Peb txhua tus paub yuav ua li cas kov koj lub plawv dhia ntawm lub hauv paus ntawm koj lub dab teg. Qhov ntawd yog qhov chaw uas koj kov koj lub plawv dhia. Tab sis koj puas tau xav tias yog dab tsi ua rau lub plawv dhia hauv koj cov ntiv tes, lub npe ntawm cov hlab ntsha ntawd yog dab tsi, thiab nws tseem ceeb npaum li cas rau peb lub cev? Hnub no peb yuav tham txog ' Radial Artery ', uas nyob qhov chaw uas koj tuaj yeem kov koj lub plawv dhia, thiab qhov ntawd tseem ceeb heev hauv kev kho mob.
Hauv lwm lo lus, Radial Artery yog dab tsi?
Cov hlab ntsha Radial yog ib txoj hlab ntsha loj hauv koj txhais caj npab uas khiav ntawm koj lub luj tshib mus rau koj tus ntiv tes xoo. Hais yooj yim xwb, nws yog ib qho ntawm cov hlab ntsha tseem ceeb uas muab cov ntshav huv thiab muaj oxygen rau koj txhais caj npab thiab tes.
Cov hlab ntsha hauv peb lub cev yog cov hlab ntsha uas nqa cov ntshav uas muaj oxygen los ntawm lub plawv mus rau lwm qhov ntawm lub cev. Ib yam li lub tshuab xa dej tseem ceeb rau lub nroog. Yog li cov hlab ntsha Radial no kuj yog ib lub yeeb nkab tseem ceeb heev hauv lub cev ntawd.
Cov hlab ntsha no nyob qhov twg? Nws ua haujlwm dab tsi?
Ntawm lub luj tshib ntawm koj txhais tes, cov hlab ntsha tseem ceeb hauv koj sab caj npab sab saud (Brachial Artery) faib ua ob. Nws zoo li tus dej loj faib ua ob ceg. Ob ceg no hu ua Radial Artery thiab Ulnar Artery . Ob qho no khiav sib luag ntawm lub luj tshib mus rau lub dab teg.
- Lub Radial Artery khiav raws ntug ntawm tus ntiv tes xoo.
- Cov hlab ntsha Ulnar khiav raws ntug ntawm tus ntiv tes me.
Ua ke, ob qho no muab ntshav rau hauv qab ntawm peb txhais caj npab, xib teg, thiab ntiv tes. Qhov no yog vim nws nyob rau ntawm peb daim tawv nqaij, yog vim li cas peb thiaj li hnov lub plawv dhia ntawm lub dab teg.
Yog li cia peb saib qhov twg cov hlab ntsha radial no xa ntshav mus.
| Kev muab ntshav | Txoj haujlwm uas nws ua |
|---|---|
| Cov leeg ntawm sab caj npab | Cov ntshav uas ntws mus rau cov leeg no muab lub zog uas xav tau los khoov, ncab, thiab tuav cov khoom. |
| Cov pob txha caj dab thiab cov pob qij txha | Muab cov khoom noj khoom haus tsim nyog kom lub dab teg noj qab nyob zoo thiab txav tau yooj yim. |
| Tus ntiv tes xoo thiab tus ntiv tes qhia | Ob tug ntiv tes no tseem ceeb heev rau peb ua tej hauj lwm me me thiab tuav ib yam dab tsi kom ruaj khov. Lawv tau txais cov ntshav uas tsim nyog. |
| Cov hlab ntsha radial | Nws kuj tseem muab cov pa oxygen thiab cov khoom noj khoom haus rau cov hlab ntsha no, uas tswj cov kev txav tes thiab kev xav. |
Vim li cas cov kws kho mob thiaj siv cov hlab ntsha radial no?
Qhov no yog qhov tseem ceeb tshaj plaws. Vim tias cov hlab ntsha radial nyob saum daim tawv nqaij thiab tuaj yeem nkag mus rau hauv lub cev tau yooj yim los ntawm nws, cov kws kho mob siv cov hlab ntsha no rau ntau qhov kev kuaj mob tseem ceeb thiab kev kho mob.
1. Kev kuaj mob plawv thiab kev kho mob (Transradial Access)
Qhov no yog qhov siv ntau tshaj plaws. Yuav tsum tau ntxig ib lub catheter (ib lub raj nyias nyias zoo li ib lub qab zib) rau hauv lub cev kom ua tau tej yam xws li angiogram, uas kuaj seb puas muaj kev thaiv hauv cov hlab ntsha hauv lub plawv, lossis angioplasty, uas qhib cov hlab ntsha uas raug thaiv.
Yav tas los, qhov no feem ntau yog ua los ntawm cov hlab ntsha femoral. Tab sis tam sim no, cov kws kho mob siv cov hlab ntsha radial ntau zuj zus. Qhov no hu ua transradial access . Nws muaj ntau qhov zoo:
- Los ntshav tsawg dua: Kev los ntshav ntawm lub dab teg yooj yim dua los tswj dua li ntawm qhov chaw mos.
- Tsawg dua qhov mob thiab tsis xis nyob: Tus neeg mob tuaj yeem taug kev sai sai tom qab kev kho mob. Yog tias cov txheej txheem ua tiav hauv qhov chaw mos, tus neeg mob yuav tsum tau pw hauv txaj rau ob peb teev.
- Kev rov zoo sai: Koj tuaj yeem mus tsev los ntawm tsev kho mob sai.
Xav seb yuav yooj yim npaum li cas yog tias koj sawv sai sai thiab mus ua haujlwm, es tsis txhob pw hauv txaj ntau teev zoo li yav dhau los?
2. Tshawb xyuas lub plawv dhia
Zoo li peb tau tham ua ntej lawm, qhov no yog qhov chaw yooj yim tshaj plaws thiab feem ntau siv los ntsuas koj lub plawv dhia.
3. Kev kuaj ntshav (Cov pa roj hauv cov ntshav)
Qee zaum, tshwj xeeb tshaj yog rau cov neeg mob uas muaj teeb meem ua pa thiab nyob hauv chav kho mob hnyav (ICUs), nws yog ib qho tsim nyog yuav tsum paub qhov tseeb ntawm cov pa oxygen thiab carbon dioxide hauv cov ntshav. Qhov no tsis tuaj yeem ntsuas tau raws li qhov tseeb nrog cov ntshav uas tau los ntawm cov leeg. Rau qhov no, cov ntshav yuav tsum tau muab los ntawm cov hlab ntsha. Qhov no kuj yog qhov feem ntau siv rau lub hom phiaj no.
4. Kev ntsuas ntshav siab tsis tu ncua (Kev siv koob txhaj ntshav)
Rau cov neeg mob uas mob hnyav heev, yuav tsum tau saib xyuas cov ntshav siab tas li, ob zaug ib pliag. Lub sijhawm ntawd, cov kws kho mob muab ib lub raj me me (txoj kab hlab ntsha) ntxig rau hauv cov hlab ntsha no thiab txuas nws rau lub monitor.
5. Rau cov neeg mob raum (Arteriovenous - AV Fistula)
Cov neeg mob uas muaj mob raum tsis ua haujlwm yuav tsum tau ntxuav lawv cov ntshav (dialysis). Qhov no suav nrog kev rho cov ntshav tawm ntawm lub cev, ntxuav nws nrog lub tshuab, thiab xa rov qab mus rau lub cev. Qhov no xav tau cov hlab ntsha muaj zog. Qee zaum, cov kws kho mob phais txuas cov hlab ntsha radial mus rau cov hlab ntsha ze, tsim ib qho AV fistula . Qhov no ua rau cov hlab ntsha muaj zog thiab ua rau nws yooj yim dua los ua dialysis.
Puas muaj tej yam mob uas cuam tshuam rau cov hlab ntsha no?
Tsis zoo li cov hlab ntsha loj dua hauv peb lub cev, cov hlab ntsha radial tsis tshua muaj feem yuav mob atherosclerosis, uas yog los ntawm cov rog deposits. Qhov no yog vim nws yog ib cov hlab ntsha me me nyob rau ntawm qhov kawg ntawm lub cev.
Txawm li cas los xij, raws li tau hais los saum toj no, tsis tshua muaj, cov hlab ntsha no tuaj yeem raug thaiv (occluded) tom qab kev kho mob catheterization. Yog tias qhov no tshwm sim, cov ntshav mus rau tes thiab ntiv tes yuav raug txo qis, ua rau loog lossis puas tsuaj rau cov hlab ntsha. Txawm li cas los xij, qhov no tsis tshua muaj.
Qhov zoo tshaj plaws yog peb muaj ob qho tib si Radial Artery thiab Ulnar Artery los muab ntshav rau peb txhais tes, yog li txawm tias ib qho puas lawm los xij, lwm qhov artery tuaj yeem txuas ntxiv muab ntshav rau tes.
Koj ua li cas kom koj lub cev tag nrho, suav nrog koj cov hlab ntsha radial, noj qab nyob zoo?
Koj tsis tas yuav ua dab tsi tshwj xeeb rau qhov no. Tib yam uas koj ua kom koj lub plawv thiab tag nrho cov ntshav ncig zoo yog qhov tseem ceeb rau qhov no.
- Ua kom koj lub cev nquag: Ua kom koj lub cev tawm dag zog ntau hnub hauv ib lub lim tiam. Txawm tias yog ib yam dab tsi xws li taug kev, khiav, lossis ua luam dej los kuj zoo.
- Noj cov khoom noj uas zoo rau lub plawv: Noj cov khoom noj uas tsis muaj roj, ntsev, thiab qab zib ntau, thiab noj txiv hmab txiv ntoo thiab zaub ntau.
- Tsis txhob haus luam yeeb: Kev haus luam yeeb yog tus yeeb ncuab loj tshaj plaws ntawm cov hlab ntsha. Yog li ntawd, yog tias koj haus luam yeeb, tsum.
Thaum twg yuav tsum mus ntsib kws kho mob
Feem ntau cov hlab ntsha no tsis muaj dab tsi yuav tsum txhawj txog. Txawm li cas los xij, yog tias koj tau muaj kev kho mob (xws li angiogram) los ntawm koj lub dab teg thiab muaj cov tsos mob no tom qab ntawd, hu rau koj tus kws kho mob tam sim ntawd.
| Cov tsos mob | Lub ntsiab lus uas ua tau |
|---|---|
| Kev tsis muaj zog hauv tes lossis xib teg | Tej zaum yuav muaj kev txo qis ntawm cov ntshav mus los lossis qee qhov cuam tshuam rau cov hlab ntsha. |
| Tsis muaj zog tes, tsis muaj peev xwm tuav cov khoom | Tej zaum yuav muaj ntshav tsis txaus rau cov leeg lossis cov hlab ntsha. |
| Tsis muaj kev xav hauv tes lossis ntiv tes | Qhov no kuj tseem yuav yog vim muaj cov nyhuv rau cov hlab ntsha. |
| Xav tias cov ntsaum nkag mus rau hauv koj txhais tes yam tsis muaj laj thawj | Nws yuav yog ib qho cim qhia txog kev hloov pauv ntawm cov ntshav ncig lossis kev ua haujlwm ntawm cov hlab ntsha. |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha Radial yog ib txoj hlab ntsha tseem ceeb uas khiav hla koj lub dab teg, ntawm sab ntawm koj tus ntiv tes xoo. Peb siv qhov no los xyuas peb lub plawv dhia.
- Qhov no muab cov ntshav uas muaj oxygen ntau rau koj sab caj npab thiab xib teg.
- Cov kws kho mob siv cov hlab ntsha no ntau heev rau tej yam xws li kev kuaj plawv (angiograms), kev ntsuas ntshav siab, thiab kev ntxuav ntshav.
- Nrog kev ua neej zoo (kev tawm dag zog, kev noj zaub mov zoo, thiab kev zam kev haus luam yeeb), koj tuaj yeem ua kom cov hlab ntsha no thiab koj lub cev tag nrho noj qab nyob zoo.
- Vim tias koj muaj ob txoj hlab ntsha (Radial thiab Ulnar) uas muab ntshav rau koj txhais tes, txawm tias ib qho puas lawm los xij, lwm qhov tseem tuaj yeem ua nws txoj haujlwm. Yog li tsis muaj dab tsi yuav txhawj txog.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus