Lung hriselna atana pawimawh em em ‘Circumflex Artery’ chungchang hi kan sawi dawn em ni?

Thinlung hi kan taksa engine ang a ni. Chuvangin, he engine hi a thawk chhunzawm zel theih nan thisen, chu chu oxygen leh nutrients supply reng reng a mamawh a ni. Thinlung hian taksa pum puia thisen a pump chhuah theih nan thisen kalna kawng (vein) te tak te, thinlunga thisen pe chhuaktu system hran a awm a. Chungte chu coronary arteries kan ti a. Chu system member pawimawh tak pakhat chu `Circumflex Artery` hi a ni. Vawiin hian hei hi tu nge a nih, eng nge a tih, harsatna a neih chuan eng nge thleng thin tih hi han sawi ila.

A awlsam zawngin Circumflex Artery hi eng nge ni?

Okay, hetiang hian han ngaihtuah teh. Kan thinlungah thisen phurtu coronary artery lian pahnih kan nei a. Dinglam leh veilam. He left main coronary artery hi branch lian dang pahnih ah a inthen a. Chutiang branch pakhat chu `Circumflex Artery` (a dang chu `Left Anterior Descending (LAD) artery` an ti) a ni. Doctor-te chuan hei hi a tawi zawngin `LCx artery` an ti \hin.

He vein hian a hnathawh ber chu kan thinlung veilam a pumping chamber-ah thisen thianghlim, oxygen awmna a pe chhuak a ni. Chu chu:

• Left atrium - Lung atanga oxygenated thisen a khawlkhawm hmasakna hmun.
• Left ventricle - Thinlung chhungril ber leh chak ber, taksa pum puia thisen pump chhuaktu.
• Left ventricle chhunga papillary muscle awmte.

He vein hi khawiah nge a awm? Branch a ni em?

Circumflex artery hi thinlung pawn lam venhimna layer epicardium chhungah a awm a. Thinlung veilam sir, upper leh lower chamber (atrium leh ventricle) inkar groove ang chi section-ah a kal a ni.

Ni e, thing hnah ang bawkin he vein pawh hi a hnah te zawkah a inzar pharh bawk. Heng branch awm zat hi a inang lo thei hle. A tlangpuiin branch pathum vel a awm a, chu chu `obtuse marginal branches' an ti a ni. Heng hnah te te hi thinlung veilam ventricle pawn lamah an kal thla a.

Thinlung thisen peknaah hian ‘Dominance’ chu eng nge ni?

Hei hi medical deuh a ni a, mahse hriatthiam a awlsam hle. Kan thinlung hnung lama thisen petu, `posterior descending artery (PDA)` tih hming pu artery pawimawh dang a awm bawk. Chuvangin, i `coronary arterial dominance` hi i taksa chhunga he `PDA` artery hian coronary artery dinglam atanga thisen a dawng em tih emaw, veilam sir atanga branch (i.e. `Circumflex` emaw `LAD`) atanga thisen a dawng em tih atanga teh a ni.

Hei hi mi hrang hrangah a inang lo hle.

Eng natnain nge Circumflex Artery hi a nghawng?

Coronary artery dang ang bawkin `Circumflex Artery` tibuaitu ber leh hlauhawm ber chu coronary artery disease (CAD) a ni. A awlsam zawngin sawi ila, thau leh cholesterol dahkhawm avanga thisen kalna kawng (arteries) a tihkhawtlai hi a ni.

Hun kal zelah tui pipe-ah bawlhhlawh leh hnim a lo awm khawm ang bawkin, heng arteries-ah hian thau leh cholesterol ang chi thil a lo awm khawm a, `(plaque)` an tih layer a siam a ni. Hei hi `(atherosclerosis) kan ti a.` He ``plaque`` layer hi a lo lian zauh zauh zel a, thisen kalna kawng chhunga thisen kal chu a tawi chho zel a ni. A tawpah chuan thisen kal chu a tikhawlo ta a ni.

Engtin nge vein pakhat a block tih i hriat theih ang? Eng nge a lan chhuah dan?

Angina hi thisen kalna kawng a zim a, thinlungin thisen a hmuh tlem chuan a lo awm thin .I rilru na emaw, tightness emaw i nei thei a, chu chu angina tia hriat a ni. Hei hi heart attack chhinchhiahna a ni thei a, chuvangin heng symptoms te hi i fimkhur hle tur a ni.

A hnuaia chhinchhiahna pakhat emaw a aia tam emaw i neih chuan medical emergency a ni . Damdawi in pakhat Emergency Department (ETU) ah i kal nghal tur a ni.

Engtin nge doctor-te hian thisen kalna (veins) dinhmun hi an enfiah thin?

Doctor-te chuan i coronary arteries hriselna enfiah nan special test engemawzat an hmang a, hei hi ‘circumflex’ arteries tia hriat bawk a ni.

• Cardiac Catheterization (Angiogram): Hei hi test pawimawh ber a ni. Tube te tak te chu kut emaw ke emaw chhunga vein kaltlangin dahin, thinlunga coronary arteries-ah thread-in an dah a, tui bik an inject a, X-ray an la a, vein-ah hian blockage a awm em tih an enfiah a ni.
• Coronary Computed Tomography Angiogram (CCTA): Hei hi CT scan bik a ni a, thinlung chhunga thisen kal dan three-dimensional (3D) image a siam thei a ni.
• Intravascular Ultrasound (IVUS): Hei hian ultrasound device te tak te chu vein chhungah pass a ni a, chu chuan vein wall-a plaque layer inzawm lian leh te chu chiang takin a hmu thei a ni.
• Fractional Flow Reserve (FFR): Test a ni a, thisen kalna kawng (vein) a block hma leh a hnua thisen sang tehna, blockage hian thinlung hnathawh a nghawng dan dik tak hriat theihna a ni.

Engtin nge vein blocked chu i enkawl ang?

Circumflex artery blocked emaw coronary artery dang emaw hawn lehna atana hman ber chu angioplasty leh stenting a ni .

Hetah hian balloon-tipped tube te tak te chu artery kaltlangin angiogram ang bawkin blocked area-ah an kalpui a ni. Chumi hnuah chuan balloon chu an inflated a, chu chuan plaque chu artery wall-ah a nawr a, thisen kalna chu a tizau hle. Tichuan, a zim tawh chu a zim leh tawh loh nan mesh tube te tak te , stent an tih chu dah a ni. Hei hian hun rei tak chhunga thisen kal dan tha tak a awm theih nan a pui thin.

Ka thinlung hrisel reng turin eng nge ka tih theih ang?

I circumflex artery chauh ni lovin, i thinlung leh i vascular system zawng zawng hrisel taka awm theih nan thil tam tak i tih theih a ni. A tha ber chu hengte hi i nunphungah i dah tel hi a ni.

• Taksa tihchak: Kar khat chhunga ni tam zawkah minute 30 tal exercise la. Kea kal te, tlan te, tui chawi te hi duhthlan tur tha tak a ni.
• Thinlung hrisel ei tur: Hriak, chi, leh sugar tamna ei tur tihtlem. I ei tur ah thei, thlai, legumes, sangha te, leh whole grains te telh bawk ang che.
• I taksa rihna hrisel tak vawng reng rawh: I san zawng nena inmil rihna vawn reng hi a pawimawh hle.
• Meizial zu hi pumpelh vek rawh: Meizial hi thinlung thisen kalte hmelma lian ber pakhat a ni.
• Zunthlum leh thisen sang control: Heng natna hi i neih chuan doctor nen inbia la , damdawi i pekte ei la, uluk taka thunun reng rawh.
• Stress tihtlem: Yoga leh meditation ang chi thil hmangin i rilru tih hahdam tum ang che.

Hengte hi zawmin, thinlung hrisel tak pu chungin dam rei tak i nung thei a ni. I hriselna chungchanga zawhna i neih chuan i chhungkaw doctor rawn la, thurawn la rawh.