Koj puas tau xav paub tias koj txhais caj npab, caj dab, thiab lub taub hau tau txais lub zog uas lawv xav tau los ua haujlwm li cas, uas yog, cov ntshav huv, muaj oxygen? Hnub no peb yuav tham txog ob lub hlab ntsha tshwj xeeb uas muab zog rau sab saud ntawm peb lub cev, ua haujlwm zoo li lub cev muab dej tseem ceeb rau lub nroog. Peb hu cov no ua Subclavian Arteries. Txawm hais tias lub npe yuav zoo li nyuaj me ntsis, lawv txoj haujlwm yooj yim heev thiab tseem ceeb.
Hais yooj yim xwb, kev tswj hwm subclavian yog dab tsi?
Xav txog koj lub plawv zoo li lub chaw nqus ntshav loj. Lub chaw nqus ntshav no nqa cov ntshav uas muaj pa oxygen mus rau txhua qhov ntawm koj lub cev los ntawm ib lub raj loj. Ob lub raj tseem ceeb hauv lub cev ntawd yog cov hlab ntsha subclavian. Cov no nyob hauv qab koj cov pob txha caj dab. Ib lub nyob rau sab xis, lwm lub nyob rau sab laug.
Lawv lub luag haujlwm tseem ceeb yog nqa cov ntshav uas muaj oxygen ntau los ntawm koj lub plawv mus rau koj lub caj dab, taub hau, thiab caj npab . Yog hais kom meej, cov hlab ntsha no ua haujlwm ua peb ntu:
- Thawj ntu: Ntu no muab ntshav rau 'lub voj voog ntawm Willis', ib txoj hlab ntsha loj uas muab ntshav rau koj lub hauv siab, qog thyroid, thiab lub hlwb.
- Ntu Ob: Qhov no yuav tso cov ntshav mus rau qhov tseem ceeb ntawm lub caj dab.
- Ntu 3: Qhov no yog qhov kawg tshaj plaws. Nws muab ntshav rau koj txhais tes, suav nrog cov leeg nqaij hauv koj lub biceps thiab triceps, thiab koj lub xub pwg nyom.
Cov tuam tsev no nyob qhov twg thiab lawv cov ceg yog dab tsi?
Zoo li peb tau hais ua ntej lawm, ob leeg cov leeg no nyob hauv qab cov pob txha caj dab. Txawm li cas los xij, qhov pib ntawm ob leeg no txawv me ntsis.
- Txoj Cai Subclavian Artery: Qhov no pib ntawm koj cov hlab ntsha brachiocephalic.
- Sab laug Subclavian Artery: Qhov no pib ncaj qha los ntawm lub aortic arch.
Ob lub hlab ntsha no tawm hauv nruab nrab ntawm koj lub cev, hla mus ze ntawm koj tus tav thawj zaug, qhov chaw uas lawv dhau los ua cov hlab ntsha axillary. Raws txoj kev, cov hlab ntsha tseem ceeb no txuas mus rau lwm cov ceg tseem ceeb.
| Lub Npe Ceg | Kev Ua Haujlwm |
|---|---|
| Cov hlab ntsha ntawm lub vertebral | Muab cov ntshav mus rau qee qhov ntawm lub hlwb thiab lub hlwb qia. |
| Cov hlab ntsha hauv lub hauv siab sab hauv | Nws muab ntshav mus rau pericardium, lub hauv siab, diaphragm, thiab qee qhov ntawm phab ntsa hauv siab. (Cov kws kho mob siv cov hlab ntsha no rau kev txiav cov hlab ntsha hauv lub plawv.) |
| Cov hlab ntsha ntawm lub duav dorsal | Nws nqa cov ntshav mus rau cov leeg nqaij hauv nraub qaum sab saud uas txhawb nqa caj npab thiab xub pwg. |
| Thyrocervical lub cev | Nws khiav mus rau ntawm ob sab ntawm lub caj dab thiab muab ntshav rau lub caj dab thiab xub pwg nyom. |
| Lub cev ntawm tus nees caj dab | Nyob rau ntawm ob sab ntawm lub caj dab, lawv xa cov ntshav mus rau caj npab, caj dab, thiab taub hau. |
Cov mob twg tuaj yeem cuam tshuam rau tus cwj pwm no?
Ib yam li lwm cov hlab ntsha hauv peb lub cev, cov hlab ntsha subclavian tuaj yeem raug cuam tshuam los ntawm ntau yam kab mob. Cia peb saib qee yam ntawm lawv tam sim no. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov no, vim tias yog tias lawv raug kuaj pom thaum ntxov, lawv yuav yooj yim dua rau kev kho.
Qhov tseem ceeb tshaj plaws yog tias yog koj muaj cov tsos mob no, tsis txhob tsuas saib hauv internet thiab txiav txim siab tias koj muaj mob, tab sis mus ntsib kws kho mob thiab nrhiav kev pab tswv yim.
| Mob nkeeg | Hais yooj yim xwb, ua li cas lawm? |
|---|---|
| Kab mob Atherosclerosis | Qhov no yog qhov mob uas peb txhua tus paub tias yog 'cov rog nyob hauv cov hlab ntsha'. Cov roj cholesterol thiab cov rog (plaque) tuaj yeem sib sau ua ke thiab thaiv sab hauv ntawm cov hlab ntsha. Qhov no cuam tshuam cov ntshav ntws. |
| Mob thoracic outlet syndrome | Qhov no tshwm sim thaum cov hlab ntsha nqaim (stenosis) vim yog cov leeg nqaij, pob txha, lossis lwm yam nqaij uas nyob ib puag ncig cov hlab ntsha. Qhov no ua rau cov ntshav ntws mus rau caj npab tsawg dua. |
| Takayasu tus kab mob arteritis | Qhov no yog ib qho mob tsis tshua muaj hu ua vasculitis. Hauv qhov mob no, cov hlab ntsha subclavian yuav o thiab o. Qhov no tuaj yeem txo qhov oxygen uas mus txog lub taub hau, caj dab, thiab caj npab. |
| Subclavian steal syndrome | Qhov uas tshwm sim hauv qhov no yog tias qhov nqaim ntawm cov hlab ntsha ua rau qee cov ntshav uas yuav tsum mus rau lub hlwb raug rub mus rau sab caj npab thaum koj ua haujlwm tes. Qhov no txo cov ntshav mus rau lub hlwb, uas tuaj yeem ua rau muaj tej yam xws li kiv taub hau. |
Cov tsos mob ntawm hom teeb meem no
Tam sim no cia peb saib qee cov tsos mob uas koj yuav ntsib yog tias koj muaj tus mob no. Yog tias koj muaj ib lossis ntau yam ntawm cov tsos mob no tas li, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob.
- Kev hloov pauv ntawm cov ntshav siab hauv ob sab caj npab: BP ntawm ib sab caj npab qhia tias tus nqi qis dua li lwm sab.
- Kev hloov xim ntawm tes lossis ntiv tes: Tej zaum yuav daj ntseg lossis xiav.
- Tes tsis muaj zog, mob, lossis tsis muaj zog: Tes xav tias tsis muaj zog, tsis muaj zog, lossis mob.
- Tes o.
- Kev rhiab heev rau qhov txias: Xav tias koj txhais tes txias sai dua li lwm tus.
- Kiv taub hau: Kiv taub hau, tshwj xeeb tshaj yog thaum ua haujlwm tes.
- Ua npaws.
- Tsaus muag.
Tus kws kho mob kuaj xyuas tus mob no li cas?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob no, nws yuav xub nug koj cov lus nug thiab kuaj koj. Tom qab ntawd, yog tias tsim nyog, nws yuav xa koj mus rau qee qhov kev kuaj no.
- Ntsuas ntshav siab ntawm ob sab caj npab.
- Kev ntsuas ultrasound ntawm cov hlab ntsha: Qhov no siv tau los saib seb cov ntshav ntws li cas hauv cov hlab ntsha thiab seb puas muaj kev thaiv.
- Ib daim duab X-ray hauv siab.
- Kev kuaj mob los ntawm kev siv CT scan los yog MRI scan (Magnetic resonance imaging - MRI).
- Angiogram: Qhov no tsis tshua ua. Hauv qhov no, ib qho xim tshwj xeeb raug txhaj rau hauv lub cev thiab thaij duab X-ray los tsim daim ntawv qhia ntawm cov hlab ntsha.
Cov kev kho mob yog dab tsi?
Qhov zoo tshaj plaws yog tias muaj cov kev kho mob zoo rau ntau yam mob no. Koj tus kws kho mob yuav xaiv txoj kev kho mob zoo tshaj plaws rau koj tus mob. Lub hom phiaj tseem ceeb yog qhib qhov hlab ntsha uas nqaim lossis raug thaiv thiab rov qab ntshav ntws.
Rau cov neeg mob atherosclerosis, cov tshuaj no yog siv:
- Cov tshuaj aspirin thiab cov tshuaj uas txo cov roj cholesterol.
- Angioplasty: Muab ib lub cuab yeej zoo li lub npas tso rau hauv cov hlab ntsha kom nias cov rog rau ntawm phab ntsa, ua rau cov hlab ntsha rov qhib dua. Qee zaum yuav muab ib lub stent tso rau kom cov hlab ntsha qhib.
- Kev phais mob bypass: Ib qho kev phais mob uas tsim txoj kev tshiab rau cov ntshav ntws ncig cov hlab ntsha uas raug thaiv.
Rau cov kab mob thoracic outlet syndrome:
- Kev kho lub cev.
- Cov tshuaj tua mob (NSAIDs).
- Cov tshuaj uas yaj cov ntshav txhaws (Thrombolytics).
- Cov tshuaj tiv thaiv kev coagulation.
- Ib qho kev phais kom tshem tawm qhov ua rau muaj kev thaiv.
Rau Takayasu's arteritis:
- Cov tshuaj tiv thaiv kev o xws li corticosteroids.
- Cov tshuaj tiv thaiv kab mob.
- Angioplasty lossis phais kom qhib qhov txhaws.
Tej yam uas peb ua tau los ua kom qhov kev sib npaug no noj qab nyob zoo
Tib yam uas koj ua kom koj lub plawv noj qab nyob zoo yog tib yam uas koj yuav tsum ua kom koj cov hlab ntsha subclavian noj qab nyob zoo. Cov no yog cov yam yooj yim heev uas tuaj yeem suav nrog rau hauv koj lub neej txhua hnub.
- Tswj koj cov ntshav siab thiab cov roj cholesterol. Ua raws li koj tus kws kho mob cov lus qhia thiab cov tshuaj raws li tau sau tseg.
- Tsum tsis txhob siv cov khoom haus luam yeeb kiag li.
- Ua si nawv tsis tu ncua. Txawm tias tsuas yog taug kev li 30 feeb hauv ib hnub los kuj yog ib qho tseem ceeb heev.
- Tswj koj lub cev kom muaj qhov hnyav zoo.
- Noj zaub mov kom sib npaug.Noj ntau yam txiv hmab txiv ntoo, zaub, thiab cov nplej tag nrho. Txo cov roj, ntsev, thiab qab zib.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha subclavian yog ib txoj hlab ntsha tseem ceeb heev uas muab ntshav rau peb lub cev sab saud, tshwj xeeb tshaj yog caj npab, caj dab, thiab lub hlwb.
- Tsis txhob tsis quav ntsej cov tsos mob xws li mob caj npab, loog, kiv taub hau, lossis kev hloov pauv ntawm cov ntshav siab hauv koj txhais tes.
- Muaj ntau yam mob uas tuaj yeem cuam tshuam rau lub peev xwm no, tab sis feem ntau ntawm lawv muaj kev kho mob zoo.
- Kev ua neej noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog, thiab kev tsis txhob haus luam yeeb) tuaj yeem tiv thaiv cov hlab ntsha no thiab tag nrho cov kab mob plawv.
- Yog koj muaj lus nug lossis kev tsis ntseeg, tsis txhob ntshai tham nrog koj tus kws kho mob hauv tsev neeg txog qhov ntawd.











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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus