Ciwon ciki

Ciwon ciki

Aorta na ciki (daga Girkanci aortê, ma'ana babban jijiya) yayi daidai da ɓangaren aorta, babban jijiya a jiki.

Anatomy na aorta na ciki

Matsayi. Kasancewa tsakanin thoracic vertebra T12 da lumbar vertebra L4, aorta na ciki shine sashin ƙarshe na aorta. (1) Yana bin aorta mai saukowa, sashin ƙarshe na aorta na thoracic. Aorta na ciki yana ƙarewa ta hanyar rarrabuwa zuwa rassan gefe guda biyu waɗanda suka haɗa jijiyoyin iliac na hagu da dama, kazalika da reshe na uku na tsakiya, artery sacral medial.

Bangarorin gefe. Aorta na ciki yana haifar da rassa da yawa, musamman parietal da visceral (2):

  • Ƙananan jijiyoyin jini waɗanda aka yi niyya don ƙasan diaphragm
  • Celiac akwati wanda ya kasu kashi uku, jijiyoyin hanta na yau da kullun, jijiya mai ƙarfi, da jijiyoyin ciki na hagu. Waɗannan rassan an yi niyya ne don ƙwanƙwasa hanta, ciki, sikila, da ɓangaren pancreas
  • Babban mesenteric artery wanda ake amfani da shi don samar da jini ga ƙarami da babban hanji
  • Adrenal arteries wanda ke ba da hidimar adrenal
  • Jiyya na koda wanda aka yi niyyar bayar da kodan
  • Ovarian da testicular arteries wanda bi da bi suna hidimar ovaries har da wani ɓangaren bututun mahaifa, da gwaji
  • Ƙarfin mesenteric artery wanda ke hidimar ɓangaren babban hanji
  • Lumbar arteries wanda aka yi niyya don ƙarshen bangon ciki
  • Medial sacral artery wanda ke ba da coccyx da sacrum
  • Jijiyoyin iliac na yau da kullun waɗanda aka yi niyya don wadatar da gabobin ƙashin ƙugu, ƙananan bangon ciki, da ƙananan gabobin

Physiology na aorta

ban ruwa. Aorta na ciki yana taka muhimmiyar rawa a cikin jijiyoyin jijiyoyin jiki saboda rassansa daban -daban da ke ba da bangon ciki da gabobin ciki.

Ƙarfin bango. Aorta yana da bango na roba wanda ke ba shi damar daidaitawa da bambance -bambancen matsin lamba da ke tasowa yayin lokutan bugun zuciya da hutawa.

Pathology da zafi na aorta

Aeurysm aortic aneurysm shine faɗuwar sa, yana faruwa lokacin da bangon aorta ba ya daidaita. Waɗannan aneurysms galibi suna da siffa, ma'ana yana shafar babban ɓangaren aorta, amma kuma yana iya zama na sacciform, ana sanya shi kawai zuwa wani yanki na aorta (3). Dalilin wannan cututtukan ana iya danganta shi da canjin bango, zuwa atherosclerosis kuma wani lokacin yana iya zama asalin cutar. A wasu lokuta, aneurysm aortic aneurysm na iya zama da wahala a tantance tare da babu takamaiman alamu. Wannan shine yanayin musamman tare da ƙaramin aneurysm, wanda ke nuna diamita na aorta na ciki ƙasa da 4 cm. Duk da haka, ana iya jin wasu ciwon ciki ko ƙananan baya. Yayin da yake ci gaba, aneurysm na ciki na ciki na iya haifar da:

  • Matsewar gabobin da ke makwabtaka da su kamar ɓangaren ƙananan hanji, ureter, vena cava, ko ma wasu jijiyoyi;
  • Thrombosis, wato a ce samuwar ɗigon jini, a matakin aneurysm;
  • Babban gogewar jijiya na ƙananan gabobin da ke daidai da kasancewar wani cikas da ke hana jini yawo ko'ina;
  • kamuwa da cuta;
  • fashewar aneurysm daidai da fashewar bangon jijiya. Haɗarin irin wannan fashewar ya zama mai mahimmanci lokacin da diamita na aorta na ciki ya wuce 5 cm.
  • rikicin fissure daidai da "pre-rupture" kuma yana haifar da ciwo;

Jiyya don aorta na ciki

Magungunan tiyata. Dangane da matakin aneurysm da yanayin mai haƙuri, ana iya yin tiyata akan aorta na ciki.

Kula da lafiya. Idan akwai ƙananan aneurysms, ana sanya mai haƙuri ƙarƙashin kulawar likita amma ba lallai bane ya buƙaci tiyata.

Binciken aortic na ciki

Binciken jiki. Na farko, ana yin gwajin asibiti don tantance ciwon ciki da / ko lumbar da aka ji.

Binciken hoton likita Don tabbatar da ganewar asali, ana iya yin duban dan tayi na ciki. Ana iya ƙara shi ta hanyar CT scan, MRI, angiography, ko ma aortography.

Tarihi da alamomin aorta

Tun daga 2010, an gudanar da bincike da yawa don hana aneurysms na aorta na ciki.

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