
aantarik vaksh dhamani

maanav shareer rachana vigyaan mein, aantarik vaksh dhamani (aaee. tii. aeye.), jise pahale aamtaur parr aantarik stun dhamani key roop mein jaanaa jaataa thaa (ack naam joe abhee bhee shalyachikitsakon key beach aam haye), ack dhamani haye joe chhaati kii poorv deewaar aur stanon kii aapoorti karati haye. yeh ack jodeedaar dhamani haye, jisamen ack sternum key pratyek taraf seey chalati haye, joe isake behtar epigastric aur musculophrenic dhamniyon key roop mein vibhajit honey key baad jaari rahati haye.
sanrachana.
aantarik vaksh dhamani apane mool key paas upclavian dhamani kii poorvavarti satah seey utpann hoti haye. isaki chaudaai 1-2 mimi key beach haye.
yeh pasaliyon key pinjare key ander kii or, urosthi key kinaaron seey lagbhag 1 semi kii doori parr, neeche kii or yatra kartaa haye, aur iss prakaar nippal taka madhya mein jaataa haye. yeh aantarik vaksh shira key saath hotaa haye.
yeh pett kii baahari tirchhi maanspeshiyon taka gaharaai seey chalata haye, lekin yoni tantrika key liye satahi hotaa haye.
vayaskon mein, aantarik vaksh dhamani pahale antar-tateey sthaan parr sternum key sabse karib hoti haye. sternum kii dhamani aur paarshv seema key beach kaa antar neeche kii or jaane parr badhata haye, chhathe antar-tateey sthaan parr 1.1 semi seey 1.3 semi taka. bachchon mein, antar 0.5 semi seey 1 semi taka hotaa haye.
shaakhaaen.
chhathe antar-tateey sthaan koo paar karane key baad, aantarik vaksh dhamani nimnalikhit dou antim shaakhaon mein vibhajit hoe jaati haih
kaary.
aantarik vaksh dhamani chhaati kii deewaar aur stanon kii aapoorti karati haye.
naidaanik mahatva.
bipass graft mein upayog karein.
aantarik vaksh dhamani hriday shalya chikitsak kii rakt vahika haye joe coronary dhamani bipass grafting key liye pasand kii jaati haye. baaen itt mein saphanus nus graft aur anya dhamani graft (ee.jee. radial dhamani, gastroepiploic dhamani) jaba baain poorvavarti avrohi coronary dhamani mein graft kiya jaataa haye, tou aam taur parr sabse mahatvapurna pott, naidaanik roop seey, punarjeevit karane key liye.
plastic sarjan stanchhedan key baad stun key swachalit mukt flap punarnirmaan key liye baain yaa daaeen aantarik vaksh dhamniyon kaa upayog curr sakate hain. aamtaur parr, ack sookshm samvahani anastomosis dhamani key dusare antar-tateey sthaan parr kiya jaataa haye jiss parr mukt flap adharit hotaa haye.

