Shamwari yedu yemwoyo: Ngatidzidzei chaizvo nezveCircumflex Artery!

Wakambozvibvunza here kuti mwoyo yedu inoshanda zvinoshamisa sei? Mukati memoyo mudiki uyu mune network yakakosha yetsinga dzeropa. Imwe yeshamwari dzakakosha dziri munetwork iyoyo inonzi `Circumflex Artery`. Chiremba wako anogonawo kuidana kuti `LCx` artery, kana kuti `circ`. Saka, nhasi, totaura nezve iyi `Circumflex Artery` zvakadzama here?

Chii chinonzi `Circumflex Artery`? Ngatizvinzwisise zviri nyore!

Zvakanaka, funga nezvazvo nenzira iyi. Kune mitsipa miviri mikuru yeropa inopa ropa kumoyo wedu. Itsipa dzemwoyo dzekuruboshwe nedzekurudyi dzemoyo. Mitsipa yemoyo yekuruboshwe (iyo Left Main Coronary Artery) inobva yapatsanuka kuita matavi maviri madiki. Rimwe rematavi iwayo itsipa yemoyo yecircumflex yatiri kutaura nezvayo. Rimwe bazi itsipa yemoyo yekuruboshwe inotungamira ichidzika (LAD Artery). Vanachiremba vanodana izvi kuti kupatsanurwa kwetsinga yeropa.

Saka, basa guru reiyi `(Circumflex Artery)` nderekutakura ropa rakachena, rine oxygen kuenda kumashure nemativi emakamuri ekupomba ari kuruboshwe rwemoyo. Zvakafanana nepombi inotakura mvura kuenda kupombi yemvura.

Chii chaizvo chinoitika ne 'Circumflex Artery' iyi?

Tine sisitimu inotakura ropa mumuviri wedu wese, yatinodaidza kuti Circulatory System. Iyi ``Circumflex Artery`` itsinga yeropa inokosha yakabatana nemoyo mumuviri iwoyo.

Zvinoitika pano zvinogona kusiyana zvishoma zvichienderana nechimiro chemuviri wemunhu wega wega. Zvisinei, mumunhu wese, zvikamu zvinotevera zverutivi rweruboshwe rwemoyo zvinopihwa ropa rine oxygen yakawanda kubva ku "Circumflex Artery":

• Atrium Yekuruboshwe - Iyi ndiyo imba yepamusoro yekuruboshwe yemoyo.
• Ventricle Yekuruboshwe - Iyi ndiyo kamu huru iri pasi kuruboshwe rwemoyo.
• Tsandanyama dzepapillary dziri mukati me ventricle yekuruboshwe.

Mune vamwe vanhu, asi kwete vese, iyi `(Circumflex Artery)` inopa ropa kune imwe chikamu chakakosha chemoyo. Ndiyo `Sinoatrial Node` (`SA Node`). Muvanhu vazhinji, basa iri rinoitwa netsinga huru yemoyo yakarurama. Iyi `(SA Node)` chikamu chehurongwa hwemagetsi hwemoyo hunodzora kurova kwemoyo wedu. Vanachiremba vanoidanawo kuti ``natural pacemaker`` yemoyo.

Saka iyi `Circumflex Artery` iri kupi?

Tatotaura kuti tsinga huru yemoyo yedu yekuruboshwe inopatsanurana kuita matavi maviri. Apa ndipo panotangira iyi `(Circumflex Artery)`. Iri mukati mechikamu chekunze chemoyo chinodzivirira chinonzi `(Epicardium).` Kuti zvive pachena, inofamba nemumugero mudiki pakati pemakamuri maviri ari kuruboshwe rwemoyo.

Ko `Circumflex Artery` ine mamwe mapazi here?

Ehe, iyi `(Circumflex Artery)` inopawo matavi madiki. Aya anonzi `Marginal Artery Branches`. Huwandu hwematavi aya hahufanani kune wese munhu. Vamwe vanhu vanogona kunge vaine matavi matatu chete anoenda kudivi rinonzi `Obtuse Marginal Branches`. Matavi madiki aya anowanzo famba nekunze kwe`Left Ventricle`, kuenda ku`Apex` yayo.

Muvanhu vashoma, iyi `(Circumflex Artery)` ine rimwe bazi rinonzi `Left Posterior Ventricular – LPV Artery`. Zvisinei, muvanhu vazhinji, iyi `(LPV Artery)` (inonziwo `Posterolateral Artery`) ine rimwe bazi rinonzi `(Circumflex Artery)` kubva ku right main coronary artery.

Chii chinonzi Coronary Arterial Dominance?

Iyi inyaya yakadzama, asi ngatiedzei kuinzwisisa zviri nyore. Tsinga huru inopa ropa kune tsandanyama yepakati (`Myocardium`) yemwoyo wedu i`Posterior Descending Artery` (`PDA`). Saka, kukosha kwetsinga yako yemoyo kunotsanangurwa nekuti ndeipi tsinga huru inopa ropa kune iyi `(PDA)` iri mumoyo mako.

Izvi zvinogona kuitika nenzira nhatu huru:

• Kutenderera kweropa muropa kunobva kurudyi: Izvi ndizvo zvine vanhu vazhinji (vanenge 85 pa100). Pano, PDA inogamuchira ropa kubva mutsinga yemwoyo yekurudyi.
• Kutenderera kweropa kunobva kuruboshwe: Izvi zvinoitika mumunhu mumwe chete pavanhu gumi. Pano, PDA inopihwa ropa kubva kuCircumflex Artery kana LAD Artery.
• Kutenderera kweropa muropa: Chirwere ichi chinoitika muvanhu vaviri pavanhu gumi. PDA inogamuchira ropa kubva mutsinga yeropa yekurudyi neyekuruboshwe yecircumflex kana kuti tsinga yeLAD.

Funga nezvazvo sepombi huru yemvura inopa mvura mumba. Dzimwe dzimba dzinongowana mvura kubva papombi iri kurudyi, dzimwe kuruboshwe, uye dzimwe kubva kumativi ese.

Pane mimwe mitsipa yeropa yakaita seCircumflex mumuviri wedu here?

Ehe, pamusoro pe "Circumflex Artery" iri mumoyo, kune dzimwe mhando dzetsinga mumuviri wedu dzinonzi zita iri.

• Masero eFemoral Circumflex: Aya matavi maviri akadzika anobuda mutsinga huru yeropa iri muchidya chedu, Femoral Artery. Masero eFemoral Artery anotakura ropa kubva mudumbu richidzika nemakumbo. Dzimwe nguva, panguva yekuvhiyiwa kwe coronary artery bypass, vanachiremba vanotora Circumflex Artery kubva muchidya voishandisa se graft.
• Humeral Circumflex Arteries:Izvi zvakakamurwa ne `(Axillary Artery)` iri muhapwa medu. Iyi `(Axillary Artery)` ndiyo inotakura ropa kubva pachipfuva kuenda kumafudzi nemaoko. Kunyanya, pfupa redu repamusoro reruoko (`Humerus`) rinonyanya kupihwa ropa neiyi `(Posterior Humeral Circumflex Artery)`.

Ndezvipi zvirwere zvinokanganisa `Circumflex Artery`?

Kufanana nedzimwe tsinga dzemwoyo, tsinga yeropa inonzi circumflex inogonawo kukanganiswa nechirwere chinonzi coronary artery disease (CAD). Apa ndipo apo mafuta anoungana mukati metsinga, achiivhara. Zvakafanana nengura inovhara pombi yemvura.

Kuunganidzwa uku kweplaque uye kukora kwemadziro etsinga kunonzi atherosclerosis, zvinoreva "kuoma kwetsinga" kana "kuoma kwetsinga." Kana chirwere ichi cheCAD chikarapwa zvakanaka, chinowedzera njodzi yekukuvadzwa nemamiriro ezvinhu ane njodzi akadai sekurwadziwa kwemoyo, kutadza kwemoyo, uye sitiroko .

Ndezvipi zviratidzo zvekuvharika kwe'Circumflex Artery'?

Kana ropa richiyerera zvishoma nekuda kwekutetepa kwetsinga dzeropa, kurwadziwa kwechipfuva kunogona kuitika. Izvi zvinonzi "Angina". Dambudziko iri re "Angina" rinogona kukonzera kurwara kwemoyo. Iri idambudziko rehutano, saka unofanira kufonera 911 nekukasika.

Sezvo kuvharika kwetsinga yeropa iri mutsinga yeropa iriwo chikamu cheCAD, zviratidzo zvacho zvakafanana. Unogona kusangana nezvinhu zvakaita se:

• (Angina) - Izvi zvinoreva kurwadziwa kwechipfuva kana kuoma.
• Ziya rinotonhora.
• Kunzwa dzungu kana kunzwa kusuruvara.
• Kuneta zvakanyanya uye kushaya simba.
• Kurova kwemoyo nekukurumidza kana kusina kurongeka (Heart Palpitations).
• Kusvotwa .
• Kutadza kufema zvakanaka .
• Kurwadziwa pafudzi kana paruoko.
• Kurwadziwa mumutsipa kana munharaunda yeshaya.

Vanachiremba vanoongorora sei hutano hwe'Circumflex Artery'?

Vanachiremba vanoshandisa nzira dzakasiyana-siyana dzekuongorora tsinga dzemwoyo kuti vaone hutano hwetsinga dzemwoyo, kusanganisira tsinga yeropa inonzi circumflex. Dzimwe dzacho dzinosanganisira:

• Kugadziriswa kwemwoyo: Izvi zvinoongorora kana paine kuvharika kwetsinga dzeropa uye chirwere chemwoyo.
• Coronary Computed Tomography Angiogram (CCTA): Izvi zvinogona kuburitsa mifananidzo yemativi matatu (3D) yekuyerera kweropa mumoyo.
• Intravascular Optical Coherence Tomography (IVOCT) kana Intravascular Ultrasound (IVUS):Nzira idzi dzinogona kuwana mifananidzo yepamusoro-soro yeplaque iri mukati metsinga.
• Fractional Flow Reserve (FFR): Izvi zvinoyera shanduko muBP mukati metsinga uye zvinoona kana kuvharika kwakanyanya kukanganisa mashandiro emwoyo.

Matambudziko anokanganisa `Circumflex Artery` anorapwa sei?

Kuti uvhure tsinga yeropa yakavharika, chiremba wako anogona kuita catheterization yemwoyo uye kuita zvirongwa zvekurapa zvakaita se angioplasty uye stent placement. Angioplasty inzira inoshandisa mudziyo wakaita sebharumu kuwedzera tsinga yakavharika. Stent ichubhu diki yewaya inopinzwa mutsinga kuti irege kutetepa zvakare.

Tingadzivirira sei hurongwa hwedu hwetsinga, kusanganisira iyi 'Circumflex Artery'?

Heano zvimwe zvinhu zvaunogona kuita kuti tsinga dzako nehurongwa hwese hweropa zvirambe zvakanaka:

• Iva nemuviri unoshanda mazuva mazhinji evhiki uye chengetedza huremu hwakanaka.
• Dzora kunwa kwako doro. Tsvaga rubatsiro kana uine matambudziko nekushandisa doro .
• Idya chikafu chine hutano mumoyo . Izvi zvinogona kubatsira kuderedza cholesterol .
• Zivai mhando dzemafuta amunodya uye edzai kuderedza mafuta asina hutano.
• Kana uine chirwere cheshuga , chidzore zvakanaka.
• Tora matanho ekudzora BP yakakwira, kusanganisira kuderedza huwandu hwemunyu (sodium) unowedzerwa mukudya kwako.
• Kana uchisvuta, kumbira rubatsiro kuti urege .

Yeuka, sebazi retsinga huru yemoyo yekuruboshwe, `(Circumflex Artery)` yako inogonawo kubatwa ne`(Atherosclerosis)` uye `(Coronary Artery Disease)`. Kana `(Plaque)` ikawanda mu`(Circumflex Artery)`, kuyerera kweropa kuenda kumoyo kunogona kukanganisika. Izvi zvinonzi `(Bifurcation Blockage)`. Kana izvi zvikaitika, `(Angioplasty)` uye `(Stent)` zvingadiwa kuti tsinga ivhurwe uye kuvandudza kuyerera kweropa.

Pakupedzisira, zvekurangarira! (Mharidzo Yekuenda Kumba)

Ndinovimba kuti ikozvino mava kunzwisisa zvakanaka nezve `(Circumflex Artery)`. Iyi itsinga yeropa inokosha zvikuru pahutano hwemwoyo yedu. Saka, zvakakosha zvikuru kutevedzera shanduko dzemararamiro dzatakambokurukura kuti tsinga idzi dzirambe dzakagwinya. Kana uine zviratidzo zvakaita sekurwadziwa pachipfuva, kunetseka kufema, usazviregeredza uye tsvaga rubatsiro rwechiremba nekukasika.Taura nachiremba wako nezvenzira dzakanakisisa dzekudzivirira mwoyo wako netsinga dzeropa. Moyo une hutano zvinoreva hupenyu hune hutano!