Kodi mukudziwa za mtsempha wofunikira uwu womwe uli komwe mungamve kugunda kwa mtima wanu? (Radial Artery)

Tonsefe timadziwa momwe tingamverere kugunda kwa mtima pansi pa dzanja lanu. Apa ndi pomwe mumamva kugunda kwa mtima wanu. Koma kodi munayamba mwadzifunsapo chomwe chimayambitsa kugunda kwa mtima m'manja mwanu, dzina la mtsempha wamagaziwo, komanso kufunika kwake m'thupi lathu? Lero tikambirana za ' Radial Artery ', yomwe ili komwe mungamve kugunda kwa mtima wanu, komanso yomwe ndi yofunika kwambiri pa zamankhwala.

Mwachidule, kodi Radial Artery ndi chiyani?

Mtsempha wamagazi wa Radial ndi mtsempha waukulu wamagazi womwe umayenda kuchokera pachigongono mpaka chala chachikulu. Mwachidule, ndi umodzi mwa mitsempha yayikulu yomwe imapereka magazi oyera, okhala ndi mpweya ku dzanja lanu ndi m'manja.

Mitsempha yamagazi ndi mitsempha yamagazi m'thupi lathu yomwe imanyamula magazi okhala ndi mpweya kuchokera mumtima kupita ku thupi lonse. Monga momwe zimakhalira ndi njira yayikulu yoperekera madzi mumzinda. Chifukwa chake Radial Artery iyi ndi chitoliro chofunikira kwambiri mu dongosololi.

Kodi mtsempha uwu uli kuti? Umagwira ntchito yanji?

Pa chigongono cha dzanja lanu, mtsempha waukulu wa m'manja mwanu (Brachial Artery) umagawikana pawiri. Uli ngati mtsinje waukulu wogawikana m'nthambi ziwiri. Nthambi ziwirizi zimatchedwa Radial Artery ndi Ulnar Artery . Zonsezi zimayenda motsatizana kuyambira pachigongono mpaka pachikhatho.

• Mtsempha wa Radial umayenda m'mbali mwa chala chachikulu.
• Mtsempha wa Ulnar umayenda m'mbali mwa chala chaching'ono.

Zonsezi pamodzi zimapereka magazi kumunsi kwa mkono wathu, chikhatho, ndi zala zathu. Izi zili choncho chifukwa chakuti zimakhala pafupi kwambiri ndi khungu lathu, ndichifukwa chake timatha kumva kugunda kwa mtima padzanja mosavuta.

Tiyeni tiwone komwe kwenikweni mtsempha wamagazi uwu umapereka magazi.

N’chifukwa chiyani madokotala amagwiritsa ntchito njira imeneyi yolumikizira mitsempha ya m’magazi?

Iyi ndi gawo lofunika kwambiri. Popeza mtsempha wa radial uli pamwamba pa khungu ndipo ukhoza kulowetsedwa mosavuta m'thupi kudzera mmenemo, madokotala amagwiritsa ntchito mtsempha uwu poyesa ndi kuchiza matenda ambiri ofunikira.

1. Mayeso ndi chithandizo cha matenda a mtima (Transradial Access)

Iyi ndi njira yodziwika kwambiri yogwiritsira ntchito. Catheter (chubu chopyapyala ngati nzimbe) iyenera kuyikidwa m'thupi kuti ichite zinthu monga angiogram, yomwe imayang'ana ngati mitsempha yamagazi ya mtima yatsekeka, kapena angioplasty, yomwe imatsegula mitsempha yotsekeka.

Kale, izi zinkachitika makamaka kudzera mu mtsempha wamagazi wa femoral. Koma tsopano, madokotala akugwiritsa ntchito kwambiri mtsempha wamagazi wa radial. Izi zimatchedwa transradial access . Zili ndi ubwino wambiri:

• Kutuluka magazi pang'ono: Kutuluka magazi kuchokera pachikhatho n'kosavuta kulamulira kuposa kutuluka m'chifuwa.
• Kupweteka kochepa ndi kusapeza bwino: Wodwalayo amatha kuyenda mofulumira akalandira chithandizo. Ngati opaleshoniyo yachitika m'chiuno, wodwalayo ayenera kukhala pabedi kwa maola ambiri.
• Kuchira mwachangu: Mutha kupita kunyumba mwachangu kuchokera kuchipatala.

2. Kuwunika Kugunda kwa Mtima

Monga tafotokozera kale, apa ndiye malo osavuta komanso odziwika bwino oyezera kugunda kwa mtima wanu.

3. Kuyezetsa magazi (Mpweya wa Magazi a Mitsempha)

Nthawi zina, makamaka kwa odwala omwe ali ndi vuto lopuma komanso omwe ali m'zipinda zosamalira odwala kwambiri (ICUs), ndikofunikira kudziwa kuchuluka kwa mpweya ndi carbon dioxide m'magazi. Izi sizingayesedwe molondola ndi magazi otengedwa kuchokera m'mitsempha. Pachifukwa ichi, magazi ayenera kutengedwa kuchokera m'mitsempha. Iyi ndi yomwe imagwiritsidwanso ntchito kwambiri pa izi.

4. Kuyeza kuthamanga kwa magazi nthawi zonse (Arterial Cannulation)

Kwa odwala omwe ali ndi vuto lalikulu, kuthamanga kwa magazi kumafunika kuyang'aniridwa mosalekeza, kachiwiri ndi kachiwiri. Panthawiyo, madokotala amaika chubu chaching'ono (mzere wa mitsempha) mumtsempha uwu ndikuulumikiza ku chowunikira.

5. Kwa odwala impso (Arteriovenous - AV Fistula)

Odwala omwe ali ndi vuto la impso ayenera kuyeretsedwa magazi awo (dialysis). Izi zimaphatikizapo kuchotsa magazi m'thupi, kuwatsuka ndi makina, ndikubwezera m'thupi. Izi zimafuna mtsempha wamagazi wolimba. Nthawi zina, madokotala amalumikiza mtsempha wamagazi wa radial ku mtsempha wapafupi, ndikupanga AV fistula . Izi zimalimbitsa mtsempha ndipo zimapangitsa kuti dialysis ikhale yosavuta.

Kodi pali matenda aliwonse omwe amakhudza mtsempha uwu wamagazi?

Mosiyana ndi mitsempha ikuluikulu m'thupi lathu, mitsempha ya radial artery siidwala matenda a atherosclerosis, omwe amayamba chifukwa cha mafuta ambiri. Izi zili choncho chifukwa ndi mitsempha yaying'ono yomwe ili kumapeto kwa thupi.

Komabe, monga tafotokozera pamwambapa, nthawi zambiri, mtsempha uwu umatsekeka (kutsekedwa) pambuyo pa chithandizo cha catheter. Ngati izi zitachitika, magazi opita ku dzanja ndi zala amatha kuchepa, zomwe zimapangitsa kuti dzanzi kapena kuwonongeka kwa mitsempha. Komabe, izi sizichitika kawirikawiri.

Kodi mumasunga bwanji dongosolo lanu lonse la magazi, kuphatikizapo mtsempha wanu wamagazi, kukhala wathanzi?

Simukuyenera kuchita chilichonse chapadera pa izi. Zinthu zomwezo zomwe mumachita kuti mtima wanu ndi dongosolo lonse la magazi likhale lathanzi ndizofunikira pa izi.

• Khalani otanganidwa: Muzichita masewera olimbitsa thupi masiku ambiri pa sabata. Ngakhale kuyenda, kuthamanga, kapena kusambira ndikwabwino.
• Idyani zakudya zopatsa thanzi la mtima: Idyani zakudya zokhala ndi mafuta ochepa, mchere, ndi shuga, komanso zipatso ndi ndiwo zamasamba zambiri.
• Pewani kusuta: Kusuta fodya ndiye mdani wamkulu wa mitsempha yamagazi. Choncho ngati mukusuta, siyani.

Nthawi yoti mukaonane ndi dokotala

Mtsempha uwu nthawi zambiri suyenera kuda nkhawa. Komabe, ngati mwachitidwapo opaleshoni iliyonse yachipatala (monga angiogram) kudzera m'dzanja lanu ndipo mukumva zizindikiro izi pambuyo pake, imbani dokotala wanu nthawi yomweyo.