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(Grays anatomy for students,3 Edition) ﻱﺮﻧﻭﺮﻛ ﻱﺎﻫ ﻥﺎﻳﺮﺷ - 2 : 16 ﻞﻜﺷ
ﻱﺮﻧﻭﺮﻛ ﻱﺎﻫ ﻥﺎﻳﺮﺷ ﺯﻮﻣﻮﺘﺳﺎﻧﺁ
ﺮﻈﻧ ﺯﺍ ﻙﺎﻳﺩﺭﺎﻛﺍﺮﺘﺴﻛﺍ ﻕﻭﺮﻋ ﻭ ﻱﺮﻧﻭﺮﻛ ﻦﻴﻳﺍﺮﺷ ﻦﻴﺑ ﻱﺎﻫ ﺎﻬﺘﻧﺍ ﻭ ﺩﺭﺎ ﻛﻮﻴﻣ ،ﺩﺭﺎﻜ ﭘﺍ ﻴ ﺮﻳﺯ ﻲﺣﺍﻮﻧ ﺭﺩ ﻱﺮﻧﻭﺮﻛ ﻦﻴﻳﺍﺮﺷ ﻱﺎﻫ ﻪﺧﺎﺷ ﻦﻴﺑ ﺯﻮﻣﻮﺘﺳﺎﻧﺁ
ﻲﻣ ﺥﺭ ﭗﭼ ﻭ ﺖﺳﺍﺭ ﺮﻧﻭﺮﻛ ﻦﻴﻳﺍﺮﺷ ﻲ ﻳ ﺎﻬﺘﻧﺍ ﻱﺎﻫ ﺶﺨﺑ ﻦﻴﺑ ﺭﺩ ﻲﻳ ﺎﻫﺯﻮﻣﻮﺘﺳﺎﻧﺁ ﻪﻛ ﺖﺳﺍ ﻩﺩﺍﺩ ﻥﺎﺸﻧ ﻲﻨﻴﻟﺎﺑ ﺕﺎﻴﺑﺮﺠﺗ . ﺪﻨﺘﺴﻫ ﻢﻬﻣ ﺭﺎﻴ ﺴﺑ ﻲﻨﻴﻟﺎﺑ
؛ ﺪﻨﻨﻛ ﻲﻤﻧ ﻢﻫﺍﺮﻓ ﺍﺭ ﻲﻓﺎﻛ (Collateral ) ﻲﺒﻧﺎﺟ ﻭ ﻝﺍﺮﺗﻻ ﻮﻛ ﻱﺎﻫﺮﻴﺴﻣ ﺎﻫﺯﻮﻣﻮﺘﺳﺎﻧﺁ ﻦﻳﺍ ﻱﺮﻧﻭﺮﻛ ﻦﻴﻳﺍﺮﺷ ﺩﺍﺪﺴﻧﺍ ﺩﺭﺍﻮﻣ ﺭﺩ ﻪﻛ ﺎﺠﻧﺁ ، ﺎﻣﺍ ﺯﺍ ﺪﻨﻫﺩ
ﻭ ﻱﺍ ﻪﻴﺣﺎﻧ گﺮﻣ ﻪﺑ ﺮﺠﻨﻣ ، ﻕﻭﺮﻋ ﻦﻳﺍ ﺯﺍ ﻱﺩﺍﺪﻌﺗ ﺎﻳ ﻲﻜﻳ ﺭﺩ (Thrombosis) ﻪﺘﺨﻟ ﺎﻳ ﺯﻮﺒﻣﺮﺗ . ﺪﻨﻳﺎﻤﻧ ﻲﻤﻧ ﺭﺍﺮﻗ ﺮﺑ ﻲﻜﻤﻛ ﻥﺎﻳﺮ ﺟ ًﻼﻤﻋ ﺍﺬﻟ
(Myocardial infarction, MI) ﻲﺒﻠﻗ ﻪﺘﻜﺳ ﺖﻟﺎﺣ ﻦﻳﺍ . ﻪﺑ ﺩﻮﺷ ﻲﻣ ، ﻩﺪﺷ ﻲﻧﺎﺳﺭ ﻥﻮﺧ ﻕﻭﺮﻋ ﻥﺁ ﻪ ﻠﻴﺳﻭ ﺑ ﻪ ﻪﻛ ﺐﻠﻗ ﻪﻠﻀﻋ ﻲﻌﺿﻮﻣ ﺐﻳﺮﺨﺗ
ﺑ ﻪ ﺍﺭ ﻱﺮﻧﻭﺮﻛ ﻦﻴﻳﺍﺮﺷ ﻞﻴﻟﺩ ﻦﻴﻤﻫ ﻪﺑ . ﺖﺳﺍ ﻲﺒﻠﻗ ﺖﻓﺎﺑ ﻩﺪﻨﻨﻛ ﻪﻳﺬﻐﺗ ﻱﺎﻫ ﻪﺧﺎﺷ ﻦﻴﺑ ِﺯﻮﻣﻮﺘﺳﺎﻧﺍ ﺩﻮﺟﻭ ﻡﺪﻋ ﺖﻠﻋ ﻪﺑ ﺮﻴﺧﺍ ﺖﻟﺎﺣ . ﺩﻮﺷ ﻲﻣ ﻪﺘﻔﮔ
. ﺪﻧﺮﻴﮔ ﻲﻣ ﺮﻈﻧ ﺭﺩ (End-Artery) ﻲﻳﺎﻬﺘﻧﺍ ﻦﻴﻳﺍﺮﺷ ﻥﺍﻮﻨﻋ
ﻱﺮﻧﻭﺮﻛ ﻱﺎﻬﻧﺎﻳﺮﺷ ( Variation ) ﻥﻮﻴﺳﺎﻳﺭﺍﻭ
،ءﺍﺪﺒﻣ ﺖﻟﺎﺣ ﻦﻳﺍ ﺭﺩ . ﺖﺳﺍ ﻦﻄﺑ ﻭﺩ ﻲﻧﺎﺘﺤﺗ ﺎﻳ ﻚﻴﺗﺎﻤﮔﺍﺮﻓﺎ ﻳﺩ ﺢﻄﺳ ﻲﻧﺎﺳﺭ ﻥﻮﺧ ﺎﺑ ﻁﺎﺒﺗﺭﺍ ﺭﺩ ﻱﺮﻧﻭﺮﻛ ﻱﺎﻬﻧﺎﻳﺮﺷ ﻉﻮﻨﺗ ﻭ ﻥﻮﻴﺳﺎﻳﺭﺍ ﻭ ﻦﻳﺮﺗ ﺞﻳﺍﺭ
؛ ﺪﻫﺩ ﻲﻣ ﺥﺭ ﺩﺭﺍﻮﻣ ﺪﺻﺭﺩ 90 ﺭﺩ ﻪﻛ (Right dominance a.) ﺐﻟﺎﻏ ﺖﺳﺍﺭ ﺩﺭﻮﻣ . ﺭﺩ ﺩﺭﺍﺩ ﻥﻮﻴﺳﺎﻳﺭﺍﻭ ﻲﻔﻠﺧ ﻲﻨﻄﺑ ﻦﻴﺑ ﻥﺎﻳﺮﺷ ﻊﻳﺯﻮﺗ ﻭ ﻩﺯﺍﺪﻧﺍ
(Left dominance ﺐﻟﺎﻏ ﭗﭼ ﺩﺭﻮﻣ ( ، ﺩ ﺭ ﺖﺳﺍ ﻥﺁ ﻝﻮﻤﻌﻣ ﺖﻟﺎﺣ ﻪﻛ ) ﺖﺳﺍ ﺖﺳﺍﺭ ﻱﺮ ﻧﻭﺮﻛ ﻥﺎﻳﺮﺷ ﺯﺍ ﻲﮔﺭﺰﺑ ﻪﺧﺎﺷ ،ﻲﻔﻠﺧ ﻲﻨﻄﺑ ﻦﻴﺑ ﻥﺎﻳﺮﺷ
( . ﺖﺳﺍ ﻝﻮﻤﻌﻣ ﺖﻟﺎﺣ ﻑﻼﺧﺮﺑ ﻪﻛ ) ﺖﺳﺍ ﺲﻜﻠﻔﻣﻮﻛﺮﻴﺳ ﻥﺎﻳﺮﺷ ﻪﺧﺎﺷ ،ﻲﻔﻠﺧ ﻲﻨﻄﺑ ﻦﻴﺑ ﻥﺎﻳﺮﺷ ؛ ﺪﻫﺩ ﻲﻣ ﺥﺭ ﺩﺭﺍﻮﻣ ﺪﺻﺭﺩ 10 ﺭﺩ ﻪﻛ a.)
ﺐﻠﻗ ﻱﺎﻫﺪﻳﺭﻭ
- 2 ( : 17 ﻞﻜﺷ ) ﺩﻮﺷ ﻲﻣ ﻱﺪﻨﺑ ﻪﺘﺳﺩ ﺮﻳﺯ ﺕﺭﻮﺼﺑ ﺐﻠﻗ ﻱﺪﻳﺭﻭ ﻪ ﻴﻠﺨﺗ
(The Coronary sinus) ﻥﺁ ﻱﺎﻫ ﻪﺧﺎﺷ ﻭ ﻱﺮﻧﻭﺮﻛ ﻱﺪﻳﺭﻭ , ﺱﻮﻨﻴﺳ 1 .
(The Anterior cardiac veins) ﻲﻣﺍﺪﻗ ﻲﺒﻠﻗ ﻱﺎﻫ ﺪﻳﺭﻭ 2 .
(The Venae Cordis minimae) ﺰﻳﺭ ﻲﺒﻠﻗ ﻱﺎﻫ ﺪﻳﺭﻭ 3 .
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