Contents
ʻO Azygos vein
ʻO ka hergos vein (ʻo iagos: mai ka ʻōlelo Helene i manaʻo ʻia "ʻaʻole i kūlike"), i kapa ʻia ʻo ia ka venagna nui, kahi aa i loko o ka thorax.
Anatomy
wahi. Aia ka nergos vein a me kona mau lālā ma ka pae o ka lumbar luna, a ma ka pae o ka paia o ka pahu.
'ole. ʻO ka veins hergos ke kumu nui o ka ʻōnaehana venna hergos. Māhele ʻia ka hope i ʻelua mau ʻāpana.
- he ʻāpana pololei e hoʻopili ana i ka neʻe o konagos a i ʻole ke aʻa nui iāgos;
- kahi ʻaoʻao hema e komo ana i nā anana liʻiliʻi a i ʻole hemiazygous veins, i haku ʻia o ka aa hemiazygous, a i ʻole ke aʻa hemiazygous o lalo, a me nā aʻa hemiazygous kōkua, a i ʻole ke aʻa hemiazygous o luna. (1) (2)
Vveine azygos
Kinohi. Lawe ke kumu ʻo ia i ke kumu o ke kiʻekiʻe o ka 11th intercostal space, a mai nā kumuwaiwai ʻelua:
- kahi kumu e hui pū ana me ka hui ʻana o ka aʻa lumbar e piʻi pono ana a me ka ʻāpana o ka intercostal pono ʻelua;
- kahi kumu i hana ʻia e ka ʻaoʻao o hope o ka vena cava inferior, a i ʻole e ka aa koko akau.
Ke ala. Piʻi ke aniani hergos ma ke alo o mua o nā kino vertebral. Ma ka pae o ka hā o ka vertebra dorsal, piʻo ka vena hergos a hana i kahi paʻa e hui pū me ka vena cava kiʻekiʻe.
Nā lālā. He mau lālā koloka ko ka ʻohanagos vein e hui pū me ia i kāna huakaʻi: ʻo ka ʻewalu mau hope o ka intercostal veins hope loa, ʻo ka vein intercostal pono ʻoi aku, ʻo nā veins bronchial a me nā esophageal, a ʻo nā ʻelua hemiazygous veins. (1) (2)
ʻO ke koko Hemiazygous
Kinohi. Kū aʻe ka maʻi hemiazygous i ke kiʻekiʻe o ka 11th intercostal space, a mai nā kumuwaiwai ʻelua:
- kahi kumu e hui pū ana me ka hui ʻana o ka lumbar vein a piʻi a hema a me ka ʻāpana intercostal hema 12;
- kahi kumu i loaʻa i ka aa o ke kele hema.
Alanui. Hele ka hemiazygous vein i ka ʻaoʻao hema o ka iwi kuamoʻo. Hoʻohui pū ia i ka veins hergos ma ka pae o ka 8th dorsal vertebra.
Nā lālā. He lālā lālā ka hemiazygous vein e hui pū me ia i ka wā o kāna huakaʻi: ʻo 4 a 5 paha i koe i waena o nā uaua intercostal. (1) (2)
Mea kōkua hemiazygous mea kōkua
Kinohi. Holo ke urea hemiazygous kōkua mai ka 5th a i ka 8th hema hema intercostal aʻa.
Ke ala. E iho i ka maka hema o nā kino vertebral. Hoʻohui ia i ke aʻa o ka hergos ma ka pae o ka 8th dorsal vertebra.
Nā lālā. Ma ke ala, hoʻohui nā lālā collateral i ke aʻa hemiazygous kōkua: nā veins bronchial a me nā veins esophageal waena.1,2
Kahe ka wai o Venous
Hoʻohana ʻia ka ʻōnazo venous system e hoʻokahe i ke koko venous, maikaʻi ʻole i ka oxygen, mai ke kua, nā paia o ka umauma, a me nā paia ʻōpū (1) (2).
Phlebitis a me ka lawa ʻole o ka venous
Phlebitis. Kāhea ʻia hoʻi ka thrombosis venous, pili kēia pathology i ka hoʻokumu ʻia ʻana o kahi pūpū koko, a i ʻole thrombus, i loko o nā uaua. Hiki i kēia pathology ke alakaʻi i nā ʻano like ʻole e like me ka lawa ʻole o ka venous (3).
Ka lawa ʻole o Venous. Kūlike kēia kūlana i kahi hana ʻole o kahi pūnaewele venous. Ke hiki mai kēia i loko o ka ʻōnaehana venna hergos, hoʻokahe maikaʻi ʻia ke koko a hiki ke hoʻopili i ke kahe o ke koko (3).
Nā hōʻailona
ʻO ka lāʻau lapaʻau. Kaukaʻi ʻia i ka pathology diagnose, kekahi mau lāʻau e kauoha ʻia e like me anticoagulants, a i ʻole antiaggregants.
ʻO Thrombolyse. Aia kēia hōʻike i ka haki ʻana i ka thrombi, a i ʻole ke kahe koko, e hoʻohana ana i nā lāʻau. Hoʻohana ʻia kēia lāʻau i ka wā myocardial infarction.
ʻO ka hoʻāʻo ʻana o nā hergine veine
Ke kaulike. ʻO ka mea mua, hana ʻia kahi hoʻokolohua hoʻokolohua e loiloi i nā ʻōuli i ʻike ʻia e ka mea maʻi.
ʻImi hoʻokolohua kiʻi. I mea e hoʻokumu ai a hōʻoia ai paha i kahi kuhi, hiki ke hana ʻia kahi ultrasound Doppler a i ʻole kahi scan CT.
mō'aukala
Hōʻike o ke aʻa hergos. Ua wehewehe ʻo Bartolomeo Eustachi, ka anatomist ʻItalia 16 a me ke kauka, i nā hanana anatomical e like me ka aʻa herona. (4)