Mhlawumbi akukho mhlobo onyanisekileyo phakathi kwababini
Kwiminyaka, iingcali ezininzi zenza ubuhlobo kunye neziphumo phakathi kwe- migraine ikhanda kunye ne- patent foramen ovale (PFO) .
Le ngcamango isekelwe kwiingxelo zokuqala zengxelo yokuba ii-PFO zibonakala ziqhelekileyo kwi-migraine abanezifo. Lo mbutho obonakalayo phakathi kwe-PFOs kunye ne-migraines ngokukhokelela kukhokelela kwintlalo eninzi kwiindawo zezilwanyana zokusebenzisa izixhobo zokuvalwa kwe-PFO ukuphatha izigulane ze-migraine ezine-PFOs.
Ngenxa yoko, amakhulu okanye mhlawumbi amaagulane e-migraine aye avaliwe i-PFOs.
Nangona kunjalo, ngoku kuvele nje ukuba ukuvalwa kwe-PFO kungaphumeleli ekuphuculeni i-migraines, kodwa kwakhona ukubonwa kwangokoqobo ukuba i-PFOs ixhaphake kakhulu kwi-migraine abanezifo mhlawumbi ngokwabo.
Idata kwiMigraine ne-PFOs
Imiba emininzi yobungqina ngoku iphosa ingubo ebomvu kwiingcamango zokuthi i-PFOs zibangele i-migraines, kwaye ukuba ii-PFO zokuvala ziyakwazi ukuphatha imigraines.
Okokuqala, kuvela ukuba izigulane ezine-migraine mhlawumbi ayinayo ukwanda kwe-PFO. Uvavanyo olulodwa olwenziwe ngokucophelela olwenziwa ngokubalulekayo ukuba lujonge iqumrhu lugqiba ukuba abantu abanesifo sengqondo sabantu abanesifo esifanelekileyo banesiganeko esifanayo se-PFO njengabantu abangenalo migraine.
Okwesibini, abo bachaza ukuba ii-PFOs zinokubangela ukuba i-migraines ayinakukwazi ukunikela ingcamango enyanzelisayo malunga nendlela i- PFO inokuvelisa ngayo i-headaches migraine kwindawo yokuqala. Ngaphandle kobudlelwane obonakalisiweyo oboniswe phakathi kwezi zimbini, kwaye ngaphandle kweengcamango ezicacileyo malunga nokuba kutheni kubekho enye, kunzima ukusho isizathu sokuba ubudlelwane bebangela kunye nefuthe phakathi kwababini bafumana nayiphi na imali.
Kwaye, ekugqibeleni, ilingo elikhulu, elilindelekileyo, elilindelekileyo lonyango lonyango (i-trial MIST), eyenzelwe ukubonisa ukuba ukuvalwa kwe-PFO kuphucula i-migraines, kwahluleka ukubonisa nayiphi na inzuzo. Nangona iilingo zangaphambili zembonakalo zifunyenwe ukubonisa inzuzo, ukuphononongwa ngokulandelelanayo kwezi zilingo zangaphambili kwagqitywa ukuba babe bubungqina obuncinane, kwaye akufanele kusetyenziswe ukukhokela isenzo sekliniki.
Iingxaki zokuvalwa kwe-PFO
Ngaphezu koko, izixhobo zokuvalwa kwe-PFO azikho iingxaki ezinzima. Ezi zixhobo ziye zabangela i-fibrillation ye-atrial , enkulu i-antiretrovirus i- thrombus , okwenyukayo ngakumbi kwe-PFO, kwanokufa. Ukuvalwa kwe-PFO akuyiyo inqubo ekufuneka ithathwe ngokulula, okanye enye isetyenziswe "xa kwenzeka" inokuba luncedo.
Ngaphantsi
Kule ndawo akukho isizathu esicingayo sokuthi ukuvalwa kwe-PFO yokuphatha i-migraine ikhanda kufuneka kusebenze kwindawo yokuqala, kwaye akukho datha yiphina impawu ebonisa ukuba isebenza. Ngokukodwa ngokubhekiselele kwimeko enokungeniswa kwenkqubo yokuvalwa kwe-PFO, iingxaki zayo kunye neendleko zayo, ngeli xesha ukuvalwa kwe-PFO akufanele kusetyenziswe ekuphatheni i-migraines.
Njenge-migraine ndelayo mna, oku kudidekile. Ndiqonda ngokucacileyo ukuba kukho abangaphezu kwabambalwa abathintekayo abachaphazelekayo abanamacandelo anyanzelisayo malunga nendlela yokuvalwa kwe-PFO ngokukhawuleza yanciphisa intloko yabo, kwaye andinanto yokuthetha kubo ngaphandle kokuba ndivuya ngayo. Ndiza kwongeza nje ukuba kwimeko yesilingo se-MIST, izigulane ezineenkqubo zentambo ye-catheter zenzeka nje ukuba zifumane lolu hlobo lwenzuzo enqamlekileyo njengabo babenokuvalwa kwe-PFO.
Ngokombono wam, eli qhekeza linye iimeko apho iqela loogqirha abanalo inkqubo entsha epholileyo bekhangela ngokukhawuleza isibonakaliso sokuyisebenzisa.
Njengoko kwenzeka njalo, bavunyelwe ukuba bathathwe ngumbutho onobuqhetseba phakathi kwenkqubo yabo entsha epholileyo kunye nesifo sengqondo esivamile abaxhatshazwayo bafana nokuxhomekeka.
Olu hlobo lonyango-ngoku-nqwenela ukucinga alukhawulelwanga kwindalo yendalo. Kuqhelekileyo kwiyeza "langempela," kwaye liya kuqhubeka ngokukhawuleza nje ngokuba umntu wenza ntoni.
Yingakho iilingo zekliniki ziza ku funeka zihlale ziyimfuneko.
Imithombo:
UDowson A, uMunlen MJ, uPeatfield R, et al. Ulwalamano lwe-Migraine kunye novavanyo lwe-STARFlex Technology (MIST): ityala elilindelekileyo, elisezantsi, elingu-blind-controlled control, eliza kuhlola ukuphumelela kwe-patent foramen ukuvalwa kwe-ovale kunye ne-STARFlex yokupakisha kwe-septal ukufakela ukulungisa isicatshulwa se-headaches. Uhambo luka-2008; 117: 1397.
Schwedt TJ, iDemaerschalk BM, Dodick DW. I-Patent foramen ovale kunye ne-migraine: uhlolo lokuhlalutya lwenkqubo. Cephalalgia 2008; 28: 531.
UKurth T, iTzourio C, uBousser MG. Migraine: umcimbi wentliziyo? Uhambo luka-2008; 118: 1405.