E aʻo kākou e pili ana i ke aʻa koko subclavian e hoʻolako ana i ke koko i ka ʻaoʻao o luna o kou kino.

Ua noʻonoʻo paha ʻoe pehea e hoʻi ai ke koko i hoʻohana ʻia mai ka ʻaoʻao o luna o ko kākou kino, ʻo ia hoʻi, mai nā lima, ka ʻāʻī, a me ke poʻo, ʻo ia hoʻi ke koko i loaʻa ka oxygen haʻahaʻa, i ka puʻuwai? ʻĀ, he aa koko koʻikoʻi loa e kōkua ana i kēlā ʻo ia ka aa koko subclavian. E kamaʻilio maʻalahi kākou e pili ana i kēia, ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo?

He aha ka hana o ka aʻa subclavian?

I ka ʻōlelo maʻalahi, ua like nā Subclavian Veins me kahi aʻa nui e kōkua ai i ke kahe ʻana o ke koko ma ka ʻaoʻao o luna o ko mākou kino. Kōkua lākou i ke koko e kaʻapuni pono i loko o kou mau lima, ke poʻo, a me ka ʻāʻī. Hele ke koko i loko o ko mākou kino ma o kahi pūnaewele o nā aʻa. Lawe nā aʻa i ke koko maʻemaʻe, waiwai i ka oxygen i ko mākou mau kino a me nā ʻiʻo. A laila, hōʻiliʻili nā aʻa i ke koko deoxygenated, ʻōpala a hoʻihoʻi iā ia i ka puʻuwai. Ma hope o ka hiki ʻana i ka puʻuwai, hele ke koko i nā māmā e oxygen hou a hoʻomaka i kahi huakaʻi hou. E noʻonoʻo, pono kēia koko deoxygenated e hele ma o nā aʻa liʻiliʻi he nui e hiki ai i ka puʻuwai. E like me nā alanui ma ke kūlanakauhale liʻiliʻi. ʻOiai ua pili kēia mau aʻa a ua lālā i nā ʻaoʻao like ʻole, alakaʻi lākou a pau i kahi hoʻokahi, ʻo ia hoʻi ko mākou puʻuwai. E like me ka hapa nui o nā aʻa, holo like nā aʻa subclavian me ko lākou mau aʻa i kapa ʻia. E noʻonoʻo iā lākou he ʻelua mau alanui haiki, hoʻokahi ala e holo ana ma ka ʻaoʻao. Lawe ke aʻa subclavian i ke koko mai ka puʻuwai aku, ʻoiai lawe ke aʻa subclavian kokoke i ke koko i ka puʻuwai. Ma waho aʻe o ke kōkua ʻana i ke kahe koko, he kuleana koʻikoʻi ko nā aʻa koko subclavian i kekahi mau kaʻina hana lapaʻau.

• Ke komo ʻana o ke kinoea waena: Hoʻohana nā kauka i kekahi manawa i kou aʻa subclavian e hoʻokomo i kahi mea i kapa ʻia ʻo 'central line'. He mea kēia e hana pinepine ʻia no ka poʻe ma nā keʻena mālama koʻikoʻi (ICUs). He mau mea liʻiliʻi e like me ka paipu nā Catheters . Hoʻohana ʻia kēia mau mea e hāʻawi i nā wai a me nā lāʻau lapaʻau i ke kino. ʻOiai he mea nui loa kēia komo ʻana o ke kinoea waena i ka mālama ʻana i ka lāʻau lapaʻau, i kekahi manawa hiki ke loaʻa nā pilikia e like me ke kahe ʻana o ke koko, ka maʻi, ka puʻuwai puʻuwai kūpono ʻole ( arrhythmia ) , nā ʻōpū koko i loko o nā aʻa (venous thrombosis ) , a me ka hiolo ʻana o ka māmā ( pneumothorax ) .
• Nā uwea pacemaker : He pacemaker e hoʻoponopono i ka manawa o ka puʻuwai.I kekahi manawa hoʻohana nā kauka i ke aʻa subclavian e hoʻokomo i nā kaula no ka hāmeʻa. E like me ka laina waena, pono e hana pono ʻia kēia e pale aku i nā pilikia.

Aia i hea kēia mau aa koko subclavian?

I kēia manawa, e nānā kākou i kahi kūpono o kēia mau aa koko subclavian i loko o ko kākou kino. Aia kou mau aa koko subclavian ʻākau a me hema ma lalo o kou iwi ʻāʻī (Clavicle). I ka pololei, hoʻomaka kēia aa koko ma kahi kokoke i ka poʻohiwi, ma luna o ka umauma, kahi e hoʻomaka ai ka iwi ʻaoʻao. A laila piʻo ia i luna e like me ke kūlou, a laila iho hou i lalo i ka puʻuwai. E noʻonoʻo i kahi 'm' i kaha ʻia ma kou umauma, a ma kahi e iho ai kēlā 'm' mai waena mai, kokoke ia e paʻi i luna o ka puʻuwai. ʻO kēlā mau kualono ʻelua ma luna o kēlā 'm' ʻo ia nā aa koko subclavian.

Mai hea mai ke koko e loaʻa ai i nā aʻa subclavian?

Loaʻa i kēia mau aʻa koko subclavian ke koko mai nā aʻa koko axillary . ʻO kēia mau aʻa koko axillary nā aʻa koko liʻiliʻi i loko o kou mau lima e puka mai ana mai nā wēlau o kou mau manamana lima. E hoʻomanaʻo i kēlā 'm' a mākou i kamaʻilio ai ma mua? Ua like kēia mau aʻa koko axillary me nā laina ʻelua e piʻi mai ana mai kēlā ʻaoʻao kēia ʻaoʻao o ka 'm'. ʻO ia hoʻi, lawe mai lākou i ke koko i nā piko ʻelua i kapa ʻia ʻo nā aʻa koko subclavian. A laila, hele ke koko mai nā aʻa koko subclavian i nā aʻa koko brachiocephalic ʻākau a me hema. ʻO kēia nā piʻo ʻelua ma waenakonu o kēlā 'm'. ʻO ka hope loa, ma lalo o ka 'm', hui pū kēia mau aʻa koko brachiocephalic ʻelua e hana i kahi aʻa koko nui i kapa ʻia ʻo Superior Vena Cava . ʻO kēlā aʻa koko nui kahi e hele pololei ai ke koko i loko o ka puʻuwai. Maopopo iā ʻoe kahi e hele ai kēlā koko?

He aha nā mea i hana ʻia ai nā aʻa subclavian?

E like me ko mākou mau veins ʻē aʻe, ua hana ʻia nā veins subclavian i ʻekolu papa o nā ʻiʻo a me nā fibers:

• ʻO Tunica Adventitia: ʻO kēia ka papa waho loa. Hāʻawi ia i ke ʻano, ke ʻano, a me ka ikaika o ke aʻa.
• ʻO Tunica Media: ʻO kēia ka papa waena. Loaʻa iā ia nā pūnaewele ʻiʻo laumania. ʻO kēia mau pūnaewele ka mea e ʻae ai i ke aʻa e hoʻonui a ʻūlū i ke kahe ʻana o ke koko ma o ia mea.
• ʻO Tunica Intima: ʻO kēia ka papa o loko loa. Loaʻa iā ia kahi uhi i hana ʻia me nā cell endothelial laumania. ʻAe kēia i ke koko e kahe maʻalahi ma o ke aʻa me ke keʻakeʻa ʻole.

He aha nā kūlana e hoʻopilikia ai i ka vein subclavian?

Aia kekahi mau maʻi e hiki ke hoʻopilikia i nā aʻa koko subclavian. E nānā kākou i ke ʻano o lākou.

• ʻO nā ʻūpā koko i loko o nā aʻa hohonu (ʻO Deep Vein Thrombosis - DVT): E noʻonoʻo i ka mea e hana ʻia inā e hoʻokumu ʻia kahi clot koko i loko o kou aʻa subclavian a paʻa. ʻO ia ka mea i kapa ʻia ʻo DVT . ʻO ka hapa pinepine, hiki mai kēia DVT ma nā wāwae. Akā i kekahi manawa, hiki ke paʻa kahi clot koko i loko o kahi aʻa ma ke kino o luna, no ka laʻana, ma ka aʻa subclavian. Hiki ke hana ʻia kēia ma ke ʻano he pilikia o ka catheter venous waena i ʻōlelo ʻia ma luna. He kūlana weliweli loa ka DVT. No ka mea, inā haki kēia clot koko a ālai i kahi aʻa i loko o nā māmā, hiki iā ia ke hana i kahi kūlana make i kapa ʻia ʻo pulmonary embolism . Hiki i nā hōʻailona o kahi DVT ke komo pū me ka pehu ʻana ma ka lima, ka ʻoluʻolu ʻole, a i ʻole ka manaʻo kaumaha ma ka lima.
• ʻO Axillary-Subclavian Vein Thrombosis: Ua kapa ʻia kēia ʻo Paget-Schroetter Syndrome , a i ʻole 'Effort Thrombosis' . He ʻano kakaikahi kēia o ka DVT. Loaʻa pinepine ia i nā poʻe ʻōpio ma waena o nā makahiki 15 a me 45. Hiki ke loaʻa kēia ʻano i nā poʻe e pāʻani ana i nā haʻuki a hāpai paha i nā mea kaumaha no ka hana. Hoʻomaka pinepine kēia pilikia me nā neʻe ʻana e like me ka hāpai pinepine ʻana i ka lima ma luna o ke poʻo. Hiki i nā hōʻailona ke komo pū me ka pehu ʻana, ka ʻeha, a me ka uliuli o ka lima.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻoluʻolu e kelepona koke iā 1990 a i ʻole e hele i ka haukapila kokoke loa. He mau pilikia olakino kēia e pono ai ka mālama koke ʻia.

Pehea e hiki ai iaʻu ke mālama i ke olakino o koʻu mau aa koko?

Aia kekahi mau mea hiki iā ʻoe ke hana e mālama ʻaʻole wale i kou aʻa subclavian, akā, i nā aʻa koko ʻē aʻe a pau i loko o kou kino, i olakino a hana maikaʻi hoʻi.

• E hele wāwae: E ho'āʻo e hele wāwae no 30 mau minuke i ka lā, ma ka liʻiliʻi he ʻelima mau lā o ka pule.
• E noho hana i ka lā a pau: Ma kahi o ka noho ʻana ma kahi hoʻokahi no ka lōʻihi loa, e neʻe iki a puni. E kōkua kēia i ka hoʻomaikaʻi ʻana i ke kahe koko ma ke kino holoʻokoʻa.
• E ʻai i ka meaʻai olakino no ka puʻuwai: Hiki i kēia ke kōkua i ka kaohi ʻana i kou koko koko, nā pae cholesterol, a me ke kaumaha.
• E inu i ka wai nui.
• Inā ʻike ʻoe i kekahi mau hōʻailona o ka pilikia aa, mai hoʻowahāwahā iā lākou. E ʻike koke i kāu kauka. ʻO ka ʻike mua ʻana i nā pilikia e hiki ke kōkua i ka pale ʻana iā lākou mai ka lilo ʻana i mea koʻikoʻi.

Mai poina, he ʻāpana koʻikoʻi loa kou aʻa subclavian o kāu ʻōnaehana venous. Kōkua ia i ka lawe ʻana i ke koko mai kou kino luna i kou puʻuwai. Inā ua loaʻa iā ʻoe nā pilikia aʻa ma mua, e like me nā ʻōpū koko, e kamaʻilio me kāu kauka. Hiki iā ia ke haʻi iā ʻoe e pili ana i nā ala e hōʻemi ai i kou pilikia o nā pilikia e hiki mai ana.

Leka Lawe-Home

ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai kā mākou i kamaʻilio ai i kēia lā:

• He kīʻaha koko koʻikoʻi ka aʻa subclavian e kokoke ana i kou poʻohiwi, ma lalo pono o kou iwi ʻāʻī. Lawe ia i ke koko nele i ka oxygen mai ke kino o luna (nā lima, ka ʻāʻī, a me ke poʻo) i ka puʻuwai.
• Hoʻohana ʻia kēia aa koko i kekahi mau lāʻau lapaʻau, no ka laʻana, e hoʻokomo i kahi laina waena a i ʻole nā ​​​​uaea pacemaker.
• Hiki ke loaʻa nā pilikia e like me ke koko ʻana i loko o nā aa koko subclavian (DVT, Axillary-Subclavian Vein Thrombosis) . Inā ʻike ʻoe i nā hōʻailona e like me ka pehu ʻana, ka ʻeha, a i ʻole ka uliuli ma kou lima , pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
• Hiki iā ʻoe ke mālama i kou mau aa koko i ke olakino ma ka hahai ʻana i kahi nohona olakino (hele maikaʻi, ʻai i ka meaʻai kaulike, inu nui i ka wai).
• He mea nui loa e haʻi aku i ke kauka me ka nānā ʻole ʻana i nā hōʻailona liʻiliʻi.