Tsinga inokosha mumuviri wako wepamusoro: tsinga ye brachiocephalic.

Wakambofunga here nezvekuti kufamba kweropa mumuviri wedu kwakaoma uye kwakakosha sei? Kune nzira yakakosha yetsinga inoita basa guru mukuunza ropa kubva kuchikamu chepamusoro chemuviri wedu, kureva, kubva mumusoro, mumutsipa, nemaoko kuenda kumoyo. Chikamu chakakosha kwazvo chenzira iyoyo chinonzi Brachiocephalic Vein . Vamwe vanhu vanochidanawo kuti ``Innominate Vein''. Ngatitaurei nezvazvo zviri nyore uye zvine mutsa nhasi.

Chii chinonzi tsinga iyi ye brachiocephalic?

Zvichitaurwa zviri nyore, tsinga yako ye brachiocephalic chikamu chehurongwa hweropa hwemuviri wako hwepamusoro. Itsinga ine maviri , zvichireva kuti kune mitsinga miviri iyi kudivi rega rega remuviri wako, kurudyi nekuruboshwe.

• Tsinga yeBrachiocephalic Yerudyi
• Tsinga yeBrachiocephalic yekuruboshwe

Mitsipa iyi yeropa rerudyi nereruboshwe inobatana pamwe chete kuti ibatsire kutakura ropa risina mweya kubva mumuviri wako wepamusoro, kureva, mumusoro mako, mumutsipa, nemaoko, kudzokera kumoyo wako. Funga nezvazvo senzira diki dzinobatana kuti dzigadzire mugwagwa mukuru.

Basa retsinga iyi nderei?

Basa guru retsinga dzako dzemutsinga dzemutsinga dzemutsinga, sezvandambotaura, nderekutakura ropa rakapera mweya kubva mumusoro mako, mumutsipa, nemaoko kudzokera kumoyo wako. Tsinga idzi chaizvoizvo zvikamu zviviri zvidiki, asi zvakakosha, zvetsinga huru inotakura ropa mumuviri wako wepamusoro. Funga nezvazvo sechubhu refu ine zvikamu zvakawanda zvakabatana. Kana ukacheka chikamu chimwe pakati, hapana chinoyerera nemuchubhu yese, handiti? Ndizvo zvinoita kuti tsinga dzese dziri mumuviri wedu dzishande pamwe chete kuti ropa rirambe richifamba zvakanaka. Tsinga yega yega inobatsira kutakura ropa munzira chaiyo, kuenda kunzvimbo chaiyo.

Ropa rinofamba sei?

Zvino ngationei kuti tsinga ye brachiocephalic inobatanidzwa sei muchinhu ichi chikuru. 1. Tsinga dzako dze brachiocephalic dzekurudyi nedzekuruboshwe dzinoungana kuti dzigadzire tsinga huru inonzi Superior Vena Cava yako. Iyi iri pamusoro pemoyo wako, uye inotambanuka ichidzika younganidza ropa mukamuri repamusoro kurudyi rwemoyo wako, atrium yekurudyi . 2. Kubva ipapo, ropa rako rinofamba nerutivi rwerudyi rwemoyo wako kuenda kumapapu kuti ritore okisijeni. 3. Mushure mekunge yatora okisijeni, ropa rinodzokera kumoyo, uye ipapo ventricle yekuruboshwe inopomba ropa iroro mumuviri wako wese. Saka, unogona kuona, tsinga ye brachiocephalic inzira inokosha inobatsira ropa rako kufamba nemoyo wako, nemapapu ako, uye pakupedzisira mumuviri wako wese.

Tsinga iyi ye brachiocephalic inoumbwa sei?

Tsinga yako ye subclavian (iyi itsinga inofamba pasi pe collarbone) uye tsinga yemukati ye jugular(Uyu mutsinga mukuru uri mumutsipa) Mutsinga we brachiocephalic unoumbwa kana mitsinga miviri yakabatana. Kubatana uku kunoitika zvakasiyana kurudyi nekuruboshwe rwemuviri wako.

Mutsinga we brachiocephalic uri kupi?

Mitsipa iyi ye brachiocephalic iri muchipfuva chako chepamusoro, mukati memuviri wako. Iri pasi pebhonzo re clavicle, pedyo zvishoma nemapfudzi ako. Heino maitiro ainotanga nawo:

• Tsinga ye brachiocephalic yekurudyi: Apa ndipo panosangana tsinga yako ye subclavian yekurudyi netsinga yemukati ye jugular yekurudyi. Inoyerera yakananga pasi, ichienda kumoyo .
• Mutsinga weBrachiocephalic Wekuruboshwe: Apa ndipo panosangana tsinga yako yeruboshwe yesubclavian netsinga yemukati yekuruboshwe yejugular. Uyu wakareba zvishoma pane mumwe, uye unotora nzira yakasiyana zvishoma. Unofamba wakatwasuka, nekona yekudzika zvishoma, kuti unosangana netsinga yebrachiocephalic yerudyi. Munzira, unopfuura nepamusoro peaortic arch yako uye pamberi petsinga dzako dzecarotid ( tsinga huru dziri mumutsipa wako). Wobva wabatana netsinga yebrachiocephalic yerudyi. Ndipo panotanga vena cava yepamusoro.

Ndedzipi dzimwe tsinga dzinobatana netsinga ye brachiocephalic?

Ropa rinobva mutsinga diki dzakawanda rinobatana netsinga idzi dze brachiocephalic. Dzimwe dzacho ndedzinotevera:

• Tsinga dzemukati dzeJugular
• Tsinga dzemutsinga dzemuSubclavian
• Mitsipa yeGyroid yakaderera kuruboshwe nerudyi
• Tsinga dzemukati dzechipfuva dzekuruboshwe nedzerudyi (dzinonziwo Tsinga dzemukati dzemazamu)
• Tsinga dzemusana dzekuruboshwe nedzerudyi
• Mutsinga weIntercostal wekuruboshwe wepamusoro

Mitsipa iyi yese inotakura ropa rakarasikirwa neokisijeni uye rinoda kudzokera kumoyo.

Mutsinga uyu wakakura sei?

Tsinga dzako dze brachiocephalic dzerudyi nedzeruboshwe dzakasiyana zvishoma pahukuru.

• Tsinga ye brachiocephalic yekurudyi yakareba masendimita maviri kusvika matatu. Funga nezvazvo, inenge yakareba semapiritsi maviri e aspirin akaiswa padivi nepadivi.
• Tsinga yekuruboshwe yebrachiocephalic yakareba, inosvika masendimita matanhatu.

Chii chakagadzirwa netsinga ye brachiocephalic?

Kufanana nedzimwe tsinga dzako, idzi tsinga dze brachiocephalic dzakagadzirwa nezvikamu zvitatu zvakagadzirwa nemarudzi matatu enyama nefiber:

• Tunica Adventitia (chikamu chekunze): Izvi ndizvo zvinoita kuti tsinga ive nechimiro chayo.
• Tunica Media (chikamu chepakati):Ine masero emhasuru akatsetseka. Aya ndiwo anoita kuti tsinga ikure kana kutetepa sezvo ropa richifamba nepakati payo.
• Tunica Intima (chikamu chemukati): Ichi chine jira rakagadzirwa nemasero endothelial akatsetseka. Izvi zvinobvumira ropa kufamba nyore nyore nemutsinga pasina chipingamupinyi.

Chinonyanya kukosha ndechekuti tsinga dzemusana dzine mavharuvhu asina mavharuvhu sedzimwe tsinga dzakawanda. Mavharuvhu aya anongomisa ropa kuti risayerere richidzokera kumashure.

Ndedzipi shanduko dzemuviri dziri mutsinga ye brachiocephalic?

Vamwe vanhu vanozvarwa vaine mamwe maitiro akasiyana-siyana mutsinga dzavo dze brachiocephalic. Imwe yedzinowanzo zivikanwa itsinga ye brachiocephalic ye retroaortic . Izvi zvinoitika kana tsinga ye brachiocephalic yekuruboshwe ichifamba pasi pe aortic arch panzvimbo pepamusoro payo, sezvainowanzoita. Saka, pachinzvimbo chekumhanya pamberi pe aorta yako inokwira ( chikamu chekutanga che aorta yako), tsinga iyi inomhanya kumashure kwayo. Aya marudzi akasiyana etsinga dze brachiocephalic anoitika muvana vangangoita 1 pavana 250. Kana aya marudzi akasiyana ari iwo ega aripo, kureva kuti, kana pasina chimwe chirwere chemwoyo, haawanzo kukonzera kukuvara. Asi kazhinji shanduko idzi dzinoonekwa muvana vane chirwere chemwoyo chekuzvarwa nacho (CHD) . Zvimwe zvezvirwere izvi ndeizvi:

• Mhando dzeAortic Arch, dzakadai seDouble Aortic Arch.
• Maburi ari pakati peatria kana pakati peventricles (Atrial Septal Defects kana Ventricular Septal Defects)
• Kubatanidzwa kweAorta.
• Tetralogy of Fallot (zvichida ne pulmonary atresia).
• Kudzoka Kwese Kwetsvina Yemapapu Asina Kunaka.
• Truncus Arteriosus. (Or: Truncus Arteriosus).

Zvinenge 60% zvezviitiko izvi zvine CHD isina kunyanya kuoma. Zvisinei, vamwe vacheche vanogona kunge vaine CHD yakanyanya iyo inoda kurapwa kana kuvhiyiwa.

Sei shanduko idzi dzichikosha?

Kuchinja uku kwechimiro mutsinga dze brachiocephalic kwakakosha zvikuru kana uchida kuvhiyiwa kana kuvhiyiwa kwakati. Semuenzaniso:

• Kana zvakabatana nemuchina wecardiopulmonary bypass (muchina wemwoyo nemapapu).
• Pakuisa pacemaker .

Chikonzero cheizvi ndechekuti kana ukaita zvinhu zvakaita seizvi, mitsipa yako ye brachiocephalic kana nzvimbo dzakapoteredza zvinogona kukanganiswa. Saka, chiremba wako achaita zvinhu zvakaita se "Miedzo yeKufungidzira" kuti atarise chimiro chemuviri wako asati aita chimwe chinhu chakadai. Zvadaro, vachagadzirisa pavanenge vachiita oparesheni kana maitiro sezvinodiwa.

Ndezvipi zvirwere zvinokanganisa tsinga ye brachiocephalic?

Kune zvimwe zvirwere zvinogona kukanganisa tsinga ye brachiocephalic:

• Matambudziko eCentral Venous Catheter: Dzimwe nguva vanachiremba vanoshandisa tsinga yako yebrachiocephalic kuti vasvike pakati petsinga. Izvi zvinoreva kuti chubhu yakatetepa, inochinjika inopinzwa mutsinga iyi kuti ikupe mvura kana mishonga. Matambudziko anogona kuitika neizvi anosanganisira kubooka kwetsinga kana deep vein thrombosis yemucheto wepamusoro. Kashoma, zvinhu zvakaita sepseudoaneurysms zvinogonawo kuitika.
• Stenosis: Mamwe marapirwo ekurapa anogona kukonzera kuti tsinga iyi itete. Semuenzaniso, kana uri pa dialysis , chiremba wako anogona kugadzira arteriovenous fistula (rudzi rwetsinga yeropa inobatanidza tsinga netsinga) kuti dialysis ive nyore. Izvi zvinowanzo sanganisira tsinga ye brachiocephalic. Vein stenosis idambudziko risingawanzoitiki rekuita uku.
• Matumbu: Matumbu ekutanga epakati pemuviri anogona kukonzera kuti tsinga iyi ibunduke uye ivhare kufamba kweropa, kana kuti anogona kukonzerwa nekenza yemazamu yakapararira kune dzimwe nhengo dzemuviri.

Vanachiremba vanoshandisa bvunzo dzipi kuti vaongorore tsinga iyi?

Vanachiremba vanogona kushandisa bvunzo dzakadai kuti vaongorore matambudziko ane tsinga dze brachiocephalic, dzakadai se:

• Ultrasound yeDuplex
• Kuskena kweCT `(Computed Tomography - CT Scan)`
• Kuskena kweMRI `(Kufungidzira Magadzirirwo Emagetsi - MRI )`
• Venogram (ongororo yakakosha yeX-ray yetsinga)

Saka tingachengetedza sei tsinga iyi ye brachiocephalic iine hutano?

Nekutevera mararamiro ane hutano hwemwoyo, unogona kuchengetedza tsinga dzako dzese dzeropa, kusanganisira idzi tsinga dze brachiocephalic, dzichishanda zvakanaka. Heano mamwe matipi:

• Rega kusvuta uye zvese zvinogadzirwa nefodya. Izvi zvakakosha zvikuru.
• Inwa mvura yakawanda. Kunwa mvura yakakwana pazuva kwakanakira muviri zvikuru.
• Idya chikafu chine hutano mumoyo.Izvi zvinobatsira kudzora BP yako, huwandu hwecholesterol, uye huremu hwemuviri.
• Enda unofamba-famba. Edza kufamba kwemaminitsi makumi matatu kwemazuva mashanu pasvondo. Asi iva nechokwadi chekuti wataura nachiremba wako usati watanga maekisesaizi matsva.
• Famba-famba zvishoma mukati mezuva. Kumbozorora zvishoma kubva pakugara wakadzikama uye kufamba-famba kwemuviri wako kunobatsira kuvandudza kutenderera kweropa.

Pakupedzisira, zvinhu zvekurangarira

Tsinga yako ye brachiocephalic chikamu chakakosha kwazvo chehurongwa hweropa rako. Ndiyo inotakura ropa rakapera oxygen kubva mumuviri wako wepamusoro kudzokera kumoyo wako. Saka, zvakakosha kuita zvese zvaunogona kuti tsinga yako ye brachiocephalic, pamwe nedzimwe tsinga dzako dzese, dzirambe dziine hutano.

Kutevedzera tsika dzinobatsira mwoyo kunogona kubatsira tsinga dzako kushanda zvakanaka kwemakore anotevera. Taura nachiremba wako nezvekuchinja kwaunogona kuita pamaitiro ako ezuva nezuva. Iye anogona kukupa mazano akanakisisa kwauri.

Saka, ndinovimba ruzivo urwu rwakakubatsira. Kuziva nezvemaitiro aya anoshamisa ari mumiviri yedu kunoita kuti tide kuchengetedza hutano hwakanaka, handiti?