Kia ako tātou mō te Subclavian Artery, tētahi o ngā uaua tino nui e kawe ana i te toto ki ō pakihiwi, kaki, me te māhunga!

Kia ora! Kua whakaaro koe me pēhea te toto e puta mai ana i ō ringaringa, i tō kaki, me ētahi wāhanga o tō mahunga? He pūnaha tino mīharo o ngā uaua toto kei roto i ō tātou tinana. I tēnei rā ka kōrero tātou mō tētahi o ngā wāhanga tino nui, engari kāore pea i te tino kōrerohia, o taua pūnaha. Ko te uaua subclavian tēnā.

He aha te uaua subclavian? He aha tāna mahi?

Ki te whakarāpopototanga, ko ō uaua subclavian he uaua toto matua e rua e kawe ana i te toto whai hāora mai i tō ngākau ki tō tinana o runga, tae atu ki ō ringaringa, kaki, me tō mahunga. Whakaarohia rātou he rite ki ngā paipa matua e rua e kawe ana i te wai mai i te tāke wai ki tō kāinga. Kei raro noa iho i ō wheua kaki (e kiia nei ko ō wheua wheua), kotahi i ia taha. E rua i te taha matau, e rua i te taha maui.

Nā, ko te mahi matua o tēnei uaua subclavian ko te tuku i te toto whai hāora mai i te ngākau ki tō mahunga, ki tō kaki, me ō ringaringa. He mahi tino nui, tika?

Ka taea e tātou te mārama ki tana mahi mā te wehewehe i tēnei oko toto kia toru ngā wāhanga:

• Ka tukuna e te wāhanga tuatahi te toto ki ngā wāhanga o tō uma, te repe tairoi , me te Porowhita o Willis, he pūnaha nui e tuku toto ana ki te roro.
• Ko te wāhanga tuarua ka haere ki ngā wāhanga o tō kaki e kiia nei ko ngā kiko o te kaki .
• Ko te tuatoru o ngā wāhanga , arā, te wāhanga kei tawhiti atu i te wāhi e tīmata ai tēnei uaua toto, e tuku toto ana ki ō ringaringa. Ko te tikanga, ka haere te toto ki ngā mea katoa mai i ō uaua biceps, triceps, pakihiwi, uaua ringa, me ētahi atu.

Kei hea tonu te tūnga o te uaua subclavian?

E ai ki tā mātou i kōrero ai i mua ake nei, kei raro i ō wheua karāhe (ngā 'clavicles') ēnei oko toto e rua. Heoi, he rerekē te tīmatanga o te uaua subclavian maui me te uaua subclavian matau.

• Ka tīmata te uaua subclavian matau i tō taha matau i tētahi uaua toto e kiia nei ko tō uaua brachiocephalic .
• Ka tīmata tika mai te uaua subclavian maui i tō taha maui i te āwhata o tō uaua matua nui, te āwhata aorta .

Ka haere ēnei uaua toto e rua ki waho mai i waenganui o tō tinana, mā roto i ngā uaua e rua i roto i tō kaki e kiia nei ko ngā "uaua unahi o mua me ngā uaua waenga." Ka toro atu ki tō rara tuatahi, ā, mai i reira ka huri hei "uaua axillary," arā, ngā uaua toto e heke tika ana ki raro i tō ringa.

Ka peka atu ēnei uaua subclavian ki ngā peka iti ake. He mea tino nui anō hoki ēnei:

• Ngā uaua tuarā: Ka tukuna te toto ki ngā wāhanga o tō roro me te kakau roro . Ko te whānui o ēnei uaua toto i waenga i te 3 me te 5 mirimita.
• Ngā uaua o roto o te uma: Ka tukuna te toto ki te pericardium , te wheua uma, te diaphragm , te pakitara o te uma, me ētahi wāhanga o te pakitara o te puku. He uaua toto iti ēnei, tata ki te 2 mirimita te whānui. I ētahi wā ka whakamahia e ngā tākuta te uaua o roto o te uma maui mō ngā pokanga whakawhiti uaua o te ngakau .
• Ngā uaua o te tuara o muri: Ka tukuna te toto ki ngā uaua o tō tuara o runga, ka tautoko hoki i ō ringa me ō pakihiwi.
• Te pūmua thyrocervical: Ka rere tēnei i ngā taha o tō kaki, ka tuku toto ki tō kaki me ō pakihiwi.
• Te pūmua costocervical: Kei ia taha o te kaki tēnei, ā, ka tukuna te toto ki ō ringaringa, kaki, me te upoko.

He pēhea te rahi o tēnei uaua subclavian? He aha te mea hanga?

Ko te whānui o tō uaua subclavian, arā, ko te whānui o tōna wāhanga whakawhiti, kei waenganui i te 0.7 me te 1.0 henimita (iti iho i te hawhe inihi). He iti, engari he nui te mahi, tika?

Pērā i ētahi atu oko toto, e toru ngā paparanga matua o tō uaua subclavian.

1. Papa o roto rawa (Tunica Intima): He paparanga pūtau tino angiangi, ngāwari hoki tēnei. Ka āwhina i te rere o te toto kia maeneene.

2. Paparanga waenga (Tunica Media): Koinei te paparanga uaua. Koinei te mea e āhei ai ngā oko toto ki te whakawhāiti me te whakawhānui. Ka āwhina hoki ki te whakahaere i te toto toto.

3. Te paparanga o waho rawa (Tunica Adventitia): He hipoki pakari anō hoki tēnei i hangaia mai i ngā pūtau angiangi, ngāwari. Ka tiaki i te uaua toto.

He aha ngā mate noa ka pā ki te uaua subclavian?

Heoi anō, ahakoa te uaua subclavian, e mahi ana i tētahi mahi nui, ka pāngia pea e ētahi mate. Me titiro tātou ki ētahi o ngā mate matua:

• Atherosclerosis: He tokomaha kua rongo mō tēnei. He māmā noa iho, he āhuatanga tēnei e hangai ai te ngako me te cholesterol ki roto i ngā oko toto (e kiia ana e mātou ko te 'pēka' ) ka ārai i ngā oko toto. He rite ki te waikura e ārai ana i te paipa wai. Mēnā ka puta tēnei i roto i te uaua subclavian, ka ārai i te rere o te toto.
• Te Mate Putanga Uma: I tēnei āhua, ka whaiti te uaua subclavian ( stenosis) nā te pēhanga mai i te wheua, te uaua, te kiko rānei e karapoti ana.) kia huri. Kātahi ka heke pea te nui o te toto e rere ana ki ngā ringaringa.
• Te arteritis o Takayasu: He momo vasculitis tēnei. Ka puta te mumura, te pupuhi rānei, o te uaua subclavian, ka taea te whakaiti i te nui o te hāora e tae atu ana ki te mahunga, ki te kaki, ki ngā ringaringa rānei.
• Te Mate Tahae o te Subclavian: He maha ngā wā ka puta mai tēnei i te atherosclerosis . Ko te mea ka tupu i konei ko te whaiti o te uaua subclavian ( stenosis ), ā, ko ētahi o te toto e tika ana kia haere ki te roro kei te "tahae" atu i te ringa. Koia i kiia ai he "tahae".

He aha ngā tohu o te raruraru o te uaua subclavian? Me pēhea koe e mōhio ai?

Mena he raruraru kei te uaua subclavian, ka rerekē pea ngā tohu i runga i te mate e pā ana ki a ia. Heoi, kei reira ētahi tohu noa ka kitea:

• He iti iho te toto toto i te ringa kotahi i tērā i te ringa kē.
• He panonitanga o te tae o ngā ringaringa, o ngā maihao rānei (pēnei i te kikorangi, te mā rānei).
• Te ngenge, te mamae, te ngoikore , te kare rānei i te pā ki tetahi mea i te ringa.
• Te pupuhi o te ringa.
• Kāore e taea e ngā ringa te tu atu i te makariri .
• Te pōuriuri .
• I ētahi wā ka pā te kirika (ina koa i roto i ngā āhuatanga mumura pērā i te arteritis a Takayasu).
• Te ngoikore (ina koa i roto i ngā āhuatanga pēnei i te 'Subclavian Steal Syndrome').

He aha ngā whakamātautau e mahia ana hei tirotiro i te hauora o te uaua subclavian?

Mena kei a koe ēnei tohu, ina kite koe i te tākuta, tera pea ka whakahaerehia e ia ētahi whakamātautau.

• Tuatahi, ka inehia e tātou te toto toto i ngā ringa e rua . Ka taea e tātou te kite mēnā he rerekētanga nui.
• Te whakamātautau oro-matawai : He whakamātautau māmā noa iho tēnei, kāore he mamae, ka taea te tirotiro i te rere o te toto i roto i ngā oko toto, me te tirotiro mēnā he aukati kei reira.
• He hihi-X o te uma .
• Matawai CT .
• Whakamātautau MRI (Whakaahua Āhua Aukume – MRI) .
• Te nekehanga Addison : He whakamātautau tēnei hei tirotiro i te Thoracic Outlet Syndrome . Ka totoro te uaua scalene i roto i tō kaki, ā, ka tirohia te radial pulse i roto i tō ringa mēnā kei te heke.
• AngiogramWhakamātautau: He tikanga tino onge tēnei. Ka werohia he matū motuhake ki roto i ngā uaua toto, ā, ka tangohia he hihi-X.

He aha ngā maimoatanga mō ngā raruraru o te uaua subclavian?

Ko te rongo pai, mēnā kua whaiti, kua āraia rānei te uaua subclavian, he maimoatanga kei reira hei whakahoki i a ia ki te āhua noa. He maha ngā tikanga e whakamahia ana e ngā tākuta hei whakatuwhera anō i tēnei uaua toto. He rerekē te maimoatanga i runga i te āhua o te mate.

Te mate o te uaua subclavian (nā te 'atherosclerosis')

• Āpirini me ngā rongoā whakaheke cholesterol .
• Angioplasty : Ko te whakauru i tētahi poihau iti ki roto i te uaua toto, ka pupuhi i te wāhi i aukatia ai, ka tangohia te papa kua hanga ki te pakitara o te uaua toto. Kātahi ka whakanohoia he stent , he hanganga iti rite ki te mata, ki te wāhi hei ārai i te hokinga mai o te aukati.
• Ko te pokanga taha taha he tikanga pokanga e waihanga ana i tētahi ara hou mō te rere o te toto huri noa i te mea kua āraia.

Te Mate Putanga Uma

• Te whakaora tinana : Ko te tikanga o tēnei ko te mahi i ngā mea pēnei i te whakakori tinana hei whakaiti i te pēhanga.
• Ngā rongoā anti-inflammatory kore-steroidal (NSAID) : Whakaiti i te mamae me te pupuhi.
• Ngā rongoā thrombolytic , ngā "rongoā whakaiti toto totoka" rānei.
• Ngā rongoā ārai toto : Ngā rongoā e hoatu ana hei ārai i te toto totoka.
• Ka whakahaerehia te pokanga hei tango i te pūtake o te aukati o ngā oko toto.

Te mate pūkahukahu o Takayasu

• Corticosteroids : Whakaiti i te mumura.
• Ngā rongoā ārai mate .
• Te whakatuwhera i tētahi oko toto mā te pokanga , te angioplasty rānei.

Te Mate Tahae o te Subclavian

• Whakaora ā-pāreti toto : Ārai i te piri o ngā pāreti toto me te hanga i ngā toto totoka.
• Ngā rongoā ārai toto : Ārai i te hanganga o ngā toto totoka.
• Te pokanga taha , te angioplasty rānei.

He aha ētahi mea ngāwari ka taea e tātou te mahi hei pupuri i te hauora o te uaua subclavian?

Pērā i tāu tiaki i tō ngākau me te pūnaha manawa katoa, me tiaki anō hoki e koe tō uaua subclavian. Mā te whai i ēnei tohutohu ka nui te āwhina i a koe:

• Whakahaerehia tō toto toto me ngā taumata cholesterol . Ko ēnei ētahi o ngā hoariri matua e rua e kino ai ngā uaua toto.
• Kaua rawa e whakamahi i ngā hua tupeka. He tino kino te momi hikareti ki ngā uaua toto.
• Me whakakorikori tinana i ia wā . He tino pai hoki te hikoi mō te 30 meneti pea i te rā.
• Kia mau tonu te taumaha tinana hauora . Ka nui ake te pēhanga o ngā uaua toto nā te momona.

Nā, ko te mea whakamutunga hei maumahara māu ko...

He wāhanga tino nui tō uaua subclavian o tō tinana o runga, e whakarato ana i te toto e tika ana hei pupuri i tō hauora. Pērā i te rākau e hiahia ana ki te wai, e hiahia ana hoki ō tātou ringa, kaki, me te mahunga ki te toto e rere ana i roto i tēnei uaua toto.

Mā te kai i tētahi kai hauora me te whakakori tinana i ngā wā katoa ka āwhina i te pupuri i te kaha o tō uaua subclavian me ngā oko toto katoa o tō tinana. Mā te tirotiro auau me tō tākuta ka āwhina hoki ki te kite wawe i ngā raruraru o tō pūnaha tohanga toto. Ki te kitea ohoreretia e koe kua whaiti tētahi o ō oko toto, kaua e mataku. Kei te rongoā matatau ngā maimoatanga e tika ana mōna. Ko te mea nui ko te toro atu ki te tākuta i te wā tonu mēnā ka pāngia koe e ngā tohu.