Umzimba wethu ungumshini omangalisayo kakhulu, akunjalo? Ngaphakathi kwalomshini, kunezingxenye eziningi ezincane esingazazi, kodwa zenza umsebenzi obaluleke kakhulu. Ngakho-ke, namuhla sizokhuluma ngomthambo obaluleke kakhulu ofihliwe esifubeni sethu. Mhlawumbe awukaze uzwe ngaleli gama ngaphambili. Lowo mthambo obizwa ngokuthi i-Internal Thoracic Vein.
Kalula nje, uyini lo Mthambo Wesifuba Sangaphakathi?
Cabanga ngohlelo lwemithambo yegazi emzimbeni wethu njengenethiwekhi yemigwaqo. Eminye yale migwaqo injengemigwaqo emikhulu, kanti eminye injengemigwaqo emincane yasemakhaya. Ngakho-ke lo Mthambo Wangaphakathi Wesifuba nawo uyimithambo ebalulekile esifubeni sethu. Kunemibili yale mithambo, omunye ohlangothini lwesokudla lomzimba wethu nomunye ohlangothini lwesobunxele.
Umsebenzi oyinhloko wale mithambo ukuqoqa igazi elingcolile, okungukuthi, igazi elinezinga eliphansi lomoya-mpilo, ezicutshini zodonga lwesifuba namabele bese ulibuyisela enhliziyweni. Le mithambo ibe isibuyisela igazi eliqoqiwe enhliziyweni ukuze lihlanzwe.
Ake sizikhumbuze kafushane ngomehluko phakathi kwemithambo yegazi nemithambo yegazi.
Ukuze siqonde uhlelo lwethu lokujikeleza kwegazi, kubaluleke kakhulu ukuqonda kancane imithambo yegazi nemithambo yegazi.
- Imithambo Yegazi: Lena yimithambo emikhulu ethwala igazi elihlanzekile, elinomoya-mpilo futhi elicebile ngezakhamzimba lisuka enhliziyweni liye kuzo zonke izingxenye zomzimba. Njengamapayipi amakhulu athwala amanzi esuka ethangini eliyinhloko ledolobha eya emakhaya.
- Imithambo: Lena yimithambo ethwala igazi elingcolile neliphelelwe umoya-mpilo ibuyele enhliziyweni, kanye nemikhiqizo engcolile kanye ne-carbon dioxide, eshiywe emsebenzini wezingxenye ezahlukene zomzimba. Njengesistimu yokukhipha amanzi eqoqa amanzi angcolile ezindlini.
Ngakho-ke, i-Internal Thoracic Vein esikhuluma ngayo namuhla nayo iyingxenye ebaluleke kakhulu yesistimu yemithambo yegazi.
| Uhlobo lomthambo wegazi | Umsebenzi owenziwayo | Igazi elithwalwa |
|---|---|---|
| Imithambo yegazi | Ithwala igazi lisuka enhliziyweni liye kwezinye izingxenye zomzimba. | Igazi elihlanzekile, elicebile nge-oxygen. |
| Imithambo yegazi | Ibuyisela igazi elivela ezingxenyeni zomzimba liye enhliziyweni. | Umoya-mpilo ophansi, igazi elingcolile. |
Ikuphi le mithambo? Isebenza kanjani?
Lo mthambo utholakala ngaphakathi kwesifuba sethu, eduze kakhulu ne-sternum. Awuwodwa, kodwa umthambo obizwa ngokuthi i-Internal Thoracic Artery nawo uhamba eceleni kwalo mthambo.
Manje ake sibone ukuthi lokhu kusebenza kanjani. Cabanga ukuthi imifudlana emincane ihlangana ndawonye ukuze yakhe umfudlana omncane, futhi imifudlana eminingi enjalo ihlangana ndawonye ukuze yakhe umfula omkhulu. Ukujikeleza kwegazi emzimbeni wethu kuyafana.
1. Isinyathelo sokuqala: Igazi elingcolile liqoqana ku-cartilage phakathi kwezimbambo zethu nasemithanjeni emincane (njengemithambo ye-intercostal) evela ezicutshini zangaphakathi zesifuba.
2. Isinyathelo 2: Lonke igazi eliqoqwe kule mithambo emincane liza lijoyine i-Internal Thoracic Vein esikhuluma ngayo. Le mithambo emincane ifana "namagatsha" ajoyina imithambo emikhulu.
3. Isinyathelo Sesithathu: Ngemuva kwalokho, i-Internal Thoracic Vein ithatha lonke leli gazi eliqoqiwe bese ilithululela emthanjeni omkhulu obizwa ngokuthi i-brachiocephalic vein .
4. Isinyathelo sokugcina: Ekugcineni, igazi elivela kulo mthambo we-brachiocephalic lijoyina i- Superior Vena Cava , umthambo oyinhloko othwala igazi lisuka emzimbeni wethu ongaphezulu, bese lisuka lapho liya e-atrium yesokudla yenhliziyo (uhlangothi lwesokudla lwenhliziyo yakho). Libe selithunyelwa emaphashini lapho lifakwa khona umoya-mpilo futhi lihlanzwe futhi.
Kalula nje, i-Internal Thoracic Vein iwumthambo obalulekile ophakathi nendawo oqoqa igazi elingcolile esifubeni bese ulithwala uliyise endleleni enkulu eya enhliziyweni.
Lo mthambo ubukeka futhi unjani?
Lo mthambo uvame ukuba ngamamilimitha angu-2-3 ububanzi. Lokho kucishe kube usayizi wesihloko sepensela enemibala . Kodwa into exakile ukuthi, ukuma kwalo mthambo akufani kuwo wonke umuntu.
- Kwabanye abantu, i-Internal Thoracic Vein ohlangothini lwesobunxele ihlukana kabili phakathi kwezimbambo zesithathu nezesine.
- Nakuba abanye abantu benomthambo owodwa ohlangothini lwabo lwesokudla, kwabanye ungahlukana phakathi kwezimbambo zesibili nezesine.
Lolu hlobo lwezinguquko luvamile, akusona isifo.
Njengeminye imithambo, udonga lwalo mthambo lwakhiwe ngezendlalelo ezintathu eziyinhloko:
- Ingqimba engaphakathi: Yakhiwe ngamaseli akhipha amakhemikhali asiza umthambo ukuthi unciphe futhi ukhule.
- Ingqimba ephakathi: Yakhiwe ngemisipha ebushelelezi. Lokhu kunikeza umthambo ukuguquguquka kwawo.
- Isendlalelo esingaphandle:Zakhiwe ngezicubu ezixhumanisayo njenge-collagen ne-elastin. Lokhu kunikeza umthambo amandla nokunwebeka kwawo.
Yiziphi izinkinga zempilo ezingathinta lo mthambo?
Ngenxa yokuthi lo mthambo utholakala ngaphakathi esifubeni, ungonakala kwezinye izimo. Ake sibheke ukuthi ziyini lezo zimo.
| Kungenzeka ukuthi inkinga ivele | Yini engenzeka? |
|---|---|
| Ukulimala esifubeni | Uma ubambo luphukile ngenxa yokushaywa kanzima esifubeni, njengasengozini, i-Internal Thoracic Vein edlula kulo ingalimala. |
| Ukucindezelwa kwemithambo yegazi | Ngezinye izikhathi lo mthambo ungacindezelwa yimisipha noma amathambo azungezile, okungaholela esimweni esibizwa ngokuthi i-Thoracic Outlet Syndrome . |
| Ngesikhathi sokwelashwa | Ngesikhathi sezinqubo ezithile zezokwelapha, njenge -pericardiocentesis , esusa uketshezi oluningi oluzungeze inhliziyo, lo mthambo ungacindezelwa ngengozi. Kodwa odokotela manje basebenzisa ubuchwepheshe obufana nokuskena kwe-ultrasound ukuvimbela lokhu ukuthi kungenzeki. |
Ziyini izimpawu ze-Thoracic Outlet Syndrome?
Uma lokhu kwenzeka, ungase ube nezimpawu ezifana nalezi:
- Ukukhathala ngokweqile ezandleni.
- Ukuvuvukala kwezandla, izintende zezandla, noma iminwe.
- Ubuthakathaka ezingalweni noma entanyeni.
Uma unezimpawu ezinjengalezi, kubaluleke kakhulu ukubona udokotela wakho ukuze akunike iseluleko.
Udokotela uthola kanjani ukuthi kunenkinga?
Uma unezimpawu ezifana ne-Thoracic Outlet Syndrome, noma usola enye inkinga yokujikeleza kwegazi, udokotela wakho angase akuncomele ukuhlolwa okuthile, okufana nalokhu:
- I-X-ray yesifubaUkuhlolwa.
- I-CT scan .
- Ukuhlolwa kwe-MRI scan (MRI) .
- Ukuhlolwa okukhethekile, njenge -arteriogram noma i-venogram , kuhilela ukufaka idayi ekhethekile emithanjeni nokusebenzisa ama-X-ray ukuhlola ukuthi igazi ligeleza kanjani.
Kungemva kwalokhu kuhlolwa kuphela lapho udokotela angathola khona umbono onembile ngesimo semithambo yakho.
Wenzani njengokwelashwa?
Uma inkinga iqinisekisiwe, udokotela angase anikeze imithi ethile yokubuyisela ukugeleza kwegazi nokuncibilikisa amahlule egazi.
- Imithi elwa nokuvuvukala kwegazi: Lezi zivame ukubizwa ngokuthi imithi yokunciphisa igazi. Zisebenza ngokuvimbela igazi ukuthi lingaqini.
- Imithi ye-Thrombolytic: Le mithi isebenza ngokuncibilikisa nokususa amahlule egazi asevele akhekile.
Into ebaluleke kakhulu ukuthi zonke lezi zindlela zokwelapha kufanele zithathwe kuphela ngaphansi kweseluleko sikadokotela . Ukuthatha imithi ngokwakho kungaba nemiphumela eyingozi.
Yini esingayenza ukuze sigcine uhlelo lwethu lwemithambo luphilile?
Kubaluleke kakhulu ukugcina yonke imithambo emzimbeni wethu iphilile, hhayi nje kuphela i-Internal Thoracic Vein. Nazi ezinye izinto ezilula ongazenza ukuze wenze lokho.
- Lawula umfutho wegazi ophakeme: Uma unomfutho wegazi ophakeme, landela imiyalelo kadokotela wakho.
- Yidla ukudla okunempilo: Yidla imifino eminingi, izithelo, kanye nemifino eluhlaza. Nciphisa amafutha, usawoti kanye noshukela.
- Vivinya umzimba njalo: Yenza okuthile okufana nokuhamba noma ukugijima okungenani imizuzu engama-30 ngosuku.
- Phuza amanzi amaningi: Ukuphuza inani elidingekayo lamanzi ngosuku kusiza ukujikeleza kwegazi.
- Yeka ukubhema nokusebenzisa ugwayi: Lokhu kuyingozi kakhulu emithanjeni yegazi.
Lezi zinguquko ezilula zendlela yokuphila zizosiza kakhulu ekugcineni uhlelo lwakho lonke lokujikeleza kwegazi luphilile.
Umlayezo Wokuya Nawe Ekhaya
- Umthambo Wangaphakathi Wesifuba uyimithambo ebaluleke kakhulu, kodwa engakhulunywa kakhulu ngayo, eqoqa igazi elingcolile odongeni lwesifuba nasemabeleni bese ilibuyisela enhliziyweni.
- Lo mthambo ubalulekile ekusebenzeni kahle kwesistimu yethu yonke yokujikeleza kwegazi.
- Lo mthambo ungalimala ngenxa yezingozi, izimo ezithile zezokwelapha (njenge-Thoracic Outlet Syndrome), noma izinqubo zezokwelapha.
- Uma uzwa ukuvuvukala okuqhubekayo, ubuthakathaka, noma ukukhathala okukhulu ezandleni zakho, ungakushayi indiva bese ubona udokotela ngokushesha.
- Ukulandela indlela yokuphila enempilo kuyindlela engcono kakhulu yokugcina i-Internal Thoracic Vein yakho, njengayo yonke imithambo yakho, iphilile.
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