Patent foramen ovale

Patent foramen ovale (PFO) rami ne tsakanin atria ta hagu da dama (manyan ɗakuna) na zuciya. Wannan rami ya wanzu a cikin kowa kafin haihuwa, amma galibi yakan rufe jim kaɗan bayan haifuwarsa. PFO shine ake kira ramin lokacin da ya kasa rufewa ta ɗabi'a bayan haihuwar jariri.

Hannun fure yana ba da izinin jini ya zaga cikin huhu. Ba a amfani da huhun jariri lokacin da ya girma a cikin mahaifar, don haka ramin ba ya haifar da matsala ga jaririn da ba a haifa ba.

Buɗewar ya kamata ya rufe ba da daɗewa ba bayan haihuwa, amma wani lokacin ba haka ba. A cikin kusan 1 cikin mutane 4, buɗewar ba ya rufewa. Idan bai rufe ba, ana kiran sa PFO.

Dalilin PFO ba a san shi ba. Babu sanannun abubuwan haɗari. Ana iya samun sa tare da sauran larurar zuciya kamar su atrial septal aneurysms ko Chiari network.

Yaran da ke da PFO kuma babu sauran lahani na zuciya ba su da alamun bayyanar. Wasu manya tare da PFOs suma suna fama da ciwon kai na ƙaura.

Ana iya yin echocardiogram don tantance PFO. Idan ba a iya ganin PFO a sauƙaƙe ba, likitan zuciyar zai iya yin "gwajin kumfa." Maganin ruwan gishiri (ruwan gishiri) ana yi masa allura ne a cikin jiki yayin da likitan zuciya ke lura da zuciya a kan duban dan tayi (echocardiogram). Idan PFO ya wanzu, za a ga ƙananan kumfa suna motsi daga dama zuwa hagu na zuciya.

Ba a magance wannan yanayin sai dai idan akwai wasu matsalolin zuciya, alamomi, ko kuma idan mutum ya sami bugun jini sanadiyyar daskarewar jini zuwa kwakwalwa.

Jiyya galibi ana buƙatar hanyar da ake kira catheterization na zuciya, wanda ƙwararren likitan zuciya ke aiwatarwa don ɗaure PFO har abada. Ba a sake amfani da tiyatar zuciya don magance wannan yanayin sai dai idan ana yin wani aikin.

Jariri wanda bashi da sauran lahani na zuciya zai sami lafiya da tsawon rayuwarsa.

Sai dai idan akwai wasu lahani, babu rikitarwa daga PFO a mafi yawan lokuta.

Wasu mutane na iya samun yanayin ƙarancin numfashi da ƙananan matakan iskar oxygen lokacin zaune ko tsaye. Ana kiran wannan platypnea-orthodeoxia. Wannan ba safai bane.

Ba da daɗewa ba, mutanen da ke da PFOs na iya samun ƙarin adadin nau'in bugun jini (wanda ake kira bugun jini na thromboembolic mai rikitarwa). A cikin shanyewar jiki mai rikitarwa, wani daskararren jini wanda ke tasowa a jijiya (galibi jijiyoyin ƙafafu) ya karye ya yi tafiya zuwa gefen dama na zuciya. A ka'ida, wannan gudan zai ci gaba har zuwa huhu, amma a cikin wani wanda yake da PFO, to gudan zai iya ratsa ramin zuwa gefen hagu na zuciya. Hakanan za'a iya fitar dashi zuwa jiki, tafiya zuwa kwakwalwa kuma ya makale acan, yana hana gudan jini zuwa wannan ɓangaren ƙwaƙwalwar (bugun jini).

Wasu mutane na iya shan magunguna don hana daskarewar jini.

Kira mai kula da lafiyar ku idan jaririn ku ya zama shuɗi lokacin da yake kuka ko motsawar hanji, yana da wahalar ciyarwa, ko nuna ƙarancin girma.

PFO; Rashin nakasar zuciya - PFO

• Zuciya - sashi ta tsakiya

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Therrien J, Marelli AJ. Cutar cututtukan ciki na manya. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 61.

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