Mitsempha yowonongeka imakhala yosaoneka bwino (yomwe ili ndi vuto la kubadwa) kumene mitsempha imodzi yamakono ili ndi malo osazolowereka. Kawirikawiri kusalongosoka kumaphatikizapo chiyambi cha mitsempha kapena njira yomwe amatha kutengera. Malinga ndi maonekedwe ake a matupi, mitsempha yamakono imatha kukhala yowonongeka kapena ingakhale yoopsa.
Chinthu chimodzi choipa cha matendawa ndi chakuti mitundu ina ya mitsempha ya mimba imatha kuwonetsa moyo wamtundu wakupha, makamaka panthawi yolimbika kwambiri. Motero, zovuta zomwe zimachitika m'mitsempha ya m'mimba zimapanga gulu limodzi la moyo wa mtima umene umagwiridwa ndi imfa yadzidzidzi m'mathamanga achinyamata . Mwamwayi, kukhala ndi mitsempha yowonongeka kungachititse kuti wothamanga athe kutenga nawo mbali masewera - mpaka atalandira chithandizo chokwanira.
Kodi Mitsinje ya Coronary Imayambitsa Mavuto Chifukwa Chiyani?
Pali mitundu yambiri ya mitsempha yamakono yonyansa. Ambiri amadziwika, komabe, ndi zolakwika zomwe mzere wamakono wochokera kumanzere umachokera kumalo kumene kuyambira kwabwino kumayambira, kapena mobwerezabwereza. Zinthu izi zimaonedwa kuti zingakhale zoopsa.
Zikatero, chiyambi chachilendo chimatanthawuza kuti mitsemphayi imakhala ndi ngodya yomwe imatha "kink" panthawi yochita masewera olimbitsa thupi pamene pali zovuta kwambiri pa mitsempha.
Kinking ikhoza kuthetsa kutaya kwa magazi mpaka minofu ya mtima, yomwe ikhoza kubweretsa matenda a mtima wakupha ndi imfa yadzidzidzi.
Zizindikiro
Anthu ena omwe ali ndi mitsempha yotchedwa congenital coronary artery amatha kuona zizindikiro panthawi yochita masewera olimbitsa thupi, monga kupweteka pachifuwa kapena kupuma pang'ono, kapena nthawi zina kutaya mtima ( syncope ).
Komabe, monga momwe ziliri zovuta, imfa yadzidzidzi kawirikawiri imakhala chizindikiro choyamba.
Kudziwa
Kawirikawiri nthawi yoyezetsa thupi ndi yachilendo, ndipo ngati wothamanga asananene za zizindikiro panthawi ya masewera olimbitsa thupi, palibe chifukwa choti adokotala aziganiza kuti ali ndi vutoli. Ngati vutoli likugwiriridwa, nthawi zina amapezeka kuti ali ndi matenda a MRI kapena mtima wa CT, ngakhale kuti catheterization yamtima imaganiziridwa kuti ndi golide woyenera kuti adziwe. Pafupifupi 1 pa 20 aliwonse omwe ali ndi catheterization ya mtima chifukwa cha kupweteka pachifuwa amatha kukhala ndi mitsempha yowonongeka.
Matenda a mitsempha ya Coronary amagwiritsidwa ntchito kwa odwala ena omwe ali ndi matenda ena a mtima wamba, kuphatikizapo tetralogy ya Fallot ndi kusintha kwa mitsempha yayikulu .
Ngati mitsempha ya congenital coronary imapezeka, imatha kuchitidwa bwino ndi opaleshoni ya mtima , kubwereranso kapena kupyola mitsempha yosokonezeka.
Malingaliro Omwe Amadziwika Ogwira Ntchito
Malingana ndi msonkhano wa 36 wa Bethesda wokhudzana ndi zovomerezeka za Ophwimitsa Mpikisano ndi Mavuto Okhudza Mtima, ochita masewera omwe ali ndi vuto losachita masewera olimbitsa thupi ayenera kupewa masewera onse ochita mpikisano. Komabe, atatha kukonzekera kuti athetse vuto lawo, anthuwa angayambe kuchita nawo masewera olimbirana.
Zotsatira:
Graham, TP Jr, Driscoll, DJ, Gersony, WM, et al. Ntchito Yachiwiri 2: Matendawo a mtima. J Am Coll Cardiol 2005; 45: 1326.
Lorenz EC, Mookadam F, Mookadam M, et al. Kuwonetseratu mwatsatanetsatane wa anatomy coronary anatomy ndi kufufuza kwa mgwirizano ndi imfa yadzidzidzi imfa. Rev Cardiovasc Med 2006; 7: 205.