Wi ɔl no aw fɔ fil yu puls na di bays pan yu an. Na de yu de fil yu at bit. Bɔt yu dɔn ɛva wɔnda wetin kin mek yu finga dɛn kin pul da blɔd de, wetin na da blɔd vesel de in nem, ɛn aw i impɔtant to wi bɔdi? Tide wi go tɔk bɔt di ‘ Radial Artery ’, we de usay yu kin fil yu puls, ɛn we rili impɔtant pan mɛrɛsin.
Fɔ tɔk am simpul wan, wetin na di Radial Artery?
di Radial Artery na wan big bכdi we de na yu an we de kכmכt frכm yu εlbo to yu tכmb. Fɔ tɔk am simpul wan, na wan pan di men vein dɛn we de gi klin blɔd we gɛt ɔksijɛn to yu fɔs an ɛn an.
Atɛri na di blɔd vesel dɛm na wi bɔdi we de kɛr blɔd we gɛt ɔksijɛn frɔm di at to di ɔda pat na di bɔdi. Jɔs lɛk di men wata sapɔt sistɛm fɔ wan siti. So dis Radial Artery na bak wan rili impɔtant paip na da sistɛm de.
Usay dis at de? Wetin i de du?
na di εlbo na yu an, di men at we de na yu כp an (Brachial Artery) de split insay tu. I tan lɛk big riva we split to tu branch. Dɛn kɔl dɛn tu branch ya di Radial Artery ɛn di Ulnar Artery . Dɛn tu tin ya de rɔn paralel to dɛnsɛf frɔm di ɛlb to di an.
- di Radial Artery de rכn along di sayd fכ di tכmbכl.
- Di Ulnar Artery de rɔn along di sayd fɔ di smɔl finga.
Tugeda, dis tu de giv blɔd to di ɔda pat na wi an, an, ɛn finga dɛn we de dɔŋ. dis na biכs i de rili supεrfishal to wi skin, na dat mek wi kin fil di puls na di an izi wan.
So lɛ wi si usay ɛksaktɔli dis raydial at de gi blɔd.
| Blɔd saplai | Di wok we i de du |
|---|---|
| Di mɔsul dɛn na di fɔs an | Di blɔd we de flɔ to dɛn mɔsul dɛn ya de gi di pawa we wi nid fɔ bɛn, ɛkstɛnd, ɛn ol tin dɛn. |
| Di bon dɛn na di an ɛn di jɔyn dɛn | I de gi di nyutrishɔn we nid fɔ mek di an gɛt wɛlbɔdi ɛn fɔ muv. |
| Thumb ɛn indeks finga | Dɛn tu finga dɛn ya rili impɔtant fɔ mek wi du fayn fayn wok dɛn ɛn fɔ ol sɔntin tranga wan. Dɛn kin gɛt di blɔd we dɛn nid. |
| Radial Nɛv we dɛn kɔl | i de gi כksijεn εn nyutrishכn bak to dis nεv we de kכntro di an muvmεnt εn fכ fil. |
Wetin mek dɔktɔ dɛn kin yuz dis raydial at?
Dis na di pat we impɔtant pas ɔl. Bikɔs di raydial at de jɔs ɔp di skin ɛn i kin izi fɔ put am insay di bɔdi tru am, dɔktɔ dɛn kin yuz dis at fɔ bɔku impɔtant mɛrɛsin tɛst ɛn tritmɛnt dɛn.
1. Tɛst ɛn tritmɛnt fɔ at sik (Transradial Access) .
Dis na di kes we dɛn kin yuz mɔ. Dɛn nid fɔ put kateta (wan tin we tan lɛk shuga ken) insay di bɔdi fɔ du tin dɛn lɛk angiogram, we de chɛk fɔ si if di at in blɔd vesel dɛn dɔn blok, ɔ angioplasty, we de opin di at dɛn we dɔn blok.
Trade, dɛn bin de du dis mɔ tru di fimɔral at. Bɔt naw, dɔktɔ dɛn de yuz di raydial at mɔ ɛn mɔ. Dɛn kɔl dis transradial akses . I gɛt bɔku bɛnifit dɛn:
- Blɔd nɔ de kɔmɔt: I izi fɔ kɔntrol di blɔd we de kɔmɔt na di an pas di blɔd we de kɔmɔt na di groin.
- Nɔr kin fil pen ɛn nɔr kin fil fayn: De pɔrsin kin waka kwik kwik wan afta di tritmɛnt. If dɛn du di prɔsidyu na di groin, di pɔsin go gɛt fɔ de na bed fɔ sɔm awa.
- Kwik fɔ wɛl: Yu kin go na os frɔm ɔspitul kwik kwik wan.
Imajin aw i go izi fɔ mek yu ebul fɔ grap kwik kwik wan ɛn go wok, bifo yu de na bed fɔ lɔng tɛm lɛk aw yu bin de du trade?
2. Pɛls Chɛk
As wi bin dɔn tɔk, dis na di ples we izi ɛn kɔmɔn fɔ no aw yu at de bit.
3. Blɔd tɛst (Aterial Blood Gas) .
Sɔntɛnde, mɔ pan di wan dɛn we nɔ ebul fɔ blo fayn ɛn we de na di say dɛn we dɛn de kia fɔ pipul dɛn we sik bad bad wan (ICU), i kin nid fɔ no di rayt lɛvɛl we ɔksijɛn ɛn kabon dayɔgzayd de na di blɔd. Dɛn nɔ kin ebul fɔ mɛzhɔ dis kɔrɛkt wan wit blɔd we dɛn tek frɔm di vein dɛn. Fɔ dis, dɛn fɔ pul blɔd na wan at. Dis na di wan bak we dɛn kin yuz mɔ fɔ dis.
4. Fɔ mɛzhɔ blɔd prɛshɔn ɔltɛm (Arterial Cannulation) .
Insay di wan dɛn we sik bad bad wan, dɛn nid fɔ de wach di blɔd prɛshɔn ɔltɛm, sɛkɔn bay sɛkɔn. Da tɛm de, dɔktɔ dɛn kin put wan smɔl tiub (arterial line) insay dis at ɛn kɔnɛkt am to monita.
5. Fɔ di wan dɛn we gɛt kidni (Arteriovenous - AV Fistula) .
Di wan dɛn we gɛt kidni we nɔ de wok fayn nid fɔ mek dɛn klin dɛn blɔd (dialysis). Dis min se dɛn kin tek blɔd na di bɔdi, klin am wit mashin, ɛn put am bak na di bɔdi. Dis nid fɔ gɛt strɔng blɔd vesel. Sɔntɛnde, dɔktɔ dɛn kin ɔpreshɔn di raydial at to wan vein we de nia de, ɛn dis kin mek wan AV fistula . Dis kin mek di vein strɔng ɛn mek i izi fɔ du dayalaysis.
Ɛni mɛrɛsin de we kin afɛkt dis at?
difrεnt frכm di big at dεm na wi bכdi, di raydial at nכ kin gεt atεrosklεrosis, we kin kכz fכ fεt dεposit. Dis na bikɔs na smɔl at we de na di ɛnd pan di bɔdi.
כltu, lεk aw wi bin dכn tכk bכt, rεli sכmtεm, dis at kin blok (oklud) afta di tritmεnt dεm we dεn gi kateshכn. If dis apin, di blɔd we de go na di an ɛn di finga dɛn kin ridyus, ɛn dis kin mek di nerv dɛn nɔ gɛt bɛtɛ trɛnk ɔ i kin pwɛl. Bɔt, dis nɔ kin apin so ɔltɛm.
di bεst tin na dat wi gεt כl tu di Radial Artery εn di Ulnar Artery fכ gi blɔd to wi an, so ivin if wan pan dεn dכn pwεl, di כda atεri kin kכntinyu fכ gi blɔd to di an.
Aw yu kin kip yu ɔl yu blɔd sistɛm, ivin yu raydial at, wɛl?
Yu nɔ nid fɔ du ɛni spɛshal tin fɔ dis. Di sem tin dɛm wae yu kin du fɔ kip yu at ɛn ɔl di blɔd sistɛm wɛl na impɔtant tin fɔ dis.
- Bi aktif: Ɛksesaiz mɔ dez insay di wik. Ivin sɔntin lɛk fɔ waka, fɔ rɔn, ɔ fɔ swim kin fayn.
- It tin dɛn we go ɛp yu at: It tin dɛn we nɔ gɛt bɔku ɔyl, sɔl, ɛn shuga, ɛn it bɔku frut ɛn vɛjitebul.
- Nɔ smok: Smok na di big ɛnimi fɔ di blɔd vesel dɛn. So if yu de smok, lɛf fɔ smok.
Ustɛm fɔ go to dɔktɔ
Bɔku tɛm, dis at nɔ kin bi natin fɔ wɔri bɔt. Bɔt if yu dɔn gɛt ɛni mɛrɛsin (lɛk angiogram) tru yu an ɛn yu gɛt dɛn sik ya afta dat, kɔl yu dɔktɔ wantɛm wantɛm.
| Di sayn we de sho se di sik de | I pɔsibul fɔ min |
|---|---|
| Di an ɔ di palm we de mek yu nɔ fil fayn | I kin bi se di blɔd go dɔŋ ɔ sɔm ifɛkt go de pan wan nerve. |
| Lɔs di an trɛnk, nɔ ebul fɔ ol tin | I kin bi se blɔd nɔ go rich di mɔsul dɛn ɔ di nerv dɛn. |
| Fɔ lɔs filin na di an ɔ finga dɛn | Dis kin bi bak bikɔs ɔf di ifɛkt pan di nerv dɛm. |
| Fɔ fil lɛk se ant de kray na yu an fɔ natin | I kin bi sayn fɔ se di blɔd de chenj ɔ di nerv dɛn we de wok. |
Mɛsej we dɛn kin kɛr go na os
- di Radial Artery na imכtant atεri we de rכn tru yu an, na di sayd fכ yu tכmb. Wi kin yuz dis fɔ chɛk wi puls.
- Dis kin mek yu gɛt blɔd we gɛt bɔku ɔksijɛn to yu an ɛn yu an.
- Dɔktɔ dɛn kin yuz dis at bɔku fɔ tin dɛn lɛk at tɛst (angiogram), fɔ mɛzhɔ blɔd prɛshɔn, ɛn dayalaysis.
- If yu gɛt gud abit fɔ liv (ɛksɛsayz, it gud it, ɛn nɔ smok), yu kin mek dis at ɛn ɔl yu blɔd blɔd go wɛl.
- Bikɔs yu gɛt tu at (Radial ɛn Ulnar) we de gi blɔd to yu an, ivin if wan dɔn pwɛl, di ɔda wan kin stil du in wok. So natin nɔ de fɔ wɔri bɔt.
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