E aʻo wale kākou e pili ana i ke aʻa koko i loko o ko kākou umauma i kapa ʻia ʻo ka Internal Thoracic Vein!

He mīkini kupaianaha ko kākou kino, ʻeā? I loko o kēia mīkini, he nui nā ʻāpana liʻiliʻi a kākou i ʻike ʻole ai, akā hana lākou i kahi hana koʻikoʻi loa. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi aa koko koʻikoʻi i hūnā ʻia i loko o ko kākou umauma. Malia paha ʻaʻole ʻoe i lohe i kēia inoa ma mua. ʻO ia ka aa koko i kapa ʻia ʻo Internal Thoracic Vein.

I ka ʻōlelo maʻalahi, he aha kēia ʻAʻa Kino o ka Thoracic?

E noʻonoʻo i ka ʻōnaehana aʻa koko i loko o ko kākou kino e like me kahi pūnaewele o nā alanui. Ua like kekahi o kēia mau alanui me nā alaloa nui, aʻo kekahi e like me nā alanui kauhale liʻiliʻi. No laila, ʻo kēia ʻAʻa Thoracic Internal he mau aʻa koko koʻikoʻi hoʻi ia ma ko kākou umauma. ʻElua o kēia mau mea, hoʻokahi ma ka ʻaoʻao ʻākau o ko kākou kino a hoʻokahi ma ka ʻaoʻao hema.

ʻO ka hana nui o kēia mau aa koko, ʻo ia ke hōʻiliʻili i ke koko haumia, ʻo ia hoʻi, ke koko me nā pae oxygen haʻahaʻa, mai nā ʻiʻo o ko kākou paia umauma a me nā umauma a hoʻihoʻi iā ia i ka puʻuwai. A laila hoʻihoʻi kēia mau aa koko i ke koko i hōʻiliʻili ʻia i ka puʻuwai e hoʻomaʻemaʻe ʻia.

E hoʻomanaʻo iki kākou iā kākou iho i ka ʻokoʻa ma waena o nā aʻa koko a me nā aʻa.

I mea e hoʻomaopopo ai i kā mākou ʻōnaehana kahe koko, he mea nui loa ia e ʻike iki i nā aʻa koko a me nā ʻaʻa.

• Nā ʻaʻa koko: ʻO kēia nā aʻa koko nui e lawe ana i ke koko maʻemaʻe, piha i ka oxygen a me nā meaʻai mai ka puʻuwai a i nā ʻāpana a pau o ke kino. E like me nā paipu nui e lawe ana i ka wai mai ka pahu wai nui o ke kūlanakauhale i nā home.
• Nā aa koko: ʻO kēia nā aa koko e lawe ana i ke koko haumia i nele i ka oxygen i ka puʻuwai, me nā huahana ʻōpala a me ke kalapona ʻokikene, i koe mai ka hana a nā ʻāpana like ʻole o ke kino. E like me ka ʻōnaehana hoʻokahe wai e hōʻiliʻili ana i ka wai lepo mai nā hale.

No laila, ʻo ka Internal Thoracic Vein a mākou e kamaʻilio nei i kēia lā he ʻāpana koʻikoʻi loa ia o ka ʻōnaehana venous.

Aia ma hea kēia aa koko? Pehea kāna hana?

Aia kēia aʻa koko i loko o ko kākou umauma, kokoke loa i ka sternum. ʻAʻole ia hoʻokahi wale nō, akā, aia kekahi aʻa koko i kapa ʻia ʻo ka Internal Thoracic Artery e holo pū ana ma ka ʻaoʻao o kēia aʻa koko.

I kēia manawa, e nānā kākou pehea e hana ai kēia. E noʻonoʻo e hui pū nā kahawai liʻiliʻi e hana i kahawai liʻiliʻi, a hui pū nā kahawai he nui e hana i muliwai nui. Ua like ke kahe koko i loko o ko kākou kino.

1. Ka hana mua: Hōʻiliʻili ke koko haumia i loko o ke cartilage ma waena o ko kākou mau iwi ʻaoʻao a me nā aa koko liʻiliʻi (e like me nā aa koko intercostal) e puka mai ana mai nā ʻiʻo o loko o ka umauma.

2. KaʻAnuʻu Hana 2: ʻO ke koko a pau i hōʻiliʻili ʻia mai kēia mau aa liʻiliʻi e hele mai a hui pū me ka Internal Thoracic Vein a mākou e kamaʻilio nei. Ua like kēia mau aa liʻiliʻi me nā "lālā" e hui pū me kahi aa nui.

3. KaʻAnuʻu Hana ʻEkolu: A laila, lawe ka ʻAʻa Thoracic Kūloko i kēia koko a pau i hōʻiliʻili ʻia a ninini iā ​​ia i loko o kahi ʻaʻa nui aʻe i kapa ʻia ʻo ka ʻaʻa brachiocephalic .

4. Ka hana hope loa: ʻO ka hope loa, hui ke koko mai kēia aʻa brachiocephalic me ka Superior Vena Cava , ke aʻa nui e lawe ana i ke koko mai ko mākou kino o luna, a mai laila aku e hele ai i ka atrium ʻākau o ka puʻuwai (ʻaoʻao ʻākau o kou puʻuwai). A laila hoʻouna ʻia i nā māmā kahi e hoʻopiha ʻia ai ka oxygen a hoʻomaʻemaʻe hou ʻia.

Pehea ke ʻano a me ke ʻano o kēia aa koko?

ʻO ka maʻamau, he 2-3 millimeters ke anawaena o kēia aa koko. Ua like ia me ka nui o ka wēlau penikala kala . Akā, ʻo ka mea kupanaha, ʻaʻole like ke ʻano o kēia aa koko no kēlā me kēia kanaka.

• I kekahi poʻe, ua māhele ʻia ka ʻaʻa umauma kūloko ma ka ʻaoʻao hema i ʻelua ma waena o nā iwi ʻaoʻao ʻekolu a me ka hā.
• ʻOiai hoʻokahi aa koko ko kekahi poʻe ma ko lākou ʻaoʻao ʻākau, i kekahi poʻe hiki ke māhele ʻia ma waena o nā iwi ʻaoʻao ʻelua a me ʻehā.

He mea maʻamau kēia ʻano loli, ʻaʻole ia he maʻi.

E like me nā veins ʻē aʻe, ua hana ʻia ka paia o kēia vein i ʻekolu mau papa nui:

• Papa o loko loa: Hana ʻia me nā pūnaewele e hoʻokuʻu i nā kemika e kōkua i ka ʻaelike a me ka hoʻonui ʻana o ke aʻa.
• Papa waena: Hana ʻia me nā ʻiʻo laumania. Hāʻawi kēia i ke aʻa i kona palupalu.
• Papa waho loa:Ua hana ʻia lākou me nā ʻiʻo hoʻohui e like me ke collagen a me ka elastin. Hāʻawi kēia i ka ikaika a me ka elasticity o ke aʻa.

He aha nā pilikia olakino e hiki ke hoʻopilikia i kēia aʻa?

No ka mea, aia kēia aa koko i loko o ka umauma, hiki ke hōʻino ʻia i kekahi mau kūlana. E nānā kākou i kēlā mau kūlana.

He aha nā hōʻailona o ka Thoracic Outlet Syndrome?

Inā hana ʻia kēia, hiki iā ʻoe ke ʻike i nā hōʻailona e like me kēia:

• Ka luhi nui ma nā lima.
• Ka pehu ʻana o nā lima, nā poho lima, a i ʻole nā ​​manamana lima.
• Ka nāwaliwali ma nā lima a i ʻole ka ʻāʻī.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui loa e ʻike pono i kāu kauka a e ʻimi i ka ʻōlelo aʻo.

Pehea e ʻike ai ke kauka inā he pilikia?

Inā loaʻa iā ʻoe nā hōʻailona like me ka Thoracic Outlet Syndrome, a i ʻole ke kānalua nei i kahi pilikia kahe koko ʻē aʻe, hiki i kāu kauka ke kuhikuhi i kekahi mau hoʻokolohua, e like me:

• X-ray umaumaHe hoʻāʻo.
• ʻO kahi scan CT .
• Hoʻāʻo MRI scan (MRI) .
• ʻO nā hoʻokolohua kūikawā, e like me ke arteriogram a i ʻole venogram , e pili ana i ka hoʻokomo ʻana i kahi kala kūikawā i loko o nā aa koko a me ka hoʻohana ʻana i nā kukuna X e nānā i ke kahe ʻana o ke koko.

Ma hope wale nō o kēia mau hoʻokolohua hiki i ke kauka ke loaʻa kahi manaʻo pololei o ke kūlana o kou mau aa koko.

He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?

Inā hōʻoia ʻia kahi pilikia, hiki i ke kauka ke kuhikuhi i kekahi mau lāʻau lapaʻau e hoʻihoʻi i ke kahe koko a hoʻoheheʻe i nā ʻōpū koko.

• Nā lāʻau anticoagulant: Ua kapa ʻia kēia mau mea he mau mea hoʻokahe koko. Hana lākou ma ka pale ʻana i ke koko mai ka hoʻopili ʻana.
• Nā lāʻau thrombolytic: Hana kēia ma ka hoʻoheheʻe ʻana a me ka wehe ʻana i nā ʻōpū koko i hana mua ʻia.

He aha kā mākou e hana ai e mālama i ke olakino o ko mākou ʻōnaehana venous?

He mea nui loa ia e mālama i ke olakino o nā aa koko a pau o ko kākou kino, ʻaʻole wale ka Aa Kino o ka ʻIwi. Eia kekahi mau mea maʻalahi hiki iā ʻoe ke hana no kēlā.

• E kāohi i ke koko kiʻekiʻe: Inā he koko kiʻekiʻe kou, e hahai i nā ʻōlelo a kāu kauka.
• E ʻai i ka meaʻai olakino: E ʻai i nā mea kanu, nā huaʻai, a me nā greens. 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 a i ʻole ka holo ʻana no 30 mau minuke i ka lā.
• E inu i ka wai nui: ʻO ka inu ʻana i ka nui o ka wai e pono ai i kēlā me kēia lā e kōkua i ke kahe koko.
• Hoʻōki i ka puhipaka a me ka hoʻohana ʻana i ka paka: He mea ʻino loa kēia i nā aa koko.

E kōkua nui kēia mau hoʻololi maʻalahi i ka mālama ʻana i ke olakino o kāu ʻōnaehana kahe koko holoʻokoʻa.