Wake waya kudokotela wabe esehlolwa umfutho wegazi nge-cuff? Lokho kuyinto edingekayo, akunjalo? Noma wake wambona udokotela ebeka iminwe yakhe ngaphezu kwendololwane yakho ukuze ahlole ukushaya kwenhliziyo yakho? Zombili lezo zinto zenziwa umthambo wegazi obaluleke kakhulu, omkhulu engalweni yethu. Yilokho esizokhuluma ngakho namuhla. Ngokwezokwelapha, sibiza lo mthambo wegazi ngokuthi ' umthambo we-brachial'.
Kalula nje, iyini i-Brachial Artery?
Kulula kakhulu. Umthambo wegazi oyinhloko uqala ngaphansi kwehlombe lakho, udlule endololwaneni yakho, bese uthwala igazi elinomoya-mpilo uye engalweni yakho. Njengepayipi lamanzi eliyinhloko elithwala amanzi esuka ethangini lamanzi liye endlini yakho, lo mthambo wegazi uwukuphila kwengalo yethu yonke.
Iqala eduze kwehlombe, yehle ngaphakathi kwengalo yakho engenhla, bese iphela emphethweni wendololwane yakho. Bese ihlukana ibe amagatsha amabili amancane bese yehla ebunzini lakho.
Cabanga ngalo mthambo wegazi njengomgwaqo omkhulu esandleni sethu. Uhlinzeka ngazo zonke izindawo zesandla ngezakhamzimba ezidingekayo kanye nomoya-mpilo.
Uyini umsebenzi walo mthambo we-brachial? Kungani ubalulekile?
Umsebenzi oyinhloko walo mthambo wegazi namagatsha awo ukunikeza igazi elihlanzekile ezingxenyeni ezingaphezulu zezingalo zethu. Okungukuthi:
- Imisipha ye-Biceps: Imisipha ephakamayo uma sigoba ingalo yethu.
- Imisipha ye-Brachialis: Imisipha engaphansi kwe-biceps.
- Imisipha ye-triceps: Imisipha engemuva kwengalo.
- Ilunga lendololwane: Indololwane yethu.
Amathambo, imisipha, imizwa, kanye nesikhumba ezingalweni zethu konke kudinga umoya-mpilo kanye nezakhamzimba ukuze kusebenze futhi kuphulukiswe lapho kulimele. Kuthola lezi zinto egazini. Ngakho-ke, umthambo we-brachial usakaza igazi elihlanzekile, elinomoya-mpilo elivela enhliziyweni liye kuzo zonke lezi zindawo.
Lokhu kusetshenziswa kanjani ekuhlolweni kwezokwelapha kanye nokwelashwa?
Lo mthambo wegazi ubaluleke kakhulu kodokotela.
1. Ukuhlolwa Komfutho Wegazi: Njengoba ngishilo ekuqaleni, i-cuff ebekwa engalweni yakho icindezela umthambo we-brachial. Lena yindlela umfutho wakho wegazi olinganiswa ngayo.
2. Ukuhlinzwa kanye nokuhlolwa okuthile (Izinqubo Zokungenelela):Ngezinye izikhathi, lapho kwelashwa izinkinga ngemithambo yegazi yenhliziyo (isib. amahlule egazi, imithambo yegazi evalekile), kufakwa ipayipi elincane kakhulu (i-catheter) ngalo mthambo we-brachial bese liqondiswa eduze kwenhliziyo, ngaphandle kokuhlinzwa okukhulu. Lena indlela elula kakhulu yesiguli.
3. Ukuhlolwa kwe-Ankle-Brachial Index (ABI): Lokhu ukuhlolwa okulula kakhulu. Kuqhathanisa umfutho wegazi olinganiswe emthanjeni we-brachial engalweni yakho nomfutho wegazi olinganiswe eduze kweqakala lakho. Uma unciphise ukugeleza kwegazi emilenzeni yakho, kungaba uphawu lwesimo esibizwa ngokuthi i-Peripheral Artery Disease (PAD) . Lokhu kuhlolwa kungasiza ekuxilongeni lesi sifo.
Yakhiwa kanjani i-brachial artery?
Njengayo yonke eminye imithambo yegazi, umthambo we-brachial wakhiwe ngezingqimba ezintathu eziyinhloko. Ake sibheke ukuthi ziyini.
| Igama lesendlalelo (Isendlalelo) | Umsebenzi Wayo |
|---|---|
| I-Tunica intima | Lolu ungqimba olungaphakathi nolubushelelezi. Lokhu kuvimbela igazi ukuthi lingajiyi futhi ligeleze kahle. Kusiza ukulawula umfutho wegazi nokuvimba ubuthi ukuthi bungangeni egazini. |
| Imidiya | Lolu ungqimba oluphakathi lwemisipha. Lolu ungqimba lusiza ukuthi imithambo yegazi ifinyele futhi ikhule, ngaleyo ndlela ilawule ukugeleza kwegazi ohlangothini olulodwa. |
| I-Adventitia | Lolu ungqimba olungaphandle kakhulu, oluvikelayo. Lunikeza amandla nesakhiwo somthambo wegazi. Imithambo yegazi emincane kulolu ngqimba iyasiza futhi ekuhlinzekeni umoya-mpilo nezakhamzimba kumaseli emthambo wegazi nasekususeni imfucuza. |
Yimaphi amagatsha ayinhloko ahlukana kulokhu?
Amagatsha amaningana amancane, afana ne-tube aqhamuka emthanjeni oyinhloko, umthambo we-brachial.
- Umthambo ojulile we-brachial:Leli yigatsha lokuqala nelibaluleke kakhulu. Linikeza igazi ethanjeni elikhulu elingalweni yethu (i-humerus), emisipheni yehlombe, kanye nasemisipheni ye-triceps.
- Umthambo we-ulnar collateral ophakeme: Igatsha lesibili. Lokhu kunikeza igazi kuma-triceps nasezingxenyeni zendololwane.
- Umthambo we-ulnar collateral ongaphansi: Igatsha lesithathu. Lokhu kunikeza igazi emisipheni ye-biceps kanye ne-brachialis.
Ekugcineni, eduze kwendololwane, umthambo we-brachial uhlukana ube amagatsha amabili amakhulu , imithambo ye-radial kanye ne-ulnar . Laba ababili bathwala igazi engalweni yethu, esihlakaleni, esandleni, kanye naseminweni.
Yiziphi izimo ezingathinta umthambo we-brachial?
Ngenxa yokuthi lo mthambo wegazi utholakala kakhulu, okungukuthi, eduze kwesikhumba, ungathinteka kalula ezingozini ezithile nasezimweni zezokwelapha.
1. Ukuhlukumezeka: Cabanga nje, uma uphuka ithambo engalweni yakho (ukuphuka kwengalo) ngenxa yengozi yemoto noma ukuwa, noma uma usika ingalo yakho ngokujulile ngento ebukhali (ukusikwa), kunethuba elikhulu lokuthi lo mthambo we-brachial uzolimala. Uma lokho kwenzeka, kungabangela ukopha ngokweqile.
2. I-Compartment Syndrome: Lesi yisimo esibi kakhulu. Ukulimala okukhulu esandleni, ukuhlinzwa, noma ukuphuma kwegazi ngaphakathi kungabangela ukuvuvukala okukhulu emisipheni yesandla. Lokhu kuvuvukala kubangela ukuthi imithambo yegazi inciphe, kunqamule ukugeleza kwegazi emisipheni bese kuyenza ife. Lesi yisimo esidinga ukwelashwa okuphuthumayo. Uma singelashwa, singaholela esimweni esibizwa ngokuthi i-Volkmann Ischemic Contracture , lapho isandla neminwe kuba nzima futhi kukhubazeke unomphela.
3. Ama-Aneurysms: I- aneurysm iwukuba buthaka kodonga lomthambo wegazi, okubangela ukuba ukhukhumale njengebhaluni. Lesi simo asivamile kakhulu emthanjeni we-brachial. Ngokuvamile, sibangelwa ingozi. Kodwa-ke, ngezinye izikhathi singabangelwa izinto ezifana nokufakwa kwamafutha emithanjeni yegazi ( i-atherosclerosis ), izifo zofuzo, kanye nokutheleleka kwenhliziyo.
4. Isifo Semithambo Yengalo: Ngokuvamile, i-PAD ivela emilenzeni. Kodwa-ke, ingavela nasezingalweni. Lokhu kubangelwa ukuqhekeka kwegazi okwakheka kwenye indawo emzimbeni (ngokuvamile enhliziyweni) okuphumayo bese kubhajwa emthanjeni wegazi engalweni.
Ngingayigcina kanjani i-brachial artery yami iphilile?
Kunezinto ezilula ongazenza ukuze ungagcini nje ngokugcina umthambo wakho we-brachial uphilile, kodwa futhi nohlelo lwakho lonke lwemithambo yegazi luphilile.
- Yidla ukudla okuhle nokunomsoco. Nciphisa ukudla okunamafutha amaningi, usawoti kanye noshukela ngangokunokwenzeka.
- Vivinya umzimba njalo. Ngisho nokuhamba imizuzu engama-30 ngosuku kuyinto enkulu.
- KuweUma unezifo ezifana nesifo sikashukela, umfutho wegazi ophakeme, noma i-cholesterol , landela imiyalelo kadokotela wakho bese uthatha imithi yakho ngesikhathi.
- Uma ubhema, yeka ngokushesha. Umonakalo owenziwa ukubhema emithanjeni yegazi ukhulu kakhulu.
- Nciphisa ukusetshenziswa kotshwala.
Kufanele ubonane nodokotela ngokushesha nini?
Uma unezimpawu ezilandelayo, kungaba uphawu lokuqhekeka kwegazi engalweni yakho. Kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha .
Ngisho noma unesinye noma ezimbili zalezi zimpawu, ungazinaki. Isikhathi sibaluleke kakhulu lapha.
| Izimpawu eziphuthumayo okufanele uziqaphele | |
|---|---|
| 🖐️ | Ukufudumala okungavamile uma kuthintwa ezindaweni ezithile zesandla. |
| 🎨 | Ukushintsha kombala wesikhumba esandleni (ukuphaphatheka, ukubomvu, noma ukuluhlaza okwesibhakabhaka) . |
| 💪 | Ukuqaqamba kwemisipha engalweni engenhla noma engezansi. |
| isandla_esivuvukile | Ingalo eyodwa ivuvukele kakhulu kunenye . |
| 🔵 | Ukushintsha kombala wezandla noma iminwe okubomvu noma okuluhlaza okwesibhakabhaka kanye nezilonda ezibuhlungu ngezinye izikhathi (izilonda). |
Uma unesifo, ukungabi namizwa, noma yini engavamile esandleni sakho, ungesabi ukukhuluma nodokotela womndeni wakho ngakho.
Umlayezo Wokuya Nawe Ekhaya
- I-Brachial Artery iwumthambo wegazi oyinhloko osuka ehlombe lethu uye endololwaneni yethu, unikeza igazi engalweni yonke.
- Lo mthambo wegazi ubaluleke kakhulu uma sihlola umfutho wegazi nakwezinye izivivinyo zezokwelapha.
- Ngenxa yokuthi itholakala ebusweni besikhumba, ingalimala kalula ezingozini.
- Uma uzwa izimpawu ezifana nokuvuvukala okungazelelwe, ukushintsha kombala, noma ubuhlungu obukhulu esandleni sakho, funa iseluleko sezokwelapha ngokushesha ngoba kungaba yinkinga yemithambo yegazi.
- Ngokulandela indlela yokuphila enempilo, ungagcina lonke uhlelo lwakho lokujikeleza kwegazi, okuhlanganisa nomthambo wakho we-brachial, luphilile.
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