Kodi mukudziwa bwino za mtsempha wofunika kwambiri wa magazi (Radial Artery) womwe uli m'dzanja lanu?

Lero tikambirana za mtsempha wamagazi wofunika kwambiri m'manja mwathu womwe sitimaganizira kwambiri pa moyo wathu watsiku ndi tsiku. Umu ndi momwe madokotala amautcha kuti Radial Artery . Mwina mudamvapo kale dzinali, pamene dokotala akutenga dzanja lanu ndikumva kugunda kwa mtima wanu. Kodi ichi ndi chiyani kwenikweni? Kodi chimapereka chithandizo chamtundu wanji ku thupi lathu? Tiyeni tikambirane zonsezi mosavuta, mwanjira yomwe mungamvetse.

Kodi chimachitika ndi chiyani kwenikweni ndi mtsempha wamagazi uwu?

Mwachidule, mtsempha wamagazi wozungulira uli ngati payipi yaying'ono koma yogwira ntchito bwino kwambiri yomwe imabweretsa moyo ku dzanja, chikhatho, ndi zala. Ntchito yake yayikulu ndikunyamula magazi oyera komanso odzaza ndi mpweya omwe amapopedwa ndi mtima wathu ndikugawa ku ziwalo izi za mkono.

Taganizirani izi, selo lililonse ndi minofu iliyonse m'thupi lathu imafunikira mpweya kuti igwire ntchito. Monga momwe galimoto imafunikira mafuta. Chifukwa chake, malo akuluakulu omwe amalandira magazi kuchokera ku mtsempha wamagazi uwu ndi awa:

• Cholumikizira cha m'chiuno: Inde, ichi ndi magazi omwe amafika ku chigongono chanu.
• Minofu ya padzanja: Iyi ndi minofu yomwe imapatsa mphamvu minofu yomwe ili m'munsi mwa mkono. Minofu imeneyi imathandiza tikamagwedeza manja athu ndikunyamula zolemera.
• Chala chachikulu ndi chala chachikulu: Izi zimathandiza kupereka magazi makamaka ku chala chanu chachikulu ndi chala chachikulu. Timagwiritsa ntchito zala ziwirizi pazinthu zambiri, sichoncho?
• Mitsempha ya Radial: Iyi ndi mitsempha yayikulu yomwe imalamulira kayendedwe ndi kumva m'dzanja ndi m'manja. Mitsempha iyi imaperekedwanso ndi mitsempha iyi.
• Mafupa ndi mafupa a m'dzanja: Zimathandizanso kuti mafupa ang'onoang'ono (mafupa a carpal) ndi mafupa a m'dzanja lanu akhale athanzi mwa kuwapatsa magazi.

Izi zikutanthauza kuti, mtsempha wamagazi uwu umagwira ntchito pafupifupi pa chilichonse chomwe mumachita ndi manja anu.

Kodi Radial Artery ili kuti?

Mungayesenso kupeza izi mosavuta. Muli ndi cholumikizira cha chigongono chanu, ndipo ndi pomwe chimayambira mkati. Kenako chimatsika pansi pa mkono, kutanthauza, motsatira mkono, kupita kumbali komwe kuli chala chachikulu chala, mtsempha uwu wa radial.

Izi ndi zoona makamaka pansi pa khungu, osati mozama kwambiri. Ndicho chifukwa chake madokotala amatha kumva kugunda kwa mtima wanu mosavuta poika dzanja lawo mkati mwa dzanja lanu. Ngati mutayang'ana mkati mwa dzanja lanu (mbali ya chala chachikulu), nthawi zina mumawona mtsempha wabuluu kapena wofiirira, sichoncho? Pamenepo ndi pomwe mtsempha uwu umayendera. Koma mitsempha yomwe mukuwona ndi mitsempha, ndipo mtsempha uli pansi pang'ono, koma uli pomwepo.

Kodi nthambi ya mtsempha wamagazi wa radial imagwira ntchito bwanji?

Mtsempha wamagazi uwu suyamba wokha. Ulinso ndi "mayi." Umenewo ndi mtsempha wamagazi wa brachial, mtsempha waukulu wamagazi womwe uli pamwamba pa mkono wathu.Ndiko kuti, ngati mtsinje womwe umayambira mumtsinje waukulu.

Pafupi ndi cholumikizira cha chigongono, mtsempha wa brachial uwu umagawikana m'nthambi ziwiri zazikulu.

1. Mtsempha wa Radial

2. Mitsempha ya Ulnar

Mtsempha wamagazi ndi mtsempha wa m'chiuno zili ngati mabwenzi awiri, zikuyenda motsatizana, kutanthauza kuti, popanda kukhudzana, pansi pa mkono ndikupereka magazi ku kanjedza ndi zala. Pamodzi, ziwirizi zimasunga pansi pa manja ndi zikhatho zathu kukhala zathanzi.

Ndi matenda ndi mikhalidwe iti yomwe ingakhudze Radial Artery?

Kawirikawiri, mtsempha wamagazi wa radial uli pafupi kwambiri ndi khungu, pafupifupi pamwamba (superficial artery). Chifukwa chake, sizingatheke kuti munthu adwale atherosclerosis, vuto lomwe mafuta amasonkhana mkati mwa mtsempha ndikuuchepetsa, monga momwe zimakhalira ndi mitsempha ikuluikulu yamagazi yopita kumtima. Ndi chinthu chabwino!

Komabe, nthawi zina mavuto angabuke.

• Pambuyo pa opaleshoni ya catheter: Madokotala amaika chubu chaching'ono (catheter) kudzera mu mtsempha wa radial kuti achite opaleshoni ya mtima. Kwa anthu ochepa omwe amachita izi, pali mwayi wochepa woti mtsemphawo utsekeke (wotsekedwa) .
• Kuwonongeka kwa mitsempha kapena dzanzi: Monga tafotokozera pamwambapa, ngati mtsempha wamagazi watsekeka, nthawi zina dzanzi kapena dzanzi la mitsempha limatha kuchitika m'manja ndi zala.
• Matenda a Carpal Tunnel: Imeneyi ndi matenda osowa kwambiri, omwe amakhudza anthu osakwana atatu pa anthu 100. Amayamba chifukwa cha vuto la mtsempha wamagazi, womwe umakanikizira mitsempha ya m'dzanja.

Koma musadandaule, mavuto amenewa ndi osowa kwambiri. Madokotala amasamala kwambiri pa izi.

Kodi madokotala amagwiritsa ntchito chiyani njira ya radial artery?

Mwina simunamvepo izi, koma madokotala amaona kuti mtsempha wamagazi uwu ndi wothandiza kwambiri. Amaugwiritsa ntchito pazifukwa zambiri zachipatala.

• Mayeso a mtima ndi chithandizo (Transradial access): Kale, pochita mayeso ena okhudzana ndi mtima, mwachitsanzo, angiogram , femoral artery , mtsempha waukulu wamagazi m'mimba, nthawi zambiri ankagwiritsidwa ntchito. Komabe, pochita izi pamenepo, nthawi zina pamakhala magazi ambiri, zomwe zimapangitsa kuti zikhale zovuta kuyenda kwa masiku angapo. Koma tsopano, chifukwa cha kupita patsogolo kwa ukadaulo wazachipatala, zinthuzi nthawi zambiri zimachitika kudzera mu radial artery. Timatcha izi (Transradial access) . Ubwino wa izi ndi:
• Kutuluka magazi pang'ono kwambiri.
• Sizimapweteka kwambiri.
• Mukhoza kupita kunyumba mwachangu kuchokera kuchipatala. Nthawi zina mungapite kunyumba madzulo omwewo.
• Chiwopsezo cha mavuto ndi chochepa.

Ndi mwayi wabwino kwambiri, sichoncho?

• Yesani kugunda kwa mtima ndi kuyeza kugunda kwa mtima:Izi ndi zomwe tonse tikudziwa. Dokotala amaika zala ziwiri kapena zitatu padzanja lanu, pambali pa chala chachikulu, kuti aone momwe mtima wanu umagunda (kugunda kwa mtima). Ndicho chimene akuchiyang'ana pa mtsempha wamagazi uwu.

• Yang'anani kuchuluka kwa mpweya ndi carbon dioxide m'magazi: Pazifukwa zina zadzidzidzi, kapena kwa odwala omwe ali ndi vuto la kupuma, ndikofunikira kuyang'ana kuchuluka kwa mpweya ndi carbon dioxide m'magazi. Kuyesaku kumatchedwa Arterial Blood Gas (ABG) . Nthawi zambiri magazi amatengedwa kuchokera ku radial artery.

• Yesani kuthamanga kwa magazi molondola: Odwala omwe ali m'zipinda zosamalira odwala kwambiri ayenera kuyezedwa kuthamanga kwa magazi awo mosalekeza komanso molondola. Panthawiyi, chubu chaching'ono cha pulasitiki (cannula) chimayikidwa mu mtsempha wa radial ndikulumikizidwa ku makina. Izi zimatchedwa arterial cannulation .

• Pa dialysis ya impso: Odwala ena omwe ali ndi vuto la impso amafunika dialysis kuti ayeretse magazi awo. Nthawi zina, mtsempha uwu wa radial umagwiritsidwanso ntchito popanga AV fistula .

• Opaleshoni ya Mtima: Nthawi zina, pamene mtsempha wamagazi mumtima watsekedwa, opaleshoni ya bypass imafuna kuyika mtsempha watsopano wamagazi. Pazochitika zotere, pali zochitika pamene mtsempha wamagazi uwu umatengedwa ndikugwiritsidwa ntchito.

Onani momwe mitsempha yamagazi iyi ilili yothandiza!

Kodi ndingateteze bwanji mtsempha wanga wamagazi ndi dongosolo lonse la magazi?

Kuti tisunge osati mitsempha yamagazi yokha, komanso mitsempha yonse yamagazi m'thupi lathu lonse, kutanthauza kuti, dongosolo lonse la magazi, kukhala lathanzi, tiyenera kuwonjezera zinthu izi m'miyoyo yathu:

• Kuchita masewera olimbitsa thupi masiku ambiri pa sabata: Ndi bwino kuchita masewera olimbitsa thupi osachepera mphindi 30 patsiku. Izi zitha kukhala chilichonse kuyambira kuyenda, kuthamanga, kapena kukwera njinga.
• Idyani zakudya zopatsa thanzi pamtima: Idyani ndiwo zamasamba, zipatso, nyemba, tirigu wonse, ndi nsomba zambiri. Chepetsani zakudya zokhala ndi mafuta ambiri, shuga, ndi mchere wambiri momwe mungathere.
• Ngati mukusuta, siyani lero: Kusuta fodya kumawononga kwambiri mitsempha yamagazi. Kumawonjezera mwayi woti mitsempha yamagazi ikhale yotsekeka komanso yolimba.

Kutsatira zinthu zosavuta izi kudzakuthandizani kwambiri kuti mitsempha yanu yamagazi ikhale yathanzi.

Ndiyenera kupita kwa dokotala nthawi yanji?

Kawirikawiri, palibe vuto lalikulu ndi mtsempha wamagazi. Komabe, ngati muli ndi chimodzi mwa zizindikiro izi, ndi bwino kufunafuna upangiri wa dokotala:

• Monga tafotokozera pamwambapa, ngati muli ndi dzanzi m'dzanja lanu kapena mkono wanu mutachita opaleshoni yachipatala (monga transradial access) kudzera mu radial artery.
• Ngati chinthu chikuvuta kuchigwira, ngati mukumva ngati mukutaya mphamvu.
• Ngati mukumva ngati mwataya mphamvu m'dzanja lanu kapena ngati dzanja lanu layamba kuchepa mphamvu.
• Ngati mukumva kunjenjemera m'dzanja lanu kapena pamphumi popanda chifukwa.

Ndi bwino kusanyalanyaza zinthu ngati izi, eti? Ndikofunikira kuonana ndi dokotala mwamsanga ndikupeza chomwe chikuyambitsa.

Pomaliza, zinthu zoti muzikumbukira

Kotero, mwina tsopano mukumvetsa kuti Radial Artery, yomwe takhala tikulankhula kwa nthawi yayitali lero, ndi mtsempha wamagazi wopanda phokoso, koma wofunika kwambiri womwe umapereka magazi okhala ndi mpweya, opatsa moyo kumunsi kwa mkono wathu, chikhatho, ndi zala zathu.

Madokotala nthawi zambiri amagwiritsa ntchito mtsempha waung'ono uwu poyesa mtima, monga kuyika catheter mumtima , ndipo nthawi zina pochita opaleshoni ya mtima .

Nayi chinthu china chodabwitsa, komanso chofunikira: Ngakhale ngati mtsempha wa radial uwu wawonongeka mwanjira ina, kapena ngati uyenera kuchotsedwa pazifukwa zachipatala, mnzawo wina amene tinakambirana naye kale, Ulnar Artery, akhozabe kugwira ntchito ya mtsempha wa radial umenewo! Izi zikutanthauza kuti ukhoza kupitiriza kupereka magazi m'manja. Kodi si kapangidwe kabwino ka chilengedwe?

Choncho, tiyeni tonse tisamalire thanzi lathu, poganizira kufunika kwa zinthu zazing'ono zimenezi m'thupi lathu komanso kufunika kwake pa miyoyo yathu. Palibe chinthu chamtengo wapatali kuposa kukhala ndi thanzi labwino!

Mitsempha ya Radial , Mitsempha ya Radial, Mitsempha ya Magazi, Mitsempha ya Mkono, Thanzi la Mtima, Kuyenda kwa Magazi, Kuyang'ana Kugunda kwa Mtima