Momma yensua Subclavian Artery, ntini a ɛho hia sen biara a ɛde mogya kɔ wo mmati, wo kɔn, ne wo ti so no mu biako ho ade!

Hɛlo! So woasusuw sɛnea wo nsa, wo kɔn, ne wo ti afã horow bi nya mogya ho pɛn? Yɛn nipadua no wɔ mogya ntini nhyehyɛe a ɛyɛ nwonwa yiye. Ɛnnɛ yɛrebɛka saa nhyehyɛe no afã horow a ɛho hia sen biara, nanso ebia wɔanka ho asɛm kɛse no biako ho asɛm. Ɛno ne ntini a ɛwɔ akyi no .

Dɛn ne subclavian artery no? Dɛn na ɛyɛ?

Sɛ yɛbɛka no tiawa a, wo subclavian arteries yɛ mogya ntini atitiriw abien a ɛde mogya a oxygen pii wom fi wo koma mu kɔ wo nipadua atifi, a wo nsa, wo kɔn, ne wo ti ka ho. Fa no sɛ nsu afiri atitiriw abien a ɛde nsu fi nsukorabea mu kɔ wo fie. Wɔwɔ wo kɔn mu nnompe (a wɔfrɛ no wo clavicles) ase pɛɛ, biako wɔ ɔfã biara. Mmienu wɔ nifa so na abien wɔ benkum so.

Enti, adwuma titiriw a saa subclavian artery yi yɛ ne sɛ ɛde mogya a oxygen wom fi koma no mu bɛkɔ wo ti, wo kɔn, ne wo nsateaa mu. Adwuma a ɛho hia paa, ɛnte saa?

Yebetumi ate ne dwumadi ase denam mogya ntini yi a yɛbɛkyekyɛ mu abiɛsa so:

• Ɔfã a edi kan no de mogya kɔ wo koko afã horow, thyroid gland, ne Circle of Willis, nhyehyɛe titiriw bi a ɛma mogya kɔ amemene no mu.
• Ɔfã a ɛto so abien no kɔ wo kɔn afã horow a wɔfrɛ no costocervical trunks no so .
• Ɔfã a ɛto so abiɛsa , a ɛyɛ ɔfã a ɛwɔ akyirikyiri kakra fi baabi a mogya ntini yi fi ase no de mogya kɔ wo nsa so. Ɛno kyerɛ sɛ mogya kɔ biribiara mu fi wo biceps, triceps ntini, mmati ntini, forearm ntini, ne nea ɛkeka ho.

Ɛhe ankasa na subclavian artery no wɔ?

Sɛnea yɛadi kan aka no, mogya ntini abien yi nyinaa wɔ wo kɔn mu nnompe (`clavicles`) ase. Nanso, benkum subclavian artery ne nifa subclavian artery no fi ase wɔ ɔkwan soronko so kakra.

• Subclavian artery nifa a ɛwɔ wo nifa so no fi ase denam mogya ntini bi a wɔfrɛ no wo brachiocephalic artery so .
• Benkum so subclavian artery a ɛwɔ wo benkum so no fi ase tẽẽ fi wo ntini kɛse kɛse, aortic arch , no anim tẽẽ.

Saa mogya ntini abien yi fi wo nipadua mfinimfini kɔ abɔnten, fa ntini abien a ɛwɔ wo kɔn mu a wɔfrɛ no ``anterior ne middle scalene muscles.`` Ɛtrɛw kɔ wo mpampam a edi kan no so, na efi hɔ no ɛbɛyɛ ``axillary arteries,`` a ɛyɛ mogya ntini a ɛkɔ wo nsa so tẽẽ.

Saa ntini a ɛwɔ akyi no yi nkorabata kɔ nkorabata nketewa. Wɔn nso ho hia yiye:

• Akyi berɛmo mu ntini: Eyinom de mogya kɔ w’amemene no afã horow ne amemene no ntini no mu . Mpɛn pii no, mogya ntini yi kɛse yɛ milimita 3 kosi 5.
• Ntini a ɛwɔ ahurututu mu: Eyinom de mogya kɔ pericardium , nufu dompe, diaphragm , koko fasu, ne yafunu no fasu no afã horow bi. Eyinom yɛ mogya ntini nketenkete a ne kɛse bɛyɛ milimita 2. Ɛtɔ mmere bi a nnuruyɛfo de benkum mu ntini a ɛwɔ ahurututu mu no di dwuma de yɛ coronary artery bypass grafts .
• Dorsal scapular arteries: Eyinom ma mogya kɔ w’akyi ntini a ɛwɔ soro no mu na ɛboa wo nsa ne wo mmati.
• Thyrocervical trunk: Eyi tu mmirika kɔ wo kɔn nkyɛnkyɛn na ɛma mogya kɔ wo kɔn ne wo mmati so.
• Costocervical trunk: Eyi nso wɔ kɔn no afã abien no nyinaa na ɛde mogya kɔ wo nsa, wo kɔn, ne wo ti so.

Saa subclavian artery yi kɛse te dɛn? Dɛn na wɔde na ɛyɛ?

Wo subclavian artery no ntwemu, anaa ne ntwemu no trɛw yɛ sɛntimita 0.7 kosi 1.0 (ennu nsateakwaa fã). Ɛyɛ ketewa, nanso ɛyɛ adwuma pii, ɛnte saa?

Te sɛ mogya ntini afoforo no, wo subclavian artery no yɛ ntoatoaso atitiriw abiɛsa.

1. Innermost layer (Tunica Intima): Eyi yɛ nkwammoaa a ɛyɛ tratraa yiye na ɛyɛ mmerɛw. Ɛboa ma mogya no kɔ yiye.

2. Mfinimfini fã (Tunica Media): Eyi ne ntini a ɛwɔ nipadua no mu. Eyi ne nea ɛma mogya ntini no twetwe na ɛtrɛw. Ɛboa nso ma wodi mogya mmoroso so.

3. Nea ɛwɔ akyi sen biara (Tunica Adventitia): Eyi nso yɛ ade a ɛyɛ den a wɔde kata so a wɔde nkwammoaa a ɛyɛ tratraa na ɛyɛ mmerɛw ayɛ. Ɛma mogya ntini no bɔ ho ban.

Dɛn ne nyarewa a ɛtaa ba a ebetumi aka subclavian artery no?

Awerɛhosɛm ne sɛ, subclavian artery a ɛyɛ adwuma a ɛho hia saa no mpo tumi nya nyarewa bi. Momma yɛnhwɛ emu atitiriw no bi:

• Atherosclerosis: Nnipa pii ate eyi ho asɛm. Sɛ yɛbɛka no tiawa a, ɛyɛ tebea a srade ne srade boaboa ano wɔ mogya ntini no mu (yɛfrɛ no `plaque` ) na esiw mogya ntini no mu. Ɛte sɛ nkannare a asiw nsu paipu mu. Sɛ eyi si wɔ subclavian artery no mu a, esiw mogya no kwan.
• Thoracic Outlet Syndrome: Wɔ tebea yi mu no, subclavian artery no yɛ teateaa ( stenosis) esiane nhyɛso a efi dompe, ntini, anaa ntini afoforo a atwa ho ahyia mu ba nti.) sɛ wɔbɛsesa. Afei mogya dodow a ɛkɔ nsa no so betumi atew.
• Takayasu ntini mu yare: Eyi yɛ ntini mu yare bi . Ɛma subclavian artery no ho hyehye, anaasɛ ɛhoa, na ebetumi ama oxygen dodow a ɛkɔ ti, kɔn, anaa abasa no so atew.
• Subclavian Steal Syndrome: Eyi nso taa fi atherosclerosis . Nea ɛkɔ so wɔ ha ne sɛ subclavian artery no yɛ teateaa ( stenosis ), na mogya a ɛsɛ sɛ ɛkɔ amemene no mu no bi "rewia" afi abasa no ho. Ɛno nti na wɔfrɛ no "wia" no.

Dɛn ne subclavian artery haw ho sɛnkyerɛnne? Wobɛyɛ dɛn ahu?

Sɛ ɔhaw bi wɔ subclavian artery no mu a, sɛnkyerɛnne ahorow no betumi ayɛ soronko a egyina yare a ɛrehaw no so. Nanso, sɛnkyerɛnne ahorow bi wɔ hɔ a ɛtaa ba a wobetumi ahu:

• Mogya mmoroso a ɛwɔ abasa biako mu no sua koraa sen abasa foforo no.
• Nsa anaa nsateaa kɔla a ɛsakra (te sɛ nea ɛdan bruu anaasɛ ɛyɛ bruu).
• Ahurututu, ɛyaw, mmerɛwyɛ , anaasɛ biribi a wɔte nka ara kwa wɔ nsa mu.
• Nsa a ɛho ahonhon.
• Nsa no ntumi nnyina awɔw ano .
• Sɛ wote nka sɛ ne ti ayɛ wo yaw .
• Ɛtɔ da bi a atiridii tumi ba (titiriw wɔ tebea horow a ɛyɛ hyew te sɛ Takayasu ntini mu yare mu).
• Ɔtotɔ piti (titiriw wɔ tebea horow te sɛ `Subclavian Steal Syndrome` mu).

Nhwehwɛmu bɛn na wɔyɛ de hwɛ sɛnea subclavian artery no akwahosan te?

Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a, sɛ wokɔ oduruyɛfo nkyɛn a, ɛda adi sɛ ɔbɛyɛ nhwehwɛmu ahorow bi.

• Nea edi kan no, yesusuw mogya mmoroso a ɛwɔ abasa abien no nyinaa mu . Yebetumi ahu sɛ nsonsonoe kɛse wɔ mu anaa.
• Vascular ultrasound : Eyi yɛ nhwehwɛmu a ɛnyɛ den a ɛyaw nnim a ebetumi ahwɛ ɔkwan a mogya fa so fa mogya ntini mu ne sɛ ebia biribi asiw kwan anaa.
• X-ray a wɔde yɛ koko .
• CT scan a wɔde yɛ adwuma .
• MRI (Magnetic Resonance Imaging – MRI) nhwehwɛmu.
• Addison maneuver : Eyi yɛ sɔhwɛ a wɔde hwɛ sɛ obi anya Thoracic Outlet Syndrome anaa . Wɔatrɛw scalene ntini a ɛwɔ wo kɔn mu no mu na wɔhwɛ sɛ radial pulse a ɛwɔ wo nsa mu no so atew anaa.
• Angiogram a wɔde yɛ nhwehwɛmuSɔhwɛ: Eyi yɛ adeyɛ a ɛntaa nsi kakra. Wɔde ade titiriw bi gu mogya ntini no mu na wɔyɛ X-ray.

Dɛn ne ayaresa ahorow a wɔde sa subclavian artery haw ahorow?

Asɛmpa no ne sɛ, sɛ subclavian artery no mu yɛ teateaa anaasɛ esiw a, ayaresa ahorow wɔ hɔ a wɔde bɛsan ayɛ sɛnea na ɛte kan no. Nnuruyɛfo fa akwan horow so bue mogya ntini yi bio. Ɛsono sɛnea wɔde sa yare no gyina tebea no so.

Subclavian artery yare (a efi `atherosclerosis` na ɛde ba) .

• Aspirin ne nnuru a ɛma mogya mu srade so tew .
• Angioplasty : Nea ɛka eyi ho ne sɛ wɔde balloon ketewaa bi bɛhyɛ ntini no mu na wɔde mframa ahyɛ mu wɔ baabi a asiw no, na woyi ntini a ayɛ kɛse wɔ ntini no fasu so no afi hɔ. Afei wobetumi de stent , ade ketewaa bi a ɛte sɛ ahama, ahyɛ baabi a asiw no bio.
• Bypass oprehyɛn yɛ oprehyɛn a ɛma wonya ɔkwan foforo a mogya fa so twa baabi a asiw no ho hyia.

Thoracic Outlet Syndrome a Ɛyɛ Fɛ a Ɛyɛ Fɛ

• Apɔw-mu-teɛteɛ : Eyi kyerɛ sɛ wobɛyɛ nneɛma te sɛ apɔw-mu-teɛteɛ de abɔ mmɔden sɛ wobɛtew nhyɛso no so.
• Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) : Ɛtew ɛyaw ne ɔfe so.
• Thrombolytics anaa ``nnuru a ɛma mogya tu``.
• Anticoagulants : Nnuru a wɔde ma na amma mogya antumi ankɔ.
• Wɔyɛ oprehyɛn de yi nea ɛde mogya ntini no siw no fi hɔ.

Takayasu ntini mu yare

• Corticosteroids : Ɛtew ɔfe so.
• Nnuru a ɛma nipadua no tumi ko tia nyarewa .
• Mogya ntini a wobue denam oprehyɛn anaa angioplasty so .

Subclavian Steal Syndrome a Ɛyɛ Fɛ a Ɛyɛ Fɛ

• Antiplatelet therapy : Siw mogya mu nkwammoaa a ɛko tia mogya mu nkwammoaa a ɛboaboa ano na ɛnyɛ mogya a ɛtɔ.
• Anticoagulants : Siw mogya a ɛbɛtɔ no kwan.
• Oprehyɛn a wɔde twa kwan anaasɛ angioplasty .

Dɛn ne nneɛma a ɛnyɛ den bi a yebetumi ayɛ na ama subclavian artery no akɔ so ayɛ yiye?

Sɛnea wohwɛ wo koma ne koma ne ntini nyinaa so no, saa ara na ɛsɛ sɛ wohwɛ wo subclavian artery nso. Afotu yi a wubedi akyi no bɛboa wo kɛse:

• Di wo mogya mmoroso ne srade dodow so . Eyinom yɛ atamfo atitiriw a wɔsɛe mogya ntini no mu abien.
• Kwati sɛ wode tawa mu nneɛma bedi dwuma koraa. Sigaretnom pira mogya ntini kɛse.
• Nya apɔw-mu-teɛteɛ daa . Anyɛ yiye koraa no, nantew simma 30 da biara nso ye yiye.
• Kura wo nipadua mu duru a ɛfata mu . Kɛse mmoroso nso de nhyɛso kɛse ba mogya ntini ahorow so.

Enti, ade a etwa to a ɛsɛ sɛ yɛkae ne sɛ...

Wo subclavian artery yɛ wo nipadua atifi fã a ɛho hia yiye, na ɛma mogya a ɛho hia na ama woanya apɔwmuden. Sɛnea dua hia nsu no, saa ara na yɛn nsa, yɛn kɔn, ne yɛn ti hia mogya a ɛsen fa mogya ntini yi mu.

Sɛ wudi aduan pa na woteɛteɛ w’apɔw mu daa a, ɛnyɛ wo subclavian artery nko na ebetumi aboa ma ayɛ den, na mmom mogya ntini afoforo a ɛwɔ wo nipadua mu nyinaa nso. Wo duruyɛfo a wobɛkɔ akɔhwɛ wo daa nso betumi aboa ma woahu ɔhaw biara a ɛwɔ wo mogya a ɛkɔ wo mogya mu no ntɛm. Sɛ wuhu mpofirim sɛ wo mogya ntini no biako mu atew a, mma wo ho nnpopo. Aduruyɛ a ɛkɔ akyiri wɔ ayaresa a ɛho hia ma no. Nea ɛho hia sen biara ne sɛ sɛ wuhu yare no ho sɛnkyerɛnne bi a, wobɛkɔ oduruyɛfo nkyɛn a worenkyɛ.