Mhlawumbe akukho mhlobo wangempela phakathi kwalababili
Sekuyiminyaka, ochwepheshe abaningi benza ubudlelwane obangela imbangela phakathi kwe- migraine kanye ne- patent foramen ovale (PFO) .
Lo mbono wawusekelwe ezincwadini zokuqala zokubika ukuthi i-PFOs ibonakala ivame kakhulu kubagulayo be-migraine. Lokhu kubambisana okubonakalayo phakathi kwe-PFOs kanye ne-migraines kwaholela ekubeni nomdlandla omkhulu emphakathini wezinhliziyo ngokusebenzisa ama-PFO ukuvalwa amadivaysi ukuze aphathe iziguli ezifudukayo eziphethe i-PFOs.
Ngenxa yalokho, amakhulu noma mhlawumbe izinkulungwane zeziguli ze-migraine ziye zavalwa PFOs.
Kodwa-ke, manje kubonakala ukuthi ukuvalwa kwe-PFO akusebenzi nje ukuhlukumeza ama-migraines, kodwa futhi ukuhlolisisa okuqala ukuthi ama-PFO ajwayelekile kubantu abanezinkinga ze-migraine kungenzeka ukuthi uqobo lwawo lube lubi.
I-Data On Migraine ne-PFOs
Kunezici eziningi zobufakazi manje eziphonsa ingubo yokugcoba emcabangweni wokuthi iPPOs ngandlela-thile ibangele imishanguzo, nokuthi i-PFO yokuvala ingaphatha imishanguzo.
Okokuqala, kuvela ukuthi iziguli ezine-migraine cishe ayinayo i-PFO. Ucwaningo olwenziwe ngokucophelela olwenziwe ngabantu ngokubheka inhlangano luphetha ngokuthi abahlukumezekile be-migraine banezilinganiso ezifanayo ze-PFO njengabantu abangenalo i-migraine.
Okwesibili, labo ababeka ukuthi ama-PFO angabangela ukuba imishanguzo ingakwazi ukunikeza inkolelo ephoqelekile yokuthi iPOO ingaveza kanjani ikhanda le-migraine kuqala. Ngaphandle kokubambisana okubalwa ngezibalo eziphakathi kwezimo ezimbili, futhi ngaphandle kwemfundiso ecacile yokuthi kungani kungase kube khona, kunzima ukusho ukuthi kungani umqondo wobuhlobo obangela imbangela kanye nomphumela phakathi kwababili uzuze noma yimaphi imali.
Futhi ekugcineni, isilingo esikhulu somtholampilo (esivivinyweni se-MIST), esikhulu, esizayo, esenzelwe ukufakazela ukuthi ukuvalwa kwe-PFO kuthuthukisa i-migraines, kuhlulekile ukubonisa noma yikuphi ukuzuzisa. Ngenkathi ukuhlolwa kokuqala kokuhlola kuboniswa ukuthi kubonisa inzuzo, ukubuyekezwa okuhlelekile kwalokhu kuvivinywa kwangaphambili kwaphetha ngokuthi babebufakazi obuncane, futhi akufanele kusetshenziselwe ukuqondisa umkhuba wokwelashwa.
Izinkinga zokuvalwa kwe-PFO
Ngaphezu kwalokho, amadivaysi okuvala i-PFO ayenazo izinkinga ezibalulekile. Lawa madivaysi abangele ukufabulisa kwe-atrial , i- thrombus enkulu ye- atriyali engakwesokunxele, ukuwohloka okwedlulele kwe-PFO, ngisho nokufa. Ukuvalwa kwe-PFO akuyona indlela okumele ithathwe kalula, noma okumele isetshenziswe "uma kwenzeka" kungaba usizo.
Okubalulekile
Ngalesi sikhathi asikho isizathu esincane sokuthi ukuvalwa kwe-PFO yokuphatha ikhanda le-migraine kufanele kusebenze okokuqala, futhi akukho idatha yanoma yiluphi uhlobo olubonisa ukuthi lusebenza. Ikakhulukazi ngenxa yokungahambi kahle kwenqubo yokuvalwa kwe-PFO, izinkinga zayo, kanye nezindleko zayo, ngalesi sikhathi ukuvalwa kwe-PFO akufanele kusetshenziselwe ukwelapha imishanguzo.
Njengomuntu ohlukumezekile, lokhu kuyadumaza. Ngiyaqonda ngokugcwele ukuthi kukhona abangaphezu kwabambalwa abahlukumezekile abaphethe izindaba eziphoqelela ukuthi ukuvalwa kwe-PFO kunciphisa kanjani ikhanda labo, futhi anginakho lutho kimi ngaphandle kokuthi ngiyajabula ngakho. Ngizofaka nje kuphela ukuthi esilingo se-MIST, iziguli ezinezinhlelo zokukhwabanisa zikwazi ukuzwa lolu hlobo lwenzuzo ehlabayo njengalabo ababenokuvala i-PFO.
Ngombono wami, lesi siqephu sonke singesinye isenzakalo lapho iqembu labodokotela abanenqubo entsha epholile befuna inkomba yokuyisebenzisa.
Njengoba kwenzeke kaningi, bavuma ukuba bathathe inhlangano yokuzihlambalaza emkhatsini wenqubo yabo entsha epholile kanye nesimo sezokwelapha esivamile abagulayo nabo njengabadangele njengoba kunjalo.
Lolu hlobo lwezokwelapha-ngoku-okufisa ukucabanga alukhawulelwanga kwenye indawo yonke imithi. Kubuye kutholakale nemithi "yangempela", futhi izophikelela uma nje umuntu enza.
Yingakho ukuvivinywa komtholampilo kuzohlale kudingekile.
Imithombo:
UDowson A, Mullen MJ, uPeatfield R, et al. Ukuvivinya kwe-Migraine Nesilingo se-STARFlex Technology (MIST): isilingo esilindelekile, esiningi kakhulu, esingaba yimpumputhe, esilawulwa ngamanyala ukuhlola ukusebenza kwe-patent foramen ukuvalwa kwe-ovalle ne-STARFlex septal yokufakelwa ukufakela ukulungisa ukukhanda ikhanda lokuguquka kwe-migraine. Ukujikeleza ngo-2008; 117: 1397.
I-Schwedt TJ, i-Demaerschalk BM, i-Dodick DW. I-patent foramen ovale ne-migraine: ukubuyekezwa okuhleliwe okuhlelekile. I-Cephalalgia 2008; 28: 531.
U-Kurth T, u-Tzourio C, uBousser MG. I-Migraine: indaba yenhliziyo? Ukujikeleza ngo-2008; 118: 1405.