Ènya nu tso ʋuka vevi siawo siwo le wò kɔ me ŋua? (Jugular Veins) Mina míaƒo nu tso esia ŋu!

Èbu ʋuka siwo tso míaƒe ta gbɔ va ɖo míaƒe akɔta, eye wowɔa dɔ vevi aɖe ŋutɔ la ŋu kpɔa? Emawoe nye jugular veins. Esiawo le abe mɔ gã siwo tsɔa ʋu si míezã tso míaƒe ta me trɔna yia míaƒe dzi me ene. Eyata egbea míaƒo nu tso jugular veins siawo, woƒe vevienyenye, kuxi siwo ate ŋu ado mo ɖa le wo ŋu, kple alesi woawɔ be woanɔ lãmesẽ me ŋu.

Nukae nye jugular veins? Afikae wole?

Kpuie ko la, ʋuka si woyɔna be jugular vein nye ʋuka vevi aɖe si tso míaƒe ta va ɖo míaƒe akɔta ƒe akpa si le etame. Zi geɖe la, esiawo nyea eve etɔ̃, eye wo katã ƒe ʋuka ade. Esiawo dometɔ ɖesiaɖe ƒoa ʋu nu ƒu tso ta ƒe akpa vovovowo hetsɔnɛ trɔna yia dzia me. Azɔ mina míalé ŋku ɖe nusiwo ʋuka siawo ƒomevi nye kple afisi wole ŋu.

• Gotagome jugular veins: Esiawoe nye ʋuka siwo tsɔa ʋu tso míaƒe tagbɔ ƒe gota gome. Bu wo be wonye ʋuka siwo woyɔna be occipital veins le míaƒe ta megbe eye woƒua du toa míaƒe akɔta ƒe akpa ɖesiaɖe . Nya "gotagome" fia be wole lãmeka gã siwo le kɔ kple ŋutigbalẽ dome, si fia be wole teƒe si te ɖe ŋutigbalẽa ŋu vie.
• Veu-veins ememetɔwo: Esiawo lolo vie wu veins gotatɔ siwo ŋu míeƒo nu tsoe va yi. Ʋuka siawo kpena ɖe ame ŋu be ʋu tso ahɔhɔ̃a me trɔna yia akɔta. Wodzea egɔme tso míaƒe tagbɔ me . Emegbe abe gotagome ʋukawo ene la, woƒua du toa akɔta le akpa eveawo. Gake vovototo vevitɔe nye be wole kɔ ƒe lãmeka gãwo te, si fia be wogoglo vie le ŋutilãa me. Akɔta ƒe ʋuka si le ɖusime la lolo vie wu miame, eyata ɖɔktawo zãnɛ zi geɖe tsɔ dea IV-ka me.
• Anterior jugular veins: Esiawoe nye veins suetɔ kekeake le jugular veins dome. Wo ame evea siaa le kɔa ƒe ŋgɔgbe, le míaƒe yaƒoƒomɔ̃a ƒe akpa eveawo.

Vi kae ʋuka siawo ɖena na míaƒe ŋutilã?

Ènya be míaƒe ahɔhɔ̃ hiã oxygena? Bu eŋu kpɔ ko, togbɔ be amegbetɔ ƒe ahɔhɔ̃ le mama dedie nu ƒe kpekpeme anɔ abe kilogram 1.4 ene hã la, ʋu si míaƒe dzi tona la ƒe 15% va ɖo 20% koe yia ahɔhɔ̃a me! Azɔ hã, ta ƒe akpa bubuwo abe míaƒe mo, taɖa, kple to ene hã hiã ʋu ƒe sisi nyuie le susu vovovowo ta. Eyata ne ʋu sia na ɔksidzin ahɔhɔ̃a kple ta ƒe akpa bubuwo vɔ la, ehiã be ʋu ma natrɔ ayi dzia me be wòaʋu mɔ na ʋu yeye. Nu mae jugular veins siawo wɔna. Ʋuka siawo tae ʋu sina nyuie eye wòyia edzi yia ahɔhɔ̃a kple ta ƒe akpa bubuwo.

Ele vevie ŋutɔ, alo? Abe ale si ko mɔ gãwo le dugã me ene la, ʋuka siawo manɔmee la, ʋu ƒe sisi atɔtɔ.

Aleke jugular veins do ƒome kple wo nɔewoe?

Ne akɔta ƒe ʋuka sia to kɔa me vɔ la, edoa ka kple ʋuka gã bubu. Na míakpɔ alesi:

• Gotagome: Gotagome jugular vein la doa ka kple subclavian vein. Subclavian vein gɔmee nye "clavicle te." Akɔtaƒu nye míaƒe kɔmeƒuwo ƒe akpa aɖe.
• Vein Ememe: Jular vein si le eme hã kpena ɖe subclavian vein ŋu le míaƒe kɔmeƒu te. Ne wonya ƒo ƒu ko la, wozua ``brachiocephalic vein.'' Ŋkɔa gɔmee nye ``si do ƒome kple alɔ kple ta.''
• Vein siwo le ŋgɔgbe: Esiawo kpena ɖe gotagome veins ŋu.

Mlɔeba la, brachiocephalic veins eve siawo ƒoa ƒu ɖe afisi míaƒe kɔ doa go míaƒe akɔta le te tututu tsɔ wɔa vein gã ɖeka. Woyɔe be ``superior vena cava.'' Esia nye vein gãtɔwo dometɔ ɖeka le míaƒe ŋutilã me. Ʋu si katã tso míaƒe ŋutilã ƒe akpa siwo le etame la trɔna yia dzia me to ʋuka sia me.

Dɔléle kawoe bɔ siwo ate ŋu agblẽ nu le lãmeka sia ŋu?

Togbɔ be dɔléle geɖe meli siwo gblẽa nu le akɔta ƒe ʋuka ŋu tẽ o hã la, nɔnɔme aɖewo ate ŋu agblẽ nu le eŋu.

• Aneurysm : Esia nye gbɔdzɔgbɔdzɔ le ʋuka ƒe gli ŋu, si wɔnɛ be ʋukaa ƒe akpa aɖe dona ɖe gota abe ʋuƒo ene. Ne ʋuʋudedi sia gbã alo gbã la, ʋu ate ŋu ado le ame ŋu vevie eye ate ŋu ade ame ƒe agbe afɔku me.
• Suklidɔ : Togbɔ be suklidɔ mekpɔa ŋusẽ ɖe akɔta ƒe ʋuka dzi tẽ o hã la, suklidɔ ƒe ʋuka si le eme nye teƒe si bɔ be wotsɔa IV-ka alo cannula (si nye mɔ̃ sue aɖe si wozãna tsɔ naa atike) dea eme. Esia ate ŋu adzɔ vevietɔ ne ehiã be woawɔ dialysis ( ʋumenugbagbeviɣidɔ ) na ame aɖe.
• Stenosis: Esia nye ʋuka aɖe ƒe tsitsi alo eƒe tsitsi. Esia ate ŋu atso abixɔxɔ , abi siwo woxɔna le amekoko megbe, alo dɔléle vovovowo gbɔ.
• Ʋuka me ʋu ƒe sisi: Esia nye ne ʋu ƒe sisi le ʋuka aɖe me, alo dzɔ ɖe teƒe bubu eye wòtsi ʋukaa me. Ne ʋukaa lolo la, ate ŋu axe mɔ na ʋu ƒe sisi to ʋukaa me keŋkeŋ. Ɣeaɖewoɣi la, ʋu ƒe sisi si dzɔna le amekoko le ŋɔti alo kɔ dzi megbe, alo le dɔlékui aɖe xɔxɔ vɔ megbe (abe `Lemierre ƒe dɔléle`) ateŋu anye afɔku elabena dɔlélea ateŋu akaka ɖe ŋutilã bliboa me eye wòahe nɔnɔme sesẽ aɖe si ate ŋu ade ame ƒe agbe afɔku me si woyɔna be `sepsis` vɛ.

Nukae nye kuxi aɖe si le jugular veins ŋu ƒe dzesiwo?

Ne kuxi aɖe le wò akɔta ƒe ʋuka ŋu la, àte ŋu akpɔ dzesi siwo do ƒome kplii alo le teƒe siwo do ƒome kplii, abe ta ene.

• Keke: Ne ʋuka aɖe ƒe nyaƒoɖeamenu dzi ɖe edzi la, eva nɔa dodom ɖe gota. Dzitodzito ƒe dzedzeme sia ate ŋu anye dzidɔ sesẽwo abe dzi ƒe dɔmawɔmawɔ nyuie (menye dzidɔ o, ke boŋ dzi ƒe dɔmawɔmawɔ nyuie), dzitodzito ƒe ʋuʋu (tsi si ƒo xlã dzia), alo dzitodzito me dɔléle (dzitodzito me dɔléle) ƒe dzesi.
• Tomekuxiwo: Ne ʋukawo ƒe nyaƒoɖeamenu dzi ɖe edzi hã ate ŋu agblẽ nu le wò to ŋu. Àte ŋu akpɔ taɖuame, tome ƒe ʋuʋu (si woyɔna be "tin-ee-tus" alo "tin-ita-as," si nye to me ɖiɖi ɣesiaɣi ko ), alo to me ƒe to me gblẽ. Esia ƒe kpɔɖeŋu tɔxɛ aɖee nye tomeʋuʋu si me ʋuʋudedi le. Esia fia be èsea wò ŋutɔ wò dzi ƒe tsotso le wò to me, abe "whoosh" alo "whoosh" gbeɖiɖi ene.
• Ŋku ƒe kuxiwo: Nyaƒoɖeamenu si dzi ɖe edzi si ʋu ƒe sisi to akɔta ƒe ʋuka me ƒe mɔxexeɖenu hena vɛ ate ŋu ana ame nakpɔ nu nyuie, akpɔ nu zi eve, alo ŋku navuvu.
• Vevesese: Àte ŋu ase kɔ na wò, àse veve, alo ta naɖu wò.
• Alɔ̃madɔmadɔ ƒe kuxiwo: Tɔtrɔ siwo vaa ale si ʋu dona le ahɔhɔ̃a me hã ate ŋu akpɔ ŋusẽ ɖe wò alɔ̃dɔdɔ dzi.

Aleke nèwɔna léa ŋku ɖe ʋuka siawo ƒe lãmesẽ ŋu?

Dodokpɔ siwo bɔ wu tsɔ léa ŋku ɖe akɔta ƒe ʋukawo ƒe nɔnɔme ŋue nye ŋutilãmedɔdada kple nɔnɔmetatawo dodokpɔ vovovowo.

• Lãmesẽdodokpɔ: Esia bia be nàda wò tame ɖe teƒe aɖe koŋ eye ɖɔkta nalé ŋku ɖe eŋu be ʋuka siwo le ʋukawo me vuvu alo woƒe nyaƒoɖeamenu trɔ hã. Esia ate ŋu abia be nàtrɔ ta ɖe axa ɖeka, gbɔgbɔ ɖe eme ahado go, alo ɖɔkta ate ŋu azi wò akɔta alo ƒodo ƒe akpa aɖewo be yeakpɔe ɖa be nyaƒoɖeamenu ƒe tɔtrɔ le akɔta ƒe ʋukawo me hã.
• Vascular ultrasound: Esia zãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ tsɔ "kpɔa" wò jugular vein. Abe alesi ʋetsuviwo zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ dzona evɔ womeƒoa mɔxenuwo o ene.
• CT scan kple angiography: CT scan (Computerized tomography) nye mɔnu si me wozãa X-ray kple kɔmpiuta mɔ̃ɖaŋununya tsɔ wɔa wò ŋutilã ƒe akpa etɔ̃ (3D) ƒe nɔnɔmetata. CT angiogram zãa amadede aɖe si woyɔna be contrast, si wodona ɖe wò ʋukawo me. Vovototo sia dzena nyuie le CT-mɔ̃ dzi, eyata ate ŋu akpe ɖe ame ŋu wòake ɖe teƒe siwo ʋu mele sisim nyuie o ŋu.
• MRI:MRI (Magnetic Resonance Imaging) dodokpɔ zãa magnet kple kɔmpiuta mɔ̃ɖaŋununya si ŋu ŋusẽ le ŋutɔ tsɔ wɔa ŋutilãa ƒe akpa si le eme ƒe nɔnɔmetatawo. Esia ɖea vi ŋutɔ le nɔnɔmetata siwo me kɔ ŋutɔ siwo ate ŋu ade vovototo nuwo abe lãmekawo, ʋukawo, lãmekawo, kple ƒuwo dome la wɔwɔ me.

Nukae nye atike siwo wozãna na Jugular Veins?

Atikewɔwɔ siwo bɔ dometɔ aɖewo siwo wowɔna na nɔnɔme siwo gblẽa nu le akɔta ƒe ʋuka ŋu, alo esiwo zãa akɔta ƒe ʋuka tsɔ daa nɔnɔme bubuwoe nye esi:

• Dɔlékuiwutikewo: Woate ŋu ana esiawo ne dɔlékui aɖe le ʋuka siwo me ʋu sina tona ŋu.
• Ʋu ƒe ʋuʋu: Woŋlɔa esiawo zi geɖe na ʋu ƒe sisi ƒe kuxiwo abe ʋuka me ʋu ƒe sisi ene.
• IV fliwo: Kpɔɖeŋuwoe nye `titina fli` kple `PICC (Peripherally Inserted Central Catheter) fli`.
• Amekoko: Esia ate ŋu akpe ɖe amekoko ƒe ʋuka siwo xe alo esiwo gblẽ ŋu. Le go aɖewo me la, amekola ate ŋu aɖe akɔta ƒe ʋuka aɖe ɖa eye wòazãe atsɔ awɔ ‘mɔ si to ʋuka aɖe si xe le wò dzi me ŋu. Le jugular vein si ŋu wòku ɖo nu la, àte ŋu anɔ agbe ɣeyiɣi didi ƒe ŋusẽkpɔɖeamedzi aɖeke manɔmee ne èɖe ɖeka ɖa alo xe mɔ nɛ vɔ.
• Vena cava filters: Esiawo nye filters siwo ɖɔkta dea to jugular vein me eye wòɖona ɖe wò ``superior vena cava.`` ƒe akpa ɖeka. Esia kpena ɖe ame ŋu be woaxe mɔ ɖe nɔnɔme siwo ate ŋu ade ame ƒe agbe afɔku me abe ``aklã me ʋu ƒe sisi.`` ene nu

Aleke mawɔ ana nye akɔta ƒe ʋukawo nanɔ lãmesẽ me? (Nya sia nenɔ susu me na wò!)

Nu nyuitɔ kekeake siwo nàte ŋu awɔ be wò akɔta ƒe ʋukawo nanɔ lãmesẽ me dometɔ aɖewoe nye esi:

• Lé be na wò dzi ƒe lãmesẽ. Ʋuka siwo me ʋu sina tona ƒe dɔléle siwo gblẽa nu le wò dzi ŋu ate ŋu agblẽ nu le ʋuka gãwo hã ŋu, siwo dome ʋuka si le ʋuka me hã le. Kpekpeme si sɔ me léle ɖe asi, nuɖuɖu nyui ɖuɖu, kple kamedede le vevie na esia.
• Lé be na wò kɔ. Wò akɔta ƒe ʋuka, vevietɔ gotagome ʋuka, te ŋu xɔa abi eye wògblẽna bɔbɔe. Kpɔ nyuie eye nàdo dedienɔnɔwu siwo hiã ne èle kamedefefe wɔm (vevietɔ ice hockey) alo nèle dɔ wɔm kple elektrikdɔwɔnuwo.
• Lé ŋku ɖe tɔtrɔ siwo le wò ŋutilã me ŋu. Ne èdze dzesiwo abe kɔ ƒe vevesese alo vuvu ene kpɔkpɔ gɔme, alo ne dzesi aɖewo le ŋuwò si ku ɖe wò nukpɔkpɔ alo ahɔhɔ̃ ŋu la, ƒo nu kple ɖɔkta. Enye nusi wòle be nàwɔ, vevietɔ ne dzesi mawo te ŋusẽkpɔkpɔ ɖe wò gbesiagbedɔwo dzi.
• Na wòanɔ dzadzɛ.Ne IV le wò akɔta ƒe ʋuka me la, na teƒe si ƒo xlã IV ƒe ka alo melidzeƒea nanɔ dzadzɛ. Ele vevie hã be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi le alesi nàtrɔ wò kɔ alo ta kple ɣeyiɣi si nàtrɔe ŋu.

Jular vein nye míaƒe ʋu ƒe sisi ƒe akpa vevi aɖe ŋutɔ, vevietɔ le esi wòkpɔa ŋusẽ ɖe ʋu ƒe sisi yi wò ahɔhɔ̃ dzi ta. Togbɔ be dɔléle geɖe meli siwo gblẽa nu le eŋu tẽ o hã la, zi geɖe la, akɔta ƒe ʋuka wɔa akpa vevi aɖe le dɔléle bubuwo didi kple wo dada me. Eyata ne ɖikeke aɖe le mewò le kuxi siwo do ƒome kple jugular vein ŋu la, ƒo nu kple ɖɔkta. Woate ŋu aɖo wò biabiawo ŋu alo aɖo wò ɖe eŋutinunyala bibi aɖe si ate ŋu akpe ɖe ŋuwò geɖe wu gbɔ.

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Jugular Veins, Neck Veins, Ʋu ƒe Ʋuʋu, Ʋu ƒe Sisi Yi Ahɔhɔ̃ me, Vein Dɔlélewo, Dzi ƒe Lãmesẽ