Koj puas tau mus ntsib kws kho mob thiab tau siv lub cuff los ntsuas koj cov ntshav siab? Qhov ntawd yog qhov yuav tsum tau ua, puas yog? Los yog koj puas tau pom tus kws kho mob muab nws cov ntiv tes tso rau saum koj lub luj tshib los ntsuas koj lub plawv dhia? Ob yam no yog ua los ntawm cov hlab ntsha tseem ceeb heev hauv peb txhais caj npab. Qhov ntawd yog qhov peb yuav tham txog hnub no. Hauv kev kho mob, peb hu cov hlab ntsha no ua 'brachial artery '.
Hais yooj yim xwb, Brachial Artery yog dab tsi?
Nws yooj yim heev. Cov hlab ntsha brachial yog cov hlab ntsha tseem ceeb uas pib hauv qab koj lub xub pwg nyom, hla koj lub luj tshib, thiab nqa cov ntshav oxygen mus rau koj txhais caj npab. Ib yam li cov yeeb nkab dej tseem ceeb uas nqa dej los ntawm lub taub dej mus rau koj lub tsev, cov hlab ntsha no yog cov ntshav tseem ceeb ntawm peb txhais caj npab tag nrho.
Nws pib ze ntawm lub xub pwg nyom, khiav mus rau sab hauv ntawm koj sab caj npab, thiab xaus rau ntawm qhov nkhaus ntawm koj lub luj tshib. Tom qab ntawd nws faib ua ob ceg me me thiab khiav mus rau koj lub hauv pliaj.
Xav txog cov hlab ntsha no ua txoj kev loj hauv peb txhais tes. Nws muab txhua qhov chaw ntawm tes nrog cov as-ham thiab oxygen tsim nyog.
Lub hlab ntsha brachial no muaj lub luag haujlwm dab tsi? Vim li cas nws thiaj tseem ceeb?
Lub luag haujlwm tseem ceeb ntawm cov hlab ntsha no thiab nws cov ceg yog muab cov ntshav huv rau sab saud ntawm peb txhais tes. Ntawd yog:
- Cov leeg nqaij Biceps: Cov leeg nqaij uas tawm los thaum peb khoov peb txhais caj npab.
- Cov leeg nqaij Brachialis: Cov leeg nqaij hauv qab cov leeg biceps.
- Cov leeg Triceps: Cov leeg nqaij nyob tom qab ntawm caj npab.
- Lub luj tshib sib koom ua ke: Peb lub luj tshib.
Cov pob txha, cov leeg nqaij, cov hlab ntsha, thiab daim tawv nqaij hauv peb txhais tes txhua tus xav tau cov pa oxygen thiab cov as-ham kom ua haujlwm thiab kho thaum raug mob. Lawv tau txais cov no los ntawm cov ntshav. Yog li, cov hlab ntsha brachial faib cov ntshav huv, muaj oxygen ntau los ntawm lub plawv mus rau txhua qhov chaw no.
Qhov no siv rau kev kuaj mob thiab kev kho mob li cas?
Cov hlab ntsha no tseem ceeb heev rau cov kws kho mob.
1. Kev Ntsuas Ntshav Siab: Raws li kuv tau hais ua ntej lawm, lub cuff uas muab tso rau ntawm koj txhais caj npab nias lub brachial artery. Nov yog li cas koj cov ntshav siab raug ntsuas.
2. Qee qhov kev phais thiab kev kuaj mob (Cov Txheej Txheem Tiv Thaiv):Qee zaum, thaum kho cov teeb meem nrog cov hlab ntsha ntawm lub plawv (piv txwv li, cov ntshav txhaws, cov hlab ntsha txhaws), ib lub raj nyias nyias (catheter) raug ntxig los ntawm cov hlab ntsha brachial no thiab coj mus ze rau lub plawv, yam tsis tas yuav phais loj. Qhov no yog ib txoj kev yooj yim heev rau tus neeg mob.
3. Kev kuaj mob Ankle-Brachial Index (ABI): Qhov no yog ib qho kev kuaj yooj yim heev. Nws piv cov ntshav siab uas ntsuas tau hauv cov hlab ntsha brachial hauv koj txhais caj npab nrog cov ntshav siab uas ntsuas ze koj pob luj taws. Yog tias koj cov ntshav ntws mus rau koj ob txhais ceg tsawg dua, nws yuav yog ib qho cim ntawm ib yam mob hu ua Peripheral Artery Disease (PAD) . Qhov kev kuaj no tuaj yeem pab kuaj mob.
Cov hlab ntsha brachial tsim tau li cas?
Ib yam li lwm cov hlab ntsha, cov hlab ntsha brachial muaj peb txheej tseem ceeb. Cia peb saib seb lawv yog dab tsi.
| Lub npe ntawm txheej (Txheej) | Nws Lub Luag Haujlwm |
|---|---|
| Tunica intima | Qhov no yog txheej sab hauv thiab du tshaj plaws. Qhov no ua rau cov ntshav tsis txhob txhaws thiab ntws tau zoo. Nws pab tswj cov ntshav siab thiab tiv thaiv cov tshuaj lom kom tsis txhob nkag mus rau hauv cov ntshav. |
| Xov xwm | Qhov no yog txheej nruab nrab ntawm cov leeg nqaij. Txheej no pab cov hlab ntsha kom nruj thiab nthuav dav, yog li tswj cov ntshav ntws mus rau ib qho kev taw qhia. |
| Adventitia | Qhov no yog txheej sab nraud tshaj plaws, tiv thaiv. Nws muab lub zog thiab cov qauv rau cov hlab ntsha. Cov hlab ntsha me me hauv txheej no kuj pab muab cov pa oxygen thiab cov as-ham rau cov cell hauv cov hlab ntsha thiab tshem tawm cov khoom pov tseg. |
Cov ceg tseem ceeb twg uas tawm ntawm qhov no?
Muaj ob peb ceg me me, zoo li lub raj uas tawm ntawm cov hlab ntsha loj, uas yog cov hlab ntsha brachial.
- Cov hlab ntsha brachial tob:Qhov no yog thawj ceg thiab tseem ceeb tshaj plaws. Nws muab ntshav rau pob txha loj hauv peb txhais caj npab (humerus), cov leeg ntawm lub xub pwg nyom, thiab cov leeg triceps.
- Cov hlab ntsha sab saud ntawm lub hauv caug sab saud: Cov ceg thib ob. Qhov no muab ntshav rau cov leeg triceps thiab qee qhov ntawm lub luj tshib.
- Cov hlab ntsha qis dua ulnar collateral artery: Ceg thib peb. Qhov no muab ntshav rau cov leeg biceps thiab brachialis.
Thaum kawg, ze ntawm lub luj tshib, cov hlab ntsha brachial faib ua ob ceg tseem ceeb , cov hlab ntsha radial thiab ulnar . Ob qho no nqa cov ntshav mus rau peb lub caj npab, dab teg, tes, thiab ntiv tes.
Tej yam mob twg yuav cuam tshuam rau cov hlab ntsha brachial?
Vim tias cov hlab ntsha no nyob rau ntawm qhov tob heev, uas yog, ze rau ntawm daim tawv nqaij, nws tuaj yeem yooj yim raug rau qee qhov xwm txheej thiab mob nkeeg.
1. Kev raug mob: Xav txog, yog tias koj pob txha tawg hauv koj txhais caj npab (mob caj npab) los ntawm kev sib tsoo tsheb lossis kev poob, lossis yog tias koj txiav koj txhais caj npab tob nrog ib yam khoom ntse (laceration), muaj feem ntau uas cov hlab ntsha brachial no yuav raug puas tsuaj. Yog tias qhov ntawd tshwm sim, nws tuaj yeem ua rau los ntshav ntau dhau.
2. Kab mob Compartment Syndrome: Qhov no yog ib qho mob hnyav dua. Kev raug mob hnyav rau tes, phais, lossis los ntshav sab hauv tuaj yeem ua rau o ntau dhau nyob ib puag ncig cov leeg ntawm tes. Qhov o no ua rau cov hlab ntsha nqaim, txiav cov ntshav ntws mus rau cov leeg thiab ua rau lawv tuag. Qhov no yog ib qho mob uas xav tau kev kho mob ceev. Yog tias tsis kho, nws tuaj yeem ua rau muaj mob hu ua Volkmann Ischemic Contracture , uas tes thiab ntiv tes yuav tawv thiab tsis tuaj yeem ua haujlwm tas mus li.
3. Aneurysms: Aneurysm yog kev qaug zog ntawm phab ntsa ntawm cov hlab ntsha, ua rau nws o zoo li lub npas. Qhov mob no tshwm sim tsis tshua muaj nyob rau hauv cov hlab ntsha brachial. Feem ntau, nws yog tshwm sim los ntawm kev sib tsoo. Txawm li cas los xij, qee zaum nws tuaj yeem tshwm sim los ntawm tej yam xws li cov rog hauv cov hlab ntsha ( atherosclerosis ), cov kab mob caj ces, thiab cov kab mob plawv.
4. Kab Mob Ntawm Tes: Feem ntau, PAD tshwm sim rau ntawm ob txhais ceg. Txawm li cas los xij, nws kuj tuaj yeem tshwm sim rau ntawm tes. Qhov no yog tshwm sim los ntawm cov ntshav txhaws uas tsim nyob rau lwm qhov hauv lub cev (feem ntau yog hauv lub plawv) tawg thiab daig rau hauv cov hlab ntsha hauv tes.
Kuv yuav ua li cas thiaj li ua kom kuv cov hlab ntsha brachial noj qab nyob zoo?
Muaj qee yam yooj yim uas koj ua tau kom tsis txhob tsuas yog koj cov hlab ntsha brachial xwb, tab sis koj lub cev tag nrho cov hlab ntsha noj qab nyob zoo.
- Noj zaub mov zoo thiab sib npaug. Txo cov khoom noj uas muaj roj, ntsev, thiab qab zib ntau li ntau tau.
- Ua si nawv tsis tu ncua. Txawm tias tsuas yog taug kev li 30 feeb hauv ib hnub los kuj yog ib qho tseem ceeb heev.
- Rau kojYog koj muaj cov kab mob xws li ntshav qab zib, ntshav siab, lossis roj cholesterol , ua raws li koj tus kws kho mob cov lus qhia thiab noj koj cov tshuaj raws sijhawm.
- Yog koj haus luam yeeb, tsum tam sim ntawd. Kev puas tsuaj ntawm kev haus luam yeeb rau cov hlab ntsha yog qhov loj heev.
- Txwv kev haus cawv.
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Yog tias koj muaj cov tsos mob hauv qab no, nws yuav yog ib qho cim qhia tias muaj ntshav txhaws hauv koj txhais caj npab. Koj yuav tsum mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd .
Txawm tias koj muaj ib lossis ob qho ntawm cov tsos mob no los xij, tsis txhob tsis quav ntsej lawv. Lub sijhawm yog qhov tseem ceeb ntawm no.
| Cov tsos mob thaum muaj xwm txheej ceev uas yuav tsum tau saib xyuas | |
|---|---|
| 🖐️ | Kub hnyiab txawv txawv rau qee qhov chaw ntawm tes. |
| 🎨 | Kev hloov xim tawv nqaij ntawm tes (daj ntseg, liab, lossis xiav) . |
| 💪 | Mob leeg nqaij hauv sab caj npab sab saud lossis sab hauv qab. |
| tes o | Ib sab caj npab o dua li lwm sab . |
| 🔵 | Cov xib teg lossis cov ntiv tes hloov xim liab lossis xiav thiab qee zaum mob cov qhov txhab (ulcers). |
Yog koj muaj mob, loog, lossis muaj dab tsi txawv txawv hauv koj txhais tes, tsis txhob ntshai tham nrog koj tus kws kho mob txog qhov ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha Brachial yog cov hlab ntsha tseem ceeb uas khiav ntawm peb lub xub pwg mus rau peb lub luj tshib, muab ntshav rau tag nrho caj npab.
- Cov hlab ntsha no tseem ceeb heev thaum peb kuaj ntshav siab thiab hauv qee qhov kev kuaj mob.
- Vim nws nyob rau ntawm qhov chaw ntawm daim tawv nqaij, nws tuaj yeem raug puas tsuaj yooj yim thaum muaj xwm txheej.
- Yog tias koj muaj cov tsos mob xws li o sai sai, xim tsis zoo, lossis mob hnyav hauv koj txhais tes, nrhiav kev pab kho mob tam sim ntawd vim tias nws yuav yog teeb meem ntawm cov hlab ntsha.
- Los ntawm kev ua raws li txoj kev ua neej noj qab haus huv, koj tuaj yeem ua kom koj lub cev tag nrho cov ntshav ncig, suav nrog koj cov hlab ntsha brachial, noj qab haus huv.
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