Subclavian jijiya. subclavian jijiya ciwo

Subclavian arteries ne kayayyakin da kawo jini su zuwa babba wata gabar jiki na jikin mutum. Wannan labarin za a yi la'akari a cikin daki-daki, duk da asali Concepts na magana. Za ka fahimci abin da subclavian jijiya ciwo da kuma abin da siffofin da ya lura akwai.

Mene ne subclavian jijiya?

Sistem sakulasan ne sistem wani hadadden na daban-daban intricacies na veins, jijiyoyi, capillaries. Big mutane jirgin ruwa cewa na'am da jini daga aortic baka - subclavian jijiya - yana nufin tasoshi da tukwane na babban da'irar mutum jini wurare dabam dabam. Yana SUPPLiES jini occipital yankunan na kwakwalwa, cerebellum, mahaifa rabo daga laka, tsokoki, da kuma gabobin da wuyansa part, kafada abin ɗamara da kuma na sama reshe, kazalika da wasu sassa na thorax da ciki.

A topography na subclavian jijiya

Mene ne kalmar nan "topography"? Wannan shi ne gundarin gaban ko wuri da wani abu dangane da wasu abubuwa. Bari mu bincika abin da yake cikin topography na subclavian jijiya, a cikin wasu kalmomi, inda kuma dangane da abin da shi ne. Yana fãra a hannu daya daga brachiocephalic akwati, da kuma a kan wasu - daga aortic baka, bypasses koli da kuma fitar ta hanyar da rami a kan saman kirji. The wuyansa subclavian jijiya ne a bayyane yanki kusa da kafada jijiya plexus da kuma adana a surface. Wannan wuri da jirgin ruwa za a iya amfani da tsayawa zub da jini, ko da yiwu shigarwa na magunguna. Next subclavian jijiya leans a gefen, shi wuce a karkashin clavicle kuma a cikin hamata, inda ta zama axillary riga. Sa'an nan, bayan wucewa ta cikin hamata, da ta ke a kafaɗarta. Sunan wannan shafin - brachial jijiya. A gwiwar hannu yanki shi diverges a kan radius da ulna jijiya.

Subclavian jannayẽnsa catheterization. huda

Kamar yadda muka ambata a sama, a cikin wuyansa subclavian Vienna (da jijiya da ma) ƙarya a kan surface. Wannan wuri amfani da su kama da huda catheter shigarwa. Mene ne ma'ana da wannan musamman zabi na da jirgin ruwa? Akwai da dama da sharudda ga wannan zabi ne:

1. Ilimin Halittar Jiki kasancewa.
2. Da zaman lafiyar na matsayi, kuma diamita na lumen.
3. Yã isa ko gagarumin size (diamita).
4. jini ya kwarara gudu ya wuce gudun jini ya kwarara a cikin jijiyoyinmu daga cikin extremities.

Bisa ga bayanan kayyade sama, tsĩrar a cikin wani jannayẽnsa catheter zai wuya taba jijiya bango. Magunguna da cewa suna shiga ta hanyar da shi, zai isa da sauri ga dama atrium da ventricle, sun taimakawa wajen wani aiki da tasiri a kan hemodynamics. Gabatar a cikin subclavian jannayẽnsa kwayoyi sosai da sauri, gauraye da jini, alhali kuwa ba irritating da ciki na jijiya. A wasu lokuta, akwai contraindications zuwa huda da catheter sa.

A hagu da dama subclavian jijiya

Wannan jirgin ruwa - a sa su guda biyu sashin jiki, kamar yadda aka ce a sama: dama subclavian jijiya da kuma hagu. A farko reshe ne na ƙarshe brachiocephalic akwati, game da hagu, shi ke fita daga cikin aortic baka. Bugu da ƙari, na karshe kamar 4 cm fiye da na farko. Dama subclavian jijiya kayayyaki jini zuwa wasu yankunan na hannun dama, shi SUPPLiES da kai da kuma kirji. A bar subclavian jijiya transports ruwa m abubuwa muhimmanci ga rayuwar support, a hannun hagu.

Main sassan na subclavian jijiya

A hagu da dama subclavian jijiya zalla siddan raba uku main sassan, ko sashe:

1. Daga wurin da samuwar subclavian jijiya kafin shiga interscalene rata.
2. Division, wanda yana da iyaka interscalene rata.
3. A fita daga rata ga interscalene axillary rami.

Da rassan da farko sashe na subclavian jijiya

Wannan bangare na labarin zai gaya kadan game da yadda za a duba subclavian jijiya da kuma rassansa, wato, abin da sassa na jirgin ruwa rassan. Daga farko da katin (da sarari tsakanin ƙofar interscalene tazara da kuma farkon na arteries) tashi da dama rassan, waɗannan sũ ne mãsu babban wadanda:

1. Vertebral jijiya, steamroom. Yana wuce ta gangara aiwatar da shida mahaifa vertebra. Ta kara yakan up da kuma da dama a cikin girman kwanyar rami ta hanyar mayar da kai, cewa shi ne, ta hanyar da rami. Yana nan ta haɗu da wannan jijiya daga cikin sauran gefe, game da shi ulla wannan basilar jijiya. Mene ne aikin da vertebral jijiya? A jirgin ruwa SUPPLiES jini da laka, da wuya occipital lobe daga cikin kwakwalwa da kuma tsokoki.
2. A ciki thoracic jijiya fara a kasa na subclavian jijiya. Channel SUPPLiES jini thyroid, diaphragm, bronchi, da dai sauransu sternum.
3. Schitosheyny akwati. Yana fãra a kusa da ciki baki scalene tsoka, kai tsawon game da 1-2 cm. Schitosheyny akwati raba zuwa rassan cewa samar jini da tsoka da kuma ruwa wuyansa, kuma makogwaro.

A ramifications na biyu da na uku sashe na subclavian jijiya

Biyu kashi subclavian jijiya iyaka interscalene rata yana daya kawai reshe, shi ne ake kira wani gefe-mahaifa akwati. Yana farawa a baya na subclavian jijiya da kuma ne zuwa kashi da dama rassan:

1. A mafi intercostal jijiya (jijiya tashi daga wannan na baya rassan manyan jini da tsokoki na baya).
2. Kashin baya tasoshin.
3. Deep wuyansa jijiya.

The uku rabo daga cikin subclavian jijiya ma yana daya reshe - wani mai gangara mahaifa jijiya. Yana permeates hadu da brachial da aka raba:

1. Na waje jijiya, wanda SUPPLiES jini baya tsokoki.
2. Dorsal jijiya daga cikin ruwa. Yana saukad da zuwa wani m baya tsokoki, amfanin jiki da shi da kuma kasancewa kusa da kananan tsokoki.
3. Deep reshe na subclavian jijiya.

Akwai aka bayyana a isa daki-daki, wannan manufar da subclavian jijiya da kuma rassanta, da ƙarin bayani za a iya gleaned daga likita wallafe-wallafe.

Zai yiwu cututtuka subclavian jijiya

Babban cutar da ke shafar da subclavian jijiya da kuma rassansa - a takaita da lumen na jini, a cikin wasu kalmomi, stenosis. Babban dalilin wannan cuta ne atherosclerosis subclavian jijiya (lipid shaida a kan jirgin ruwa ganuwar) ko thrombosis. Wannan cuta aka fi saya, amma akwai lokuta da nakasar. Hadarin dalilai na atherosclerosis na subclavian jijiya ne:

1. Hauhawar jini.
2. Shan taba.
3. Kiba, kiba.
4. Ciwon sukari da kuma wasu sauran cututtuka.

Mafi na kowa hanyar stenosis na subclavian jijiya - a rayuwa cuta a cikin mutane, marurai da kumburi tafiyar matakai. Karfi da bayyana stenosis take kaiwa zuwa wani raguwa na jini ya kwarara zuwa muhimmanci gabobin, akwai kasawa da oxygen da kuma gina jiki ga kyallen takarda. Bugu da kari, da stenosis iya haifar da jijiyoyin zuciya da cututtukan zuciya, musamman bugun jini.

subclavian jijiya ciwo

Rashin isassun jini ya kwarara za a iya sa ba kawai wani shãmaki zuwa jini ya kwarara saboda da occlusive-stenotic raunuka, amma kuma vertebral-subclavian "sata". Wannan ciwo subclavian jijiya, ko sata ciwo tasowa a cikin hali na occlusion ko stenosis rauni a farko sashe na jirgin ruwa. Kawai sa, jini a cikin subclavian tashar ba gudãna daga cikin lakã da kuma na vertebral jijiya, wanda zai iya kai ga kwakwalwa ischemia. A mafi bayyana da cutar lalacewa ta hanyar jiki da kaya a kan babba ƙwarai.

Bayyanar cututtuka da cutar:

1. Juwa.
2. Taurin.
3. Heart hangen nesa.
4. Muscle rauni a kan ya shafa gefe.
5. Rage ko cikakken babu wani bugun jini a kan ya shafa gefe.

Don ƙarin bayani a kan subclavian jijiya stenosis

Adibas a kan garun jini, abu don takaita da suka gabata, da sia akai, wato, a gaskiya ne Kalam na cholesterol. Wadannan kudaden da za a iya kunkuntar da lumen na jirgin ruwa har zuwa 80%, wani lokacin ma gaba daya sanƙarar da shi. Bugu da kari ga wadannan dalilai haifar da subclavian jijiya stenosis, akwai wasu, irin su:

1. Sakawa a iska mai guba.
2. Arteritis.
3. Matsawa syndromes.
4. Daban-daban raunuka, kamar fibromuscular dysplasia et al.

Sau da yawa sosai, mutanen da fama da stenosis na subclavian jijiya, da kuma sauran tasoshin shafa. Yana iya zama jijiyoyin zuciya tashoshi, da cewa shi ne zuciya da carotid - jijiya daga cikin ƙananan extremities. A janar da irin wannan Pathology, kamar yadda vasoconstriction lumen infestation bar subclavian jijiya. Bisa kididdigar da, shi ne sau da yawa fiye da sau da yawa fiye dama.

Alamun bayyanar cututtuka na stenosis:

1. Rauni a cikin tsokoki.
2. Feeling gaji.
3. Pain a cikin sama kuma wata gabar jiki.
4. Necrosis na yatsunsu.
5. Zub da jini a cikin ƙusa yankin.

Bugu da kari, za a iya nuna bayyanar cututtuka na neurologic hali, cewa shi ne, babu wani "sata": jini da aka miƙa ka daga al'ada tasoshin a shafa yankin. Alamun neurological cututtuka:

1. Illa wahayi.
2. Asarar sani.
3. jawabin cuta.
4. Asarar balance.
5. Juwa.
6. asarar abin mamaki a fuskar.

Yadda za mu bi stenosis na subclavian jijiya?

stenosis magani iya zama likita, m kuma interventional. Babban hanyoyin da magani - shi endovascular stenting na subclavian jijiya da kuma carotid-subclavian kewaye. A karshen Hanyar bada shawarar ga mutane da hypersthenic jiki a cikin abin da shi ne da wuya mu haskaka da farko jijiya sashen. Har ila yau, wannan Hanyar magani bada shawarar a stenosis a cikin kashi na biyu na subclavian jijiya.

Subclavian jijiya stenting

Stenting - wani magani na subclavian jijiya ta kananan incision a cikin fata, 2-3 mm tsawo, sanya shi ta hanyar da huda rami. Wannan hanya na lura yana da abũbuwan amfãni a kan tiyata, kamar yadda ya aikata kasa rauni da kuma rashin jin daɗi. Bugu da kari, shi ne mafi m da kuma Gabar-tsare magani Hanyar cikin abin da subclavian jijiya an kiyaye su a cikin ta asali tsari, wanda yana da muhimmanci sosai ga mãsu haƙuri.

stenting hanya ne kusan m da kuma daukan wuri a karkashin maganin sa barci. Wannan aiki zai iya ƙara jijiyoyin bugun gini lumen amfani musamman catheters da stents a cikin nau'i na cylinders. Karshe - a cylindrical endoprosthesis Laser yanka daga m karfe tube. Wannan na'urar da aka saka a kan musamman balan-balan catheter a matsa jihar ne motsi a cikin subclavian jijiya. Lokacin da stent kai da jirgin ruwa constriction zone, za'ayi wasu iko hanyoyin game da dama na wurinta. Bayan nan, da na'urar bayyana a karkashin babban matsin. Idan stent ba isasshe buɗe, sa'an nan da musamman rabo stented angioplasty catheter tare da wani balan-balan a tip a cimma mafi kyau duka sakamakon. Don kwanan wata, yana yiwuwa su yi aiki for free, ba za ka iya yi da shi ta wajen samun wani tarayya tayi a ajiyewa. Marasa lafiya da irin wannan cuta dole tuntubar likita.

Zai yiwu kasada na stenting

stenting hanya yana kamar subclavian jijiya game da 2 hours. Wannan aiki ne da za'ayi a sashen na cardiac catheterization. Bayan stenting samu maganin ciwo, saboda wurin da subclavian jijiya, da kuma nama da aka incised, na iya bayyana m, idan ya cancanta. Matsalolin daga hanya ne rare, saboda haƙuri kafin shi ne a hankali horar da kula. Amma har yanzu wasu m sakamakon na iya tashi ne:

1. Alerji dauki magani.
2. A dauki ga m.
3. Ƙananan zub da jini a shafin na incision.
4. Zazzabi.
5. Ciwon kai.
6. Kamuwa da cuta.
7. Air embolism.
8. Lalacewar da jijiya ko lakã bango.
9. Thrombosis na subclavian jijiya.
10. The hijirarsa daga cikin stent.
11. Neurological rikitarwa et al.

Interventional magani daga stenosis na subclavian jijiya da balan-balan angioplasty da stenting - wani zamani minimally cin zali da tasiri magani hanyoyin. Bã su da wani dan kankanin lokacin haila kuma postoperative asibiti.