Lero tikambirana za mtsempha wamagazi wofunika kwambiri mkati mwa thupi lathu womwe mwina simunamvepo. Uwu ndi mtsempha wamagazi wa brachiocephalic. Ngakhale kuti dzinali ndi lovuta pang'ono, ntchito yake ndi yosavuta komanso yofunika kwambiri. Umagwira ntchito yabwino kwambiri yonyamula magazi kupita kumtunda kumanja kwa thupi lathu.
Kodi mtsempha wamagazi wa brachiocephalic uwu ndi chiyani?
Mwachidule, mitsempha yanu ya brachiocephalic ndi mitsempha yamagazi yomwe imatuluka kuchokera ku aorta, mitsempha yayikulu yomwe ili pachifuwa chanu. Kodi mudawonapo gawo lopindika la ndodo? Umu ndi momwe pamwamba pa aorta yathu imaonekera, ndipo timaitcha kuti aortic arch. Mitsempha ya brachiocephalic ndi mitsempha yoyamba yamagazi yomwe imatuluka kuchokera ku aortic arch. Imathandiza kupereka magazi kumtunda wakumanja kwa thupi lanu.
Izi zimatchedwanso:
- Thunthu la Brachiocephalic: Chifukwa limafanana ndi thunthu la nthambi ziwiri zazikulu za mitsempha yamagazi.
- Mtsempha wamagazi wosasinthika: Ilinso ndi dzina lakale.
Mitsempha yanu ya brachiocephalic ndi gawo la dongosolo la magazi, dongosolo lomwe limanyamula magazi m'thupi lathu lonse.
Kodi chimachitika ndi chiyani ku mtsempha wamagazi wa brachiocephalic?
Mitsempha ya brachiocephalic imagwira ntchito yofunika kwambiri. Imanyamula magazi oyera komanso odzaza ndi mpweya kupita ku ziwalo ndi minofu yomwe ili kumtunda kwa thupi lathu. Makamaka, imatenga magazi kuchokera ku aorta yanu ndikuyipereka ku mtsempha wanu wakumanja wa subclavian ndi mtsempha wa carotid wakumanja. Magazi awa amapereka mpweya ndi zakudya ku dzanja lanu lakumanja lakumtunda, mbali yakumanja ya ubongo wanu, mbali yakumanja ya nkhope yanu, ndi mbali yakumanja ya khosi lanu. Tangoganizirani ntchito yayikulu yomwe mtsempha waung'ono uwu ungachite!
Kodi mtsempha uwu umanyamula magazi okhala ndi mpweya kapena magazi opanda mpweya?
Funso labwino! Mitsempha yanu ya brachiocephalic imanyamula magazi okhala ndi mpweya . Mtima wathu umapompa magazi oyera, okhala ndi mpweya kulowa mu aorta. Kuchokera pamenepo, magazi awa amayenda kudzera m'mitsempha ina yomwe imafalikira kuchokera ku aorta (kuphatikizapo brachiocephalic artery) kuti idyetse matupi athu.
Kodi mtsempha wamagazi wa brachiocephalic uli kuti?
Mtsempha wa brachiocephalic (kapena thunthu) uli kumtunda kumanja kwa chifuwa chanu, pamwamba pa mtima wanu komanso pansi pang'ono pakhosi lanu. Kunena zoona, uli m'dera la pachifuwa chanu lotchedwa ``Mediastinum''. Malo awa otchedwa ``Mediastinum'' ndi ofunikira kwambiri chifukwa ali ndi mtima wanu ndi ziwalo zina za mitsempha ina ikuluikulu yamagazi.
Monga ndanenera kale, brachiocephalic artery ndi nthambi yoyamba yomwe imafalikira kuchokera ku `(Aortic arch)` yanu, yomwe ndi gawo lapamwamba lopindika la aorta yanu. `Choyamba'' chimatanthauza kuti ndi nthambi yapafupi kwambiri ndi mtima wanu. Komabe, si nthambi yoyamba yomwe imafalikira kuchokera ku `(Aorta)` yanu. Chifukwa, `(Aortic arch)` isanafike, pali gawo la aorta yanu lomwe limatuluka kuchokera mumtima mwanu, lotchedwa `(Ascending aorta)`. Mitsempha ya mtima yomwe imapereka magazi ku minofu ya mtima wanu imasiyana ndi `(Ascending aorta)` iyi. Chifukwa chake, nthambi yoyamba yomwe imafalikira kuchokera ku aorta yanu kwenikweni ndi mitsempha yanu ya mtima.
Chofunika kwambiri n'chakuti, mtsempha wamagazi wa brachiocephalic si umodzi mwa mitsempha ikuluikulu ya mtima, komanso sulumikizidwa mwachindunji ndi chipinda cha mtima. Ndi nthambi chabe ya mtsempha wamagazi.
Kodi nthambi ziwiri zazikulu za mtsempha wamagazi wa brachiocephalic ndi ziti?
Mtsempha wa brachiocephalic uwu umagawikana m'nthambi ziwiri pamene ukuyenda kuchoka pamtima, kutanthauza kupita mmwamba. Kugawikana kumeneku kumatchedwanso `(Bifurcates)`. Nthambi ziwirizi ndi izi:
- Mtsempha wamagazi wa subclavian wakumanja: Uwu umapatsa magazi kumtunda kwa mkono wanu wakumanja. Umapatukananso kuti upereke magazi ku ziwalo zina za mutu wanu, khosi, ndi pachifuwa.
- Mitsempha yamagazi ya carotid yoyenera: Iyi imapereka magazi ku ubongo wanu ndi ziwalo zina za mutu wanu, nkhope, ndi khosi.
Izi zimatchedwa nthambi zomaliza chifukwa mtsempha wa brachiocephalic umathera apa. Kugawikana kumeneku kumachitika pa cholumikizira chakumanja cha sternoclavicular, pomwe clavicle ndi sternum zimakumana kumanja kwanu.
Kodi mtsempha wamagazi wa brachiocephalic uwu ndi waukulu bwanji?
Mtsempha wa brachiocephalic (thunthu) nthawi zambiri umakhala wautali pafupifupi masentimita 4 mpaka 5. M'lifupi mwake, kapena m'lifupi mwake, ndi pafupifupi mamilimita 10.5 mpaka 13.7 . Ndi yaying'ono, koma imagwira ntchito yambiri, eti?
Kodi izi zimapangidwa ndi chiyani?
Monga mitsempha ina m'thupi lathu, mitsempha ya brachiocephalic ili ndi khoma lopangidwa ndi zigawo zitatu:
- Tunica intima `(Tunica intima / interna)`: Uwu ndi gawo lamkati kwambiri. Lili ndi mzere wopangidwa ndi mtundu wa selo wotchedwa `(maselo a Endothelial)`. Izi ndi zomwe zimathandiza magazi kuyenda bwino popanda chopinga chilichonse.
- Tunica media: Iyi ndi gawo lapakati. Maselo osalala a minofu mu gawoli amathandiza kuti mitsempha yamagazi ikule komanso kupapatiza ngati pakufunika kutero, motero amawongolera kuyenda kwa magazi.
- Tunica adventitia (Tunica adventitia / externa): Iyi ndi gawo lakunja. Limapereka mphamvu ndi chithandizo ku mitsempha yamagazi. Gawoli limapangidwa ndi collagen ndi minofu ina yolumikizirana.
Kodi pali kusiyana kulikonse kwa kapangidwe ka thupi m'malo mwa mtsempha wamagazi wa brachiocephalic?
Inde, ndithudi. Popeza mtsempha wa brachiocephalic umagawidwa ndi kupindika kwa mtsempha wamagazi, kusiyana kosiyanasiyana kwa mtsempha wamagazi kumeneku kungakhudzenso malo a mtsempha wamagazi wa brachiocephalic. Kusiyana kofala kwambiri mu mtsempha wamagazi ndi kapangidwe kamene nthambi ziwiri zokha zimagawidwa.
Kawirikawiri, mitsempha itatu yamagazi imafalikira mwachindunji kuchokera ku aorta arch yanu.
- Mitsempha ya Brachiocephalic (thunthu).
- Mtsempha wa subclavian wamanzere.
- Mtsempha wamagazi wamba wa carotid kumanzere.
Komabe, mwa anthu ena, m'malo mwa atatuwa, nthambi ziwiri zokha ndi zomwe zingapange nthambi kuchokera ku `(Aortic arch)`. Mapatani awiri otere ndi awa:
1. Mitsempha ya brachiocephalic ndi mitsempha ya carotid ya kumanzere imachokera pamalo amodzi: Izi zikutanthauza kuti mitsempha yonse iwiri imachokera ku thunthu lomwelo, ``Aortic arch''. Mitsempha ya subclavian yakumanzere imagawikana kukhala nthambi yachiwiri yosiyana, ``Left subclavian artery''.
2. Mitsempha ya carotid yochokera kumanzere yochokera ku brachiocephalic artery: Mu izi, m'malo mochokera mwachindunji ku aortic arch, brachiocephalic artery yochokera kumanzere imachokera ku brachiocephalic artery. Kugawikana kumeneku nthawi zambiri kumachitika pafupifupi sentimita imodzi kuchokera ku aortic arch. Mitsempha ya subclavian yakumanzere imagawikana padera.
Kusintha kumeneku nthawi zambiri si vuto lalikulu, koma ndikofunikira kuti madokotala azidziwa za izi.
Kodi pali mitsempha ya brachiocephalic ya kumanja ndi kumanzere?
Anthu ambiri ali ndi mtsempha umodzi wokha wa brachiocephalic . Umapezeka mbali yakumanja ya chifuwa. Komabe, nthawi zambiri, ndi kusiyana kwina kwa `(Aortic arch)`, pakhoza kukhala mitsempha ya brachiocephalic mbali zonse ziwiri zakumanja ndi zakumanzere, kapena pakhoza kukhala umodzi wokha kumanzere. Izi ndizochitika zosowa kwambiri.
Kodi ndi matenda ati omwe amakhudza mitsempha ya brachiocephalic?
Mitsempha ya brachiocephalic ingakhudzidwenso ndi matenda ena. Zina mwa izo ndi izi:
- Tracheo-innominate fistula (TIF): Uwu ndi matenda oopsa kwambiri. TIF ndi mgwirizano wosazolowereka pakati pa mphuno yanu (trachea) ndi mitsempha ya innominate (brachiocephalic). Uwu ndi vuto lomwe lingayambitse imfa chifukwa cha tracheostomy, opaleshoni yochitidwa pakhosi kuti mpweya ukhale wotseguka. Ingayambitse kutuluka magazi kwambiri, kotero opaleshoni imafunika mwachangu. Ngati mwakhala mukuchita tracheostomy kwa nthawi yayitali, dokotala wanu angachite CT scans kuti aone ngati pali chiopsezo chotenga TIF.
- Matenda a atherosclerosis:Mwina munamvapo za izi. `(Atherosclerosis)` ndi vuto lomwe mafuta amasonkhana (otchedwa `(Plaque)`) mkati mwa mitsempha ndipo pakapita nthawi, mitsempha imachepa. Izi zimalepheretsa kuyenda kwa magazi kupita ku ziwalo zosiyanasiyana za thupi. Pamene kuyenda kwa magazi kupita ku ubongo kumachepa mwanjira iyi (`(Cerebrovascular disease)`), nthawi zambiri chifukwa chake chimakhala mafuta mu `(Carotid arteries).` Komabe, nthawi zambiri, mafuta amasonkhananso mu brachiocephalic artery ndikuchepetsa. Pankhaniyi, chithandizo monga `(Stent placement)` chingafunike kuti magazi ayende bwino.
- Aneurysm: Aneurysm ndi kutupa kwa khoma la mitsempha chifukwa cha kufooka. Aneurysms mu mitsempha ya brachiocephalic ndi yosowa kwambiri. Aneurysms ya supra-aortic imapezeka m'mitsempha yomwe ili pamwamba pa aortic arch, ndipo imakhala pafupifupi 3 pa milandu 100 iliyonse.
Kodi ndingatani kuti mitsempha yanga ya brachiocephalic ikhale yathanzi?
Pali zinthu zambiri zomwe mungachite kuti mitsempha yanu ya brachiocephalic ikhale yathanzi, komanso kuti mitsempha ina yonse m'thupi lanu ikhale yathanzi. Nazi zina mwa izi:
- Pewani kugwiritsa ntchito fodya: Kusuta fodya, kugwiritsa ntchito nthunzi, ndi kugwiritsa ntchito fodya wopanda utsi zonse zili m'gululi.
- Idyani zakudya zabwino pamtima zomwe zili ndi mafuta ochepa komanso sodium yochepa: Kafukufuku wapeza kuti kudya zakudya monga zakudya za ku Mediterranean n'kwabwino pamtima ndi mitsempha yamagazi.
- Kuchita masewera olimbitsa thupi nthawi zonse: Yesetsani kuchita masewera olimbitsa thupi (omwe amawonjezera kuthamanga kwa mpweya) kwa mphindi zosachepera 30 patsiku, masiku asanu pa sabata.
- Khalani ndi kulemera koyenera: Funsani dokotala wanu kulemera komwe mukufuna komanso momwe mungakwaniritsire kulemerako.
- Chepetsani kumwa mowa: Akazi asamwe mowa woposa `(chakumwa)` chimodzi patsiku. Amuna asamwe mowa woposa `(chakumwa)` ziwiri patsiku.
- Sinthani kupsinjika maganizo: Phunzirani njira zatsopano zopumulira.
- Gwiritsani ntchito mankhwala monga momwe dokotala wanu wanenera: Izi zikuphatikizapo mankhwala a cholesterol ndi kuthamanga kwa magazi.
- Yesetsani kugona mokwanira: Kwa akuluakulu, kugona maola asanu ndi awiri mpaka asanu ndi anayi patsiku ndi kwabwino pa thanzi la mtima komanso thanzi lonse.
- Pitani kwa dokotala nthawi zonse: Pitani kukayezetsa dokotala kamodzi pachaka. Musaphonye nthawi yokumana ndi dokotala wanu.
Kuphunzira za mitsempha yathu yamagazi, komanso ziwalo zina za dongosolo lozungulira magazi, nthawi zina kungakhale koopsa, komanso kungakhale kosangalatsa kwambiri. Mutha kukhala mukuphunzira za izi chifukwa cha matenda kapena kungofuna kudziwa. Komabe, musazengereze kufunsa dokotala wanu mafunso aliwonse omwe muli nawo. Kapangidwe ka thupi ndi chinthu chovuta, ndipo si thupi la aliyense lomwe ndi lofanana. Chifukwa chake, mukaphatikiza zomwe mumawerenga ndi zomwe dokotala wanu amadziwa, zimakhala zosavuta kupeza chithunzi chonse.
Zinthu zomwe tiyenera kukumbukira kuchokera munkhaniyi (Uthenga Wopita Nawo Kunyumba)
Chabwino, mwachidule, Brachiocephalic Artery yomwe tidakambirana lero,
Uwu ndi mtsempha wofunika kwambiri wa magazi womwe umatuluka mu mtsempha wathu wamagazi. Mtsempha uwu umapereka magazi okhala ndi mpweya wambiri, makamaka kumtunda kwa kumanja kwa thupi lathu, ndiko kuti, dzanja lamanja, mbali yakumanja ya khosi, mbali yakumanja ya mutu, ndi mbali yakumanja ya ubongo.
Tinakambirana za malo ake, kukula kwake, ndi zina zotero. Tinakambirananso za matenda angapo omwe angakhudze mitsempha yamagazi, ndi zomwe tingachite kuti mitsempha iyi ikhale yathanzi.
Chofunika kwambiri ndikutsatira moyo wathanzi kuti mitsempha iyi ikhale yathanzi, monga momwe zilili ndi ziwalo zina zonse za thupi lathu. Ngati muli ndi mafunso kapena kukayikira pankhaniyi, lankhulani ndi dokotala. Ndicho chinthu chabwino kwambiri kuchita.
` Mitsempha ya Brachiocephalic, Aorta, Mitsempha ya Magazi, Kuyenda kwa Magazi, Thanzi la Mtima











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