So woate saa brachiocephalic artery yi ho asɛm wɔ wo nipadua mu? Momma yɛmfa nsɛm a ɛnyɛ den nka ho asɛm!

Ɛnnɛ yɛrebɛka mogya ntini bi a ɛho hia paa wɔ yɛn nipadua mu a ebia woante ho asɛm. Eyi ne brachiocephalic ntini no. Ɛwom sɛ edin no yɛ den kakra de, nanso ne dwumadi yɛ mmerɛw yiye na ɛho hia. Ɛyɛ adwuma kɛse de mogya kɔ yɛn nipadua no atifi nifa so.

Dɛn ne saa brachiocephalic artery yi?

Sɛ yɛbɛka no tiawa a, wo brachiocephalic artery no yɛ mogya ntini bi a ɛpue fi aorta, ntini kɛse a ɛwɔ wo moma so no mu. So woahu dua bi fã a ɛyɛ kurukuruwa no pɛn? Saa na yɛn aorta no atifi te, na yɛfrɛ no aortic arch. Brachiocephalic artery ne mogya ntini a edi kan a ɛpue fi aortic arch no mu. Ɛboa ma mogya kɔ wo nipadua no atifi nifa so.

Wɔsan frɛ eyi sɛ:

• Brachiocephalic trunk: Efisɛ ɛte sɛ mogya ntini nkorabata atitiriw abien dua.
• Innominate artery: Eyi nso yɛ din dedaw.

Wo brachiocephalic artery no yɛ mogya a ɛkɔ yɛn nipadua mu nyinaa no fã.

Dɛn na ɛto brachiocephalic artery no?

Brachiocephalic artery no yɛ adwuma a ɛho hia yiye. Ɛde mogya a oxygen pii wom na ɛho tew kɔ akwaa ne ntini ahorow a ɛwɔ yɛn nipadua no atifi no mu. Ne titiriw no, egye mogya fi wo aorta mu na ɛde kɔ wo nifa subclavian artery ne nifa common carotid artery mu. Saa mogya yi de mframa pa ne aduannuru kɔ wo nsa nifa atifi, w’amemene nifa, w’anim nifa, ne wo kɔn nifa. Wo de susuw adwuma kɛse a ntini ketewa yi betumi ayɛ ho hwɛ!

So saa ntini yi kura mogya a oxygen wom anaasɛ mogya a oxygen nni mu?

Asɛmmisa pa! Wo brachiocephalic artery no de mogya a oxygen wom kɔ . Yɛn koma no de mogya a ɛho tew a oxygen wom kɔ aorta no mu. Efi hɔ no, mogya yi fa ntini afoforo a efi aorta no mu (a brachiocephalic artery ka ho) no mu ma yɛn nipadua no nya aduan.

Ɛhe na brachiocephalic artery no wɔ?

Brachiocephalic artery (anaasɛ dua) no wɔ wo moma so nifa atifi, wo koma atifi ne wo kɔn ase kakra. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛwɔ wo moma so beae bi a wɔfrɛ no ``Mediastinum''. Saa ahunmu a wɔfrɛ no ``Mediastinum'' yi ho hia yiye efisɛ ɛwɔ wo koma ne mogya ntini atitiriw afoforo afã horow.

Sɛnea madi kan aka no, brachiocephalic artery no ne nkorabata a edi kan a ɛyɛ nkorabata fi wo `(Aortic arch)`, a ɛyɛ wo aorta no fã a ɛyɛ kurukuruwa no atifi. ``Nea edi kan'' kyerɛ sɛ ɛyɛ baa dwumadibea a ɛbɛn wo koma sen biara. Nanso, ɛnyɛ nkorabata a edi kan a ɛyɛ nkorabata fi wo `(Aorta)`. Efisɛ, ansa na `(Aortic arch)` bɛba no, wo aorta no fã bi wɔ hɔ a efi wo koma mu ba, a wɔfrɛ no `(Ascending aorta)`. Ntini a ɛma mogya kɔ wo koma ntini mu no mu paapae fi saa `(Ascending aorta)` yi mu. Enti, nkorabata a edi kan a ɛyɛ nkorabata fi wo aorta no mu ne wo ntini a ɛma mogya tu no ankasa.

Nea ɛho hia no, brachiocephalic artery no nyɛ koma no mogya ntini atitiriw no mu biako, na saa ara nso na ɛne koma no dan bi nni abusuabɔ tẽẽ. Ɛyɛ aorta no nkorabata bi kɛkɛ.

Dɛn ne brachiocephalic artery no nkorabata atitiriw abien no?

Saa brachiocephalic artery yi mu paapae yɛ nkorabata abien bere a ɛkɔ akyirikyiri fi koma no ho, kyerɛ sɛ, ɛkɔ soro no. Wɔsan frɛ saa mpaepaemu yi `(Bifurcates)`. Nkorabata abien no ne:

• Right subclavian artery: Eyi ma mogya kɔ wo nsa nifa no atifi. Ɛsan nso twa nkorabata de mogya kɔ wo ti, wo kɔn, ne wo moma so afã horow.
• Right common carotid artery: Eyi ma mogya kɔ w’amemene ne wo ti, w’anim, ne wo kɔn afã afoforo.

Wɔfrɛ eyinom nkorabata a ɛba awiei efisɛ brachiocephalic artery no ba awiei wɔ ha. Mpaapaemu no ba wɔ sternoclavicular joint nifa so, baabi a clavicle ne sternum hyia wɔ wo nifa so no.

Brachiocephalic ntini yi kɛse te dɛn?

Brachiocephalic artery (dua) no tenten taa yɛ bɛyɛ sɛntimita 4 kosi 5 . Ne kɛse anaa ne tɛtrɛtɛ bɛyɛ milimita 10.5 kosi 13.7 . Ɛyɛ ketewa, nanso ɛyɛ adwuma pii, ɛnte saa?

Dɛn na wɔde na ɛyɛ eyi?

Te sɛ ntini afoforo a ɛwɔ yɛn nipadua mu no, brachiocephalic ntini no wɔ ɔfasu a ɛyɛ ntoatoaso abiɛsa:

• Tunica intima `(Tunica intima / interna)`: Eyi ne nea ɛwɔ mu paa. Ɛwɔ ntama a ɛyɛ nkwammoaa bi a wɔfrɛ no `(Endothelial cells)`. Eyi ne nea ɛboa ma mogya no sen yiye a biribiara nsiw kwan.
• Tunica media: Eyi ne mfinimfini fã no. Ntini a ɛyɛ mmerɛw nkwammoaa a ɛwɔ saa ɔfa yi mu no boa ma ntini no trɛw na ɛyɛ teateaa sɛnea ɛho hia, na ɛnam so ma mogya no kɔ so.
• Tunica adventitia (Tunica adventitia / externa): Eyi ne ade a ɛwɔ akyi sen biara. Ɛma ntini no nya ahoɔden ne mmoa. Saa ɔfa yi yɛ collagen ne ntini afoforo a ɛka bom.

So nsakrae bi wɔ nipadua mu wɔ baabi a brachiocephalic artery no wɔ?

Yiw, ampa. Esiane sɛ wɔde aorta no kurukuruwa na ɛkyekyɛ brachiocephalic artery no mu nti, nsakrae ahorow a ɛba aortic arch yi mu nso betumi aka brachiocephalic artery no gyinabea. Nsakrae a ɛtaa ba wɔ aortic arch no mu ne nhyehyɛe bi a nkorabata abien pɛ na wɔakyekyɛ mu.

Mpɛn pii no, mogya ntini abiɛsa fi wo aortic arch no mu tẽẽ. Wɔne:

• Brachiocephalic ntini (a ɛwɔ dua no mu).
• Benkum so subclavian ntini.
• Benkum a ɛtaa ba carotid ntini.

Nanso, wɔ nnipa binom mu no, sɛ́ anka ɛbɛyɛ abiɛsa yi no, nkorabata abien pɛ na ebetumi afi `(Aortic arch)` no mu. Nhwɛso abien a ɛte saa ne:

1. Brachiocephalic artery ne benkum common carotid artery no fi beae koro: Eyi kyerɛ sɛ ntini abien no nyinaa fi beae koro, common trunk, ``Aortic arch''. Benkum fam subclavian artery no mu paapae yɛ no nkorabata a ɛto so abien a ɛyɛ soronko, ``Benkum subclavian artery''.

2. Benkum carotid ntini a ɛtaa ba a efi brachiocephalic artery no mu: Wɔ eyi mu no, sɛ́ anka ebefi aortic arch no mu tẽẽ no, benkum common carotid artery no fi brachiocephalic artery no mu. Saa mpaapaemu yi taa ba bɛyɛ sɛntimita biako fi aortic arch no so. Benkum so subclavian artery no mu paapae wɔ ɔkwan soronko so.

Mpɛn pii no, nsakrae yi nyɛ ɔhaw kɛse, nanso ɛho hia sɛ nnuruyɛfo hu.

So brachiocephalic ntini nifa ne benkum nyinaa wɔ hɔ?

Nnipa dodow no ara wɔ brachiocephalic artery biako pɛ . Ɛwɔ koko no nifa so. Nanso, ɛntaa nsi koraa, sɛ nsakrae bi ba `(Aortic arch)` no mu a, ebia brachiocephalic ntini ahorow wɔ nifa ne benkum nyinaa, anaasɛ biako pɛ na ɛwɔ benkum so. Eyinom yɛ nsɛm a ɛntaa nsi koraa.

Dɛn ne tebea horow a ɛtaa ka brachiocephalic artery no?

Aduruyɛ mu tebea horow bi nso betumi aka brachiocephalic artery no. Ebi ne:

• Tracheo-innominate fistula (TIF): Eyi yɛ tebea a ɛyɛ hu yiye. TIF yɛ abusuabɔ a ɛnteɛ a ɛda wo mframa afiri (trachea) ne innominate (brachiocephalic) ntini no ntam. Eyi yɛ ɔhaw a ebetumi de nkwa ato asiane mu a efi tracheostomy, oprehyɛn a wɔyɛ wɔ kɔn mu na ama mframa kwan no abue mu. Ebetumi ama mogya atu kɛse, enti ehia sɛ wɔyɛ oprehyɛn ntɛm. Sɛ wɔayɛ wo tracheostomy bere tenten a, ebia wo duruyɛfo bɛyɛ CT scan de ahwɛ sɛ asiane a ɛwɔ hɔ sɛ wubenya TIF anaa.

• Ntini mu ntini a ɛyɛ den:Ebia woate eyi ho asɛm. Atherosclerosis yɛ tebea a srade (a wɔfrɛ no plaque) boaboa ano wɔ ntini no mu, na ebetumi ama ntini no ayɛ teateaa bere a bere kɔ so no. Eyi ma mogya nkɔ nipadua no afã horow. Sɛ mogya a ɛkɔ amemene no mu no so tew wɔ saa kwan yi so (amemene mu ntini mu yare) a, mpɛn pii no nea ɛde ba ne srade a ɛwɔ carotid ntini ahorow no mu. Nanso, ɛntaa nsi koraa sɛ srade nso betumi ayɛ brachiocephalic artery no mu na ama ayɛ teateaa. Wɔ tebea horow a ɛtete saa mu no, ebia ɛho behia sɛ wɔsa yare te sɛ stent a wɔde besisi hɔ na ama mogya no atu mpɔn.

• Aneurysm: Aneurysm yɛ ntini bi fasu a ɛyɛ kurukuruwa esiane mmerɛwyɛ nti. Ntini a ɛwɔ brachiocephalic artery no mu no ho yɛ na koraa. Supra-aortic aneurysms ba wɔ ntini a ɛwɔ aortic arch no atifi no mu, na ɛyɛ bɛyɛ 3 wɔ 100 biara mu.

Mɛyɛ dɛn atumi ama me brachiocephalic artery no ayɛ yiye?

Nneɛma pii wɔ hɔ a wubetumi ayɛ na ɛnyɛ wo brachiocephalic artery nko, na mmom ntini afoforo a ɛwɔ wo nipadua mu nyinaa nso ayɛ yiye. Kakraa bi ni:

• Kwati tawanom: Sigaretnom, vaping, ne tawa a wusiw nnim a wɔde di dwuma nyinaa hyɛ saa kuw yi ase.
• Di aduan a ɛma koma nya ahoɔden a srade ne sodium nnim: Nhwehwɛmu ada no adi sɛ adidi nhyehyɛe te sɛ Mediterranea aduan no ye ma koma ne mogya ntini.
• Apɔw-mu-teɛteɛ daa: Bɔ mmɔden sɛ wobɛyɛ apɔw-mu-teɛteɛ a ɛma mframa bɔ (a ɛma wo home kɔ soro) anyɛ yiye koraa no simma 30 da biara, nnanu dapɛn biara.
• Kura mu duru a ɛfata wo mu: Bisa wo duruyɛfo nea wo mu duru a ɛfata ne ɔkwan a wobɛfa so adu ho.
• To nsa a wɔnom ano hye: Ɛnsɛ sɛ mmea bɛboro `(nom)` biako da biara. Ɛnboro `(anom)` abien da biara mma mmarima.
• Di adwennwen ho dwuma: Sua akwan foforo a wobɛfa so agye w’ahome.
• Fa nnuru di dwuma sɛnea wo duruyɛfo akyerɛ wo pɛpɛɛpɛ: Nea ɛka eyi ho ne nnuru a wɔde sa srade ne mogya mmoroso.
• Bɔ mmɔden sɛ wobɛda sɛnea ɛsɛ: Wɔ mpanyimfo fam no, nnɔnhwerew ason kosi akron a wobɛda da biara no ye ma koma akwahosan ne akwahosan nyinaa.
• Kɔ wo duruyɛfo nkyɛn daa: Anyɛ yiye koraa no, kɔ aduruyɛ mu pɛnkoro afe biara. Mma wo duruyɛfo a wobɛkɔ akɔhwɛ wo no nmpa wo ti so.

Yɛn ntini ahorow, ne mogya a ɛkɔ nipadua no mu afã afoforo ho ade a yebesua no betumi ayɛ hu kakra wɔ mmere bi mu, nanso ebetumi ayɛ anigye kɛse nso. Ebia aduruyɛ tebea bi nti na woresua saa nneɛma yi ho ade anaasɛ esiane sɛ wopɛ sɛ wuhu nneɛma pii nti. Nanso, ntwentwɛn wo nan ase da sɛ wubebisa wo duruyɛfo nsɛm biara a wowɔ. Anatomy yɛ ade a ɛyɛ den, na ɛnyɛ obiara nipadua na ɛyɛ pɛ. Enti, sɛ wode nea wokenkan no ne wo duruyɛfo nimdeɛ bom a, ɛnyɛ den sɛ wubenya mfonini a edi mũ.

Nneɛma a ɛsɛ sɛ yɛkae fi saa asɛm yi mu (Take-Home Message) .

Okay, enti, sɛ yɛbɛka no tiawa a, Brachiocephalic Artery a yɛkaa ho asɛm nnɛ no, .

Eyi yɛ mogya ntini a ɛho hia a efi yɛn aorta mu fi nkorabata mu. Saa ntini yi ma mogya a oxygen wom, titiriw kɔ yɛn nipadua no atifi nifa, kyerɛ sɛ, nsa nifa, kɔn nifa, ti nifa, ne amemene no nifa.

Yɛkaa beae a ɛwɔ, ne kɛse, ne nea ɛkeka ho ho asɛm Yɛkaa ayaresa tebea horow pii a ebetumi aka no nso ho asɛm, ne nea yebetumi ayɛ na ama saa ntini yi akɔ so ayɛ yiye.

Ade a ɛho hia sen biara ne sɛ yebedi asetra a ɛfata akyi na ama saa ntini yi akɔ so ayɛ yiye, te sɛ yɛn nipadua no fã foforo biara. Sɛ wowɔ nsɛmmisa anaa adwenem naayɛ bi wɔ eyi ho a, akyinnye biara nni ho sɛ wo ne oduruyɛfo nkasa. Ɛno ne ade a eye sen biara a ɛsɛ sɛ woyɛ.

` Brachiocephalic Artery, Aorta, Mogya Ntini, Mogya a Ɛkyinkyin, Koma Akwahosan