Di at tan lɛk di injin na wi bɔdi. So, fɔ mek dis injin kɔntinyu fɔ wok, i nid fɔ gɛt blɔd ɔltɛm, dat na ɔksijɛn ɛn tin dɛn we de mek i gɛt tin fɔ it. fכ mek di at pכmp blכd go na di wan ol bכdi, wan sεparat sistεm de fכ sכm sכm sכm vein dεm we de gi blכd to di at. Wi kin kɔl dɛn wan ya di korona at. wan rili imכtant mεmba fכ da sistεm de na di `Circumflex Artery`. Tide, lɛ wi tɔk bɔt udat na dis, wetin i de du, ɛn wetin kin apin if i gɛt prɔblɛm.
Fɔ tɔk am simpul wan, wetin na di Circumflex Artery?
Okay, tink bɔt am dis we. Wi gɛt tu men korona at we de kɛr blɔd go na wi at. Di rayt ɛn di lɛft. dis lεft men korona at de divayd insay tu כda men branch dεm. wan pan dεn branch dεm na di `Circumflex Artery` (dεn kכl di כda wan di `Left Anterior Descending (LAD) artery`). Sɔntɛnde dɔktɔ dɛn kin kɔl dis di `LCx artery` fɔ shɔt.
di men wok we dis vein de du na fכ gi klin blכd we gεt כksijεn to di pכmp chεmba dεm na di lεft say na wi at. Dat na:
- di lεft atria - usay di bכdi we gεt כksijεn frכm di lכng dεm de fכs kכlekt.
- di lεft vεntrikl - di men εn strכng chεmba na di at we de pכmp bכdi to di כl bכdi.
- di papil mכsul dεm we de insay di lεft vεntrikl.
pan sכm pipul dεm, dis `circumflex` atεri gεt כda spεshal wok. dat na fכ gi bכdi to di `sinoatrial (SA) node`, we de kכntro di at bit, we de akt lεk di `natural pacemaker of the heart.` bכt insay mכst pipul dεm, na di rayt korona atεri de du dis wok.
Usay dis vein de? Yu tink se i de branch?
di sirkumflεks at de insay di epikadyכm, we na di כta protεktiv layεr na di at. i de rכn along wan sεkshכn we lεk grov bitwin di כp εn lכw chεmba dεm (atrium εn vεntrikl) na di lεft say na di at.
Yɛs, jɔs lɛk di branch dɛn na tik, dis vein kin branch bak to smɔl branch dɛn. Di nɔmba fɔ dɛn branch dɛn ya kin difrɛn. כltu na lεk tri branch dεm de, we dεn kכl `obtuse marginal branches.' dis sכm sכm branch dεm de travul dכn di כdasay na di lεft vεntrikl na di at.
Wetin na ‘Dominance’ na di blɔd we de gi di at?
Dis na smɔl mɛrɛsin, bɔt i izi fɔ ɔndastand. כda imכtant at de we dεn kכl di `posterior descending artery (PDA)` we de gi bכdi to di bak pat pan wi at. so, yu `koronary arterial dominance` de ditarmin bay if dis `PDA` atεri na yu bכdi de gεt bכdi frכm di rayt korona atεri כ wan branch na di lεft sayd (i.e. `Circumflex` כ `LAD`).
Dis na sɔntin we kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
| Di kayn we aw pɔsin de rul | Simpul ɛksplen |
|---|---|
| Rayt-dominant | Bɔrku pipul (lɛk 85%) gɛt dis. na ya, di PDA vein de gεt bכdi frכm di rayt korona at. |
| Na di lɛft-dominant | Dis kin apin to lɛk wan pan ɛvri tɛn pipul dɛn. na ya, di PDA vein de gεt bכdi frכm di Circumflex atεri (כ LAD atεri). |
| Di wan we de kɔdominant | Na lɛk tu pan tɛn pipul dɛn kin gɛt dis pozishɔn. na ya, di PDA de gεt bכdi frכm כl tu di rayt εn lεft (Circumflex כ LAD) vein dεm. |
Us sik dɛn kin afɛkt di Circumflex Artery?
lεk כda korona atεri dεm, di men εn denja kכndyushכn we de afekt di `Circumflex Artery` na korona atεri sik (CAD) . Fɔ tɔk am simpul wan, na we di fat ɛn kɔlɔstrel we de na di at kin blok.
jכs lεk aw dכti εn rכst de bכku na wata paip as tεm de go, tin dεm lεk fεt εn kכlestכl de bכku insay dεn at dεm ya, we de fכm wan layεr we dεn kכl `(plak)`. wi kכl dis `(atherosclerosis).` as dis ``plaque`` layεr de gro sכmtεm, di bכdi fכ fכlכ insay di at de sכmtεm sכmtεm. Afta sɔm tɛm, di blɔd nɔ kin ebul fɔ flɔ.
If dɛn nɔ trit dis sik fayn, i kin mek pɔsin gɛt siriɔs sik lɛk at atak, at pwɛl, ɔ strok .
Aw yu go no if wan vein dɔn blok? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?
Angina kin apin we wan at kin smɔl ɛn di at nɔ kin gɛt inof blɔd.Yu kin gɛt pen na yu chɛst ɔ yu kin tayt, we dɛn kɔl angina. Dis kin bi sayn fɔ hat atɔk, so yu fɔ tek tɛm bad bad wan bɔt dɛn sayn ya.
If yu gɛt wan ɔ mɔ pan dɛn sayn ya, na mɛdikal imejensi . Yu fɔ go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Chɛst pen/taytnɛs `(Angina)` | Fɔ fil se yu tayt, yu de swɛt, ɛn yu gɛt wet na di midul pan yu chɛst. |
| Pen we de rayt to di lɛft an, sholda, nɛk, jaw | Di pen kin bigin na di chɛst ɛn i kin go na dɛn say ya. |
| I nɔ kin izi fɔ yu fɔ blo | Fɔ blo shɔt, i nɔ kin izi fɔ blo ivin if yu nɔ tray tranga wan. |
| Fɔ fil kol ɛn swet | Fɔ fil kol ɛn swet bɔku bɔku wan fɔ natin. |
| Diziz, fil lɛk se yu de spin. | Fɔ fil so diziz dat yu nɔ ebul fɔ tinap. |
| Taya, wik | Wantɛm wantɛm, yu kin taya pasmak ɛn yu bɔdi kin wik. |
Aw dɔktɔ dɛn kin chɛk aw di vein dɛn de?
Dɔktɔ dɛn kin yuz sɔm spɛshal tɛst fɔ chɛk di wɛlbɔdi fɔ yu korona at, we dɛn kin kɔl bak di ‘circumflex’ at.
- Cardiac Catheterization (Angiogram): Dis na di tɛst we impɔtant pas ɔl. Dɛn kin put smɔl tiub tru wan vein na di an ɔ leg, dɛn kin trɛd am na di korona at na di at, dɛn kin injɛkt am wit spɛshal wata, ɛn dɛn kin tek ɛkstrem rayt fɔ si if ɛnitin dɔn blok na di vein dɛn.
- Coronary Computed Tomography Angiogram (CCTA): Dis na spɛshal CT skan we kin mek tri dimɛnshɔnal (3D) pikchɔ dɛn bɔt di blɔd we de flɔ na di at.
- Intravascular Ultrasound (IVUS): dis involv fכ pas wan sכmכl ultrasound divays insay di vein, we de alaw fכ si di sayz εn nεchכr fכ di plek layεr we atak di vein wכl rili klia wan.
- Fractional Flow Reserve (FFR): na tεst we de mכsu blכd prεshכn bifo εn afta we di vein blכk fכ no εksεkt כl aw di blכk de afekt di at in wok.
Aw yu kin trit wan vein we dɔn blok?
Di men tritmɛnt we dɛn kin yuz fɔ opin bak wan sɛrkɔmflɛs at we dɔn blok ɔ ɔda korona at na angioplasty ɛn stent .
insay dis, dεn de pas wan sכm sכm tכb we gεt bכlכn tכp tru di atεri to di εria we blכk, jכs lεk angiogram. Dɔn dɛn kin blo di balyɔn fɔ push di plek pan di at in wɔl, ɛn dis kin mek di blɔd flɔ big. Dɔn, dɛn kin put wan smɔl mɛsh tiub we dɛn kɔl stent na di say fɔ mek di say we dɔn smɔl nɔ go smɔl bak. Dis kin ɛp fɔ mek di blɔd flɔ fayn fɔ lɔng tɛm.
Wetin a go du fɔ mek mi at gɛt wɛlbɔdi?
Bɔrku tin de wae yu kin du fɔ kip yu ɔl hat ɛn vaskul sistɛm wɛl, nɔto jɔs yu sirkumflɛks at. Di bɛst tin fɔ du na fɔ put dɛn tin ya insay yu layf.
- Bi fyzikal aktiv: Du ɛksesaiz fɔ at le 30 minit bɔku dez insay di wik. Fɔ waka, rɔn, ɔ swim na fayn tin dɛn fɔ du.
- It tin dɛn we go ɛp yu at: Ridyus it dɛn we gɛt bɔku ɔyl, sɔl, ɛn shuga. Put frut, vɛjitebul, ligɛm, smɔl fish, ɛn ɔl di tin dɛn we yu de it.
- Mek yu gɛt wɛlbɔdi: Fɔ kip yu wet we fit yu ayt rili impɔtant.
- Nɔ smok kpatakpata: Smok na wan pan di big ɛnimi dɛm fɔ di at in at.
- Kɔntrol dayabitis ɛn ay blɔd prɛshɔn: If yu gɛt dɛn sik ya, tɔk to yu dɔktɔ fɔ tek di mɛrɛsin dɛn we dɛn tɛl yu fɔ tek ɛn kɔntrol am fayn fayn wan.
- Ridyus strɛs: Tray fɔ rilaks yu maynd tru tin dɛn lɛk yoga ɛn meditashɔn.
We yu fala dɛn tin ya, yu go ebul fɔ liv lɔng layf wit wɛlbɔdi at. If yu ɛva gɛt ɛni kwɛstyɔn bɔt yu wɛlbɔdi biznɛs, go to yu famili dɔktɔ fɔ advays.
Mɛsej we dɛn kin kɛr go na os
- di `Circumflex Artery` na wan rili imכtant korona at we de gi bכdi to di lεft say na yu at.
- di fεt we de na dis at kin mek i blok (CAD), we kin mek i gεt siriכs kכndyushכn lεk at atak.
- Nɔ ɛva ignore sayn dɛm lɛk chɛst pen, at fɔ blo, kol, ɛn swet. Na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
- If yu gɛt wɛlbɔdi (gud it, ɛksesaiz, ɛn avɔyd fɔ smok) kin protɛkt yu at.
- If yu gɛt ɛnitin we de mɔna yu bɔt yu at wɛlbɔdi, tɔk to yu dɔktɔ we nɔ go te.
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