Umzimba wethu ngumatshini omangalisayo kakhulu, akunjalo? Ngaphakathi kulo matshini, kukho iindawo ezininzi ezincinci esingazaziyo, kodwa zenza umsebenzi obaluleke kakhulu. Ngoko ke, namhlanje siza kuthetha ngomthambo obaluleke kakhulu ofihliweyo esifubeni sethu. Mhlawumbi awukaze uve ngeli gama ngaphambili. Lowo ngumthambo obizwa ngokuba yi-Internal Thoracic Vein.
Kalula nje, yintoni le mithambo yesifuba yangaphakathi?
Cinga ngenkqubo yemithambo yegazi emizimbeni yethu njengothungelwano lweendlela. Ezinye zezi ndlela zifana neendlela ezinkulu, ngelixa ezinye zifana neendlela ezincinci zasezilalini. Ngoko ke le Internal Thoracic Vein ikwayimithambo ebalulekileyo esifubeni sethu. Zimbini kwezi, enye ingasekunene komzimba wethu kwaye enye ingasekhohlo.
Umsebenzi ophambili wale mithambo kukuqokelela igazi elingcolileyo, oko kukuthi, igazi elineoksijini ephantsi, kwiithishu zodonga lwesifuba sethu nasemabeleni size silibuyisele entliziyweni. Le mithambo emva koko ibuyisela igazi eliqokelelweyo entliziyweni ukuze lihlanjululwe.
Masizikhumbuze ngokufutshane umahluko phakathi kwemithambo yegazi kunye nemithambo yegazi.
Ukuze siqonde inkqubo yethu yokujikeleza kwegazi, kubaluleke kakhulu ukuba nolwazi oluncinci ngemithambo yegazi kunye nemithambo yegazi.
- Imithambo yegazi: Le yimithambo emikhulu ethwala igazi elicocekileyo, elineoksijini nelityebileyo kwizakhamzimba ukusuka entliziyweni ukuya kuzo zonke iindawo zomzimba. Njengemibhobho emikhulu ethwala amanzi esuka kwitanki eliphambili lesixeko ukuya emakhaya.
- Imithambo: Le yimithambo ethwala igazi elingcolileyo neliphelelwe yioksijini elibuyela entliziyweni, kunye nenkunkuma kunye nekhabhoni dayokhsayidi, eshiyeke kwimisebenzi yamalungu ahlukeneyo omzimba. Njengenkqubo yokukhupha amanzi eqokelela amanzi angcolileyo ezindlwini.
Ngoko ke, i-Internal Thoracic Vein esithetha ngayo namhlanje ikwayinxalenye ebaluleke kakhulu yenkqubo yemithambo yegazi.
| Uhlobo lwemithambo yegazi | Umsebenzi owenziwayo | Igazi elithwalwa |
|---|---|---|
| Imithambo yegazi | Ithwala igazi lisuka entliziyweni liye kwezinye iindawo zomzimba. | Igazi elicocekileyo nelicebileyo ngeoksijini. |
| Imithambo yegazi | Ibuyisela igazi entliziyweni lisuka kwiindawo zomzimba. | Ioksijini ephantsi, igazi elingcolileyo. |
Iphi le vein? Isebenza njani?
Lo mthambo ungaphakathi esifubeni sethu, kufutshane kakhulu ne-sternum. Awuwodwa, kodwa umthambo obizwa ngokuba yi-Internal Thoracic Artery nawo uhamba ecaleni kwalo mthambo.
Ngoku masibone ukuba oku kusebenza njani. Khawuthelekelele ukuba imilambo emincinci idibana ukuze yenze umlambo omncinci, kwaye imilambo emininzi enjalo idibana ukuze yenze umlambo omkhulu. Ukujikeleza kwegazi emzimbeni wethu kuyafana.
1. Inyathelo lokuqala: Igazi elingcolileyo liqokelelana kwi-cartilage ephakathi kweembambo zethu nakwimithambo emincinci (njengemithambo ye-intercostal) evela kwizicubu zangaphakathi zesifuba.
2. Inyathelo lesi-2: Lonke igazi eliqokelelweyo kule mithambo mincinci liza lize lijoyine i-Internal Thoracic Vein esithetha ngayo. Le mithambo mincinci ifana "namasebe" ajoyina umthambo omkhulu.
3. Inyathelo Lesithathu: Emva koko, i-Internal Thoracic Vein ithatha lonke eli gazi liqokelelweyo ize ilithululele kumthambo omkhulu obizwa ngokuba yi-brachiocephalic vein .
4. Inyathelo lokugqibela: Ekugqibeleni, igazi elivela kulo mthambo we-brachiocephalic lijoyina iSuperior Vena Cava , umthambo oyintloko othwala igazi elivela emzimbeni wethu ongaphezulu, kwaye ukusuka apho liya kwi-atrium yasekunene yentliziyo (icala lasekunene lentliziyo yakho). Emva koko lithunyelwa emiphungeni apho lifakwa khona ioksijini kwaye lihlanjululwe kwakhona.
Ngamafutshane, i-Internal Thoracic Vein ngumthambo obalulekileyo ophakathi oqokelela igazi elingcolileyo kwindawo yesifuba uze ulithwale uliyise kwindlela ephambili eya entliziyweni.
Ijongeka kwaye imilo yalo mthambo injani?
Lo mthambo udla ngokuba malunga ne-2-3 milimitha ububanzi. Oko kufana nobukhulu bencam yepensile enemibala . Kodwa into engaqhelekanga kukuba, imilo yalo mthambo ayifani kumntu wonke.
- Kwabanye abantu, i-Internal Thoracic Vein kwicala lasekhohlo yahlulwe kabini phakathi kwembambo yesithathu neyesine.
- Nangona abanye abantu benomthambo omnye kwicala labo lasekunene, kwabanye unokwahluka phakathi kwembambo yesibini neyesine.
Olu hlobo lotshintsho luqhelekile, asisosifo.
Njengeminye imithana, udonga lwale mithana lwenziwe ngamaleya amathathu aphambili:
- Umaleko ongaphakathi: Wenziwe ngeeseli ezikhupha iikhemikhali ezinceda umthambo ukuba unciphe kwaye ukhule.
- Umaleko ophakathi: Wenziwe ngezihlunu ezithambileyo. Oku kunika umthambo amandla okuthamba.
- Umaleko ongaphandle:Zenziwe zizicubu ezidityanisiweyo ezifana ne-collagen kunye ne-elastin. Oku kunika umthambo amandla kunye nokuguquguquka kwawo.
Zeziphi iingxaki zempilo ezinokuchaphazela lo mthambo?
Ngenxa yokuba lo mthambo ungaphakathi esifubeni, ungonakala kwezinye iimeko. Makhe sijonge ukuba zeziphi ezo meko.
| Ithuba lokuba ingxaki ivele | Yintoni enokwenzeka? |
|---|---|
| Ukwenzakala esifubeni | Ukuba ubambo lwaphukile ngenxa yokubethwa kakhulu esifubeni, njengakwingozi, umthambo wangaphakathi wesifuba odlula kuwo ungonakala. |
| Uxinzelelo lwemithambo yegazi | Ngamanye amaxesha lo mthambo unokucinezelwa yimisipha okanye amathambo ajikelezileyo, nto leyo enokubangela imeko ebizwa ngokuba yiThoracic Outlet Syndrome . |
| Ngexesha lonyango lwezonyango | Ngexesha leenkqubo zonyango ezithile, ezifana ne -pericardiocentesis , esusa ulwelo olugqithisileyo olujikeleze intliziyo, lo mthambo unokucinezelwa ngengozi. Kodwa oogqirha ngoku basebenzisa ubuchwepheshe obufana ne-ultrasound scans ukuthintela oku ukuba kungenzeki. |
Zithini iimpawu zeThoracic Outlet Syndrome?
Ukuba oku kuyenzeka, unokufumana iimpawu ezifana nezi:
- Ukudinwa kakhulu ezandleni.
- Ukudumba kwezandla, iintende zezandla, okanye iminwe.
- Ubuthathaka kwiingalo okanye entanyeni.
Ukuba uneempawu ezinjalo, kubaluleke kakhulu ukubona ugqirha wakho kwaye ufumane ingcebiso.
Ugqirha ufumanisa njani ukuba kukho ingxaki?
Ukuba uneempawu ezifana neThoracic Outlet Syndrome, okanye ukrokrela ukuba kukho enye ingxaki yokujikeleza kwegazi, ugqirha wakho unokucebisa ezinye iimvavanyo, ezifana nezi:
- I-X-reyi yesifubaUvavanyo.
- I-CT scan .
- Uvavanyo lwe-MRI scan (MRI) .
- Uvavanyo olukhethekileyo, olufana ne -arteriogram okanye i-venogram , lubandakanya ukufaka idayi ekhethekileyo emithanjeni kunye nokusebenzisa ii-X-rays ukujonga indlela igazi elihamba ngayo.
Kuphela emva kwezi mvavanyo apho ugqirha anokufumana umbono ochanekileyo ngemeko yemithambo yakho.
Wenza ntoni njengonyango?
Ukuba ingxaki iqinisekisiwe, ugqirha unokukunika amayeza athile okubuyisela ukuhamba kwegazi kunye nokunyibilikisa amahlwili egazi.
- Amayeza okulwa nokugabha kwegazi: La mayeza adla ngokubizwa ngokuba zi-blood thinners. Asebenza ngokuthintela igazi ukuba lingagabhi.
- Amayeza e-Thrombolytic: La mayeza asebenza ngokunyibilikisa nokususa amahlwili egazi asele enziwe.
Eyona nto ibalulekileyo kukuba zonke ezi ndlela zonyango mazithathwe kuphela phantsi kwengcebiso kagqirha . Ukusela amayeza ngokwakho kunokuba nemiphumo eyingozi.
Yintoni esinokuyenza ukugcina inkqubo yethu yemithambo yegazi isempilweni?
Kubaluleke kakhulu ukugcina yonke imithambo yomzimba wethu iphilile, kungekuphela nje kwimithambo yangaphakathi yesifuba. Nazi ezinye izinto ezilula onokuzenza ukuze wenze loo nto.
- Lawula uxinzelelo lwegazi oluphezulu: Ukuba unesifo soxinzelelo lwegazi oluphezulu, landela imiyalelo kagqirha wakho.
- Yitya ukutya okunempilo: Yitya imifuno, iziqhamo, kunye nemifuno engaphezulu. Nciphisa ioyile, ityuwa, kunye neswekile.
- Zilolonge rhoqo: Yenza into efana nokuhamba okanye ukubaleka ubuncinane imizuzu engama-30 ngosuku.
- Sela amanzi amaninzi: Ukusela amanzi afunekayo ngosuku kunceda ukujikeleza kwegazi.
- Yeka ukutshaya nokusebenzisa icuba: Ezi zinto ziyingozi kakhulu kwimithambo yegazi.
Olu tshintsho lulula lwendlela yokuphila luya kuba luncedo kakhulu ekugcineni yonke inkqubo yakho yokujikeleza kwegazi isempilweni.
Umyalezo Wokuya Ekhaya
- Umthambo Wangaphakathi Wesifuba yimithambo ebaluleke kakhulu, kodwa engathethwa kakhulu ngayo, eqokelela igazi elingcolileyo eludongeni lwesifuba nasemabeleni ize ilibuyisele entliziyweni.
- Lo mthambo ubalulekile ekusebenzeni kakuhle kwenkqubo yethu yonke yokujikeleza kwegazi.
- Lo mthambo ungonakaliswa ziingozi, ziimeko ezithile zempilo (ezifana neThoracic Outlet Syndrome), okanye ziinkqubo zonyango.
- Ukuba ufumana ukudumba okungapheliyo, ubuthathaka, okanye ukudinwa kakhulu ezandleni zakho, musa ukukubetha ngoyaba oko kwaye ubone ugqirha ngoko nangoko.
- Ukulandela indlela yokuphila esempilweni yeyona ndlela ilungileyo yokugcina imithambo yakho yangaphakathi yesifuba isempilweni, njengayo yonke imithambo yakho.
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