Ukusebenza kwesimiso sezinzwa eziphakathi kuqinisekiswa ngegazi ekunikezeni ubuchopho. Cishe amaphesenti angama-30% we-fluid biological avela emi-2 ye-vertebral arteries. Bayibophezele ukujikeleza kwegazi ezindaweni ezingezansi zobuchopho, lapho kunezikhungo ezibalulekile zezinzwa ezitholakala khona.
I-syndrome yomthambo we-vertebral - izimbangela
Zonke izici eziholele ekuphazamiseni izitsha ezichazwe zihlukaniswa ngamaqembu amakhulu amabili. Owokuqala uhlanganisa noma yiziphi izimbangela ze-vertebrogenic. Ukuxilongwa kwe-vertebral artery syndrome nge-osteochondrosis yomlomo wesibeletho kuvamile, kodwa ezinye izifo zesistimu ye-musculoskelet zingase ziqhube:
- i-dysplasia;
- umonakalo owenziwe ngomshini;
- ama-disney intervertebral disni;
- ukungalungi okubeletha;
- ukufuduka kwezakhiwo zamathambo;
- i-arthrosis;
- i-scoliosis;
- ama-osteophyte;
- usawoti ubeka;
- ukugoqa kwama-discs;
- i-spondylosis;
- ukuphefumula kwamathambo.
Iqembu lesibili liqukethe ama-pathologies okungewona abortogenic (angahlobene nezifo zomgogodla namagatsha):
- izicubu;
- ukungavamile kokuthuthukiswa kwamathambo;
- ukuphazamiseka kwezitsha nemisipha entanyeni;
- i-atherosclerosis;
- i-embolism;
- i-arteritis;
- i-thromboses;
- ukushaywa izicubu ezithambile zentanyeni.
I-syndrome yomthambo we-vertebral - izimpawu
Isibonakaliso esiyinhloko salesi sifo sihlaselwa ubuhlungu bokuhluka okuhlukahlukene. I-Vascular ne-vertebrogenic syndrome ye-artery ye-vertebral ihambisana nezinye izimpawu:
- ukulahlekelwa ibhalansi;
- ukuzwa ukukhubazeka;
- ukuwohloka kwezinto ezibonakalayo;
- umsindo ezindlebeni;
- isiyezi;
- isicanucanu, ngezinye izikhathi ngokuhlanza;
- ukwanda kwengcindezi yegazi;
- i-hypertension;
- angina pectoris;
- ukuhlaselwa kwe-ischemic esiphezulu;
- ukuzwa "kwesihlabathi", owomile wezinambuzane ezimangele amehlo;
- ukuhamba okunamandla;
- ukugubha, ukukhwehlela kwesikhumba sobuso;
- ukulahlekelwa kokuqonda;
- izinkinga zemifino yesikhashana - ukulamba okukhulu, ukoma, ukushisa, umkhuhlane;
- inkulumo ehlehlisiwe.
Ubuhlungu ku-vertebral artery syndrome
Ngenxa yokunikezwa kwegazi okwanele ebuchosheni bakhe, i-oksijeni yindlala iyaqala. Ngasemuva kwe-hypoxia, kunesifo esiyinhloko esisodwa esisodwa-i-vertebral artery syndrome ngezinye izikhathi ihambisana nokuhlaselwa okunamandla kakhulu okufana ne-migraine. Ngezikhathi ezinjalo izimpikiswano umuntu azizwa engakhululekile ngisho nalapho ehlunga noma ethinta.
Ngokuvamile, i-syndrome yomthambo we-vertebral ibangela ubuhlungu kwezinye izingxenye zomzimba:
- intamo (cervicalgia);
- i-thorax;
- ubuso besigamu;
- i-pharynx;
I-syndrome yomthambo we-vertebral - ukungabi nokuphefumula
Ukuqhubeka kwe-pathology ngaphandle kokwelashwa okwanele kubangela ukwanda kwemibonakaliso yemitholampilo kanye nokuvela kwezinkinga. Ezimweni ezinjalo, izimpawu ezinzima zihambisana ne-vertebral artery syndrome - izibonakaliso zifaka iziqephu ezifana nesifo senhliziyo:
- ukuphelelwa amandla noma ukuphefumula;
- ukubhoboza ubuhlungu esifubeni;
- ukuqonda okuphazamisayo.
Ngezinye izikhathi kukhona i-Bernard-Horner syndrome. Kubonakala ngomuzwa wokuba khona njalo emphinjeni noma emphinjeni wezinto ezihlukile ("i-lump"), okuvimbela ukuphefumula okuvamile, ukungenisa kokudla noma uketshezi. Ngaphezu kwalokho, kukhona i-paresthesia yengxenye eyodwa yobuso - ama-shining of the cheeks, izindebe, ukuzwakala kwemizwa noma "ukukhasa ukukhwela."
I-Syndrome ye-arterbral umthambo - ukuxilongwa
Isifo esinikeziwe sifana nokubonakaliswa kwemitholampilo ukuhlasela kwe-migraine nge-aura. Ukuhlukanisa i-syndrome yomthambo we-vertebral kanye nezinye izifo, kudingwa ukuhlolwa okuphelele kwezokwelapha. Okokuqala, udokotela uqoqa ulwazi mayelana nezimpawu ezikhona, ubunzima nobude bawo. Ngesikhathi sokuhlolwa, lochwepheshe ulungisa izikhalazo ezikhona - ubuhlungu ngemuva kwe-crake, ukuhlukunyezwa kwemisipha ye-occipital, ubunzima bokuguqula ikhanda. Ukutholakala kokugcina kwe "vertebral artery syndrome" kusungulwa ngesisekelo sezifundo ezilandelayo:
- i-ultrasound dopplerography yezimpahla ;
- X-ray yomgogodla wesibeletho;
- imaging resonance magnetic noma tomography computed.
I-syndrome yomthambo we-vertebral - ukwelashwa
Ukulwa nalesi sifo kufanele kube okuphelele futhi kuhloswe ekuqedeni imbangela yokuphazamiseka kwegazi ezingxenyeni zobuchopho. Indlela yokwelapha isifo se-artérial:
- Thatha imithi enqunywe udokotela - izidakamizwa ezilwa nokuvuvukala, izidakamizwa, i-venotonics, ukuphumula kwemisipha nezinye izindlela.
- Yenza i-massage ekhethekile yangemuva ne-collar zone.
- Gqoka njalo i-orthopedic device (i-collar ye-Shantz) ukukhokhela umthwalo kumgogodla wesibeletho.
- Yenza ukuvocavoca kwezokwelapha.
- Yiya emihlanganweni ye-physiotherapy.
Ukuzivocavoca nge-vertebral artery syndrome
Ukuze uthole ukukhululeka kwesifo esibuhlungu kanye nezinye izimpawu ze-pathology echazwe, ukuvivinya umzimba kufanelekile, okunikeza ukukhululeka okukhulu kwemisipha ngaphandle kokunyakaza okungazelelwe kwentamo. I-syndrome yomthambo we-vertebral ihlotshaniswa nezinqubo zokuvuvukala, ukuvivinya umzimba okunamandla akunakwenziwa. Okuyingozi ikakhulukazi ukuthi imithambeka nejika ekhanda nge-amplitude enkulu, ingaba yingozi kakhulu.
I-gymnastics eyisisekelo ye-isometric ene-artebral artery syndrome inezivivinyo ezintathu kuphela:
- Isikhundla sokuqala sihlezi esihlalweni esinomhlane oqondisiwe. Xhuma izintende bese uzibeka ngaphansi kwengane. Bafaka izingcindezi ezandleni zabo, bezama ukugxilisa ikhanda labo phambili. Izintende kufanele zivinjelwe, ukuze imisipha yentamo iqiniswe, kodwa umgogodla awuhambisani. Phinda kathathu amasekhondi angu-3-5.
- Beka isandla sesobunxele esihlathini eliphambene nendawo engaphandle yesundu. Zama ukuvula ikhanda lakho ngakwesokudla. Ngesikhathi sokuzivocavoca, ingalo iphikisana nenhloko, ehlinzeka izinkinga emisipha ye-lateral yentamo. Phinda isenzo esifanayo ngakolunye uhlangothi. Yenza umsebenzi izikhathi ezintathu imizuzwana 4-5 (ngesandla ngasinye).
- Beka izintende ezitsheni, uzibeke ngemuva kwekhanda. Zama ukubuyisela ikhanda lakho emuva, ukuphikisa izandla zakho. Phinda izikhathi ezingu-5 imizuzwana engu-3.
Ukusilisa nge-vertebral artery syndrome
Lolu hlobo lomphumela wamandla luvumelekile ukuthi lusebenze kuphela emva kweklasi eliyinhloko yokwelashwa. Okokuqala, kubalulekile ukuyeka ukuvuvukala nokunciphisa i-vertebral artery syndrome - ukwelashwa ekhaya nge-massage ngesikhathi esiyingozi kungaqeda kabi. Izinqubo zamanothi ezimweni ezinjalo zizovusa ukuhlukumeza okungaphezu kwemithambo yegazi nokuqinisa izimpawu. Kubalulekile ukuthi ukusikhipha ngemuva kokukhuphuka okwenziwa ngumchwepheshe oqeqeshiwe, awukwazi ukwenza ngokwakho.
Isifo se-artebral umthamo - ukwelashwa, izidakamizwa
Amaqembu amaningana ama-pharmacy asetshenziselwa ukwelashwa kwalesi sifo. Izidakamizwa ezingekho-steroidal anti-inflammatory:
- Meloksikam ;
- I-Nimesulide;
- Aertal;
- Diclofenac;
- Celecoxib.
Ukuphumula kwe-muscle yesenzo esiphakathi kunciphisa isifo bese kuqeda ukwephulwa komthambo we-vertebral:
- Baclofen;
- I-Midokalm;
- I-Tolperisone.
Ukuthuthukisa imetabolism ye-neuronal esetshenzisiwe:
- I-Cerebrolysin;
- I-Gliatilin;
- I-Actovegin;
- I-Citicoline;
- I-Mexidol.
Ngokuvamile kuyadingeka ukuthuthukisa ukugeleza kwegazi ukuyeka isifo se-artebral umthamo - izidakamizwa ezikhiqiza umphumela:
- Cinnarizine ;
- I-Instenon;
- I-agapurin;
- I-Nicergoline;
- I-Vinpocetine.
Buyisela imetabolism emisipha kanye nemithambo yegazi evumela:
- I-Trimetazidine;
- I-Mildronate ;
- Tiotriazolin.
Ukuvimbela ukwakheka kwe-thrombi nokuqhubeka kwe-atherosclerosis kuzosiza ama-angioprotectors kanye ne-venotonics:
- I-Diosmin;
- I-Troxerutin;
- I-Heparin.
Ukujwayelekile kokudla kwesisindo se-nerve kuyaphendulwa ngu:
- I-Neurobion;
- I-Milgamma ;
- I-Neurovitan.
Uma ukuhlasela kwe-migraine kwenzeka, udokotela ubeka ama-triptans:
- I-Zomig;
- I-Sumygamren;
- Iphuzile.
I-Syndrome ye-arterial artery - operation
Lapho zonke izindlela zokwelashwa ezibalwe zingasebenzi, isiguli sinconywa ukuthi singenele ukuhlinzwa. Ukwelashwa kwe-vertebral artery syndrome kuqinisekisa ukuqedwa kwezici eziholela ekucindezeni isitsha segazi nokuphazanyiswa kokunikezwa kwamanzi abilayo ebuchosheni. Ukuhluka kokuxhaphaza:
- sympathectomy ngezikhathi ezithile;
- ukususwa kwama-osteophyte;
- ukuguqulwa komshini we-vertebral;
- ukuziqhenya kokuthola ukukhula okumbalwa;
- Ukwethulwa kwesilinda nge-stent.
I-syndrome yomthambo we-vertebral - ukubikezela
Lesi sifo sinakekelwa kahle uma kutholakala ngokunembile izimbangela zalokho okukhona, ukuxilongwa ngesikhathi esifanele nokulungisa ukwelashwa. I-syndrome yomthambo we-vertebral ngokumelene nesizinda se-osteochondrosis yomlomo wesibeletho nezinye izifo ze-musculoskeletal kunzima kakhulu ukuphatha kunokuba kungabikho ukuphazamiseka okungeyona isisu, kodwa indlela ephelele isiza ukuqeda ngokuphelele izimpawu zesifo kuzo zombili izimo.