So wunim mogya ntini a ɛho hia (Radial Artery) a ɛwɔ wo nsam yi ho asɛm yiye?

Ɛnnɛ yɛrebɛka mogya ntini bi a ɛho hia paa wɔ yɛn nsam a yennwen ho pii wɔ yɛn da biara da asetena mu ho asɛm. Eyi ne nea nnuruyɛfo frɛ no Radial Artery . Ebia woate din yi pɛn, bere a oduruyɛfo bi fa wo nsateaa na ɔte wo koma a ɛbɔ no nka no. Dɛn ankasa ne eyi? Ɔsom bɛn na ɛde ma yɛn nipadua? Momma yɛnka eyinom nyinaa ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Dɛn na ɛba saa ntini a ɛyɛ radial yi so ankasa?

Sɛ yɛbɛka no tiawa a, radial artery no te sɛ paipu ketewaa bi nanso etu mpɔn yiye a ɛma nkwa ba anim, nsateaa, ne nsateaa mu. N’adwuma titiriw ne sɛ ɛbɛsoa mogya a oxygen pii wom na ɛho tew a yɛn koma bɔ no na ɛkyekyɛ kɔ abasa no afã horow yi.

Susuw ho hwɛ, nkwammoaa ne ntini biara a ɛwɔ yɛn nipadua mu hia oxygen na ama ayɛ adwuma. Te sɛ nea kar hia pɛtro no ara pɛ. Enti, mmeae atitiriw a wonya mogya fi saa radial artery yi mu ne:

• Elbow joint: Yiw, eyi ne mogya a ɛkɔ wo elbow mu.
• Ntini a ɛwɔ anim: Eyi ne ntini a ɛma abasa ntini no nya ahoɔden. Saa ntini ahorow yi boa bere a yɛwosow yɛn nsa na yɛma nneɛma a emu yɛ duru so no.
• Nsateaa a wɔde kyerɛ ade ne nsateaa kɛse: Eyi boa ma mogya kɔ wo nsateaa a wɔde kyerɛ ade ne nsateaa kɛse no mu titiriw. Yɛde nsateaa abien yi yɛ nneɛma pii, ɛnte saa?
• Radial Nerve: Eyi ne ntini titiriw a ɛhwɛ kankyee ne nkate a ɛwɔ abasa ne nsa no mu so. Saa ntini yi nso nam saa ntini yi so ma.
• Wo nsateaa nnompe ne nkwaa: Ɛboa nso ma nnompe nketewa (carpal bones) ne nkwaa a ɛwɔ wo nsateaa mu no yɛ yiye denam mogya a ɛde ma no so.

Ɛno kyerɛ sɛ, ɛkame ayɛ sɛ saa radial artery yi di dwuma wɔ ade ketewaa biara a wode wo nsa yɛ mu.

Ɛhe na Radial Artery no wɔ?

Wubetumi nso abɔ mmɔden sɛ wubehu eyi ntɛm ara. Wowɔ wo elbow joint, ɛhɔ na efi ase wɔ mu. Afei ɛkɔ fam wɔ abasa no so, kyerɛ sɛ, ɛfa anim nsa no so, kɔ ɔfã a nansoaa kɛse no wɔ, saa ntini a ɛyɛ radial yi.

Eyi te saa titiriw wɔ honam ani hwɛbea no ase pɛɛ, ɛnyɛ nea emu dɔ koraa. Ɛno nti na ɛnyɛ den sɛ nnuruyɛfo betumi ate wo koma a ɛbɔ no nka denam wɔn nsa a wɔde bɛto so wɔ wo nsateaa so no so. Sɛ wohwɛ wo nsateaa mu (nsateaa fã) da bi a, ɛtɔ mmere bi a wubetumi ahu ntini ketewaa bi a ɛyɛ bruu anaa kɔkɔɔ, ɛnte saa? Ɛhɔ na saa ntini yi tu mmirika. Nanso ntini a wuhu no yɛ ntini, na ntini no wɔ ase kakra, nanso ɛwɔ hɔ ara.

Ɔkwan bɛn so na radial artery no nkorabata no yɛ?

Saa radial artery yi nkutoo mfi ase. Ɛsan nso wɔ "ɛna." Ɛno ne brachial artery, mogya ntini titiriw bi a ɛwɔ yɛn nsa atifi no.Ɛne sɛ, te sɛ asubɔnten a efi ase fi asubɔnten kɛse bi mu.

Bere a ɛbɛn nsateaa nkwaa no, saa nsateaa mu ntini yi mu paapae yɛ nkorabata atitiriw abien.

1. Ntini a Ɛyɛ Radial

2. Ulnar Ntini a Ɛma Ntini Mu

Radial artery ne ulnar artery no te sɛ nnamfo baanu, wotu mmirika di nsɛ, kyerɛ sɛ, wɔmfa wɔn nsa nka wɔn ho wɔn ho, sian kɔ anim nsateaa no so na ɛde mogya kɔ nsateaa ne nsateaa mu. Sɛ wɔka saa mmienu yi bom a, ɛma yɛn nsa ne yɛn nsateaa ase yɛ apɔwmuden.

Nyarewa ne tebea horow bɛn na ebetumi aka Radial Artery no?

Sɛ yɛbɛka no ɔkwan biara so a, radial artery no bɛn honam ani yiye, ɛkame ayɛ sɛ ɛwɔ soro (superficial artery). Enti, ɛnyɛ nea ɛda adi koraa sɛ ebenya atherosclerosis, tebea a srade boaboa ano wɔ ntini no mu na ɛyɛ teateaa, sɛnea ɛte wɔ mogya ntini akɛse a ɛkɔ koma no mu no ho no. Ɛno yɛ ade pa!

Nanso, ɛtɔ mmere bi a ɔhaw ahorow betumi asɔre.

• Bere a wɔde catheter ayɛ akyi: Nnuruyɛfo de afiri ketewaa bi (catheter) fa radial artery no mu ma wɔyɛ koma no mu oprehyɛn ahorow bi. Wɔ nnipa kakraa bi a wɔyɛ eyi mu no, hokwan ketewaa bi wɔ hɔ sɛ ntini no besiw (asiw) .
• Ntini a ɛsɛe anaasɛ ɛyɛ mmerɛw: Sɛnea yɛaka wɔ atifi hɔ no, sɛ ntini no siw a, ɛtɔ mmere bi a nsa ne nsateaa no betumi ayɛ mmerɛw anaasɛ ntini asɛe.
• Carpal Tunnel Syndrome: Eyi yɛ tebea a ɛntaa nsi koraa, na ɛka nnipa 100 biara mu nnu 3. Ɛde ɔhaw bi a ɛwɔ radial artery a ɛmia ntini a ɛwɔ nsateaa no mu no so na ɛba.

Nanso mma ɛnhaw wo, saa nsɛnnennen yi ho yɛ na koraa. Nnuruyɛfo hwɛ yiye paa wɔ eyi ho.

Dɛn na nnuruyɛfo de radial artery no di dwuma ma?

Ebia woante eyi ho asɛm, nanso nnuruyɛfo hu sɛ mfaso kɛse wɔ saa ntini a ɛwɔ ntini no mu yi so. Wɔde yɛ aduruyɛ mu nneɛma pii.

• Koma mu nhwehwɛmu ne ayaresa (Transradial access): Bere bi a atwam no, sɛ wɔreyɛ nhwehwɛmu ahorow bi a ɛfa koma ho, sɛ nhwɛso no, na wɔtaa de angiogram , asen mu ntini , mogya ntini kɛse bi a ɛwɔ akyi berɛmo mu di dwuma. Nanso, sɛ woreyɛ no wɔ hɔ a, ɛtɔ mmere bi a mogya betumi adɔɔso dodo kakra, na ama ayɛ den sɛ wobɛnantew nna kakraa bi. Nanso seesei, esiane nkɔso a aba wɔ aduruyɛ mu nti, wɔtaa fa ntini a ɛwɔ nipadua no mu no so na ɛyɛ saa nneɛma yi. Yɛfrɛ eyi (Transradial access) . Mfaso a ɛwɔ eyi so ne:
• Mogya a ɛba no sua koraa.
• Ɛnyɛ yaw kɛse.
• Wubetumi afi ayaresabea akɔ fie ntɛm. Ɛtɔ da mpo a, wubetumi akɔ fie anwummere koro no ara.
• Asiane a ɛwɔ nsɛnnennen mu nso sua.

Ɛno yɛ ade a ɛyɛ mmerɛw kɛse, ɛnte saa?

• Hwɛ sɛnea koma no bɔ na susuw koma no bɔ:Eyi ne nea yɛn nyinaa nim. Oduruyɛfo de nsateaa abien anaa abiɛsa si wo nsateaa so, wo nsateaa kɛse no nkyɛn, de hwɛ sɛnea wo koma bɔ (pulse). Ɛno ne nea wɔrehwɛ wɔ saa radial artery yi so.

• Hwɛ oxygen ne carbon dioxide dodow a ɛwɔ mogya no mu: Wɔ tebea horow bi a egye ntɛmpɛ mu, anaa ayarefo a wɔn home mu yɛ den mu no, ɛho hia sɛ wɔhwɛ oxygen ne carbon dioxide dodow a ɛwɔ mogya no mu pɛpɛɛpɛ. Wɔfrɛ nhwehwɛmu no Arterial Blood Gas (ABG) . Wɔtaa gye mogya fi radial artery no mu.

• Susu mogya mmoroso pɛpɛɛpɛ: Ɛsɛ sɛ ayarefo a wɔwɔ mmeae a wɔhwɛ wɔn a wɔyare denneennen no kɔ so susuw wɔn mogya mmoroso na wɔyɛ no pɛpɛɛpɛ. Saa bere yi mu no, wɔde plastic tube ketewaa bi (cannula) hyɛ radial artery no mu na wɔde bata afiri bi ho. Wɔfrɛ eyi arterial cannulation .

• Sɛ wɔma asaabo mu yi: Ayarefo binom a wɔn asaabo ntumi nyɛ adwuma yiye a, ɛsɛ sɛ wɔyɛ asaabo mu na ama wɔahohoro wɔn mogya ho. Ɛtɔ mmere bi a, wɔde saa ntini a ɛwɔ akyirikyiri yi nso di dwuma de yɛ AV fistula .

• Koma a Wɔfa Oprehyɛn: Ɛtɔ mmere bi a, sɛ mogya ntini bi a ɛwɔ koma no mu siw a, oprehyɛn a wɔde twa ho no hwehwɛ sɛ wɔde mogya ntini foforo hyɛ nipadua no mu. Wɔ tebea horow a ɛtete saa mu no, nsɛm bi wɔ hɔ a wɔfa saa radial artery yi na wɔde di dwuma.

Hwɛ sɛnea mogya ntini nketewa yi so wɔ mfaso!

Mɛyɛ dɛn atumi abɔ me radial artery ne mogya a ɛkɔ nipadua no mu nyinaa ho ban?

Sɛ ɛnyɛ radial artery nko, na mmom mogya ntini a ɛwɔ yɛn nipadua nyinaa mu, kyerɛ sɛ, mogya a ɛkɔ nipadua no mu nyinaa, bɛkɔ so ayɛ apɔwmuden a, ɛsɛ sɛ yɛde saa nneɛma yi ka yɛn asetra ho:

• Fa apɔw-mu-teɛteɛ nna dodow no ara wɔ dapɛn no mu: Ɛyɛ papa sɛ anyɛ yiye koraa no, wode simma 30 teɛteɛ w’apɔw mu a emu yɛ den da biara. Eyi betumi ayɛ biribiara fi nantew, mmirikatu, anaa sakre so.
• Di aduan a ahoɔden wom: Di nhabannuru, nnuaba, atoko, aburow a wɔayam, ne mpataa pii. Tew nnuan a ngo, asikre, ne nkyene pii wom so sɛnea wubetumi.
• Sɛ wonom sigaret a, gyae nnɛ: Sigaretnom pira mogya ntini kɛse. Ɛma hokwan a ɛwɔ hɔ sɛ mogya ntini no besiw na ayɛ den no yɛ kɛse.

Nneɛma a ɛnyɛ den yi akyi a wubedi no bɛboa kɛse ma wo mogya ntini no ayɛ yiye.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Mpɛn pii no, ɔhaw kɛse biara nni radial artery no ho. Nanso, sɛ wowɔ sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, nyansa wom sɛ wobɛhwehwɛ aduruyɛfo afotu:

• Sɛnea yɛaka wɔ atifi hɔ no, sɛ wo nsa anaa wo nsateaa mu ayɛ wo yaw bere a woayɛ aduruyɛ bi (e.g., transradial access) a ɛfa radial artery no mu akyi a.
• Sɛ biribi yɛ den sɛ wobɛkura mu a, sɛ wote nka sɛ worehwere wo tumi a.
• Sɛ wote nka sɛ w’ahoɔden asa wɔ wo nsa mu anaasɛ wo nsa mu nkate so atew a.
• Sɛ wote nka sɛ wo nsa anaa wo moma so ayɛ wo yaw kɛkɛ a ntease biara nnim a.

Ɛyɛ papa sɛ woremmu w’ani ngu nneɛma a ɛte sɛɛ so, ɛnte saa? Ɛho hia sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara na woahu nea ɛde ba.

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Enti, ebia afei woate ase sɛ Radial Artery a yɛaka ho asɛm bere tenten nnɛ no yɛ mogya ntini a ɛyɛ komm yiye, nanso ɛho hia yiye a ɛde mogya a oxygen wom, a ɛma nkwa kɔ yɛn nsa, yɛn nsateaa, ne yɛn nsateaa ase.

Nnuruyɛfo taa de saa ntini ketewaa yi yɛ koma mu nhwehwɛmu, te sɛ koma mu catheterizations , na ɛtɔ mmere bi a wɔde yɛ oprehyɛn a wɔde twa koma no ho hyia .

Ade foforo a ɛyɛ nwonwa, na ɛho hia ni: Sɛ mpo ɔkwan bi so no, saa ntini a ɛwɔ akyirikyiri yi asɛe, anaasɛ ɛsɛ sɛ woyi fi hɔ esiane aduruyɛ nti a, saa adamfo foforo a yɛadi kan aka ne ho asɛm, Ulnar Ntini no, da so ara betumi ayɛ saa ntini a ɛwɔ akyirikyiri no adwuma! Ɛno kyerɛ sɛ ebetumi akɔ so de mogya akɔ nsa no mu. So ɛno nso nyɛ abɔde a wɔayɛ no nwonwaso?

Enti, momma yɛn nyinaa nhwɛ yɛn akwahosan so kɛse, na yensusuw sɛnea nneɛma nketenkete a ɛwɔ yɛn nipadua mu yi som bo ne ɔsom kɛse ma yɛn asetra ho. Biribiara nni hɔ a ɛsom bo sen sɛ obi benya apɔwmuden!

` Radial Artery, Radial Artery, Mogya Ntini, Abasa Ntini, Koma Akwahosan, Mogya a Ɛkyinkyin, Hwɛ Pulse