Yɛn koma adamfo: Momma yensua Circumflex Artery no ho ade pɛpɛɛpɛ!

So woasusuw sɛnea yɛn koma yɛ adwuma ma ɛyɛ nwonwa no ho pɛn? Wɔ saa koma ketewa no mu no, mogya ntini ahorow a ɛho hia yiye wɔ hɔ. Nnamfo titiriw a wɔwɔ saa ntam no mu biako na wɔfrɛ wɔn `Circumflex Artery`. Wo duruyɛfoɔ nso bɛtumi afrɛ no `LCx` ntini, anaa `the circ`. Enti, ɛnnɛ, so yɛbɛka saa `Circumflex Artery` yi ho asɛm kɔ akyiri?

Dɛn ne `Circumflex Artery`? Momma yɛnte ase kɛkɛ!

Okay, susuw ho saa kwan yi so. Mogya ntini atitiriw abien na ɛma mogya kɔ yɛn koma mu. Wɔyɛ benkum ne nifa ntini a ɛma mogya tu no . Afei benkum so ahurututu mu ntini titiriw (Benkum Titiriw Atiridii Ntini) no mu kyekyɛ yɛ nkorabata nketewa abien. Saa nkorabata no mu biako ne circumflex artery a yɛreka ho asɛm no. Nkorabata foforo no ne benkum so anim ntini a ɛsiane (LAD Artery). Nnuruyɛfo frɛ eyi a mogya ntini mu mpaapaemu.

Enti, adwuma titiriw a saa `(Circumflex Artery)` yi yɛ ne sɛ ɛde mogya a oxygen wom, a ɛho tew bɛkɔ akyi ne n’afã horow a ɛwɔ pumping chambers a ɛwɔ koma no benkum so no. Ɛte sɛ paipu a ɛde nsu kɔ nsu pɔmpɛ mu.

Dɛn ankasa na ɛba wɔ saa `Circumflex Artery` yi ho?

Yɛwɔ nhyehyɛe bi a ɛde mogya kɔ yɛn nipadua nyinaa mu, na yɛfrɛ no Circulatory System. Saa ``Circumflex Artery`` yi yɛ mogya ntini a ɛho hia a ɛne koma no wɔ abusuabɔ wɔ saa nhyehyɛe no mu.

Nea ɛkɔ so wɔ ha no betumi ayɛ soronko kakra a egyina onipa biara nipadua nhyehyɛe so . Nanso, wɔ obiara mu no, ``Circumflex Artery`` no de mogya a oxygen wom ma koma no benkum afã horow a edidi so yi:

• Benkum Atrium – Eyi ne koma no benkum so dan a ɛwɔ soro.
• Benkum Ventricle – Eyi ne dan kɛse a ɛwɔ koma no benkum fam ase.
• Papillary ntini a ɛwɔ benkum ventricle no mu.

Wɔ nnipa binom mu, nanso ɛnyɛ wɔn nyinaa mu no, saa `(Circumflex Artery)` yi de mogya kɔ koma no fã foforo a ɛho hia. Ɛno ne `Sinoatrial Node` (`SA Node`) no. Wɔ nnipa dodow no ara mu no, koma mu ntini titiriw a ɛwɔ nifa no na ɛyɛ adwuma yi. Saa `(SA Node)` yi yɛ koma no anyinam ahoɔden nhyehyɛe a ɛhwɛ yɛn koma bɔ so no fã. Nnuruyɛfo nso frɛ no ``abɔde mu pacemaker`` a ɛwɔ koma no mu.

Enti ɛhe na saa `Circumflex Artery` yi wɔ?

Yɛaka dedaw sɛ yɛn koma mu ntini titiriw a ɛwɔ benkum so no mu paapae yɛ nkorabata abien. Eyi ne baabi a saa `(Circumflex Artery)` yi fi ase. Ɛwɔ koma no akyi fã a ɛbɔ ho ban a wɔfrɛ no `(Epicardium) no mu.` Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛnam asubɔnten ketewa bi a ɛda adan abien a ɛwɔ koma no benkum so no ntam.

So `Circumflex Artery` no wɔ nkorabata afoforo?

Yiw, saa `(Circumflex Artery)` yi nso ma nkorabata nketewa fi adi. Wɔfrɛ eyinom `Marginal Artery Branches`. Nkorabata yi dodow nyɛ pɛ mma obiara. Ebia nnipa binom wɔ nkorabata abiɛsa pɛ a ɛkɔ nkyɛn a wɔfrɛ no `Obtuse Marginal Branches`. Saa nkorabata nketewa yi taa fa `Benkum Ventricle` no akyi, kɔ ne `Apex`.

Wɔ nnipa kakraa bi mu no, saa `(Circumflex Artery)` yi wɔ nkorabata foforo a wɔfrɛ no `Left Posterior Ventricular – LPV Artery`. Nanso, wɔ nnipa dodow no ara mu no, saa `(LPV Artery)` (a wɔsan frɛ no `Posterolateral Artery`) yi wɔ nkorabata foforo a wɔfrɛ no `(Circumflex Artery)` a efi nifa so ntini titiriw no mu.

Dɛn ne Coronary Arterial Dominance a Ɛwɔ Hɔ?

Eyi yɛ asɛm a emu dɔ kakra, nanso momma yɛmmɔ mmɔden sɛ yɛbɛte ase kɛkɛ. Ntini titiriw a ɛde mogya kɔ yɛn koma no mfinimfini ntini (`Myocardium`) no ne `Posterior Descending Artery` (`PDA`). Enti, wo coronary artery priority no gyina artery branch titiriw a ɛde mogya kɔ saa `(PDA)` yi a ɛwɔ wo koma mu no so.

Eyi betumi asi wɔ akwan atitiriw abiɛsa so:

• Nkwammoaa a wɔde di dwuma wɔ ɔkwan a ɛfata so: Eyi ne nea nnipa dodow no ara (bɛyɛ 100 biara mu 85) wɔ. Ɛha yi, PDA no nya mogya fi ahurututu mu ntini nifa mu.
• Benkum so mogya a ɛkɔ nipadua no mu: Eyi ba bɛyɛ nnipa 10 biara mu 1 mu. Ɛha yi, wɔde mogya a efi Circumflex Artery anaa LAD Artery mu ma PDA no.
• Codominant circulation: Saa tebea yi ba nnipa bɛyɛ 10 biara mu 2 mu. PDA no nya mogya fi ahurututu mu ntini nifa ne benkum circumflex ntini anaa LAD ntini no nyinaa mu.

Fa no sɛ ɛte sɛ nsu paipu kɛse a ɛde nsu kɔ ofie bi mu. Afie bi nya nsu fi paipu a ɛwɔ nifa so nkutoo, ebi fi benkum so, na ebi nso nya fi afã abien no nyinaa.

So `Circumflex` type ntini afoforo wɔ yɛn nipadua mu?

Yiw, wɔ ``Circumflex Artery'' a ɛwɔ koma no mu akyi no, ntini ahorow afoforo wɔ yɛn nipadua mu a wɔfrɛ no saa din yi.

• Femoral Circumflex Arteries: Eyinom yɛ nkorabata abien a emu dɔ a efi mogya ntini titiriw a ɛwɔ yɛn asen mu, Femoral Artery no mu. Femoral Artery no de mogya fi yafunu no mu kɔ fam wɔ nan no so. Ɛtɔ mmere bi a, bere a wɔreyɛ coronary artery bypass oprehyɛn no, nnuruyɛfo yi Circumflex Artery fi asen no mu na wɔde di dwuma sɛ ade a wɔde hyɛ nipadua no mu.
• Humeral Circumflex Ntini a Ɛyɛ Ntini:Eyinom na `(Axillary Artery)` a ɛwɔ yɛn abasa no mu no na ɛkyekyɛ mu. Saa `(Axillary Artery)` yi ne nea ɛde mogya fi koko mu kɔ mmati ne abasa mu. Titiriw no, yɛn nsa a ɛwɔ soro dompe (`Humerus`) no nam saa `(Posterior Humeral Circumflex Artery)` yi so na ɛma mogya titiriw.

Dɛn ne nyarewa a ɛka `Circumflex Artery` no?

Te sɛ ahrawa mu ntini afoforo no, tebea bi a wɔfrɛ no ahrawa mu yare (CAD) nso betumi aka circumflex ntini no. Eyi ne bere a srade (plaque) boaboa ano wɔ ntini no mu, na esiw ano. Ɛte sɛ nkannare a asiw nsu paipu mu.

Wɔfrɛ saa akisikuru a ɛboaboa ano na ntini no afasu a ɛyɛ den yi atherosclerosis, a ɛkyerɛ “ntini a ɛyɛ den” anaa “ntini a ɛyɛ den.” Sɛ wɔansa CAD tebea yi yiye a, ɛma asiane a ɛwɔ hɔ sɛ obi benya tebea horow a ɛyɛ hu te sɛ komayare, komayare, ne ɔyare a ɛma obi hwe ase no yɛ kɛse .

Dɛn ne sɛnkyerɛnne ahorow a ɛkyerɛ sɛ obi asiw `Circumflex Artery`?

Sɛ mogya a ɛkɔ so no so tew esiane ntini a ɛyɛ teateaa yi nti a, koko mu yaw betumi aba. Wɔfrɛ eyi ``Angina''. Saa ``Angina'' tebea yi betumi ama obi anya komayare. Eyi yɛ aduruyɛ mu tebea a egye ntɛmpɛ, enti ɛsɛ sɛ wofrɛ 911 ntɛm ara.

Esiane sɛ ntini a ɛtwa ho hyia no nso yɛ CAD fã nti, sɛnkyerɛnne ahorow no te sɛ nea ɛte saa ara. Ebia wubehyia nneɛma te sɛ:

• Angina – Eyi kyerɛ sɛ koko mu yaw anaasɛ ɛyɛ den.
• Fifiri a ɛyɛ nwini.
• Adwene a ɛyɛ basaa anaasɛ te nka sɛ ne ti ayɛ hare.
• Ɔbrɛ ne mmerɛwyɛ a ɛboro so.
• Koma a ɛbɔ ntɛmntɛm anaasɛ ɛnteɛ (Heart Palpitations).
• Abofono .
• Ɔhome a ɛyɛ den .
• Ɛyaw a ɛba mmati anaa abasa mu.
• Ɛyaw a ɛba kɔn anaa anom.

Ɔkwan bɛn so na nnuruyɛfo hwɛ `Circumflex Artery` akwahosan?

Nnuruyɛfo de mfoniniyɛ mu nhwehwɛmu ahorow di dwuma de hwɛ sɛnea wo koma ntini ahorow no akwahosan te, a circumflex ntini no ka ho. Ebi ne:

• Koma mu Catheterization: Eyi hwɛ sɛ ntini no mu asiw ne ahrawa mu ntini mu yare anaa.
• Coronary Computed Tomography Angiogram (CCTA): Eyi betumi ayɛ mogya a ɛkɔ koma no mu ho mfonini a ɛwɔ afã abiɛsa (3D).
• Intravascular Optical Coherence Tomography (IVOCT) anaa Ntini mu Ultrasound (IVUS): Ntini mu Nneɛma a Wɔde Hwɛ Ntini Mu (IVUS):Saa akwan yi betumi anya mfonini a ɛyɛ fɛ a ɛkyerɛ sɛnea ntini bi wɔ ntini bi mu.
• Fractional Flow Reserve (FFR): Eyi susuw nsakrae a ɛba mogya mmoroso mu wɔ ntini bi mu na ɛkyerɛ sɛ ebia nea asiw no mu yɛ den araa ma ebetumi aka koma no dwumadi anaa.

Ɔkwan bɛn so na wɔsa tebea horow a ɛka `Circumflex Artery` no yare?

Sɛ wobebue circumflex ntini a asiw a, wo duruyɛfo betumi ayɛ koma mu catheterization na wayɛ nneɛma a wɔde wɔn ho gye mu te sɛ angioplasty ne stent a wɔde besisi hɔ. Angioplasty yɛ adeyɛ a wɔde afiri a ɛte sɛ balloon di dwuma de trɛw ntini a asiw no mu. Stent yɛ waya nhama ketewaa bi a wɔde hyɛ ntini no mu na aboa ma anyɛ teateaa bio.

Yɛbɛyɛ dɛn abɔ yɛn ntini nhyehyɛe ho ban, a `Circumflex Artery` yi ka ho?

Nneɛma bi a wubetumi ayɛ na ama wo ntini ne mogya a ɛkɔ wo mogya mu nyinaa ayɛ yiye ni:

• Yɛ apɔw-mu-teɛteɛ nna dodow no ara wɔ dapɛn no mu na kura mu duru a ɛfata mu.
• Di nsa a wonom no so. Sɛ wowɔ ɔhaw ahorow wɔ nsanom ho a hwehwɛ mmoa .
• Di aduan a ɛma koma nya ahoɔden . Eyi betumi aboa ma srade a ɛwɔ nipadua no mu no so atew .
• Hu srade ahorow a wudi na bɔ mmɔden sɛ wobɛtew srade a ɛnyɛ papa so.
• Sɛ wowɔ asikreyare , di so yiye.
• Fa nneɛma bi a ɛbɛma woatumi asiw mogya mmoroso ano, a nea ɛka ho ne sodium (nkyene) dodow a wode ka w’aduan ho a wobɛtew so.
• Sɛ wonom sigaret a, srɛ mmoa na woagyae .

Kae sɛ, sɛ́ benkum so ntini titiriw no nkorabata no, wo `(Circumflex Artery)` nso betumi ayɛ nea ɛyɛ mmerɛw sɛ wobenya `(Atherosclerosis)` ne `(Coronary Artery Disease)`. Sɛ `(Plaque)` boaboa ano wɔ `(Circumflex Artery)` mu a, mogya a ɛkɔ koma no mu no betumi asɛe. Wɔfrɛ eyi `(Bifurcation Blockage)`. Sɛ eyi ba a, ebia ɛho behia sɛ `(Angioplasty)` ne `(Stent)` abue ntini no na ama mogya no akɔ yiye.

Awiei koraa no, dɛn na ɛsɛ sɛ yɛkae! (Nkrasɛm a Wɔde Kɔ Fie)

Mewɔ anidaso sɛ seesei woanya ntease pa wɔ `(Circumflex Artery)` ho. Eyi yɛ mogya ntini a ɛho hia yiye ma yɛn koma akwahosan. Enti, ɛho hia yiye sɛ yedi asetra mu nsakrae a yɛadi kan aka ho asɛm no akyi na ama saa ntini ahorow yi anya apɔwmuden. Sɛ wowɔ sɛnkyerɛnne te sɛ wo koko mu yaw, ɛyɛ den sɛ wobɛhome a, mmu w’ani ngu so na hwehwɛ aduruyɛfo afotu ntɛm ara.. Wo ne wo duruyɛfo nkasa mfa akwan pa a wobɛfa so abɔ wo koma ne wo ntini ho ban ho asɛm. Koma a ɛte apɔw kyerɛ asetra a ahoɔden wom!