Munofunga nezvenzira yeropa iri mumuviri wedu senzira yemigwagwa muguta guru here? Mimwe migwagwa mikuru, mimwe midiki. Asi migwagwa iyi yese yakabatana. Saka nhasi tichataura nezve 'mugwagwa mukuru' unokosha kwazvo unofamba muchikamu chepamusoro chemuviri wedu, kunyanya pasi pegokora. Ndiyo Subclavian Vein.
Chii chinonzi Subclavian Vein?
Zvichitaurwa zviri nyore, tsinga ye subclavian itsinga huru, yakadzika inotakura ropa risina oxygen, rakazadzwa netsvina kubva kumusoro kwemuviri wako (senge maoko ako, musoro, nemutsipa) kudzokera kumoyo. Tine tsinga mbiri idzi kumativi ese emuviri wedu. Iro riri kurudyi rinounza ropa kuruoko rwerudyi nepamusoro pemuviri, uye iro riri kuruboshwe rinounza ropa kuruboshwe.
Kutenderera kweropa mumuviri wedu inzira inoshamisa zvikuru. Kubva pamwoyo, ropa rakachena, rine okisijeni rinofamba nemutsinga dzeropa kuenda kumuviri wese. Mushure meizvozvo ropa rinopa nhengo okisijeni nezvinovaka muviri zvavanoda, basa retsinga nderekuunganidza ropa rinodzoka nemarara uye kuridzosera kumoyo. Saka, iyi tsinga ye subclavian inhanho yakakosha zvikuru murwendo irworwo rwekudzoka.
Fungidzira nezvazvo semigwagwa miviri yakatarisana ine motokari dzinofamba nenzira imwe chete. Mugwagwa mumwe (subclavian artery) unotakura ropa kubva pamoyo kuenda kuruoko. Mumwe mugwagwa (subclavian vein), wakatarisana nawo, unotakura ropa kubva paruoko kudzokera kumoyo.
Mutsinga uyu uri kupi?
Tsinga dzese idzi dziri pasi pebhonzo remusana (clavicle). Kutaura chokwadi, tsinga iyi inotangira pedyo nefudzi, pamusoro pechipfuva, yokombamira yakananga kumoyo.
Kuti unzwisise izvi zviri nyore, fungidzira uine 'm' hombe yakadhirowewa pachipfuva chako. Nhengo mbiri dziri pamusoro pe 'm' iyi ndidzo tsinga mbiri dzemusana.
- Funga nezvemitsara miviri (inobva mumaoko) iri pamucheto webhuraiti 'm' semitsipa yekwapa .
- Makomo maviri anokwira pamusoro pemitsara miviri iyoyo ndiwo mitsipa ye subclavian .
- Mitsetse miviri yakakombama inoburuka kubva pamisoro miviri iyoyo ndiyo mitsipa ye brachiocephalic .
- Pakupedzisira, padzinodzika kubva pakati pebhii 'm', tsinga mbiri idzi dzinobatana kuti dzigadzire tsinga huru inonzi Superior Vena Cava , iyo inotakura ropa zvakananga kumoyo.
Kana tichitarisa nzira iyi, tsinga yemusana we subclavian yakaita senzira yekupinda mumugwagwa mukuru sezvo ropa richibva mumaoko nemumusoro richifamba kuenda kumoyo.
Kukosha kwetsinga ye subclavian mukurapa
Pamusoro pekutakura ropa, tsinga ye subclavian inokosha zvikuru mune dzimwe nzira dzekurapa.
- Kupinda Kwepakati Kwemitsipa Yeropa:Dzimwe nguva, kunyanya muchikamu chevarwere vanorwara zvakanyanya (ICU), varwere vanofanira kuramba vachiwana mvura kana mishonga. Vanachiremba vanoisa chubhu tete inonzi catheter kuburikidza netsinga ye subclavian, pedyo nemoyo. Izvi zvinonzi "central line." Izvi zvinopa mushonga mutsinga huru, saka unonyudzwa nekukurumidza mumuviri.
- Waya dzemuchina wekubatsira kurova kwemoyo: Vamwe varwere vane kurova kwemoyo kusina kurongeka vanoisirwa mudziyo unonzi pacemaker . Dzimwe nguva tsinga yemutsinga inoshandiswa kuendesa waya dzemuchina uyu kumoyo.
Asi unofanira kungwarira zvikuru pakuita zvinhu zvakaita seizvi. Nekuti dzimwe nguva matambudziko anogona kuitika. Semuenzaniso, kubuda ropa, hutachiona, kurova kwemoyo zvisina kurongeka (Arrhythmia) , kuvharika kweropa mutsinga (Venous Thrombosis) , uye kukuvara kwemapapu (Pneumothorax) . Saka, vanachiremba vane hunyanzvi muchikamu ichi chete ndivo vanogona kuita zvinhu izvi.
Ndezvipi zvirwere zvinokanganisa tsinga ye subclavian?
Kune zvirwere zvakawanda zvinogona kukanganisa tsinga iyi, uye zvakakosha kuziva nezvazvo.
| Mamiriro | Zvichitaurwa zviri nyore... | Zvinokanganisa ani uye Zviratidzo |
|---|---|---|
| Kudzikira kweThrombosis yeMutsinga Wakadzika (DVT) | Apa ndipo panoumbwa ropa rakagwamba mutsinga yakadzika, senge subclavian vein, richivhara tsinga. DVT inowanzo itika mumakumbo, asi inogonawo kuitika kumuviri wepamusoro. | Vanhu vane mitsetse yepakati vari panjodzi huru. Kana ropa iri rikabuda rovhara tsinga mumapapu, zvinogona kukonzera chirwere chine njodzi chinonzi pulmonary embolism . Zviratidzo: Kuzvimba kweruoko, kurwadziwa kana kunzwa kuremerwa muruoko. |
| Chirwere chePaget-Schroetter | Iyi imhando yeDVT zvakare. Zvisinei, inoitika nekuda kwekushanda nesimba zvakanyanya kana kufamba-famba kakawanda. Inonziwo "Effort Thrombosis". | Zvinowanzoitika kuvanhu vane makore ari pakati pe15 ne45 vanoita mitambo (semuenzaniso, kushambira, baseball) kana kusimudza zvinhu zvinorema kubasa. Dambudziko iri rinogona kukonzerwa nekufamba-famba kakawanda, sekusimudza ruoko pamusoro. Zviratidzo: kuzvimba, kurwadziwa, uye kusviba kweruoko. |
Zviri kudiwa here? (or) Zviri kudiwa here kana kuti zvinonetsa?
Kana uine chimwe chezviratidzo zvataurwa pamusoro apa, usazviregeredza. Zvingave zvekukurumidzira kurapwa. Enda kuchipatara cheEmergency Department (ETU) nekukasika. Kurapwa nekukurumidza kunogona kudzivirira matambudziko ane njodzi.
Tingachengetedza sei tsinga dzedu dziine hutano hwakanaka?
Pane zvimwe zvinhu zviri nyore zvatinogona kuita kuti tisangochengetedza tsinga ye subclavian chete, asiwo dzimwe tsinga dzose dziri mumuviri wedu dzive dzakagwinya.
- Ita kuti kufamba kuve tsika yako: Edza kufamba kwemaminitsi makumi matatu pazuva, mazuva mashanu pasvondo. Izvi zvichavandudza kutenderera kweropa mumuviri wese.
- Usarambe wakamira panzvimbo imwe chete: Kana ukagara kana kumira panzvimbo imwe chete kwenguva yakareba, simuka ufambe-fambe kanenge kamwe chete paawa, zvichiita kuti muviri wako ufambise zvishoma.
- Idya chikafu chine hutano pamoyo: Idya chikafu chakaringana chinogona kubatsira kudzora BP, cholesterol, uye huremu hwemuviri.
- Inwa mvura yakawanda: Kunwa mvura inodiwa nemuviri wako kunobatsira zvikuru pakufamba kweropa.
- Usaregeredza kunyange chiratidzo chidiki diki: Kana uchinzwa kuzvimba kusingawanzoitiki, kurwadziwa, kana kurema muruoko rwako, gumbo, kana chero kupi zvako, usazviregeredza sezvinhu zvidiki. Ona chiremba wako nekukasika kuti akupe mazano. Kana ukaona dambudziko nekukurumidza, unogona kudzivirira matambudziko makuru kuti asaitike.
Mharidzo Yekuenda Nayo Kumba
- Tsinga ye subclavian itsinga inokosha zvikuru iri pasi pebhonzo rako inotakura ropa kubva paruoko rwepamusoro kuenda kumoyo.
- Pamusoro pekutenderera kweropa, inoshandiswawo pakurapa senge central lines uye pacemakers.
- Kuzvimba kwetsinga yakadzika (DVT) chirwere chine njodzi. Kuzvimba kamwe kamwe, kurwadziwa, kana kusviba kweruoko zvinogona kuva zviratidzo zvedambudziko.
- Mararamiro ane hutano (kufamba, kudya zvakanaka, kunwa mvura yakawanda) zvinogona kuchengetedza hutano hwetsinga dzako dzese.
- Kana ukaona chero shanduko dzisinganzwisisike kana zviratidzo mumuviri wako, usambozeza kutaura nachiremba wako nezvazvo.
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