He mīhini whakamiharo tō tātou tinana, kāore? I roto i tēnei mīhini, he maha ngā wāhanga iti kāore tātou e mōhio ana, engari he mahi tino nui tā rātou. Nō reira, i tēnei rā ka kōrero tātou mō tētahi uaua tino nui e huna ana i roto i tō tātou uma. Kāore pea koe i rongo i tēnei ingoa i mua. Ko te uaua e kiia nei ko te Internal Thoracic Vein.
He aha te uaua uma o roto?
Whakaarohia te pūnaha toto i roto i tō tātou tinana he whatunga rori. Ko ētahi o ēnei rori he rite ki ngā huarahi nui, ko ētahi he rite ki ngā rori kāinga iti. Nō reira, ko tēnei Uaua Uma o Roto he takirua uaua nui anō hoki i roto i te rohe o tō tātou uma. E rua ēnei, tētahi kei te taha matau o tō tātou tinana, tētahi kei te taha maui.
Ko te mahi matua a ēnei uaua he kohikohi i te toto poke, arā, he toto iti te taumata hāora, mai i ngā kiko o te pakitara o tō tātou uma me ngā ū, ka whakahokia ki te ngākau. Kātahi ka whakahokia e ēnei uaua te toto kua kohia ki te ngākau kia purea.
Kia whakamahara poto tātou ki a tātou anō te rerekētanga i waenga i ngā uaua me ngā uaua toto.
Hei mārama ki tō tātou pūnaha tohanga toto, he mea tino nui kia mārama tātou ki ngā uaua me ngā uaua toto.
- Ngā uaua toto: Koinei ngā uaua nui e kawe ana i te toto ma, whai hāora, whai matūkai mai i te ngākau ki ngā wāhanga katoa o te tinana. He rite tonu ki ngā paipa nui e kawe ana i te wai mai i te tāke matua o te tāone ki ngā kāinga.
- Ngā uaua: Koinei ngā uaua e kawe ana i te toto poke kua pau te hāora ki te ngākau, me ngā para me te hauhā waro, e toe ana mai i te mahi a ngā wāhanga rerekē o te tinana. Pērā i te pūnaha waikeri e kohi ana i te wai paru mai i ngā whare.
Nō reira, ko te Uaua Uma o Roto e kōrerohia nei e tātou i tēnei rā he wāhanga tino nui anō hoki o te pūnaha uaua.
| Momo oko toto | Te mahi e mahia ana | Ko te toto e haria ana |
|---|---|---|
| Ngā uaua | Ka haria te toto mai i te ngākau ki ētahi atu wāhanga o te tinana. | He toto ma, he nui te hāora. |
| Ngā uaua | Ka whakahokia te toto mai i ngā wāhanga o te tinana ki te ngākau. | He iti te hāora, he toto poke. |
Kei hea tēnei uaua? He aha tāna mahi?
Kei roto i tō tātou uma tēnei uaua, e tata ana ki te sternum. Ehara i te mea ko ia anake, engari kei te taha o tēnei uaua anō hoki tētahi uaua e kiia nei ko te Internal Thoracic Artery.
Nā, kia titiro tātou me pēhea te mahi a tēnei. Whakaarohia ka honoa ngā awa iti hei hanga i tētahi awa iti, ā, ka honoa ngā awa pērā hei hanga i tētahi awa nui. He rite tonu te rere o te toto i roto i tō tātou tinana.
1. Te taahiraa tuatahi: Ka kohia te toto poke i roto i te kiriuhi i waenganui i ō tātou rara, me roto hoki i ngā uaua iti (pēnei i ngā uaua intercostal) e puta mai ana i ngā kiko o roto o te uma.
2. Hipanga 2: Ka haere mai ngā toto katoa i kohia mai i ēnei uaua iti ka hono atu ki te Uaua Uma o Roto e kōrerohia nei e tātou. He rite ēnei uaua iti ki ngā "manga" e hono atu ana ki tētahi uaua nui.
3. Hipanga Tuatoru: Kātahi, ka tangohia e te Uaua Uma o Roto ēnei toto katoa ka ringihia ki roto i tētahi uaua nui ake e kiia nei ko te uaua brachiocephalic .
4. Te taahiraa whakamutunga: Hei whakamutunga, ka hono te toto mai i tēnei uaua brachiocephalic ki te Superior Vena Cava , te uaua matua e kawe ana i te toto mai i te tinana o runga, ā, mai i reira ka haere ki te atrium matau o te ngākau (te taha matau o tō ngākau). Kātahi ka tukuna ki ngā pukahukahu ki reira ka whakakīia ki te hāora, ka purea anō.
Ki te kī māmā noa, he uaua waenga nui te Uaua Uma o Roto e kohi ana i te toto poke mai i te uma, ka kawe i te toto ki te ara matua ki te ngākau.
He aha te āhua me te āhua o tēnei uaua?
Ko te whānui o tēnei uaua he tata ki te 2-3 mirimita te nuinga. He rite tonu ki te rahi o te pito o te pene tae . Engari ko te mea rerekē, kāore te āhua o tēnei uaua i te rite mō te katoa.
- I ētahi tāngata, ka wehea te uaua o roto o te uma i te taha maui kia rua i waenganui i te tuatoru me te tuawhā o ngā rara.
- Ahakoa he uaua kotahi tō ētahi tāngata i te taha matau, i ētahi atu, ka wehe pea i waenganui i te rara tuarua me te rara tuawhā.
He mea noa ēnei momo huringa, ehara i te mate.
Pērā i ētahi atu uaua, e toru ngā paparanga matua o te pakitara o tēnei uaua:
- Paparanga o roto rawa: He mea hanga mai i ngā pūtau e tuku ana i ngā matū e āwhina ana i te uaua kia whakawhāiti me te whakawhānui.
- Paparanga waenga: He mea hanga ki te uaua maeneene. Mā tēnei ka ngāwari te uaua.
- Paparanga o waho rawa:He mea hanga ēnei mai i ngā kiko honohono pērā i te collagen me te elastin. Mā tēnei ka kaha, ka ngāwari hoki te uaua.
He aha ngā raruraru hauora ka pā ki tēnei uaua?
Nā te mea kei roto rawa i te uma tēnei uaua, ka taea te pakaru i ētahi wā. Me titiro tātou ki aua āhuatanga.
| Te tūponotanga o tētahi raruraru | He aha te mea ka taea te tupu? |
|---|---|
| Ngā whara ki te uma | Ki te whati tetahi rara i te whiunga kino ki te uma, pērā i tētahi aituā, ka pakaru pea te Uaua Uma o Roto e rere ana i roto. |
| Te pēhanga uaua | I ētahi wā ka pēhia tēnei uaua e ngā uaua, e ngā wheua rānei e karapoti ana, ka hua ake ai he āhuatanga e kiia nei ko te Thoracic Outlet Syndrome . |
| I te wā e rongoatia ana | I roto i ētahi tikanga hauora, pērā i te pericardiocentesis , e tango ana i te wai nui i te taha o te ngākau, ka taea te pēhi i tēnei uaua. Engari kei te whakamahi ngā tākuta i ngā hangarau pērā i te matawai ultrasound hei ārai i tēnei mea kei tupu. |
He aha ngā tohu o te mate puku o te uma?
Mena ka tupu tēnei, ka pāngia pea koe e ēnei tohu:
- Te ngenge nui i roto i ngā ringaringa.
- Te pupuhi o ngā ringa, o ngā nikau, o ngā maihao rānei.
- Te ngoikore o ngā ringa, o te kaki rānei.
Mena kei a koe ēnei tohu, he mea tino nui kia toro atu koe ki tō tākuta mō te tohutohu.
Me pēhea te mōhio o te tākuta mēnā he raruraru?
Mena kei a koe ngā tohu e rite ana ki te Thoracic Outlet Syndrome, e whakapae ana rānei koe i tētahi atu raruraru tohanga toto, ka tūtohu pea tō tākuta i ētahi whakamātautau, pēnei i:
- X-ray o te umaHe whakamātautau.
- He matawai CT .
- Whakamātautau matawai MRI (MRI) .
- Ko ngā whakamātautau motuhake, pērā i te arteriogram , te venogram rānei, ko te werohanga o tētahi tae motuhake ki roto i ngā uaua me te whakamahi i ngā hihi-X hei tirotiro i te rere o te toto.
I muri i ēnei whakamātautau anake ka taea e te tākuta te whiwhi whakaaro tika mō te āhua o ō uaua.
He aha tāu e mahi nei hei maimoatanga?
Mena ka whakaūtia he raruraru, ka tohua pea e te tākuta ētahi rongoā hei whakaora i te rere o te toto me te whakarewa i ngā toto totoka.
- Ngā rongoā ārai toto: E kiia ana ēnei he rongoā whakaiti toto. Ka mahi rātou mā te aukati i te toto kia kore e totohu.
- Ngā rongoā thrombolytic: Ka mahi ēnei mā te whakarewa me te tango i ngā totoka kua puta kē.
Ko te mea nui ko te tango i ēnei maimoatanga katoa i raro i te tohutohu a te tākuta anake . Ka pā mai pea ngā hua kino ki te tango koe i te rongoā.
Me aha tātou kia ora tonu ai te pūnaha uaua?
He mea tino nui kia ora tonu ngā uaua katoa o te tinana, kaua ko te uaua uma o roto anake. Anei ētahi mahi māmā ka taea e koe te mahi hei whakatutuki i tēnā.
- Whakahaerehia te toto toto tiketike: Mena he toto toto tiketike tōu, whai i ngā tohutohu a tō tākuta.
- Kai i tētahi kai hauora: Kai atu i ngā huawhenua, ngā hua rākau, me ngā rau kakariki. Whakaitihia te hinu, te tote, me te huka.
- Whakakorikori tinana i ngā wā katoa: Mahihia tētahi mea pēnei i te hikoi, te oma rānei mō te 30 meneti pea i te rā.
- Inumia he nui te wai: Mā te inu i te nui o te wai e hiahiatia ana i ia rā ka āwhina i te rere o te toto.
- Kati te momi hikareti me te whakamahi tupeka: He tino kino ēnei ki ngā uaua.
Ka tino whai hua ēnei whakarerekētanga ngāwari ki te noho ora o tō pūnaha tohanga toto katoa.
Karere Tangohia ki te Kāinga
- He mea tino nui te uaua o roto o te uma, engari kāore i te tino kōrerohia, e rua ngā uaua e kohi ana i te toto poke mai i te pakitara o te uma me ngā ū, ka whakahoki i te toto ki te ngākau.
- He mea nui tēnei uaua mō te mahi tika a tō tātou pūnaha tohanga toto katoa.
- Ka pakaru pea tēnei uaua i ngā aituā, i ētahi āhuatanga hauora (pēnei i te Thoracic Outlet Syndrome), i ngā tikanga hauora rānei.
- Ki te pupuhi tonu, ka ngoikore, ka tino ngenge rānei ō ringaringa, kaua e warewaretia, engari me toro atu ki te tākuta tonu.
- Ko te whai i tētahi momo noho hauora te huarahi pai rawa atu hei pupuri i te hauora o tō uaua uma o roto, pērā i ō uaua katoa.
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