Yɛn nyinaa nim sɛnea wobɛte wo koma a ɛbɔ wɔ wo nsateaa ase no nka. Ɛhɔ na wote wo koma bɔ nka. Nanso so woasusuw nea ɛde saa akisikuru no ba wo nsateaa ano, saa mogya ntini no din, ne sɛnea ɛho hia ma yɛn nipadua no ho pɛn? Ɛnnɛ yɛbɛka ' Radial Artery ' a ɛwɔ baabi a wobɛtumi ate wo pulse nka, na ɛho hia paa wɔ aduruyɛ mu ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Radial Artery?
Radial Artery yɛ mogya ntini titiriw bi a ɛwɔ wo basa mu a efi wo nsateaa so kosi wo nsateaa so. Sɛ yɛbɛka no tiawa a, ɛyɛ ntini atitiriw a ɛma mogya a ɛho tew a oxygen wom kɔ wo nsa ne wo nsa mu no mu biako.
Ntini yɛ mogya ntini a ɛwɔ yɛn nipadua mu a ɛde mogya a oxygen wom fi koma no mu kɔ nipadua no fã a aka no. Te sɛ nsu ho nhyehyɛe titiriw a wɔde ma kurow bi no ara pɛ. Enti saa Radial Artery yi nso yɛ paipu a ɛho hia yiye wɔ saa nhyehyɛe no mu.
Ɛhe na saa ntini yi wɔ? Dɛn na ɛyɛ?
Wɔ wo nsateaa so no, ntini titiriw a ɛwɔ wo nsa atifi (Brachial Artery) no mu paapae yɛ abien. Ɛte sɛ asubɔnten kɛse bi a apaapae ayɛ nkorabata abien. Wɔfrɛ saa nkorabata abien yi Radial Artery ne Ulnar Artery . Eyinom abien nyinaa tu mmirika di nsɛ fi wɔn ho wɔn ho so fi wɔn nsateaa so kosi wɔn nsateaa so.
- Radial Artery no tu mmirika fa nsateaa no nkyɛn.
- Ulnar Artery no tu mmirika fa nsateaa ketewa no nkyɛn.
Saa baanu yi bom de mogya kɔ yɛn nsa, yɛn nsateaa, ne yɛn nsateaa ase. Eyi te saa efisɛ ɛwɔ soro kɛse wɔ yɛn honam ani, na ɛno nti na ɛnyɛ den sɛ yebetumi ate yɛn nsateaa no nka.
Enti momma yɛnhwɛ baabi pɔtee a saa radial artery yi de mogya ma.
| Mogya a wɔde ma | Adwuma a ɛyɛ |
|---|---|
| Ntini a ɛwɔ anim a ɛwɔ anim | Mogya a ɛsen kɔ saa ntini ahorow yi mu no ma ahoɔden a ehia na ama wɔakotow, atrɛw, na wɔakyere nneɛma. |
| Nsateaa nnompe ne nkwaa | Ɛma aduannuru a ɛho hia na ama nsateaa no anya apɔwmuden na akɔ so atumi akɔ baabiara. |
| Nsateaa kɛse ne nsateaa a wɔde kyerɛ ade | Saa nsateaa abien yi ho hia yiye ma yɛn sɛ yɛbɛyɛ adwuma a ɛyɛ mmerɛw na yɛakura biribi mu denneennen. Wonya mogya a ɛho hia. |
| Ntini a Ɛyɛ Radial | Ɛsan nso ma saa ntini yi a ɛhwɛ nsa kankan ne nkate so no nya mframa pa ne aduannuru. |
Dɛn nti na nnuruyɛfo de saa ntini a ɛyɛ radial yi di dwuma?
Eyi ne ɔfã a ɛho hia sen biara. Esiane sɛ radial artery no wɔ honam ani atifi pɛɛ na ɛnyɛ den sɛ wobetumi afa so de ahyɛ nipadua no mu nti, nnuruyɛfo de saa ntini yi yɛ aduruyɛ mu nhwehwɛmu ne ayaresa ahorow pii a ɛho hia.
1. Komayare ho nhwehwɛmu ne ayaresa (Transradial Access) .
Eyi ne asɛm a wɔtaa de di dwuma. Ɛsɛ sɛ wɔde catheter (afiri a ɛyɛ tratraa te sɛ asikre) hyɛ nipadua no mu na ama wɔayɛ nneɛma te sɛ angiogram, a ɛhwɛ sɛ koma no mogya ntini mu asiw anaa, anaasɛ angioplasty, a ebue ntini a asiw no.
Bere bi a atwam no, na wɔnam asen mu ntini no so na ɛyɛ eyi kɛse. Nanso mprempren, nnuruyɛfo de radial artery no redi dwuma kɛse. Wɔfrɛ eyi transradial access . Ɛwɔ mfaso pii:
- Mogya a ɛba fam: Ɛnyɛ den sɛ wobedi mogya a efi nsateaa mu no so sen nea efi asen mu.
- Ɛyaw ne ɔhaw a ɛba fam: Ɔyarefo no tumi nantew ntɛmntɛm wɔ ayaresa no akyi. Sɛ wɔyɛ oprehyɛn no wɔ asen mu a, ɛsɛ sɛ ɔyarefo no tra mpa so nnɔnhwerew pii.
- Wo ho tɔ wo ntɛm: Wubetumi afi ayaresabea akɔ fie ntɛm.
Susuw sɛnea ɛbɛyɛ mmerɛw sɛ wubetumi asɔre ntɛm na woakɔ adwuma, sen sɛ wobɛtra mpa so nnɔnhwerew pii te sɛ kan no ho hwɛ?
2. Pulse Nhwehwɛmu
Sɛnea yɛadi kan aka ho asɛm no, ɛha ne beae a ɛyɛ mmerɛw na wɔtaa susuw wo koma bɔ.
3. Mogya mu nhwehwɛmu (Arterial Blood Gas) .
Ɛtɔ mmere bi a, titiriw wɔ ayarefo a wɔn home mu yɛ den ne wɔn a wɔwɔ mmeae a wɔhwɛ wɔn a wɔyare denneennen (ICU) mu no, ɛho hia sɛ wohu oxygen ne carbon dioxide dodow pɔtee a ɛwɔ mogya no mu. Wontumi mfa mogya a woyi fi ntini mu nsusuw eyi pɛpɛɛpɛ. Eyi nti, ɛsɛ sɛ woyi mogya fi ntini bi mu. Eyi nso ne nea wɔtaa de di dwuma wɔ saa atirimpɔw yi mu.
4. Mogya mmoroso a wɔde susuw daa (Arterial Cannulation) .
Wɔ ayarefo a wɔn yare mu yɛ den mu no, ɛsɛ sɛ wɔhwɛ mogya mmoroso no so bere nyinaa, nea ɛto so abien. Saa bere no, nnuruyɛfo de afiri ketewaa bi (arterial line) hyɛ saa ntini yi mu na wɔde bata afiri a wɔde hwɛ nneɛma so ho.
5. Wɔ asaabo mu ayarefo fam (Arteriovenous - AV Fistula) .
Ɛsɛ sɛ wɔma ayarefo a wɔn asaabo ntumi nyɛ adwuma yiye no mogya hohoro (dialysis). Nea ɛka eyi ho ne sɛ wobegye mogya afi nipadua no mu, de afiri asiesie mu, na wɔasan de akɔ nipadua no mu. Eyi hwehwɛ sɛ mogya ntini a ɛyɛ den. Ɛtɔ mmere bi a, nnuruyɛfo yɛ oprehyɛn de ntini a ɛwɔ ntini no mu no bata ntini bi a ɛbɛn hɔ ho, na ɛma AV fistula . Eyi hyɛ ntini no mu den na ɛma ɛyɛ mmerɛw sɛ wɔbɛyɛ dialysis.
So aduruyɛ mu tebea horow bi wɔ hɔ a ɛka saa ntini yi?
Nea ɛnte sɛ ntini akɛse a ɛwɔ yɛn nipadua mu no, ntini a ɛwɔ akyirikyiri no ntaa nnya atherosclerosis, a srade a ɛwɔ hɔ na ɛde ba no. Nea enti a ɛte saa ne sɛ ɛyɛ ntini ketewaa bi a ɛwɔ nipadua no awiei.
Nanso, sɛnea yɛaka wɔ atifi hɔ no, ɛntaa mma koraa sɛ saa ntini yi betumi asiw (asiw) bere a wɔde catheter ayɛ ayaresa akyi. Sɛ eyi ba a, mogya a ɛkɔ nsa ne nsateaa mu no so betumi atew, na ama ne ho ayɛ no yaw anaasɛ ntini no asɛe. Nanso, eyi ho yɛ na koraa.
Nea eye sen biara ne sɛ yɛwɔ Radial Artery ne Ulnar Artery nyinaa a ɛde mogya kɔ yɛn nsa mu, enti sɛ biako sɛe mpo a, ntini foforo no betumi akɔ so de mogya akɔ nsa no mu.
Wobɛyɛ dɛn ama wo mogya a ɛkɔ wo mogya mu nyinaa, a wo radial artery ka ho, ayɛ yiye?
Ɛho nhia sɛ woyɛ biribi titiriw biara ma eyi. Nneɛma koro no ara a woyɛ na ama wo koma ne wo mogya a ɛkɔ nipadua no mu nyinaa anya apɔwmuden no ho hia ma eyi.
- Yɛ nnam: Yɛ apɔw-mu-teɛteɛ nna pii dapɛn biara. Biribi te sɛ nantew, mmirikatu, anaa asuguare mpo ye.
- Di nnuan a ɛma koma nya ahoɔden: Di aduan a ngo, nkyene, ne asikre nnim, na nnuaba ne nhabannuru pii wom.
- Kwati sigaretnom: Sigaretnom ne mogya ntini tamfo kɛse. Enti sɛ wonom sigaret a, gyae.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Mpɛn pii no, saa ntini yi nyɛ biribiara a ɛsɛ sɛ ɛhaw adwene wɔ ho. Nanso, sɛ woayɛ aduruyɛ bi (te sɛ angiogram) afa wo nsateaa mu na woanya saa sɛnkyerɛnne ahorow yi wɔ ɛno akyi a, frɛ wo duruyɛfo ntɛm ara.
| Nsɛnkyerɛnne a ɛkyerɛ | Ntease a ebetumi aba |
|---|---|
| Nsa anaa nsateaa a ɛyɛ mmerɛw | Ebia mogya a wɔde ma no so bɛtew anaasɛ nkɛntɛnso bi bɛba ntini bi so. |
| Nsa ahoɔden a ɛyera, nneɛma a wontumi nnye | Ebia mogya a ɛdɔɔso nni ntini anaa ntini ahorow no mu. |
| Nkate a ɛyera wɔ nsa anaa nsateaa mu | Ebia eyi nso fi nkɛntɛnso a enya wɔ ntini ahorow no so. |
| Sɛ wote nka sɛ nwansena rewea wo nsa so a ntease biara nnim | Ebetumi ayɛ nsakrae a ɛba mogya a ɛkɔ nipadua no mu anaa ntini ahorow no dwumadi mu ho sɛnkyerɛnne. |
Nkrasɛm a Wɔde Kɔ Fie
- Radial Artery yɛ ntini a ɛho hia a ɛfa wo nsateaa mu, wɔ wo nsateaa nkyɛn. Yɛde eyi hwɛ yɛn koma a ɛbɔ.
- Eyi ma mogya a oxygen wom kɔ wo nsa ne wo nsateaa ase.
- Nnuruyɛfo de saa ntini yi di dwuma kɛse ma nneɛma te sɛ koma mu nhwehwɛmu (angiograms), mogya mmoroso susuw, ne dialysis.
- Sɛ wowɔ asetra mu su pa (apɔw-mu-teɛteɛ, aduan pa, ne sigaretnom a wobɛkwati) a, wubetumi ama saa ntini yi ne wo mogya a ɛkɔ wo mogya mu nyinaa ayɛ nea ahoɔden wom.
- Esiane sɛ wowɔ ntini abien (Radial ne Ulnar) a ɛde mogya kɔ wo nsa mu nti, sɛ biako asɛe mpo a, biako no da so ara tumi yɛ n’adwuma. Enti biribiara nni hɔ a ɛsɛ sɛ wohaw wo ho wɔ ho.
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