Iatuku Subclavian. syndrome iatuku subclavian

pera Subclavian he oko e kawe toto ratou ki nga waewae o runga o te tinana tangata. Ka kia whakaaro tenei tuhinga i roto i taipitopito nga ariā taketake katoa o te tumu parau. Ka ako koe ki ta te syndrome iatuku subclavian me aha ngā āhuatanga o tona maimoatanga ki reira.

He aha te mea te iatuku subclavian?

Ko te pūnaha circulatory ko te matatini o te pikonga ngā o te uaua, pera, tōiti. oko eé Big e tango ana te toto i te kikorangi te pūtahi o - iatuku subclavian - pā ana ki te oko o te porohita nui o tohanga toto tangata. kaiwhakawhiwhi te reira i ngā wāhi kōpako toto o te roro, roro tuarongo, wahi waha o te ua, uaua, me whekau o te wahi kaki, i te whitiki pokohiwi me te e alangá runga, me te tahi mau wāhanga o te ãpoko me puku.

Ko te mātauranga mahere whenua o te iatuku subclavian

He aha e te kupu "mahere whenua"? Ko te aroaro mau wāhi o tetahi mea ranei i roto i te pā ana ki te tahi mau tūemi tenei. Kia whakaaro tatou he aha te mea te mahere whenua o te iatuku subclavian, i roto i nga kupu atu, i reira me te i roto i te pā ana ki te mea he reira. mea putake te reira i runga i te ringa tetahi i te kātua brachiocephalic, a ki runga ki te tahi atu - i te kikorangi te pūtahi o, bypasses te tihi, me te i roto i roto i te poka ki runga ki runga o te pouaka. Ko te iatuku kaki subclavian he wāhi kitea tata karere pokohiwi plexus me rongoa i te mata. Ka taea te whakamahi i tēnei wāhi o te oko mo mutu toto te tomokanga taea o ngā rongoā ranei. ngoto Next iatuku subclavian i runga i te mata, haere reira i raro i te āhei me te ki te kēkē, te wahi riro te reira i te axillary kua. Na, i muri i haere i roto i te kēkē, haere ia i runga i tona pokohiwi. Ko te ingoa o tenei pae - iatuku brachial. I roto i te rohe whatīanga diverges reira i runga i te pūtoro, me te pūkaka uaua.

catheterization rua Subclavian. poka

Ka rite ki whakahuatia matou i runga ake, i roto i te subclavian kaki Vienna (me te iatuku rawa) takoto i runga i te mata. Tenei wahi e whakamahia ana ki te hopu me te urunga poka pū tōngāmimi. He aha te mea te pūtake o tenei whiriwhiri ngā o te oko? He maha ngā paearu mō tenei kōwhiringa e:

1. wātea kikokiko.
2. Ko te pūmautanga o te tūranga, me te diameter o te lumen.
3. rahi rahi ana nui ranei (diameter).
4. nui tere rere toto te tere o te rere toto i roto i te uaua o nga topito.

I runga i nga raraunga i tuhia i runga ake, hoatu ki te pū tōngāmimi rua ka whakauaua pa ki te taiepa uaua. Rongoā e kua tomo i roto i taua mea, ka hohoro tae te marae tika, me te ana roro, whai wāhi ratou ki te mana kaha i runga i hemodynamics. Rāwaho ki te raau taero rua subclavian rawa hohoro i konatunatua ki te toto, i te kore irritating te roto o te uaua. I roto i ētahi wā, i reira he contraindications ki poka, me te pū tōngāmimi kōkuhunga.

Ko te iatuku subclavian mahue me tika

Tenei oko - he okana takirua, kua rite kua mea i runga: ko te iatuku subclavian tika me te maui. Ko te peka tuatahi ko te kātua brachiocephalic hopea, me whakaaro ki te maui, haere te reira i roto o te kikorangi te pūtahi o. I tua atu, ko te āhua 4 cm whakamutunga roa atu i te tuatahi. Matau kai iatuku subclavian toto ki etahi wāhanga o te ringa matau, kaiwhakawhiwhi reira te matenga, me te pouaka. Ko te iatuku subclavian mahue mauranga matū kawe wai nui mo te tautoko te ora, i roto i te ringa maui.

wāhanga Main o te iatuku subclavian

Ko te iatuku subclavian mahue me tika pono takirihia wehea ki e toru ngā wāhanga matua, wāhanga ranei:

1. Mai i te wahi o te hanganga o te iatuku subclavian i mua i tomo i te āputa interscalene.
2. Division, e te mea iti āputa interscalene.
3. I te putanga i te āputa ki te poka interscalene axillary.

Ko te manga o te wāhanga tuatahi o te iatuku subclavian

Ko tēnei wāhanga o te tuhinga ka korero i te iti e pā ana ki te pehea, ki te titiro iatuku subclavian me ona manga, e ko, he aha ngā wāhanga o te manga oko. Mai tona kāri tuatahi (te wāhi i waenganui i te tomokanga ki te wā interscalene me te tīmatanga o te pera) haere e rave rahi manga, ko nga mea matua enei:

1. iatuku vertebral, steamroom. haere te reira i roto i te tukanga hake o te ono o te pūwaha waha. Ia atu whakatika ana, ka taka ki roto ki te kōhao cranial roto i te hoki o te upoko, e ko, na roto i tona rua. Reira ka hono ki te iatuku taua o te tahi atu taha, reira hanga te iatuku basilar. He aha te mea te mahi o te iatuku vertebral? Ko te oko te kaiwhakawhiwhi toto ki te ua, taupa kōpako pakeke o te roro, me te uaua.
2. haamata te iatuku rei ā-i te raro o te iatuku subclavian. Channel kaiwhakawhiwhi toto thyroid, HWM, bronchi, etc. whaturei.
3. kātua Schitosheyny. mea putake reira tata te mata i roto uaua hikuwaru, tae he roa o e pā ana ki 1-2 cm. tuwhatuwhaia Schitosheyny kātua ki manga e tuku toto ki te uaua, me te mata kaki, me te korokoro.

Ko te putanga o te wāhanga tuarua, me te tuatoru o te iatuku subclavian

Tuarua wāhanga subclavian iatuku iti interscalene āputa kua kotahi anake peka, huaina reira ko te kātua mata-waha. E haamata te reira i te hoki o te iatuku subclavian me te wehea ki te maha manga:

1. Ko te iatuku intercostal rawa (iatuku haere i tenei manga posterior ārahi toto ki nga uaua o te hoki).
2. oko tuaiwi.
3. uaua kaki Deep.

Ko te wehenga tuatoru o te iatuku subclavian hoki kua kotahi peka - he uaua te waha hake. tomo te reira i te whakatau i te brachial me te wehea ki:

1. iatuku fakangalingali, e te kaiwhakawhiwhi toto ki te hoki uaua.
2. Hikumārō iatuku o te mata. Makaka te reira ki te whanui uaua hoki, whangainga ana te reira me te tata nga uaua iti.
3. peka Deep o te iatuku subclavian.

He e whakaahuatia i roto i te taipitopito rawaka pērā ariā rite te iatuku subclavian me ona manga, ka taea te hamu i te mōhiohio atu i te tuhinga hauora.

Pea mate iatuku subclavian

Ko te mate matua e pā te iatuku subclavian me ona manga - he whāiti o te lumen o oko toto, i roto i nga kupu atu, stenosis. Ko te take matua o tenei mate ko atherosclerosis iatuku subclavian (lipid waipara i runga i te taiepa oko) ranei Thrombosis. Kei te tino maha hokona tenei mate, engari i reira he take, me te congenital. āhuatanga Risk hoki atherosclerosis o te iatuku subclavian he:

1. Takawhita.
2. Smoking.
3. Taumaha, te mōmonatanga.
4. Mate huka, me etahi atu mate.

Ko te take tino noa o stenosis o te iatuku subclavian - he mate pūkoro i roto i te tangata, te pukupuku, me ngā tukanga inflammatory. Kaha te whakaputa ahu stenosis ki te whakaiti o te rere toto ki whēkau faufaa, i reira te mea he kaimahi o te hāora, me ngā matūkai ki te kopa. I tua atu, ka taea e te stenosis meinga mate ngakau coronary, i roto i ngā patunga.

syndrome iatuku subclavian

Ka taea te meinga rere toto takarepa kore noa te arai ki te rere toto e tika ana ki te pāpaka occlusive-stenotic, engari ano hoki "tahae" vertebral-subclavian. Tenei iatuku syndrome subclavian, tahae ranei whakawhanake syndrome i te take o te occlusion stenosis lesion ranei i roto i te wehenga tuatahi o te oko. Mämä noa iho, e kore e toto i roto i te hongere subclavian rere i te haoraora me o te iatuku vertebral, e taea arahi ki ischemia roro. Ko te faaiteraa teitei o te mate meinga e te kawenga tinana i runga i te pito o runga.

Tohu o te mate:

1. Whanoke.
2. Upoo.
3. kite te peroo.
4. ngoikore uaua i te taha pāngia.
5. Tuhinga oti ngaro o te pini i te taha pāngia ranei.

Mō ētahi atu mōhiohio i runga i te stenosis iatuku subclavian

Putunga i runga i nga taiepa o oko toto, ārahi ki whāiti o te mua, i te pūtake lipid, e ko, i roto i te meka he pärönaki o cholesterol. Ka taea e ēnei putunga whakawhāiti te lumen o te oko ki runga ki te 80%, te tahi mau taime noa tino Toke reira. I tua atu ki enei āhuatanga meinga te stenosis iatuku subclavian, i reira e pērā i ētahi atu:

1. Irradiation.
2. Arteritis.
3. syndromes Kōpeketanga.
4. pāpaka Various, pērā i fibromuscular dysplasia et al.

Tino maha, iwi e mate ana i stenosis o te iatuku subclavian, a kua pāngia te tahi atu oko. i taea e te reira i te takere coronary, e ko te ngakau me te kakī - iatuku o nga topito o raro. I roto i te whānui ki taua māuiuitanga, rite lumen vasoconstriction infestation mahue iatuku subclavian. E ai ki ngā tatauranga, ko reira e rave rahi taime atu pinepine atu i te tika.

Tohu tohu o stenosis:

1. Ngoikore i roto i te uaua.
2. Ongoi ngenge.
3. Mamae i roto i te wahi o runga.
4. Necrosis o nga maihao.
5. Toto i roto i te rohe titi.

I tua atu, ka taea e whakaatu tohu o huru neurologic, e ko, i reira te mea he "tahae": tukuna te toto i oko noa i roto i te wāhi kua pā. Tohu o mate neurological:

1. kite waimaero.
2. Mate o te mahara.
3. whakararuraru, kupu.
4. Mate o te toenga.
5. Whanoke.
6. mate o sensation i te mata.

Me pēhea te ki te hamani stenosis o te iatuku subclavian?

kia maimoatanga stenosis o hauora, hāparapara, me te interventional. Ko te tikanga matua o te maimoatanga - reira stenting endovascular o te subclavian iatuku me kakī-subclavian karo. e tūtohu ana te tikanga whakamutunga mō te iwi ki te Force hypersthenic i roto i te mea uaua ki te whakanui i te tari uaua tuatahi. Ano hoki, tūtohutia tenei tikanga o te maimoatanga i te stenosis i roto i te wahi tuarua o te iatuku subclavian.

stenting iatuku Subclavian

Stenting - he maimoatanga o subclavian iatuku roto i te kokoti iti i roto i te kiri, 2-3 mm te roa, i hanga ai i roto i te poka poka. He ana tēnei tikanga o te maimoatanga maha ngā painga i runga i te pokanga, rite e iti whara me te hūhi. I tua atu, ko reira te tikanga maimoatanga tino ngawari me te okana-tiaki i roto i nei tiaki te iatuku subclavian i roto i tona ahua taketake, i te mea tino nui mo te manawanui.

Ko tata ongonoa stenting tukanga me e wahi i raro i rehunga rohe. Ka taea e tenei mahi ake i te lumen iaia te whakamahi i catheters motuhake me stents i te puka o ipurau. Last - he taiaho endoprosthesis porotakaroa tapahia i ngongo whakarewa totoka. eke ana tēnei pūrere te i runga i te pū tōngāmimi poihau motuhake i roto i te āhua kōpeke te neke i roto i te iatuku subclavian. A, no te tae i te stent te rohe oko constriction, kawea atu etahi ngā tukanga mana e pā ana ki te matau o tona wāhi. I muri iho, whakakitea te pūrere i raro i te pēhanga teitei. Ki te kore te feunga whakatuwheratia te stent, na te wahi motuhake angioplasty stented pū tōngāmimi ki te poihau i te matamata ki te whakatutuki i ngā hua tino pai. Ki te rā, he mea ka taea ki te mahi i te mahi mō te kore utu, e taea e koe i te reira na roto i te whiwhi i te motunga e hānga ana. Me kōrero Tūroro ki te mate rite te tākuta.

tūponotanga taea o te stenting

stenting tukanga pumau iatuku āhua subclavian e pā ana ki 2 haora. kawea ana tēnei mahi i roto i te tari o te catheterization cardiac. I muri stenting riro painkillers, no te mea kia te wahi i reira kōtē te iatuku subclavian, me te kikokiko i, puta mauiui, ki te tika. he onge ngā raruraru i te tikanga, no te mea kei te āta whakangungua te manawanui i mua i te reira, ka aroturukitia. Otiia tonu kia whakatika etahi hopearaa kino e:

1. Mate pāwera ki te tango i rongoā.
2. Ko te tauhohenga ki te rongoā.
3. toto Iti i te pae o te kokoti.
4. Temperature.
5. Ānini.
6. Mate.
7. Air Embolism.
8. Tūkino ki te iatuku te taiepa haoraora ranei.
9. Thrombosis o te iatuku subclavian.
10. Ko te hekenga o te stent.
11. pōauautanga Neurological et al.

maimoatanga Interventional o stenosis o te iatuku subclavian i opupu angioplasty me stenting - he hou tikanga maimoatanga minimally urutomo me te whai hua. E ratou he wā wā poto rawa, me te hohipera postoperative.