Dheecaanku wuxuu ka caawin karaa baaritaanka
Daraasad xajmi ah waa tijaabo aan loo baahnayn oo u ogolaanaya dhakhaatiirta inay qiimeeyaan socodka dhiigga wadnaha. Caadi ahaan waxaa loo isticmaalaa iyada oo la socota echocardiogram (taas oo ay dhacdo in dhakhtarradu badanaa u yeeraan "fejignaanta echocardiography,") ama daraasad isdaba- marin Doppler (TCD) . Daraasad badan oo la sameeyo ayaa badanaa lagu sameeyaa marka sheyga loo yaqaan 'Pattern' (PFO) looga shakisan yahay.
Sidee Daraasad Kumbuyuutarku Loo Qaadanayo
Daraasadu waxay ka faaiidaysanaysaa xaqiiqda ah marka mowjadaha dhawaaqa ay la kulmaan noocyo kala duwan oo warbaahinta jirka ah - kiiskan gaaska iyo dareeraha - waxay ku sii faafaan meelo badan, oo abuuraan "hirar hir". .
Daraasadda caadiga ah ee xajmiga, xal salineed ayaa si xoogan loo ruxay si ay u soo saaraan goobooyin yar yar kadibna lagu duro xidid. Maaddaama xumbadu ay u socdaan xididka iyo dhinaca midig ee wadnaha, cufnaanta sii kordheysa ee ay soo saartaan sawirrada echocardiography waxay u ogolaaneysaa dhakhtarka inuu si dhab ah u daawado naqaska wareegga qolalka wadnaha.
Haddii wadnuhu uu si caadi ah u shaqeeyo, naqaska waxaa lagu arki doonaa galalka saxda ah, ka dibna saxarada saxda ah, ka dibna ka soo bixida halbowlaha sambabada iyo sanbabada, halkaasoo laga saaro wareegga wareegga.
Si kastaba ha noqotee, haddii goobooyinka loo arko in ay galaan dhinaca bidix ee wadnaha, tani waxay muujinaysaa in uu jiro furan aan caadi ahayn oo u dhaxeeya labada dhinac ee wadnaha - oo loo yaqaan 'intracardiac shunt'.
Nooca noocan ah ee loo yaqaan "intracardiac shunt" ayaa la soo saari karaa, tusaale ahaan, PFO, cilladda septal atrial , ama cillad septal ah.
Xilligan, qaababka ganacsiga ee "xumbo" ayaa diyaar u ah in la isticmaalo inta lagu jiro daraasado badan. Sumeeyayaashan cusub waxay badanaa ka koobanyihiin borooti yaryar ama fosfolipid oo gaas gareeya. Wakiiladan cusub waxay u muuqdaan kuwo badbaado leh, waxaana ay ku siin karaan sawir wanaagsan oo ku habboon xaaladaha qaarkood. Si kastaba ha noqotee, waxay si weyn uga qaalisan yihiin xal salineed oo gariiraya.
Daraasado badan oo loogu talagalay Patent Foramen Ovale
Sababta ugu badan ee lagu sameeyo daraasad xumbo waa inay raadiso PFO. Daraasaddan, marka xumbooyinka lagu duro xididka, bukaanka ayaa laga codsanayaa in uu sameeyo manuure valsalva (taas oo ah, sida hoos u dhaca dhaqdhaqaaqa mindhicirka).
Manhajka valsalva wuxuu si joogto ah u kiciyaa cadaadiska dhinaca midig ee wadnaha, sidaas darteed haddii haddii PFO la joogo, naqaska waxaa badanaa la arki karaa galaya qulqulka bidixda. Kabuubyada muuqda ee bidixda bidix inta lagu jiro baaritaanka ayaa xaqiijinaya jiritaanka PFO.
Sababta ugu weyn ee dhakhaatiirtu uga walwalaan PFO waa suurtagalnimada in ay u oggolaan karaan xinjiro dhiig ah in ay u gudubaan dhinaca bidix haddii wadnaha, meesha uu ku dhici karo wareegga maskaxda oo uu soo saaro istaraatiijka Embolic .
Nasiib wanaag, halka PFOs ay aad u badan yihiin (kudhaca illaa 25% dadka waawayn), waxay u horseedaan in ay marmar dhif u ahaato.
Sidaas awgeed, iyadoo daraasad xiisa leh ay xaqiijineyso jiritaanka PFO, uma sheegi doono dhakhtarka aad u badan ee ku saabsan istaroogga.
Khabiirada intooda badani waxay u maleynayaan in habka ugu wanaagsan ee lagu ogaan karo in PFO ay u badan tahay in uu soo saaro istaroog waa in la sameeyo daraasad Doppler ah oo ku salaysan daraasad badan.
Daraasad TCD ah, farsamooyin dheeri ah ayaa loo adeegsadaa in lagu arko xumbo socdaalaya iyada oo la marayo weelasha dhiigga ee maskaxda. Daraasadda TCD waxay ogaan kartaa in xumbado lagu duro xidid-yarida ay dhab ahaantii gelayaan wareegga maskaxda. Haddii ay sidaas tahay, PFO waxay u muuqataa in ay u badan tahay inay kordhiso khatarta istaroogga, dhakhtarkuna wuxuu u badan yahay inuu kugula taliyo daaweynta xinjirowga lidka ku ah , ama, haddii uu istaroog horay u dhaco, laga yaabee in qaliinka laga xiro PFO.
> Ilo:
> Mulvagh SL, Rakowski H, Vannan MA, iyo al. Bulshada Maraykanka ee Qorshaha Heshiiska Echocardiography Consensus ee ku saabsan Isticmaalka Isticmaalka Xaaladaha ee Aaladaha Ultrasound-ka ee Echocardiography. J Am Soc Echocardiogr 2008; 21: 1179.
> Romero JR, Frey JL, Schwamm LH, et al. Dhacdooyinka Isku-buuqida Isku-dhafka ah ee la xidhiidha 'Study a Bubble' oo loogu talagalay Aqoonsiga Xuquuqda Laga Saaro. Stroke 2009; 40: 2343.
> Parker JM, Weller MW, Feinstein LM, et al. Badbaadada Wakaaladaha Qalabaynta Ultrasound ee bukaan-socodka leh Shucukada Wadnaha ee la yaqaan ama lagu tuhunsan yahay. Am J Cardio 2013; 112: 1039.