He ara huna i roto i tō tātou tinana: Me ako tātou mō te Uaua Subclavian.

E whakaaro ana koe ki te pūnaha toto i roto i tō tātou tinana he whatunga rori i roto i tētahi tāone nui? He nui ētahi rori, he iti ētahi. Engari he hono katoa ēnei rori tetahi ki tetahi. Nō reira, i tēnei rā ka kōrero tātou mō tētahi 'rori matua' tino nui e rere ana i te wāhanga o runga o tō tātou tinana, inā koa i raro i te wheua kaki. Ko te Uaua Subclavian tēnā.

He aha te uaua Subclavian?

I te whakarapopototanga, ko te uaua subclavian he uaua nui, hohonu e kawe ana i te toto kore-hāora, kī tonu i te para mai i te taha whakarunga o tō tinana (pēnei i ō ringaringa, i tō upoko, me tō kaki) ki te ngākau. E rua ēnei uaua kei ia taha o ō tātou tinana. Ko te mea kei te taha matau e kawe ana i te toto ki te ringa matau me te tinana whakarunga, ā, ko te mea kei te taha maui e kawe ana i te toto ki te taha maui.

He tino mahi whakamiharo te rere o te toto i roto i tō tātou tinana. Mai i te ngākau, ka haere te toto parakore, whai hāora, mā roto i ngā uaua ki te tinana katoa. Whai muri i tēnā, ka whakaratohia e te toto te hāora me ngā matūkai e hiahiatia ana e ngā whekau, ko te mahi a ngā uaua he kohikohi i te toto e hoki mai ana me ngā hua para, ka whakahoki mai ki te ngākau. Nō reira, he tohu nui tēnei uaua subclavian i roto i taua haerenga hokinga mai.

Whakaarohia he rite ki ngā rori e rua e whakarara ana, kotahi anake te huarahi e rere ai ngā waka. Ko tētahi rori (te uaua subclavian) e kawe ana i te toto mai i te ngākau ki te ringa. Ko tētahi atu rori (te uaua subclavian), e whakarara ana ki taua rori, e kawe ana i te toto mai i te ringa ki te ngākau.

Kei hea tēnei uaua?

Kei raro noa iho i tō wheua anga (clavicle) ēnei uaua e rua. Hei whakamārama, ka tīmata tēnei uaua tata ki te pakihiwi, i te tihi o te uma, ka piko ki te ngākau.

Hei whakamārama māmā ake i tēnei, whakaarohia he 'm' nui kua tuhia ki tō uma. Ko ngā tihi e rua i te tihi o tēnei 'm' ko ngā uaua subclavian e rua.

• Whakaarohia ngā rārangi e rua (e ahu mai ana i ngā ringa) i te pito rawa o te reta 'm' hei uaua keti .
• Ko ngā tihi e rua e piki ake ana i runga ake i aua rārangi e rua ko ngā uaua subclavian .
• Ko ngā rārangi piko e rua e heke iho ana i aua tihi e rua ko ngā uaua brachiocephalic .
• Hei whakamutunga, i te wāhi e heke iho ai i waenganui o te reta 'm', ka honoa ēnei uaua e rua hei hanga i tētahi uaua nui e kiia nei ko te Superior Vena Cava , e kawe tika ana i te toto ki te ngākau.

Te hiranga o te uaua subclavian i roto i te maimoatanga hauora

Haunga te kawe toto, he mea tino nui te uaua subclavian i roto i ētahi maimoatanga hauora.

• Te Urunga ki te Uaua Waenga:I ētahi wā, inā koa i roto i te wāhanga tiaki nui (ICU), me whiwhi tonu ngā tūroro i ngā wai, i ngā rongoā rānei. Ka whakaurua e ngā tākuta he ngongo angiangi e kiia nei ko te catheter mā roto i te uaua subclavian, e tata ana ki te ngākau. Ka kiia tēnei ko te "raina pokapū." Mā tēnei ka tukuna te rongoā ki roto i tētahi uaua nui, kia tere ai te mimiti ki roto i te tinana.

• Ngā waea whakateretere: Ko ētahi tūroro he rerekē te tere o te ngakau ka whakauruhia ki tētahi taputapu e kiia nei ko te whakateretere . I ētahi wā ka whakamahia te uaua subclavian hei arahi i ngā waea o tēnei taputapu ki te ngākau.

Engari me tino tupato koe i te wā e mahi ana i ēnei mea. Nā te mea i ētahi wā ka puta he raruraru. Hei tauira, ko te toto, te mate pāwera, te ngakau koretake (Arrhythmia) , te toto i roto i ngā uaua (Venous Thrombosis) , me te kino o te pukahukahu (Pneumothorax) ka puta. Nō reira, ko ngā tākuta anake he tohunga ki tēnei mara ka taea te mahi i ēnei mea.

He aha ngā āhuatanga ka pā ki te uaua subclavian?

He maha ngā āhuatanga hauora nui ka pā ki tēnei uaua, ā, he mea nui kia mōhio ki ēnei.

He āhuatanga ohorere tēnei?

Ki te pā mai tētahi o ngā tohu kua whakahuatia ake nei ki a koe, kaua e warewarehia. He āhuatanga ohorere pea tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU). Mā te whiwhi maimoatanga tere ka ārai i ngā raruraru kino.

Me pēhea te pupuri i te hauora o ō tātou uaua?

He māmā noa iho ētahi mea ka taea e tātou te mahi hei pupuri i te hauora o te uaua subclavian, tae atu ki ngā uaua katoa o te tinana.

• Whakamātauria te hikoi hei tikanga: Ngāna ki te hikoi mō te 30 meneti pea i te rā, e rima ngā rā o te wiki. Mā tēnei ka pai ake te rere o te toto puta noa i te tinana.
• Kaua e noho tonu i te tūranga kotahi: Ki te noho, ki te tū rānei koe i te wāhi kotahi mō te wā roa, whakatika, ka hikoi haere i te iti rawa i te kotahi i te haora, me te nekeneke i tō tinana.
• Kai i tētahi kai hauora mō te ngākau: Kai i tētahi kai taurite hei āwhina i te whakahaere i te toto toto, te cholesterol, me te taumaha o te tinana.
• Inumia he nui te wai: Mā te inu i te nui o te wai e hiahiatia ana e tō tinana ka āwhina nui ki te rere o te toto.
• Kaua e warewarehia tetahi tohu iti rawa: Ki te mea ka pupuhi, ka mamae, ka taumaha rānei tō ringa, tō waewae, tō wāhi rānei, kaua e warewarehia he mea iti noa iho. Tirohia tonutia tō tākuta mō ētahi tohutohu. Ki te kitea wawetia e koe tētahi raruraru, ka taea e koe te ārai i te whanaketanga o ngā raruraru nui.