Sonke siyayazi indlela yokuva ukubetha kwentliziyo yakho ezantsi kwesandla sakho. Kulapho uva khona ukubetha kwentliziyo yakho. Kodwa ngaba wakha wazibuza ukuba yintoni ebangela ukubetha kwentliziyo yakho, lithini igama laloo mthambo wegazi, kwaye kubaluleke kangakanani emzimbeni wethu? Namhlanje siza kuthetha nge- 'Radial Artery ', ekwindawo apho unokuva ukubetha kwentliziyo yakho, kwaye ibaluleke kakhulu kwezonyango.
Ngamafutshane, yintoni i-Radial Artery?
I-Radial Artery ngumthambo wegazi omkhulu engalweni yakho ohamba ukusuka engqinibeni ukuya kubhontsi wakho. Ngamafutshane, ngomnye wemithambo ephambili enika igazi elicocekileyo, elineoksijini engalweni yakho nakwisandla sakho.
Imithambo yegazi yimithambo yegazi emzimbeni wethu ethwala igazi elineoksijini ukusuka entliziyweni ukuya emzimbeni wonke. Njengenkqubo ephambili yokuhambisa amanzi kwisixeko. Ngoko ke le Radial Artery ikwangumbhobho obaluleke kakhulu kuloo nkqubo.
Iphi le mithambo yegazi? Yintoni eyenzayo?
Kwingqiniba yesandla sakho, umthambo oyintloko engalweni yakho engasentla (iBrachial Artery) uyahlukana ube zimbini. Kufana nomlambo omkhulu ohlukana ube ngamasebe amabini. La masebe mabini abizwa ngokuba yiRadial Artery kunye neUlnar Artery . Zombini ezi zisebenza ngaxeshanye ukusuka engqinibeni ukuya esihlahleni.
- I-Radial Artery ihamba ecaleni kobhontsi.
- Umthambo we-Ulnar uhamba ecaleni komnwe omncinci.
Xa zidibene, ezi zimbini zinika igazi kwinxalenye esezantsi yengalo yethu, yesandla, neyeminwe. Oku kungenxa yokuba ibekwe kufutshane kakhulu nolusu lwethu, yiyo loo nto sinokuziva lula ukubetha kwentliziyo esihlahleni.
Ngoko makhe sibone apho kanye kanye le radial artery inika khona igazi.
| Ukunikezelwa kwegazi | Umsebenzi ewenzayo |
|---|---|
| Izihlunu zengalo engaphambili | Igazi elihamba liye kwezi zihlunu linika amandla afunekayo ukugoba, ukolula, nokubamba izinto. |
| Amathambo esihlathini kunye namalungu | Inika isondlo esifunekayo ukugcina isihlakala siphilile kwaye sihambahamba. |
| Ubhontsi nomnwe wokwalatha | Le minwe mibini ibaluleke kakhulu kuthi ukuze senze umsebenzi onzima nokubamba into ngokuqinileyo. Ifumana igazi elifunekayo. |
| I-Radial Nerve | Ikwabonelela ngeoksijini kunye nesondlo kule nerve, elawula iintshukumo zezandla kunye neemvakalelo. |
Kutheni oogqirha besebenzisa le radial artery?
Le yeyona nxalenye ibalulekileyo. Ngenxa yokuba umthambo we-radial ungaphezulu nje kolusu kwaye unokufakwa emzimbeni ngokulula ngawo, oogqirha basebenzisa lo mthambo kwiimvavanyo ezininzi ezibalulekileyo zonyango kunye nonyango.
1. Uvavanyo lwesifo sentliziyo kunye nonyango (Ukufikelela kwi-Transradial)
Le yeyona ndlela ixhaphakileyo yokusebenzisa. I-catheter (ityhubhu encinci efana nommoba) kufuneka ifakwe emzimbeni ukuze kwenziwe izinto ezifana ne-angiogram, ejonga ukuvaleka kwemithambo yegazi yentliziyo, okanye i-angioplasty, evula imithambo yegazi evalekileyo.
Ngaphambili, oku kwakusenziwa kakhulu nge-femoral artery. Kodwa ngoku, oogqirha basebenzisa kakhulu i-radial artery. Oku kubizwa ngokuba yi -transradial access . Inezibonelelo ezininzi:
- Ukopha kancinci: Kulula ukulawula ukopha esihlahleni kunokuphuma esinqeni.
- Iintlungu nokungonwabi okuncinci: Isigulana sinokuhambahamba ngokukhawuleza emva konyango. Ukuba olu tyando lwenziwa emqolo, isigulana kuya kufuneka sihlale ebhedini iiyure ezininzi.
- Ukuchacha ngokukhawuleza: Ungabuyela ekhaya usuka esibhedlele ngokukhawuleza.
Khawucinge nje ukuba bekuya kuba lula kangakanani ukukwazi ukuvuka ngokukhawuleza uye emsebenzini, endaweni yokuhlala ebhedini iiyure ezininzi njengangaphambili?
2. Ukujonga ukubetha kwentliziyo
Njengoko besitshilo ngaphambili, le yindawo elula neqhelekileyo yokulinganisa izinga lentliziyo yakho.
3. Uvavanyo lwegazi (iArterial Blood Gas)
Ngamanye amaxesha, ingakumbi kwizigulana ezinengxaki yokuphefumla nakwiiyunithi zokhathalelo olunzulu (ii-ICU), kuyimfuneko ukwazi inqanaba elichanekileyo leoksijini kunye nekhabhoni dayokhsayidi egazini. Oku akunakulinganiswa ngokuchanekileyo ngegazi elithathwe kwimithambo yegazi. Ngenxa yoku, igazi kufuneka lithathwe kwimithambo yegazi. Le yeyona isetyenziswa kakhulu kule njongo.
4. Ukulinganisa uxinzelelo lwegazi rhoqo (iArterial Cannulation)
Kwizigulane ezigula kakhulu, uxinzelelo lwegazi kufuneka lujongwe rhoqo, okwesibini ngomzuzwana. Ngelo xesha, oogqirha bafaka umbhobho omncinci (umgca wemithambo) kule mithambo baze bawuqhagamshele kwisixhobo sokujonga.
5. Kwabaguli bezintso (i-Arteriovenous - AV Fistula)
Izigulane ezineengxaki zezintso kufuneka zicocwe igazi lazo (i-dialysis). Oku kuquka ukuthatha igazi emzimbeni, ukulicoca ngomatshini, nokulibuyisela emzimbeni. Oku kufuna umthambo wegazi oqinileyo. Ngamanye amaxesha, oogqirha badibanisa umthambo we-radial kumthambo okufutshane, besenza i- AV fistula . Oku kuyawuqinisa umthambo kwaye kwenza kube lula ukwenza i-dialysis.
Ngaba kukho naziphi na iimeko zempilo ezichaphazela le mithambo yegazi?
Ngokungafaniyo nemithambo emikhulu emzimbeni wethu, i-radial artery ayinakwenzeka kangako ukuba ifumane i-atherosclerosis, ebangelwa kukutyalwa kwamafutha. Oku kungenxa yokuba yimithambo emincinci efumaneka ekupheleni komzimba.
Nangona kunjalo, njengoko kutshiwo apha ngasentla, kunqabile kakhulu ukuba le mithambo ivaleke (ivaleke) emva konyango lwe-catheterization. Ukuba oku kuyenzeka, ukuhanjiswa kwegazi esandleni nakwiminwe kunokuncipha, okubangela ukuba ndindisholo okanye umonakalo wemithambo-luvo. Nangona kunjalo, oku kunqabile kakhulu.
Eyona nto ingcono kukuba, ekubeni sine-Radial Artery kunye ne-Ulnar Artery zokubonelela ngegazi esandleni sethu, nokuba enye yonakele, enye i-artery ingaqhubeka nokubonelela ngegazi esandleni.
Uyigcina njani yonke inkqubo yakho yokujikeleza kwegazi, kuquka nomthambo wakho we-radial, isempilweni?
Akufuneki wenze nantoni na ekhethekileyo koku. Izinto ezifanayo ozenzayo ukugcina intliziyo yakho kunye nenkqubo yonke yokujikeleza kwegazi isempilweni zibalulekile koku.
- Yiba ngumntu okhutheleyo: Zilolonge iintsuku ezininzi ngeveki. Nokuba yinto efana nokuhamba, ukubaleka, okanye ukudada ilungile.
- Yitya ukutya okunempilo kwentliziyo: Yitya ukutya okunamafutha amaninzi, ityuwa encinci, neswekile encinci, kwaye utye iziqhamo nemifuno emininzi.
- Kuphephe ukutshaya: Ukutshaya lutshaba olukhulu lwemithambo yegazi. Ngoko ke ukuba uyatshaya, yeka.
Ufika nini kugqirha
Le mithambo yegazi ayisoloko ixhalabile. Nangona kunjalo, ukuba ukhe wanyangwa (njenge-angiogram) esihlahleni sakho waza wabonakalisa ezi mpawu emva koko, fowunela ugqirha wakho ngoko nangoko.
| Uphawu | Intsingiselo enokwenzeka |
|---|---|
| Ukungabi nangqondo esandleni okanye entendeni yesandla | Kusenokubakho ukuncipha kokunikezelwa kwegazi okanye kubekho impembelelo ethile kumthambo-luvo. |
| Ukulahlekelwa ngamandla esandla, ukungakwazi ukubamba izinto | Kusenokubakho ukungabikho kwegazi elaneleyo kwimisipha okanye kwimithambo-luvo. |
| Ukulahlekelwa yimvakalelo esandleni okanye kwiminwe | Oku kusenokubangelwa nayimpembelelo kwimithambo-luvo. |
| Ukuziva ngathi iimbovane zikhasa ezandleni zakho ngaphandle kwesizathu | Kungaba luphawu lotshintsho oluthile kwindlela igazi elihamba ngayo okanye indlela esebenza ngayo imithambo-luvo. |
Umyalezo Wokuya Ekhaya
- I-Radial Artery ngumthambo obalulekileyo odlula esihlahleni sakho, ecaleni kobhontsi wakho. Sisebenzisa oku ukujonga ukubetha kwentliziyo yethu.
- Oku kubonelela ngegazi elineoksijini eninzi engalweni yakho esezantsi nasesithendeni sakho.
- Oogqirha basebenzisa le mithambo yegazi kakhulu kwizinto ezifana novavanyo lwentliziyo (ii-angiograms), ukulinganisa uxinzelelo lwegazi, kunye ne-dialysis.
- Ngemikhwa emihle yokuphila (ukuzilolonga, ukutya ukutya okunempilo, nokuphepha ukutshaya), ungagcina lo mthambo kunye nayo yonke inkqubo yakho yokujikeleza kwegazi isempilweni.
- Ekubeni unemithambo emibini (iRadial kunye neUlnar) enika igazi esandleni sakho, nokuba enye yonakele, enye isenokwenza umsebenzi wayo. Ngoko ke akukho nto ifanele ixhalabe ngayo.
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