Èse nu tso brachiocephalic artery sia si le wò ŋutilã me ŋu kpɔa? Mina míaƒo nu tso eŋu le nya bɔbɔewo me!

Egbea míele nu ƒom tso ʋuka vevi aɖe si le míaƒe ŋutilã me si ŋu ɖewohĩ miese nu tsoe o la ŋu. Esiae nye ʋuka si woyɔna be brachiocephalic. Togbɔ be ŋkɔa sesẽ vie hã la, eƒe dɔwɔwɔ le bɔbɔe ŋutɔ eye wòle vevie ŋutɔ. Ewɔa dɔ gã aɖe le ʋu tsɔtsɔ yi míaƒe ŋutilã ƒe ɖusime ƒe akpa si le etame la me.

Nukae nye brachiocephalic ʋuka sia?

Kpuie ko la, wò brachiocephalic artery nye ʋuka si dona tso aorta, si nye ʋuka gã si le wò akɔta la gbɔ. Èkpɔ atikplɔ ƒe akpa si le goglo la kpɔa? Aleae míaƒe aorta ƒe tame le, eye míeyɔnɛ be aortic arch. Brachiocephalic artery ye nye ʋuka gbãtɔ si dona tso aortic arch me. Ekpena ɖe ŋuwò be ʋu naɖo wò ŋutilã ƒe ɖusime ƒe akpa si le etame.

Wogayɔa esia be:

• Brachiocephalic trunk: Elabena ele abe ʋukawo ƒe alɔ gã eve ƒe akɔta ene.
• Innominate artery: Esia hã nye ŋkɔ xoxo aɖe.

Wò brachiocephalic artery nye ʋuka si me ʋu sina tona, si nye ʋu si tsɔa ʋu toa míaƒe ŋutilã katã me la ƒe akpa aɖe.

Nukae dzɔna ɖe brachiocephalic artery dzi?

Brachiocephalic artery wɔa dɔ vevi aɖe ŋutɔ. Etsɔa ʋu si me oxygen sɔ gbɔ ɖo, si le dzadzɛ la yia ŋutinuwo kple lãkusi siwo le míaƒe ŋutilã ƒe akpa si le etame la me. Etɔxɛe la, exɔa ʋu tso wò ʋuka me eye wòtsɔnɛ yia wò ɖusime subclavian ʋuka kple ɖusime common carotid ʋuka me. Ʋu sia naa oxygen kple nunyiamewo wò ɖusibɔ ƒe akpa si le etame, wò ahɔhɔ̃ ƒe ɖusime, wò mo ƒe ɖusime, kple wò kɔ ƒe ɖusime. Bu dɔ gã si ʋuka sue sia ate ŋu awɔ ŋu kpɔ!

Ðe ʋuka sia tsɔa ʋu si me oxygen le loo alo ʋu si me oxygen mele oa?

Nyabiase nyui aɖe! Wò brachiocephalic artery tsɔa ʋu si me oxygen le . Míaƒe dzi tsɔa ʋu dzadzɛ si me oxygen le la yia ʋuka si me ʋu sina tona me. Ʋu sia toa ʋuka bubu siwo le alɔdze le aorta (siwo dome brachiocephalic artery hã le) me be yeatsɔ ana nunyiame míaƒe ŋutilã.

Afikae brachiocephalic artery la le?

Brachiocephalic artery (alo akɔta) le wò akɔta ƒe ɖusime le etame, le wò dzi tame eye wòle wò kɔ te vie. Ne míagblɔe tututu la, ele wò akɔta ƒe akpa aɖe si woyɔna be ``Mediastinum''. Teƒe sia si woyɔna be ``Mediastinum'' le vevie ŋutɔ elabena wò dzi kple ʋuka gã bubuwo ƒe akpa aɖewo le eme.

Abe alesi megblɔe va yi ene la, brachiocephalic artery ye nye alɔ gbãtɔ si alɔ ɖe wò `(Aortic arch)`, si nye wò aorta ƒe akpa si le etame si woƒo xlãe. ``Gbãtɔ'' fia be enye alɔdze si te ɖe wò dzi ŋu wu. Ke hã, menye alɔ gbãtɔ si alɔ wò `(Aorta)` ye o. Elabena, do ŋgɔ na `(Aortic arch)` la, wò aorta ƒe akpa aɖe li si dona tso wò dzi me, si woyɔna be `(Ascending aorta)`. Dzitodzito me ʋuka siwo naa ʋu wò dzitodzito ƒe lãmeka la ma tso `(Ascending aorta)` sia gbɔ. Eyata, alɔ gbãtɔ si alɔ ɖe wò ʋuka me lae nye wò ʋuka siwo me ʋu sina tona ŋutɔŋutɔ.

Vevietɔ la, brachiocephalic artery menye dzia ƒe ʋuka veviwo dometɔ ɖeka o, eye medo ƒome kple dzia ƒe xɔ aɖe hã tẽ o. Aorta ƒe alɔdze aɖe koe wònye.

Nukawoe nye brachiocephalic artery ƒe alɔdze vevi eveawo?

Brachiocephalic artery sia ma ɖe alɔ eve me ne ele mɔ zɔm le didiƒe tso dzia gbɔ, si fia be ele yiyim. Wogayɔa mama sia be `(Bifurcates)`. Alɔdze eveawoe nye:

• Right subclavian artery: Esia naa ʋu yia wò ɖusibɔ ƒe akpa si le etame. Eɖea alɔwo hã tsɔ naa ʋu wò ta, kɔ, kple akɔta ƒe akpa aɖewo.
• Right common carotid artery: Esia naa ʋu yia wò ahɔhɔ̃ kple wò ta, mo, kple kɔ ƒe akpa bubuwo.

Woyɔa esiawo be alɔdze siwo wu enu elabena brachiocephalic artery wu enu ɖe ​​afisia. Mamã sia dzɔna le ɖusime akɔtaƒu ƒe ƒunukpeƒe, afisi akɔta kple akɔta do go le le wò ɖusime.

Aleke gbegbee brachiocephalic artery sia loloe?

Zi geɖe la, ʋuka si woyɔna be brachiocephalic artery (atike) didi abe sentimeta 4 va ɖo 5 ene . Eƒe didime alo kekeme anɔ abe milimeta 10.5 va ɖo 13.7 ene . Ele sue, gake ewɔa dɔ geɖe, alo?

Nukae wotsɔ wɔ esiae?

Abe ʋuka bubu siwo le míaƒe ŋutilã me ene la, gli le brachiocephalic ʋuka si me ƒuƒoƒo etɔ̃ le:

• Tunica intima `(Tunica intima / interna)`: Esia nye ƒuƒoƒo si le ememe wu. Lãmenugbagbevi ƒomevi aɖe si woyɔna be `(Endothelial cells)` ye le eŋu. Esiae kpena ɖe ʋua ŋu wòsina nyuie mɔxenu aɖeke manɔmee.
• Tunica media: Esiae nye titina ƒe ƒuƒoƒo. Lãmetsi gbadzɛ siwo le ƒuƒoƒo sia me kpena ɖe ʋukaa ŋu wòkekena hetsina ne ehiã, si wɔnɛ be ʋua ƒe sisi dzi ɖuna.
• Tunica adventitia (Tunica adventitia / externa): Esiae nye ƒuƒoƒo si le gota wu. Enaa ŋusẽ kple kpekpeɖeŋu ʋukaa. Collagen kple kadodoŋusẽ bubuwoe le ƒuƒoƒo sia me.

Ðe ŋutilã ƒe wɔwɔme ƒe tɔtrɔ aɖewo le brachiocephalic artery ƒe nɔnɔme mea?

Ẽ, nyateƒee. Esi wònye be brachiocephalic artery la ma ɖe aorta ƒe gogloƒe ta la, tɔtrɔ vovovowo le aortic arch sia me ate ŋu akpɔ ŋusẽ ɖe brachiocephalic artery ƒe nɔƒe hã dzi. Tɔtrɔ si bɔ wu le aortic arch me enye nɔnɔme si me alɔ eve koe ma le.

Zi geɖe la, ʋuka etɔ̃ doa alɔ tso wò ʋuka ƒe akɔta tẽ. Woawoe nye:

• Brachiocephalic ʋuka (atike).
• Miame subclavian ʋuka.
• Miame carotid ʋuka si bɔ.

Ke hã, le ame aɖewo gome la, le esi teƒe be alɔ etɔ̃ siawo nado la, alɔ eve koe ate ŋu alɔ alɔ tso `(Aortic arch)` me. Kpɔɖeŋu eve siawo tɔgbee nye:

1. Brachiocephalic artery kple left common carotid artery dzɔ tso teƒe ɖeka: Esia fia be ʋuka eveawo siaa dzɔ tso teƒe ɖeka, common trunk, ``Aortic arch''. Miame ƒe akɔta ƒe ʋuka ma ɖe alɔ evelia si le vovo me, si nye ``Miame ƒe akɔta ƒe ʋuka''.

2. Miame carotid ʋuka si bɔ si dzɔ tso brachiocephalic artery me: Le esia me la, le esi teƒe be wòatso aortic arch me tẽ la, miame common carotid artery la dona tso brachiocephalic artery me. Zi geɖe la, mama sia dzɔna abe sentimeta ɖeka ene tso aortic arch gbɔ. Miame ƒe ʋuka si le akɔta te la ma ɖe vovo.

Zi geɖe la, tɔtrɔ siawo menye kuxi gã aɖeke o, gake ele vevie be ɖɔktawo nanya wo.

Ðe ɖusime kple miame siaa ƒe brachiocephalic ʋukawo lia?

Brachiocephalic artery ɖeka koe le ame akpa gãtɔ si . Enɔa akɔta ƒe ɖusime. Ke hã, ƒã ŋutɔ, ne tɔtrɔ aɖewo le `(Aortic arch)` me la, brachiocephalic ʋukawo ate ŋu anɔ ɖusime kple miame siaa, alo ɖeka koe ate ŋu anɔ miame. Esiawo nye dɔléle siwo mebɔ kura o.

Nukawoe nye nɔnɔme siwo bɔ siwo gblẽa nu le brachiocephalic artery ŋu?

Atikewɔwɔ ƒe nɔnɔme aɖewo ate ŋu akpɔ ŋusẽ ɖe brachiocephalic artery hã dzi. Wo dometɔ aɖewoe nye:

• Tracheo-innominate fistula (TIF): Esia nye nɔnɔme si me afɔku le ŋutɔ. TIF nye kadodo si mesɔ o si le wò yaƒoƒomɔ̃ (yagbɔgbɔ) kple innominate (brachiocephalic) ʋuka dome. Esia nye kuxi si ate ŋu ade ame ƒe agbe afɔku me le yaƒoƒo ƒe ʋuʋu, si nye amekoko si wowɔna le kɔ me be yaƒoƒomɔ̃a nanɔ ʋuʋu ɖi me. Ate ŋu ana ʋu nado vevie, eyata ehiã be woawɔ dɔ na ame kaba. Ne woɖe yaƒoƒo na wò ɣeyiɣi didi aɖe la, wò ɖɔkta ate ŋu awɔ CT-dɔdamɔnu aɖe atsɔ akpɔe ɖa be afɔku si le TIF xɔxɔ me hã.

• Ʋukawo ƒe ʋuʋu:Ðewohĩ èse nya sia kpɔ. Ʋukawo ƒe ʋuʋu nye nɔnɔme si me ami siwo le ʋukawo me (si woyɔna be plaque) ƒoa ƒu ɖe ʋukawo me, si ate ŋu ana ʋukawo natsi le ɣeyiɣi aɖe megbe. Esia xea mɔ na ʋu ƒe sisi yi ŋutilã ƒe akpa vovovowo. Ne ʋu ƒe sisi yi ahɔhɔ̃a me dzi ɖe kpɔtɔ le mɔ sia nu (ahɔhɔ̃mekawo ƒe dɔléle) la, zi geɖe la, nusi gbɔ wòtsonae nye ami siwo le carotid ʋukawo me. Gake ƒã ŋutɔ la, ami ate ŋu aƒo ƒu ɖe brachiocephalic artery hã me eye wòana wòaxe. Le nɔnɔme mawo me la, ate ŋu ahiã be woawɔ atike na ame abe ʋuka si me ʋu sina tona ene be woatsɔ ana ʋu nazɔ nyuie wu.

• Ʋuka me ʋu ƒe sisi: Ʋuka me ʋu ƒe sisi nye ʋuka ƒe gli ƒe ʋuʋu le gbɔdzɔgbɔdzɔ ta. Ʋuka siwo me ʋu sina tona le brachiocephalic artery me mebɔ kura o. Supra-aortic aneurysms dzɔna le ʋuka siwo le aortic arch tame, eye wònyea abe 3 le 100 ɖesiaɖe me.

Aleke mawɔ ana nye brachiocephalic artery nanɔ lãmesẽ me?

Nu geɖe li nàte ŋu awɔ be menye wò brachiocephalic artery ɖeɖeko o, ke boŋ ʋuka bubu siwo katã le wò ŋutilã me hã nanɔ lãmesẽ me. Wo dometɔ ʋɛ aɖewoe nye esi:

• Ƒo asa na atamanono: Atamanono, atamanono, kple atama si me dzudzɔ mele o zazã katã dze le hatsotso sia me.
• Ðu nuɖuɖu si naa dzitodzito me ami kple sodium mesɔ gbɔ o: Numekukuwo ɖee fia be nuɖuɖu ƒe ɖoɖowo abe Mediterranea-nuɖuɖu ene nyo na dzi kple ʋukawo.
• Kamedede edziedzi: Dze agbagba nàde kame si me ya le (si dzia wò gbɔgbɔ ɖe edzi) aɖabaƒoƒo 30 ya teti gbesiagbe, ŋkeke atɔ̃ le kwasiɖa me.
• Lé kpekpeme si sɔ na wò me ɖe asi: Bia wò ɖɔkta be wò kpekpeme kae sɔ kple alesi nàwɔ aɖoe hã.
• Seɖoƒe li na ahanono: Megawu `(nono)` ɖeka gbesiagbe na nyɔnuwo o. Megawu `(nono)` eve gbesiagbe na ŋutsuwo o.
• Kpɔ nuteɖeamedzi dzi: Srɔ̃ mɔ yeye siwo dzi nàto aɖe dzi ɖi.
• Zã atikewo abe alesi wò ɖɔkta gblɔe ene pɛpɛpɛ: Esia lɔ ʋumemi kple ʋu ƒe sisi ƒe atikewo ɖe eme.
• Dze agbagba nàdɔ alɔ̃ nyuie: Le ame tsitsiwo gome la, alɔ̃dɔdɔ gaƒoƒo adre va ɖo enyi gbesiagbe nyo na dzi ƒe lãmesẽ kple lãmesẽ bliboa.
• Kpɔ wò ɖɔkta edziedzi: Do atikewɔla kpɔ zi ɖeka ya teti le ƒea me. Mègana wò ɖɔkta ƒe kpekpewo nato ŋuwò o.

Nusɔsrɔ̃ tso míaƒe ʋukawo, kpakple ʋu ƒe sisi ƒe akpa bubuwo ŋu ate ŋu ado vɔvɔ̃ na ame vie ɣeaɖewoɣi, gake ate ŋu ado dzidzɔ na ame ŋutɔ hã. Ðewohĩ atikewɔwɔ ƒe nɔnɔme aɖe tae nèle nu srɔ̃m tso nusiawo ŋu le alo le didi be yeanya nu ta ko. Gake mègahe ɖe megbe gbeɖe le nya ɖesiaɖe si le asiwò la biabia wò ɖɔkta me o. Ŋutilã ƒe wɔwɔme nye nusi me kɔ, eye menye amesiame ƒe ŋutilãe sɔ o. Eyata ne ètsɔ nusi nèxlẽ kple wò ɖɔkta ƒe sidzedze ƒo ƒu la, anɔ bɔbɔe be nàkpɔ nɔnɔmetata bliboa.

Nusiwo dzi wòle be míaɖo ŋkui tso ŋutinya sia me (Take-Home Message) .

Enyo, eyata, ne míagblɔe kpuie la, Brachiocephalic Artery si ŋu míeƒo nu tsoe egbea, .

Esia nye ʋuka vevi aɖe si dona tso míaƒe ʋuka me. Ʋuka sia naa ʋu si me oxygen sɔ gbɔ ɖo, vevietɔ míaƒe ŋutilã ƒe ɖusime, si nye ɖusibɔ, kɔ ƒe ɖusime, ta ƒe ɖusime, kple ahɔhɔ̃ ƒe ɖusime.

Míeƒo nu tso afisi wòle, eƒe lolome, kple bubuawo ŋu Míedzro atikewɔwɔ me nɔnɔme geɖe siwo ate ŋu akpɔ ŋusẽ ɖe edzi hã me, kple nusi míate ŋu awɔ be ʋuka sia nanɔ lãmesẽ me.

Nu vevitɔe nye be míazɔ ɖe agbe nyui nɔnɔ dzi be ʋuka sia nanɔ lãmesẽ me abe míaƒe ŋutilã ƒe akpa bubu ɖesiaɖe ene. Ne nyabiase alo ɖikeke aɖe le asiwò le esia ŋu la, ƒo nu kple ɖɔkta aɖe godoo. Emae nye nu nyuitɔ kekeake si nàwɔ.

` Brachiocephalic Artery, Aorta, Ʋukawo, Ʋu ƒe Tsitretsitsi, Dzi ƒe Lãmesẽ