So wunim saa nneɛma yi fa mogya ntini titiriw a ɛwɔ wo nsa (Brachial Artery) no ho?

So woakɔ oduruyɛfo nkyɛn pɛn na wɔde cuff ahwɛ wo mogya mmoroso? Ɛno yɛ ade a ɛsɛ sɛ wɔyɛ, ɛnte saa? Anaasɛ woahu sɛ oduruyɛfo no de ne nsateaa ahyɛ wo nsateaa atifi pɛɛ de ahwɛ sɛnea wo koma bɔ pɛn? Mogya ntini titiriw bi a ɛho hia yiye a ɛwɔ yɛn abasa mu na ɛyɛ saa nneɛma abien no nyinaa. Ɛno na yɛrebɛka ho asɛm nnɛ. Wɔ aduruyɛ mu no, yɛfrɛ saa mogya ntini yi ‘brachial artery ’.

Sɛ yɛbɛka no tiawa a, dɛn ne Brachial Artery?

Ɛyɛ mmerɛw yiye. Brachial artery ne mogya ntini titiriw a efi ase wɔ wo mmati ase pɛɛ, fa wo nsateaa mu, na ɛde mogya a oxygen wom kɔ wo nsateaa mu. Te sɛ nsu afiri titiriw a ɛde nsu fi nsukorabea kɔ wo fie no, saa mogya ntini yi ne yɛn basa nyinaa nkwa.

Efi ase wɔ baabi a ɛbɛn wo mmati, na ɛkɔ fam wɔ wo nsa a ɛwɔ soro no mu, na ɛba awiei wɔ wo nsateaa a wɔabɔ no mu. Afei ɛpaapae yɛ nkorabata nketewa abien na ɛkɔ wo moma so.

Dɛn ne brachial artery yi dwumadi? Dɛn nti na ɛho hia?

Dwuma titiriw a mogya ntini yi ne ne nkorabata yɛ ne sɛ ɛbɛma mogya a ɛho tew akɔ yɛn abasa no atifi. Ɛyɛ:

• Biceps muscle: Ntini a ɛba soro bere a yɛkotow yɛn nsa no.
• Brachialis ntini: Ntini a ɛwɔ biceps ase.
• Triceps ntini: Ntini a ɛwɔ abasa no akyi.
• Elbow joint: Yɛn nsateaa.

Nnompe, ntini, ntini, ne honam ani a ɛwɔ yɛn abasa mu nyinaa hia mframa pa ne aduannuru na ama yɛatumi ayɛ adwuma na ayɛ yiye bere a yɛapira no. Wonya saa nneɛma yi fi mogya no mu. Enti, brachial artery no kyekyɛ mogya a ɛho tew a oxygen pii wom fi koma no mu kɔ mmeae yi nyinaa.

Ɔkwan bɛn so na wɔde eyi yɛ aduruyɛ mu nhwehwɛmu ne ayaresa?

Saa mogya ntini yi ho hia nnuruyɛfo paa.

1. Mogya Nhyɛso Nhwehwɛmu: Sɛnea madi kan aka no, cuff a wɔde si wo nsa so no mia brachial artery no. Eyi ne ɔkwan a wɔfa so susuw wo mogya mmoroso.

2. Oprehyɛn ne sɔhwɛ ahorow bi (Interventional Procedures):Ɛtɔ da bi a, sɛ wɔresa ɔhaw ahorow a ɛwɔ koma no mu mogya ntini mu (sɛ nhwɛso no, mogya a ɛtɔ, mogya ntini a asiw) a, wɔde afiri a ɛyɛ tratraa paa (catheter) fa saa nsateaa mu ntini yi mu na wɔkyerɛ no kwan bɛn koma no, a enhia sɛ wɔyɛ oprehyɛn kɛse. Eyi yɛ ɔkwan a ɛyɛ mmerɛw yiye ma ɔyarefo no.

3. Ankle-Brachial Index (ABI) sɔhwɛ: Eyi yɛ sɔhwɛ a ɛnyɛ den koraa. Ɛde mogya mmoroso a wɔsusuw wɔ brachial artery a ɛwɔ wo nsa mu no toto mogya mmoroso a wɔsusuw wɔ baabi a ɛbɛn wo nansoaa no ho. Sɛ mogya a ɛkɔ wo nan mu no so atew a, ebetumi ayɛ tebea bi a wɔfrɛ no Peripheral Artery Disease (PAD) ho sɛnkyerɛnne . Saa sɔhwɛ yi betumi aboa ma wɔahu sɛ obi anya bi.

Ɔkwan bɛn so na brachial artery no hyehyɛ?

Te sɛ ntini afoforo nyinaa no, brachial artery no yɛ ntini atitiriw abiɛsa. Momma yɛnhwɛ nea wɔyɛ.

Dɛn ne nkorabata atitiriw a efi eyi mu fi nkorabata mu?

Nkorabata nketewa pii a ɛte sɛ ntini no fi ntini titiriw, brachial artery no mu fi nkorabata so.

• Brachial ntini a emu dɔ:Eyi ne baa dwumadibea a edi kan na ɛho hia sen biara. Ɛma mogya kɔ dompe kɛse a ɛwɔ yɛn nsa (humerus), mmati mu ntini, ne triceps ntini no mu.
• Superior ulnar collateral artery: Nkorabata a ɛto so abien. Eyi ma mogya kɔ triceps ne nsateaa no afã horow.
• Inferior ulnar collateral artery: Nkorabata a ɛto so abiɛsa. Eyi ma mogya kɔ biceps ne brachialis ntini ahorow no mu.

Awiei koraa no, wɔ baabi a ɛbɛn nsateaa no, brachial artery no mu paapae yɛ nkorabata atitiriw abien , radial ne ulnar ntini. Saa baanu yi de mogya kɔ yɛn anim, yɛn nsateaa, yɛn nsa, ne yɛn nsateaa mu.

Tebea bɛn na ebetumi aka brachial artery no?

Esiane sɛ mogya ntini yi wɔ soro paa, kyerɛ sɛ, ɛbɛn honam ani nti, ɛnyɛ den sɛ ebetumi ahyia akwanhyia ne ayaresa tebea horow bi.

1. Ahodwiriw: Fa no sɛ, sɛ wububu dompe bi wɔ wo basa mu (basa a ɛpaapae) esiane kar akwanhyia anaa asehwe nti, anaasɛ wode ade a ano yɛ nnam twa wo nsa no mu dɔ (laceration) a, hokwan kɛse wɔ hɔ sɛ saa brachial artery yi bɛsɛe. Sɛ ɛba saa a, ebetumi ama mogya atu dodo.

2. Compartment Syndrome: Eyi yɛ tebea a emu yɛ den kɛse. Nsa no mu opira a emu yɛ den, oprehyɛn, anaa mogya a ɛba ne mu betumi ama nsa no ntini ahonhon dodo. Saa ahonhon yi ma mogya ntini no mu yɛ den, na ɛtwa mogya a ɛkɔ ntini no mu no mu na ɛma ewuwu. Eyi yɛ tebea a ehia sɛ wɔsa no ntɛm ara. Sɛ wɔansa a, ebetumi ama obi anya tebea bi a wɔfrɛ no Volkmann Ischemic Contracture , a nsa ne nsateaa no yɛ den na edi dɛm koraa.

3. Aneurysms: Aneurysm yɛ mogya ntini bi fasu a ɛyɛ mmerɛw, na ɛma ɛbɔ te sɛ balloon. Saa tebea yi ntaa nsi wɔ brachial artery no mu. Mpɛn pii no, akwanhyia na ɛde ba. Nanso, ɛtɔ mmere bi a, nneɛma te sɛ srade a ɛwɔ mogya ntini mu ( atherosclerosis ), awosu mu nyarewa, ne komayare na ɛde ba.

4. Abasa Ntini Yare: Mpɛn pii no, PAD ba nan mu. Nanso, ebetumi aba wɔ abasa mu nso. Eyi fi mogya a ɛtwetwe a ɛba nipadua no mmeae afoforo (mpɛn pii no wɔ koma no mu) a ɛpaapae na ɛkɔhyɛ mogya ntini bi a ɛwɔ abasa no mu no mu.

Mɛyɛ dɛn atumi ama me brachial artery no ayɛ yiye?

Nneɛma a ɛnyɛ den bi wɔ hɔ a wubetumi ayɛ na ɛnyɛ wo brachial artery nko, na mmom wo nipadua no ntini nhyehyɛe nyinaa nso ayɛ yiye.

• Di aduan pa a ɛkari pɛ. Tew nnuan a ngo, nkyene, ne asikre pii wom so sɛnea wubetumi.
• Yɛ apɔw-mu-teɛteɛ daa. Sɛ obi nantew simma 30 kɛkɛ da biara mpo yɛ asɛm kɛse.
• Wo de ma woSɛ wowɔ nyarewa te sɛ asikreyare, mogya mmoroso, anaa srade , di wo duruyɛfo akwankyerɛ akyi na nom w’aduru no bere ano.
• Sɛ wonom sigaret a, gyae ntɛm ara. Ɔsɛe a sigaretnom de ba mogya ntini mu no yɛ kɛse paa.
• To nsa a wonom ano hye.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara?

Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a, ebetumi ayɛ sɛnkyerɛnne a ɛkyerɛ sɛ mogya atɔ wo nsa mu. Ɛsɛ sɛ wokɔ ayaresabea bi Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara .

Sɛ wowɔ ɛyaw bi, wo ho yɛ wo yaw, anaa biribi a ɛyɛ soronko wɔ wo nsam a, nsuro da sɛ wo ne w’abusua oduruyɛfo bɛkasa afa ho.