Patent foramen ovale ari mwana - chikonzero chokunetseka?

Open denderedzwa hwindo iri achangoberekwa buri atrial septum, iro rine vharafu unobatanidza kuruboshwe uye zvakarurama atria panguva intrauterine upenyu mwana. Kazhinji, hwindo ichi rinogumisa pashure pokuberekwa, asi dzimwe nguva izvi zviri kunonoka. ezvinhu Izvi zvinoita vabereki mwoyo uye vashatirwa.

Ko bvumidzwa foramen ovale kuti azvarwa?

Chokwadi chokuti mudumbu zvakarurama atrial kumanikidzwa mukuru kuruboshwe. Izvi zvinotungamirira ndechokuti akabuda ropa kunoitika kubva kurudyi kuenda kuruboshwe, nokudaro akazadzisa aibuda ropa ventricle kuruboshwe. Kuri kuti pane hwindo vachikomba wokutanga trimester, zvinogona kukonzera kukura chirwere ichi sezvo mwoyo hypoplastic kuruboshwe.

At akazotevera zvokukura kukwana dhayamita kungaita kuti zadzisa rwerudyi mwoyo, izvo zvingaita kuti zvakakomba kuvhiringidzika kukura ari mudumbu, uye dzimwe nguva rufu. Naizvozvo, munhu yakafara bvumidzwa foramen ovale zvinoshanda inonzi ropa Kusasvika brachiocephalic nharaunda uye kunokosha kuti nokukurumidza kuibvisa wouropi. Dzimwe nguva ane hwindo kuvhiringidzwa atrial septal urema. Zvisinei, vanotarisira vabereki vanofanira kunzwisisa kuti musiyano mukuru uri pamberi vharuvhu, kufukidza atrium kubva kurutivi rworuboshwe. Kazhinji, ayo kuvapo kunokosha.

Mushure mwana azvarwa uye anoita wokutanga kuchema, mapapu ake anombotwasanudza. Izvi zvinotisvitsa unopinza kuwedzera ropa riyerere. The nevamwe kuruboshwe atrium kuwedzera, zvinoita kuti kuvhara zviri foramen ovale. Dzimwe nguva, pasina pathological urongwa, bvumidzwa foramen ovale anovhara ari kumwedzi kwemwedzi miviri kusvikira pagore.

Nyaya iyi inowanikwa muitiro kuteerera stethoscope mwoyo sezvo bvumidzwa foramen ovale kazhinji mhaka mwoyo kurira. Kuzosimbisa chirwere kwachiremba wevana inogona atumwa ECG uye Ultrasound mwoyo.

Sei dzimwe nguva haavhariri hwindo?

Zvisinei, mune zvimwe zviitiko, mukuvhara hakuiti kuitika panguva iyi. Patent foramen ovale unowanikwa 50 muzana yevana pasi makore mashanu uye 10 muzana yevanhu vakuru. Muchiitiko chino, haina kuvhiringidza basa mwoyo uye chete zvisingawanzoitiki zviitiko zvinoda kupindira chiremba. Naizvozvo, kuvapo yakazaruka hwindo vacheche kwete Zviri chikonzero chokunetseka.

Zvisinei, hazvina zvakafanira kuregeredza mamiriro ezvinhu, vanofanira zvakare kuongorora mwana, nekuti chokwadi ichi dzimwe nguva pamwe kufema nenhamo syndrome (zvemapapu chirwere). Mune zvimwe zviitiko, gomba mukuvhara hazvibviri pamwe vachiberekwa malformations, waiva mugumisiro Munotatamura pamasvingo atria. Uyewo kunokonzera angava kuvapo kwezvirwere zvakadai connective dysplasia uye doro embryopathy.

Mukuwedzera, kuvapo kufukidzwa PFO anogona kukura gangaidzo embolism. Muchiitiko chino, emboli (yakaisvonaka inoramba, mabhakitiriya, gasi matema) kuti kuitika zvakarurama atrium, unogona kupinda mumba parutivi mwoyo rworuboshwe. Kana mune ramangwana vachagara kupinda uropi, zvinogona kukonzera dzakakomba zvikuru nemigumisiro, kusanganisira sitiroko. Naizvozvo, zvinokosha kuongorora mwana, uye nguva aipedza Mabatirwo mwoyo chirwere kuchabatsira kuti aponese upenyu hwake.