Abubuwan da ke tattare da maƙasudin mahimmanci da kuma na Doppler na iya taimakawa tare da ganewar asali
Nazarin bugunan wata jarrabawa ne wanda ba zai iya ba da damar likitoci su tantance yaduwar jinin ta zuciya. Ana amfani da ita ta hanyar amfani tare da wani echocardiogram (wanda lokuta likitoci sukan kira shi "bambancin zane-zane,") ko binciken Doppler (TCD) . An yi nazarin bincike mai tsabta a lokacin da ake zargi da ake zargin ovale mai suna (PFO) .
Yadda An Yi Nazarin Bubble
Wani nazari na samfurori yana amfani da gaskiyar cewa lokacin da raƙuman motsa jiki ke fuskanta daban-daban na kafofin watsa labarun - a cikin wannan yanayin gas vs ruwa - sun billa a kusa da ƙarin, kuma suna haifar da karin "rawanin raƙuman ruwa." Wadannan raƙuman ruwa suna nunawa a kan wani echocardiogram a matsayin ƙananan yawa .
A cikin wani nau'i na kwarara, an yi amfani da wani bayani mai salin don samar da ƙananan kumfa kuma an toshe shi cikin jikin. Yayin da ake tafiya ta hanyar tafiya a cikin hagu da kuma gefen dama na zuciya, yawan karuwar da suke samarwa akan hotunan echocardiography yana ba da damar likita don duba abubuwan da ke motsa ta cikin ɗakunan zuciya.
Idan zuciya yana aiki akai-akai, za a ga kumfa a shiga shiga dama, sa'an nan kuma mai da hankali, sannan fitar da ƙwaƙwalwar ƙwayar cuta da kuma cikin huhu, inda aka cire su daga cikin wurare.
Duk da haka, idan ana ganin kumfa suna shiga gefen hagu na zuciya, wannan yana nuna cewa akwai gagarumin haɓaka tsakanin bangarorin biyu na zuciya - wanda ake kira intracardiac shunt.
Irin wannan shunt na intracardiac zai iya samuwa, alal misali, ta hanyar PFO, gurɓatattun lahani na ainihi , ko gurguntaccen ƙwararrun ƙwayar cuta.
A halin yanzu, siffofin kasuwancin "kumfa" suna samuwa don amfani dasu a lokacin nazari. Wadannan sababbin sababbin sunadaran sun hada da ƙananan furotin ko ƙwayoyin phospholipid wanda ke rufe gas. Wadannan sababbin sababbin sun bayyana lafiya, kuma zasu iya samar da mafi kyawun hoto a wasu lokuta. Duk da haka, sun kasance mafi tsada fiye da mafitaccen saline bayani.
Bubble Nazarin Ga Patent Foramen Ovale
Dalilin da ya fi dacewa wajen gudanar da bincike mai mahimmanci shi ne neman PFO. A cikin wadannan nazarin, yayin da ake kwantar da kumfa a cikin kwayar, an tambayi mai haƙuri don yin aikin valsalva (wato, ɗaukar nauyin kamar yana da ciwon zuciya).
Jirgin hanzari yana motsa matsin lamba a gefen dama na zuciya, don haka idan PFO ya kasance, ana iya ganin kumfa a cikin hagu na hagu. Bubbles da ke bayyana a hagu na hagu a yayin gwajin ya tabbatar da kasancewar PFO.
Dalilin da yasa likitoci ke damu game da PFO shine yiwuwar su yardar da yaduwar jini don haye zuwa gefen hagu idan zuciya, inda zai iya shiga cikin kwakwalwar kwakwalwa da kuma haifar da bugun jini .
Abin farin ciki, yayin da PFO ya kasance na kowa (abin da ke faruwa har zuwa 25% na manya), suna jawo kai tsaye kawai.
Saboda haka, yayin da bincike mai kyau zai iya tabbatar da kasancewar PFO, bai gaya wa likita sosai game da yiwuwar bugun jini ba.
Yawancin masana sunyi tunanin cewa hanya mafi kyau don tantance ko wani PFO zai iya haifar da bugun jini shi ne don yin nazarin Doppler mai zurfi tare da binciken bincike.
A cikin nazarin TCD, ana amfani da dabarun labaru don ganin siffofi suna tafiya ta wurin jini na kwakwalwa. Binciken TCD zai iya gane ko siffa da aka yiwa allura a cikin ƙwayar cuta yana shiga cikin kwakwalwar kwakwalwa. Idan haka ne, PFO ya nuna zai iya ƙara haɗarin ciwon bugun jini, kuma likita zai iya bayar da shawara ga farfadowa na rigakafi , ko, idan annoba ta riga ya faru, yiwuwar rufewar PFO.
> Sources:
> Mulvagh SL, Rakowski H, Vannan MA, et al. Ƙungiyar Amincewa da Kasuwancin Echocardiography ta Amurka game da aikace-aikace na Clinical aikace-aikace na Ƙwararrun Ma'aikata na Ultrasonic a Echocardiography. J Am Soc Echocardiogr 2008; 21: 1179.
> Romaro JR, Frey JL, Schwamm LH, et al. Cérébral Events Events tare da 'Bubble Nazarin' don gano da dama na hagu Shunts. Tashi 2009; 40: 2343.
> Parker JM, Weller MW, Feinstein LM, et al. Tsaro na Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararren Ƙwararruwa A marasa lafiya Tare da Sanda da aka sani ko ake zargi da shi. Am J Cardiol 2013; 112: 1039.