He hoa aroha: Me ako tātou mō te Circumflex Artery!

Kua whakaaro kē koe ki te mīharo o te mahi a tō tātou ngākau ? Kei roto i taua ngākau iti he whatunga tino nui o ngā uaua toto. Ko tētahi o ngā hoa motuhake o taua whatunga e kiia ana ko te 'Circumflex Artery'. Tērā pea ka kiia e tō tākuta ko te 'LCx' artery, ko te 'circ' rānei. Nō reira, i tēnei rā, me kōrero taipitopito tātou mō tēnei 'Circumflex Artery'?

He aha te 'Circumflex Artery'? Kia mārama tātou!

Āe, whakaarohia pēnei. E rua ngā uaua toto matua e tuku toto ana ki tō tātou ngākau. Ko ngā uaua coronary maui me ngā uaua coronary matau. Kātahi ka wehea te uaua coronary matua maui (te uaua coronary matua maui) kia rua ngā peka iti ake. Ko tētahi o aua peka ko te uaua circumflex e kōrerohia ana e tātou. Ko tētahi atu peka ko te uaua decreasing o mua maui (LAD Artery). Ka kiia tēnei e ngā tākuta he wehenga o te uaua toto.

Nō reira, ko te mahi matua o tēnei `(Circumflex Artery)` he kawe i te toto mā, whai hāora ki te tuara me ngā taha o ngā rūma papu i te taha maui o te ngākau. He rite ki te paipa e kawe ana i te wai ki te papu wai.

He aha rawa te mea e tupu ana ki tēnei 'Circumflex Artery'?

He pūnaha tō tātou e kawe ana i te toto puta noa i te tinana katoa, e kiia nei ko te Pūnaha Tohanga Toto. He uaua toto nui tēnei "Circumflex Artery" e hono ana ki te ngākau i roto i taua pūnaha.

Tērā pea ka rerekē te āhua o tēnei mahi i runga i te hanganga o te tinana o ia tangata. Heoi, i roto i te katoa, ko ngā wāhanga e whai ake nei o te taha maui o te ngākau e tukuna ana ki te toto whai hāora e te "Circumflex Artery":

• Te Atrium Mauī – Koinei te rūma maui o runga o te ngākau.
• Te Puku Mauī – Koinei te ruma nui kei te taha maui o raro o te ngākau.
• Ngā uaua papillary i roto i te ventricle maui.

Mō ētahi tāngata, engari ehara i te katoa, ko tēnei `(Circumflex Artery)` te kaituku toto ki tētahi atu wāhanga nui o te ngākau. Ko te `Sinoatrial Node` (`SA Node`) tērā. Mō te nuinga o te tāngata, ka mahia tēnei mahi e te uaua matua matau. Ko tēnei `(SA Node)` he wāhanga o te pūnaha kawe hiko o te ngākau e whakahaere ana i tō tātou manawa. Ka kiia hoki e ngā tākuta ko te ``pacemaker tūturu`` o te ngākau.

Nō reira, kei hea tēnei 'Circumflex Artery'?

Kua kōrero kē tātou ka wehea te uaua matua maui o te ngākau kia rua ngā peka. Koinei te tīmatanga o tēnei `(Circumflex Artery)`. Kei roto i te paparanga tiaki o waho o te ngākau e kiia nei ko `(Epicardium).` Hei whakamārama, ka haere mā roto i tētahi awa iti i waenganui i ngā rūma e rua i te taha maui o te ngākau.

He peka kē atu anō kei te `Circumflex Artery`?

Āe, ka puta mai hoki i tēnei `(Circumflex Artery)` ngā manga iti ake. Ka kiia ēnei ko ngā `Marginal Artery Branch`. Kāore te maha o ēnei manga i te ōrite mō te katoa. Tērā pea e toru noa iho ngā manga o ētahi tāngata e haere ana ki te taha e kiia nei ko ngā `Obtuse Marginal Branch`. Ko ēnei manga iti ka haere i waho o te `Left Ventricle`, ki tōna `Apex`.

I roto i te tokoiti o te tangata, he peka anō tō tēnei `(Circumflex Artery)` e kīia ana ko te `Left Posterior Ventricular – LPV Artery`. Heoi, i roto i te nuinga o te tangata, he peka anō tō tēnei `(LPV Artery)` (e kīia ana ko te `Posterolateral Artery`) e kīia ana ko te `(Circumflex Artery)` mai i te uaua matua o te ngakau matau.

He aha te Mana o te Arorangi o te Koronari?

He kaupapa hōhonu tēnei, engari me ngana tātou ki te mārama ngāwari. Ko te uaua matua e tuku toto ana ki te paparanga uaua waenga (`Myocardium`) o tō tātou ngākau ko te `Posterior Descending Artery` (`PDA`). Nō reira, ko te kaupapa matua o tō uaua coronary ka whakatauhia e te peka uaua matua e tuku toto ana ki tēnei `(PDA)` i roto i tō ngākau.

E toru ngā huarahi matua ka taea ai tēnei:

• Te tohanga toto ki te taha matau: Koinei te mea kei te nuinga o te tangata (tata ki te 85 i roto i te 100). I konei, ka whiwhi te PDA i te toto mai i te uaua coronary matau.
• Te tohanga toto ki te taha maui: Ka puta tēnei i roto i te 1 i roto i te 10 tāngata. I konei, ka tukuna te toto ki te PDA mai i te Circumflex Artery, i te LAD Artery rānei.
• Te tohanga toto codominant: Ka pā tēnei āhuatanga ki te 2 i roto i te 10 tāngata. Ka whiwhi te PDA i te toto mai i te uaua coronary matau me te uaua circumflex maui, te uaua LAD rānei.

Whakaarohia he rite ki te paipa wai matua e tuku wai ana ki te whare. Ko ētahi whare ka whiwhi wai mai i te paipa i te taha matau anake, ko ētahi mai i te taha maui, ko ētahi mai i ngā taha e rua.

He momo uaua anō kei roto i tō tātou tinana, arā, ko te 'Circumflex'?

Āe, i tua atu i te "Circumflex Artery" i roto i te ngākau, kei reira anō ētahi atu momo uaua i roto i tō tātou tinana e kiia nei ko tēnei ingoa.

• Ngā uaua o te femur: Ko ēnei he manga hohonu e rua e peka mai ana i te uaua toto matua i roto i tō tātou huha, te uaua o te femur. Ka haria te toto e te uaua o te femur mai i te puku ki raro i ngā waewae. I ētahi wā, i te wā o te pokanga whakawhiti uaua o te ngakau, ka tangohia e ngā tākuta he uaua o te Circumflex mai i te huha ka whakamahia hei whakakapi.
• Ngā uaua porowhita o te humerus:Ka wehea ēnei e te `(Axillary Artery)` i roto i tō tātou kēkē. Ko tēnei `(Axillary Artery)` te mea e kawe ana i te toto mai i te uma ki ngā pakihiwi me ngā ringa. Ina koa, ko te wheua o runga o tō tātou ringa (`Humerus`) te mea e kawe ana i te toto i tēnei `(Posterior Humeral Circumflex Artery)`.

He aha ngā mate e pā ana ki te 'Circumflex Artery'?

Pērā i ētahi atu uaua o te ngākau, ka pāngia hoki te uaua circumflex e te mate e kiia nei ko te mate uaua o te ngākau (CAD). Koinei te wā e hangai ai ngā putunga ngako (plaque) ki roto i te uaua, ka ārai i a ia. He rite ki te waikura e aukati ana i te paipa wai.

Ko te hanga o tēnei papaki me te matotoru o ngā pakitara o te uaua ka kiia ko te atherosclerosis, ko tōna tikanga ko te "pakeketanga o ngā uaua" te "pakeketanga rānei o ngā uaua." Ki te kore e rongoatia tika tēnei mate CAD, ka piki ake te tūponotanga o te whakawhanake i ngā mate kino pēnei i te mate ngakau, te ngoikore o te ngakau, me te whiu .

He aha ngā tohu o te aukati i te 'Circumflex Artery'?

Ina heke te rere o te toto nā te whaiti o ngā uaua toto, ka puta te mamae o te uma. Ka kiia tēnei ko te "Angina". Ka taea e tēnei mate "Angina" te arahi ki te whakaeke ngakau. He āhuatanga ohorere hauora tēnei, nō reira me waea atu koe ki te 911 tonu.

I te mea he wāhanga anō hoki o te CAD te aukati i roto i te uaua circumflex, he rite tonu ngā tohu. Tērā pea ka pāngia koe e ēnei āhuatanga:

• (Angina) – Ko te tikanga tēnei he mamae, he kikī rānei te uma .
• Te werawera makariri.
• Pōuriuri , māuiui rānei te mahunga.
• Te ngenge nui me te ngoikore.
• Te tere o te manawa, te koretake rānei o te pā o te ngakau (Palpitasi o te ngākau).
• Whakapairuaki .
• Te uaua ki te manawa .
• Te mamae i te pakihiwi, i te ringa rānei.
• Te mamae i te kaki, i te kauae rānei.

Me pēhea te tirotiro a ngā tākuta i te hauora o te `Circumflex Artery`?

Ka whakamahia e ngā tākuta ngā momo whakamātautau whakaahua hei tirotiro i te hauora o ō uaua ngakau, tae atu ki te uaua circumflex. Ko ētahi o ēnei ko:

• Te Tātaritanga o te Ngākau: Ka tirohia tēnei mō ngā aukati i roto i ngā uaua me te mate o te uaua ngakau.
• Ko te Angiogram Tomography Computed Coronary (CCTA): Ka taea e tēnei te whakaputa i ngā whakaahua toru-ahu (3D) o te rere o te toto i roto i te ngākau.
• Te Tomography Āhuatanga Ā-roto (IVOCT) te Ultrasound Ā-roto rānei (IVUS):Ka taea e ēnei tikanga te tiki whakaahua tino mārama o te tohu i roto i te uaua toto.
• Te Rāhui Rere Hauwhā (FFR): Ka ine tēnei i ngā panoni o te toto i roto i te uaua, ā, ka whakatau mēnā he nui te aukati hei pā ki te mahi a te ngākau.

Me pēhea te rongoā mō ngā āhuatanga e pā ana ki te 'Circumflex Artery'?

Hei whakatuwhera i tētahi uaua circumflex kua āraihia, ka mahi pea tō tākuta i tētahi catheterization ngākau me ngā tikanga wawaotanga pēnei i te angioplasty me te whakatakotoranga stent. Ko te angioplasty he tikanga e whakamahi ana i tētahi taputapu rite ki te poihau hei whakawhānui i te uaua kua āraihia. Ko te stent he ngongo waea iti e whakaurua ana ki roto i te uaua hei āwhina i te aukati i tōna whaiti anō.

Me pēhea tātou e tiaki ai i tō tātou pūnaha uaua, tae atu ki tēnei 'Circumflex Artery'?

Anei ētahi mea ka taea e koe te mahi hei pupuri i te hauora o ō uaua me te pūnaha tohanga toto katoa:

• Kia kaha te tinana i te nuinga o ngā rā o te wiki, kia mau tonu hoki tō taumaha hauora.
• Whakahaerehia tō inu waipiro. Rapua he āwhina mēnā he raruraru tōu ki te inu waipiro .
• Kai i ngā kai hauora mō te ngākau . Ka āwhina tēnei ki te whakaheke i ngā taumata cholesterol .
• Kia tūpato ki ngā momo ngako e kainga ana e koe, ā, me whakaiti hoki i ngā ngako kino.
• Ki te mea he mate huka tōu, kia pai te whakahaere.
• Me mahi i ngā mahi hei whakahaere i te toto toto tiketike, tae atu ki te whakaiti i te nui o te konutai (tote) e tāpirihia ana ki tāu kai.
• Ki te mea he kaipaipa koe, tonoa he āwhina kia mutu ai .

Kia maumahara, hei peka o te uaua matua maui o te ngākau, ka taea hoki e tō `(Circumflex Artery)` te pāngia e te `(Atherosclerosis)` me te `(Coronary Artery Disease)`. Mēnā ka hanga `(Plaque)` i roto i te `(Circumflex Artery)`, ka taea te whakararu i te rere o te toto ki te ngākau. Ka kiia tēnei ko te `(Bifurcation Blockage)`. Mēnā ka tupu tēnei, ka hiahiatia pea te `(Angioplasty)` me te `(Stent)` hei whakatuwhera i te uaua me te whakapai ake i te rere o te toto.

Hei whakamutunga, ngā mea hei maumahara! (Karere hei kawe ki te kāinga)

Ko tāku tumanako kua mārama pai koe ki te `(Circumflex Artery)`. He uaua toto tino nui tēnei mō te hauora o tō tātou ngākau. Nō reira, he mea nui kia whai i ngā huringa āhua noho kua kōrerohia i mua ake nei kia ora ai ēnei uaua toto. Mena kei a koe ngā tohu pēnei i te mamae o te uma, te uaua ki te manawa, kaua e warewarehia, me rapu tohutohu hauora tonu.Kōrero ki tō tākuta mō ngā huarahi pai hei tiaki i tō ngākau me ō uaua toto. Ko te ngākau hauora he tikanga mō te oranga hauora!