Young people repeatedly cerebral embolism, and the ovarian round hole is not closed.

Zhengzhou People's Hospital Wang Xiaojing

Xiaomei is a senior white -collar worker. She has a flourishing work performance and has a bright future. She has occurred three times in the past two years.

The first two times fainted as soon as the plane landed. After waking up, Xiaomei thought he might be too tired and didn't take it seriously.

After being taken to the hospital for the third time, the examination showed that there were many infarction stoves in the brain, and the lesions were new and old. The doctor judged that cerebral embolism occurred many times.

Xiaomei is young at a young age without hypertension, diabetes, and bad habits.

Ovarian hole is not closed is one of the causes of cerebral embolism

At the doctor's suggestion, Xiaomei performed an ultrasound, and the result reminded her to suffer from bilateral lower extremity venous thrombosis and the oval hole was not closed.

After consultation with experts, confirming that the ovarian hole was closed is the main cause of Xiaomei repeated cerebral embolism.

The ovarian hole is a crack -like channel between the heart of the heart. It is a necessary life channel for the fetus in the mother's uterus. Generally, it is naturally closed within 1 year after birth.

If the egg round hole is still open after 1 year old, it is called the ovarian hole.

Statistics show that 15%to 20%of human egg round holes are in an unclean state.

Cerebral embolism is often referred to as cerebral thrombosis, mainly because the cerebral arterial blood vessels are blocked by thrombus, causing remote blood flow to decrease or lack, causing the corresponding regional brain tissue ischemia and necrosis, and then a series of limb and language dysfunction.

Elderly people often cause arteriosclerosis and plaques to fall off due to hypertension and diabetes, which in turn causes ischemia.

Young cerebral embolism patients are often unknown. Modern medical research shows that the non -closing of the oval hole may be one of the reasons why young people suffer from cerebral embolism and migraine.

The cardiovascular system is divided into left heart and right heart system. The venous blood of the limbs flows into the right heart, enters the lung circulation to absorb oxygen, and then enters the left heart. Provide oxygen for surrounding tissues to ensure normal life activities.

Under normal circumstances, the thrombosis in the venous blood will be filtered when the lung capillaries reach the lung capillaries, and they will not enter the left heart to reach the cerebral artery and surrounding tissue.

However, when the oval hole is not closed, the thrombus in the peripheral vein blood will return to the right heart. When the right heart pressure such as cough and sneezing suddenly rises, the thrombosis may pass through the ovarian hole, reach the left heart from the right heart, enter the brain, enter the brain, enter the brain, and enter the brain. The artery and peripheral arteries cause embolism, which is why Xiaomei fainted with frequent cerebral embolism.

In addition, sedentary can easily cause blood stasis of the lower limbs to form thrombosis. Especially in the case of airplane and cars for a long time, the lower limbs keep it for a long time and can easily form venous thrombosis.

The thrombosis returns to the right heart with the blood flow in the free state. If the pressure of the right heart is rising at this time, the thrombosis enters the left heart circulation system through the ovarian round hole, and the thrombus that enters the cerebral artery to block the cerebral blood vessels, causing brain tissue ischemia and hypoxia. Insteal infarction, edema necrosis after hypoxia in the brain tissue causes dysfunction of the body.

Some patients have hypoxia due to thrombosis, manifested as refractory migraine, and may not have obvious physical dysfunction.

Differential oval holes can be used without closing of the heart of the heart

How to quickly and accurately determine whether the ovarian round hole is not closed?

Heart ultrasound examination is an effective method, especially the heart ultrasound of the esophagus can clearly display the shape and size of the oval hole.

In addition, ultrasonic combination of physiological saline foaming right -hearted angiography is also a clear check method to clear the oval hole.

As for the treatment of non -closed oval holes, it can be divided into drug treatment and surgical treatment.

Drug therapy needs to take long -term use, while anticoagulant drugs have certain bleeding risks. Therefore, most patients currently choose to intervene in minimally invasive sealing treatment.

Minimally invasive blocking therapy is to place the blocking device on both sides of the oval hole with a catheter derivative to avoid the passing of thrombosis.

Clinical studies have shown that the treatment of oval holes can significantly improve the onset of cerebral embolism and migraine in patients, and belongs to minimally invasive therapy, and has less trauma to patients.

It should be reminded that everyone's specific situation is different. Treatment needs to vary from person to person, and must not be blindly diagnosed. Whether the patient's ovaries are not closed, and the migraine and migraine, and how to treat the ovarian circular holes. It is also necessary to go to the relevant departments of the hospital for regular diagnosis and treatment.

- END -