Cov kev kuaj mob niaj hnub tso cai rau koj kawm txog kev txhim kho cov kab mob ntawm lub sijhawm ntxov tshaj plaws. Qee zaum, tom qab mus ntsib tom tsev kho mob tom ntej, tus kws kho mob qhia cov niam txiv txog qhov muaj lub qhov rais qhib lub qhov rooj hauv tus menyuam, qhov no ua rau lawv poob rau hauv lub xeev ntawm kev ntshai thiab kev ntxhov siab. Nws txaus ntshai npaum li cas thiab yuav ua li cas rau kev kho mob, peb yuav txheeb xyuas hauv kab lus.
Patent foramen ovale yog dab tsi?
Cov lus txhais no txhais tau tias muaj qhov qhib ntawm sab xis thiab sab laug ntawm lub plawv. Qhov no tsis yog ib txwm muaj mob pathological. Ib qho qhib foramen ovale raug xa mus rau hauv ICD-10 raws li atrial septal defect (Q 21.1). Thaum lub sij hawm cev xeeb tub, vim qhov no feature, tus me nyuam yog saturated nrog oxygen, raws li zoo raws li cov ntshav ncig ntawm nws thiab nws niam. Qhov no tshwm sim vim qhov tseeb hais tias lub ntsws thaum lub sij hawm kev loj hlob ntawm fetus ntawm fetus tseem tsis tau ua ib tug ua pa muaj nuj nqi. Qhib foramen ovale nyob rau hauv cov me nyuam moskaw yuav luag tam sim tom qab yug me nyuam los yog tom qab ib lub sij hawm ntawm lub sij hawm. Feem ntau, los ntawm thawj xyoo ntawm lub neej, lub qhov yog overgrown nrog connective thiab cov leeg nqaij. Yog tias qhov no tsis tshwm sim thaum muaj hnub nyoog 2 xyoos, nws tuaj yeem hais txog qhov muaj qhov tsis xws luag ntawm lub plawv. Thaum kuaj pom kab mob ntawm tsib xyoos lossis ntau dua, nws muaj kev nyab xeeb hais tias qhov no yuav nyob mus ib txhis.
Qhib foramen ovale hauv plawv tsis yog qhov tsis xws luag, tab sis yuav tsum tau saib xyuas los ntawm kws kho plawv.
YKev faib tawm ntawm pathology
Kev faib tawm ntawm cov kab mob ntawm lub plawv yog cuam tshuam nrog nws qhov loj me.
- Qhov rai me - muaj qhov ntev ntawm 2-3 hli. Nyob rau hauv rooj plaub no, lawv tham txog kev loj hlob ntawm lub plawv, thiab lub qhov, feem ntau yuav, yuav overgrow tsis muaj teeb meem thiab deviations.
- Medium - qhov loj ntawm 4-7 mm. Yog tias qhov loj ntawm ntau tshaj 7 hli raug kuaj pom, qhov gaping oval qhov rais raug kuaj pom. Kho tau sai.
- Loj - txog 20 mm loj. Tag nrho tsis raug kaw.
Yog vim li cas
Txog hnub no, cov laj thawj ntawm cov kab mob pathology tsis nkag siab tag nrho. Tsuas muaj cov lus qhia txog yam uas yuav pab tau rau nws.
Cov laj thawj pom tseeb tshaj plaws suav nrog:
- phem ib puag ncig thaum cev xeeb tub thiab kev ntxhov siab;
- cawv thiab haus luam yeeb ntawm niam thaum yug menyuam;
- noj tshuaj txhaum cai thaum cev xeeb tub;
- mob plawv tsis xws luag;
- cov ntaub so ntswg dysplasia;
- prematurity.
Nws tshwm sim tias lub qhov rais oval qhib los ntawm kev ua haujlwm ntawm lub cev. Cov pab pawg muaj kev pheej hmoo suav nrog cov neeg ua haujlwm hnyav, cov neeg ncaws pob thiab cov neeg dhia dej, cov neeg mob thrombophlebitis.
Qhib lub qhov rais oval hauv plawv hauv tus neeg laus yog pom tawm tsam keeb kwm ntawm nws qhov kev kaw tsis tiav thaum yau. Cov laj thawj ntawm qhov no tseem tsis tau paub.
Symptoms
Tsis muaj cov tsos mob pom tseeb ntawm kev tsis kaw ntawm lub foramen ovale. Tsuas muaj qee yam cim qhia uas tus kws kho mob tuaj yeem kuaj pom ua ntej. Tab sis, raws li txoj cai, qhov no pathology, tshwj xeeb tshaj yog nyob rau hauv cov neeg laus, yog kuaj tau los ntawm lub caij nyoog.
Cov tsos mob ntawm qhov qhib foramen ovale hauv tus menyuam lub siab suav nrog:
- xiav hauv thaj tsam ntawm daim di ncauj lossis qhov ntswg, uas tshwm sim thaum lub sijhawm thauj khoom - quaj, qw;
- daim tawv nqaij ib ncig ntawm lub qhov ncauj;
- slow weight nce;
- faus;
- kab mob ntau zaus ntawm lub ntsws thiab bronchi.
Cov menyuam yaus thiab cov laus muaj cov cim hauv qab no:
- ua tsis taus pa;
- nrawm nrawm;
- mob taub hau;
- mob ib ce;
- kiv taub hau thiab fainting;
- lub plawv yws.
Nyob rau hauv lub xub ntiag ntawm ib tug loj qhib foramen ovale, cov tsos mob xws li:
- qaug zog thiab qaug zog;
- mob heev;
- daim tawv nqaij xiav txawm thaum so;
- tus me nyuam pib poob qis hauv kev loj hlob ntawm lub cev.
Diagnosis
Nws tsis tuaj yeem kuaj xyuas kab mob thaum lub sijhawm kuaj xyuas. Txhawm rau ua qhov no, yog tias muaj qhov tsis txaus ntseeg ntawm tus kab mob, kev sim ua ntau yam uas yuav pab tsis tau tsuas yog paub meej tias qhov kev kuaj mob, tab sis kuj tseem pom cov qib thiab qhov hnyav ntawm txoj kev loj hlob ntawm pathology.
Kev kuaj mob muaj xws li:
- Kev kuaj ntshav thiab zis.
- qauv thiab tawm dag zog ECG.
- Echocardiography nrog Doppler thiab qhov sib piv nruab nrab. Cov txheej txheem no ua kom pom qhov thiab qhov tsis xws luag hauv lub plawv septum.
- Tsis tshua muaj, tau sau npe transesophageal echocardiography, uas koj tuaj yeem pom qhov loj thiab qhov chaw ntawm lub qhov rais. Tsis tas li ntawd, ntau yam teeb meem (aneurysms, ntshav txhaws) pom thaum lub sijhawm ua haujlwm.
- X-ray.
- Qee zaum MRI thiab CT tej zaum yuav xav tau.
Kev kho mob
Nrog lub qhov rais qhib oval hauv cov menyuam yug tshiab, koj yuav tsum tsis txhob txhawj thiab nrhiav kev kho. Raws li txoj cai, nyob rau hauv ib lub sij hawm luv luv lub qhov kaw thiab overgrows. Thiab feem ntau nws tshwm sim tsis tau xav txog thiab sai sai.
Yog tias lub qhov rais loj txog 7 hli, ces tus kws kho mob saib xyuas nrog kev tshuaj xyuas kom zoo.
Yog tias lub foramen ovale loj dua 7 hli, yuav tsum tau phais. Kev phais mob muaj nyob rau hauv kev coj ib tug catheter mus rau hauv cov hlab ntsha, uas kaw lub qhov rais. Cov tshuaj tua kab mob tau muab tshuaj tom qab ua haujlwm. Koj kuj yuav tsum tau noj cov tshuaj anticoagulants los tiv thaiv cov ntshav txhaws.
Koj tsis tuaj yeem txwv cov menyuam yaus hauv kev tawm dag zog lub cev yog tias tus kws kho mob tau tso cai rau qhov no. Tab sis nws tsim nyog txwv tsis pub thauj khoom uas cuam tshuam nrog kev dhia dej mus rau qhov tob lossis straining.
Koj yuav tsum noj kom raug. Yog tias cov txheej txheem pathological tshwm sim hauv lub cev - kab mob kis kab mob thiab kab mob - lawv yuav tsum tsis txhob tso tseg, vim tias kev kis kab mob tuaj yeem ua rau muaj teeb meem.
Qee zaum cov tshuaj tau sau rau kev mob plawv thiab tiv thaiv thrombosis.
1. Anticoagulants. Cov tshuaj "Warfarin" yog siv dav.
2. Noj tshuaj Aspirin. Cov tshuaj no tau ua pov thawj zoo hauv kev kho mob thrombosis thiab venous insufficiency.
Kev noj zaub mov nrog qhib lub qhov rais ntawm lub siab. Nrog rau tus kab mob no, kev noj zaub mov tshwj xeeb yog pom zoo, nplua nuj nyob hauv magnesium thiab potassium, uas yog qhov tseem ceeb heev rau cov leeg nqaij. Cov khoom haus luam yeeb yuav tsum raug cais tawm ntawm kev noj haus thiab kev noj ntsev yuav tsum txwv. Hloov cov nqaij rog rog nrog cov neeg tsis noj nqaij, thiab tshuaj yej thiab kas fes nrog tshuaj ntsuab decoctions thiab cov kua txiv hmab txiv ntoo tshiab. Dos thiab qej kuj poob siab.
Kev nyuaj siab
Nws tshwm sim tias thaum lub qhov rais oval qhib rau menyuam yaus lossis tus neeg laus, cov ntshav txhaws tau pom, uas, dhau los, tuaj yeem ua rau muaj cov kab mob hauv qab no:
- mob stroke ua rau lub hlwb puas;
- mob plawv;
- pab tsis zoo ntawm lub hlwb;
- raum raum infarction, uas qhov kev tuag ntawm lub cev nqaij daim tawv tshwm sim.
Thaumcirculatory ntshawv siab nyob rau hauv kev ua hauj lwm ntawm ntau yam kabmob thiab lub cev ntawm lub cev yuav ua rau malfunctions.
Kev Tiv Thaiv
Kev tiv thaiv tseem ceeb ntawm qhov tshwm sim ntawm qhov qhib foramen ovale hauv plawv ntawm tus menyuam yuav tsim nyog thaum cev xeeb tub.
- khoom noj kom raug nrog kev txwv tseem ceeb ntawm kev noj haus luam yeeb, ntsim, kib.
- yuav tsum zam qhov chaw raug kis tau.
- Niam niam yuav tsum ua tib zoo saib xyuas nws txoj kev noj qab haus huv, zam kev kis kab mob.
- Txhua yam cwj pwm phem.
- Tsis txhob noj tshuaj uas txwv tsis pub thaum cev xeeb tub.
- Tsis txhob tiv tauj nrog tshuaj.
Yog, txawm li cas los xij, qhov kev kuaj mob tau tsim, ces kev tiv thaiv yuav yog txhawm rau tshem tawm cov teeb meem.
- Ua ntej tshaj plaws, koj yuav tsum tau sau npe nrog kws kho plawv thiab ua txhua yam kev kuaj xyuas tsim nyog.
- Tsis txhob koom nrog kev ua kis las hnyav, khiav, dhia, dhia dej.
- Yuav tsum tau ua kom zoo txhua hnub yog xav tau.
- Yog ua tau, txo tus menyuam kev ntxhov siab thiab ntxhov siab.
- Ua kom noj qab nyob zoo, ua neej nyob, taug kev ntau zaus hauv huab cua ntshiab.
- yuav tsum haus dej kom ntau.
Zaj lus
Lub qhov rais qhib oval hauv plawv ntawm tus neeg laus lossis menyuam yaus tsis tas yuav ua rau muaj kab mob hauv lub cev. Hauv cov menyuam yaus, nws tsuas yog yuav tsum tau saib xyuas ntawm tus kws kho mob, txij li tom qab ib ntus nws tuaj yeem loj hlob. Yog tsis yog notshwm sim, ua tsaug rau kev tiv thaiv kev ntsuas thiab kev ua raws li cov lus pom zoo ntawm tus kws kho mob tuaj koom, kev txhim kho ntawm cov kab mob tuaj yeem tswj tau.
Nws yog ib qho tseem ceeb heev uas yuav tsum nco ntsoov tias kev tiv thaiv tseem ceeb yuav tsum tau ua txawm tias thaum lub sijhawm cev xeeb tub, vim tias nws yog tom qab ntawd tag nrho cov plab hnyuv siab raum thiab lub cev ntawm tus menyuam raug tso.
Qhov nce ntawm cov kev tshawb pom ntawm qhov tsis xws luag yog cuam tshuam nrog cov txheej txheem kuaj mob niaj hnub no. Ntau tus kws kho mob tsis xav txog qhov qhib oval qhov rais yog qhov mob hnyav. Rau ntau tus neeg ncaws pob ua tau zoo, qhov kev kuaj mob no tsis tiv thaiv lawv kom ncav cuag qhov siab tshaj plaws. Qhov tseem ceeb yog kom muaj kev saib xyuas kev kho mob tas li thiab tsis muaj lwm yam kab mob loj.
