ʻO ka vena cava haʻahaʻa

ʻO ka vena cava haʻahaʻa

ʻO ka vena cava inferior kekahi o nā veins nui i ke kino.

Inna haʻahaʻa vena cava: anatomy

wahi. Aia ka inava lalo vena cava i loko o ka ʻōpū.

Kinohi. Kū aʻe ka vena cava haʻahaʻa ma ka pae o ka 5th lumbar vertebra. Kūlike ia i ka hui ʻana o nā ʻili iliac maʻamau. (1) (2)

Ke ala. ʻO ka vena cava inferior e holo i mua o nā kino vertebral a me hope o ke aorta i ka vertebra lumbar mua. A laila piʻi mau ia, ke kuhi nei i ka ʻākau, a hele i waena o ka diaphragmatic orifice. (1) (2)

Hoʻopau. Hui pū ka vena cava inferior a hoʻopau i ka pae o ka atrium ʻākau. (1) (2) Ma kēia pae, ua hoʻokumu ʻia kahi muscular pelupelu, i kapa ʻia he kiwikā o ka vena cava inferior a i ʻole ka valve Eustachi.

Nā lālā pili. Wehe ʻia nā lālā paʻa he nui ma ke ala o ka vena cava inferior (1) (2):

  • ʻO nā uaua lumbar. Hana lākou i nā veins satellite i nā aʻa lumbar. Pau kēlā me kēia lumbar vein ma ke kua o ka vena cava inferior.
  • Nā uaua koko. Ke hana nei i ʻelua mau koʻokoʻo vena, wehe nā veins renal ma luna o nā ʻaoʻao o ka vena cava inferior ma ka pae o ka vertebra lumbar mua.
  • ʻO ka spermatic kūpono a i ʻole ka maʻi ʻaʻai ovarian. Piʻi ia ma luna o ka vena cava inferior ma mua o ka pau ʻana ma lalo o ka wehe o nā ʻākena ākea.
  • ʻO ke adrenal pono waena a i ʻole ka aa koko. Wehe ʻia i ke alo o hope o ke keʻena liʻiliʻi, ma waena o ka wehe ʻana o nā uaua ʻāʻī a me ke ala ma waena o ka diaphragmatic orifice.
  • ʻO nā veins Hepatic. ʻO ka maʻamau ma ka helu ʻelua, hoʻopau kēia mau uaua i ka vena cava haʻahaʻa ma lalo o ka diaphragm.
  • Nā veins diaphragmatic o lalo. Wehe lākou i ke alo o mua o ka vena cava inferior, ma ka pae o ka diaphragmatic ala.

Kahe ka wai o Venous

Alakaʻi ka vena cava haʻahaʻa i ke koko venous i ka puʻuwai, a ʻoi aku ke kikoʻī i ka atrium akau (1) (2).

Nā pathology a me nā pilikia e pili ana

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 mau ʻōpili ke neʻe a neʻe i luna i ka vena cava inferior. Hiki i kēia pathology ke alakaʻi i nā ʻano like ʻole e like me ka lawa ʻole o ka venous. Kūlike ka hope me kahi hana pono ʻole o kahi pūnaewele venous. Ke kū kēia i ka pae o ka vena cava haʻahaʻa, hoʻokahe maikaʻi ʻia ke koko a hiki ke hoʻopili i ke kahe o ke koko (3).

ʻO nā Tumors. Benign a malignant paha, hiki i nā tumors ke hoʻomohala i ka vena cava haʻahaʻa. Eia nō naʻe, ʻaʻole maʻamau kēia hoʻomohala maʻi maʻi (4) (5).

Kaumaha. Ma hope o ka haʻalulu nui, hiki i ka vena cava haʻahaʻa ke hele i loko o ka trauma. Hiki i kēia ke hōʻike ʻia e hypovolaemia, ʻo ia hoʻi, kahi maʻi koko. (4)

Nā hōʻailona

Lapaʻau ola. Kaukaʻi ʻia i ka maʻi maʻi i hōʻike ʻia, hiki ke kuhikuhi ʻia kekahi mau lāʻau e like me anticoagulants a i ʻole anti-hōʻuluʻulu.

ʻO Thrombolyse. Hoʻohana ʻia i ka wā myocardial infarction, kēia hana me ka haki ʻana i ka thrombi, a i ʻole ke koko clots, me ke kōkua o nā lāʻau.

ʻO keʻano maʻamau. Kaukaʻi ʻia i ka pathology diagnose, ʻoki kino hiki ke pono.

Chemotherapy, radiotherapy, hormone therapy, hoʻomōhala hoʻomōhala. Kaukaʻi ʻia i ke ʻano a me ke kahua o ka tumo, hoʻohana ʻia paha kēia mau hana e hōʻino ai i nā hunaola maʻi ʻaʻai. (5)

Ka hoʻokolokolo ʻana i ka cava vena inferior

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 hoʻopau ai a hōʻoia paha i kahi kuhi, hiki ke hana ʻia kahi ultrasound Doppler, kahi scan CT, a i ʻole MRI.

mō'aukala

Kākau ʻia ma ke ʻano he kiwikā ʻo Eustachi, ka inoa o ka valve vena cava inferior ma hope o ke kenekulia a me ka kauka Italia ʻItalia 16th kaulana, ʻo Bartolomeo Eustachi. (6)

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