So wunim mogya ntini a ɛho hia yi ho asɛm wɔ wo basa mu? (Brachial Artery) Momma yɛnkasa!

Yɛn nyinaa nim sɛ mogya tu fa yɛn nipadua nyinaa mu. Enti, sɛ yɛbɛsoa mogya yi a, yɛwɔ nhyehyɛe soronko bi a ɛma mogya tu, mogya ntini a ɛyɛ nhama. Enti, ɛnnɛ yɛrebɛka mogya ntini titiriw bi a ɛho hia yiye a efi wo nsa atifi, fa wo nsateaa mu, kɔ wo nsateaa ne wo nsa ho asɛm. Yɛfrɛ eyi Brachial Artery . Ebia woate din yi pɛn.

Dɛn ne Brachial Artery no? Momma yɛnte ase kɛkɛ!

Fa no sɛ, saa brachial artery yi yɛ mogya ntini kɛse bi a efi ase wɔ wo mmati ase pɛɛ, tu mmirika sian kɔ wo nsa a ɛwɔ soro no so, fa crease a ɛwɔ wo nsateaa anim (yɛfrɛ no cubital fossa), na ɛba awiei wɔ wo nsateaa mfiase. Ɛte sɛ paipu kɛse a ɛde nsu fi nsu pɔmpɛ mu kɔ turo mu. Ɛyɛ nea ɛma wo nsa atifi, wo nsateaa, wo nsateaa, ne wo nsa nya mogya a oxygen pii wom na ɛho tew a wohia.

Woakɔ oduruyɛfo nkyɛn pɛn na wɔahwɛ wo mogya mmoroso? Cuff bi atwa wo nsa atifi ho ahyia. Wɔde saa cuff no susuw mogya mmoroso a ɛwɔ wo brachial artery no mu. Ebia woahu oduruyɛfo bi sɛ ɛtɔ mmere bi a ɔma wo koma ntini fi wo nsateaa mu ntini no mu.

Dɛn ne brachial artery no dwumadi atitiriw?

Afei ebia woredwene sɛ, "Okay, eyi de mogya rekɔ, nanso dɛn ankasa na ɛde mogya kɔ?" Adwuma titiriw a saa brachial artery yi, ne ntini nketenkete a efi mu ba no yɛ ne sɛ ɛbɛma wo nsateaa a ɛwɔ soro no afã horow yi nkwa, afi wo nsateaa so akɔ fam:

• Wo biceps brachii ntini (eyi ne nea yɛtaa frɛ no ‘biceps’).
• Brachialis ntini no wɔ biceps no ase.
• Wo nsateaa nkwaa .
• Triceps brachii ntini no wɔ abasa a ɛwɔ soro no akyi.

Sɛ yɛbɛka no tiawa a, nnompe, ntini, ne ntini a ɛwɔ wo basa mu nyinaa hia mframa pa ne aduannuru na ama ayɛ adwuma na sɛ ɛsɛe a, asiesie ne ho. Mogya a ɛho tew a saa nneɛma no wom no, ntini ahorow te sɛ brachial artery yi na efi koma no mu ba. Ntini ne mogya ntini a ɛde mogya fi koma no mu kɔ nipadua no fã a aka no.

Ɔkwan bɛn so na brachial artery no ho hia ma aduruyɛ mu nhwehwɛmu ne ayaresa?

Saa brachial artery yi ho wɔ mfaso kɛse ma nnuruyɛfo sɛ wɔbɛyɛ nhwehwɛmu ahorow bi na wɔayɛ ayaresa titiriw.

• Interventional Radiology Treatment: Ɛtɔ mmere bi a, oduruyɛfo betumi de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a wɔfrɛ no catheter , afa brachial artery no mu na wakyerɛ no kwan afa mogya ntini a ɛbɛn koma no mu wɔ X-ray akwankyerɛ ase. Saa adeyɛ yi yɛ nwonwa efisɛ ebetumi ayi mogya a ɛtwetwe, ntini a ɛma mogya tu, ne mogya ntini mu haw afoforo a enhia sɛ wɔyɛ koma a wɔabue mu oprehyɛn kɛse., anaa ɔhaw ahorow a asiane wom te sɛ ntini a ɛyɛ teateaa betumi asa. Esiane sɛ eyi yɛ adeyɛ a ɛnyɛ den pii nti, ɔyarefo no betumi ho atɔ no ntɛm.

• Ankle-Brachial Index (ABI) sɔhwɛ: Eyi nso yɛ sɔhwɛ a ɛho hia yiye. Ɛde mogya mmoroso a wɔsusuw wɔ wo brachial artery mu no toto mogya mmoroso a wosusuw wɔ ntini bi a ɛwɔ wo nansoaa mu no ho. Sɛ nsonsonoe kɛse da saa gyinapɛn abien yi ntam a, ebetumi akyerɛ sɛ wo nan nnya mogya a ɛdɔɔso. Saa tebea yi betumi ayɛ tebea bi a wɔfrɛ no Peripheral Artery Disease (PAD) ho sɛnkyerɛnne .

Ɛhe na brachial artery no wɔ? Ɔkwan bɛn so na wɔhyehyɛ?

Afei ma yɛnhwɛ baabi pɔtee a saa brachial artery yi wɔ wɔ yɛn abasa mu, ne sɛnea ne nkorabata no fi nkorabata.

Ɛwɔ wo biceps ntini no anim. Efi ase sɛ axillary artery, mogya ntini a ɛwɔ wo nsateaa ne wo mmati mu no ntrɛwmu. Ɛba awiei wɔ tokuru ketewaa a ɛwɔ wo nsateaa anim a wɔfrɛ no cubital fossa . Efi hɔ no, ɛkyekyɛ mu yɛ nkorabata atitiriw abien. Ulnar artery , a ɛnam wo nsateaa mu, ne radial artery, a ɛnam akyi (kɔ wo nsateaa so). Brachial artery no ne median nerve, ntini titiriw a ɛhwɛ nkate ne kankyee a ɛwɔ wo nsateaa mu no so no di nsɛ.

Brachial artery no nkorabata a ɛyɛ

Saa brachial artery yi wɔ nkorabata nketewa pii. Sɛ wohwɛ fi soro kɔ fam a, ɛte sɛ eyi:

1. Brachial artery a emu dɔ (profunda brachii artery): Eyi ne brachial artery no nkorabata a edi kan ne titiriw. Ɛma mogya kɔ humerus dompe a ɛwɔ wo nsa atifi, deltoid ntini, ne triceps ntini a ɛwɔ wo nsa atifi akyi no mu. Ɛne radial nerve no tu kwan .

2. Superior ulnar collateral artery: Ɛtɔ mmere bi a saa nkorabata a ɛto so abien yi tumi fi brachial artery no mu tẽẽ anaasɛ efi brachial artery a emu dɔ a yɛadi kan aka ho asɛm no mu. Ɛma mogya kɔ triceps ntini, nsateaa no afã horow bi, ne nsateaa nkwaa no mu. Ɛtwam bɛn ulnar ntini a ɛwɔ nsateaa no so no.

3. Inferior ulnar collateral artery: Saa nkorabata a ɛto so abiɛsa yi fi ase wɔ abasa a ɛwɔ soro dompe (humerus) no ase. Ɛboa ma mogya kɔ biceps ne brachialis ntini ahorow no mu.

Awiei koraa no, nkorabata a ɛyɛ nkorabata wɔ brachial artery no awiei ne ulnar artery ne radial artery a yɛadi kan aka ho asɛm no. Saa abien yi na ɛde mogya a oxygen wom kɔ wo nsateaa, wo nsateaa, wo nsa, ne wo nsateaa ano.

Ntini bi mu nhyehyɛe

Te sɛ ntini foforo biara a ɛwɔ yɛn nipadua mu no, brachial artery no yɛ ntini atitiriw abiɛsa:

• Tunica intima: Eyi ne nea ɛwɔ mu paa. Ɛyɛ teateaa paa. Eyi na ɛboa ma mogya no kɔ yiye. Ɛboa nso ma wotumi siw mogya mmoroso so, mma mogya no ntumi nkɔ, na ɛma awuduru ntumi boaboa ano wɔ mogya no mu.
• Media: Eyi ne mfinimfini fã no. Ntini mu nhama na ɛwɔ mu. Eyi boa mogya ntini no ma ɛtrɛw (trɛw) na ɛtwetwe sɛnea ɛho hia. Eyi ma mogya kɔ baabiara.
• Adventitia: Eyi ne akyi a ɛbɔ ho ban no. Ɛma mogya ntini no ahoɔden na ɛboa. Mogya ntini nketenkete nso wɔ saa ɔfa yi mu, na ɛde mframa pa ne aduannuru kɔ nkwammoaa a ɛwɔ ntini no fasu mu no mu, na eyi nneɛma fĩ fi hɔ.

Tebea bɛn na ebetumi aka brachial artery no?

Afei ma yɛnhwɛ akwahosan ho haw ahorow a ebetumi aba mogya ntini a ɛho hia yi mu.

• Akwanhyia ne Ahodwiriw: Sɛnea madi kan aka no, brachial artery no bɛn honam ani yiye, ɛkame ayɛ sɛ ɛwɔ soro. Enti, ɛnyɛ den sɛ akwanhyia te sɛ nsa a ɛpaapae ne mpaapaemu a emu dɔ betumi asɛe saa ntini yi. Ɛtɔ mmere bi a akwanhyia a ɛtete saa betumi de tebea a ɛyɛ hu a wɔfrɛ no Acute Compartment Syndrome aba nsa no mu. Sɛ yɛbɛka no tiawa a, eyi ne bere a nhyɛso a ɛwɔ ntini a atwa ntini a ɛwɔ nsa no mu ho ahyia no mu kɔ soro dodo, na ɛma ntini no hohoro araa ma ɛhwere mogya no. Eyi betumi asi bere a wɔayɛ nsa no oprehyɛn akyi, esiane mogya a ɛretu wɔ nipadua no mu, anaasɛ akuru a emu yɛ den mpo nti.

Sɛ wɔansa compartment syndrome no yiye a, ebetumi ama obi anya tebea bi a wɔfrɛ no Volkmann ischemic contracture . Eyi ne bere a nsateaa, nsa, ne nsateaa no yɛ den na entumi nyɛ adwuma esiane mogya a ɛkɔ so so tew ne ntini ahorow a ɛsɛe daa nti.

• Ntini a ɛma mogya tu: Sɛ mogya ntini no afasu yɛ mmerɛw anaasɛ ɛsɛe a, ebetumi ayɛ kɛse te sɛ afiri a wɔde bɔ mogya. Ɛno ne nea aneurysm yɛ. Ntini a ɛma mogya tu wɔ brachial artery no mu no ntaa mma, nanso ebetumi aba. Mpɛn pii no, ahodwiriw na ɛde ba, sɛnea yɛadi kan aka ho asɛm no. Nanso ɛtɔ mmere bi a, atherosclerosis (srade a ɛboaboa ano wɔ ntini no afasu mu), awosu mu nyarewa bi, ne koma no mu ntini mu yare betumi de aba.Brachial artery aneurysms nso betumi aba esiane tebea horow te sɛ infective endocarditis anaa Kawasaki yare (yare a ɛma mogya ntini ahonhon wɔ mmofra nkumaa mu) nti.

• Abasa mu ntini mu yare: Ebia woate tebea bi a wɔfrɛ no peripheral artery disease (PAD) ho asɛm . Ɛtaa ka mogya ntini a ɛwɔ nan no mu no, nanso ebetumi aka abasa nso. Nea ɛde abasa mu ntini no siw titiriw ne mogya a ɛtwetwe a ayɛ nipadua no mmeae afoforo, mpɛn pii no wɔ koma anaa aorta no mu, na akɔhyɛ ntini a ɛwɔ abasa no mu no mu. Nea ɛka ho no, abasa mu ntini mu yare betumi aba esiane ntini a ɛyɛ den anaasɛ esiane sɛ ayarefo a wɔwɔ asaabo no nya dialysis ayaresa a wɔde mogya ntini a ɛwɔ abasa no mu di dwuma nti.

Mɛyɛ dɛn atumi ama me brachial artery no ayɛ yiye?

Okay, seesei yenim sɛnea brachial artery yi ho hia ne ɔhaw ahorow a ebetumi de aba. Enti, dɛn na yebetumi ayɛ na ama ayɛ nea ahoɔden wom? Nokwarem no, ɛnyɛ brachial artery nko na saa nneɛma yi ho hia yiye, na mmom mogya ntini afoforo a ɛwɔ wo nipadua nyinaa mu no akwahosan nso.

• Di aduan a ahoɔden wom na ɛkari pɛ: Di nnuaba, nhabannuru, aburow a wɔayam, ne fiber pii. Tew ngo, nkyene, ne asikre so.
• Apɔw-mu-teɛteɛ daa: Yɛ biribi te sɛ nantew, mmirikatu, anaa asuguare anyɛ yiye koraa no simma 30 da biara.
• Ma wo mogya mmoroso ne nyarewa afoforo a enni sabea (e.g. asikreyare, srade) nni dwuma yiye: Di wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ.
• Kwati sigaretnom ne tawa mu nneɛma a wode bedi dwuma koraa: Eyinom pira mogya ntini kɛse.
• Tew nsa a wonom so: Ɛyɛ papa sɛ wobɛto ano hye sɛnea wubetumi biara.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Mpɛn pii no, yenni biribiara a yɛbɛhaw yɛn ho wɔ saa brachial artery yi ho. Nanso, sɛ sɛnkyerɛnne ahorow bi da adi a, ebetumi ayɛ ɔhaw a ɛfa mogya ntini bi a ɛwɔ abasa no mu ho, ebia mogya a ɛtɔ, enti ɛho hia yiye sɛ wohwehwɛ aduruyɛfo afotu ntɛm ara.

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, hwɛ hu sɛ wobɛkɔ oduruyɛfo nkyɛn:

• Sɛ wo nsa afã horow bi te nka sɛ ɛyɛ hyew sen afoforo bere a wode wo nsa ka no a.
• Sɛ wo nsa ho were asesa kɔla na ɛte sɛ nea ɛyɛ fitaa, kɔkɔɔ, anaa bruu kɛse a .
• Sɛ wotaa nya ntini a ɛyɛ wo yaw wɔ wo nsa atifi anaa wo nsateaa mu a.
• Sɛ nsa biako te sɛ nea ahonhon sen foforo no nkutoo a .
• Sɛ nsateaa ne nsateaa dan kɔkɔɔ anaa bruu, na ɛtɔ mmere bi a akuru a ɛyɛ yaw (akuru) .

Mmu w’ani ngu saa sɛnkyerɛnne ahorow yi so. Sɛ wohwehwɛ ayaresa ntɛm a, wubetumi asiesie ɔhaw no ansa na asɛe nneɛma pii.

Awiei koraa no, dɛn na ɛsɛ sɛ yɛkae! (Nkrasɛm a Wɔde Kɔ Fie)

Enti, wubetumi ahu mprempren sɛ brachial artery yɛ mogya ntini a ɛho hia yiye a ɛho hia ma yɛn abasa dwumadi. Efi ase wɔ yɛn mmati ase pɛɛ, fa yɛn nsateaa mu, na ɛyɛ nkorabata wɔ yɛn nsateaa mfiase. Esiane sɛ saa ntini yi wɔ honam ani ase pɛɛ nti, ɛnyɛ den sɛ ebetumi asɛe wɔ akwanhyia mu. Mogya ntini mu tebea horow te sɛ ntini a ɛma mogya tu, mogya a ɛtɔ, ne ntini a ɛwɔ akyi no mu yare (PAD) nso betumi aka no, nanso mpɛn pii no eyi ntaa mma kakra.

Ade a ɛho hia sen biara ne sɛ ɛdenam asetra a ahoɔden wom a yebedi akyi so no , ɛnyɛ nsateaa mu ntini yi nko na yebetumi ama yɛanya apɔwmuden, na mmom yɛn koma ne ntini nhyehyɛe nyinaa nso. Enti, didi yiye, teɛteɛ w’apɔw mu, na twe wo ho fi subammɔne ho. Afei wubetumi atra ase a ahoɔden wom na emu yɛ den!

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