Subclavian artery. subclavian artery maʻi pale

Subclavian arteries mau moku i lawe koko ia lakou i ka uka lala o ke kanaka kino. He 'atikala e e noʻonoʻo i au mamuli a pau o ka walaʻauʻana manaÿo o ke kumuhana. Oe, e aʻo i ka subclavian artery maʻi pale a me ka hiʻona o kona nohoʻana ma laila.

He aha ka ka subclavian artery?

Ke circulatory'ōnaehana mea he luna 'o ka intricacies likeʻole o na aa koko, arteries, capillaries. Big kā moku i loaʻa ke koko mai ka aortic e pio mai - subclavian artery - pili ana i na ipu o ka p ÷ ai nui o kanaka koko holo. Ua pau ai ke koko occipital mau mea o ka lolo, cerebellum, cervical hapa o ka spinalʻaha, nāʻiʻo, a me nā loko o ka'ā'ī hapa, i ka'ūhā mua malo , a me ka hoaka o ka lala, e like me kekahi mau māhele o ka thorax a me ka abdomen.

I ka 'äina o ka subclavian artery

He aha e hana ana i ka hua'ōlelo " 'äina"? 'O kēia ka literal alo a me ka wahi o ka mea ma ka pili ana i kekahi mau' ikamu. E ka mea o ka 'äina o ka subclavian artery, i loko o nā hua'ōlelo, kahi a me ka pili i ka mea ia mea iā mākou noʻonoʻo. Ua originates ma ka kekahi lima, mai ka brachiocephalic kumu, a me ma ka 'ē aʻe - mai ka aortic e pio mai, bypasses ka apex a me ka mai ma ka puka ma luna o ka pahu. Ka'ā'ī subclavian artery Ua hiki wahi kokoke poʻohiwi nā aʻalolo plexus, a waiho ma kaʻili kai. Kēia wahi o ka moku hiki ke hoʻohana no ka noho kahe ana ke koko a me ka hiki komo ana o ka laau. Next subclavian artery hilinaʻi ma luna o ka maka, e ae ma lalo o ka clavicle, a loko o ka armpit, kahi e lilo ai ka axillary kāinoa mua. A laila, ma hope o hele ma ka armpit, ua hele ma luna o kona poʻohiwi. Ka inoa o kēia paena - brachial artery. Ma ke kuʻekuʻe aku āpana ia diverges ma luna o ka kahahńnai a me ka ulna artery.

Subclavian aa koko catheterization. puncture

E like me mākou i haiia ae maluna, i loko o ka'ā'ī subclavian Vienna (a me ka artery nui) moe ma luna o kaʻili kai. Kēia wahi hoʻohana 'e paʻa a me ka puncture catheter kahi e komo ai. He aha ka ka rationale o keia mau koho ana o ka moku? Aia i kekahi mau ana hoʻohālike no keia i waeʻia e:

1. Anatomical loaʻa nui.
2. Ke kumupaʻa o ka oihana a me ke anawaena o ka lumen.
3. Lawa ole nui nui (anawaena).
4. koko māmā holo aku i ka mämä holo o ke koko i loko o na aa koko o nāʻaoʻao.

Ma muli o kaʻikepili ua hōʻolokeʻaʻia ma luna, hāʻawiʻia i loko o ka aa koko catheter e apuepue hoopa aku i ka artery pa. Lapaʻau i ka poʻe i komo ma ia, e koke hiki i ka atrium akau a me ka ventricle, ka mea, he hoʻonui i kaʻeleu keiki ma luna o hemodynamics. Hoʻolauna i loko o ka subclavian aa koko ai 'loa koke kāwili pūʻia me ke koko, oiai i keʻano ukiuki o ke Keena Kalaiaina o ke artery. Ma kekahi mau hihia, ma laila nā contraindications e puncture a me ka catheter hookomo.

Ka haʻalele a me ka pololei subclavian artery

Kēia moku - he hui kaulua hui, e like me ua olelo mai ma luna: ka pono subclavian artery a me ka hema. Ka lala mua o ka hope loa brachiocephalic kumu, me ka pili ana i ka hema, e hele mai mai o ka aortic e pio. Eia kekahi, i ka hope o ka hola 4 knm hou ma mua o ka mea mua. Pono subclavian artery lako koko i kekahi mau mea o ka lima akau, ka mea e pau ai ke poo a me ka pahu. Ka haʻalele subclavian artery 'ohua' wai a lawe waiwai nui no ke ola kākoʻo, ma ka hema lima.

Main pauku o ka subclavian artery

Ka haʻalele a me ka pono subclavian artery hoʻokahi wale nō ana puunaueia i loko o ka papa kuhikuhi pauku ekolu, a me ka pauku:

1. Mai ka wahi o ke kahua o ka subclavian artery mua lakou komo ana i ka interscalene nahā i.
2. Mahele, a mea i kaupalena 'interscalene nahā i.
3. Ma ka OAAIeOO, mai ka nahā i hiki i ka interscalene axillary lua.

Na lala o ka pauku mua o ka subclavian artery

Kēia hapa o ka pauku, e hai aku i kekahi wahi e pili ana pehea e nana subclavian artery a me kona lālā,ʻo ia hoʻi, ka māhele o ka moku lālā. Mai kona kāleka mua (o ka makahiki ma waena o ka puka e komo ai i ka interscalene wā mawaena, a me ka hoʻomaka 'ana o ka arteries) e hele aku kekahi mau lālā, i kēia mau mea i ka papa kuhikuhiE poʻe:

1. Vertebral artery, steamroom. Ua hele ma ka transverse kaʻina hana o ka ono cervical vertebra. Ua hou ala mai, a moe i loko o ka cranial lua ma ke kua o ke poo, i mea, ma kona puka. Ua laila, hoʻohuiʻia i ka ia artery o ka kekahiʻaoʻao, ma ia ho okumu i ka basilar artery. He aha mea i ka hana o ka vertebral artery? Ka moku e pau ai ke koko no ka spinalʻula, paakiki occipital lobe o ka lolo a me nāʻiʻo.
2. O na thoracic artery hoʻomaka ma ka lalo o ka subclavian artery. Channel pau ai ke koko thyroid, diaphragm, bronchi, etc. sternum.
3. Schitosheyny kino. Ua originates kokoke i ka pā palena scalene Muscle, hiki i ka lōʻihi o ma kahi o 1-2 knm. Schitosheyny kumu i hookaawale ai i lala e hoolako i ke koko i ka Muscle a me ka maka'ā'ī, a me ka puʻu.

Nā ramifications o ka lua a me ke kolu o ka pauku o ka subclavian artery

Apana Hoʻohana subclavian artery kaupalena interscalene nahā i loaʻa wale kekahi lala, ka mea, ua kapaʻia he maka-cervical kumu. Ua hoomaka ma ke kua o ka subclavian artery, a ua māheleʻia i loko o kekahi mau lala:

1. Ka mea kiekie loa intercostal artery (artery haalele mai keia posterior lālā alakai koko i na nāʻiʻo o ke kua).
2. Spinal moku.
3. Deep'ā'ī artery.

Ke kolu o ka mahele o ka subclavian artery kekahi i kekahi lālā - he transverse cervical artery. Ua permeates halawai me ka brachial, a ua puunaueia i:

1. Superficial artery, i pau ai ke koko i ka hope nāʻiʻo.
2. Dorsal artery o ka maka. Ua kulu a hiki i ka palahalaha hoʻi nāʻiʻo, nourishes mea, a me kona noho ana ma na nāʻiʻo uuku.
3. Deep lala o ka subclavian artery.

Aia i ho'ākāka 'ia ma ka lawa au mamuli mau manaÿo me ka subclavian artery a me kona lala, o ka hou ike hiki ke hoiliili iho la, mai ka' inikua moʻokalaleo.

Hiki maʻi subclavian artery

I ka papa kuhikuhiE maʻi e loli ai i ka subclavian artery a me kona mau lālā - ka hou o ka lumen o na moku koko, i loko o nā hua'ōlelo, stenosis. I ka papa kuhikuhiE kumu o keia maʻi ka atherosclerosis subclavian artery (lipid palapala moʻopane ma ka moku paia) a thrombosis. Kēia maʻi ua loa pinepine kuai iho la ia, akā, he mau hihia a me ka congenital. 'Ākena Makaʻu no ka atherosclerosis o ka subclavian artery i:

1. Hypertension.
2. Puhi paka.
3. Overweight, obesity.
4. Mimikō a me kekahi mau maʻi'ē aʻe.

Ka loa e like me ka kumu o ka stenosis o ka subclavian artery - he metabolic kāna hana i loko o kānaka, hikoko a me ka hoʻoʻino keʻano o ka hanaʻana. Ikaika i hoike stenosis hiki aku ai i ka ka ho'ēmiʻana o ke koko pele i nui nā loko, aia no he shortage no o oxygen, a māhuaola i na nā'aʻaʻa. Eia hou, i ka stenosis hiki i coronary naau maʻi, i loko o ua hahau ana.

subclavian artery maʻi pale

Lawa ponoʻole koko hiki e kena ae ole wale i ke'ākeʻakeʻa mai i ke koko kahe ku i ka occlusive-stenotic lesions, akā, i vertebral-subclavian "aihue". Kēia maʻi pale subclavian artery, a aihue maʻi pale e hoʻomōhala ana i loko o ka hihia o ka occlusion a stenosis lesion i loko o ka pahu mua o ka moku. Aloha i, ke koko i loko o ka subclavian Kanal, aole ia i kahe mai ka aorta, a o ka vertebral artery, a hiki alakai i ka lolo ischemia. Ke kiʻekiʻe hoike ana o ka maʻi, kena ae la ia e ka physical haawe ana ma luna o ka luna palena.

Symptoms o ka maʻi.

1. Pōniuniu.
2. Headedness.
3. Blurred hihio.
4. Muscle nawaliwali ma kaʻaoʻao maikaʻiʻole ia ma.
5. Ka ho'ēmiʻana a piha kaawale o ka lāʻau ikiʻai wale ma kaʻaoʻao maikaʻiʻole ia ma.

No ka 'ike hou ma luna o ka subclavian artery stenosis

Hoʻokomo kālā ma luna o nā paia o ka moku i ke koko, e alakai i ka hou ana o ka hala, i ke lipid kumu,ʻo ia hoʻi, ma ka mea e nā mea loaʻa o ka naʻokoko. Mau hoʻokomo kālā ke mālama i ka lumen o ka moku i ka 80%, i kekahi manawa, a hiki loa clog ia. Ma waho aʻeo ia mau kumumea e kauoha ana i ka subclavian artery stenosis, loaʻa nō kekahi e like me:

1. Irradiation.
2. Arteritis.
3. Mīkini'opihia syndromes.
4. Ke Kula Kaiapuni 'lesions, e like me fibromuscular dysplasia listen'ōlelo.

Loa pinepine, kanaka e loaa ana mai ka stenosis o ka subclavian artery, a ua loli ka moku 'ē aʻe. Ua hiki e ka coronary auwai a, i ka mea o ka naau a me ka carotid - artery o ka laloʻaoʻao. In nui me ka pathology, me vasoconstriction lumen infestation haʻalele subclavian artery. Wahi a ka 'ikepili helu, ia mea mau manawa hou ma mua o ka akau pinepine.

Symptoms symptoms o stenosis:

1. Nawaliwali i loko o nā nāʻiʻo.
2. E manao ana māluhiluhi.
3. Pain i loko o ka luna lala.
4. Necrosis o ka manamanalima.
5. Kahe ana ke koko ma ke kui kahi.

Eia hou, ke hōʻike i symptoms o neurologic ano,ʻo ia hoʻi, he mea he "aihue": ke koko ua o kekah mai maʻamau na moku ma ka hoʻohuli ai i nā wahi. Symptoms o neurological maʻi:

1. Hoʻopōʻino hihio.
2. Loss o ka ike paka i.
3. olelo ana kāna hana.
4. Loss o ke koena.
5. Pōniuniu.
6. lilo ana o ka waiʻona ma loko o ka maka.

Pehea e hana stenosis o ka subclavian artery?

stenosis lapaʻau i e ka 'inikua,ʻoki lāʻau lapaʻau a me ka interventional. I ka papa kuhikuhiE ano o ka lapaʻau - ia endovascular stenting o ka subclavian artery a me ka carotid-subclavian holo alaʻokoʻa. Ka hope iaoiaeii ua paipaiʻia no ka poʻe me hypersthenic i lawa ke ma i ia mea paakiki ke kahińuli i ka mua artery Oihana. Nō hoʻi, i kēia hana o ka lapaʻau ua paipaiʻia ma ka stenosis i loko o ka lua o ka hapa o ka subclavian artery.

Subclavian artery stenting

Stenting - he iapaau ana o ka subclavian artery ma ka mea uuku incision i loko o kaʻili, 2-3 mm o lōʻihi, i mea ma ka puncture puka. Kēia hana o ka iapaau ana i kekahi mau pono maʻoki kino, e like me ka hana ana i ka emi ino a me ka discomfort. Eia hou, ka mea, o ka loa akahai a me ka hui-ka hoopakele ana i lapaʻau hana ma i ka subclavian artery ua malamaia ma kona palapala ano, i mea nui loa ia no ka mea hoʻomanawanui.

stenting ke kaʻina hana no ka aneane painless, a lawe wahi ma lalo o kūloko anesthesia. Kēia hana ke hoʻonui i ka vascular lumen hoʻohana kūikawā catheters a me stents i loko o ka palapala o nā paukūʻolokaʻa. Hope - he paukūʻolokaʻa endoprosthesis kukuna oki mai ka paa metala Tube. Keia mea ua lele aku ma luna o ka kūikawā hoʻonui catheter i loko o ka'opihia moku'āina ua neʻe maila i loko o ka subclavian artery. A hiki i ka stent kīnā ka moku constriction ciia, lawe mai kekahi i ka mana hoʻomalu kaʻina hana e pili ana i ka pono o kona wahi. Mahope, i ka mea hōʻike ma lalo o kiʻekiʻe puʻe. Inā ua wehe ole lawa ka stent, alaila, o ka hana hapa stented angioplasty catheter me ka hoʻonui ma ke kihi e loaʻa ai e pono ai nā hualoaʻa. I ka lā, ka mea i hiki ke hana i ka hana no ka noa, e hiki ke hana ia ma ka noho i ke aupuni pekelala mea palena piha. pono kukakuka nā mea maʻi me ka like mai ke kauka.

Hiki ka pilikia o ka stenting

stenting hana mau o ka hola subclavian artery ma kahi o 2 hola. Keia hana ua lawe mai i loko o ka 'Oihana o cardiac catheterization. Ma hope o stenting loaa painkillers, no ka mea, o ka wahi, kahi a ka subclavian artery, a me ka'aʻaʻa i incised, e ikea ola, ina he pono. Complications mai ke kaʻina hana i pohihihi keia, no ka mea, o ka hoʻomanawanui ma mua ka mea, ua akahele aʻo, a ua hoʻonānā. Akā nō kekahiʻawaʻawa loa hopena e ala mai nō:

1. Allergy e lawe ka lapaʻauʻia.
2. Ke naoh i ka anesthetic.
3. Nā hana kahe ana ke koko ma ke kahua o ka incision.
4. Ana wela.
5. Headache.
6. Maʻiʻaʻai.
7. Air embolism.
8. Poino i ka artery a me ka aorta pa.
9. Thrombosis o ka subclavian artery.
10. Ke Polenekia o ka stent.
11. Neurological complications listen'ōlelo.

Interventional lapaʻau o stenosis o ka subclavian artery ma ka hoʻonui angioplasty a me ka stenting - he laekahi minimally invasive pono a me ka lapaʻau ki ina hana like. Ka mea, i he nui loa pōkole manawa au a me ka postoperative hospitalization.