Ngatidzidzei nezve Subclavian Artery, imwe yetsinga dzinotakura ropa kumapfudzi ako, mutsipa, nemusoro!

Mhoroi! Wakambozvibvunza here kuti maoko ako, mutsipa, nezvimwe zvikamu zvemusoro wako zvinowana sei ropa? Miviri yedu ine sisitimu inoshamisa yetsinga dzeropa. Nhasi tichataura nezveimwe yezvikamu zvakakosha, asi pamwe zvisingataurwi zvakanyanya, zvesisitimu iyoyo. Ndiyo tsinga ye subclavian .

Chii chinonzi subclavian artery? Chii chinoita kuti ishande?

Zvichitaurwa zviri nyore, tsinga dzako dzemudumbu dziri pasi peganda (subclavian arteries) itsinga mbiri huru dzeropa dzinotakura ropa rakawanda reokisijeni kubva pamoyo wako kuenda kumuviri wako wepamusoro, kusanganisira maoko ako, mutsipa, nemusoro. Funga nezvadzo semapombi maviri makuru anotakura mvura kubva mutangi remvura kuenda kumba kwako. Dziri pasi pemabhonzo ako emudumbu (anonzi maclavicle), rimwe riri kudivi rimwe nerimwe. Kune maviri kurudyi uye maviri kuruboshwe.

Saka, basa guru reiyi subclavian artery nderekuendesa ropa rine oxygen kubva pamoyo kuenda kumusoro, mutsipa, nemaoko. Basa rakakosha zvikuru, handiti?

Tinogona kunzwisisa basa rayo nekukamura tsinga iyi yeropa kuita zvikamu zvitatu:

• Chikamu chekutanga chinotumira ropa kuzvikamu zvechipfuva chako, gland re thyroid , uye Circle of Willis, iyo system huru inopa ropa kuuropi.
• Chikamu chechipiri chinoenda kuzvikamu zvemutsipa wako zvinonzi costocervical trunks .
• Chikamu chechitatu , chinova chikamu chiri kure zvishoma nekwatangira tsinga iyi yeropa, chinopa ropa mumaoko ako. Izvi zvinoreva kuti ropa rinoenda kune zvese kubva kumakumbo ako emuviri, tsandanyama dzemakumbo emakumbo, tsandanyama dzepafudzi, tsandanyama dzeruoko, nezvimwewo.

Mutsinga we subclavian uri kupi chaizvo?

Sezvatakambotaura, tsinga dzese idzi dziri pasi pemabhonzo ako emusana (the `clavicles`). Zvisinei, tsinga yeruboshwe yesubclavian artery netsinga yerudyi yesubclavian artery zvinotanga zvakasiyana zvishoma.

• Tsinga yeropa iri kurudyi iri kurutivi rwako rwerudyi inotanga netsinga yeropa inonzi brachiocephalic artery yako.
• Tsinga yeruboshwe ye subclavian iri kuruboshwe rwako inotanga zvakananga kubva pa arch ye aorta yako huru, aortic arch .

Mitsipa miviri iyi yeropa inofamba ichibva pakati pemuviri wako, ichipinda mutsandanyama mbiri dziri mumutsipa wako dzinonzi "tsandanyama dzeanterior nepakati dzescalene." Dzinotambanukira kusvika kumbabvu yako yekutanga, uye kubva ipapo dzinova "tsinga dzeaxillary," dziri tsinga dzeropa dzinofamba dzakananga pasi peruoko rwako.

Mitsipa iyi ye subclavian inopatsanuka kuita matavi madiki. Inokoshawo zvikuru:

• Mitsipa yeropa yemusana: Iyi inopa ropa kuzvikamu zveuropi hwako netsinga yeropa . Mitsipa yeropa iyi inowanzova pakati pemamirimita matatu neshanu mudhayamita.
• Mitsipa yeropa yemukati mechipfuva: Iyi inopa ropa kupericardium , pfupa repachipfuva, diaphragm , madziro echipfuva, uye zvimwe zvikamu zvemadziro edumbu. Iyi mitsipa midiki yeropa ine dhayamita inosvika 2 mm. Dzimwe nguva vanachiremba vanoshandisa tsinga yeropa yemukati mechipfuva yekuruboshwe pakuisa tsinga yeropa muropa .
• Mitsipa yemusana yeDorsal scapular: Iyi inopa ropa kumhasuru dzemusana wako wekumusoro uye inotsigira maoko ako nemapfudzi ako.
• Huru yemutsinga wechibereko: Izvi zvinomhanya zvichikwira kumativi emutsipa wako zvopa ropa kumutsipa wako nemapfudzi.
• Chipfuko chemudumbu cheCostocervical: Chiripowo kumativi ese emutsipa uye chinotumira ropa mumaoko ako, mumutsipa, nemumusoro.

Iyi tsinga yemutsinga yemutsinga yemutsinga yemutsinga yemutsinga yakakura sei? Yakagadzirwa nei?

Dhayamita yetsinga yako yemutsinga ye subclavian, kana kuti upamhi hwechikamu chayo chepakati, iri pakati pe 0.7 ne 1.0 centimeters (isingasviki hafu ye inch). Idiki, asi inoita basa rakawanda, handiti?

Kufanana nedzimwe tsinga dzeropa, tsinga yako ye subclavian yakagadzirwa nezvikamu zvitatu zvikuru.

1. Rutivi rwemukati (Tunica Intima): Rutivi urwu rwakagadzirwa nerutivi rutete uye runochinjika rwemasero. Runobatsira kuti ropa rifambe zvakanaka.

2. Chikamu chepakati (Tunica Media): Ichi chikamu chetsandanyama. Ichi ndicho chinoita kuti tsinga dzeropa dzikwanise kukwenya nekudzika. Chinobatsirawo kudzora BP.

3. Chivharo chekunze (Tunica Adventitia): Ichi chivharo chakasimba chakagadzirwa nemasero matete, anochinjika. Chinodzivirira tsinga dzeropa.

Ndezvipi zvirwere zvinowanzo kanganisa tsinga ye subclavian?

Zvinosuwisa kuti kunyange subclavian artery, iyo inoita basa rakakosha kudaro, inogona kukura zvimwe zvirwere. Ngatitarisei zvimwe zvezvirwere zvikuru:

• Atherosclerosis: Vanhu vazhinji vakanzwa nezvazvo. Muchidimbu, idambudziko iro mafuta necholesterol zvinoungana mukati metsinga dzeropa (tinoti `plaque` ) zvovhara tsinga dzeropa. Zvakafanana nengura inovhara pombi yemvura. Kana izvi zvikaitika mutsinga ye subclavian, zvinovhara kuyerera kweropa.
• Chirwere cheThoracic Outlet: Mumamiriro ezvinhu aya, tsinga yemutsinga ye subclavian inova yakatetepa ( stenosis) nekuda kwekumanikidzwa kubva kumapfupa, tsandanyama, kana mamwe matishu akakomberedza.) kuchinja. Ipapo huwandu hweropa rinoenda mumaoko hunogona kudzikira.
• Takayasu's arteritis: Iyi imhando ye vasculitis . Inokonzera kuzvimba, kana kuzvimba, kwetsinga ye subclavian, izvo zvinogona kuderedza huwandu hweokisijeni hunosvika mumusoro, mumutsipa, kana mumaoko.
• Subclavian Steal Syndrome: Izvi zvinowanzokonzerwawo ne atherosclerosis . Chinoitika pano ndechekuti tsinga ye subclavian inova yakatetepa ( stenosis ), uye rimwe ropa rinofanira kuenda kuuropi riri "kuba" kubva paruoko. Ndosaka richinzi "kuba."

Ndezvipi zviratidzo zvedambudziko retsinga ye subclavian? Unozviziva sei?

Kana paine dambudziko netsinga yemutsinga ye subclavian, zviratidzo zvinogona kusiyana zvichienderana nechirwere chiri kuibata. Zvisinei, kune zvimwe zviratidzo zvinowanzoonekwa:

• Kumanikidzwa kweropa muruoko rumwe kwakaderera zvakanyanya pane mune rumwe ruoko.
• Kuchinja kweruvara rwemaoko kana minwe (sekunge bhuruu kana kuti chena).
• Kushaya simba, kurwadziwa, kushaya simba , kana kungonzwa chimwe chinhu muruoko.
• Kuzvimba kweruoko.
• Maoko haagoni kushivirira kutonhora .
• Kunzwa dzungu .
• Dzimwe nguva fivha inogona kuitika (kunyanya kana paine kuzvimba kwakadai seTakayasu's arteritis).
• Kufenda (kunyanya mumamiriro ezvinhu akaita se 'Subclavian Steal Syndrome').

Ndedzipi bvunzo dzinoitwa kuti dziongorore hutano hwetsinga ye subclavian?

Kana uine zviratidzo zvakaita seizvi, paunoona chiremba, angangoita bvunzo.

• Kutanga, tinoyera BP yemaoko ese . Tinogona kuona kana paine musiyano mukuru.
• Kuongororwa kwetsinga dzeropa : Iyi bvunzo iri nyore, isingarwadzi inogona kutarisa kufamba kweropa mutsinga dzeropa uye kana paine kuvharika kwaro.
• X-ray yechipfuva .
• Kuongororwa kweCT .
• Bvunzo reMRI (Magnetic Resonance Imaging - MRI) .
• Kufamba kweAddison : Iyi bvunzo yekutarisa Thoracic Outlet Syndrome . Tsandanyama dzescalene dziri mumutsipa wako dzakatambanudzwa uye radial pulse iri muruoko rwako inoongororwa kuti haina kuderera here.
• AngiogramBvunzo: Iyi inzira isingawanzoitiki. Chinhu chakakosha chinopinzwa mutsinga dzeropa uye X-ray inotorwa.

Ndeipi mishonga yekurapa matambudziko etsinga dze subclavian?

Mashoko akanaka ndeekuti kana tsinga yeropa iri pasi pemusana ikavharika kana kuti ikavharika, pane nzira dzekurapa kuti idzorerwe zvakanaka. Vanachiremba vanoshandisa nzira dzakasiyana-siyana kuti vavhurezve tsinga iyi yeropa. Kurapa kunosiyana zvichienderana nemamiriro ezvinhu.

Chirwere chetsinga dzemutsinga dzemutsinga dzemutsinga dzemutsinga (chinokonzerwa ne 'atherosclerosis')

• Aspirin nemishonga inoderedza cholesterol .
• Angioplasty : Izvi zvinosanganisira kuisa bharumu diki mutsinga yeropa woiputira panzvimbo yakavharika, wobvisa plaque yakaungana pamadziro etsinga. Stent , chimiro chidiki chakaita semesh, chinogona kuiswa munzvimbo iyi kudzivirira kuvharika kwacho kuti kusadzokorore.
• Kuvhiya kweBypass inzira yekuvhiya inogadzira nzira itsva yekuti ropa riyerere richitenderedza kuvharika kweropa.

Chirwere cheTsamba Chinobuda Mudumbu

• Kurapa muviri : Izvi zvinoreva kuita zvinhu zvakaita sekurovedza muviri kuti uderedze kumanikidzwa.
• Mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs) : Inoderedza marwadzo nekuzvimba.
• Mishonga yeThrombolytics kana kuti "mishonga inobvisa ropa rakagwamba"
• Mishonga Inorwisa Kugwamba Kweropa : Mishonga inopiwa kudzivirira kugwamba kweropa.
• Kuvhiyiwa kunoitwa kubvisa chikonzero chekuvharika kwetsinga dzeropa.

Kurwara kweTakayasu

• Corticosteroids : Deredza kuzvimba.
• Mishonga inodzvinyirira immune system .
• Kuvhura tsinga yeropa kuburikidza nekuvhiyiwa kana angioplasty .

Chirwere cheSubclavian Steal

• Kurapa kweAntiplatelet : Kudzivirira maplatelet eropa kuti asaungane pamwe chete oita macolting eropa.
• Mishonga Inorwisa Kubuda Kweropa : Inodzivirira kuumbwa kweropa rakagwamba.
• Kuvhiyiwa kweBypass kana Angioplasty .

Ndezvipi zvimwe zvinhu zviri nyore zvatingaita kuti tsinga ye subclavian irambe iine hutano?

Sezvaunochengetedza mwoyo wako nehurongwa hwese hwemwoyo, unofanirawo kuchengetedza tsinga yako yeropa iri pasi peganda. Kutevera mazano aya kuchakubatsira zvikuru:

• Dzora BP yako uye huwandu hwecholesterol mumuviri wako . Ava ndivo vavengi vaviri vakuru vanokuvadza mitsipa yeropa.
• Dzivisa kushandisa fodya zvachose. Kusvuta kunokanganisa zvikuru mitsipa yeropa.
• Ita maekisesaizi emuviri nguva dzose . Kufamba-famba kwemaminitsi makumi matatu pazuva kwakanakawo zvikuru.
• Ramba uine huremu hwakanaka mumuviri . Kufuta kunowedzerawo kumanikidzwa kwetsinga dzeropa.

Saka, chinhu chekupedzisira chekurangarira ndechekuti...

Mutsinga weropa we subclavian artery wako unokosha zvikuru pamuviri wako wepamusoro, uchipa ropa rakakosha kuti ugare uine hutano hwakanaka. Kungofanana nemuti unoda mvura, maoko edu, mutsipa, nemusoro zvinoda ropa richiyerera nemutsinga iyi yeropa.

Kudya chikafu chine hutano uye kurovedza muviri nguva dzose kunogona kubatsira kuchengetedza kwete chete tsinga yako yemutsinga ...