Vein vevi aɖe le wò tame: brachiocephalic vein.

Èbu alesi ʋu ƒe sisi le míaƒe ŋutilã me sesẽ eye wòle vevie ŋu kpɔa? Veins ƒe ɖoɖo tɔxɛ aɖe li si wɔa akpa vevi aɖe le ʋu si tso míaƒe ŋutilã ƒe akpa si le etame, si nye ta, kɔ, kple abɔwo gbɔ va ɖo dzi me. Woyɔa ɖoɖo ma ƒe akpa vevi aɖe ŋutɔ be Brachiocephalic Vein . Ame aɖewo hã yɔnɛ be ``Innominate Vein''. Mina míaƒo nu tso esia ŋu bɔbɔe le dɔmenyotɔe egbea.

Nukae nye brachiocephalic vein sia?

Kpuie ko la, wò brachiocephalic vein nye wò tame ƒe ʋu ƒe sisi ƒe akpa aɖe. It’s a paired vein , si fia be vein siawo dometɔ eve le wò ŋutilã ƒe akpa ɖesiaɖe, le ɖusime kple miame.

• Nuɖusi ƒe Brachiocephalic Vein
• Miame Brachiocephalic Vein ƒe Ʋuka

Nuɖusi kple miame brachiocephalic veins siawo wɔa ɖeka kpena ɖe ame ŋu be ʋu si me oxygen mele o la tso wò tame, si nye wò ta, kɔ, kple abɔwo me, trɔna yia wò dzi me. Bu eŋu abe mɔ sue siwo kplɔ wo nɔewo ɖo siwo ƒo ƒu wɔ mɔ gã aɖe ene.

Dɔ kae ʋuka sia wɔna?

Dɔ vevitɔ si wò brachiocephalic veins wɔna, abe alesi megblɔe va yi ene, enye be woatsɔ ʋu si me oxygen vɔ le tso wò ta, kɔ, kple abɔwo me atrɔ ayi wò dzi me. Le nyateƒe me la, ʋuka siawo nye ʋuka gã aɖe si tsɔa ʋu toa wò tame katã ƒe akpa sue eve, gake wole vevie ŋutɔ. Bu eŋu abe mɔ̃ didi aɖe si ƒe akpa gbogbo aɖewo do ƒome kple wo nɔewo ene. Ne ètso akpa ɖeka le titina la, naneke matso mɔ̃ bliboa me o, alo? Aleae ʋuka siwo katã le míaƒe ŋutilã me wɔa dɔ ɖekae be ʋua nanɔ zɔzɔm nyuie. Veka ɖesiaɖe kpena ɖe ame ŋu wòtsɔa ʋua toa mɔ nyuitɔ dzi, yia teƒe nyuitɔ.

Aleke ʋu zɔa mɔe?

Azɔ mina míakpɔ alesi brachiocephalic vein la kpɔa gome le nu gã sia me ɖa. 1. Wò ɖusi kple miame brachiocephalic veins ƒoa ƒu wɔa vein gã aɖe si woyɔna be wò Superior Vena Cava . Esia le wò dzi tame, eye wòkekena yia anyime heƒoa ʋu nu ƒu ɖe xɔ si le etame le wò dzi ƒe ɖusime, si nye ɖusime dzitodzito me . 2. Tso afima la, wò ʋu toa wò dzi ƒe ɖusime yia lãkusi me be yeaxɔ ɔksidzin. 3. Ne exɔ ɔksidzin vɔ la, ʋua trɔna yia dzia me, eye emegbe miameʋuka tsɔa ʋu ma toa wò ŋutilã katã me. Eyata àte ŋu akpɔe be brachiocephalic vein nye domenɔla vevi aɖe ŋutɔ si kpena ɖe wò ʋu ŋu wòtoa wò dzi me, toa wò lãkusiwo me, eye mlɔeba wòtoa wò ŋutilã bliboa me.

Aleke wowɔa brachiocephalic vein siae?

Wò subclavian vein (esia nye vein si sina toa kɔmeƒu te) kple jugular vein si le eme(Esia nye vein vevi aɖe le kɔ me) Brachiocephalic vein dzɔna ne vein eve ƒo ƒu. Kpekpeɖeŋu sia dzɔna ɖe vovo le wò ŋutilã ƒe ɖusime kple miame.

Afikae brachiocephalic vein la le?

Brachiocephalic veins siawo le wò akɔta ƒe akpa si le etame, le wò ŋutilã ƒe gogloƒe ke. Wole wò kɔmeƒu (akɔtaƒu) te tututu, eye wogogo wò abɔta vie. Alesi wodzea egɔmee nye esi:

• Right brachiocephalic vein: Afi siae wò ɖusime subclavian vein kple ɖusime jugular vein ememetɔ kpena le. Eƒua du yia anyime tẽ, ɖoa ta dzia gbɔ .
• Miame Brachiocephalic Vein: Afi siae wò miame subclavian vein kple miame jugular vein ememe do go le. Esia didi vie wu evelia, eye wòto mɔ si to vovo vie. Ezɔa mɔ le tsia dzi, le dzogoe si yi anyime vie nu, be wòado go ɖusime brachiocephalic vein. Le mɔa dzi la, etoa wò aortic arch dzi eye wòtoa wò carotid arteries ( ʋuka vevi siwo le wò kɔ me) ŋgɔ. Emegbe ewɔa ɖeka kple ɖusime brachiocephalic vein. Afi mae vena cava si de ŋgɔ wu la dzea egɔme tsoe.

Vein bubu kawoe do ƒome kple brachiocephalic vein?

Ʋu si tso ʋuka sue geɖe me la kpena ɖe brachiocephalic veins siawo ŋu. Wo dometɔ aɖewoe nye:

• Jugular Veins Ememetɔwo
• Subclavian Veins ƒe Ʋukawo
• Miame Kple Nuɖusime Ʋuka Siwo Le Eme
• Miame Kple Nuɖusime Akɔta Veins (si woyɔna hã be Internal Mammary Veins) .
• Miame Kple Nuɖusime Akɔta Veins
• Miame Superior Intercostal Vein ƒe ʋuka

Ʋuka siawo katã tsɔa ʋu si me oxygen bu le eye wòhiã be wòatrɔ ayi dzia me.

Aleke gbegbee vein sia loloe?

Wò ɖusi kple miame brachiocephalic veins ƒe lolome to vovo vie.

• Brachiocephalic vein si le ɖusime la didi abe sentimeta 2 va ɖo 3 ene. Bu eŋu kpɔ, eƒo nu tso aspirin-tike eve siwo wozãna edziedzi siwo woda ɖe wo nɔewo xa ƒe didime ŋu.
• Miame brachiocephalic vein didi wu, anɔ abe sentimeta 6 ene.

Nukae wotsɔ wɔ brachiocephalic vein?

Abe wò ʋuka bubuwo ene la, brachiocephalic veins siawo nyea ƒuƒoƒo etɔ̃ siwo me lãkusi kple ka ƒomevi etɔ̃ le:

• Tunica Adventitia (gotagome ƒuƒoƒo): Esiae nana ʋukaa ƒe nɔnɔme kple eƒe wɔwɔme nɔa eŋu.
• Tunica Media (titina ƒe ƒuƒoƒo):Lãmetsi siwo le gbadzaa la le eme. Esiawoe nana ʋukaa kekena alo le kpuie ne ʋu le zɔzɔm to eme.
• Tunica Intima (ememe akpa): Esia ƒe akpa aɖe nye lãmenugbagbevi siwo le gbadzaa siwo le lãkusi me . Esia wɔnɛ be ʋu te ŋu zɔna to ʋukaa me bɔbɔe mɔxenu aɖeke manɔmee.

Vevietɔ la, ʋuka siwo le abɔta ƒe ʋukawo me mekpɔa ʋukawo abe wò ʋuka bubu akpa gãtɔ ene o. Ðeko ʋukaawo xea mɔ na ʋua ƒe sisi yi megbe.

Nukae nye ŋutilã ƒe wɔwɔme ƒe tɔtrɔ le brachiocephalic vein me?

Wodzia ame aɖewo kple ŋutilã ƒe wɔwɔme ƒe tɔtrɔ aɖewo le woƒe brachiocephalic veins me. Wo dometɔ ɖeka si bɔ wue nye retroaortic brachiocephalic vein . Esia dzɔna ne miame brachiocephalic vein la le du dzi le aortic arch te le esi teƒe be wòato edzi, abe alesi wòwɔna zi geɖe ene. Eyata le esi teƒe be ʋuka sia naƒu du le wò ʋuka si le dzi yim ( wò ʋuka ƒe akpa gbãtɔ) ŋgɔ la, eƒua du le megbe nɛ. Brachiocephalic veins ƒe tɔtrɔ siawo dzɔna le vidzĩ siwo ade 1 le 250 ɖesiaɖe me gome. Ne vovototo siawo koe li, si fia be ne dzidɔ bubu aɖeke meli o la, zi geɖe la, womegblẽa nu le ame ŋu o. Gake zi geɖe la, wokpɔa tɔtrɔ siawo le vidzĩ siwo ŋu dzidɔ si wodzina (CHD) ŋu . Dɔléle siawo dometɔ aɖewoe nye:

• Aortic Arch ƒe Vovototowo, abe Double Aortic Arch ene.
• Do siwo le ʋukawo dome alo ʋukawo dome (Atrial Septal Defects alo Ventricular Septal Defects) .
• Aorta ƒe Ʋuʋudedi .
• Tetralogy of Fallot (ɖewohĩ kple aklã ƒe atresia).
• Aklã ƒe Ʋukawo ƒe Trɔgbɔ si Mesɔ O Katã.
• Truncus Arteriosus ƒe ʋukawo.

Dɔléle siawo ƒe 60% lɔƒo ku ɖe CHD si mesẽ o ŋu. Gake vidzĩ aɖewo ate ŋu axɔ CHD sesẽ aɖe si ahiã be woawɔ atike na wo alo awɔ dɔ na wo.

Nukatae tɔtrɔ siawo le vevie?

Tɔtrɔ siawo siwo vaa abɔta ƒe ʋukawo ƒe wɔwɔme me le vevie ŋutɔ ne ehiã be woawɔ dɔ na wò alo awɔ atike aɖewo na wò. Le kpɔɖeŋu me:

• Ne wotsɔe do ƒome kple dzitodzito ƒe mɔ si toa dzitodzito me (dzi kple lãkusi ƒe mɔ̃).
• Ne èle dzitodzito ƒe mɔ̃ aɖe dem eme la .

Nusitae nye be ne èwɔ nu siawo tɔgbe la, wò brachiocephalic veins alo teƒe siwo ƒo xlãe ate ŋu agblẽ nu le ŋuwò. Eyata wò ɖɔkta awɔ nuwo abe ``Imaging Tests`` ene atsɔ alé ŋku ɖe wò ŋutilã ƒe wɔwɔme ŋu hafi awɔ nane abe esia ene. Emegbe, woawɔ asitɔtrɔwo ne wole amekoko alo dɔa wɔm le alesi wòhiãe nu.

Nɔnɔme kawoe kpɔa ŋusẽ ɖe brachiocephalic vein dzi?

Nɔnɔme geɖe li siwo ate ŋu agblẽ nu le brachiocephalic vein ŋu:

• Kuxi siwo dona tso Central Venous Catheter me: Ðɔktawo zãa wò brachiocephalic vein ɣeaɖewoɣi tsɔ gena ɖe titina ʋuka me. Esia fia be wotsɔa mɔ̃ tsɛ aɖe si te ŋu trɔna bɔbɔe la dea ʋuka sia me be wòana tsi alo atikewo wò. Kuxi siwo ate ŋu ado mo ɖa le esia ŋu dometɔ aɖewoe nye ʋukaa ƒe do alo ʋuka si me goglo ƒe ʋuka si le etame ƒe ʋuʋu . Ƒã hafi nusiwo le abe pseudoaneurysms ene hã ate ŋu adzɔ.
• Stenosis: Atikewɔwɔ aɖewo ate ŋu ana ʋuka sia natsi. Le kpɔɖeŋu me, ne èle ʋumenugbagbeviɣidɔ wɔm la , wò ɖɔkta ate ŋu awɔ ʋuka me ʋuka si me ʋu sina tona (ʋuka ƒomevi aɖe si doa ka kple ʋuka aɖe) be ʋumenugbagbeviɣidɔ nanɔ bɔbɔe. Zi geɖe la, esia lɔa brachiocephalic vein ɖe eme. Vein stenosis nye kuxi si mebɔ o le dɔwɔwɔ sia me.
• Dɔdzẽ: Titinadɔdzẽ gbãtɔwo ate ŋu ana ʋuka sia nado eye wòaxe mɔ na ʋu ƒe sisi, alo ate ŋu atso no me dɔdzẽ si kaka ɖe ŋutilã ƒe akpa bubuwo gbɔ.

Dodokpɔ kawoe ɖɔktawo zãna tsɔ doa ʋuka sia kpɔna?

Ðɔktawo ate ŋu azã dodokpɔ siawo tɔgbe atsɔ akpɔe ɖa be kuxi aɖewo le wò brachiocephalic veins ŋu hã, abe:

• Ultrasound si Wozãna le Duplex
• CT Scan `(Akɔntabubu ƒe Tomography - CT Scan)`
• MRI Scan `(Magnetic Resonance Nɔnɔmetata - MRI )`
• Venogram (X-ray ƒe ʋukawo dodokpɔ tɔxɛ aɖe) .

Eyata aleke míawɔ ana brachiocephalic vein sia nanɔ lãmesẽ me?

Ne èwɔ ɖe agbenɔnɔ si naa dzi dzi la, àte ŋu ana wò ʋukawo katã, siwo dome brachiocephalic veins siawo hã le, nawɔ dɔ nyuie. Aɖaŋuɖoɖo ʋɛ aɖewoe nye esi:

• Dzudzɔ atamanono kple atamanuwo katã. Esia le vevie ŋutɔ.
• No tsi geɖe. Tsi agbɔsɔsɔme si sɔ nono gbesiagbe nyo na ŋutilãa ŋutɔ.
• Ðu nuɖuɖu siwo naa dzidɔ.Esia kpena ɖe ŋuwò nèɖua wò ʋu ƒe sisi, ʋumemi ƒe agbɔsɔsɔ, kple wò kpekpeme dzi.
• Yi ɖatsa le teƒea. Dze agbagba nàzɔ aɖabaƒoƒo 30 ŋkeke atɔ̃ ya teti le kwasiɖa me. Gake kpɔ egbɔ be yeƒo nu kple wò ɖɔkta hafi nàdze kamedede yeye aɖe gɔme.
• Ʋuʋu vie le ŋkekea me katã. Gbɔɖeme kpuiwo tso anyinɔƒe kple wò ŋutilã ʋuʋu kpena ɖe ame ŋu be ʋu nazɔ nyuie wu.

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Wò brachiocephalic vein nye wò ʋu ƒe sisi ƒe akpa vevi aɖe ŋutɔ. Enye nusi tsɔa ʋu si me oxygen vɔ le tso wò ŋutilã ƒe akpa si le etame trɔna yia wò dzi me. Eyata, ele vevie ŋutɔ be nàwɔ nusianu si nàte ŋui be wò brachiocephalic vein, kple wò veins bubuawo katã, nanɔ lãmesẽ me.

Numame siwo naa dzi ƒe lãmesẽ xɔxɔ ate ŋu akpe ɖe wò ʋukawo ŋu be woawɔ dɔ nyuie wu ƒe geɖe. Ðo dze kple wò ɖɔkta tso tɔtrɔ siwo nàte ŋu awɔ le wò gbesiagbedɔwo ŋu. Ate ŋu aɖo aɖaŋu nyuitɔ kekeake na wò.

Eyata, mele mɔ kpɔm be nyatakaka sia ɖe vi na wò. Nyanya tso nuɖoanyi wɔnuku siawo siwo le míaƒe ŋutilã me ŋu nana míetsɔa ɖe le eme vevie be míana woanɔ lãmesẽ me, alo?