Sonke siyazi ukuthi ungayizwa kanjani i-pulse yakho phansi kwesandla sakho. Yilapho uzwa khona ukushaya kwenhliziyo yakho. Kodwa wake wazibuza ukuthi yini ebangela lokho kushaya kwenhliziyo ezandleni zakho, ukuthi liyini igama lalowo mthambo wegazi, nokuthi kubaluleke kangakanani emzimbeni wethu? Namuhla sizokhuluma nge- 'Radial Artery ', etholakala lapho ungazwa khona ukushaya kwenhliziyo yakho, futhi ebaluleke kakhulu kwezokwelapha.
Kalula nje, iyini i-Radial Artery?
I-Radial Artery iwumthambo wegazi omkhulu engalweni yakho oqala endololwaneni yakho uye esithupheni sakho. Kalula nje, ungomunye wemithambo eyinhloko enikeza igazi elihlanzekile, elinomoya-mpilo engalweni yakho nasesandleni sakho.
Imithambo yegazi iyimithambo yegazi emzimbeni wethu ethwala igazi elinomoya-mpilo lisuka enhliziyweni liye emzimbeni wonke. Njengesistimu eyinhloko yokuphakelwa kwamanzi edolobheni. Ngakho-ke le Radial Artery nayo iyipayipi elibaluleke kakhulu kuleyo sistimu.
Ikuphi le mithambo yegazi? Yenzani?
Endololwaneni yesandla sakho, umthambo oyinhloko engalweni yakho engenhla (i-Brachial Artery) uhlukana kabili. Kufana nomfula omkhulu ohlukana ube amagatsha amabili. La magatsha amabili abizwa ngokuthi i-Radial Artery kanye ne-Ulnar Artery . Womabili lawa asebenza ngokulingana kusukela endololwaneni kuya esihlakaleni.
- Umthambo Wemisebe ugijima eceleni kwesithupha.
- Umthambo we-Ulnar ugijima eceleni komunwe omncane.
Ndawonye, lezi ezimbili zihlinzeka ngegazi engxenyeni engezansi yengalo yethu, intende yesandla kanye neminwe. Lokhu kungenxa yokuthi litholakala kakhulu esikhumbeni sethu, yingakho singakuzwa kalula ukushaya kwenhliziyo esihlakaleni.
Ngakho ake sibone ukuthi lo mthambo we-radial unikeza igazi kuphi ngempela.
| Ukunikezwa kwegazi | Umsebenzi ewenzayo |
|---|---|
| Imisipha yengalo | Igazi eligeleza kule misipha linikeza amandla adingekayo ukuze kugotshwe, kwelulwe, futhi kubanjwe izinto. |
| Amathambo esihlakaleni namalunga | Inikeza ukudla okunomsoco okudingekayo ukugcina isihlakala siphilile futhi sihamba. |
| Umunwe wesithupha nowokukhomba | Le minwe emibili ibaluleke kakhulu kithi ukuze senze umsebenzi obucayi futhi sibambe okuthile ngokuqinile. Ithola igazi elidingekayo. |
| I-Radial Nerve | Iphinde inikeze umoya-mpilo kanye nokudla okunempilo kule nerve, elawula ukunyakaza kwezandla kanye nokuzwa. |
Kungani odokotela besebenzisa lo mthambo we-radial?
Lena yingxenye ebaluleke kakhulu. Ngenxa yokuthi umthambo we-radial utholakala ngaphezu kwesikhumba futhi ungafakwa kalula emzimbeni ngawo, odokotela basebenzisa lo mthambo ezivivinyweni eziningi ezibalulekile zezokwelapha kanye nokwelashwa.
1. Ukuhlolwa kwesifo senhliziyo kanye nokwelashwa (Ukufinyelela Kwangaphandle Kwe-radial)
Lena yindlela evame ukusetshenziswa ngayo. I-catheter (ithubhu elincane njengomoba) idinga ukufakwa emzimbeni ukuze kwenziwe izinto ezifana ne-angiogram, ehlola ukuvaleka kwemithambo yegazi yenhliziyo, noma i-angioplasty, evula imithambo yegazi evalekile.
Esikhathini esidlule, lokhu kwakwenziwa kakhulu nge-femoral artery. Kodwa manje, odokotela basebenzisa kakhulu i-radial artery. Lokhu kubizwa ngokuthi i-transradial access . Kunezinzuzo eziningana:
- Ukopha okuncane: Kulula ukulawula ukopha esihlakaleni kunokuphuma esinqeni.
- Ubuhlungu nokungakhululeki okuncane: Isiguli singahamba ngokushesha ngemva kokwelashwa. Uma inqubo yenziwa embotsheni, isiguli kuzodingeka sihlale embhedeni amahora amaningana.
- Ukululama okusheshayo: Ungaya ekhaya usuka esibhedlela ngokushesha.
Cabanga ukuthi kungaba lula kangakanani ukukwazi ukuvuka ngokushesha uye emsebenzini, esikhundleni sokuhlala embhedeni amahora amaningi njengakuqala?
2. Ukuhlolwa Kokushaya Kwenhliziyo
Njengoba sixoxile ngaphambili, lena yindawo elula nevame kakhulu yokukala izinga lokushaya kwenhliziyo yakho.
3. Ukuhlolwa kwegazi (i-Arterial Blood Gas)
Ngezinye izikhathi, ikakhulukazi ezigulini ezinenkinga yokuphefumula kanye nasezigumbini zokunakekelwa okujulile (ama-ICU), kuyadingeka ukwazi izinga eliqondile lomoya-mpilo kanye ne-carbon dioxide egazini. Lokhu akunakulinganiswa ngokunembile ngegazi elithathwe emithanjeni. Ngenxa yalokhu, igazi kumele lithathwe emthanjeni. Lona futhi osetshenziswa kakhulu kule njongo.
4. Ukulinganisa umfutho wegazi njalo (i-Arterial Cannulation)
Ezigulini ezigula kakhulu, umfutho wegazi udinga ukubhekwa njalo, okwesibili nokwesibili. Ngaleso sikhathi, odokotela bafaka ithubhu elincane (umugqa wemithambo) kulo mthambo bese bewuxhuma kwi-monitor.
5. Kwabagulayo bezinso (i-Arteriovenous - AV Fistula)
Iziguli ezinenkinga yezinso zidinga ukuhlanzwa igazi lazo (i-dialysis). Lokhu kuhilela ukukhipha igazi emzimbeni, ukulihlanza ngomshini, bese ulibuyisela emzimbeni. Lokhu kudinga umthambo wegazi oqinile. Ngezinye izikhathi, odokotela baxhuma umthambo we-radial ngokuhlinzwa emthanjeni oseduze, okwenza i- AV fistula . Lokhu kuqinisa umthambo futhi kwenza kube lula ukwenza i-dialysis.
Zikhona yini izimo zezokwelapha ezithinta lo mthambo?
Ngokungafani nemithambo emikhulu emzimbeni wethu, umthambo we-radial awunawo amathuba amaningi okuthuthukisa i-atherosclerosis, ebangelwa ukugcwala kwamafutha. Lokhu kungenxa yokuthi umthambo omncane otholakala ekugcineni komzimba.
Kodwa-ke, njengoba kushiwo ngenhla, akuvamile kakhulu ukuthi lo mthambo ungavaleka (uvaleke) ngemva kokwelashwa nge-catheter. Uma lokhu kwenzeka, ukutholakala kwegazi esandleni naseminweni kungancipha, okubangela ukungakhululeki noma ukulimala kwemizwa. Kodwa-ke, lokhu akuvamile kakhulu.
Into engcono kakhulu ukuthi, njengoba sine-Radial Artery kanye ne-Ulnar Artery ukuze sinikeze igazi esandleni sethu, noma ngabe omunye wonakele, omunye umthambo ungaqhubeka nokunikeza igazi esandleni.
Ugcina kanjani lonke uhlelo lwakho lokujikeleza kwegazi, okuhlanganisa nomthambo wakho we-radial, luphilile?
Akudingeki wenze lutho olukhethekile ngalokhu. Izinto ezifanayo ozenzayo ukugcina inhliziyo yakho kanye nohlelo lonke lokujikeleza kwegazi kuphilile zibalulekile kulokhu.
- Yiba matasa: Vivinya umzimba izinsuku eziningi ngesonto. Ngisho nento efana nokuhamba, ukugijima, noma ukubhukuda ilungile.
- Yidla ukudla okunempilo kwenhliziyo: Yidla ukudla okunamafutha amancane, usawoti, noshukela, kanye nezithelo nemifino eminingi.
- Gwema ukubhema: Ukubhema kuyisitha esikhulu semithambo yegazi. Ngakho-ke uma ubhema, yeka.
Uzobona nini udokotela
Lo mthambo ngokuvamile awuyona into okufanele ukhathazeke ngayo. Kodwa-ke, uma uke waphathwa noma yiziphi izinqubo zezokwelapha (njenge-angiogram) esihlakaleni sakho futhi waba nalezi zimpawu ngemuva kwalokho, shayela udokotela wakho ngokushesha.
| Isibonakaliso | Incazelo engaba khona |
|---|---|
| Ukuba ndikindiki esandleni noma entendeni yesandla | Kungase kube nokwehla kokunikezwa kwegazi noma umphumela othile emsipheni. |
| Ukulahlekelwa amandla esandla, ukungakwazi ukubamba izinto | Kungase kungabi khona igazi elanele emisipheni noma ezinzwa. |
| Ukulahlekelwa umuzwa esandleni noma iminwe | Lokhu kungase futhi kube ngenxa yomphumela ezinzwa. |
| Ukuzizwa sengathi izintuthwane zikhasa ezandleni zakho ngaphandle kwesizathu | Kungaba uphawu lokushintsha kokujikeleza kwegazi noma ukusebenza kwezinzwa. |
Umlayezo Wokuya Nawe Ekhaya
- I-Radial Artery iwumthambo obalulekile odlula esihlakaleni sakho, ohlangothini lwesithupha sakho. Sisebenzisa lokhu ukuhlola ukushaya kwenhliziyo yethu.
- Lokhu kunikeza igazi elinomoya-mpilo engalweni yakho engezansi kanye nasesithendeni sakho.
- Odokotela basebenzisa lo mthambo kakhulu ezintweni ezifana nokuhlolwa kwenhliziyo (ama-angiogram), ukulinganisa umfutho wegazi, kanye nokuhlaziya igazi.
- Ngemikhuba emihle yokuphila (ukuzivocavoca umzimba, ukudla ukudla okunempilo, nokugwema ukubhema), ungagcina lo mthambo kanye nohlelo lwakho lonke lokujikeleza kwegazi kuphilile.
- Njengoba unemithambo emibili (i-Radial ne-Ulnar) enikeza igazi esandleni sakho, noma ngabe eyodwa yonakele, enye isengawenza umsebenzi wayo. Ngakho-ke akukho okufanele ukhathazeke ngakho.
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