I-artery coronary iveza ukungavamile kokuzalwa (okukhona okwephutha ekubelethweni) okungenani okungenani kweyodwa emithanjeni ye-coronary inendawo engavamile. Ukungajwayelekile ngokuvamile kuhilela noma imvelaphi yomthambo noma indlela umthamo uthatha ngayo. Kuye ngezici zalo zesimo, i-coronary artery engaly ingaba yinhle noma ingabe yingozi.
Esinye isimo esibi salesi simo ukuthi izinhlobo ezithile ze-artery coronary anomaly zingabangela ama-arrhythmias abulale inhliziyo, ikakhulukazi ngesikhathi sokuzikhandla okukhulu. Ngakho-ke, ukungavamile kokuzalwa komzimba emithanjeni ye-coronary kwenza iqembu elilodwa lezinhliziyo zomzimba elihlobene nokufa okungazelelwe kubadlali abasha . Ngeshwa, ukuba ne-artery coronary anomaly kunganciphisa kakhulu ikhono lomgijimi lokuzibandakanya ezemidlalo - okungenani, aze athole ukwelashwa okwanele.
I-Artery Coronary Anomaly Inkinga Yini?
Kunezinhlobo eziningi ze-artery coronary. Okuvamile okuvame ukubonwa, noma kunjalo, yi-anomali lapho umthambo we-coronary wesokunxele uvela endaweni lapho umthambo we-coronary efanele uvela khona, noma ngokuphambene nalokho. Lezi zimo zibhekwa njengengozi.
Ezimweni ezinjalo, umsuka ongajwayelekile usho ukuthi i-artery yenza i-angle ebukhali engakwazi "kink" ngesikhathi sokuzivocavoca okunamandla lapho kunokucindezeleka okukhulu ohlelweni lwezinthambo.
I-kinking inganciphisa ukugeleza kwegazi ukuya emzimbeni we-muscle, okwazi ukukhiqiza ama-arrhythmias enhliziyo ebulalayo nokufa okungazelelwe.
Izimpawu
Abanye abantu abane-artery coronary anomaly bayothola izimpawu ngesikhathi sokuzivocavoca, njengokuhlukunyezwa kwesifuba noma ukuphefumula, noma ngezinye izikhathi ukulahlekelwa ukuqonda ( syncope ).
Kodwa-ke, njengoba kunjalo, ukufa okungazelelwe kuyisimpawu sokuqala.
Ukuxilongwa
Esikhathini esiningi isikhathi ukuhlola ngokomzimba kuvamile, futhi ngaphandle uma umdlali echaza izimpawu ngesikhathi sokuvivinya umzimba, asikho isizathu sokuba udokotela asolise lesi simo. Uma isimo sikholelwa, ngezinye izikhathi kungatholakala ukuthi sinesifundo se-MRI senhliziyo noma isithwebuli se-CT, nakuba i- catheterization ye-cardiac isacatshangwa njengendinganiso yegolide yokwenza i-diagnosis. Cishe iziguli ezingu-1 ezinama-20 ezine-catheterization yenhliziyo ngenxa yobuhlungu besifuba ziba ne-coronary artery anomaly.
Ama-coraliary anomali anomzimba ahlotshaniswa kwezinye iziguli ezinezinye izinhlobo zesifo senhliziyo esisanda kuzalwa, kuhlanganise ne-tetralogy ye-Fallot nokuguqulwa kwemizwa emikhulu .
Uma ngabe umthambo we-coronary ozalwayo ungatholakali, ungase uphethwe ngokuphumelelayo ngokuhlinzeka inhliziyo , ukuhamba kabusha noma ukudlula umthambo ochaphazelekayo.
Izincomo Zokuzivocavoca Okujwayelekile
Ngokomhlangano we-Bethesda wama-36 we-Bethesda we-36 eligibilitykile Izincomo Zabadlali Abanokuncintisana Nezinkinga Zezinhliziyo Zegazi, abagijimi abanezinkinga ze-arthritic coronary anomalies kufanele babaleke emidlalweni yonke yokuncintisana. Kodwa-ke, ngemuva kokulungiswa kokuhlinzwa kwesimo sabo, laba bantu bangase bahlanganyele emidlalweni yokuncintisana.
Imithombo:
Graham, TP Jr, Driscoll, DJ, Gersony, WM, et al. Umsebenzi Weqhawe 2: isifo senhliziyo esiswini. J Am Coll Cardiol 2005; 45: 1326.
Lorenz EC, Mookadam F, Mookadam M, et al. Ukubukezwa okuhlelekile kwe-anatomy coronary anatomy kanye nokuhlolwa kobudlelwane nokufa kwe-cardiac kungazelelwe. Rev Cardiovasc Med 2006; 7: 205.