Me ako tātou mō te uaua subclavian e tuku toto ana ki te taha whakarunga o tō tinana.

Kua whakaaro koe me pēhea te hoki o te toto kua pau mai i te taha whakarunga o tō tātou tinana, arā, mai i ngā ringa, i te kaki, me te mahunga, arā, te toto he iti te hāora, ki te ngākau? Āe, he uaua tino nui e āwhina ana i tēnā ko te uaua subclavian. Me kōrero noa tātou mō tēnei, i roto i te huarahi e mārama ai koe?

He aha te mahi a te uaua subclavian?

He māmā noa iho, he rite ngā uaua Subclavian ki tētahi uaua nui e āwhina ana i te rere o te toto i te taha whakarunga o tō tātou tinana. Ka āwhina rātou i te toto kia rere tika i roto i ō ringaringa, i tō mahunga, me tō kaki. Ka haere te toto i roto i tō tātou tinana mā roto i tētahi whatunga uaua. Ka haria e ngā uaua te toto ma, whai hāora ki ō tātou whekau me ō tātou kiko. Kātahi ka kohia e ngā uaua te toto kore-hāora, kua para, ka whakahokia ki te ngākau. I muri i te taenga ki te ngākau, ka haere te toto ki ngā pukahukahu kia whiwhi anō i te hāora, ā, ka tīmata he haerenga hou. Whakaarohia, me haere tēnei toto kore-hāora mā roto i ngā uaua iti maha kia tae atu ai ki te ngākau. Pērā i ngā rori i roto i tētahi tāone iti. Ahakoa e hono tahi ana ēnei uaua, ā, e peka ana i ngā huarahi rerekē, ka arahi katoa rātou ki te wāhi kotahi, arā, ko tō tātou ngākau. Pērā i te nuinga o ngā uaua, ka rere ngā uaua subclavian ki ō rātou uaua ingoa. Whakaarohia rātou he ara whaiti, kotahi te ara e rua e rere tahi ana. Ka haria e te uaua subclavian te toto mai i te ngākau, ko te uaua subclavian tata e haria ana te toto ki te ngākau. Haunga te āwhina i te tohanga toto, he mea tino nui anō hoki te mahi a ngā uaua subclavian i roto i ētahi tikanga hauora.

• Te Urunga ki te Uaua Waenga: I ētahi wā ka whakamahia e ngā tākuta tō uaua subclavian hei whakauru i tētahi mea e kiia nei ko te 'raina pokapū'. He mea tēnei e mahia ana mō ngā tāngata kei roto i ngā wāhanga tiaki nui (ICU). He taputapu iti rite ki te ngongo ngā catheter . Ka whakamahia ēnei hei hoatu wai me ngā rongoā ki te tinana. Ahakoa he mea tino nui tēnei urunga ki te uaua pokapū i roto i te maimoatanga hauora, i ētahi wā ka puta pea ngā raruraru pēnei i te toto, te mate, te ngakau koretake ( arrhythmia ) , te toto i roto i ngā uaua ( thrombosis uaua) , me te hinganga o te pukahukahu ( pneumothorax ) .
• Ngā waea whakateretere : He waea whakateretere e whakahaere ana i te manawataki o te ngakau.I ētahi wā ka whakamahia e ngā tākuta te uaua subclavian hei whakauru i ngā waea mō te taputapu. Pērā i te aho pokapū, me tino tupato te mahi i tēnei kia kore ai e puta he raruraru.

Kei hea ēnei uaua subclavian e takoto ana?

Nā, kia tirohia tātou te wāhi tika o ēnei uaua subclavian i roto i tō tātou tinana. Kei raro i tō wheua kara (Clavicle) ō uaua subclavian matau me ō uaua maui. Hei whakamārama, ka tīmata tēnei uaua tata ki te pakihiwi, i te tihi o te uma, te wāhi e tīmata ai te rara. Kātahi ka piko ake pērā i te āwhata, kātahi ka heke iho anō ki te ngākau. Whakaarohia he 'm' kua tuhia ki tō uma, ā, i te wāhi e heke iho ai taua 'm' mai i waenganui, tata tonu te pā ki te tihi o te ngākau. Ko aua peka e rua i te tihi o taua 'm' ko ngā uaua subclavian.

Nō hea te toto e puta mai ana i ngā uaua subclavian?

Ka whiwhi toto ēnei uaua subclavian mai i ngā uaua axillary . Ko ēnei uaua axillary ngā uaua iti i roto i ō ringaringa e puta mai ana i ngā pito o ō maihao. Kei te mahara koe ki te 'm' i kōrerohia e tātou i mua ake nei? Ko te āhua o ēnei uaua axillary he rite ki ngā rārangi e rua e puta ake ana i ia taha o te 'm'. Arā, ka kawea mai e rātou te toto ki ngā tihi e rua e kiia nei ko ngā uaua subclavian. Kātahi, ka haere te toto mai i ngā uaua subclavian ki ngā uaua brachiocephalic matau me maui. Koinei ngā piko e rua i waenganui o taua 'm'. Hei whakamutunga, i te raro o te 'm', ka honoa ēnei uaua brachiocephalic e rua hei hanga i tētahi uaua nui e kiia nei ko te Superior Vena Cava . Ko taua uaua nui te wāhi e haere tika atu ai te toto ki roto i te ngākau. Kei te mārama koe ki te wāhi e haere ana taua toto?

He aha te mea i hangaia ai ngā uaua subclavian?

Pērā i ō tātou uaua kē atu, e toru ngā paparanga o te kiko me ngā muka e hangaia ana e ngā uaua subclavian:

• Tunica Adventitia: Koinei te paparanga o waho rawa. Koinei te paparanga e homai ana ki te uaua tōna hanganga, tōna āhua, me tōna kaha.
• Tunica Media: Koinei te paparanga o waenganui. Kei roto ngā pūtau uaua maeneene. Ko ēnei pūtau te mea e āhei ai te uaua ki te whānui me te whakawhāiti i te rere o te toto mā roto.
• Tunica Intima: Koinei te paparanga o roto rawa. He arai tōna i hangaia mai i ngā pūtau endothelial maeneene. Mā tēnei ka taea te rere ngāwari o te toto i roto i te uaua me te kore he aukati.

He aha ngā āhuatanga ka pā ki te uaua subclavian?

Tērā ētahi mate ka pā ki ngā uaua subclavian. Kia kite tātou he aha ēnei.

• Ngā toto totoka i roto i ngā uaua hohonu (Te Thrombosis Utauta Hōhonu - DVT): Whakaarohia te mea ka tupu mēnā ka puta he toto totoka i roto i tō uaua subclavian ka piri. Koinei te ingoa o te DVT . I te nuinga o te wā, ka puta tēnei DVT i ngā waewae. Engari i ētahi wā, ka taea hoki e te toto totoka te piri ki roto i te uaua i te tinana o runga, hei tauira, i roto i te uaua subclavian. Ka taea hoki tēnei te puta hei raruraru o te catheter uaua pokapū kua whakahuatia ake nei. He tino morearea te DVT. Nā te mea mēnā ka pakaru tēnei toto totoka ka aukati i te uaua i roto i ngā pukahukahu, ka taea e ia te puta he mate whakamate e kiia nei ko te pulmonary embolism . Ko ngā tohu o te DVT ko te pupuhi i te ringa, te kore whakamarie, te taumaha rānei o te ringa.
• Te Thrombosis o te Uea Axillary-Subclavian: Ka kiia hoki tēnei ko te Paget-Schroetter Syndrome , ko te 'Effort Thrombosis' rānei. He momo onge tēnei o te DVT. Ka puta i te nuinga o te wā i roto i ngā taiohi i waenga i te 15 me te 45 tau te pakeke. Ka puta pea tēnei āhuatanga i roto i ngā tāngata e takaro ana i ngā hākinakina, e hiki ana rānei i ngā mea taumaha mō te mahi. Ka tīmata tēnei raruraru i ngā nekehanga pēnei i te hiki pinepine i te ringa ki runga ake i te mahunga. Ko ngā tohu ka uru atu ki te pupuhi, te mamae, me te tae kikorangi o te ringa.

Mena kei a koe ētahi o ēnei tohu, waea atu ki te 1990 tonu atu, haere rānei ki te hōhipera tata. He āhuatanga ohorere hauora ēnei e hiahia ana kia rongoatia tonutia.

Me pēhea taku pupuri i te hauora o ōku uaua?

He maha ngā mea ka taea e koe te mahi hei pupuri i te hauora me te mahi pai o tō uaua subclavian me ngā uaua katoa o tō tinana.

• Haereere: Ngāna kia hikoi mō te 30 meneti i te iti rawa i te rā, kia rima ngā rā i te wiki.
• Kia kaha tonu te tinana i te roanga o te rā: Kaua e noho roa ki te wāhi kotahi, engari me neke haere noa. Mā tēnei ka pai ake te rere o te toto puta noa i te tinana.
• Kai i tētahi kai hauora mō te ngākau: Ka āwhina tēnei ki te whakahaere i tō toto toto, taumata cholesterol, me tō taumaha.
• Inuhia he nui te wai.
• Ki te kite koe i ētahi tohu o te raruraru uaua, kaua e warewarehia. Tirohia tonutia tō tākuta. Mā te tautuhi wawe i ngā raruraru ka āwhina i te ārai i te kino haere.

Kaua e wareware, he wāhanga tino nui tō uaua subclavian o tō pūnaha uaua. Ka āwhina i te whakahoki i te toto mai i tō tinana o runga ki tō ngākau. Mena kua pāngia koe e ngā raruraru uaua i mua, pērā i te toto totoka, kōrero ki tō tākuta. Ka taea e ia te kōrero ki a koe mō ngā huarahi hei whakaiti i tō tupono ki ngā raruraru a muri ake nei.

Karere Tangohia ki te Kāinga

Āe, anei ētahi mea hei maumahara māu mai i ngā mea i kōrerohia e tātou i tēnei rā:

• He uaua toto nui te uaua subclavian e tata ana ki tō pakihiwi, i raro noa i tō wheua kaki. Ka haria e ia te toto rawakore-hāora mai i te tinana o runga (ngā ringa, te kaki, me te māhunga) ki te ngākau.
• Ka whakamahia tēnei uaua i roto i ētahi maimoatanga hauora, hei tauira, hei whakauru i tētahi aho pokapū, i ngā waea rānei mō te taputapu whakatere.
• Tērā pea ka puta ngā raruraru pēnei i te toto totoka i roto i ngā uaua subclavian (DVT, Axillary-Subclavian Vein Thrombosis) . Mena ka pāngia koe e ngā tohu pēnei i te pupuhi, te mamae, te kikorangi rānei i roto i tō ringa , me rapu tonu koe i te tohutohu hauora.
• Ka taea e koe te pupuri i te hauora o ō uaua mā te whai i tētahi momo noho hauora (te hikoi pai, te kai i ngā kai taurite, te inu i te nui o te wai).
• He mea tino nui kia kōrero ki te tākuta me te kore e warewarehia ngā tohu iti.