Zvichida hapana ushamwari chaiyo pakati pezviviri
Kwemakore, nyanzvi dzakawanda dzakagadzirisa chinokonzera-uye-simba ukama pakati pemigraine musoro uye patent foramen ovale (PFO) .
Iyi pfungwa yaive yakavakirwa pane zvidzidzo zvekutanga zvekuti PFOs inoratidzika kuva yakajairika kune avo vanorwara. Izvi zvakaratidza kushamwaridzana pakati pe PFOs uye migraines zvakabva zvaita kuti vanhu vafarire zvikuru munharaunda yevanhu vane masimba ekushandisa mapovha ekuvhara PFO kubata varwere vane migraine vane PFOs.
Somugumisiro, mazana kana zvichida zviuru zvemagraine varwere vane PFOs yavo yakavharwa.
Zvisinei, ikozvino zvinoonekwa kuti kwete chete kugadziriswa kwe PFO kunokundikana kugadzirisa migraines, asiwo kutarisa kwepakutanga kuti PFOs inowanikwa kune avo vane zvirwere zvemigraine zvingangove yakashata.
The Data On Migraine uye PFOs
Mitsara yakawanda yehuchapupu iye zvino yakanda chigadziro chemvura pane pfungwa yokuti PFOs inokonzera migraines, uye kuti PFO dzinopedza dzinogona kubata migraines.
Kutanga, zvinowanzoitika kuti varwere vane migraine zvichida havana huwandu hwePPOO. Izvo chete zvakanyatsogadziriswa-zvakaitwa nevanhu vanoverengeka kuti vatarise sangano rakagumisa kuti varwere vane migraine vane tsanangudzo imwechete ye PFO sevasina migraine vanotambura.
Chechipiri, avo vanotaura kuti PFOs inogona kukonzera migraines vave vasina kukwanisa kupa mhirizhonga yekuti PFOs inogona sei kubvisa migraine misoro pakutanga. Pasina kuenzanirana kuenzanirana pakati pemamiriro maviri aya, uye pasina chikonzero chinonyatsojeka chekuti nei paine imwe, zvakaoma kutaura kuti nei pfungwa yechikonzero-uye-chekama ukama pakati pevaviri vakambowana chero mari ipi zvayo.
Uye pakupedzisira, iyo huru, inotarisirwa, inotarisirwa kuongororwa kwekliniki (mutezo weMIST), yakagadzirirwa kuratidza kuti PFO yekuvhara inovandudza migraines, yakakundikana kuratidza chero kubatsirwa. Nepo pakutanga kwekuongorora miedzo yakaratidza kuti inoratidza kubatsirwa, kuongororwa kwakagadziriswa kwekuongororwa kwemiedzo yapfuura yakagumisa kuti vakave uchapupu huri pasi, uye haufaniri kushandiswa kutungamirira chirongwa chekliniki.
Zvinetso zvePFO Kuvhara
Uyezve, mafaira ekuvhara PFO haasi asina matambudziko makuru. Izvozvi zvigadzirwa zvakakonzera hutachiona hwemagetsi , hukuru huri kuruboshwe hutachiona hwetrial , kunyanya kuwedzera kwe PFO, uye kunyange rufu. PFO yekuvhara haisi iyo nzira inofanira kutorwa zvishoma, kana imwe inofanira kushandiswa "kana" ingangobatsira.
The Bottom Line
Panguva ino pane chikonzero chiduku chokufungidzira kuti PFO yekuvharwa kwekutora migraine misoro inofanira kushanda munzvimbo yekutanga, uye hapana dhidhiro yehupi hupi hunoratidza kuti hunoshanda. Kunyanya mukuda kwemaitiro asina kuvhiringidzika ekugadziriswa kwe PFO, zvinetso zvaro, uye mari yazvo, panguva ino kuvharwa kwe PFO hakufaniri kushandiswa pakurapa migraines.
Sezvo munhu ane hanya neni, izvi zvinonyadzisa. Ndinonzwisisa zvakakwana kuti pane vanopfuura vashomanana vane migraine vanotambudza nyaya pamusoro pekuti kupfigirwa kwePFO kunoshamisa sei kuderedza misoro yavo, uye handina chinhu chandingavaudza kunze kwekuti ndiri kufara nekuda kwayo. Ndichingowedzera chete kuti mumutambo weMIST, varwere vaiva nemaketani emaketani vaingova nemukana wekuwana rudzi urwu rwekubatsira kunofanana neavo vane PFO chaiyo yakavharwa.
Mune maonero angu, izvi zvose zviitiko ndeimwe chiitiko apo boka rechiremba raive nehutano mutsva yakatsvaga zvakatsvaga chimiro chekushandisa.
Sezvakaitika nguva dzose, vakazvibvumira kuti vatakure nechisungo chakanaka pakati pekugadzirisa mutsva mutsva uye chirwere chinowanzobatwa nevanorwara vanorwara zvakangoita sezvavari.
Mhando iyi yemishonga-ne-inofungidzira kufunga haisi kure kune imwe nzira yemishonga inoshandiswa. Iyo inowanzonziwo mu "mushonga chaiwo", uye inoramba ichitsungirira chero bedzi sevanhu vanoita.
Ndicho chikonzero chiyero chemakiriniki chichagara chiripo.
Sources:
Dowson A, Mullen MJ, Peatfield R, et al. Kugadziriswa kweMigraine Ne STARFlex Technology (MIST) muedzo: unotarisira, hukuru, huviri-bofu, sham-controlled-test trial kuongorora kubudirira kwepentent foramen kuvhara ovalle ne STARFlex septal repair implant kugadzirisa refractory migraine musoro. Circulation 2008; 117: 1397.
Schwedt TJ, Demaerschalk BM, Dodick DW. Patent foramen ovale uye migraine: kuwanda kwehutano hwekuongorora. Cephalalgia 2008; 28: 531.
Kurth T, Tzourio C, Mushandi MG. Migraine: nyaya ye mwoyo? Circulation 2008; 118: 1405.