Ese uzi neza iby'uyu mutsi w'amaraso w'ingenzi (Radial Artery) uri mu ntoki zawe?

Uyu munsi tugiye kuvuga ku mutsi w'amaraso w'ingenzi cyane mu ntoki zacu tudatekerezaho cyane mu buzima bwacu bwa buri munsi. Ibi ni byo abaganga bita imitsi yo mu bwoko bwa Radial Artery . Ushobora kuba warigeze kumva iri zina mbere, iyo umuganga agufashe ukuboko akakumva umutima wawe utera. Iri zina ni iki koko? Ni ubuhe bwoko bw'imirimo ritanga ku mubiri wacu? Reka tuvuge kuri ibi byose mu buryo bworoshye, mu buryo ushobora kumva.

Ni iki mu by'ukuri kibaho kuri uyu mutsi w'amaraso ukoresha radial?

Mu magambo make, umutsi w’amaraso ukoresha imirasire ni nk’umuyoboro muto ariko ukora neza cyane utanga ubuzima ku kuboko, ku kiganza no ku ntoki. Akazi kawo k’ingenzi ni ugutwara amaraso meza kandi akungahaye kuri ogisijeni atangwa n’umutima wacu, tukayakwirakwiza muri ibyo bice by’ukuboko.

Tekereza kuri ibi, buri karemangingo n'ingingo mu mubiri wacu bikenera ogisijeni kugira ngo bikore. Nk'uko imodoka ikenera lisansi. Rero, ahantu h'ingenzi hakira amaraso muri uyu mutsi w'amaraso ni:

• Ingingo y'inkokora: Yego, iyi ni yo maraso anyura mu nkokora yawe.
• Imitsi yo mu rukenyerero: Iyi ni yo mitsi itanga imbaraga ku mitsi yo mu gice cyo hasi cy'ukuboko. Iyi mitsi ifasha iyo tuzunguza amaboko yacu kandi tugaterura ibyuma biremereye.
• Urutoki n'igikumwe: Ibi bifasha gutanga amaraso ku rutoki rwawe rw'igikumwe n'igikumwe by'umwihariko. Dukoresha izi ntoki ebyiri mu bintu byinshi, si byo se?
• Imitsi yo mu bwonko: Uyu ni wo mutsi mukuru ugenzura ingendo n'uburyo umuntu yumva ibintu mu kuboko no mu kiganza. Uyu mutsi kandi utangwa n'uyu mutsi.
• Amagufwa n'ingingo zo mu kuboko: Bifasha kandi kugumana amagufwa mato (amagufwa ya carpal) n'ingingo zo mu kuboko kwawe zimeze neza binyuze mu kuyatanga amaraso.

Ibyo bivuze ko uyu mutsi ukoresha imirasire y'amarenga ugira uruhare mu kintu cyose ukora n'amaboko yawe.

Umutsi wo mu bwoko bwa Radial Artery uherereye he?

Ushobora kandi kugerageza kubishakisha byoroshye cyane. Ufite inkokora yawe, niho itangirira imbere. Hanyuma imanuka ku kuboko, ni ukuvuga ku kuboko, ikagera ku ruhande aho ino rinini ry'ikirenge riri, uyu mutsi w'amaraso unyura mu kirere.

Ibi ni ukuri cyane cyane munsi y'uruhu, ntabwo ari kure cyane. Niyo mpamvu abaganga bashobora kumva umutima wawe wo mu gituza bashyize ikiganza cyabo imbere mu kuboko kwawe. Iyo urebye imbere mu kuboko kwawe (ku ruhande rw'igikumwe), hari igihe ubona umutsi muto w'ubururu cyangwa umuhengeri, sibyo? Aho niho uyu mutsi unyura. Ariko imitsi ubona ni imitsi, kandi umutsi uri munsi gato, ariko niho uri.

Umutsi w'amaraso ukoresha radial artery ugenda ute?

Uyu mutsi w'amaraso udatangira wonyine. Ufite kandi "nyina." Uwo ni umutsi w'amaraso wo mu mutwe, umutsi munini w'amaraso uri mu kuboko kwacu.Ni ukuvuga nk'umugezi utangirira ku ruzi runini.

Hafi y'aho inkokora ihurira, uyu mutsi wo mu bwonko wigabanyamo amashami abiri y'ingenzi.

1. Umutsi w'amaraso uturuka ku mirasire

2. Umutsi wa Ulnar

Umutsi w'amaraso unyura mu gice cy'imbere cy'umubiri (radial artery) n'umutsi w'amaraso unyura mu gice cy'imbere cy'umubiri (ulnar artery) ni nk'inshuti ebyiri, ziruka ziteganye, ni ukuvuga, zidakora ku kuboko, zigatanga amaraso ku kiganza no ku ntoki. Ibi byombi hamwe, bituma igice cyo hasi cy'amaboko yacu n'ibiganza byacu bikomeza kubaho neza.

Ni izihe ndwara n'ibindi bibazo bishobora kugira ingaruka ku mutsi w'amaraso ukoresha imitsi?

Muri rusange, imitsi yo mu bwonko iri hafi cyane y'uruhu, hafi y'aho hejuru (umutsi wo hejuru). Kubwibyo, ntabwo bishoboka cyane ko habaho indwara ya atherosclerosis, indwara aho ibinure byiyongera mu mitsi ikayigabanya, nk'uko bimeze ku mitsi minini y'amaraso igana ku mutima. Ibyo ni byiza!

Ariko, hari igihe ibibazo bishobora kuvuka.

• Nyuma yo kubagwa catheter: Abaganga bashyiramo umuyoboro muto (catheter) binyuze mu mitsi ifata imirasire kugira ngo babazwe umutima. Mu bantu bake bakora ibi, hari amahirwe make ko imitsi ifunga (ifungwa) .
• Kwangirika kw'imitsi cyangwa gucika intege: Nkuko byavuzwe haruguru, iyo imitsi ifunze, rimwe na rimwe indwara yo gucika intege cyangwa kwangirika kw'imitsi ishobora kubaho mu biganza no mu ntoki.
• Indwara ya Carpal Tunnel Syndrome: Iyi ni indwara idakunze kugaragara cyane, yibasira abantu bari munsi ya 3 mu 100. Iterwa n'ikibazo cy'imitsi ifata imitsi, igabanya imitsi yo mu kuboko.

Ariko ntugahangayike, izi ngorane ni gake cyane. Abaganga baritondera cyane ibi.

Abaganga bakoresha iki umutsi w’amaraso ukoresha radial?

Ushobora kuba utarabyumva, ariko abaganga basanga iyi mitsi y'amaraso ifite akamaro kanini. Bayikoresha mu bikorwa byinshi by'ubuvuzi.

• Ibipimo by'umutima n'uburyo bwo kuvura (Transradial access): Mu bihe byashize, iyo hakorwaga ibizamini bimwe na bimwe bijyanye n'umutima, urugero, angiogram , umutsi w'amaraso wo mu kibuno , umutsi munini w'amaraso mu gituza, byakunze gukoreshwa. Ariko, iyo ubikoreye aho ngaho, rimwe na rimwe hashobora kubaho amaraso menshi cyane, bigatuma bigoye kugenda iminsi mike. Ariko ubu, kubera iterambere ry'ikoranabuhanga mu buvuzi, ibi bintu bikunze gukorwa binyuze mu mutsi w'amaraso wo mu kibuno. Ibi tubyita (Transradial access) . Ibyiza byabyo ni ibi:
• Kuva amaraso ni guke cyane.
• Birababaza gake.
• Ushobora gutaha vuba uvuye mu bitaro. Hari igihe ushobora no gutaha nimugoroba.
• Ingaruka zo kugira ibibazo nazo ni nke.

Ubwo ni uburyo bwiza bwo koroshya ibintu, si byo se?

• Suzuma umuvuduko w'umutima hanyuma upime umuvuduko w'umutima:Ibi ni byo twese tuzi. Muganga ashyira intoki ebyiri cyangwa eshatu ku kuboko kwawe, ku ruhande rw'igikumwe cyawe, kugira ngo arebe uko umutima wawe utera (gutera kw'imitsi). Ni byo bareba kuri uyu mutsi w'amaraso.

• Genzura urugero rwa ogisijeni na dioxyde de carbone mu maraso: Mu bihe bimwe na bimwe byihutirwa, cyangwa ku barwayi bafite ikibazo cyo guhumeka, ni ngombwa kugenzura neza ingano ya ogisijeni na dioxyde de carbone mu maraso. Ikizamini cyitwa Arterial Blood Gas (ABG) . Ingero z'amaraso zikunze gufatirwa mu mitsi ifata imirasire.

• Pima umuvuduko w'amaraso neza: Abarwayi bari mu byumba byita ku barwayi barembye bagomba gupimwa umuvuduko w'amaraso yabo buri gihe kandi neza. Muri iki gihe, umuyoboro muto wa plastiki (cannula) ushyirwa mu mitsi ifata imirasire hanyuma ugahuzwa n'imashini. Ibi byitwa cannulation y'imitsi .

• Ku bijyanye na dialyse y'impyiko: Hari abarwayi bafite ikibazo cy'impyiko bakeneye dialyse kugira ngo basukure amaraso yabo. Hari n'igihe uyu mutsi ukoreshwa mu gukora fistula ya AV .

• Kubaga Umutima Udakoresha Umutima: Hari igihe, iyo umuyoboro w'amaraso mu mutima ufunze, kubaga bypass bisaba ko habaho guteranya umuyoboro mushya w'amaraso. Muri ibyo bihe, hari igihe uyu muyoboro w'amaraso ufatwa ugakoreshwa.

Reba ukuntu iyi mitsi mito y'amaraso ari ingirakamaro!

Ni gute narinda imitsi yanjye y'amaraso n'imiyoboro yose y'amaraso?

Kugira ngo imitsi y'amaraso mu mubiri wacu wose, ni ukuvuga urusobe rw'amaraso, ikomeze kugira ubuzima bwiza, tugomba kongeramo ibi bintu mu buzima bwacu:

• Imyitozo ngororamubiri iminsi myinshi y'icyumweru: Ni byiza gukora imyitozo ngororamubiri nibura iminota 30 ku munsi ikoresheje imbaraga ziciriritse. Ibi bishobora kuba ikintu icyo ari cyo cyose kuva ku kugenda n'amaguru, kwiruka, cyangwa ku igare.
• Kurya indyo yuzuye umutima: Kurya imboga nyinshi, imbuto, ibinyamisogwe, ibinyampeke n'amafi. Gabanya ibiryo birimo amavuta menshi, isukari n'umunyu mwinshi uko bishoboka kose.
• Niba unywa itabi, rekeraho uyu munsi: Kunywa itabi byangiza cyane imiyoboro y'amaraso. Byongera amahirwe yo kuziba no gukomera kw'imiyoboro y'amaraso.

Gukurikiza ibi bintu byoroheje bizagufasha cyane mu gutuma imiyoboro y'amaraso yawe ikomeza kuba myiza.

Ni ryari ngomba kubonana na muganga?

Ubusanzwe, nta kibazo gikomeye kigaragara ku mitsi ifata imitsi. Ariko, niba ufite kimwe cyangwa byinshi muri ibi bimenyetso, ni byiza gushaka inama kwa muganga:

• Nkuko byavuzwe haruguru, niba ufite ibinya mu kiganza cyawe cyangwa ku kuboko nyuma yo kubagwa (urugero: kwinjira mu miyoboro ya radial) unyuze mu miyoboro ya radial.
• Niba hari ikintu kigoye kugikomeza, niba wumva urimo kubura ubushobozi bwo kwifata.
• Niba wumva watakaje imbaraga mu kiganza cyawe cyangwa niba ufite ikibazo cyo kumva mu kiganza cyawe.
• Niba wumva gusa ikintu kibabaza mu kiganza cyawe cyangwa mu gahanga nta mpamvu.

Ni byiza kutirengagiza ibintu nk'ibi, sibyo? Ni ngombwa kujya kwa muganga vuba bishoboka no gushaka impamvu.

Amaherezo, ibintu byo kwibuka

Rero, ushobora kuba usobanukiwe ko umutsi w'amaraso witwa Radial Artery, tumaze igihe kinini tuvugaho uyu munsi, ari umutsi w'amaraso utuje cyane, ariko w'ingenzi cyane utanga amaraso afite ogisijeni, atanga ubuzima mu gice cyo hasi cy'ukuboko kwacu, ikiganza cyacu, n'intoki zacu.

Abaganga bakunze gukoresha uyu mutsi muto mu gupima umutima, nko gupima umutima mu buryo bwa catheter , ndetse rimwe na rimwe no kubaga umutima .

Dore ikindi kintu gitangaje kandi cy'ingenzi: Nubwo uyu mutsi w'amaraso wangiritse, cyangwa ukaba ugomba gukurwaho kubera impamvu z'uburwayi, uwo wundi mugenzi twavuze mbere, Ulnar Artery, aracyashobora gukora akazi k'uwo mutsi w'amaraso! Ibyo bivuze ko ushobora gukomeza gutanga amaraso ku ntoki. Ese iyo si imiterere myiza y'ibidukikije?

Bityo rero, twese twite ku buzima bwacu, tuzirikane agaciro n'agaciro utwo tuntu duto mu mibiri yacu dufite ku buzima bwacu. Nta kintu cy'agaciro kuruta kugira ubuzima bwiza!

Umutsi w'amaraso , imitsi y'amaraso, imitsi y'amaboko, ubuzima bw'umutima, gutembera kw'amaraso, kugenzura umuvuduko w'amaraso