Muviri wedu muchina unoshamisa zvikuru, handiti? Mukati memuchina uyu, mune zvikamu zvidiki zvakawanda zvatisingazive nezvazvo, asi zvinoita basa rakakosha zvikuru. Saka, nhasi tichataura nezvetsinga inokosha zvikuru yakavanzwa muchipfuva chedu. Pamwe hamusati mambonzwa nezvezita iri. Ndiyo tsinga inonzi Internal Thoracic Vein.
Zvichitaurwa zviri nyore, chii chinonzi Internal Thoracic Vein iyi?
Funga nezvehurongwa hwemitsipa yeropa mumuviri wedu senzira yemigwagwa. Mimwe yemigwagwa iyi yakaita semigwagwa mikuru, nepo mimwe yakaita semigwagwa midiki yemumusha. Saka iyi Internal Thoracic Vein itsinga mbiri dzakakosha dziri muchipfuva chedu. Kune mbiri dzadzo, imwe kurudyi kwemuviri wedu uye imwe kuruboshwe.
Basa guru retsinga idzi nderekuunganidza ropa risina kuchena, kureva ropa rine mwero weokisijeni wakaderera, kubva munyama dzechipfuva chedu nemazamu edu toridzosera kumoyo. Tsinga idzi dzinozodzosera ropa rakaunganidzwa kumoyo kuti richeneswe.
Ngatizviyeuchidzei muchidimbu musiyano uripo pakati petsinga netsinga dzeropa.
Kuti tinzwisise hurongwa hwedu hweropa, zvakakosha kuti tinzwisise zvishoma nezvetsinga netsinga dzeropa.
- Tsinga dzeropa: Idzi ndidzo tsinga huru dzinotakura ropa rakachena, rine oxygen uye rine zvinovaka muviri kubva pamoyo kuenda kunhengo dzese dzemuviri. Zvakafanana nemapombi makuru anotakura mvura kubva mutangi guru reguta kuenda kudzimba.
- Tsinga: Idzi ndidzo tsinga dzinotakura ropa risina kuchena uye rakapera oxygen kudzokera kumoyo, pamwe chete netsvina necarbon dioxide, zvasara kubva pakushanda kwenhengo dzakasiyana dzemuviri. Kungofanana nehurongwa hwemvura inoburitsa mvura yakasviba kubva mudzimba.
Saka, Mutsinga wemukati wechipfuva watiri kutaura nezvawo nhasi unowo chikamu chakakosha kwazvo chehurongwa hwemitsipa.
| Rudzi rwetsinga yeropa | Basa riri kuitwa | Ropa rinotakurwa |
|---|---|---|
| Mitsipa yeropa | Inotakura ropa kubva pamoyo kuenda kune dzimwe nhengo dzemuviri. | Ropa rakachena uye rakapfuma muokisijeni. |
| Tsinga | Inodzosa ropa kumoyo kubva muzvikamu zvemuviri. | Okisijeni shoma, ropa risina kuchena. |
Mutsinga uyu uri kupi? Unoshanda sei?
Tsinga iyi iri mukati mechipfuva chedu, pedyo zvikuru nesternum. Haisi yega, asi tsinga inonzi Internal Thoracic Artery inofambawo pamwe chete netsinga iyi.
Zvino ngationei kuti izvi zvinoshanda sei. Fungidzira kuti nzizi diki dzinobatana kuti dzigadzire rwizi diki, uye nzizi dzakawanda dzakadaro dzinobatana kuti dzigadzire rwizi rukuru. Kutenderera kweropa mumuviri wedu kwakafanana.
1. Danho rekutanga: Ropa risina kuchena rinoungana mugwara riri pakati pembabvu dzedu nemutsinga diki (senge tsinga dzemukati medumbu) dzinobva munyama dzemukati mechipfuva.
2. Danho rechipiri: Ropa rese rinounganidzwa kubva mutsinga diki idzi rinouya robatana neInternal Thoracic Vein yatiri kutaura nezvayo. Tsinga diki idzi dzakaita se "matavi" anobatanidza tsinga huru.
3. Danho Rechitatu: Zvadaro, Mutsinga wePakati peChipfuva unotora ropa rese iri rakaunganidzwa woridururira mutsinga hombe inonzi brachiocephalic vein .
4. Danho rekupedzisira: Pakupedzisira, ropa rinobva mutsinga iyi yeropa rinobatana neSuperior Vena Cava , tsinga huru inotakura ropa kubva mumuviri wedu wepamusoro, uye kubva ipapo rinoenda kuatrium yekurudyi yemoyo (kurudyi kwemoyo wako). Rinobva ratumirwa kumapapu uko rinoiswa oxygen uye rinocheneswa zvakare.
Zvichitaurwa zviri nyore, Mutsinga wemukati wechipfuva itsinga inokosha yepakati inounganidza ropa risina kuchena kubva munzvimbo yechipfuva yoriendesa kunzira huru inoenda kumoyo.
Tsinga iyi inotaridzika sei uye yakaita sei?
Tsinga iyi inowanzova nedhayamita inosvika 2-3 mm. Iyoyo inenge saizi yemuromo wepenzura ine ruvara . Asi chinoshamisa ndechekuti, chimiro chetsinga iyi hachina kufanana kune wese munhu.
- Mune vamwe vanhu, Mutsinga wemukati wechipfuva uri kuruboshwe unopatsanuka kuita zvikamu zviviri pakati pembabvu yechitatu neyechina.
- Kunyange zvazvo vamwe vanhu vaine tsinga imwe chete kurudyi, mune dzimwe inogona kupatsanuka pakati pembabvu yechipiri neyechina.
Kuchinja kwakadai kwakajairika, hachisi chirwere.
Kufanana nedzimwe tsinga, madziro etsinga iyi akaumbwa nezvikamu zvitatu zvikuru:
- Rutivi rwemukati: Rwakagadzirwa nemasero anoburitsa makemikari anobatsira kuti tsinga ibatane uye ikure.
- Chikamu chepakati: Chakagadzirwa netsandanyama dzakatsetseka. Izvi zvinoita kuti tsinga yacho igone kuchinjika.
- Rutivi rwekunze:Dzakagadzirwa nematishu akabatana akadai secollagen ne elastin. Izvi zvinoita kuti tsinga yacho irambe yakasimba uye ichipfava.
Ndezvipi zvinetso zvehutano zvinogona kukanganisa tsinga iyi?
Nekuti tsinga iyi iri mukati mechipfuva, inogona kukuvara mune dzimwe nguva. Ngationei kuti ndeapi mavanga iwayo.
| Kugona kuitika kwedambudziko | Chii chingaitika? |
|---|---|
| Kukuvara pachipfuva | Kana mbabvu ikatyoka nekuda kwekurohwa zvakanyanya pachipfuva, senge mutsaona, tsinga yemukati mechipfuva inofamba nepairi inogona kukuvara. |
| Kudzvinyirirwa kwetsinga | Dzimwe nguva tsinga iyi inogona kumanikidzwa netsandanyama kana mapfupa akaipoteredza, izvo zvinogona kukonzera chirwere chinonzi Thoracic Outlet Syndrome . |
| Panguva yekurapwa | Munguva dzekurapa, dzakadai se pericardiocentesis , iyo inobvisa mvura yakawandisa yakakomberedza moyo, tsinga iyi inogona kubatwa netsaona. Asi vanachiremba vava kushandisa matekinoroji akadai se ultrasound scans kudzivirira izvi kuti zvisaitike. |
Ndezvipi zviratidzo zveThoracic Outlet Syndrome?
Kana izvi zvikaitika, unogona kuona zviratidzo zvakaita seizvi:
- Kuneta kwakanyanya mumaoko.
- Kuzvimba kwemaoko, zvanza, kana minwe.
- Kushaya simba mumaoko kana mumutsipa.
Kana uine zviratidzo zvakadai, zvakakosha kuti uone chiremba wako uye uwane mazano.
Chiremba anoona sei kana paine dambudziko?
Kana uine zviratidzo zvakafanana neThoracic Outlet Syndrome, kana kuti uchifungidzira kuti pane rimwe dambudziko rekufamba kweropa, chiremba wako anogona kukurudzira mimwe miedzo, yakaita se:
- X-ray yechipfuvaBvunzo.
- Kuongororwa kweCT .
- Kuongororwa kweMRI (MRI) .
- Kuongororwa kwakakosha, kwakadai se arteriogram kana venogram , kunosanganisira kubaya dhayi chaiyo mutsinga uye kushandisa X-rays kuongorora kuti ropa rinoyerera sei.
Chiremba anogona kuziva mamiriro etsinga dzako mushure mekuongororwa uku chete.
Uri kuitei sekurapwa?
Kana dambudziko rikaonekwa, chiremba anogona kunyora mimwe mishonga yekudzoreredza kuyerera kweropa uye kunyungudutsa mabundu eropa.
- Mishonga inorwisa ropa kuti risagwambe: Iyi mishonga inowanzonzi inodzikisa ropa. Inoshanda nekudzivirira ropa kuti risagwambe.
- Mishonga yeThrombolytic: Iyi inoshanda nekunyungudutsa nekubvisa madomasi eropa akatoumbwa.
Chinhu chinonyanya kukosha ndechekuti mishonga yese iyi inofanira kungotorwa chete kana chiremba akuudza . Kutora mishonga wega kunogona kuva nemigumisiro ine njodzi.
Chii chatingaita kuti tsinga dzedu dzeropa dzirambe dziine hutano?
Zvakakosha kuchengetedza tsinga dzese dziri mumuviri wedu dzakagwinya, kwete chete tsinga yemukati mechipfuva. Heano zvimwe zvinhu zviri nyore zvaunogona kuita kuti uite izvozvo.
- Dzora BP yakakwira: Kana uine BP yakakwira, tevera mirairo yachiremba wako.
- Idya chikafu chine hutano: Idya miriwo yakawanda, michero, uye miriwo. Deredza mafuta, munyu, uye shuga.
- Rovedza muviri nguva dzose: Ita chimwe chinhu chakadai sekufamba kana kumhanya kwemaminitsi makumi matatu pazuva.
- Inwa mvura yakawanda: Kunwa mvura inodiwa pazuva kunobatsira kutenderera kweropa.
- Rega kusvuta uye kushandisa fodya: Izvi zvinokuvadza zvikuru mitsipa yeropa.
Kuchinja mararamiro aya kuri nyore kunobatsira zvikuru kuchengetedza kufamba kweropa mumuviri wako wese.
Mharidzo Yekuenda Nayo Kumba
- Tsinga yemukati mechipfuva itsinga mbiri dzinokosha zvikuru, asi dzisinganyanyi kutaurwa nezvadzo, dzinounganidza ropa risina kuchena kubva pamadziro echipfuva nemazamu edu dzoridzosera kumoyo.
- Tsinga iyi inokosha pakushanda zvakanaka kwehurongwa hwedu hwese hweropa.
- Tsinga iyi inogona kukuvara netsaona, mamwe mamiriro ehutano (akadai seThoracic Outlet Syndrome), kana nzira dzekurapa.
- Kana ukaramba uchizvimba, usisina simba, kana kuneta zvakanyanya mumaoko ako, usazviregeredza wobva waona chiremba nekukasika.
- Kutevedzera mararamiro ane hutano ndiyo nzira yakanakisisa yekuchengetedza tsinga yako yemukati mechipfuva, sezvakaita tsinga dzako dzese, ine hutano.
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