Ngaba ucinga ngenkqubo yemithambo yegazi engaphakathi emzimbeni wethu njengothungelwano lweendlela kwisixeko esikhulu? Ezinye iindlela zinkulu, ezinye zincinci. Kodwa zonke ezi ndlela zidibene. Ngoko ke namhlanje siza kuthetha 'ngendlela ephambili' ebaluleke kakhulu ehamba kwinxalenye ephezulu yomzimba wethu, ngakumbi phantsi kwe-collarbone. Loo nto yi-Subclavian Vein.
Yintoni i-Subclavian Vein?
Ngamafutshane, umthambo we-subclavian ngumthambo omkhulu, onzulu othwala igazi elingena-oxygen, eligcwele inkunkuma ukusuka kwinxalenye ephezulu yomzimba wakho (njengeengalo zakho, intloko, nentamo) ukuya entliziyweni. Sinemithambo emibini kumacala omabini emizimba yethu. Okwicala lasekunene uzisa igazi engalweni yasekunene nasemzimbeni ongaphezulu, kwaye okwicala lasekhohlo uzisa igazi kwicala lasekhohlo.
Ukujikeleza kwegazi emzimbeni wethu yinkqubo emangalisayo kakhulu. Ukusuka entliziyweni, igazi elicocekileyo, elinomoya-mpilo omninzi lihamba ngemithambo yegazi ukuya emzimbeni wonke. Emva koko igazi linika amalungu ioksijini kunye nezondlo azidingayo, umsebenzi wemithambo-luvo kukuqokelela igazi elibuya nenkunkuma lize liyibuyisele entliziyweni. Ngoko ke, le mithambo-luvo ye-subclavian yeyona nto ibalulekileyo kuhambo lokubuyela emzimbeni.
Cinga ngayo njengeendlela ezimbini ezihambelanayo ezinezithuthi ezihamba kwicala elinye kuphela. Enye indlela (umthambo we-subclavian) ithwala igazi ukusuka entliziyweni ukuya engalweni. Enye indlela (umthambo we-subclavian), ehambelana nayo, ithwala igazi ukusuka engalweni ukuya entliziyweni.
Iphi le mithambo?
Zombini ezi veins zifumaneka ngaphantsi kwe-collarbone yakho (clavicle). Ngokuchanekileyo, le veins iqala kufutshane negxalaba, phezulu esifubeni, ize igobe iye entliziyweni.
Ukuze ukuqonde oku ngokulula, khawucinge ukuba unomfanekiso omkhulu othi 'm' esifubeni sakho. Iincopho ezimbini eziphezulu zalo 'm' ziimithambo emibini ye-subclavian.
- Cinga ngemigca emibini (evela ezingalweni) ekwincam yeleta ethi 'm' njengemithambo ye-axillary .
- Iincopho ezimbini eziphakama ngaphezu kwezo migca mibini yimithambo ye-subclavian .
- Imigca emibini egobileyo ehla kwezo ncochoyi zimbini yimithambo ye-brachiocephalic .
- Ekugqibeleni, kwindawo apho zihla khona zisuka embindini woonobumba u-'m', le mithambo mibini iyadibana ukuze yenze umthambo omkhulu obizwa ngokuba yiSuperior Vena Cava , othwala igazi ngqo entliziyweni.
Xa ujonge ngale ndlela, umthambo we-subclavian ufana nomnyango oya kwindlela enkulu njengoko igazi elivela ezingalweni nasentloko lisiya entliziyweni.
Ukubaluleka komthambo we-subclavian kunyango lwezonyango
Ukongeza ekuthwaleni igazi, umthambo we-subclavian ubaluleke kakhulu kwezinye iindlela zonyango.
- Ukufikelela kwi-Venous esembindini:Ngamanye amaxesha, ingakumbi kwicandelo labagula kakhulu (ICU), izigulana kufuneka ziqhubeke zifumana ulwelo okanye amayeza. Oogqirha bafaka umbhobho omncinci obizwa ngokuba yi-catheter ngemithambo ye-subclavian, kufutshane nentliziyo. Oku kubizwa ngokuba "ngumgca ophakathi." Oku kunika amayeza kwimithambo emikhulu, ukuze angene emzimbeni ngokukhawuleza.
- Iintambo ze-pacemaker: Ezinye izigulana ezineentliziyo ezingaqhelekanga zifakelwa isixhobo esibizwa ngokuba yi-pacemaker . Ngamanye amaxesha umthambo we-subclavian usetyenziselwa ukuhambisa iintambo zesi sixhobo entliziyweni.
Kodwa kufuneka ulumke kakhulu xa usenza izinto ezinje. Kuba ngamanye amaxesha iingxaki zinokubakho. Umzekelo, ukopha, usulelo, ukubetha kwentliziyo okungahambelaniyo (i-Arrhythmia) , ukuqhekeka kwegazi emithanjeni (i-Venous Thrombosis) , kunye nomonakalo wemiphunga (i-Pneumothorax) . Ke ngoko, ngoogqirha abaziingcali kweli candelo kuphela abanokwenza ezi zinto.
Ziziphi iimeko ezichaphazela umthambo we-subclavian?
Kukho iimeko ezininzi ezibalulekileyo zempilo ezinokuchaphazela lo mthambo, kwaye kubalulekile ukuba uzazi ezi.
| Imeko | Kalula nje... | Ichaphazela bani kunye neempawu zayo |
|---|---|---|
| I-Deep Vein Thrombosis (DVT) | Oku kwenzeka xa igazi liqhekeka kumthambo onzulu, njengomthambo we-subclavian, livala umthambo. I-DVT idla ngokuvela emilenzeni, kodwa inokwenzeka nakumzimba ongaphezulu. | Abantu abanemigca ephakathi basengozini enkulu. Ukuba eli hlwili legazi liyaqhekeka lize livale umthambo emiphungeni, oko kunokukhokelela kwimeko eyingozi ebizwa ngokuba yi-pulmonary embolism . Iimpawu: Ukudumba kwesandla, intlungu okanye ukuziva ubunzima esandleni. |
| Isifo sePaget-Schroetter | Olu luhlobo lwe-DVT. Nangona kunjalo, luvela ngenxa yokuzibhokoxa kakhulu okanye intshukumo ephindaphindwayo. Ikwabizwa ngokuba yi-"Effort Thrombosis". | Ihlala isenzeka kubantu abaphakathi kweminyaka eli-15 nengama-45 abadlala imidlalo (umz., ukudada, ibaseball) okanye abaphakamisa izinto ezinzima emsebenzini. Le meko inokubangelwa ziintshukumo eziphindaphindayo, ezifana nokuphakamisa ingalo ngaphezulu. Iimpawu: ukudumba, iintlungu, kunye nokukhanya okuluhlaza kwesandla. |
Ingaba yingxamiseko?
Ukuba unayo nayiphi na kwezi mpawu zikhankanyiweyo apha ngasentla, musa ukuyityeshela. Isenokuba yingxamiseko yezonyango. Yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Ukufumana unyango olukhawulezileyo kunokuthintela iingxaki eziyingozi.
Siyigcina njani imithambo yethu isempilweni?
Kukho izinto ezilula esinokuzenza ukugcina kungekuphela nje umthambo we-subclavian, kodwa nayo yonke eminye imithambo esemzimbeni wethu iphilile.
- Yenza ukuhamba kube ngumkhwa: Zama ukuhamba ubuncinane imizuzu engama-30 ngosuku, iintsuku ezi-5 ngeveki. Oku kuya kuphucula ukujikeleza kwegazi emzimbeni wonke.
- Musa ukuhlala kwindawo enye: Ukuba uhlala okanye ume kwindawo enye ixesha elide, vuka uhambehamba ubuncinane kanye ngeyure, unike umzimba wakho intshukumo encinci.
- Yitya ukutya okunempilo kwentliziyo: Yitya ukutya okunesondlo okunokunceda ukulawula uxinzelelo lwegazi, i-cholesterol, kunye nobunzima bomzimba.
- Sela amanzi amaninzi: Ukusela amanzi afunekayo emzimbeni wakho kunceda kakhulu ekujikelezeni kwegazi.
- Musa ukuyityeshela neyona mpawu incinci: Ukuba uziva ukudumba okungaqhelekanga, iintlungu, okanye ubunzima engalweni yakho, emlenzeni, okanye naphi na, musa ukuyityeshela njengento encinci. Bona ugqirha wakho ngoko nangoko ukuze ufumane ingcebiso. Ukuba ufumanisa ingxaki kwangethuba, unokuthintela ukuba iingxaki ezinkulu zingabikho.
Umyalezo Wokuya Ekhaya
- Umthambo we-subclavian ngumthambo obaluleke kakhulu ophantsi kwe-collarbone yakho othwala igazi ukusuka engalweni engentla ukuya entliziyweni.
- Ukongeza ekujikelezeni kwegazi, ikwasetyenziselwa unyango olufana nemigca ephakathi kunye ne-pacemakers.
- I-deep vein thrombosis (DVT) yimeko eyingozi. Ukudumba ngequbuliso, iintlungu, okanye ukuluhlaza engalweni kunokuba ziimpawu zengxakeko.
- Indlela yokuphila esempilweni (ukuhamba, ukutya kakuhle, ukusela amanzi amaninzi) inokukhusela impilo yemithambo yakho yonke.
- Ukuba ubona naluphi na utshintsho okanye iimpawu ezingaqhelekanga emzimbeni wakho, ungaze ungathandabuzi ukuthetha nogqirha wakho ngaloo nto.
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