufe ƙulle-ƙaryar mai yiwuwa ana iya kasancewa a cikin ƙwayar da ke tsakanin hagu da dama na zuciya. Wadannan sharuɗɗa sun haɗa da babban mawuyacin halin da ake fuskanta.
Akwai har yanzu likitoci a kusa da waɗanda suke shirye su yi wannan hanya ga waɗanda suka nace a kan samun patent foramen ovale rufe. Wasu mutane ba za su iya ɗaukar tunanin cewa akwai rami a cikin zuciya ba, koda kuwa rami ne da muke da shi, kuma mutane da yawa suna ci gaba ba tare da matsaloli ba. Ga wadanda suka kasance masu sha'awar duk da rashin amfanin da aka tabbatar, yana da muhimmanci a samu ra'ayi daga likita wanda ba shi da wani kuɗi don yin aikin.
Sources:
Furlan AJ, Reisman M, Massaro J, et al. Rufe ko likita don farfado da cryptogenic tare da oval maras kyau. N Engl J Med 2012; 366: 991.
Hagen PT, Scholz DG, Edwards WD. Abinda ke ciki da girman girman oval a cikin farkon shekaru 10 na rayuwa: nazarin tafarkin autopsy na zuciya 965. Mayo Clin Proc. 1984; 59: 17-20.
Lansberg MG, O'Donnell MJ, Khatri P, et al. Antithrombotic da thrombolytic farfadowa na bugun jini na aschemic: Antithrombotic Far da Rigakafin Thrombosis, 9th ed: Kwalejin Kwalejin Kwalejin Kwalejin Kwalejin Kwalejin Kwalejin Kwayoyin Kwalejin Kwayoyi na Kwararrun likitoci. Chest 2012; 141: e601S.