Enyi obi anyị: Ka anyị mụta kpọmkwem gbasara Circumflex Artery!

Ị chetụla echiche otú obi anyị si arụ ọrụ nke ọma? N'ime obere obi ahụ, e nwere otu njikọ dị mkpa nke arịa ọbara. Otu n'ime ndị enyi pụrụ iche na netwọk ahụ bụ 'Circumflex Artery'. Dọkịta gị nwekwara ike ịkpọ ya 'LCx' artery, ma ọ bụ 'circle'. Ya mere, taa, ka anyị ga-ekwu maka 'Circumflex Artery' a nke ọma?

Gịnị bụ 'Ọbara Ọkpụkpụ Circumflex'? Ka anyị ghọta ya nke ọma!

Ọ dị mma, chee echiche banyere ya otu a. E nwere isi arịa ọbara abụọ na-enye ọbara n'obi anyị. Ha bụ akwara obi aka ekpe na aka nri. Isi akwara obi aka ekpe (Akwara obi aka ekpe) na-ekewa n'ime obere alaka abụọ. Otu n'ime alaka ndị ahụ bụ akwara circumflex anyị na-ekwu maka ya. Alaka nke ọzọ bụ akwara obi aka ekpe na-agbada (LAD Artery). Ndị dọkịta na-akpọ nke a bifurcation nke arịa ọbara.

Ya mere, isi ọrụ nke '(Circumflex Artery)' a bụ ibu ọbara dị ọcha nke nwere oxygen gaa n'azụ na n'akụkụ nke ụlọ mgbapụta n'akụkụ aka ekpe nke obi. Ọ dị ka paịpụ na-ebuga mmiri na ọkpọkọ mmiri.

Gịnị kpọmkwem na-eme na 'Ọbara Circumflex' a?

Anyị nwere sistemụ nke na-ebu ọbara n'ahụ anyị dum, nke anyị na-akpọ Sistemụ Mgbasa Ozi. "Ọbara Mgbawa" a bụ arịa ọbara dị mkpa jikọtara ya na obi n'ime sistemụ ahụ.

Ihe na-eme ebe a nwere ike ịdị iche ntakịrị dabere na nhazi ahụ onye ọ bụla. Agbanyeghị, n'ime mmadụ niile, akụkụ ndị a nke akụkụ aka ekpe nke obi na-enweta ọbara jupụtara na oxygen site na "Circumflex Artery":

• Atrium nke aka ekpe - Nke a bụ ọnụ ụlọ aka ekpe nke obi.
• Ventricle nke aka ekpe - Nke a bụ nnukwu ụlọ dị n'akụkụ aka ekpe ala nke obi.
• Akwara papillary dị n'ime ventricle aka ekpe.

N'ụfọdụ mmadụ, mana ọ bụghị ha niile, nke a bụ 'Circumflex Artery' na-enye ọbara n'akụkụ ọzọ dị mkpa nke obi. Nke ahụ bụ 'Sinoatrial Node' ('SA Node'). N'ọtụtụ mmadụ, a na-arụ ọrụ a site na akwara obi ziri ezi. 'SA Node' a bụ akụkụ nke sistemụ eletriki nke obi nke na-achịkwa obi anyị. Ndị dọkịta na-akpọkwa ya 'ihe na-eme pacemaker eke' nke obi.

Ebee ka 'Ọbara Ọkpụkpụ Circumflex' a dị?

Anyị ekwuola na akwara obi anyị nke dị n'aka ekpe na-ekewa n'ime alaka abụọ. Nke a bụ ebe a na-amalite '(Circumflex Artery)' a. Ọ dị n'ime akwa mpụta nke obi nke a na-akpọ '(Epicardium).' Iji kwuo nke ọma, ọ na-agafe obere ọwa mmiri dị n'etiti ụlọ abụọ dị n'akụkụ aka ekpe nke obi.

'Ọbara Circumflex' ọ nwere alaka ndị ọzọ?

Ee, nke a (Circumflex Artery) na-ewepụtakwa obere alaka. A na-akpọ ha 'Marginal Artery Branches'. Ọnụọgụgụ nke alaka ndị a abụghị otu maka onye ọ bụla. Ụfọdụ ndị nwere ike inwe naanị alaka atọ na-aga n'akụkụ nke a na-akpọ 'Obtuse Marginal Branches'. Obere alaka ndị a na-agakarị n'èzí 'Left Ventricle', na-aga 'Apex' ya.

N'ime obere mmadụ, otu a (Circumflex Artery)' nwere alaka ọzọ a na-akpọ 'Left Posterior Ventricular – LPV Artery'. Agbanyeghị, n'ọtụtụ mmadụ, otu a (LPV Artery)' (a na-akpọkwa 'Posterolateral Artery') nwere alaka ọzọ a na-akpọ '(Circumflex Artery)' site na akwara obi aka nri.

Kedu ihe bụ ọchịchị akwara obi?

Nke a bụ obere okwu miri emi, mana ka anyị gbalịa ịghọta ya nke ọma. Isi akwara nke na-enye ọbara na akwa akwara etiti ('Myocardium') nke obi anyị bụ 'Posterior Descending Artery' ('PDA'). Ya mere, isi akwara obi gị na-ekpebi ihe kacha mkpa bụ alaka akwara isi nke na-enye ọbara na '(PDA)' a n'obi gị.

Nke a nwere ike ime n'ụzọ atọ dị mkpa:

• Mgbasa ọbara nke aka nri: Nke a bụ ihe ọtụtụ mmadụ (ihe dị ka mmadụ 85 n'ime 100) nwere. N'ebe a, PDA na-enweta ọbara site na akwara obi aka nri.
• Mbara ọbara nke aka ekpe: Nke a na-eme ihe dị ka otu onye n'ime mmadụ iri. N'ebe a, a na-enye PDA ọbara sitere na Circumflex Artery ma ọ bụ LAD Artery.
• Ọbara mgbasa nke codominant: Ọrịa a na-eme ihe dị ka mmadụ abụọ n'ime mmadụ iri. PDA na-enweta ọbara site na akwara obi aka nri na akwara circumflex aka ekpe ma ọ bụ akwara LAD.

Were ya dị ka isi paịpụ mmiri nke na-enye ụlọ mmiri. Ụfọdụ ụlọ na-enweta mmiri naanị site na paịpụ dị n'aka nri, ụfọdụ site n'aka ekpe, ụfọdụ sitekwa n'akụkụ abụọ.

È nwere akwara ndị ọzọ dị ka "Circumflex" n'ahụ anyị?

Ee, na mgbakwunye na "Ọbara Ọkpụkpụ Circumflex" dị n'obi, e nwere ụdị akwara ndị ọzọ dị n'ahụ anyị nke a na-akpọ aha a.

• Ọkpụkpụ Ọkpụkpụ Femoral Circumflex: Ndị a bụ alaka abụọ miri emi nke na-agbasa site na isi akwara ọbara dị n'apata ụkwụ anyị, Femoral Artery. Ọkpụkpụ Femoral na-ebu ọbara site n'afọ ruo n'ụkwụ. Mgbe ụfọdụ, n'oge ịwa ahụ akwara obi, ndị dọkịta na-ewepụta Circumflex Artery site n'apata ụkwụ wee jiri ya mee ihe dị ka ihe e ji etinye ihe.
• Ọkpụkpụ akwara Humeral Circumflex:A na-ekewa ha site na (Axillary Artery)' n'akụkụ aka anyị. Nke a bụ (Axillary Artery)' nke na-ebuga ọbara site n'obi ruo n'ubu na ogwe aka. Karịsịa, ọkpụkpụ aka elu anyị ('Humerus') na-enye ọbara site na nke a (Posterior Humeral Circumflex Artery)'.

Kedu ọrịa ndị na-emetụta 'Ọbara Ọkpụkpụ Circumflex'?

Dịka akwara obi ndị ọzọ, ọrịa a na-akpọ ọrịa akwara obi (CAD) nwekwara ike imetụta akwara circumflex. Nke a bụ mgbe ihe ndị na-etinye abụba (plaque) na-agbakọta n'ime akwara ahụ, na-egbochi ya. Ọ dị ka nchara na-emechi paịpụ mmiri.

A na-akpọ mkpokọta ihe e ji kpuchie ma mee ka mgbidi akwara sie ike a atherosclerosis, nke pụtara "ime ka akwara sie ike" ma ọ bụ "ime ka akwara ndị ahụ sie ike." Ọ bụrụ na agwọghị ọrịa CAD a nke ọma, ọ na-eme ka ohere nke ibute ọrịa ndị dị ize ndụ dị ka nkụchi obi, nkụda obi, na ọrịa strok dịkwuo elu.

Kedu ihe mgbaàmà nke mkpọchi na 'Ọbara Circumflex'?

Mgbe ọbara na-erugharị n'ihi na akwara ndị ahụ dị mkpụmkpụ, ihe mgbu obi nwere ike ime. A na-akpọ nke a "Angina". Ọnọdụ "Angina" a nwere ike ibute nkụchi obi. Nke a bụ ihe mberede ahụike, yabụ ị kwesịrị ịkpọ 911 ozugbo.

Ebe ọ bụ na mkpọchi nke akwara circumflex bụkwa akụkụ nke CAD, ihe mgbaàmà ndị a yiri onwe ha. Ị nwere ike ịnweta ihe dịka:

• Angina - Nke a pụtara mgbu obi ma ọ bụ nrụgide.
• Ọsụsọ oyi.
• Isi na-agbagharị ma ọ bụ inwe mmetụta nke isi dị nro.
• Ike ọgwụgwụ na adịghị ike gabiga ókè.
• Ọkụ obi ngwa ngwa ma ọ bụ nke na-adịghị mma (Ọkụ obi na-akụda mmụọ).
• Ịgbọ agbọ .
• Ịku ume na-esiri ike .
• Mgbu n'ubu ma ọ bụ ogwe aka.
• Mgbu n'olu ma ọ bụ ebe agba.

Kedu ka ndị dọkịta si enyocha ahụike nke 'Ọbara Ọkpụkpụ Circumflex'?

Ndị dọkịta na-eji ọtụtụ ule onyonyo iji lelee ahụike nke akwara obi gị, gụnyere akwara circumflex. Ụfọdụ n'ime ha gụnyere:

• Katheterization nke obi: Nke a na-enyocha maka mkpọchi n'ime akwara na ọrịa akwara obi.
• Nkọwapụta Mkpụrụ Obi nke Ọkpụkpụ Obi (Coronary Computed Tomography Angiogram (CCTA): Nke a nwere ike imepụta onyonyo atọ (3D) nke ọbara na-erugharị n'obi.
• Tomography nke njikọ anya n'ime akwara (IVOCT) ma ọ bụ Ultrasound nke dị n'ime akwara (IVUS):Usoro ndị a nwere ike inweta onyonyo dị elu nke ihe e ji kpuchie n'ime akwara.
• Nchekwa Mmiri Fractional (FFR): Nke a na-atụle mgbanwe na ọbara mgbali n'ime akwara ma na-ekpebi ma mkpọchi ahụ siri ike nke na ọ ga-emetụta ọrụ obi.

Kedu ka esi agwọ ọrịa ndị metụtara 'Circumflex Artery'?

Iji mepee akwara circumflex nke kpọchiri akpọchi, dọkịta gị nwere ike ime ka obi dị n'ime kateeti ma mee usoro ọgwụgwọ dịka angioplasty na itinye stent. Angioplasty bụ usoro eji ngwaọrụ dị ka balloon mee ka akwara kpọchiri akpọchi gbasaa. Stent bụ obere tube waya mesh nke a na-etinye n'ime akwara iji nyere aka gbochie ya ịchagharị ọzọ.

Kedu otu anyị ga-esi chebe sistemu akwara anyị, gụnyere 'Ọbara Circumflex' a?

Lee ihe ụfọdụ ị nwere ike ime iji mee ka akwara na sistemu ọbara gị niile dị mma:

• Na-arụsi ọrụ ike n'ọtụtụ ụbọchị n'izu ma nọgide na-enwe ahụ ike dị mma.
• Jikwaa mmanya ị na-aṅụ. Chọọ enyemaka ma ọ bụrụ na ị nwere nsogbu na ịṅụ mmanya .
• Rie nri dị mma maka obi . Nke a nwere ike inye aka belata ọkwa cholesterol .
• Mara ụdị abụba ị na-eri ma gbalịa ibelata abụba na-adịghị mma.
• Ọ bụrụ na ị nwere ọrịa shuga , chịkwaa ya nke ọma.
• Mee ihe iji chịkwaa ọbara mgbali elu, gụnyere ibelata sodium (nnu) a na-etinye na nri gị.
• Ọ bụrụ na ị na-aṅụ sịga, gwa ya ka o nyere gị aka ịkwụsị ya .

Cheta, dịka alaka nke akwara obi aka ekpe, akwara obi gị (Circumflex Artery) nwekwara ike ibute (Atherosclerosis)' na (Coronary Artery Disease)'. Ọ bụrụ na '(Plaque)' agbakọta na '(Circumflex Artery)', ọbara na-eruba n'obi nwere ike imebi. A na-akpọ nke a '(Bifurcation Blockage)'. Ọ bụrụ na nke a emee, '(Angioplasty)' na '(Stent)' nwere ike ịdị mkpa iji mepee akwara obi ma melite mgbasa ọbara.

N'ikpeazụ, ihe ị ga-echeta! (Ozi Ị Ga-eburu n'Ụlọ)

Enwere m olileanya na ị ghọtara nke ọma ugbu a gbasara '(Ọbara Ọkpụkpụ Circumflex)'. Nke a bụ arịa ọbara dị oke mkpa maka ahụike obi anyị. Ya mere, ọ dị oke mkpa ịgbaso mgbanwe ndụ anyị tụlere na mbụ iji mee ka akwara ndị a dị mma. Ọ bụrụ na ị nwere ihe mgbaàmà dịka mgbu obi, nsogbu iku ume, eleghara ya anya ma chọọ ndụmọdụ ahụike ozugbo.Gwa dọkịta gị maka ụzọ kachasị mma isi chebe obi na akwara gị. Obi dị mma pụtara ndụ dị mma!