I taksa chunglam thisen petu subclavian vein chungchang i zir dawn nia.

Kan taksa chunglam atanga thisen hman zawh tawh, chu chu kut, kawr leh lu atanga thisen hmanral, chu chu oxygen tlakchhamna thisen chu engtin nge thinlungah a kal leh thin tih i ngaihtuah ngai em? Awle, chutianga puitu vein pawimawh tak chu subclavian vein hi a ni. He thu hi awlsam takin, i hriatthiam theih angin kan sawi dawn em ni?

Subclavian vein hian eng hna nge a thawh?

A awlsam zawngin, Subclavian Veins hi kan taksa chunglam a thisen kalna tura puitu thisen kalna kawng lian tak ang mai a ni. I kut, lu leh kawr chhungah thisen a kal dik theih nan an pui thin. Kan taksa chhunga thisen hi thisen kalna kawng (network of veins) kaltlangin a kal a. Arteries hian thisen thianghlim, oxygen tamna kan taksa peng leh tissue-ah a phur a. Tichuan, thisen zam (veins) chuan deoxygenated, bawlhhlawh tamna thisen chu an la khawm a, thinlungah an rawn hruai kir leh thin. Thinlung a thlen hnuah thisen chu lungah oxygen pek leh turin a kal a, zinkawng thar a zawh tan ta a ni. Ngaihtuah teh, he deoxygenated thisen hian thinlung thleng tur chuan vein te tak te tam tak a paltlang a ngai a ni. Khawpui tenau kawngpui ang maiin. Heng vein te hi inzawmkhawm leh kawng hrang hranga branch off ni mahse, a tawpah chuan hmun khatah an hruai vek a, chu chu kan thinlung a ni. Vein tam zawk ang bawkin subclavian vein te hi an hming vuah artery te nen parallel in an kal a. Kawngpui zau tak pahnih, kawng khata kal, a sir lehlamah kal angin ngaihtuah rawh. Subclavian artery hian thisen chu thinlung a\angin a phur bo a, a bul hnaia subclavian vein chuan thisen chu thinlungah a phur kir leh bawk. Thisen kal dan tur a puih bakah hian subclavian veins hian damdawi lam thil thenkhatah pawh hmun pawimawh tak a chang bawk.

• Central Venous Access: Doctor-te chuan i subclavian vein hmangin ‘central line’ an tih chu an dah lut fo thin. Hei hi a takah chuan intensive care unit (ICU)-a awmte tana tih fo thin a ni. Catheter hi tube ang chi thil te tak te a ni. Hengte hi taksa tana tui leh damdawi pekna atan an hmang thin. He central venous access hi damdawi lam enkawlnaah pawimawh hle mah se, a châng chuan thisen chhuah, natna hrik kai, thinlung thawk mumal lo ( arrhythmia ) , thisen kalna thisen zam (venous thrombosis ) , leh lung tlakchham ( pneumothorax ) te ang chi harsatna a awm thei bawk.
• Pacemaker wires: Thinlung rhythm tidanglamtu pacemaker a ni.Doctor-te chuan a chang chuan subclavian vein hmangin device atana wire te chu an dah lut thin. Central line ang bawkin hei hi harsatna awm lo turin uluk taka tih a ngai a ni.

Heng subclavian veins te hi khawiah nge an awm?

Tunah chuan kan taksaah hian heng subclavian veins te hi khawiah nge an awm tak tak tih i lo en ang u. I dinglam leh veilam subclavian vein pahnih hi i collarbone (Clavicle) hnuaiah a awm a. A dik tak chuan he vein hi shoulder bulah, rilru chung lamah a intan a, chuta tang chuan rib cage a intan a ni. Tichuan arch ang maiin a curve chho a, chutah chuan thinlung lam pan chuan a chhuk leh ta a ni. I rilru sir zawng zawnga ‘m’ hrual chu han mitthla teh, chu ‘m’ chu a lai atanga a lo chhukna hmunah chuan thinlung chunglam chu a rawn deng ta mai mai a ni. Chu ‘m’ chung bera awm ridge pahnih chu subclavian veins a ni.

Subclavian veins te hian khawi atanga thisen nge an dawn?

Heng subclavian veins te hian axillary veins atang hian thisen an dawng thin . Heng axillary veins te hi i kut chhunga vein te tak te, i kut zungtang tip atanga lo chhuak te an ni. A hmaa kan sawi ‘m’ kha i hre reng em? Heng axillary veins te hi ‘m’ sir lehlamah line pahnih lo chhuak ang mai an ni. Chu chu, subclavian veins an tih peak pahnih-ah thisen an rawn hruai tihna a ni. Tichuan, subclavian veins atanga thisen lo chhuak chu dinglam leh veilam brachiocephalic veins ah a kal ta a ni . Chu ‘m’ lai takah chuan heng curve pahnih te hi an ni. A tawp berah chuan ‘m’ hnuai lamah hian heng brachiocephalic vein pahnih hi an inzawm khawm a, vein lian tak Superior Vena Cava an ti a. Chu vein lian tak chu thisen chu thinlunga a luh nghalna hmun a ni. Chu thisen chu khawiah nge a kal tih i hrethiam em?

Subclavian veins te hi eng atanga siam nge ni?

Kan vein dangte ang bawkin subclavian vein hi tissue leh fiber layer thum atanga siam a ni a:

• Tunica Adventitia: Hei hi a pawn lam layer a ni. He layer hian vein hi a structure, a pianzia leh a chakna petu a ni.
• Tunica Media: Hei hi middle layer a ni. Smooth muscle cells a awm a. Heng cell te hi thisen a kal laiin vein chu a zau leh a inzawm khawm tir thei a ni.
• Tunica Intima: Hei hi a chhungril ber a ni. A lining hi endothelial cells smooth tak tak atanga siam a ni . Hei hian thisen chu vein chhungah awlsam takin a kal thei a, engmah tihbuai lohvin a kal thei a ni.

Subclavian vein tichhe thei dinhmunte chu engte nge ni?

Natna thenkhat subclavian veins a nghawng thei a awm bawk. Eng nge an nih i en ang u.

• Thisen zam chu thisen kalna kawng thuk takah (Deep Vein Thrombosis - DVT): I subclavian vein-ah thisen zam a lo awm a, a tlakbuak chuan eng nge thleng ang tih han ngaihtuah teh. Chu chu DVT an tih chu a ni. A tam zawkah chuan he DVT hi keah a awm thin. Mahse a chang chuan thisen zam chu taksa chunglam vein pakhatah a tang thei bawk a, entirnan, subclavian vein-ah. Hei hi a chunga kan sawi tak central venous catheter-a complication angin a thleng thei bawk. DVT hi a hlauhawm em em a ni. A chhan chu he thisen zam hi a inthen a, lung chhunga vein pakhat a block chuan pulmonary embolism tih hming pu natna hlauhawm tak a thlen thei a ni. DVT chhinchhiahna chu kut zungtang a hring, a nuam lo, a nih loh leh kut a rit tih hriatna a ni thei.
• Axillary-Subclavian Vein Thrombosis: Hei hi Paget-Schroetter Syndrome , emaw ‘Effort Thrombosis’ an ti bawk. Hei hi DVT chi khat hmuh tur awm lo tak a ni. Kum 15 leh 45 inkar thalai zingah a awm tlangpui a, he natna hi infiamna khel emaw, hnathawhna atana thil rit phur emaw te zingah a awm thei. He harsatna hi a tlangpuiin chetna atanga lo chhuak a ni a, chu chu lu chungah kut chawi fo thin ang chi te hi a ni. A lan chhuah dan chu a hring, a na, leh kut rawng blue a inthlak danglam thei a ni.

Heng symptoms te hi i neih chuan 1990 ah call nghal la, damdawi in hnai ber pan rawh. Hengte hi medical emergency, enkawl vat ngai a ni.

Engtin nge ka thisen zamte hi ka hrisel theih ang?

I subclavian vein chauh ni lovin, i taksa chhunga vein dang zawng zawng, hrisel leh thawk tha taka awm reng turin thil engemaw zat i tih theih a ni.

• Kea kal: Ni khatah minute 30 tal, kar khatah ni nga tal kea kal tum ang che.
• Nitin active takin awm rawh: Hmun khata rei lutuk thut ai chuan tlem tal inher kual rawh. Hei hian taksa pumpuiah thisen kal dan a titha thei dawn a ni.
• Lung hrisel ei rawh: Hei hian i thisen sang, cholesterol level leh i rihna a thunun thei a ni.
• Tui tam tak in thin ang che.
• Vein problem symptoms i hmuh chuan ngaihthah suh. Doctor hmu nghal rawh. Harsatnate hriat hmasak hian a nasat loh nan a pui thei a ni.

I subclavian vein hi i venous system-a thil pawimawh tak a ni tih theihnghilh suh. I taksa chunglam atanga thisen chu i thinlungah rawn hruai kir leh turin a pui thin. Tun hmaa thisen zam (vein problem) i lo nei tawh a nih chuan, thisen zam, doctor nen inbia ang che. Nakin lawka harsatna i tawh theihna tur tihtlem dan tur a hrilh thei che a ni.

Take-Home Thuchah a ni

Okay, chuvangin vawiin a kan sawi tawh atang hian i hriat reng tur thenkhat chu hetiang hi a ni:

• Subclavian vein hi thisen kalna kawng pawimawh tak a ni a, i kekawr bul hnaihah, i ke ruh hnuai lam chiah a awm a ni. Taksa chunglam (kut, kawr, leh lu) atanga oxygen tlachham thisen chu thinlungah a phur kir leh thin.
• He vein hi damdawi thenkhatah chuan hman a ni a, entirnan, central line emaw pacemaker wire emaw dah nan an hmang thin.
• Subclavian veins-a thisen zam (DVT, Axillary-Subclavian Vein Thrombosis) ang chi harsatna a awm thei. I kut a hring, natna, emaw, a sen emaw ang chi symptoms i neih chuan doctor thurawn i dil nghal tur a ni.
• Nunphung hrisel (kel tha, ei leh in inthlau tak ei, tui in tam) zawm hian i thisen kalna kawng hrisel i vawng thei a ni.
• Symptom tenau engmah ngaihthah lova doctor hnena hrilh hi a pawimawh hle.