Mwinamwake palibe mgwirizano weniweni pakati pa awiriwo
Kwa zaka zambiri, akatswiri ambiri adalemba mgwirizano pakati pa mutu wa mutu wa mutu wa migraine komanso patent foramen ovale (PFO) .
Lingaliro limeneli linakhazikitsidwa pamaphunziro oyambirira a maphunziro omwe PFOs amawoneka kuti ndi ofanana kwambiri ndi odwala migraine. Izi zikugwirizana kwambiri ndi PFOs ndi migraines zomwe zinachititsa kuti anthu azikhala ndi chidwi chokhudzidwa ndi matendawa pogwiritsa ntchito zipangizo zotsekemera za PFO kuti athetse odwala matenda a migraine omwe ali ndi PFOs.
Zotsatira zake, mazana kapena mwina zikwi za odwala migraine akhala atatsegula PFOs.
Komabe, tsopano zikuwoneka kuti kutseka kwa PFO sikungowonjezera kusintha kwa migraines, komanso kuti chiyambi choyang'ana kuti PFOs ndizofala kwambiri kwa odwala matenda a migraine zikhoza kukhala zabodza.
Deta Pa Migraine ndi PFOs
Pali maumboni angapo omwe aponyera ndowa yowonongeka pa lingaliro lakuti PFOs imayambitsa migraines, ndipo PFOs yotsekayi imatha kulandira migraines.
Choyamba, zimachitika kuti odwala migraine mwina alibe chiwerengero cha PFO. Phunziro lokhalo lodziwika bwino la anthu poyang'anitsitsa bungweli linatsimikizira kuti odwala matenda a migraine ali ndi chiwerengero chofanana cha PFO monga osagwirizana ndi migraine.
Chachiwiri, iwo omwe amalemba kuti PFOs amachititsa kuti migraine alephera kupereka mfundo yowonongeka yokhudza momwe PFOs ingatulutsire mutu wa mutu wa migraine. Popanda kufotokozera kuti pali mgwirizano pakati pa zikhalidwe ziwirizi, ndipo popanda chidziwitso chothandizira kuti pakhale paliponse, n'zovuta kunena chifukwa chiyanjano cha ubale ndi chifukwa chokha pakati pa awiriwa chinapeza ndalama iliyonse.
Ndipo potsiriza, kuyesedwa kwakukulu, kotheka, kowonongeka koyambitsa matenda (kuyesa kwa MIST), kukonzedwa kutsimikizira kuti PFO kutsekedwa kumapangitsa migraines, kulephera kusonyeza phindu lililonse. Ngakhale kuti mayesero oyang'aniridwa akuyesa kuti akuwonetsa phindu, kufufuza koyendetsa kwa mayesero akalewo kunatsimikizira kuti iwo anali umboni wotsimikizika, ndipo sayenera kugwiritsa ntchito kutsogolera ntchito zachipatala.
Mavuto a PFO Kutseka
Komanso, zipangizo zotseka PFO sizili ndi mavuto ambiri. Zida zimenezi zachititsa kuti thupi likhale ndi mavitamini , mavitamini akuluakulu otsala, omwe amawononga kwambiri PFO, komanso imfa. Kutsekedwa kwa PFO si njira yoti ikhale yosavuta, kapena yogwiritsidwa ntchito "ngati" zingakhale zothandiza.
Mfundo Yofunika Kwambiri
Panthawiyi palibe chifukwa choganizira kuti PFO yothetsera mutu wa mutu wa migraine iyenera kugwira ntchito yoyamba, ndipo palibe deta iliyonse yomwe imasonyeza kuti imagwira ntchito. Makamaka chifukwa cha kusokonezeka kwa njira ya PFO yotsekedwa, mavuto ake, ndi ndalama zake, pakadali pano PFO sichiyenera kugwiritsidwa ntchito pochiza migraines.
Monga wodwala wodwalayo, ichi ndi chokhumudwitsa. Ndikumvetsetsa bwino kuti pali odwala odwala migraine omwe amatsutsa nkhani za momwe PFO imatseketsa mozizwitsa mutu wawo, ndipo ndilibe kanthu koti ndiwauze koma ndikukondwera nawo. Ndidzangowonjezerapo kuti muyezeso wa MIST, odwala omwe anali ndi macatheter anali ndi mwayi wokhala ndi mwayi woterewu ngati omwe anali ndi PFO.
Ndimaona kuti nkhani yonseyi ndi nthawi ina yomwe madokotala anali ndi njira yowonongeka pofunafuna chitsimikizo choti agwiritse ntchito.
Zomwe zimachitika kawirikawiri, iwo adzilolera kuthandizidwa ndi mgwirizano wonyenga pakati pa njira yowonongeka ndi matenda omwe anthu omwe ali ndi vutoli ali osowa kwambiri.
Mtundu uwu wa mankhwala-ndi-chokhumba kuganiza sikuti umangoperekedwa kwa njira yina iliyonse yachipatala. Amakhalanso wamba mu mankhwala enieni, ndipo adzapitirizabe malinga ndi chikhalidwe cha umunthu.
Ndi chifukwa chake mayesero a chipatala adzakhala nthawi zonse.
Zotsatira:
Dowson A, Mullen MJ, Peatfield R, et al. Kugonjetsedwa kwa Migraine Ndi mayesero a STARFlex Technology (MIST): kuyesera, kachipangizo kakang'ono kaŵirikaŵiri, kowonongeka kochititsa manyazi kuti awonetsetse kuti mphamvu ya patent foramen imatsekedwa ndi STARFlex septal repair implant pofuna kuthetsa mutu wosagwira mutu wa migraine. Kuyendayenda kwa 2008; 117: 1397.
Schwedt TJ, Demaerschalk BM, Dodick DW. Patent foramen ovale ndi migraine: zowonongeka zowonongeka. Cephalalgia 2008; 28: 531.
Kurth T, Tzourio C, Wokondedwa MG. Migraine: nkhani ya mtima? Kuyendayenda kwa 2008; 118: 1405.