Ua ʻike anei ʻoe e pili ana i kēia kīʻaha koko koʻikoʻi i loko o kou lima? (Brachial Artery) E kamaʻilio kākou!

Ua ʻike mākou a pau e holo ana ke koko ma o ko mākou kino. No laila, no ka lawe ʻana i kēia koko, loaʻa iā mākou kahi ʻōnaehana kūikawā o nā paipu, kahi pūnaewele o nā kīʻaha koko. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi kīʻaha koko koʻikoʻi loa e holo ana mai kou lima luna, ma o kou kuʻekuʻe lima, a i kou lima poʻohiwi a me ka lima. Kāhea mākou i kēia ʻo Brachial Artery . Ua lohe paha ʻoe i kēia inoa ma mua.

He aha ke ʻano o ke aʻa Brachial? E hoʻomaopopo maʻalahi kākou!

E noʻonoʻo, ʻo kēia aʻa brachial he kīʻaha koko nui e hoʻomaka ana ma lalo pono o kou poʻohiwi, e holo ana i lalo o kou lima luna, e hele ana ma waena o ka crease ma mua o kou kuʻekuʻe lima (kapa mākou iā ia ʻo ka cubital fossa), a hoʻopau i ka hoʻomaka ʻana o kou lima lima. Ua like ia me ka paipu nui e lawe ana i ka wai mai kahi pamu wai i kahi māla. ʻO ia ka mea e hoʻolako ai i kou lima luna, kuʻekuʻe lima, lima lima, a me ka lima me ke koko maʻemaʻe a waiwai i ka oxygen a lākou e pono ai.

Ua hele anei ʻoe i ke kauka a ua nānā ʻia kou koko? Aia kahi cuff a puni kou lima luna. Hoʻohana ʻia kēlā cuff e ana i ke koko i loko o kou aʻa brachial. Ua ʻike paha ʻoe i kekahi kauka e lawe i kahi pulse mai kou aʻa brachial.

He aha nā hana nui o ke aʻa brachial?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAe, ke lawe nei kēia i ke koko, akā he aha ia e lawe nei i ke koko?" ʻO ka hana nui o kēia aʻa brachial, a me nā aʻa liʻiliʻi e lālā ana mai ia mea, ʻo ia ke hoʻolako i ke ola i kēia mau ʻāpana o kou lima luna, mai kou mau manamana lima a i lalo:

• ʻO kou mau ʻiʻo biceps brachii (ʻo kēia ka mea a mākou e kapa pinepine ai ʻo 'biceps').
• Aia nā ʻiʻo brachialis ma lalo o ka biceps.
• Kou kuʻekuʻe lima .
• Aia nā ʻiʻo triceps brachii ma ke kua o ka lima luna.

I ka ʻōlelo maʻalahi, pono nā iwi, nā ʻiʻo, a me nā aʻalolo i loko o kou lima i ka oxygen a me nā meaʻai e hana a hoʻoponopono iā lākou iho inā hōʻino ʻia. ʻO ke koko maʻemaʻe e loaʻa ana kēlā mau mea e lawe ʻia mai ka puʻuwai e nā aʻa e like me kēia aʻa brachial. ʻO nā aʻa nā kīʻaha koko e lawe i ke koko mai ka puʻuwai a i ke koena o ke kino.

Pehea ke koʻikoʻi o ke aʻa brachial no nā hoʻokolohua lapaʻau a me nā lāʻau lapaʻau?

He mea pono loa kēia aʻa brachial no nā kauka e hana i kekahi mau hoʻokolohua a hana i nā lāʻau lapaʻau kūikawā.

• Lapaʻau Radiology Interventional: I kekahi manawa, hiki i ke kauka ke hoʻokomo i kahi ʻōmole lahilahi a palupalu, i kapa ʻia he catheter , ma o ke aʻa brachial a alakaʻi iā ia ma o nā kīʻaha koko kokoke i ka puʻuwai ma lalo o ke alakaʻi ʻana o X-ray. He mea kupaianaha kēia kaʻina hana no ka mea hiki iā ia ke wehe i nā clots koko, nā aneurysms, a me nā pilikia kīʻaha koko ʻē aʻe me ka ʻole o ka pono no ke ʻoki puʻuwai nui., a i ʻole hiki ke mālama ʻia nā pilikia weliweli e like me nā aʻa koko haiki. ʻOiai he hana invasive iki kēia, hiki i ka mea maʻi ke ho'ōla koke.

• Hoʻāʻo Ankle-Brachial Index (ABI): He hoʻāʻo koʻikoʻi nō hoʻi kēia. Hoʻohālikelike ia i ke kaomi koko i ana ʻia i loko o kou aʻa brachial me ke kaomi koko i ana ʻia i loko o kahi aʻa i loko o kou kuʻekuʻe wāwae. Inā he ʻokoʻa nui ma waena o kēia mau waiwai ʻelua, hiki ke hōʻike ʻia ʻaʻole lawa ke koko i kou mau wāwae. He hōʻailona paha kēia ʻano o kahi ʻano i kapa ʻia ʻo Peripheral Artery Disease (PAD) .

Aia ma hea ke aʻa brachial? Pehea i hana ʻia ai?

I kēia manawa, e nānā kākou i kahi kūpono o kēia aʻa brachial i loko o ko kākou lima, a pehea e lālā ai.

Aia ia ma ke alo o kou ʻiʻo biceps. Hoʻomaka ia ma ke ʻano he hoʻonui ʻana o ke aʻa axillary, kahi kīʻaha koko i loko o kou ʻāʻī a me kou poʻohiwi. Hoʻopau ia i loko o ka lua liʻiliʻi ma mua o kou kuʻekuʻe lima, i kapa ʻia ʻo ka cubital fossa . Mai laila mai, māhele ʻia i ʻelua mau lālā nui. ʻO ke aʻa ulnar , ka mea e holo ana ma loko o kou lima, a me ke aʻa radial, ka mea e holo ana ma waho (i kou manamana nui). Holo like ke aʻa brachial me ke aʻalolo median, ke aʻalolo nui e kaohi ana i ka manaʻo a me ka neʻe ʻana i loko o kou lima.

Ka lālā ʻana o ke aʻa brachial

He nui nā lālā liʻiliʻi o kēia aʻa brachial. Ke nānā aku mai luna a lalo, penei ke ʻano:

1. ʻO ke aʻa brachial hohonu (profunda brachii artery): ʻO kēia ka lālā mua a nui o ke aʻa brachial. Hoʻolako ia i ke koko i ka iwi humerus ma kou lima luna, ka ʻiʻo deltoid, a me ka ʻiʻo triceps ma ke kua o kou lima luna. Hele pū ia me ke aʻalolo radial .

2. ʻO ke aʻa collateral ulnar kiʻekiʻe: Hiki i kēia lālā ʻelua ke lālā pololei mai ke aʻa brachial a i ʻole mai ke aʻa brachial hohonu i ʻōlelo ʻia ma mua. Hoʻolako ia i ke koko i ka ʻiʻo triceps, kekahi mau ʻāpana o ke kuʻekuʻe, a me ka hui kuʻekuʻe. Hele ia a kokoke i ke aʻalolo ulnar ma ke kuʻekuʻe.

3. ʻO ke aʻa collateral ulnar haʻahaʻa: Hoʻomaka kēia lālā ʻekolu ma lalo o ka iwi lima o luna (humerus). Kōkua ia i ka hoʻolako ʻana i ke koko i nā ʻiʻo biceps a me brachialis.

ʻO ka mea hope loa, ʻo nā lālā e lālā ana ma ka hopena o ke aʻa brachial ʻo ia ka aʻa ulnar a me ke aʻa radial i ʻōlelo ʻia ma luna. ʻO kēia mau mea ʻelua ka mea e lawe i ke koko oxygenated i kou lima, pulima, lima, a me nā manamana lima.

ʻAno kūloko o kahi aʻa

E like me nā aʻa ʻē aʻe a pau i loko o ko mākou kino, ua hana ʻia ke aʻa brachial i ʻekolu mau papa nui:

• ʻO Tunica intima: ʻO kēia ka papa o loko loa. He lahilahi loa ia. ʻO kēia ka mea e kōkua ai i ke kahe mālie o ke koko. Kōkua pū ia i ka hoʻomalu ʻana i ke koko, pale i nā ʻūpā koko, a kāohi i ka hōʻiliʻili ʻana o nā mea ʻawahia i loko o ke koko.
• Media: ʻO kēia ka papa waena. Loaʻa iā ia nā olonā ʻiʻo. Kōkua kēia i nā kīʻaha koko e hoʻonui (hoʻonui) a ʻuʻuku e like me ka mea e pono ai. Hōʻoia kēia e kahe ke koko i hoʻokahi ʻaoʻao.
• ʻAvetenitia: ʻO kēia ka papa pale waho. Hāʻawi ia i ka ikaika a me ke kākoʻo i nā kīʻaha koko. Loaʻa pū i kēia papa nā kīʻaha koko liʻiliʻi, e hoʻolako ana i ka oxygen a me nā meaʻai i nā ʻāpana i loko o ka paia o ke aʻa, a hoʻoneʻe i nā huahana ʻōpala.

He aha nā kūlana e hiki ke hoʻopilikia i ke aʻa brachial?

I kēia manawa, e nānā kākou i ke ʻano o nā pilikia olakino e hiki mai ana i loko o kēia kīʻaha koko koʻikoʻi.

• Nā Ulia a me nā ʻEha: E like me kaʻu i ʻōlelo ai ma mua, kokoke loa ke aʻa brachial i ka ʻili, kokoke i ka ʻili. No laila, hiki ke hōʻino maʻalahi ʻia kēia aʻa e nā ulia e like me nā haki lima a me nā ʻoki hohonu. Hiki i kēlā mau ulia ke hana i kahi kūlana weliweli i kapa ʻia ʻo Acute Compartment Syndrome i ka lima. I ka ʻōlelo maʻalahi, ʻo ia ka manawa e piʻi nui ai ke kaomi i loko o ka membrane e hoʻopuni ana i nā ʻiʻo i loko o ka lima, e hoʻoulu ai i nā ʻiʻo e pehu nui a nalowale ke koko. Hiki ke hana ʻia kēia ma hope o ke ʻoki ʻana ma ka lima, ma muli o ke kahe koko i loko, a i ʻole kahi palapū koʻikoʻi.

Inā ʻaʻole mālama pono ʻia ka compartment syndrome, hiki iā ia ke alakaʻi i kahi kūlana i kapa ʻia ʻo Volkmann ischemic contracture . ʻO kēia ka wā e paʻakikī ai ka lima, ka lima, a me nā manamana lima a nalowale ka hana ma muli o ka emi mau ʻana o ke kahe koko a me ka hōʻino mau ʻana i nā ʻiʻo.

• ʻAneurysms: Ke nāwaliwali a hōʻino ʻia paha nā paia o nā kīʻaha koko, hiki iā lākou ke puʻupuʻu e like me ka pōpō. ʻO ia ke ʻano o ka aneurysm. He mea kakaikahi nā aneurysms i loko o ke aʻa brachial, akā hiki ke hana. ʻO ka hapa pinepine, ua hoʻokumu ʻia lākou e ka trauma, e like me ka mea i ʻōlelo ʻia ma mua. Akā i kekahi manawa, hiki i ka atherosclerosis (kahi hōʻiliʻili ʻana o nā waihona momona i loko o nā paia o nā aʻa), kekahi mau maʻi genetic, a me nā maʻi o nā valves puʻuwai ke kumu iā lākou.Hiki ke ulu aneurysms o ke aʻa Brachial ma muli o nā kūlana e like me ka infective endocarditis a i ʻole ka maʻi Kawasaki (kahi maʻi e hoʻoulu ai i nā kīʻaha koko i nā keiki ʻōpio).

• ʻO ka maʻi ʻaʻa lima: Ua lohe paha ʻoe i kahi maʻi i kapa ʻia ʻo ka maʻi ʻaʻa peripheral (PAD) . Hoʻopilikia pinepine ia i nā kīʻaha koko ma nā wāwae, akā hiki nō hoʻi ke hoʻopilikia i nā lima. ʻO ke kumu nui o ka paʻa ʻana o ke kīʻaha lima he ʻūpā koko i hana ʻia ma kahi ʻē aʻe o ke kino, ʻo ka hapa nui ma ka puʻuwai a i ʻole ka aorta, a ua paʻa i loko o nā kīʻaha koko ma ka lima. Eia kekahi, hiki ke loaʻa ka maʻi ʻaʻa lima ma muli o ka atherosclerosis a i ʻole no ka mea ua loaʻa i nā maʻi puʻupaʻa ka lāʻau dialysis e hoʻohana ana i nā kīʻaha koko ma ka lima.

Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu aʻa brachial?

ʻAe, i kēia manawa ua ʻike mākou i ke koʻikoʻi o kēia aʻa brachial a me nā pilikia e hiki ai ke hana. No laila, he aha kā mākou e hana ai e mālama i kona olakino? ʻOiaʻiʻo, he mea nui loa kēia mau mea ʻaʻole wale no ke aʻa brachial, akā no ke olakino o nā kīʻaha koko ʻē aʻe ma kou kino.

• E ʻai i ka meaʻai olakino a kaulike: E ʻai i nā huaʻai, nā mea kanu, nā palaoa piha, a me ka fiber. E hōʻemi i ka ʻaila, ka paʻakai, a me ke kō.
• E hoʻoikaika kino mau: E hana i kekahi mea e like me ka hele wāwae, ka holo ʻana, a i ʻole ka ʻauʻau ʻana no 30 mau minuke i ka lā.
• E mālama pono i kou koko a me nā maʻi ʻē aʻe (e like me ka maʻi diabetes, cholesterol): E hahai pono i nā ʻōlelo a kāu kauka.
• E pale loa i ka puhipaka a me ka hoʻohana ʻana i nā huahana paka: He mea ʻino loa kēia i nā kīʻaha koko.
• E hōʻemi i kāu inu ʻona: ʻOi aku ka maikaʻi o ka hoʻemi ʻana iā ia i ka hiki.

Āhea ʻoe e ʻike ai i ke kauka?

ʻO ka maʻamau, ʻaʻohe mea e hopohopo ai mākou me kēia aʻa brachial. Eia nō naʻe, inā ʻike ʻia kekahi mau hōʻailona, ​​​​hiki ke lilo i pilikia me kahi kīʻaha koko ma ka lima, malia paha he ʻūpā koko, no laila he mea nui loa e ʻimi koke i ke kōkua lapaʻau.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike pono i ke kauka:

• Inā ʻoi aku ka wela o kekahi mau ʻāpana o kou lima ma mua o nā mea ʻē aʻe ke hoʻopā ʻoe iā lākou.
• Inā ua loli ke kala o ka ʻili ma kou lima a he keʻokeʻo loa, ʻulaʻula, a polū paha .
• Inā loaʻa iā ʻoe nā ʻeha pinepine o nā ʻiʻo ma kou lima luna a i ʻole ka forearm.
• Inā ʻoi aku ka pehu o kekahi lima ma mua o kekahi .
• Inā ʻulaʻula a polū paha nā poho lima a me nā manamana lima, a i kekahi manawa e loaʻa ai nā ʻeha ʻeha (ulcers) .

Mai hoʻowahāwahā i kēia mau hōʻailona. Inā ʻoe e ʻimi i ka lāʻau lapaʻau i ka wā mua, hiki iā ʻoe ke hoʻoponopono i ka pilikia ma mua o ka hoʻoulu ʻana i ka pōʻino hou aku.

ʻO ka mea hope loa, he aha nā mea e hoʻomanaʻo ai! (Leka Lawe-Home)

No laila, hiki iā ʻoe ke ʻike i kēia manawa he kīʻaha koko koʻikoʻi loa ke aʻa brachial e pono ai no ka hana o ko mākou mau lima. Hoʻomaka ia ma lalo pono o ko mākou poʻohiwi, hele ma waena o ko mākou kuʻekuʻe lima, a lālā i waho ma ka hoʻomaka ʻana o ko mākou lima. ʻOiai aia kēia aʻa koko ma lalo pono o ka ʻili, hiki ke hōʻino maʻalahi ʻia i nā ulia. Hiki ke hoʻopilikia ʻia e nā kūlana kīʻaha koko e like me nā aneurysms, nā clots koko, a me nā maʻi artery peripheral (PAD), akā ʻaʻole pinepine kēia.

ʻO ka mea nui loa, ma ka hahai ʻana i kahi nohona olakino , hiki iā kākou ke mālama ʻaʻole wale i kēia aʻa brachial, akā, i ko kākou ʻōnaehana cardiovascular holoʻokoʻa. No laila, e ʻai pono, e hoʻoikaika kino, a e noho mamao aku mai nā ʻano maikaʻi ʻole. A laila hiki iā ʻoe ke ola i kahi ola olakino a ikaika!

ʻAʻa Brachial , ʻAʻa Brachial, Nā kīʻaha koko ma ka lima, Kaomi koko, Kaʻapuni koko, Ola kino o ka lima, ʻAʻa, Aneurysm, ʻAʻa koko