An dusukun terikɛ dɔ: An ka fɛn dɔn tigitigi Circumflex Artery kan!

Yala i delila k’i yɛrɛ ɲininka an dusukun bɛ baara kɛ cogo min na cogo kabakoma na wa? O dusukun fitinin kɔnɔ, joli siraw rezo nafamaba dɔ bɛ yen. O rezo in teri kɛrɛnkɛrɛnnen dɔ bɛ Weele ko `Circumflex Artery`. Aw ka dɔgɔtɔrɔ bɛ se k’a wele fana ko `LCx` joli sira, walima `the circ`. O la, bi, yala an bɛna kuma nin `Circumflex Artery` in kan ka ɲɛ wa?

`Arterie circumflexe` ye mun ye? An k’a faamu cogo nɔgɔman na!

O bɛ ɲɛ, i ka miiri o la nin cogo in na. Joli siraba fila bɛ yen minnu bɛ joli lase an dusukun ma. olu ye numanbolo ni numanbolo joli siraw ye . O kɔfɛ, koronawirisiba kiniyanfan fɛ (Koronawirisiba kiniyanfan fɛ) bɛ tila ka kɛ bolo misɛnnin fila ye. O bolofara dɔ ye an bɛ kuma min kan, o ye circumflex artery ye. Bolo tɔ kelen ye numanbolo ɲɛfɛla jiginɛ ye (LAD Artery). Dɔgɔtɔrɔw b’o wele ko joli sira fila-fila.

O la, nin `(Circumflex Artery)` in baara kunba ye ka joli oksizɛni, saniyalen ta ka taa pɔnpew kɔ ni kɛrɛw la dusukun kinin fɛ. A bɛ iko pipe min bɛ ji ta ka taa ji pɔnpe la.

Mun bɛ kɛ tigitigi ni nin `Circumflex Artery` in ye?

An bɛ ni sigida ye min bɛ joli ta an farikolo bɛɛ la, an b’o wele ko Circulatory System. Nin ``Circumflex Artery`` in ye joli sira nafama ye min ni dusukun cɛsirilen don o sigida la.

Min bɛ kɛ yan , o bɛ se ka ɲɔgɔn ta dɔɔnin ka kɛɲɛ ni mɔgɔ kelen-kelen bɛɛ farikolo cogoya ye . Nka, bɛɛ la, dusukun kiniyanfan yɔrɔ ninnu bɛ joli sɔrɔ min falen bɛ oksizɛni na ``Circumflex Artery`` fɛ:

• Atrium kiniyanfan fɛ – Nin ye dusukun kininbolo sanfɛla ye.
• Kɔnɔbara kiniyanfan fɛ – Nin ye soba ye min bɛ dusukun kininbolo dugumayanfan fɛ.
• Papillaire muscles minnu bɛ numanbolo kɔnɔbara kɔnɔ.

Mɔgɔ dɔw la, nka u bɛɛ tɛ, nin `(Circumflex Artery)` bɛ joli di dusukun yɔrɔ nafama wɛrɛ ma. O ye `Sinoatrial Node` (`SA Node`) ye. Mɔgɔ fanba la, o baara bɛ kɛ ni koronawirisi kiniyanfan fɛ. O `(SA Node)` ye dusukun ka kuran-sɛnɛ-yɔrɔ dɔ ye min b'an dusukun tantanni Kɔrɔsi. Dɔgɔtɔrɔw fana b’a wele ko dusukun tantannikɛlan ``natural pacemaker``.

O la, nin `Circumflex Artery` in bɛ min?

An y’a Fɔ kaban ko an dusukun kolotuguda numanbolo bɛ Tla ka Kɛ bolo fla ye. Nin `(Circumflex Artery)` in bɛ daminɛ yɔrɔ min na. A bɛ dusukun lakanani kɛnɛma-yɔrɔ kɔnɔ min bɛ wele ko `(Epicardium).` N’an b’a fɛ k’a fɔ tigitigi, a bɛ tɛmɛ kanal fitinin dɔ fɛ dusukun kinin fɛ so fila ni ɲɔgɔn cɛ.

Yala `Circumflex Artery` bolofara wɛrɛw bɛ yen wa?

Ɔwɔ, nin `(Circumflex Artery)` fana bɛ bolo misɛnninw Bɔ. Olu bɛ Weele ko `Marginal Artery Branches`. O bolofara ninnu hakɛ tɛ kelen ye bɛɛ fɛ. Mɔgɔ dɔw bɛ Se ka Kɛ ni bolo saba dɔrɔn ye minnu bɛ Taa kɛrɛ fɛ min bɛ Weele ko `Obtuse Marginal Branches`. O bolo misɛnnin ninnu ka teli ka Taa `Nɛgɛbere kinin fɛ` kɛnɛma fɛ, ka Taa a `Apex` fan fɛ.

Mɔgɔ damadɔ dɔrɔn de la, nin `(Circumflex Artery)` in bolofara wɛrɛ bɛ yen min bɛ wele ko `Left Posterior Ventricular – LPV Artery`. Nka, mɔgɔ fanba la, nin `(LPV Artery)` (a bɛ fɔ fana ko `Posterolateral Artery`) bolofara wɛrɛ bɛ a la min bɛ wele ko `(Circumflex Artery)` ka bɔ kininbolo kolosinsinnanba la.

Koronawirisi joli-sira-funu fanga ye mun ye?

Nin ye barokun ye min ka dun dɔɔnin, nka an k’a ɲini k’a faamuya cogo nɔgɔman na. Joliba min bɛ joli lase an dusukun cɛmancɛ farikolo yɔrɔ (`Myocardium`) ma, o ye `Posterior Descending Artery` (`PDA`) ye. O la, aw ka koronawirisi fɔlɔ bɛ dɔn ni joli siraba belebele min bɛ joli di nin `(PDA)` ma aw dusukun na.

O bɛ se ka kɛ cogo saba la:

• Joli-yɔrɔ-ko-ɲɛnabɔli: Nin ye mɔgɔ fanba (85 ɲɔgɔn ye 100 o 100) bolo. Yan, PDA bɛ joli sɔrɔ ka bɔ koronawirisi kiniyanfan fɛ.
• Joli min bɛ kɛ numanbolo fɛ: O bɛ kɛ mɔgɔ 10 ɲɔgɔn na mɔgɔ tan o tan. Yan, PDA bɛ joli sɔrɔ ka bɔ Circumflex Artery walima LAD Artery la.
• Codominant circulation : Nin bana in bɛ kɛ mɔgɔ 2 ɲɔgɔn na 10 o 10. PDA bɛ joli sɔrɔ koronawirisi kiniyanfan fɛ ani numanbolo lamini joli sira fɛ walima LAD joli sira fɛ.

Miiri k’a filɛ i n’a fɔ jibolisiraba min bɛ ji lase so dɔ ma. So dɔw bɛ ji sɔrɔ dɔrɔn pibiliki la kinin fɛ, dɔw bɛ bɔ numan fɛ, dɔw bɛ bɔ fan fila bɛɛ la.

Yala `Circumflex` suguya joli sira wɛrɛw bɛ an farikolo la wa?

Ɔwɔ, ka fara ``Circumflex Artery'' kan dusukun na, joli suguya wɛrɛw bɛ an farikolo la minnu bɛ wele nin tɔgɔ in.

• Senkɔni lamini joli siraw : Olu ye bolo jugu fila ye minnu bɛ bɔ an cɛmancɛ joli siraba la, n’o ye senkɔni joli sira ye. Senkɔniw bɛ joli ta ka bɔ kɔnɔbara la ka jigin senw na. Tuma dɔw la, koronawirisi opereli senfɛ, dɔgɔtɔrɔw bɛ Circumflex Artery ta ka bɔ cɛya la ka a kɛ jiribolo ye.
• Humeral Circumflex Arteries (Sɛrɛkili minnu bɛ wele ko Humeral Circumflex Artries):Olu bɛ tila ni `(Axillary Artery)` ye an ka kɔkili yɔrɔ la. Nin `(Axillary Artery)` in de bɛ joli ta ka bɔ disi la ka taa kamankunw ni bolokɔniw na. Kɛrɛnkɛrɛnnenya la, an bolokɔni sanfɛla kolo (`Humerus`) bɛ joli sɔrɔ kosɛbɛ nin `(Posterior Humeral Circumflex Artery)` in fɛ.

Bana jumɛnw bɛ `Circumflex Artery` minɛ?

I n’a fɔ koronawirisi tɔw, circumflex artery fana bɛ se ka tɔɔrɔ ni bana dɔ ye min bɛ wele ko coronary artery disease (CAD). O ye ni tulumafɛnw (plaque) bɛ ɲɔgɔn sɔrɔ joli sira kɔnɔ, ka a datugu. A bɛ iko nɔgɔ bɛ jibolisira dɔ datugu.

O sɔgɔsɔgɔninjɛ ni joli siraw kogow falenni in bɛ wele ko joli siraw gɛlɛyali, o kɔrɔ ye ko “joli siraw gɛlɛyali” walima “joli siraw gɛlɛyali.” Ni nin CAD bana in ma furakɛ ka ɲɛ, o bɛ dɔ fara bana faratilenw sɔrɔli kan i n’a fɔ dusukun tantanni, dusukun tantanni, ani kirinni .

`Circumflex Artery` balili taamasiɲɛw ye mun ye?

Ni joli bɔli dɔgɔyara ka a sababu kɛ o joli siraw dɔgɔyali ye, disidimi bɛ se ka kɛ. O bɛ Weele ko ``Angina''. Nin ``Angina'' bana in bɛ se ka kɛ sababu ye ka dusukun tantanni bila mɔgɔ la. Nin ye furakɛli kɔrɔtɔko ye, o la aw ka kan ka 911 wele joona.

Ikomi joli sira min bɛ lamini, o fana ye CAD dɔ ye, a taamasiɲɛw bɛ ɲɔgɔn ta. I bɛ se ka fɛnw sɔrɔ i n’a fɔ:

• Angina – O kɔrɔ ye disi dimi walima a sirili ye.
• Sumaya farigan.
• Dimi walima a bɛ kɛ i n’a fɔ a kunkolo bɛ nɔgɔya.
• Sɛgɛn kojugu ani barikantanya.
• Dusukun tantanni teliya walima a tɛ kɛ cogo la (Dusukun tantanni).
• Fɔɔnɔnege .
• Ninakili gɛlɛya .
• Dimi bɛ kɛ kamankun walima bolokɔni na.
• Dimi bɛ kɛ kɔ walima dawolo yɔrɔ la.

Dɔgɔtɔrɔw bɛ `Circumflex Artery` kɛnɛya lajɛ cogo di?

Dɔgɔtɔrɔw bɛ ja sɛgɛsɛgɛli suguya caman kɛ walasa ka aw ka koronawirisi joli lajɛ, hali joli sira lamininen. U dɔw ye ninnu ye:

• Dusukun tantanni : O bɛ a lajɛ ni joli siraw datugulen don ani ni koronawirisi tɛ.
• Coronary Computed Tomography Angiogram (CCTA): O bɛ se ka joli bolicogo ja saba (3D) dilan dusukun na.
• Tomographie optique optique intravasculaire (IVOCT) walima Ultrason intravasculaire (IVUS):O fɛɛrɛw bɛ se ka ja caman sɔrɔ minnu bɛ joli sira kɔnɔ.
• Fractional Flow Reserve (FFR): O bɛ tansiyɔn jiginni suman joli sira dɔ kɔnɔ ani ka a dɔn ni a datugulen ka jugu fo ka se ka nɔ bila dusukun baara la.

Bana minnu bɛ nɔ bila `Circumflex Artery` la, olu bɛ furakɛ cogo di?

Walasa ka joli sira min datugulen don, aw ka dɔgɔtɔrɔ bɛ se ka dusukun tantanni kɛ ani ka fɛɛrɛ dɔw kɛ minnu bɛ se ka kɛ i n’a fɔ joli-sira-funu ni stent bilali. Angioplastie ye fɛɛrɛ ye min bɛ kɛ ni minɛn ye min bɛ i n’a fɔ balon walasa ka joli sira datugulen bonya. Stent ye nɛgɛso fitini ye min bɛ don joli sira la walasa ka dɛmɛ don a kana dɔgɔya tuguni.

An bɛ an ka joli siraw lakana cogo di, nin `Circumflex Artery` in fana sen bɛ o la?

Aw bɛ se ka fɛn minnu kɛ walasa aw ka joli siraw ni aw ka joli-sira-funu bɛɛ ka to kɛnɛya la, olu dɔw filɛ nin ye:

• Aw bɛ farikoloɲɛnajɛ kɛ dɔgɔkun tile fanba la ani ka aw farikolo girinya ɲuman mara.
• Aw bɛ aw ka dɔlɔmin kunbɛn. aw bɛ dɛmɛ ɲini ni gɛlɛya bɛ aw la dɔlɔmin na .
• Dumuni nafama dunni dun . o bɛ se ka dɛmɛ don ka kolosinsinnan hakɛ dɔgɔya .
• Aw bɛ tulu suguya minnu dun, aw bɛ olu dɔn ani ka aw jija ka tulumafɛnw dɔgɔya minnu man ɲi.
• Ni sukarodunbana bɛ aw la , aw bɛ a kunbɛn ka ɲɛ.
• Aw bɛ fɛɛrɛw tigɛ walasa ka tansiyɔn jiginni kunbɛn, ka fara soja (kɔgɔ) hakɛ kan min bɛ fara aw ka dumuni kan.
• Ni aw bɛ sigarɛti min, aw bɛ dɛmɛ ɲini walasa ka sigarɛti dabila .

Aw ye aw hakili to a la ko i n’a fɔ numanbolo kolosinsinnan bolofara, aw ka `(Circumflex Artery)` fana bɛ se ka kɛ `(Atherosclerose)` ani `(Coronary Artery Disease)` ye. Ni `(Plaque)` bɛ ɲɔgɔn sɔrɔ `(Circumflex Artery)` la, joli bolicogo bɛ se ka kɛ dusukun na. O bɛ Weele ko `(Bifurcation Blockage)`. Ni o kɛra, `(Angioplastie)` ni `(Stent)` bɛ se ka kɛ walasa ka joli sira da wuli ani ka joli bolicogo ɲɛ.

A laban na, an ka kan ka min to an hakili la! (Take-Home Message)

N jigi b’a kan ko sisan aw ye faamuyali ɲuman sɔrɔ `(Circumflex Artery)` kan. Nin ye joli sira ye min nafa ka bon kosɛbɛ an dusukun kɛnɛyako la. O la, a nafa ka bon kosɛbɛ ka tugu ɲɛnamaya kɛcogo caman na, an ye baro kɛ minnu kan ka tɛmɛ walasa jolisira ninnu ka to kɛnɛya la. Ni bana taamasiɲɛw bɛ aw la i n’a fɔ disidimi, ninakili gɛlɛya, aw kana aw ɲɛmajɔ a la ani aw bɛ dɔgɔtɔrɔ ka ladilikan ɲini joona.. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ aw dusukun ni joli siraw lakanani fɛɛrɛ ɲumanw kan. Dusukun kɛnɛman kɔrɔ ye ɲɛnamaya kɛnɛman ye!