Ese utekereza ko imiyoboro y'amaraso iri mu mubiri wacu ari urusobe rw'imihanda mu mujyi munini? Hari imihanda minini, indi mito. Ariko iyi mihanda yose ifitanye isano. Uyu munsi rero tugiye kuvuga ku 'muhanda munini' w'ingenzi cyane unyura mu gice cyo hejuru cy'umubiri wacu, cyane cyane munsi y'umuyoboro w'amaraso. Uwo ni umuyoboro wa Subclavian.
Umutsi wo mu bwoko bwa Subclavian ni iki?
Mu magambo make, umutsi wo mu bwoko bwa subclavian ni umutsi munini, wimbitse utwara amaraso adahumeka neza kandi yuzuye umwuka wa ogisijeni ava mu gice cyo hejuru cy'umubiri wawe (nk'amaboko yawe, umutwe, n'ijosi) akayajyana mu mutima. Dufite imitsi ibiri kuri buri ruhande rw'umubiri wacu. Uwuri iburyo uzana amaraso mu kuboko kw'iburyo no mu gice cyo hejuru cy'umubiri, naho uw'ibumoso uzana amaraso mu ruhande rw'ibumoso.
Itembera ry'amaraso mu mubiri wacu ni igikorwa gitangaje cyane. Kuva mu mutima, amaraso meza kandi akungahaye kuri ogisijeni anyura mu mitsi ajya mu mubiri wose. Nyuma y'ibyo, amaraso aha ingingo ogisijeni n'intungamubiri zikeneye, akazi k'imitsi ni ugukusanya amaraso agaruka hamwe n'imyanda no kuyagarura mu mutima. Rero, uyu mutsi wo mu gice cya subclavian ni intambwe ikomeye cyane muri urwo rugendo rwo kugaruka.
Tekereza nk'imihanda ibiri iteganye ifite imodoka zijya mu cyerekezo kimwe gusa. Umuhanda umwe (umutsi wa subclavian) utwara amaraso ava mu mutima ajya mu kuboko. Undi muhanda (umutsi wa subclavian), uteganye nawo, utwara amaraso ava mu kuboko ayajyana mu mutima.
Uyu mutsi uherereye he?
Iyi mitsi yombi iri munsi gato y'igufwa ryawe (clavicle). Mu by'ukuri, uyu mutsi utangirira hafi y'urutugu, hejuru y'igituza, hanyuma ugahindukira werekeza ku mutima.
Kugira ngo ubyumve neza, tekereza ko ufite 'm' nini mu gituza cyawe. Imisongero ibiri iri hejuru y'iyi 'm' ni imitsi ibiri ya subclavian.
- Tekereza imirongo ibiri (ituruka mu maboko) iri ku iherezo ry'inyuguti 'm' nk'imitsi yo mu gatuza .
- Impinga ebyiri zizamuka hejuru y'iyo mirongo ibiri ni imitsi ya subclavian .
- Imirongo ibiri igoramye imanuka iva kuri iyo mitwe ibiri ni imitsi yo mu mutwe .
- Amaherezo, aho bamanuka bava hagati mu nyuguti ya 'm', iyi mitsi yombi irahurira hamwe igakora umutsi munini witwa Superior Vena Cava , ujyana amaraso mu mutima mu buryo butaziguye.
Urebye muri ubu buryo, umutsi wa subclavian umeze nk'aho winjirira mu muhanda munini kuko amaraso ava mu maboko no mu mutwe agenda ajya mu mutima.
Akamaro k'umutsi wo mu bwoko bwa subclavian mu buvuzi
Uretse gutwara amaraso, umutsi wo mu bwoko bwa subclavian ni ingenzi cyane mu buvuzi bumwe na bumwe.
- Uburyo bwo kugera ku mitsi yo hagati:Hari igihe, cyane cyane mu cyumba cy’indembe (ICU), abarwayi bagomba gukomeza guhabwa amazi cyangwa imiti. Abaganga bashyiramo umuyoboro muto witwa catheter unyuze mu mitsi ya subclavian, hafi y’umutima. Ibi byitwa "umurongo wo hagati." Ibi biha umuti umutsi mu mitsi minini, bityo uhita winjira mu mubiri vuba.
- Insinga zikoresha imbaraga zituma umutima utera nabi: Hari abarwayi bafite umutima utera nabi bashyirwaho igikoresho cyitwa pacemaker . Hari igihe imitsi ya subclavian ikoreshwa mu kujyana insinga z'iki gikoresho ku mutima.
Ariko ugomba kwitonda cyane mu gihe ukora ibintu nk'ibi. Kuko rimwe na rimwe hashobora kubaho ingorane. Urugero, kuva amaraso, kwandura indwara, umutima utera ku buryo butunguranye (Arrhythmia) , kuzura amaraso mu mitsi (Vénous Thrombosis) , no kwangirika kw'ibihaha (Pneumothorax) . Kubwibyo, abaganga b'inzobere muri uru rwego ni bo bonyine bashobora gukora ibi bintu.
Ni izihe ndwara zigira ingaruka ku mutsi wo mu bwoko bwa subclavian?
Hari indwara nyinshi zikomeye zishobora kugira ingaruka kuri uyu mutsi, kandi ni ngombwa kuzimenya.
| Imiterere | Mu magambo make ... | Abo igiraho ingaruka n'ibimenyetso |
|---|---|---|
| Indwara yo mu mitsi miremire (DVT) | Ibi bibaho iyo amaraso apfundikiye mu mitsi miremire, nk'imitsi yo mu bwoko bwa subclavian, agafunga imitsi. DVT ikunze kugaragara mu maguru, ariko ishobora no kugaragara mu gice cyo hejuru cy'umubiri. | Abantu bafite imiyoboro yo hagati mu mubiri bari mu kaga gakomeye. Iyo iki gipfundikizo cy'amaraso gicitse kigafunga umutsi wo mu bihaha, bishobora gutera indwara ikomeye yitwa pulmonary embolism . Ibimenyetso: Kubyimba ikiganza, ububabare cyangwa kumva uburemere mu kiganza. |
| Indwara ya Paget-Schroetter | Iyi nayo ni ubwoko bwa DVT. Ariko, iterwa no gukora cyane cyangwa kugenda kenshi. Nanone yitwa "Effort Thrombosis". | Akenshi ikunze kugaragara ku bantu bari hagati y'imyaka 15 na 45 bakina siporo (urugero: koga, baseball) cyangwa baterura ibintu biremereye ku kazi. Iyi ndwara ishobora guterwa no gukora ingendo zisubirwamo, nko guterura ukuboko hejuru. Ibimenyetso: kubyimba, ububabare, no kugira ubururu bw'ukuboko. |
Ese ni ibintu byihutirwa?
Niba ufite kimwe mu bimenyetso byavuzwe haruguru, ntukirengagize. Bishobora kuba ikibazo cyihutirwa cy’ubuvuzi. Jya mu bitaro byita ku barwayi barembye (ETU). Guhabwa ubuvuzi bwihuse bishobora gukumira ingorane zikomeye.
Ni gute twakomeza kugira ubuzima bwiza mu mitsi yacu?
Hari ibintu byoroshye dushobora gukora kugira ngo tudakomeza gusa imitsi ya subclavian, ahubwo n'indi mitsi yose yo mu mubiri wacu ikomeze kuba myiza.
- Gutembera bibe akamenyero: Gerageza kugenda nibura iminota 30 ku munsi, iminsi 5 mu cyumweru. Ibi bizamura gutembera kw'amaraso mu mubiri wose.
- Ntugume mu mwanya umwe: Niba wicaye cyangwa uhagaze ahantu hamwe igihe kirekire, haguruka ugende nibura rimwe mu isaha, uhe umubiri wawe akanyamuneza gato.
- Kurya indyo yuzuye ijyanye n'umutima: Kurya indyo yuzuye ishobora gufasha mu kugabanya umuvuduko w'amaraso, cholesterol, n'ibiro by'umubiri.
- Nywa amazi menshi: Kunywa amazi umubiri ukeneye bifasha cyane mu gutembera kw'amaraso.
- Ntukirengagize n'ikimenyetso na kimwe: Niba wumva kubyimba bidasanzwe, ububabare, cyangwa kuremererwa mu kuboko kwawe, ukuguru, cyangwa ahandi hantu hose, ntukirengagize nk'ikintu gito. Shaka muganga wawe vuba kugira ngo akugire inama. Iyo ubonye ikibazo hakiri kare, ushobora gukumira ibibazo bikomeye.
Ubutumwa bwo kujyana mu rugo
- Umutsi wo mu bwoko bwa subclavian ni umutsi w'ingenzi cyane uherereye munsi y'igufwa ryawe ritwara amaraso kuva ku kuboko ko hejuru kugeza ku mutima.
- Uretse gutembera kw'amaraso, inakoreshwa mu buvuzi nko mu miyoboro yo hagati n'imitsi ikora neza.
- Kubyimba mu mitsi miremire (DVT) ni indwara iteje akaga. Kubyimba, kubabara, cyangwa kugira ubururu mu kuboko bishobora kuba ibimenyetso by'impanuka.
- Ubuzima bwiza (kugenda, kurya neza, kunywa amazi menshi) bishobora kurinda ubuzima bw'imitsi yawe yose.
- Niba ubonye impinduka cyangwa ibimenyetso bidasanzwe mu mubiri wawe, ntugatinye kubibwira muganga wawe.
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