Ua lohe anei ʻoe i kēia aʻa brachiocephalic i loko o kou kino? E kamaʻilio kākou e pili ana i ia mea ma nā ʻōlelo maʻalahi!

I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kīʻaha koko koʻikoʻi loa i loko o ko mākou kino āu i lohe ʻole ai. ʻO kēia ke aʻa brachiocephalic. ʻOiai he paʻakikī iki ka inoa, he maʻalahi loa kāna hana a he mea nui hoʻi. Hana maikaʻi ia i ka lawe ʻana i ke koko i ka ʻaoʻao ʻākau o luna o ko mākou kino.

He aha kēia aʻa brachiocephalic?

I ka ʻōlelo maʻalahi, ʻo kou aʻa brachiocephalic he kīʻaha koko e lālā ana mai ka aorta, ke aʻa nui i loko o kou umauma. Ua ʻike anei ʻoe i ka ʻāpana piʻo o kahi lāʻau? ʻO ia ke ʻano o ka piko o ko mākou aorta, a kapa mākou iā ia ʻo ke aʻa aortic. ʻO ke aʻa brachiocephalic ka kīʻaha koko mua e lālā ana mai ka aortic arch. Kōkua ia i ka hoʻolako ʻana i ke koko i ka ʻaoʻao ʻākau o luna o kou kino.

Ua kapa ʻia hoʻi kēia:

• Kumu Brachiocephalic: No ka mea, ua like ia me ke kumu o nā lālā kīʻaha koko nui ʻelua.
• ʻO ke aʻa Innominate: He inoa kahiko nō hoʻi kēia.

ʻO kou aʻa brachiocephalic kekahi ʻāpana o ka ʻōnaehana hoʻopuni koko, ka ʻōnaehana e lawe i ke koko ma o ko mākou kino.

He aha ka mea e hana ʻia ana i ke aʻa brachiocephalic?

He hana koʻikoʻi loa ka hana a ke aʻa brachiocephalic. Lawe ia i ke koko maʻemaʻe a waiwai i ka oxygen i nā ʻōpū a me nā ʻiʻo ma ka ʻaoʻao o luna o ko kākou kino. ʻO ke kikoʻī, lawe ia i ke koko mai kou aorta a hāʻawi iā ia i kou aʻa subclavian ʻākau a me ke aʻa carotid maʻamau ʻākau. Hāʻawi kēia koko i ka oxygen a me nā meaʻai i kou lima ʻākau o luna, ka ʻaoʻao ʻākau o kou lolo, ka ʻaoʻao ʻākau o kou maka, a me ka ʻaoʻao ʻākau o kou ʻāʻī. E noʻonoʻo i ka hana nui a kēia aʻa liʻiliʻi e hiki ke hana!

Ke lawe nei kēia aʻa koko i loaʻa ka oxygen a i ʻole ke koko i nele i ka oxygen?

He nīnau maikaʻi! Ke lawe nei kou aʻa brachiocephalic i ke koko i hoʻopiha ʻia me ka oxygen . Hoʻopuka ko mākou puʻuwai i ke koko maʻemaʻe a i hoʻopiha ʻia me ka oxygen i loko o ka aorta. Mai laila mai, hele kēia koko ma o nā aʻa ʻē aʻe e lālā ana mai ka aorta (me ke aʻa brachiocephalic) e hānai i ko mākou kino.

Aia i hea ka aʻa brachiocephalic?

Aia ke aʻa brachiocephalic (a i ʻole ke kumu) ma ka ʻaoʻao ʻākau o luna o kou umauma, ma luna o kou puʻuwai a ma lalo iki o kou ʻāʻī. I ka pololei, aia ia ma kahi o kou umauma i kapa ʻia ʻo "Mediastinum". He mea nui loa kēia wahi i kapa ʻia ʻo "Mediastinum" no ka mea aia i loko kou puʻuwai a me nā ʻāpana o nā kīʻaha koko nui ʻē aʻe.

E like me kaʻu i ʻōlelo ai ma mua, ʻo ke aʻa brachiocephalic ka lālā mua e lālā mai ana mai kou `(Aortic arch)`, ʻo ia ka ʻāpana piʻo o luna o kou aorta. ʻO ke ʻano o ka ``Mua'' ʻo ia ka lālā kokoke loa i kou puʻuwai. Eia naʻe, ʻaʻole ia ka lālā mua e lālā mai ana mai kou `(Aorta)`. No ka mea, ma mua o ka `(Aortic arch)`, aia kahi ʻāpana o kou aorta e piʻi mai ana mai kou puʻuwai, i kapa ʻia ʻo `(Ascending aorta)`. ʻO nā aʻa coronary e hoʻolako ana i ke koko i kou ʻiʻo puʻuwai e māhele ʻia mai kēia `(Ascending aorta)`. No laila, ʻo ka lālā mua e lālā mai ana mai kou aorta ʻo ia nō kou mau aʻa coronary.

ʻO ka mea nui, ʻaʻole ke aʻa brachiocephalic kekahi o nā kīʻaha koko nui o ka puʻuwai, ʻaʻole hoʻi i pili pono i kahi keʻena o ka puʻuwai. He lālā wale nō ia o ka aorta.

He aha nā lālā nui ʻelua o ke aʻa brachiocephalic?

Māhele kēia aʻa brachiocephalic i ʻelua lālā i kona hele ʻana aku mai ka puʻuwai aku, ʻo ia hoʻi, i luna. Ua kapa ʻia hoʻi kēia māhele ʻana he `(Bifurcates)`. ʻO nā lālā ʻelua:

• ʻO ke aʻa subclavian ʻākau: Hoʻolako kēia i ke koko i ka ʻaoʻao o luna o kou lima ʻākau. Hoʻokaʻawale pū ia e hoʻolako i ke koko i nā ʻāpana o kou poʻo, ʻāʻī, a me ka umauma.
• ʻO ke aʻa carotid maʻamau ʻākau: Hoʻolako kēia i ke koko i kou lolo a me nā ʻāpana ʻē aʻe o kou poʻo, maka, a me ka ʻāʻī.

Ua kapa ʻia kēia mau lālā hope no ka mea e pau ana ke aʻa brachiocephalic ma ʻaneʻi. Hana ʻia kēia māhele ʻana ma ka hui sternoclavicular ʻākau, kahi e hui ai ka clavicle a me ka sternum ma kou ʻaoʻao ʻākau.

ʻEhia ka nui o kēia aʻa brachiocephalic?

ʻO ka maʻamau, ʻo ke aʻa brachiocephalic (kumu) ma kahi o 4 a 5 kenimika ka lōʻihi . ʻO kona anawaena, a i ʻole ka laulā, ma kahi o 10.5 a 13.7 millimeters . He liʻiliʻi ia, akā hana nui ia, ʻeā?

He aha ka mea i hana ʻia ai kēia?

E like me nā aʻa ʻē aʻe i loko o ko mākou kino, he pā ko ke aʻa brachiocephalic i hana ʻia i ʻekolu papa:

• ʻO Tunica intima `(Tunica intima / interna)`: ʻO kēia ka papa o loko loa. Loaʻa iā ia kahi uhi i hana ʻia me kahi ʻano cell i kapa ʻia ʻo `(Endothelial cells)`. ʻO kēia ka mea e kōkua ai i ke koko e kahe mālie me ke keʻakeʻa ʻole.
• ʻO Tunica media: ʻO kēia ka papa waena. Kōkua nā ʻiʻo laumania i loko o kēia papa i ke aʻa e hoʻonui a hoʻohāiki e like me ka mea e pono ai, no laila e kaohi ana i ke kahe o ke koko.
• ʻO Tunica adventitia (Tunica adventitia / externa): ʻO kēia ka papa waho loa. Hāʻawi ia i ka ikaika a me ke kākoʻo i ke aʻa. Hana ʻia kēia papa me ka collagen a me nā ʻiʻo hoʻohui ʻē aʻe.

Aia kekahi mau ʻokoʻa anatomical i ke kūlana o ke aʻa brachiocephalic?

ʻAe, ʻoiaʻiʻo nō. ʻOiai ua māhele ʻia ke aʻa brachiocephalic e ke kūlou o ka aorta, hiki i nā ʻano like ʻole o kēia ʻāʻī aortic ke hoʻopilikia i ke kūlana o ke aʻa brachiocephalic. ʻO ka ʻokoʻa maʻamau i ke ʻāʻī aortic he ʻano i māhele ʻia ai ʻelua wale nō lālā.

ʻO ka maʻamau, ʻekolu mau kīʻaha koko e lālā pololei ana mai kou ʻāʻī aortic. ʻO lākou kēia:

• ʻO ke aʻa Brachiocephalic (kumu).
• ʻO ke aʻa subclavian hema.
• ʻO ke aʻa carotid maʻamau hema.

Eia nō naʻe, i kekahi poʻe, ma kahi o kēia mau ʻekolu, ʻelua wale nō lālā e lālā mai ka `(Aortic arch)`. ʻElua mau ʻano like:

1. Hoʻomaka ke aʻa brachiocephalic a me ke aʻa carotid maʻamau hema mai kahi like: ʻO ke ʻano kēia ua hoʻomaka nā aʻa ʻelua mai ka kumu like, ʻo ia hoʻi ka "Aortic arch". Māhele ka aʻa subclavian hema i kahi lālā ʻelua ʻokoʻa, ʻo ia hoʻi ka "aʻa subclavian hema".

2. ʻO ke aʻa carotid maʻamau hema e puka mai ana mai ke aʻa brachiocephalic: Ma kēia, ma kahi o ka puka pololei ʻana mai ke aʻa aortic, ua lālā ke aʻa carotid maʻamau hema mai ke aʻa brachiocephalic. ʻO ka maʻamau, hana ʻia kēia māhele ma kahi o hoʻokahi kenimika mai ke aʻa aortic. Māhele kaʻawale ke aʻa subclavian hema.

ʻAʻole pilikia nui kēia mau loli, akā he mea nui i nā kauka ke ʻike iā lākou.

Aia kekahi mau aʻa brachiocephalic ʻākau a me hema?

Hoʻokahi wale nō aʻa brachiocephalic o ka hapa nui o nā kānaka. Aia ia ma ka ʻaoʻao ʻākau o ka umauma. Eia nō naʻe, he mea kākaʻikahi loa, me kekahi ʻano like ʻole ma ka `(Aortic arch)`, aia paha he mau aʻa brachiocephalic ma nā ʻaoʻao ʻākau a me hema, a i ʻole hoʻokahi wale nō ma ka ʻaoʻao hema. He mau hihia kākaʻikahi loa kēia.

He aha nā kūlana maʻamau e hoʻopilikia ai i ke aʻa brachiocephalic?

Hiki ke hoʻopilikia ʻia ke aʻa brachiocephalic e kekahi mau kūlana olakino. ʻO kekahi o lākou:

• ʻO ka fistula tracheo-innominate (TIF): He kūlana weliweli loa kēia. ʻO ka TIF kahi pilina maʻamau ʻole ma waena o kou windpipe (trachea) a me ke aʻa innominate (brachiocephalic). He pilikia hoʻoweliweli ola kēia o ka tracheostomy, kahi hana ʻoki ma ka ʻāʻī e wehe ai ke ala ea. Hiki iā ia ke hoʻoulu i ke kahe koko nui, no laila pono koke ke ʻoki ʻana. Inā ua loaʻa iā ʻoe kahi tracheostomy no ka manawa lōʻihi, hiki i kāu kauka ke hana i nā scan CT e nānā i ka pilikia o ka loaʻa ʻana o kahi TIF.

• ʻO ke atherosclerosis:Ua lohe paha ʻoe i kēia. ʻO Atherosclerosis kahi ʻano e hōʻiliʻili ai nā waihona momona (i kapa ʻia ʻo plaque) i loko o nā aʻa, hiki ke hoʻopilikia i nā aʻa i ka hala ʻana o ka manawa. Hoʻopaʻa kēia i ke kahe koko i nā ʻāpana like ʻole o ke kino. Ke hoʻemi ʻia ke kahe koko i ka lolo ma kēia ʻano (maʻi cerebrovascular), ʻo ka hapa nui o ke kumu he mau waihona momona i loko o nā aʻa carotid. Eia nō naʻe, he mea kakaikahi loa, hiki ke hana ʻia nā waihona momona i loko o ke aʻa brachiocephalic a hoʻopilikia iā ia. I ia mau hihia, pono paha ka lāʻau lapaʻau e like me ke kau ʻana o ka stent e hoʻomaikaʻi i ke kahe koko.

• Aneurysm: He puʻupuʻu ka aneurysm ma ka paia o ke aʻa ma muli o ka nāwaliwali. He mea kākaʻikahi loa nā aneurysms ma ke aʻa brachiocephalic. Loaʻa nā aneurysms supra-aortic i loko o nā aʻa ma luna o ke ā aortic, e helu ana ma kahi o 3 i loko o 100 mau hihia.

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

Nui nā mea hiki iā ʻoe ke hana e mālama pono ʻaʻole wale i kou aʻa brachiocephalic, akā i nā aʻa ʻē aʻe a pau o kou kino. Eia kekahi mau mea:

• E hōʻalo i ka hoʻohana ʻana i ka paka: ʻO ka puhipaka, ka vaping, a me ka hoʻohana ʻana i ka paka uahi ʻole e hāʻule nā ​​​​mea āpau ma lalo o kēia māhele.
• E ʻai i ka meaʻai olakino no ka puʻuwai haʻahaʻa i ka momona saturated a me ka sodium: Ua ʻike ʻia e ka noiʻi he maikaʻi nā ʻano ʻai e like me ka meaʻai Mediterranean no ka puʻuwai a me nā kīʻaha koko.
• E hoʻoikaika kino mau: E hoʻāʻo e hana i ka hoʻoikaika kino aerobic (kahi e hoʻonui ai i kou hanu ʻana) no ka liʻiliʻi he 30 mau minuke i ka lā, ʻelima mau lā o ka pule.
• E mālama i ke kaumaha olakino e kūpono iā ʻoe: E nīnau i kāu kauka i kou kaumaha kūpono a pehea e hiki ai iā ia.
• E kaupalena i ka inu ʻana i ka waiʻona: ʻAʻole ʻoi aku ma mua o hoʻokahi `(mea inu)` i ka lā no nā wahine. ʻAʻole ʻoi aku ma mua o ʻelua `(mea inu)` i ka lā no nā kāne.
• E hoʻokele i ke kaumaha: E aʻo i nā ala hou e hoʻomaha ai.
• E hoʻohana i nā lāʻau lapaʻau e like me ke kauoha a kāu kauka: ʻO kēia hoʻi nā lāʻau lapaʻau no ka cholesterol a me ke koko.
• E ho'āʻo e loaʻa ka lawa o ka hiamoe: No nā pākeke, ʻehiku a ʻeiwa hola o ka hiamoe i ka lā he mea maikaʻi ia no ke olakino o ka puʻuwai a me ke olakino holoʻokoʻa.
• E ʻike pinepine i kāu kauka: E kiʻi i kahi nānā olakino ma ka liʻiliʻi hoʻokahi manawa i ka makahiki. Mai poina i nā manawa i hoʻonohonoho ʻia e kāu kauka.

ʻO ke aʻo ʻana e pili ana i ko mākou mau aʻa, a me nā ʻāpana ʻē aʻe o ka ʻōnaehana hoʻopuni koko, hiki ke hoʻoweliweli iki i kekahi manawa, akā hiki nō hoʻi ke lilo i mea hoihoi loa. Ke aʻo nei paha ʻoe e pili ana i kēia mau mea ma muli o kahi maʻi a i ʻole no ka hoihoi wale nō. Eia naʻe, mai kānalua e nīnau i kāu kauka i nā nīnau āu e loaʻa ai. He mea paʻakikī ka Anatomy, a ʻaʻole like ke kino o kēlā me kēia kanaka. No laila, ke hoʻohui ʻoe i kāu mea i heluhelu ai me ka ʻike o kāu kauka, ʻoi aku ka maʻalahi o ka loaʻa ʻana o kahi kiʻi piha.

Nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo (Leka Lawe-Home)

ʻAe, no laila, i ka ʻōlelo maʻalahi, ʻo ka Brachiocephalic Artery a mākou i kamaʻilio ai i kēia lā,

He kīʻaha koko koʻikoʻi kēia e lālā ana mai ko kākou aorta. Hoʻolako kēia aʻa koko i ke koko waiwai i ka oxygen, ʻoi aku hoʻi i ka ʻaoʻao ʻākau o luna o ko kākou kino, ʻo ia hoʻi, ka lima ʻākau, ka ʻaoʻao ʻākau o ka ʻāʻī, ka ʻaoʻao ʻākau o ke poʻo, a me ka ʻaoʻao ʻākau o ka lolo.

Ua kamaʻilio mākou e pili ana i kona wahi, ka nui, a me nā mea ʻē aʻe. Ua kūkākūkā pū mākou i kekahi mau kūlana olakino e hiki ke hoʻopilikia iā ia, a me nā mea hiki iā mākou ke hana e mālama i ke olakino o kēia aʻa.

ʻO ka mea nui loa, ʻo ia ke hahai i kahi nohona olakino e mālama i ke olakino o kēia aʻa, e like me nā ʻāpana ʻē aʻe o ko kākou kino. Inā he mau nīnau a kānalua paha kāu e pili ana i kēia, e kamaʻilio pono me ke kauka. ʻO ia ka mea maikaʻi loa e hana ai.

ʻO ke aʻa Brachiocephalic, Aorta, nā kīʻaha koko, ke kaʻapuni koko, ke olakino o ka puʻuwai