Nyob rau hauv daim ntawv teev cov kab mob kev noj qab haus huv cuam tshuam nrog lub ncauj tsev menyuam osteochondrosis, ib qho chaw tshwj xeeb yog nyob ntawm qhov hu ua vertebrobasilar syndrome. Tshwj xeeb vim hais tias, nrog rau lwm yam kab mob ntawm lub paj hlwb, cov kab mob no tsis yog tsuas yog txo cov neeg mob lub neej zoo xwb, tab sis, yog tias tsis raug kho raws sijhawm, tuaj yeem ua rau muaj kev hem thawj loj rau kev noj qab haus huv thiab kev noj qab haus huv ntawm tus neeg mob.
Vertebrobasilar syndrome yog dab tsi?
Syndrome ntawm vertebral artery nyob rau hauv lub ncauj tsev menyuam osteochondrosis yog ib tug complex ntawm cov kab mob uas tshwm sim los ntawm hemodynamic cuam tshuam nyob rau hauv lub phiab ntawm lub vertebral hlab ntsha. Qhov mob no yog ib qho teeb meem ntawm lub ncauj tsev menyuam osteochondrosis, uas, vim yog cov yam ntxwv tshwj xeeb ntawm cov hlab ntsha vertebral, tuaj yeem ua rau muaj kev cuam tshuam hauv kev ua haujlwm ntawm yuav luag txhua lub cev thiab lub cev.
Ua tib zoo mloog rau cov kab mob no yog vim qhov tseeb tias, ntxiv rau qhov tsis xis nyob (mob, kiv taub hau, teeb meem tsis pom kev), vertebrogenic syndrome tuaj yeem cuam tshuam tsis zoo rau lub luag haujlwm tseem ceeb ntawm ntau tus. Cov qauv ntawm lub hauv nruab nrab lub paj hlwb, uas ua rau muaj kev hem thawj rau kev noj qab haus huv thiab lub neej.
Kev tshwm sim
Yog vim li cas rau txoj kev loj hlob ntawm cov kab mob no nyob rau hauv cov yam ntxwv anatomical ntawm lub ncauj tsev menyuam nqaj qaum thiab tshwj xeeb tshaj yog cov hlab ntsha nws tus kheej. Lub nkoj ua ke no yog ib ceg ntawm cov hlab ntsha subclavian. Mus txog rau thib rau lub ncauj tsev menyuam vertebra, lub vertebral hlab ntsha nkag mus rau hauv lub kwj dej uas tsim los ntawm cov txheej txheem ntawm lub ncauj tsev menyuam vertebrae (los ntawm thawj mus rau thib rau). Los ntawm cov kwj dej no, cov hlab ntsha vertebral nkag mus rau pob txha taub hau.
![vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis](https://i.medicinehelpful.com/images/025/image-72293-1-j.webp)
Tso rau hauv cov pob txha kwj dej, cov hlab ntsha vertebral yuav raug deformation ntawm me ntsis instability ntawm lub ncauj tsev menyuam vertebrae, nrog rau kev txo qis ntawm qhov siab ntawm intervertebral discs.
Mechanisms rau kev loj hlob ntawm vertebrogenic syndrome:
- Vim qhov deformation ntawm cov hlab ntsha, qhov ntim ntawm cov ntshav ntws los ntawm nws txo qis, uas ua rau muaj kev ua txhaum ntawm cov ntshav mus rau lub hlwb pob txha.
- Lwm txoj hauv kev rau kev txhim kho cov tsos mob pathological cuam tshuam nrog lub ncauj tsev menyuam osteochondrosis yog khaus lossis txawm tias ua txhaum ntawm cov hlab ntsha ntawm lub paj hlwb uas khiav nrog rau cov hlab ntsha vertebral. Kev raug mob rau cov paj hlwb thiab ua rau muaj kev loj hlob sai ntawm cov tsos mob paj hlwb.
Qhov no yog li cas cov tsos mob tshwm sim tau tsim, zoo dua lub npe hu ua vertebral artery syndrome tiv thaiv keeb kwm ntawm ncauj tsev menyuam osteochondrosis.
Risk factors
Muaj ntau yam mob uas yuav ua rau mob vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis (ua rauQhov tshwm sim ntawm tus kab mob nyob rau hauv pathology ntawm tus txha caj qaum), cov no yog:
- Osteochondrosis nws tus kheej.
- Ntau tus yam ntxwv ntawm kev rog.
- Cov kab mob sib kis nrog cov kab mob metabolic (diabetes mellitus, atherosclerosis).
- Kev ntxhov siab ntau dhau thiab ua haujlwm lub cev.
- Cov teebmeem toxic (cawv, nicotine).
- Txoj kev vam meej rau cov kab mob vascular.
Kev kho mob tshwm sim
Cov tsos mob ntawm cov kab mob vascular no pom tau zoo:
-
Mob taub hau paroxysmal hnyav, ua rau lub ntsej muag pulsating thiab kis los ntawm lub caj dab rov qab mus rau sab nraub qaum ntawm lub taub hau, thiab los ntawm qhov ntawd - mus rau lub tuam tsev thiab thaj tsam pem hauv ntej. Feem ntau mob taub hau nyob rau hauv vertebrogenic syndrome muaj unilateral localization.
![vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis](https://i.medicinehelpful.com/images/025/image-72293-2-j.webp)
- mob rhiab hauv zos ncaj qha rau saum tawv taub hau.
- Vestibular Disorders: hnov tsis khov thaum taug kev thiab thaum so, swaying, ntuav kiv taub hau, hnov lus tsis hnov tsw, hnov ntxhiab ntawm cov suab nrov nyob rau hauv daim ntawv ntawm lub suab nrov lossis suab nrov hauv pob ntseg. "Floating deb ntawm hauv qab taw" nrog lub ntsej muag ntse.
- Kev txo qis hauv qhov pom kev pom vim yog flashing ua ntej lub qhov muag ntawm sparks, yoov, pos huab los yog shroud, zoo li xuab zeb hauv ob lub qhov muag.
- Tension thiab mob ntawm caj dab cov leeg (tshwj xeeb ntawm palpation).
- Tshuaj loog ntawm ib sab ntawm lub ntsej muag.
- Kev cuam tshuam hauv cov hlab plawv sphere nyob rau hauv daim ntawv ntawm ntu ntawm tachycardia, mob tom qab sternum, hnov qhov tsis muaj cua thaum kev tshoov siab.
- Kev puas siab puas ntsws tshwm sim nyob rau hauv daim ntawv ntawm kev tawm tsam ntawm kev ua phem, kev tawm tsam, kev ntxhov siab lossis kev xav tsis txaus ntseeg.
Ntxiv rau cov ntshav siab, uas feem ntau nrog vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis, cov tsos mob tseem ceeb ntawm cov hlab ntsha no nyob rau hauv cov mob hnyav tuaj yeem nrog cov tsos mob hauv qab no:
- Ntaus uas tshwm sim ntawm qhov siab ntawm kev tawm tsam thiab xaus rau ntuav.
- Crackling thiab crunching thaum ua txav hauv cheeb tsam tsev menyuam - qaij thiab tig lub taub hau.
- Kev mob hnyav ntawm cov kab mob tshwm sim los ntawm sab ntawm lub zeem muag: ob lub zeem muag, nqaim ntawm thaj chaw tsis pom kev, fuzzy visibility.
- Kev nce ntawm kev hnov lus tsis hnov lus thiab nce cov suab nrov pathological.
- Kev tsis txaus siab ntawm kev nqos.
- Kev ua kom tsis zoo ntawm daim tawv nqaij ntawm daim di ncauj, mucous daim nyias nyias ntawm tus nplaig thiab pharynx; loog thiab paresthesia nyob rau hauv cov cheeb tsam no.
- Tsis nco qab. Feem ntau lub xeev no yog preceded los ntawm ib tug tilted rov qab txoj hauj lwm ntawm lub taub hau (xws li, piv txwv li, thaum saib). Mus txog qhov tsis nco qab tuaj yeem pom tau los ntawm xeev siab thiab kiv taub hau, hais lus tsis zoo, tsis pom kev ntawm ib qho ntawm ob lub qhov muag.
![vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis](https://i.medicinehelpful.com/images/025/image-72293-3-j.webp)
Cov cim qhia no, ua ke nrog mob thiab lwm yam cim ntawm kev ua rau lub ncauj tsev menyuam loj dua, yog qhov ua tau zoounmistakably taw tes rau lub syndrome ntawm lub vertebral hlab ntsha nyob rau hauv lub ncauj tsev menyuam osteochondrosis.
Diagnosis
Ntau yam ntawm cov cim qhia ntawm vertebrogenic syndrome thiab kev nkag siab sib txawv ntawm kev tsis txaus siab los ntawm cov neeg mob sib txawv ua rau muaj kev nyuaj rau kev kuaj mob ntawm vertebrobasilar syndrome. Hauv qhov no, ib daim ntawv teev cov kev xeem yuav tsum tau tsim los txheeb xyuas lub hom phiaj cov cim qhia ntawm tus kab mob no.
- Duplex scanning lossis Doppler ultrasound ntawm cov hlab ntsha txhawm rau txhawm rau kuaj pom qhov txawv txav ntawm cov hlab ntsha vertebral.
- X-ray ntawm lub ncauj tsev menyuam vertebrae siv cov kev sim ua haujlwm thiab kho cov duab thaum lub sijhawm flexion thiab txuas ntxiv ntawm lub ncauj tsev menyuam qaum.
![vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis](https://i.medicinehelpful.com/images/025/image-72293-4-j.webp)
MRI (Magnetic Resonance Imaging), uas qhia txog qhov muaj, qhov twg thiab qhov chaw ntawm cov hlab ntsha deformities
Vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis yog kuaj tau thaum peb qhov kev kho mob tseem ceeb raug txheeb xyuas hauv tus neeg mob:
- Kev muaj cov txheej txheem thiab kev sib xyaw ua ke ntawm cov tsos mob ntawm tus kab mob no.
- Cov kev hloov pauv uas pom tau siv cov duab sib nqus resonance thiab lub caj dab x-rays.
- Cov yam ntxwv tsis zoo uas kuaj pom thaum kuaj, nrog rau hauv chav kawm ntawm dopplerography ntawm cov hlab ntsha vertebral siv cov kev ntsuam xyuas kev ntxhov siab, thaum lub sij hawm flexion thiab txuas ntxiv ntawm lub taub hau.
Daim ntawv teev cov kev kuaj mob no tau tsim los kom zam dhau qhov kev kuaj mob ntawm vertebrogenic syndrome.
Qhov tseem ceeb ntawm qhov sib txawvdiagnostics
Kev tawm tsam ntawm mob taub hau ua ke nrog kiv taub hau thiab xeev siab tiv thaiv keeb kwm yav dhau los ntawm kev nce ntshav siab, nrog rau qhov ua rau poob ntawm kev nco qab tuaj yeem qhia ob qho tib si rau kev mob stroke hauv lub phiab vertebrobasilar, ntu ntu ischemic nres lossis kis kab mob. -Txoj kev puas tsuaj rau lub paj hlwb thaum lub sij hawm neuroinfection thiab txhawm rau txheeb xyuas cov kab mob vertebral artery syndrome hauv ncauj tsev menyuam osteochondrosis. Cov tsos mob tuaj sai sai, ua rau nws nyuaj rau noj anamnesis. Ob qho xwm txheej tau muab cais ua qhov ceev thiab yog qhov qhia tau rau kev mus pw hauv tsev kho mob thiab kuaj xyuas kom ntxaws.
Kev kuaj mob sib txawv yog qhov tsim nyog rau kev xaiv kom raug kho rau txhua yam kab mob uas tau teev tseg.
Drug therapy
Thaum cov kab mob vascular, uas suav nrog cov kab mob vertebral artery nyob rau hauv lub ncauj tsev menyuam osteochondrosis, kev kho mob yuav tsum tau ua kom tiav thiab cuam tshuam tsis tau tsuas yog cov etiology xwb, tab sis kuj tsom rau kev kho cov kab mob uas tshwm sim los ntawm cov kab mob hauv lub cev.
![vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis](https://i.medicinehelpful.com/images/025/image-72293-5-j.webp)
- Thawj kauj ruam hauv kev kho mob yog xaiv cov tshuaj uas tsis yog tshuaj steroidal los tiv thaiv kev mob neurogenic. Qhov tseem ceeb yog muab rau cov tshuaj los ntawm pab pawg NSAIDs ntawm hom xaiv, thaiv tsuas yog hom thib ob ntawm cyclooxygenase enzyme; txoj hauv kev no ua ke ua haujlwm zoo hauv kev tswj kab mob nrog kev nyab xeeb rau tus neeg mob. Cov neeg sawv cev ntawm cov tshuaj no yog cov khoom lag luam raws li nimesulide, meloxicam lossis celecoxib.
- Ntau tus kab mob uas ua rau cov tsos mob ntawm tus mob vertebrogenic tshwm sim nyob rau hauv kev cuam tshuam ntawm pathological hypertonicity ntawm caj dab cov leeg. Qhov no yog ib qho ntawm cov cim qhia tias peb muaj vertebral artery syndrome nrog lub ncauj tsev menyuam osteochondrosis. Kev tshuaj xyuas cov neeg mob qhia tias kev suav nrog cov leeg nqaij so hauv cov txheej txheem kho mob ua rau muaj kev noj qab haus huv sai dua thiab cov xwm txheej. Los ntawm pab pawg ntawm cov tshuaj no, Mydocalm, Sirdalud, Baclofen muab cov txiaj ntsig zoo. Tshem tawm cov nqaij ntshiv, cov nqaij ntshiv kom txo tau qhov mob ntawm qhov mob, yog li txo qhov kev xav tau ntawm cov tshuaj uas tsis yog-steroidal anti-inflammatory. Qhov tseem ceeb! Thaum lub sij hawm siv cov tshuaj no, koj yuav tsum tsis txhob ua tej yam uas yuav tsum tau ua kom muaj kev mloog zoo thiab ceev faj. Tsis tas li ntawd, kev ua haujlwm zoo li no tsis sib haum nrog cov kab mob vestibular, uas tshwm sim vertebral artery syndrome nyob rau hauv ncauj tsev menyuam osteochondrosis.
- Kev kho cov mob tshwm sim los ntawm hemodynamic tsis ua hauj lwm nyob rau hauv lub vertebrobasilar phiab yog unthinkable yam tsis muaj kev siv cov tshuaj uas normalize microcirculation, bioactive tshuaj thiab lwm yam tshuaj, qhov kev txiav txim yog aimed ntawm combating cov ntaub so ntswg hypoxia.
Lub cev txoj hauv kev
Raws li cov txheej txheem kho mob ywj pheej, kev kho lub cev tsis zoo txaus; vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis yuav tsum tau ib tug kev mus kom ze rau kev kho mob. Txawm li cas los xij, raws li kev pab kho lub cev, nws muab cov txiaj ntsig zoo heev.
Qhov tsis zoo ntawm txoj kev tuaj yeem suav tias yog nws daim ntawv thovContraindicated thaum lub sij hawm exacerbation ntawm osteochondrosis.
![vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis](https://i.medicinehelpful.com/images/025/image-72293-6-j.webp)
Massage nrog vertebrogenic syndrome feem ntau contraindicated txawm tias thaum lub sij hawm tshem tawm, vim nws tuaj yeem ua rau kev hloov pauv ntawm cov vertebrae thiab ua txhaum ntawm cov pob neurovascular.
Txoj kev nyiam rau cov kab mob no yog reflexology, uas tuaj yeem txo cov leeg nqaij tsis muaj mob thiab tsis ua rau nws mob hnyav.
Tsis muaj qhov tseem ceeb me me yog cov txheej txheem orthopedic (immobilization ntawm lub ncauj tsev menyuam los ntawm kev hnav lub tsho Shants). Lub sijhawm no tseem ceeb tshwj xeeb tshaj yog nyob rau hauv cov xwm txheej uas tus neeg mob lub cev tsis zoo yog cuam tshuam nrog kev hloov ntawm txoj haujlwm lossis kev txav ntawm lub taub hau.
![vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis vertebral artery syndrome nyob rau hauv lub ncauj tsev menyuam osteochondrosis](https://i.medicinehelpful.com/images/025/image-72293-7-j.webp)
Sab nraud ntawm exacerbation, nws yog ib qho tsim nyog yuav tsum tau ua cov kev ntsuas kom ntxiv dag zog rau cov leeg nqaij ntawm caj dab. Vim qhov tshwj xeeb ntawm cov kab mob pathology, kev txiav txim siab ntawm kev tawm tswv yim ntawm kev nthuav tawm los ntawm kev zaws lossis kev tawm dag zog yuav tsum tau ua los ntawm tus kws kho mob tshwj xeeb. Cov kev tawm dag zog yuav tsum tau ua raws li kev saib xyuas ntawm tus kws tshaj lij.
Txoj kev ua neeg
Ntawm cov zaub mov uas muaj kev paub hauv pej xeem hauv kev kho mob ntawm qee yam kab mob, kuj tseem muaj cov kev kho mob uas pab daws qee qhov tshwm sim ntawm vertebrogenic syndrome.
- Kev siv qej kom txo cov ntshav viscosity. Yuav kom tau txais cov tshuaj muaj pes tsawg leeg, peb lub taub hau loj ntawm qej yuav tsum tau crushed thiab khaws cia hauv qhov tsaus rau peb hnub. Tom qab ntawd qhov loj yuav tsum tau lim thiab ntxiv rau nws hauv qhov sib npaug ntawm zib mu thiab kua txiv qaub. Haus ua ntej pwtablespoon.
- Txo cov ntshav siab yuav pab kom noj cov khoom xyaw npaj los ntawm 40 grams pob kws stigmas, 20 grams txiv qaub balm, kua txiv qaub thiab ib khob dej kub. Tom qab ib teev ntawm infusion, noj ib nrab khob peb zaug ib hnub twg 30 feeb ua ntej noj mov.
Nws yuav tsum nco ntsoov: nyob rau hauv qhov xwm txheej hnyav xws li vertebral artery syndrome nrog lub ncauj tsev menyuam osteochondrosis, qhov ua rau ntawm tus kab mob thiab ntau yam kab mob tsis raug tshem tawm los ntawm tshuaj ntsuab infusions lossis lwm yam kev kho mob pej xeem. Ib qho kev kho mob tiav tuaj yeem tsuas yog muab los ntawm tus kws kho mob tom qab kuaj xyuas tus neeg mob. Folk tshuaj yog siv los pab; Lawv siv tau tso cai raws li hauv qab no:
- Tsis muaj kev fab tshuaj rau cov khoom xyaw.
- No contraindications thiab tus kws kho mob pom zoo.
Qhia rau kev kho mob phais
Kev txiav txim siab ntawm kev cuam tshuam kev phais yog tsim nyob rau hauv rooj plaub ntawm kev loj hlob vim yog cov kab mob vertebrogenic ntawm cov kab mob hauv qab no:
- Ischemic tawm tsam, strokes.
- Intellectual-mnestic, kev paub tsis meej.
- Kev nce sai ntawm qhov muag, hnov lus thiab tsis sib haum xeeb.
Tsis tas li ntawd, cov neeg mob tau lees paub tias yog qhov qhia tau hais tias qhov mob ntawm cov hlab ntsha vertebral nyob rau hauv lub ncauj tsev menyuam osteochondrosis tau ua ke nrog cov hlab ntsha loj heev, anatomical anomalies ntawm vertebral artery los yog atherosclerosis, nrog rau qhov tsis muaj txiaj ntsig ntawm kev kho mob.
Kev nyuaj siab
Qhov teeb meem loj tshaj plawsvertebrobasilar syndrome yog mob stroke nyob rau hauv lub vertebrobasilar phiab. Nws cov txiaj ntsig tuaj yeem yog:
- Tsis hnov lus.
- Kev tsis pom kev ua tiav.
- Lub plawv tsis ua hauj lwm.
- Ua pa tsis ua haujlwm.