E aʻo kākou e pili ana i ka Subclavian Artery, kekahi o nā aʻa koʻikoʻi e lawe i ke koko i kou mau poʻohiwi, ʻāʻī, a me ke poʻo!

Aloha! Ua noʻonoʻo paha ʻoe pehea e loaʻa ai ke koko i kou mau lima, ʻāʻī, a me kekahi mau ʻāpana o kou poʻo? He ʻōnaehana kupaianaha ko ko mākou kino o nā kīʻaha koko. I kēia lā e kamaʻilio mākou e pili ana i kekahi o nā ʻāpana koʻikoʻi loa, akā ʻaʻole paha i kamaʻilio nui ʻia, o kēlā ʻāpana. ʻO ia ke aʻa subclavian .

He aha ke aʻa subclavian? He aha kāna hana?

I ka ʻōlelo maʻalahi, ʻo kou mau aʻa subclavian ʻelua mau kīʻaha koko nui e lawe ana i ke koko momona i ka oxygen mai kou puʻuwai a i kou kino o luna, me kou mau lima, ʻāʻī, a me ke poʻo. E noʻonoʻo iā lākou e like me ʻelua mau paipu nui e lawe ana i ka wai mai kahi pahu wai i kou home. Aia lākou ma lalo pono o kou mau iwi collar (i kapa ʻia ʻo kou clavicles), hoʻokahi ma kēlā me kēia ʻaoʻao. ʻElua ma ka ʻaoʻao ʻākau a ʻelua ma ka ʻaoʻao hema.

No laila, ʻo ka hana nui o kēia aʻa subclavian ka lawe ʻana i ke koko oxygenated mai ka puʻuwai a i kou poʻo, ʻāʻī, a me nā lima. He hana koʻikoʻi loa, ʻeā?

Hiki iā kākou ke hoʻomaopopo i kāna hana ma ka māhele ʻana i kēia kīʻaha koko i ʻekolu ʻāpana:

• Hoʻouna ka ʻāpana mua i ke koko i nā ʻāpana o kou umauma, ka ʻōpū thyroid , a me ka Circle of Willis, kahi ʻōnaehana nui e hoʻolako i ke koko i ka lolo.
• ʻO ka lua o ka ʻāpana e hele ana i nā ʻāpana o kou ʻāʻī i kapa ʻia ʻo nā kumu costocervical .
• ʻO ke kolu o ka ʻāpana , ʻo ia ka ʻāpana ma kahi mamao iki aku mai kahi e hoʻomaka ai kēia kīʻaha koko, e hoʻolako i ke koko i kou mau lima. ʻO ia hoʻi, hele ke koko i nā mea āpau mai kou biceps, triceps, poʻohiwi, lima, a pēlā aku.

ʻAuhea ka wahi kūpono o ke aʻa subclavian?

E like me kā mākou i ʻōlelo ai ma mua, aia kēia mau kīʻaha koko ʻelua ma lalo o kou mau iwi collar (nā 'clavicles'). Eia nō naʻe, hoʻomaka iki ka ʻaʻa subclavian hema a me ka ʻaʻa subclavian ʻākau me ka ʻokoʻa iki.

• Hoʻomaka ke aʻa subclavian ʻākau ma kou ʻaoʻao ʻākau me kahi kīʻaha koko i kapa ʻia ʻo kou aʻa brachiocephalic .
• Hoʻomaka pololei ke aʻa subclavian hema ma kou ʻaoʻao hema mai ke apo o kou aʻa nui nui, ke apo aortic .

Hele kēia mau kīʻaha koko ʻelua i waho mai waenakonu o kou kino, ma o ʻelua mau ʻiʻo i loko o kou ʻāʻī i kapa ʻia ʻo "nā ʻiʻo scalene mua a me waena. " Hoʻolōʻihi lākou i kou iwi ʻaoʻao mua, a mai laila aku lilo lākou i nā "aʻa axillary," ʻo ia hoʻi nā kīʻaha koko e iho pololei i lalo o kou lima.

Hoʻomaka kēia mau aʻa subclavian i nā lālā liʻiliʻi. He mea nui loa nō hoʻi lākou:

• Nā aʻa koko vertebral: Hoʻolako kēia i ke koko i nā ʻāpana o kou lolo a me ke kumu lolo . ʻO ka maʻamau, ʻo kēia mau kīʻaha koko ma waena o 3 a me 5 millimeters ke anawaena.
• ʻO nā aʻa thoracic kūloko: Hoʻolako kēia i ke koko i ka pericardium , ka iwi umauma, ka diaphragm , ka paia umauma, a me kekahi mau ʻāpana o ka paia ʻōpū. He mau kīʻaha koko liʻiliʻi kēia ma kahi o 2 milimita ke anawaena. I kekahi manawa hoʻohana nā kauka i ka aʻa thoracic kūloko hema no nā grafts bypass artery coronary .
• ʻO nā aʻa dorsal scapular: Hāʻawi kēia i ke koko i nā ʻiʻo o kou kua i luna a kākoʻo i kou mau lima a me nā poʻohiwi.
• ʻO ke kino thyrocervical: Holo kēia i nā ʻaoʻao o kou ʻāʻī a hāʻawi i ke koko i kou ʻāʻī a me nā poʻohiwi.
• ʻO ke kumu Costocervical: Aia kēia ma nā ʻaoʻao ʻelua o ka ʻāʻī a hoʻouna i ke koko i kou mau lima, ʻāʻī, a me ke poʻo.

Pehea ka nui o kēia aʻa subclavian? He aha ka mea i hana ʻia ai?

ʻO ke anawaena o kou aʻa subclavian, a i ʻole ka laulā o kona ʻāpana kea, ma waena o 0.7 a me 1.0 kenimika (ʻaʻole i emi ma mua o ka hapalua ʻīniha). He liʻiliʻi ia, akā hana nui ia, ʻeā?

E like me nā kīʻaha koko ʻē aʻe, ua hana ʻia kou artery subclavian i ʻekolu mau papa nui.

1. Papa o loko (Tunica Intima): Hana ʻia kēia me kahi papa lahilahi a palupalu o nā ʻāpana. Kōkua ia i ke kahe mālie o ke koko.

2. Papa waena (Tunica Media): ʻO kēia ka papa ʻiʻo. ʻO kēia ka mea e ʻae ai i nā kīʻaha koko e ʻūlū a hoʻonui. Kōkua pū ia i ka hoʻomalu ʻana i ke koko.

3. ʻO ka papa waho loa (Tunica Adventitia): He uhi ikaika kēia i hana ʻia me nā ʻāpana lahilahi a palupalu. Hāʻawi ia i ka pale i ke kīʻaha koko.

He aha nā maʻi maʻamau e hiki ke hoʻopilikia i ka aʻa subclavian?

ʻO ka mea kaumaha, ʻoiai ke aʻa subclavian, ka mea e hana ana i kahi hana koʻikoʻi, hiki ke loaʻa i kekahi mau maʻi. E nānā kākou i kekahi o nā mea nui:

• Atherosclerosis: Ua lohe ka poʻe he nui i kēia. I ka ʻōlelo maʻalahi, he ʻano ia e hōʻiliʻili ai ka momona a me ka cholesterol i loko o nā kīʻaha koko (kapa mākou iā ia he 'plaque' ) a pani i nā kīʻaha koko. Ua like ia me ka ʻōpala e pani ana i kahi paipu wai. Inā hana kēia ma ke aʻa subclavian, ke ālai nei ia i ke kahe o ke koko.
• ʻO ka Thoracic Outlet Syndrome: Ma kēia kūlana, lilo ka aʻa subclavian i ʻūmiʻi ( stenosis) ma muli o ke kaomi mai ka iwi a puni, nā ʻiʻo, a i ʻole nā ​​​​ʻiʻo ʻē aʻe.) e hoʻololi. A laila e emi paha ka nui o ke koko e hele ana i nā lima.
• ʻO ka arteritis o Takayasu: He ʻano vasculitis kēia. Hoʻoulu ia i ka mumū, a i ʻole ka pehu ʻana, o ke aʻa subclavian, hiki ke hōʻemi i ka nui o ka oxygen e hiki ana i ke poʻo, ka ʻāʻī, a i ʻole nā ​​​​lima.
• ʻO ka Subclavian Steal Syndrome: Hoʻokumu pinepine ʻia kēia e ka atherosclerosis . ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka lilo ʻana o ke aʻa subclavian i mea haiki ( stenosis ), a ʻo kekahi o ke koko e pono e hele i ka lolo e "ʻaihue" ana mai ka lima aku. ʻO ia ke kumu i kapa ʻia ai he "steal."

He aha nā hōʻailona o ka pilikia o ke aʻa subclavian? Pehea ʻoe e ʻike ai?

Inā he pilikia me ke aʻa subclavian, ʻokoʻa paha nā hōʻailona ma muli o ka maʻi e hoʻopilikia nei iā ia. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e ʻike ʻia:

• ʻOi aku ka haʻahaʻa o ke koko ma kekahi lima ma mua o kekahi lima.
• Ka loli ʻana o ke kala o nā lima a i ʻole nā ​​manamana lima (e like me ka huli ʻana i ka polū a i ʻole keʻokeʻo).
• ʻO ka maneʻo, ka ʻeha, ka nāwaliwali , a i ʻole ka manaʻo wale nō o kekahi mea ma ka lima.
• Ka pehu ʻana o ka lima.
• ʻAʻole hiki i nā lima ke kū i ke anu .
• Manaʻo puni ke poʻo .
• I kekahi manawa hiki ke loaʻa ke kuni (ʻoi aku hoʻi i nā kūlana mumū e like me ka arteritis o Takayasu).
• Ka nāwaliwali (ʻoi aku hoʻi i nā kūlana e like me ka 'Subclavian Steal Syndrome').

He aha nā hoʻokolohua e hana ʻia e nānā i ke olakino o ke aʻa subclavian?

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ke ʻike ʻoe i ke kauka, e hana paha ʻo ia i kekahi mau hoʻokolohua.

• ʻO ka mea mua, ke ana mākou i ke koko ma nā lima ʻelua . Hiki iā mākou ke ʻike inā he ʻokoʻa nui.
• ʻO ke kani ʻana o ke koko (ultrasonography) : He hoʻāʻo maʻalahi kēia, ʻeha ʻole e hiki ke nānā i ke ʻano o ke kahe ʻana o ke koko ma o nā kīʻaha koko a inā paha he ālai ʻana.
• He kiʻi X-ray o ka umauma .
• ʻO ke kiʻi CT .
• Hoʻāʻo MRI (Magnetic Resonance Imaging - MRI) .
• ʻO ka hana ʻo Addison : He hoʻāʻo kēia e nānā ai no ka Thoracic Outlet Syndrome . Ua kīkoʻo ʻia ka ʻiʻo scalene i kou ʻāʻī a ua nānā ʻia ka pulse radial i kou lima no ka emi ʻana.
• ʻAngiogramHoʻāʻo: He hana kakaikahi kēia. Hoʻokomo ʻia kahi mea kūikawā i loko o nā kīʻaha koko a lawe ʻia kahi X-ray.

He aha nā lāʻau lapaʻau no nā pilikia o ke aʻa subclavian?

ʻO ka nūhou maikaʻi, inā ua haiki a paʻa paha ke aʻa subclavian, aia nā lāʻau lapaʻau e hoʻihoʻi iā ia i ka maʻamau. Hoʻohana nā kauka i nā ʻano hana like ʻole e wehe hou i kēia kīʻaha koko. ʻOkoʻa ka lāʻau lapaʻau ma muli o ke kūlana.

ʻO ka maʻi ʻaʻa subclavian (i hoʻokumu ʻia e ka 'atherosclerosis')

• ʻAspirin a me nā lāʻau hoʻohaʻahaʻa cholesterol .
• Angioplasty : Pili kēia i ke kau ʻana i kahi pōpō liʻiliʻi i loko o ke aʻa a hoʻopiha iā ia ma kahi o ka paʻa ʻana, e wehe ana i ka palaki i kūkulu ʻia ma ka paia o ke aʻa. A laila hiki ke kau ʻia kahi stent , kahi ʻano liʻiliʻi e like me ka mesh, ma ia wahi e pale ai i ka paʻa ʻana mai ka hana hou ʻana.
• ʻO ke ʻoki bypass kahi hana ʻoki e hana ai i kahi ala hou no ke kahe ʻana o ke koko a puni ka mea i ālai ʻia.

ʻO ka maʻi puka ʻōpū

• Hoʻōla kino : ʻO ke ʻano kēia o ka hana ʻana i nā mea e like me ka hoʻoikaika kino e hoʻāʻo e hōʻemi i ke kaomi.
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) : Hoʻēmi i ka ʻeha a me ka pehu.
• ʻO nā thrombolytics a i ʻole nā ​​​​"lāʻau hoʻopau i ke koko koko".
• Nā Anticoagulants : Nā lāʻau lapaʻau i hāʻawi ʻia e pale i ke kāpili ʻana o ke koko.
• Hana ʻia ke ʻoki kino e wehe i ke kumu o ke ālai ʻana o ke kīʻaha koko.

ʻO ka maʻi arteritis o Takayasu

• Corticosteroids : Hoʻēmi i ka mumū.
• Nā lāʻau pale kino .
• Ke wehe ʻana i kahi kīʻaha koko ma o ke ʻoki kino a i ʻole ka angioplasty .

ʻO ka maʻi ʻaihue subclavian

• Lapaʻau Antiplatelet : Hoʻōki i ka hui pū ʻana o nā platelets koko a me ka hana ʻana i nā clots koko.
• Nā Anticoagulants : Kāohi i ke kūkulu ʻana o nā clots koko.
• ʻO ke ʻoki ʻoki bypass a i ʻole ka angioplasty .

He aha kekahi mau mea maʻalahi e hiki ai iā mākou ke hana e mālama i ke olakino o ke aʻa subclavian?

E like me kou mālama ʻana i kou puʻuwai a me ka ʻōnaehana cardiovascular holoʻokoʻa, pono ʻoe e mālama i kou aʻa subclavian. ʻO ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo e kōkua nui iā ʻoe:

• E kāohi i kou koko a me nā pae cholesterol . ʻO kēia nā ʻenemi nui ʻelua e hōʻino ana i nā kīʻaha koko.
• E pale loa i ka hoʻohana ʻana i nā huahana paka. He mea ʻino loa ka puhi paka i nā kīʻaha koko.
• E hoʻoikaika kino mau . He mea maikaʻi loa nō hoʻi ka hele wāwae ʻana no 30 mau minuke ma ka liʻiliʻi i ka lā.
• E mālama i ke kaumaha o ke kino olakino . Hoʻokomo pū ka momona i ke kaomi hou ma luna o nā kīʻaha koko.

No laila, ʻo ka mea hope loa e hoʻomanaʻo ai ...

He ʻāpana koʻikoʻi loa kou aʻa subclavian o kou kino o luna, e hāʻawi ana i ke koko e pono ai e mālama iā ʻoe i ke olakino. E like me ka lāʻau e pono ai ka wai, pono i ko mākou mau lima, ʻāʻī, a me ke poʻo ke koko e kahe ana ma o kēia aʻa koko.

ʻO ka ʻai ʻana i kahi meaʻai olakino a me ka hoʻoikaika kino mau e kōkua i ka mālama ʻana ʻaʻole wale i kou aʻa subclavian akā i nā kīʻaha koko ʻē aʻe i loko o kou kino. ʻO nā nānā mau ʻana me kāu kauka hiki ke kōkua i ka ʻike ʻana i nā pilikia me kāu ʻōnaehana kahe koko i ka wā mua. Inā ʻike koke ʻoe ua haiki kekahi o kou mau kīʻaha koko, mai hopohopo. Loaʻa i ka lāʻau lapaʻau holomua nā lāʻau lapaʻau e pono ai no ia. ʻO ka mea nui loa, ʻo ia ke ʻike koke i ke kauka inā ʻike ʻoe i nā hōʻailona.