Kiyasta lokacin karantawa: 6 minti daya
Table of Contents
Menene Patent Foramen Ovale (PFO)?
Patent foramen ovale (PFO), bayan haihuwa Wani rami ne a cikin zuciya wanda ke bukatar a rufe, a bar shi a bude.A cikin lokacin haihuwa, zazzagewar jini na tayin yana aiki daban-daban saboda huhu baya aiki sosai. Saboda haka, an haɗa haɗin dama da hagu na tayin gaban ovale Akwai budi mai suna cervix. Bayan haihuwa, wannan budewa septum prim ve septum secundum Yana rufewa tare da manne nau'ikan yadudduka guda biyu da ake kira foramen. Duk da haka, a wasu dabbobi, wannan mannewa bai cika ba kuma ovale na foramen ya kasance a buɗe. Wannan halin Patent Foramen Ovale (PFO) Yana kira.
PFO, Kada a rikita batun tare da lahani na septal (ASD)Kodayake sharuɗɗan biyu na iya bayyana kama, PFO tsarin al'ada wanda baya rufewa bayan haihuwa ASD, a gefe guda, wani buɗewa mara kyau ne wanda ke faruwa a cikin ci gaban septum a matsayin lahani na haihuwa.
Ta yaya Patent Foramen Ovale (PFO) ke Samar?
• Kafin haihuwa, ovale na foramen yana buɗewa, yana barin jini daga atrium na dama ya shiga cikin atrium na hagu. ketare huhu.
• Bayan haihuwa, lokacin da jariri ya fara numfashi. huhu ya fara cika da jini kuma matsa lamba atrial na hagu ya zama mafi girma fiye da matsa lamba na dama.
• Wannan canjin matsa lamba yana ba da isasshen ƙarfi don rufe ovale na foramen. Duk da haka, a wasu dabbobi, septum primum da septum secundum ba isasshiyar haɗin kai da wannan buɗewar ba ikon mallaka ya kasance a buɗe.
Yawan PFO a cikin Dabbobi
Kodayake ba a san ainihin adadin PFO a cikin dabbobi ba, kusan kashi 25% na yawan jama'a An san yana faruwa. Babu cikakkun bayanai game da wannan ƙimar a cikin karnuka da kuliyoyi, amma ana tsammanin PFO ya zama ruwan dare gama gari a cikin cututtukan zuciya na dabbobi.
Alamomin PFO da Binciken Clinical
Yawancin PFOs ba su da asymptomatic.Saboda haka, yawancin karnuka da kuliyoyi suna rayuwa gaba ɗaya ba tare da wata alama ba. Duk da haka, a wasu yanayi, lokacin da matsa lamba atrium na dama ya fi karfin atrium na hagu. shunt dama-zuwa-hagu (gudanar jini) Wannan na iya faruwa a cikin yanayi masu zuwa:
• Hawan JiniƘara yawan hawan jini na huhu yana ƙara matsa lamba na dama.
• Valsalva Maneuver: Wannan dabarar, wacce za a iya yin ta da hankali a cikin mutane, ana iya yin ta a cikin karnuka da kuliyoyi. amai, tari, ko yanayin da ke buƙatar ƙarfin kuzari Wannan motsi yana haifar da ɗan gajeren tsayi a matsa lamba na dama.
• Ƙunƙarar Fitar da Jiki na Dama (PVO, stenosis na huhu): Matsi yana ƙaruwa a cikin ventricle na dama, wanda zai iya haifar da matsa lamba na dama ya zama mafi girma fiye da atrium na hagu.
Alamomin asibiti:
Yawancin PFOs baya nuna alamun.
• Rashin haƙuri (gajiya cikin sauƙi yayin motsa jiki) na iya faruwa da wuya.
PFO ne ya haifar da shi paradoxical embolism Wannan matsala ce da ta zama ruwan dare a cikin mutane. Wannan yanayin yana haifar da gudan jini don tafiya daga dama ta dama zuwa atrium na hagu kuma haifar da embolism ga muhimman gabobin kamar kwakwalwa, koda ko zuciya Duk da haka, wannan al'amari yana da wuya a cikin dabbobi kuma an ba da rahotonsa a cikin 'yan lokuta.
Hanyoyin Bincike
1. Echocardiography (Heart Ultrasound)
A cikin ganewar asali na PFO ita ce hanya mafi na kowa kuma daidai. Musamman launi Doppler echocardiographyna iya nuna kwararar jini daga atrium na dama zuwa atrium na hagu. Duk da haka, a wasu lokuta, wannan shunt na iya zama ƙanƙanta wanda ba za a iya gani tare da daidaitaccen echocardiogram ba. Saboda haka, a wasu lokuta, ana yin ƙarin gwaje-gwaje.
• Launi Doppler Hoto: Matsayin jini daga atrium na dama zuwa atrium na hagu, kamar yadda aka gani a cikin echocardiography jet mai launi ana sa ido kamar yadda.
• Sabanin Echocardiography: Ana allurar ƙananan kumfa na iska a cikin jini kuma ana lura da su don ganin ko waɗannan kumfa suna motsawa daga dama zuwa atrium na hagu. Idan kumfa ya motsa zuwa cikin atrium na hagu, a Yana nuna kasancewar PFO.
2. X-ray (Radiography)
• Girman zuciya (cardiomegaly)Yana iya faruwa saboda girman atrium na dama da ventricle na dama saboda PFO.
Duk da haka, X-ray ba ya bayar da wata shaida ta PFO kai tsaye. tantance girman girman zuciya amfani don.
3. ECG (Electrocardiography)
• PFO baya bada wani nuni kai tsaye akan ECG. Duk da haka, dama atrium da kuma dama ventricular girma idan akwai, a kan ECG manyan raƙuman ruwa na P ve QRS axis karkata bayyane.
Hanyoyin Magani
Bukatar magani ga PFO ya dogara da girman budewa da kuma jagorancin da jini ke gudana.
1. Magani
• Asymptomatic PFOsYawancin PFO ba sa buƙatar magani.
• Hawan jini na huhu ko gazawar zuciya ta dama Idan gazawar zuciya ta faru, ana iya amfani da diuretics da sauran magunguna masu tallafawa zuciya.
2. Maganin Tiyata da Rufe Na'urar Tsagewa
• Amplatzer Septal OccluderWannan na'urar na'urar rufewa ce da aka saba amfani da ita a cikin mutane. Ana shigar da ita ta hanyar femoral ko jugular vein kuma tana rufe ovale na foramen har abada.
• Rufe TiyataTiyata na iya zama dole lokacin da ba za a iya amfani da na'urar Amplatzer ba. A lokacin wannan hanya, ana amfani da suture don rufe ovale na foramen. faci amfani.
Tsarin Halitta da Hasashen
• Yawancin karnuka da kuliyoyi, Rayuwa gaba ɗaya ta al'ada tare da PFO.
• Ƙananan PFOs Yawancin lokaci ba ya haifar da bayyanar cututtuka kuma baya buƙatar kowane magani.
• Manyan PFOs, na iya haifar da shunt-dama-zuwa-hagu, wanda a cikin yanayin ana iya buƙatar tiyata ko tsangwama.
Patent foramen ovale (PFO)Yanayi ne wanda gaba ɗaya bashi da lahani kuma asymptomatic a yawancin karnuka da kuliyoyi. Duk da haka, a wasu lokuta, kwararar jinin dama-zuwa-hagu kuma wannan na iya ƙara haɗarin embolism. Binciken PFO, echocardiography ve gwajin bambanci Jiyya ya dogara da girman PFO, jagorancin shunt, da lafiyar dabba gaba ɗaya.
ganewar asali na farko da dubawa na yau da kullunZai iya inganta rayuwar dabbobin ku kuma ya hana rikice-rikice masu tsanani. Ta bin shawarar likitan ku, zaku iya kare rayuwar kare ku ko cat da lafiyar ku.
Wasu Labarun Kuna iya Sha'awarsu
"Mafi tsayin tazara ita ce guguwar fahimta tsakanin tunani biyu."
Yahya Kemal Beyatli
