Imwe mishonga inogadziriswa inofananidzira kusanganisa kwepabonde (chirema chiripo pakuberekwa) umo chimwe chetachiona chekoniyoni ine nzvimbo isina kunaka. Izvo zvisina kufanira zvinowanzobatanidza kana zvakabva mumiriri kana kuti nzira iyo arteri inotora. Zvichienderana nemasikirwo ayo akafanana, arteri inogadziriswa inogona kunge inogona kunge yakaipa kana inogona kutyisa.
Chimwe chinhu chisina kunaka chechiitiko ichi ndechekuti mamwe maitiro earonary artery anonyanya kunogona kutungamirira kune kuuraya kwemoyo wemagirmitias, kunyanya munguva yekushingaira kushingaira. Nokudaro, kuberekwa kusakanganiswa mumatriconary artery kunoita boka rimwe remamiriro emwoyo kunobatanidza nekufa kamwe kamwe mumatambo mashoma . Zvinosuruvarisa, kuva nechirwere chechirwere chinonyadzisa chinogona kuderedza kukwanisa kwemutambi kukwanisa kupinda mumitambo - zvisinei, kusvikira awana kurapa kwakakwana.
Nzvimbo yeCoronary Inomaly Inoita Sei Zvinetso?
Kune marudzi akasiyana-siyana ehutoni hutachiona husingaiti. Kazhinji inowanzozivikanwa, zvisinei, iyo yakashata iyo yerineri yeconary artery inobva kunzvimbo umo kodzero yekoniyoni yakarurama inotangira, kana kuti vice-versa. Aya mamiriro ezvinhu anonzi angave ane ngozi.
Mumamiriro ezvinhu akadaro, chimiro chisina kujairika chinoreva kuti arteri inoumba yakananga yakaoma iyo inogona "kink" panguva yekudzidzira kunetsa apo pane kuwedzera kushungurudzika pane vascular system.
Kinking inogona kubvisa kubuda kweropa kusvika pamwoyo mutsvuku, iyo inogona kukwanisa kuuraya mutsara wemaridystmias uye kufa kamwe kamwe.
Zviratidzo
Vamwe vanhu vane hutano hwepenital coronary vanonyanya kuitika vachaona zviratidzo munguva yekurovedza muviri, zvakadai sekurwadziwa kwepfupa kana kupererwa kwemweya, kana dzimwe nguva kurasikirwa kwekuziva ( syncope ).
Zvisinei, sekushamwaridzana sezvazviri, kufa kamwe kamwe kunowanzova chiratidzo chekutanga.
Kuziva
Kazhinji yenguva yekuongorora kwepanyama kunowanzoitika, uye kunze kwekuti mutambi anotsanangura zviratidzo panguva yekurovedza muviri, hapana chikonzero chechiremba kuti afungire mamiriro acho ezvinhu. Kana chirwere chacho chichifungidzirwa, dzimwe nguva chinogona kuonekwa nechirwere chemwoyo cheMRI kana chirwere chemwoyo cheC CT, kunyange zvazvo catheterization yemwoyo ichiri kutaridzirwa kuti ndiyo yegoridhe yakagadzirwa yekuita kuti iongororwe. Vanenge 1 mu20 varwere vane chirwere chepfungwa chepakati chekurwadziwa kwepfuva vanoita kuti ave nechirwere chegoni chinonyangadza.
Coronary artery anomalies inosanganiswa mune vamwe varwere vane mamwe maitiro ehutano hwepfungwa, kusanganisira tetralogy ye Fallot uye kuchinja kwemasimba makuru .
Kana chirwere chekuberekwa kwechirwere chinokonzera chichionekwa chinowanikwa, chinogona kutorwa zvakanaka kuburikidza nekuvhiyiwa kwepfungwa , kudzokazve kana kupfurikidza noutachiona hwakakanganiswa.
Zvose zvinowanzoita mazano Okudzidzira
Maererano nesangano reBethesda re 36, 36 reEgligility Recommendations for Competitive Athletes neCardiovascular Abnormalities, vatambi vane congenital coronary artery anomalies vanofanira kurega pamakwikwi ose emakwikwi. Zvisinei, mushure mekugadziriswa kwemamiriro avo ezvinhu, vanhu ava vanogona kutora chikamu mumakwikwi emakwikwi.
Sources:
Graham, TP Jr, Driscoll, DJ, Gersony, WM, et al. Task Force 2: congenital chirwere chemoyo. J Am Coll Cardiol 2005; 45: 1326.
Lorenz EC, Mookadam F, Mookadam M, et al. Mhedziso yehutachiona hwehutachiona hwekodonary uye kuongorora kwekushamwaridzana nekufa kamwe kamwe kwemoyo. Rev Cardiovasc Med 2006; 7: 205.