Njira yobisika m'thupi lathu: Tiyeni tiphunzire za mtsempha wa Subclavian.

Kodi mumaganiza kuti njira ya mitsempha yamagazi mkati mwa thupi lathu ndi yolumikizana ndi misewu mumzinda waukulu? Misewu ina ndi yayikulu, ina ndi yaying'ono. Koma misewu yonseyi imagwirizana. Kotero lero tikambirana za 'msewu waukulu' wofunika kwambiri womwe umayenda pamwamba pa thupi lathu, makamaka pansi pa khosi. Umenewo ndi mtsempha wa Subclavian.

Kodi mtsempha wa Subclavian ndi chiyani?

Mwachidule, mtsempha wa subclavian ndi mtsempha waukulu, wozama womwe umanyamula magazi opanda mpweya, otayidwa kuchokera kumtunda kwa thupi lanu (monga manja anu, mutu, ndi khosi) kubwerera kumtima. Tili ndi mitsempha iwiriyi mbali zonse ziwiri za matupi athu. Umodzi wakumanja umabweretsa magazi kudzanja lamanja ndi thupi lapamwamba, ndipo wina wakumanzere umabweretsa magazi kumanzere.

Kuyenda kwa magazi m'thupi lathu ndi njira yodabwitsa kwambiri. Kuchokera mumtima, magazi oyera, okhala ndi mpweya wambiri amayenda kudzera m'mitsempha kupita ku thupi lonse. Pambuyo pake magazi amapatsa ziwalo mpweya ndi zakudya zomwe zimafunikira, ntchito ya mitsempha ndi kusonkhanitsa magazi omwe amabwerera ndi zinyalala ndikubwezeretsa kumtima. Chifukwa chake, mtsempha wa subclavian uwu ndi gawo lofunika kwambiri paulendo wobwerera.

Taganizirani ngati misewu iwiri yofanana yomwe magalimoto amayenda mbali imodzi yokha. Msewu umodzi (mtsempha wa subclavian) umanyamula magazi kuchokera pamtima kupita nawo ku dzanja. Msewu wina (mtsempha wa subclavian), womwe uli moyandikana nawo, umanyamula magazi kuchokera padzanja kubwerera ku mtima.

Kodi mtsempha uwu uli kuti?

Mitsempha yonseyi ili pansi pa khosi lanu (clavicle). Kunena zoona, mtsempha uwu umayambira pafupi ndi phewa, pamwamba pa chifuwa, ndikuzungulira kumtima.

Kuti mumvetse bwino izi, tangoganizirani kuti mwajambula 'm' yayikulu pachifuwa chanu. Nsonga ziwiri pamwamba pa 'm' iyi ndi mitsempha iwiri ya subclavian.

• Ganizirani mizere iwiri (yochokera m'manja) yomwe ili kumapeto kwenikweni kwa chilembo 'm' ngati mitsempha ya m'khwapa .
• Nsonga ziwiri zomwe zimakwera pamwamba pa mizere iwiriyi ndi mitsempha ya subclavian .
• Mizere iwiri yokhota yomwe imatsika kuchokera pamwamba pa nsonga ziwirizo ndi mitsempha ya brachiocephalic .
• Pomaliza, pamene akutsika kuchokera pakati pa chilembo 'm', mitsempha iwiriyi imalumikizana kupanga mtsempha waukulu wotchedwa Superior Vena Cava , womwe umanyamula magazi mwachindunji kumtima.

Kufunika kwa mtsempha wa subclavian mu chithandizo chamankhwala

Kuwonjezera pa kunyamula magazi, mtsempha wa subclavian ndi wofunikira kwambiri pazithandizo zina zachipatala.

• Kulowera kwa Pakati pa Mitsempha:Nthawi zina, makamaka m'chipinda chosamalira odwala kwambiri (ICU), odwala amafunika kupitiriza kulandira madzi kapena mankhwala. Madokotala amaika chubu chopyapyala chotchedwa catheter kudzera m'mitsempha ya subclavian, pafupi ndi mtima. Izi zimatchedwa "mzere wapakati." Izi zimapangitsa kuti mankhwalawa alowe m'mitsempha yayikulu, kotero imalowa mwachangu m'thupi.

• Mawaya opangira chithandizo cha mtima: Odwala ena omwe ali ndi vuto la kugunda kwa mtima kosakhazikika amaikidwa chipangizo chotchedwa pacemaker . Nthawi zina mtsempha wa subclavian umagwiritsidwa ntchito kupititsa mawaya a chipangizochi kumtima.

Koma muyenera kusamala kwambiri mukamachita zinthu ngati izi. Chifukwa nthawi zina mavuto amatha kuchitika. Mwachitsanzo, kutuluka magazi, matenda opatsirana, kugunda kwa mtima kosasinthasintha (Arrhythmia) , magazi kuundana m'mitsempha (Venous Thrombosis) , ndi kuwonongeka kwa mapapo (Pneumothorax) zimatha kuchitika. Chifukwa chake, madokotala okha omwe ndi akatswiri pantchitoyi ndi omwe angachite izi.

Kodi ndi matenda ati omwe amakhudza mitsempha ya subclavian?

Pali matenda akuluakulu angapo omwe angakhudze mitsempha iyi, ndipo ndikofunikira kudziwa izi.

Kodi ndi zadzidzidzi?

Ngati muli ndi zizindikiro zilizonse zomwe zatchulidwa pamwambapa, musanyalanyaze. Zingakhale zadzidzidzi zachipatala. Pitani ku Dipatimenti Yoona za Zadzidzidzi (ETU) ya chipatala nthawi yomweyo. Kulandira chithandizo mwachangu kungapewe mavuto oopsa.

Kodi tingasunge bwanji mitsempha yathu yathanzi?

Pali zinthu zosavuta zomwe tingachite kuti tisamange mitsempha ya subclavian yokha, komanso mitsempha ina yonse m'thupi lathu yathanzi.

• Pangani kuyenda kukhala chizolowezi: Yesetsani kuyenda kwa mphindi zosachepera 30 patsiku, masiku 5 pa sabata. Izi zithandiza kuti magazi aziyenda bwino m'thupi lonse.
• Musakhale pamalo omwewo: Ngati mutakhala kapena kuyimirira pamalo omwewo kwa nthawi yayitali, imirirani ndikuyenda mozungulira osachepera kamodzi pa ola limodzi, zomwe zimapangitsa thupi lanu kuyenda pang'ono.
• Idyani zakudya zabwino pa mtima: Idyani zakudya zoyenera zomwe zingathandize kuchepetsa kuthamanga kwa magazi, cholesterol, ndi kulemera kwa thupi.
• Imwani madzi ambiri: Kumwa madzi omwe thupi lanu limafunikira kumathandiza kwambiri kuti magazi aziyenda bwino.
• Musanyalanyaze ngakhale chizindikiro chochepa kwambiri: Ngati mukumva kutupa, kupweteka, kapena kulemera kosazolowereka m'dzanja lanu, mwendo, kapena kwina kulikonse, musanyalanyaze ngati chinthu chaching'ono. Pitani kwa dokotala nthawi yomweyo kuti akupatseni upangiri. Ngati mwazindikira vuto msanga, mutha kupewa mavuto akuluakulu.