Vertebral artery syndrome yog ib qho nyuaj ntawm vestibular, vegetative thiab vascular pathologies uas tshwm sim los ntawm kev txo qis hauv lumen ntawm cov hlab ntsha vertebral thiab cov hlab ntsha. Ib qho teeb meem zoo sib xws tsim tawm tsam keeb kwm ntawm cov kab mob vascular, pinching ntawm cov hlab ntsha ntawm intervertebral hernia, pob txha outgrowths, protrusions, qog.
Cov tsos mob ntawm qhov ua txhaum cai no tuaj yeem txawv heev. Nws tag nrho yog nyob ntawm thaj tsam ntawm kev puas tsuaj rau cov hlab ntsha, nrog rau cov kab mob hauv qab. Nws yog ib qho tseem ceeb heev kom paub txog cov kab mob pathology uas tau tshwm sim raws sijhawm thiab ua tiav kev kho mob txhawm rau tiv thaiv kev txhim kho ntawm cov teeb meem.
anatomical nta
Vim qhov peculiarities ntawm cov qauv ntawm lub ncauj tsev menyuam, thaj chaw no raug kev txom nyem ntau dua los ntawm kev txhim kho osteochondrosis. Nyob rau sab sauv ntawm tus txha nraub qaum muaj xya vertebrae, txhua qhov sib txawv ntawm nws cov qauv. Xws li cov cim qhia feem ntau cuam tshuam nrog ntau yam ntawm kev txav ntawm lub taub hau thiab lub xub pwg girdle.
Ntxiv rau, tus txha caj qaum, cov hlab ntsha thiab cov hlab ntsha hla mus rau thaj tsam ncauj tsev menyuam,keeb kwm nyob rau hauv lub hlwb. Qee yam ntawm lawv cov tsiaj kis mus rau thaj tsam ntawm lub diaphragm thiab lub plab zom mov.
Cov hlab ntsha tseem ceeb kuj tseem ceeb heev rau lub cev, los ntawm cov khoom noj khoom haus nkag mus rau ntau yam kabmob. Txawm hais tias qhov tseem ceeb ntawm cov hlab ntsha jugular thiab carotid leeg, lawv tsis tshua koom nrog cov txheej txheem pathological. Lub vertebral vein khiav ntawm lub vertebrae thiab yog nyem los ntawm cov leeg nruj los yog tshem tawm discs.
Kev ua txhaum cai
Osteochondrosis cuam tshuam rau cov musculoskeletal, circulatory thiab paj hlwb. Raws li localization, extravertebral thiab vertebral syndrome yog txawv. Qhov kawg txawv ntawm qhov nws yog nyob rau hauv lub vertebral qauv thiab yog yus muaj los ntawm kev sib kis ntawm qhov mob nyob rau hauv tus txha caj qaum.
Nrog osteochondrosis, kev puas tsuaj tau pom nyob rau hauv cov pob txha intervertebral, cov leeg, cov pob qij txha me thiab ligaments ntawm tus txha caj qaum. Vertebral syndromes yog qhov muaj mob tshwm sim thiab lwm yam kab mob nyob rau hauv ntau qhov chaw ntawm tus txha nraub qaum. Kev ua haujlwm ntawm ib lossis ob peb ntu yog cuam tshuam. Ib qho kev tshwm sim thib ob ntawm tus mob syndrome yog qhov tshwm sim ntawm qhov mob ntawm tus txha nraub qaum lossis thaum tsiv.
Osteochondrosis tshwm sim hauv cheeb tsam ncauj tsev menyuam yog suav tias yog ib qho kev phom sij txaus ntshai, txij li feem ntau ntawm thawj theem nws yuav luag asymptomatic. Nws tsis yooj yim dua los txheeb xyuas nws nyob rau theem tom ntej. Qhov no yog vim qhov tseeb tias qhov tshwm sim tsis xis nyob yuav tsis muaj dab tsi ua rau tus txha nraub qaum.
Kev kuaj mob ntawm cov kab mob ntawm lub ncauj tsev menyuam qaum ua rau qee qhovteeb meem, thiab qhov mob rov tshwm sim, ntau yam raug tshem tawm nrog kev pab los ntawm cov tshuaj tua kab mob. Tsis tas li ntawd, kev sib xyaw ua ke ntawm cov tsos mob uas twb muaj lawm ua rau nyuaj rau kev kuaj mob.
Kev tshwm sim
Txo cov lumen ntawm cov hlab ntsha vertebral tshwm sim vim nws deformation los yog nyem. Feem ntau, qhov kev ua txhaum cai no tshwm sim tawm tsam keeb kwm ntawm cov kab mob xws li:
- ncauj tsev menyuam spondylarthrosis;
- osteochondrosis;
- intervertebral hernia;
- congenital pathology ntawm tus qauv ntawm tus txha nqaj qaum;
- kev loj hlob tshiab;
- kev tsis ruaj khov ntawm vertebrae hauv cheeb tsam tsev menyuam;
- deforming spondylosis;
- osteophytes;
- musculo-tonic syndrome;
- tsim cov caws pliav.
Vertebral syndrome tuaj yeem tshwm sim los ntawm qhov tsis xws luag thiab pathologies ntawm cov qauv ntawm cov phab ntsa vascular, tortuosity thiab kinks ntawm cov hlab ntsha, thrombosis, atherosclerosis, vasculitis.
Kev faib tawm tseem ceeb
Raws li kev faib tawm, vertebral artery syndrome tau muab faib raws li hom hemodynamic ntshawv siab. Muaj ntau hom kev ua txhaum cai, xws li:
- compression;
- ua siab;
- angiospastic;
- mixed.
Compression yog vim txhua yam pinching ntawm cov hlab ntsha. Angiospastic yog tshwm sim nyob rau hauv daim ntawv ntawm spasms nyob rau hauv teb rau irritation ntawm receptors nyob rau hauv lub cheeb tsam ntawm lub cuam tshuam ntu ntawm tus txha nraub qaum. Irritative tshwm sim los ntawm irritation ntawm sympathetic fibers ntawm tus txha nraub qaum. Kev sib xyaw yog kev sib xyaw ua ke ntawm kev khaus thiab compressiontype.
theem kev txhim kho
Cov kws kho mob paub qhov txawv ob theem ntawm kev kawm ntawm vertebral osteochondrosis syndrome, uas yog, kev ua haujlwm thiab cov organic. Thawj yog sawv cev los ntawm kev sib xyaw ntawm peb pawg ntawm cov tsos mob, uas yog cochleovestibular syndrome, mob taub hau, tsis pom kev.
Mob taub hau tuaj yeem tshwm sim nws tus kheej hauv ntau txoj kev sib txawv. Nws tuaj yeem tshwm sim dheev nyob rau hauv daim ntawv ntawm kev tawm tsam mob nrog pulsation los yog nyob rau lub sij hawm ntev, qhia nyob rau hauv daim ntawv ntawm aching sensations nyob rau hauv lub nraub qaum ntawm lub taub hau thiab lub hauv pliaj. Qhov mob mob tuaj yeem nce nrog lub taub hau txav lossis nrog cov khoom zoo li qub.
Kev ua txhaum ntawm cochleovestibular system kuj yog qhov tshwj xeeb. Nws tuaj yeem yog me ntsis swaying thiab kiv taub hau, los yog kab mob cuam tshuam nrog kev puas tsuaj rau lub vestibular analyzer. Kuj tseem muaj qhov muag tsis pom kev thiab tsis hnov lus.
Cov theem organic tshwm sim nyob rau hauv cov xwm txheej ntawm lub sijhawm ntev compression ntawm cov hlab ntsha vertebral. Muaj kev ua txhaum cai nyob rau hauv daim ntawv ntawm xeev siab, kiv taub hau, unsteadiness ntawm gait, tawm tsam ntawm ntog. Tus mob no tuaj yeem ua rau lub sijhawm tsis nco qab, nrog rau kev tawm tsam ischemic, tom qab ntawd tus neeg xav tias tsis muaj zog, tinnitus thiab mob taub hau.
Cov tsos mob tseem ceeb
Nyob rau hauv lub syndrome ntawm vertebral insufficiency, daim duab kho mob tej zaum yuav muaj ntau yam kev xaiv, xws li:
- ncauj tsev menyuam migraine;
- basilar migraine;
- teeb meem ophthalmic;
- peripheral syndrome;
- vestibulo-atacticSyndrome;
- ischemic tawm tsam;
- vegetative dysfunction.
Cervical migraine manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib tug dull mob nyob rau hauv lub caj dab thiab caj dab, uas mus rau pem hauv ntej thiab parietal ib feem ntawm lub taub hau. Mob nce tom qab pw tsaug zog, thaum tig lub taub hau thiab thaum taug kev. Nyob rau tib lub sijhawm, kiv taub hau, qaug zog, xeev siab, ua daus no, hnov qab, thiab tinnitus tshwm sim.
Vertebral basilar syndrome yog tus cwj pwm los ntawm qhov muaj zog ntawm lub suab, lub teeb ci, xeev siab, tsis meej pem hauv qhov chaw, hnov lus tsis pom kev, qhov muag tsis pom thiab hnov, mob taub hau ib sab hauv qab lub taub hau.
Ophthalmic Syndrome yog tshwm sim los ntawm cov pob taws hauv qhov muag, flashes luv luv, lub qhov muag nkees thiab mob, qhov muag tsis pom kev, conjunctivitis.
Peripheral cochleovestibular syndrome cov neeg mob yws yws ntawm qhov tsis khov kho, kiv taub hau, hnov lus tsis hnov lus thiab tsis hnov lus me me.
Vestibulo-atactic syndrome yog tshwm sim los ntawm qhov tseeb tias kiv taub hau ua ke nrog swaying thaum taug kev, kev taw qhia tsis zoo hauv qhov chaw thiab kev sib koom tes ntawm kev txav.
Ischemic attacks nyob rau hauv vertebral syndrome yog nrog los ntawm kev hais lus slurred, dig muag, tsis khov kho gait, nyuaj nqos qaub ncaug thiab zaub mov, deterioration ntawm rhiab heev. Poob tawm tsam tshwm sim nrog lub caij nplooj zeeg tam sim ntawd lossis thim rov qab ntawm lub taub hau, tab sis kev nco qab tsis cuam tshuam.
Nrog kev ua haujlwm tsis raug cai, muaj kev dhia nrawm nrawm, tsis muaj huab cua, qhov kub thiab txiasua npaws, pw tsis tsaug zog, tawm hws ntau dhau.
Tus kws kho mob hu rau
Cervical vertebral syndrome yog kho los ntawm tus kws kho mob vertebrologist. Yog li ntawd, thaum thawj cov cim qhia ntawm kev ua txhaum cai tshwm sim, koj yuav tsum hu rau nws. Nyob ntawm qhov tshwj xeeb ntawm cov kab mob no, nws tuaj yeem xa mus rau cov kws kho mob tshwj xeeb xws li kws kho paj hlwb, orthopedist, ophthalmologist lossis oncologist.
Diagnostics
Thaum ua qhov kev kuaj mob paj hlwb, tus kws kho mob txiav txim siab qhov muaj qhov sib txawv, ntsuas qhov ntau ntawm cov lus tsa suab thiab cov leeg nqaij. Txhawm rau kawm cov pob txha ntawm tus txha nqaj qaum, txhawm rau txiav txim siab qhov muaj cov kev hloov pauv thiab kev loj hlob ntawm cov kab mob pathological, spondylography tau ua nyob rau hauv ob peb qhov projections, tomography.
Rheocephalography, ultrasound thiab duplex scanning yog siv los txheeb xyuas cov kab mob vascular, thiab MRI yog siv los kuaj xyuas tus txha caj qaum. Tom qab kev kuaj mob thiab kev txiav txim siab ntawm lub ncauj tsev menyuam vertebral syndrome, kev kho mob raug sau tseg, uas raug xaiv cais rau txhua tus neeg mob.
Kev kho mob
Kev xaiv ntawm tus neeg mob sab nraud lossis tus neeg mob nyob hauv kev kho mob vertebral syndrome yog txiav txim siab nyob ntawm qhov mob hnyav. Tus neeg mob yuav raug tshuaj:
- tshuaj kho mob;
- cov tswv yim kho lub cev;
- kev ua haujlwm.
Tsis tas li ntawd, qee zaum, kev kho pej xeem tuaj yeem siv los ua cov txheej txheem ntxiv.
Drug therapy
Rau kev kho mob vertebralCov hlab ntsha tiv thaiv keeb kwm yav dhau ntawm ncauj tsev menyuam osteochondrosis, cov tshuaj tau sau tseg. Cov tshuaj uas tsis yog-steroidal anti-inflammatory yuav tsum tau. Lawv pab tshem tawm qhov mob thiab mob. Cov tshuaj no suav nrog:
- "Nimesulide";
- Meloxicam;
- Ibuprofen.
Miorelaxants pab tshem tawm cov leeg nqaij thiab ua kom muaj kev noj qab haus huv tag nrho. Cov tshuaj no suav nrog Mydocalm thiab Baclofen. Chondroprotectors txhim kho cov kev kho mob ntawm cov pob txha pob txha. Cov tshuaj "Chondroitin" tau ua pov thawj nws tus kheej zoo. Txhawm rau txhim kho kev noj qab haus huv tag nrho, yuav tsum muaj vitamin complexes.
physiotherapy techniques
Nrog rau lub ncauj tsev menyuam osteochondrosis thiab vertebral artery syndrome, physiotherapy cov txheej txheem pab tau zoo. Rau qhov ua tau zoo ntawm txoj kev kho mob, nws yog ib qho tseem ceeb kom txo qis kev txav ntawm cov vertebrae. Qhov no tuaj yeem ua tiav nrog lub caj dab orthopedic. Nws kho lub ncauj tsev menyuam vertebrae nyob ruaj ruaj.
Reflexology pab tshem tawm spasm ntawm cov leeg nqaij. Physiotherapy yog contraindicated tsuas yog nyob rau theem ntawm exacerbation ntawm tus kab mob. Feem ntau, xws li kev kho mob yog ua ke nrog massage zaug. Cov txheej txheem tsuas yog muab los ntawm tus kws kho mob uas tuaj koom, thiab nws yuav tsum tau ua raws li kev tswj hwm nruj. Cov kev kho mob yuav tsum yog qhov nruab nrab, vim tias kev txav tam sim ntawd tuaj yeem ua rau lub cev txav mus los.
kev kho neeg zoo
Ua ib qho ntxiv rau kev kho, koj tuaj yeem sivpej xeem tshuaj thiab txoj kev. Siv peb lub taub hau qej, chop kom txog thaum gruel tau txais thiab muab tso rau hauv qhov chaw txias, tsaus rau tsib hnub. Tom qab ntawd lim thiab ntxiv 2 tbsp. l. txiv qaub kua txiv thiab 50 ml ntawm zib mu. Sib tov txhua yam zoo. Noj 1 tbsp. l. txhua hnub thaum mus pw.
Sib tov 50 g ntawm pob kws stigmas nrog 20 g ntawm txiv qaub balm nplooj, ntxiv kua txiv ntawm ib nrab ib tug txiv qaub. Sib tov txhua yam kom huv si, ntxiv 1 khob ntawm boiled dej sov. Muab cov infusion tso rau hauv qhov chaw tsaus rau ob teev. Haus ib nrab khob 30 feeb ua ntej noj mov.
Kev ua haujlwm
Kev phais tsuas yog raug sau tseg yog tias tus mob vertebral ua rau muaj kev txhim kho ntawm ischemia, mob stroke, kev paub tsis meej, nrog rau kev hnov lus thiab tsis pom kev.
Vertebrobasilar stroke yog suav tias yog qhov teeb meem txaus ntshai tshaj plaws. Tus mob no yog tus cwj pwm los ntawm qhov tsis hnov lus thiab pom kev ua tiav, nrog rau kev ua txhaum ntawm kev ua pa thiab lub plawv tsis ua haujlwm.
Muaj Teeb Meem
Ntau zaus, vertebral artery syndrome dhau los ua qhov tseem ceeb ntawm kev tawm tsam ischemic, uas ua rau muaj kev pheej hmoo mob stroke. Lwm yam teeb meem yuav tsum muaj xws li:
- ntshav siab;
- tus kab mob;
- Yvegetovascular dystonia;
- kev nyuaj siab.
Ntxiv rau, tus kab mob subcutaneous tuaj yeem tshwm sim thaum lub sijhawm ua haujlwm. Thaum mob hnyav, kev tuag tshwm simmob.
prophylaxis
Kev Tiv Thaiv muaj nyob rau hauv tus cwj pwm zoo rau kev noj qab haus huv, kev kho mob raws sijhawm ntawm cov kab mob plawv, kev faib ua haujlwm thiab so.
Koj yuav tsum zam lub caj dab ntev thiab lub taub hau nyob rau hauv ib txoj hauj lwm, tau txais kev tawm dag zog, noj zaub mov noj qab haus huv, thiab tau txais kev ntsuam xyuas kev tiv thaiv.
Cov tsos mob ntawm vertebral pathology yog qhov tshwm sim thiab tshwm sim nws tus kheej hauv daim ntawv ntawm qhov mob hauv pob tw, txha nraub qaum, ceg. Cov kab mob ntawm tus txha caj qaum tuaj yeem tshwm sim txawm tias thaum menyuam yaus.
Tus kab mob no cuam tshuam rau kev ua haujlwm ntawm lub hlwb. Qhov no tshwm sim los ntawm cov ntshav tsis txaus, uas yog provoked los ntawm deterioration nyob rau hauv kev ua hauj lwm ntawm lub vertebral hlab ntsha.
Reviews
Raws li cov neeg mob, cov txheej txheem kho mob tau ua pov thawj lawv tus kheej zoo. Tsis tas li ntawd, nws raug nquahu kom hnav lub caj dab orthopedic txhawb nqa kom tiv thaiv kev txav ntawm cov vertebrae thiab nqa tawm prophylaxis raws sijhawm. Nws yog ib qho tseem ceeb uas yuav tau mus ntsib kws kho mob thaum thawj qhov kev mob tshwm sim.
