Inshuti y'umutima wacu: Reka twige neza ibijyanye n'imitsi ya Circumflex!

Ese wigeze wibaza ukuntu umutima wacu ukora mu buryo butangaje? Muri uwo mutima muto harimo urusobe rw'ingenzi cyane rw'imitsi y'amaraso. Umwe mu nshuti zidasanzwe muri uwo muyoboro witwa 'Circumflex Artery'. Muganga wawe ashobora kandi kuyita 'LCx' artery, cyangwa 'circum'. None se, uyu munsi, twavuga kuri uyu 'Circumflex Artery' mu buryo burambuye?

`Circumflex Artery` ni iki? Reka tubisobanukirwe mu buryo bworoshye!

Sawa, tekereza kuri ubu buryo. Hari imitsi ibiri y'amaraso ijyana amaraso mu mutima wacu. Ni imitsi y'umutima y'ibumoso n'iy'iburyo. Umutsi w'umutima w'ibumoso (Umutsi w'umutima w'ibumoso) ugabanyukamo amashami abiri mato. Rimwe muri ayo mashami ni umutsi w'amaraso uzenguruka tuvuga. Irindi shami ni umutsi w'amaraso umanuka imbere y'ibumoso (Umutsi w'amaraso w'inyuma w'ibumoso). Abaganga babyita ko umutsi w'amaraso ugenda wiyongera.

Rero, akazi gakomeye k'iyi "(Circumflex Artery)" ni ukujyana amaraso meza kandi yuzuye ogisijeni inyuma no ku mpande z'ibyumba byo kuvoma biri ibumoso bw'umutima. Ni nk'umuyoboro ujyana amazi ku ipompe y'amazi.

Ni iki gishoboka kuri iyi 'Circumflex Artery'?

Dufite uburyo butwara amaraso mu mubiri wacu wose, twita Sisitemu yo Gutembera kw'Amaraso. Iyi "Circumflex Artery" ni umuyoboro w'amaraso w'ingenzi uhujwe n'umutima muri ubwo buryo.

Ibibera hano bishobora gutandukana gato bitewe n'imiterere y'umubiri wa buri muntu. Ariko, muri buri wese, ibice bikurikira by'uruhande rw'ibumoso rw'umutima bihabwa amaraso akungahaye kuri ogisijeni na ``Circumflex Artery``:

• Atrium y'ibumoso - Iki ni icyumba cyo hejuru ibumoso cy'umutima.
• Ventricle y'ibumoso - Iki ni icyumba kinini kiri hepfo ibumoso bw'umutima.
• Imitsi yo mu nda iri imbere mu gice cy'ibumoso cy'umutima.

Kuri bamwe, ariko si bose, iyi `(Circumflex Artery)` itanga amaraso mu kindi gice cy'ingenzi cy'umutima. Iyo ni `Sinoatrial Node` (`SA Node`). Muri benshi, aka kazi gakorwa n'imitsi y'umutima iyobora umutima. Iyi `(SA Node)` ni igice cy'imikorere y'amashanyarazi y'umutima igenzura umutima wacu. Abaganga banayita ``pacemaker karemano`` y'umutima.

None se iyi 'Circumflex Artery' iherereye he?

Twavuze ko umutsi w'umutima wacu ugabanyamo amashami abiri. Aha niho uyu mutsi (Circumflex Artery) utangirira. Uherereye imbere mu gice cy'inyuma cy'umutima kirinda cyitwa `(Epicardium).` Mu by'ukuri, unyura mu muyoboro muto uri hagati y'ibyumba bibiri ku ruhande rw'ibumoso rw'umutima.

Ese 'Circumflex Artery' ifite andi mashami?

Yego, iyi `(Circumflex Artery)` itanga n'amashami mato. Ayo yitwa `Amashami y'Imitsi y'Amajyambere`. Umubare w'aya mashami si umwe kuri buri wese. Hari abantu bashobora kugira amashami atatu gusa ajya ku ruhande rwitwa `Amashami y'Amajyambere y'Amajyambere`. Ayo mashami mato akunze kujya inyuma ya `Left Ventricle`, yerekeza kuri `Apex` yayo.

Mu bantu bake cyane, iyi `(Circumflex Artery)` ifite irindi shami ryitwa `Left Posterior Ventricular – LPV Artery`. Ariko, mu bantu benshi, iyi `(LPV Artery)` (nanone yitwa `Posterolateral Artery`) ifite irindi shami ryitwa `(Circumflex Artery)` riva ku mutsi mukuru w'umutima w'iburyo.

Ubushobozi bwo kuvura indwara ya coronary arterial dominance ni iki?

Iyi ni ingingo yimbitse gato, ariko reka tugerageze kubyumva mu buryo bworoshye. Umutsi mukuru utanga amaraso ku gice cyo hagati cy'imitsi (`Myocardium`) cy'umutima wacu ni 'Umutsi Umanuka Inyuma` (`PDA`). Rero, icyo umutsi wawe w'umutima ushyira imbere ni ishami ry'umutsi mukuru utanga amaraso kuri iyi `(PDA)` iri mu mutima wawe.

Ibi bishobora kubaho mu buryo butatu bw'ingenzi:

• Inzira y'amaraso izenguruka iburyo: Ibi nibyo abantu benshi (hafi 85 kuri 100) bafite. Aha, PDA yakira amaraso aturutse mu mitsi y'umutima y'iburyo.
• Inzira y'amaraso izenguruka ibumoso: Ibi bibaho ku muntu umwe kuri 10. Aha, PDA itangwa n'amaraso ava muri Circumflex Artery cyangwa LAD Artery.
• Inzira y'amaraso ikwirakwira mu maraso: Iyi ndwara ibaho ku bantu bagera kuri 2 kuri 10. PDA yakira amaraso aturutse mu mitsi y'umutima y'iburyo ndetse n'imitsi y'umutima y'ibumoso cyangwa imitsi ya LAD.

Tekereza nk'umuyoboro munini w'amazi utanga amazi mu nzu. Amazu amwe akura amazi gusa mu muyoboro uri iburyo, andi ibumoso, andi mpande zombi.

Ese hari indi mitsi yo mu bwoko bwa 'Circumflex' mu mubiri wacu?

Yego, uretse "Umutsi wo mu mutima witwa Circumflex Artery", hari n'ubundi bwoko bw'imitsi mu mubiri wacu bwitwa iri zina.

• Imitsi yo mu nda ya Femoral Circumflex: Iyi ni amashami abiri y’uburebure aturuka ku mutsi mukuru w’amaraso uri mu itako ryacu, ari wo mutsi wo mu nda ya Femoral. Umutsi wo mu nda ya Femoral utwara amaraso ava mu nda akayageza ku maguru. Hari igihe, mu gihe cyo kubaga imitsi yo mu mutima, abaganga bafata umutsi wo mu nda ya Circumflex bawukura mu itako bakawukoresha nk'igishishwa.
• Imitsi ya Humeral Circumflex:Ibi bigabanyijemo `(Umutsi wo mu nda)` uri mu gace k'amaboko yacu. Uyu `(Umutsi wo mu nda)` ni wo utwara amaraso ava mu gituza akayajyana ku bitugu no ku maboko. By'umwihariko, igufwa ryacu ryo hejuru ry'ukuboko (`Humerus`) ahanini ritangwa n'uyu `(Umutsi wo mu nda wa Humeral Circumflex)`.

Ni izihe ndwara zifata `Circumflex Artery`?

Kimwe n'indi mitsi ifata umutima, umutsi ufata umutima ugororotse ushobora no kwibasirwa n'indwara yitwa indwara y'imitsi ifata umutima (CAD). Ibi bibaho igihe ibinure byibumbiye mu mutsi, bikawufunga. Ni nk'ingese zifunga umuyoboro w'amazi.

Uku kwiyongera kw'inkuta z'imitsi no kwiyongera kw'imitsi byitwa atherosclerosis, bivuze "gukomera kw'imitsi" cyangwa "gukomera kw'imitsi." Iyo iyi ndwara ya CAD idavuwe neza, byongera ibyago byo kurwara indwara zikomeye nko gutera umutima, gucika intege k'umutima, no gucika imitsi .

Ni ibihe bimenyetso by'uko `Circumflex Artery` yazibye?

Iyo amaraso atembera nabi bitewe no kugabanuka kw'imitsi, ububabare mu gituza bushobora kubaho. Ibi byitwa "Angina". Iyi ndwara ya "Angina" ishobora gutera indwara y'umutima. Iyi ni ikibazo cyihutirwa cy'ubuvuzi, bityo ugomba guhamagara 911 ako kanya.

Kubera ko kuziba kw'imitsi yo mu bwoko bwa circumflex nabyo ari kimwe mu bigize CAD, ibimenyetso birasa. Ushobora guhura n'ibintu nk'ibi:

• (Angina) – Ibi bivuze ububabare mu gituza cyangwa gufungana.
• Ibyuya bikonje.
• Kuzungera cyangwa kumva ufite umutwe ukeye.
• Umunaniro ukabije n'intege nke.
• Umutima utera cyane cyangwa utari umeze neza (Umutima utera cyane).
• Isesemi .
• Kugorwa no guhumeka .
• Ububabare mu rutugu cyangwa ku kuboko.
• Kubabara mu ijosi cyangwa mu rusaya.

Ni gute abaganga bagenzura ubuzima bwa `Circumflex Artery`?

Abaganga bakoresha ibizamini bitandukanye byo gusuzuma imitsi y'umutima kugira ngo barebe ubuzima bw'imitsi yawe y'umutima, harimo n'imitsi ifata circumflex. Bimwe muri byo birimo:

• Gukoresha Catheterization y'umutima: Ibi bigenzura niba imitsi n'imitsi y'umutima bifite aho biboze.
• Isuzuma rya "Coronary Computed Tomography Angiogram" (CCTA): Ibi bishobora gutanga amashusho y'ibice bitatu (3D) by'amaraso atembera mu mutima.
• Intravascular Optical Coherence Tomography (IVOCT) cyangwa Intravascular Ultrasound (IVUS):Ubu buryo bushobora kubona amashusho meza cyane ya plaque iri mu mitsi.
• Ingano y'umuvuduko w'amaraso mu mitsi (FFR): Ibi bipima impinduka mu muvuduko w'amaraso mu mitsi ijyana amaraso mu mitsi, kandi bigapima niba hari ikibazo gikomeye ku buryo cyagira ingaruka ku mikorere y'umutima.

Ni gute indwara zigira ingaruka ku mutsi wa 'Circumflex Artery' zivurwa?

Kugira ngo umuganga wawe afungure umutsi ufunganye w’amaraso ufunganye, ashobora gukora catheterization y’umutima no gukora ibikorwa byo kuvura indwara nko gufunga no gushyiramo stent. Angioplasty ni uburyo bukoresha igikoresho gisa n’igipupe kugira ngo bwagure umutsi ufunganye. Stent ni umuyoboro muto w’insinga ushyirwa mu mutsi kugira ngo ufashe ko udakomeza kugabanuka.

Ni gute twarinda uturemangingo tw’imitsi, harimo n’iyi 'Circumflex Artery'?

Dore bimwe mu bintu ushobora gukora kugira ngo imitsi yawe n'imiyoboro y'amaraso bikomeze kugira ubuzima bwiza:

• Gira imyitozo ngororamubiri iminsi myinshi y'icyumweru kandi ugire ibiro byiza.
• Genzura inzoga unywa. Shaka ubufasha niba ufite ibibazo byo kunywa inzoga .
• Kurya indyo yuzuye umutima . Ibi bishobora gufasha kugabanya urugero rwa cholesterol .
• Menya ubwoko bw'ibinure urya kandi ugerageze kugabanya ibinure bitari byiza.
• Niba urwaye diyabete , genzura neza.
• Fata ingamba zo kugenzura umuvuduko ukabije w'amaraso, harimo no kugabanya ingano ya sodiyumu (umunyu) wongerwa mu mirire yawe.
• Niba unywa itabi, saba ubufasha bwo kurireka .

Wibuke ko, nk'ishami ry'imitsi y'umutima y'ibumoso, imitsi yawe ya '(Circumflex Artery)' ishobora no kwandura `(Atherosclerosis)` na `(Indwara y'imitsi y'umutima)`. Iyo `(Plaque)` yishyize mu mitsi ya '(Circumflex Artery)`, amaraso atembera mu mutima ashobora kwangirika. Ibi byitwa `(Bifurcation Blockage)`. Ibi bibaye, `(Angioplasty)` na `(Stent)` bishobora gukenerwa kugira ngo umutsi ufungurwe kandi urusheho gutembera neza.

Amaherezo, icyo ugomba kwibuka! (Ubutumwa bwo kujyana mu rugo)

Ndizera ko ubu usobanukiwe neza `(Circumflex Artery)`. Uyu ni umuyoboro w'amaraso w'ingenzi cyane ku buzima bw'umutima wacu. Kubwibyo, ni ngombwa cyane gukurikiza impinduka mu mibereho twavuze mbere kugira ngo iyi miyoboro ikomeze kugira ubuzima bwiza. Niba ufite ibimenyetso nko kubabara mu gatuza, kugorwa no guhumeka, ntubyirengagize kandi ushake inama kwa muganga ako kanya.Vugana na muganga wawe uburyo bwiza bwo kurinda umutima wawe n'imitsi yawe. Umutima muzima bisobanura ubuzima bwiza!