{"id":50403,"date":"2018-05-16T10:41:17","date_gmt":"2018-05-16T10:41:17","guid":{"rendered":"https:\/\/www.humanitas.net\/?post_type=wiki&p=50403"},"modified":"2018-05-16T10:41:39","modified_gmt":"2018-05-16T10:41:39","slug":"vena-cava-inferioara","status":"publish","type":"wiki","link":"https:\/\/www.humanitas.net\/ro\/wiki\/anatomie\/vena-cava-inferioara\/","title":{"rendered":"Vena cava inferioar\u0103"},"content":{"rendered":"

Ce este vena cava inferioar\u0103?<\/h2>\n

Vena cava inferioar\u0103, numit\u0103 \u0219i vena cava posterioar\u0103, este cea mai mare ven\u0103 din corpul uman. Este responsabil\u0103 pentru transportarea s\u00e2ngelui neoxigenat din partea inferioar\u0103 a corpului (membrele inferioare \u0219i toate organele localizate sub diafragm\u0103) c\u0103tre inim\u0103. Localizat\u0103 \u00een cavitatea abdominal\u0103 (doar o por\u021biune mic\u0103 \u00eencepe \u00een cavitatea pieptului), se afl\u0103 posterior cavit\u0103\u021bii abdominale \u0219i func\u021bioneaz\u0103 vertical \u00een partea dreapt\u0103 a m\u0103duvei. Intr\u0103 \u00een atriul drept \u00een partea dreapt\u0103 inferioar\u0103, \u00een spatele inimii.<\/p>\n

Vena cava inferioar\u0103 are aproximativ 22 cm lungime (18 din care \u00een abdomen) \u0219i aproximativ 30 mm diametru. Este format\u0103 din confluen\u021ba a dou\u0103 vene mari: venele iliace comune dreapt\u0103 \u0219i st\u00e2ng\u0103, fiecare este format\u0103 in fuziunea venelor iliace interne \u0219i venelor iliace externe. Venele iliace sunt responsabile pentru colectarea s\u00e2ngelui din membrele inferioare, pelvis, organele genitale externe \u0219i peretele abdominal. S\u00e2ngele neoxigenat curge prin venele iliace interne de la organe \u0219i pere\u021bii bazinului, organele genitale, fese, spate \u0219i regiunile superioare ale \u0219oldului. La venele iliace externe, s\u00e2ngele neoxigenat curge prin membrele inferioare \u0219i peretele abdominal corespunz\u0103tor.<\/p>\n

Sindromul vena cava inferioar\u0103 (IVCS) este rezultatul obstruc\u021biei venei cave inferioare. Este cauzat\u0103 de invaziune, presiunea dintr-o structur\u0103 \u00eenconjur\u0103toare sau tumor\u0103 sau de tromboza din ven\u0103. Tromboza venei profunde face referire la formarea unui cheag de s\u00e2nge \u00een vena profund\u0103. Poate duce la simptome ca umflare \u0219i durere \u0219i complica\u021bii grave amenin\u021b\u0103toare pentru via\u021b\u0103, cum ar embolie pulmonar. Obstruc\u021bia IVCS poate s\u0103 apar\u0103 pe durata sarcinii \u0219i duce la complica\u021bii, cum ar fi frecven\u021b\u0103 cardiac\u0103 sc\u0103zut\u0103, sc\u0103derea func\u021biei renale \u0219i cre\u0219terea presiunii venoase. Simptomele asociate cu IVCS include edemul extremit\u0103\u021bile inferioare, tahicardie, \u0219i posibil sindrom hipotensiv supin. Pacien\u021bii pot avea simptome asimptomatice dup\u0103 ce au ap\u0103rut complica\u021biile.<\/p>\n

Tratamentul obstruc\u021biei IVCS depinde de cauza obstruc\u021biei, seriozitatea simptomelor, starea general\u0103 a pacientului, \u0219i propriile referin\u021be. Clasificarea cauzei poate ajuta doctorul \u00een diagnosticarea corect\u0103. \u00cen cazurile care implic\u0103 tromboza venei profunde, tratamentul medical poate include terapia anticoagulare, agen\u021bii trombolici, sau utilizarea unui filtru IVC, care cuprinde formarea cheagurilor de s\u00e2nge mari \u0219i le \u00eempiedic\u0103 s\u0103 mai c\u0103l\u0103toreasc\u0103 prin vena cava c\u0103tre inim\u0103 \u0219i pl\u0103m\u00e2ni. Este esen\u021bial ca pacientul s\u0103 primeasc\u0103 cea mai adecvat\u0103 form\u0103 de tratament pentru a preveni alte complica\u021bii (care pot fi grave sau fatale).<\/p>\n

Ce func\u021bie are vena cava inferioar\u0103?<\/h2>\n

Vena cava inferioar\u0103 este responsabil\u0103 pentru colectarea \u0219i transportarea s\u00e2ngelui neoxigenat de la por\u021biunea inferioar\u0103 a corpului (membrele inferioare \u0219i toate organele localizate sub diafragm\u0103) \u00een atriul drept al inimii. Atriul drept este localizat \u00een partea inferioar\u0103 dreapt\u0103 din spate a inimii. Vena corespunz\u0103toare care transport\u0103 s\u00e2ngele neoxigenat de la partea superioar\u0103 a corpului este cunoscut\u0103 ca fiind vena cava superioar\u0103.<\/p>\n

 <\/p>\n

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