Lɛ wi lan bɔt di Subclavian Artery, we na wan pan di impɔtant at we de kɛr blɔd go na yu sholda, nɛk, ɛn ed!

Adu! Yu dɔn ɛva wɔnda aw yu an, yu nɛk, ɛn sɔm pat dɛn na yu ed kin gɛt blɔd? Wi bɔdi gɛt wan rili wɔndaful sistɛm we gɛt blɔd vesel dɛn. Tide wi go tɔk bɔt wan pan di impɔtant pat dɛn pan da sistɛm de, bɔt sɔntɛm dɛn nɔ go tɔk bɔt bɛtɛ. Dat na di sabklavian at .

Wetin na di sabklavian at? Wetin i de du?

Fɔ tɔk am simpul wan, yu sabklavian at na tu men blɔd vesel dɛn we de kɛr blɔd we gɛt bɔku ɔksijɛn frɔm yu at to yu ɔp bɔdi, lɛk yu an, yu nɛk, ɛn ed. Tink bɔt dɛn lɛk tu men paip dɛn we de kɛr wata kɔmɔt na wata tank fɔ go na yu os. dεn de jכs dכn yu kכla bon dεm (dεn kכl dεm yu klavikul), wan na εvri say. Tu de na di rayt say ɛn tu de na di lɛft say.

So, di men wok we dis sabklavian at de du na fכ deliv bכdi we gεt כksijεn frכm di at to yu ed, nεk, εn yu an dεm. Na wok we rili impɔtant, nɔto so?

Wi kin ɔndastand aw i de wok bay we wi sheb dis blɔd vesel to tri pat:

• Di fɔs pat de sɛn blɔd to sɔm pat dɛn na yu chɛst, di tayroyd gland, ɛn di Sɛklɔ ɔf Wilis, we na wan big sistɛm we de gi blɔd to di bren.
• di sεkכn pat de go na di pat dεm na yu nεk we dεn kכl di costocervical trunks .
• Di tɔd pat , we na di pat we de fa smɔl frɔm usay dis blɔd vesel de bigin, de gi blɔd to yu an dɛn. Dat min se bכdi de go to כltin frכm yu baysεps, trisεps mכsul dεm, sכlda mכsul dεm, fכram mכsul dεm, εtk.

Usay ɛksaktɔli di sabklavian at de?

as wi bin se, dεn tu bכdi bכdi dεm ya de כnda yu kכla bon dεm (di `klavikul dεm`). כltu, di lεft sabklavian at εn di rayt sabklavian at de stat sכmtεm difrεnt.

• di rayt sabklavian at na yu rayt say de bigin wit wan bכdi we dεn kכl yu brachiocephalic artery .
• di lεft sabklavian atεri na yu lεft sayd de stat dεn wan frכm di arch fכ yu big men atεri, di aorta arch .

dis tu bכdi vεsul dεm de travul kכmכt na di midul pan yu bכdi, tru tu mכsul dεm na yu nεk we dεn kכl di ``anterior εn middle scalene muscles.`` dεn de go te to yu fכs rib, εn frכm de dεn de bi di ``axillary arteries,`` we na di bכdi we de go strεt dכn yu an.

dis sabklavian atεri dεm de branch כf to sכm sכm branch dεm. Dɛn rili impɔtant bak:

• Vertebral arteries: Dɛn wan ya de gi blɔd to sɔm pat dɛn na yu bren ɛn di bren stem . Dɛn blɔd vesel ya kin gɛt bitwin 3 ɛn 5 milimita in dayamita.
• di atεri dεm we de insay di tכraks: dεn ya de gi bכdi to di pεrikardium , di bכdi bכn, di dayafragm , di chεst wכl, εn sכm pat dεm na di bכdi wכl. Dis na smɔl smɔl blɔd vesel dɛn we gɛt lɛk 2 milimita dayamita. Sɔntɛnde dɔktɔ dɛn kin yuz di lɛft intanɛnt tɔraks at fɔ korona at baypas graft .
• Dכsal skapul atεri dεm: dεn ya de gi bכdi to di mכsul dεm na yu כp bak εn sכpכt yu an εn sכlda dεm.
• Tayrosɛvikal trɔnk: Dis de rɔn ɔp di sayd dɛm na yu nɛk ɛn gi blɔd to yu nɛk ɛn sholda dɛm.
• Costocervical trunk: Dis de tu na di tu say dεm na di nεk εn i de sεnd bכdi to yu an, nεk, εn ed.

Aw big dis sabklavian at de? Wetin dɛn mek am wit?

di dayamita fכ yu sabklavian atεri, כ di wit fכ in kכros-sekshכn, de bitwin 0.7 εn 1.0 sεntimita (lεs dan af inch). I smɔl, bɔt i de du bɔku wok, nɔto so?

Lɛk ɔda blɔd vesel dɛn, yu sabklavian at de mek wit tri men layers.

1. di layt we de insay (Tunica Intima): dis na wan layεr we rili tכn, fכ fleksibul fכ sεl dεm. I de ɛp di blɔd fɔ flɔ fayn fayn wan.

2. di midul layεr (Tunica Media): Dis na di mכskul layεr. Dis na wetin de mek di blɔd vesel dɛn kɔntrakt ɛn dilayt. I kin ɛp bak fɔ kɔntrol blɔd prɛshɔn.

3. di layt we de na do pas כl (Tunica Adventitia): Dis na strכng kכva bak we dεn mek wit tכn sεl dεm we de fכm. I de protɛkt di blɔd vesel.

Wetin na di kɔmɔn sik dɛm we kin afɛkt di sabklavian at?

I sɔri fɔ no se ivin di sabklavian at we de du dis kayn impɔtant wok kin gɛt sɔm sik dɛn. Lɛ wi tek tɛm luk sɔm pan di men wan dɛn:

• Atherosclerosis: Bɔku pipul dɛn dɔn yɛri bɔt dis. fכ simpul wan, na kכndyushכn we fεt εn kכlestכl de bכku insay di bכdi vεsul dεm (wi kכl am `plaque` ) εn kכl di bכdi vεsul dεm. I tan lɛk se rɔst de lɔk wata paip. if dis apin na di sabklavian at, i de mek di bכdi nכ fכ fכlכ.
• Thoracic Outlet Syndrome: insay dis kכndishכn, di sabklavian at de kכmכt ( stenosis) bikoz fכ prεshכn frכm di bon, mכsul, כ כda tisu we de rawnd am.) fɔ chenj. Dɔn di blɔd we de go na di an kin go dɔŋ.
• Takayasu in atεraytis: Dis na wan kayn vaskulεt . I kin mek di sabklavian at inflamɛns, ɔ swel, we kin mek di ɔksijɛn nɔ rich na di ed, nɛk, ɔ an dɛn nɔ bɔku.
• Subclavian Steal Syndrome: Bɔku tɛm dis kin apin bak bikɔs ɔf atrɔsklerɔsis . wetin de apin ya na di sabklavian at de sכmtεm ( stenosis ), εn sכm pan di bכdi we fכ go na di bren de "tif" away frכm di an. Na dat mek dɛn kɔl am "tif."

Wetin na di sayn dɛm fɔ sɔbklavian at prɔblɛm? Aw yu no?

If prɔblɛm de wit di sabklavian at, di sayn dɛm kin difrɛn difrɛn wan dipen pan di sik we de afɛkt am. Bɔt sɔm kɔmɔn sayn dɛn de we yu kin si:

• Blɔd prɛshɔn na wan an kin rili smɔl pas di ɔda an.
• di chenj na di kכla na di an כ di finga dεm (lεk fכ tכn blu כ pale).
• Yu nɔ de fil fayn, yu de fil pen, yu wik , ɔ yu jɔs fil se yu gɛt sɔntin na yu an.
• Di an we de swel .
• Di an dɛn nɔ ebul fɔ tinap fɔ di kol .
• Fɔ fil se yu gɛt diziz .
• Sɔmtɛm fiva kin apin (especially in inflammatory conditions lɛk Takayasu’s arteritis).
• Faint (especially in kondishכn dεm lεk `Subclavian Steal Syndrome`).

Us tɛst dɛn kin du fɔ chɛk di wɛlbɔdi na di sabklavian at?

If yu gɛt sayn dɛn lɛk dis, we yu go to dɔktɔ, i go mɔs bi se i go du sɔm tɛst dɛn.

• Fɔs, wi kin mɛzhɔ di blɔd prɛshɔn na di tu an dɛn . Wi kin si if big difrɛns de.
• Vascular ultrasound : Dis na simpul tɛst we nɔ de mek pɔsin fil pen we kin luk di we aw blɔd de flɔ tru di blɔd vesel dɛn ɛn if ɛnitin de we dɔn blok.
• Wan ɛkstrem rayt na di chɛst .
• CT skan we dɛn kin du .
• MRI (Magnetik Rɛsɔnans Imej – MRI) tɛst.
• Addison maneuver : Dis na test fɔ chɛk fɔ Thoracic Outlet Syndrome . di skel mכsul na yu nεk de strεch εn dεn de chεk di raydial puls na yu an fכ dכn.
• Angiogram we dɛn kin duTest: Dis na tin we nɔ kin apin so ɔltɛm. Dɛn kin put spɛshal tin insay di blɔd vesel dɛn ɛn tek ɛkstrem rayt.

Wetin na di tritmɛnt fɔ sɔbklavian at prɔblɛm?

Di gud nyus na dat if di sabklavian at na smɔl ɔ blok, tritmɛnt dɛn de fɔ mek i kam bak to nɔmal. Dɔktɔ dɛn kin yuz difrɛn we dɛn fɔ opin dis blɔd vesel bak. Di tritmɛnt kin difrɛn difrɛn wan bay di kɔndishɔn.

Sabklavian atεri sik (we kin kכz bay `atherosclerosis`) .

• Aspirin ɛn mɛrɛsin dɛn we de mek pɔsin nɔ gɛt bɔku kɔlɔstrel .
• Angioplasty : Dis min se yu fɔ put smɔl balyɔn insay di at ɛn blo am na di say we di at dɔn blo, ɛn pul di plek we dɔn gɛda na di at in wɔl. Dɔn dɛn kin put stent , we na smɔl tin we tan lɛk mɛsh, na di say fɔ mek di blɔk nɔ go kam bak.
• Baypas ɔpreshɔn na ɔpreshɔn we de mek nyu rod fɔ mek blɔd flɔ rawnd di blɔk.

Thoracic Outlet Syndrome we gɛt di sik we dɛn kɔl Thoracic Outlet Syndrome

• Fyzikal tritmɛnt : Dis min fɔ du tin lɛk ɛksɛsayz fɔ tray fɔ ridyus di prɛshɔn.
• Nɔnsterɔyd anti-inflammatory drugs (NSAID) : Ridyus pen ɛn swel.
• Trombolytics ɔ ``klɔt-bɔst drɔgs``.
• Anticoagulants : Na mɛrɛsin dɛn we dɛn kin gi fɔ mek blɔd nɔ klɔt.
• Dɛn kin du ɔpreshɔn fɔ pul di tin we mek di blɔd vesel blɔk.

Takayasu in at we de mek pɔsin in at

• Kɔtikosterɔyd : I de ridyus di inflamɛns.
• Drug dɛn we de mek di bɔdi nɔ gɛt bɛtɛ wɛlbɔdi .
• Fɔ opin blɔd vesel tru ɔpreshɔn ɔ angioplasty .

Sabklavian Stilin Sindrom

• Antiplatelet therapy : Stɔp di blɔd pletlɛt fɔ mek dɛn nɔ gɛda togɛda ɛn mek blɔd klot.
• Anticoagulants : I de mek di blɔd nɔ klɔt.
• Baypas ɔpreshɔn ɔ angioplasti .

Wetin na sɔm simpul tin dɛm we wi kin du fɔ mek di sabklavian at gɛt wɛlbɔdi?

Jɔs lɛk aw yu de kia fɔ yu at ɛn di wan ol kadiovaskular sistɛm, yu fɔ tek kia ɔf yu sabklavian at bak. If yu fala dɛn advays ya, dat go ɛp yu bɔku:

• Kɔntrol yu blɔd prɛshɔn ɛn di kɔlɔstrel lɛvɛl . Dis na tu pan di men ɛnimi dɛn we kin pwɛl di blɔd vesel dɛn.
• Nɔ yuz tin dɛn we dɛn kin mek wit tabak ɔltogɛda. Smok kin rili ambɔg di blɔd vesel dɛn.
• Du ɛksɛsayz ɔltɛm . Fɔ waka fɔ at le 30 minit insay di de kin rili fayn bak.
• Mek yu gɛt wɛlbɔdi bɔdi wet . If pɔsin fat, dat kin mek di blɔd vesel dɛn gɛt ɛkstra prɛshɔn bak.

So, di las tin fɔ mɛmba na...

Yu sabklavian at na wan impɔtant pat pan yu ɔpa bɔdi, we de gi yu impɔtant blɔd fɔ mek yu gɛt wɛlbɔdi. Jɔs lɛk aw tik nid wata, na so wi an, nɛk, ɛn ed nid blɔd we de pas na dis blɔd vesel.

If yu it fayn it ɛn ɛksesaiz ɔltɛm, dat kin ɛp fɔ mek yu nɔ jɔs gɛt yu sabklavian at, bɔt ɔl di ɔda blɔd vesel dɛn na yu bɔdi strɔng. We yu de chɛk yu dɔktɔ ɔltɛm, dat kin ɛp bak fɔ no ɛni prɔblɛm we de wit yu blɔd blɔd kwik kwik wan. If yu kam fɔ no wantɛm wantɛm se wan pan yu blɔd vesel dɛn dɔn smɔl, nɔ panik. Advans mɛrɛsin gɛt di tritmɛnt dɛn we nid fɔ am. De tin wae impɔtant pas ɔl na fɔ go to dɔktɔ wae yu nɔr de te if yu gɛt sɔm kayn sik.