Foramen Patent ovale emntwaneni - kudala inkxalabo?

Vula window elimbhoxo sosana imbobo ekudibaneni atrial, nto leyo eye isivingco lebhokisi imithambo ekhohlo nasekunene ebudeni bobomi intrauterine umntwana. Ngokwesiqhelo, le window uyawavala emva kokubeleka, kodwa ngamanye amaxesha le nkqubo ilibazisekile. Le meko yenza abazali ukukhathazeka nexhala.

Yintoni na lomenzi foramen ovale olungekazalwa?

Isibakala sokuba osadaleka xi ekunene atrial mkhulu ekhohlo. Oku kukhokelela ekubeni ukukhutshwa igazi kwenzeka ukusuka ekunene ukuya ekhohlo, ukuqinisekisa ithombo legazi ukuya ventricle ekhohlo. Kwimeko apho kukho i window yokuvala kwithuba leenyanga ezintathu yokuqala, oku kungakhokelela ekubeni uphuhliso esi sifo njengentliziyo hypoplastic ekhohlo.

Kwizigaba ezilandelayo enobubanzi laneleyo kungakhokelela ukuba sindisa intliziyo ekunene, nto leyo inokukhokelela uqhushululu imasikizi kweli kuphuhliso ndingekazalwa, kwaye maxa wambi nokufa. Ngoko ke, i ebanzi ovale lomenzi foramen yenzelwe ukuqinisekisa unikezelo igazi kummandla brachiocephalic kwaye kubalulekile ukuba ekukhuleni ngokukhawuleza ebuchotsheni. Ngamanye amaxesha ukuba i window kubhidaniswe siphene atrial septal. Nakuba kunjalo, kufuneka siqonde abazoba abazali ukuba umahluko engundoqo phambi vana, bagqume intendelezo ukusuka kwicala lasekhohlo. Ngokuqhelekileyo, phambi kwayo kuyimfuneko.

Emva kokuba umntwana ezelwe kwaye yenza ukukhala yokuqala, imiphunga zakhe ayinakolulwa. Oku kukhokelela ekwandeni elibukhali kwi flow kwegazi. Xi ukunyuka intendelezo ngasekhohlo, nto leyo ekhokelela ukuba kuvalwe ovale foramen. Ngamanye amaxesha, xa kungekho kweenkqubo lwezidumbu, lomenzi foramen ovale luvalwa nge isithuba seenyanga ezimbini ukuya kunyaka.

Olu phawu lafunyanwa kwinkqubo ndiphulaphule yeSkrini intliziyo njengoko lomenzi foramen ovale ntonje unobangela kwentliziyo izandi. Ukuze uqinisekise uxilongo wezingane inokuthunyelwa kwi ECG kunye ultrasound zentliziyo.

Kutheni maxa wambi oku ukuvala i window?

Noko ke, kwezinye iimeko, wokuvala akuthethi kwenzeka ebudeni beli xesha. Patent foramen ovale ifumaneka-50 ekhulwini abantwana abangaphantsi kweminyaka emihlanu ubudala ne-10 ekhulwini abantu abadala. Kulo mzekelo, oku akuyiphazamisi umsebenzi entliziyweni kuphela kwiimeko ezinqabileyo zifuna songenelelo ngugqirha. Ngoko ke, kukho window ivulekile kwiintsana hayi Oku kubangela inkxalabo.

Noko ke, akukho mfuneko yokuba bangawutyesheli imeko, kufuneka ngakumbi sihlolisise lo mntwana, kuba loo nto ngamanye amaxesha kunye nokuphefumla ukubandezeleka syndrome (usulelo lung). Kwezinye iimeko, ukuvalwa umngxuma akwenzeki kunye malformations bekhubazekile, ebe sisiphumo ndisolulela iindonga imithambo. Kuzakubangela isenokuba ukubakhona kwezifo ezifana dysplasia nokuqina kunye embryopathy utywala.

Ukongeza, ubukho ityhile PFO kunokubangela uphuhliso Embolism ngamazwi. Kulo mzekelo, emboli (amasuntswana ecikizekileyo, iintsholongwane, amaqamza igesi) ukuba kwenzeka intendelezo ekunene, kusichukumisa kungena kwicala lasekhohlo kwentliziyo. Ukuba kwixesha elizayo baya kungena ingqondo, oko kunokubangela nemiphumela emibi kakhulu, kuquka stroke. Ngoko ke, kubalulekile ukuba ukuhlola umntwana, yaye nexesha elichithwa ukunyanga isifo sentliziyo kuya kukunceda ukuze asindise ubomi bakhe.