Nyob rau hauv tsab xov xwm, peb yuav xav txog dab tsi yog qhov kev kuaj mob ntawm VBN thiab qhov tshwm sim ntawm cov kab mob no.
Lub hlwb tib neeg tau muab cov ntshav raws li tus qauv. Vertebrates raug cais los ntawm cov hlab ntsha subclavian nyob rau sab sauv ntawm lub sternum, uas tom qab ntawd nkag mus rau qhov qhib nyob rau hauv cov txheej txheem transverse ntawm lub ncauj tsev menyuam thiab nkag mus rau pob txha taub hau. Nyob rau hauv lub hauv paus ntawm lub cranium, lawv muaj nyob rau hauv lub basilar hlab ntsha, uas khiav nyob rau hauv lub paj hlwb qia, cerebellar thiab occipital cheeb tsam ntawm lub paj hlwb hemispheres. Tom qab ntawd, cov hlab ntsha basilar tau muab faib ua cov hlab ntsha uas muaj lub luag haujlwm muab cov ntshav mus rau qee qhov hemisphere ntawm lub hlwb.
Yog tias cov ntshav puv hauv cov hlab ntsha uas muab lub hlwb txo qis, suav nrog vim yog osteochondrosis ntawm ncauj tsev menyuam, qhov hu ua vertebrobasilar insufficiency lossis VBN tsim. Txij li thaum cov ntshav muab rau lub hlwb ua tsis txaus, covtiv thaiv keeb kwm yav dhau los ntawm kev kuaj mob VBN, qhov tsis txaus ntawm cov as-ham thiab oxygen tshwm sim, uas cuam tshuam kev ua haujlwm ntawm lub cev, cov yam ntxwv ntawm tus kab mob tshwm sim.
Yog vim li cas
Muaj ntau yam laj thawj rau kev txhim kho kev kuaj mob ntawm VBN. Cov neeg hluas thiab cov hnub nyoog nruab nrab raug kev txom nyem los ntawm tus kab mob vim yog sab nraud ntawm cov hlab ntsha vertebral vim lawv cov compression los ntawm kev loj hlob ntawm cov pob txha pob txha los yog osteophytes, nrog rau disc herniation thiab spasms ntawm caj dab cov leeg.
Ntxiv rau, vertebrobasilar insufficiency yuav tshwm sim vim cov txheej txheem deformation nyob rau hauv cov leeg txha caj qaum tiv thaiv keeb kwm yav dhau ntawm subluxation ntawm lub ncauj tsev menyuam vertebrae. Qee qhov xwm txheej, kev txhim kho ntawm VBN yog vim muaj qhov txawv txav ntawm cov kab mob xws li hypoplasia ntawm cov hlab ntsha vertebral, Kimmerli syndrome thiab muaj cov kab mob ntawm ncauj tsev menyuam ntxiv.
pain spasm
Mob spasm ntawm cov hlab ntsha vertebral kuj ua lub luag haujlwm tseem ceeb hauv kev txhim kho kev kuaj mob ntawm VBN. Nyob rau hauv cheeb tsam ntawm cov hlab ntsha ntawm tus txha nraub qaum muaj cov ceg me me uas tshwm sim los ntawm cov hlab ntsha autonomic uas tsim cov hlab ntsha plexus. Yog tias tus neeg mob muaj keeb kwm ntawm osteochondrosis, qhov mob hauv lub caj dab tuaj yeem ua rau muaj cov txheej txheem pathological hauv daim ntawv ntawm VBN. Tsis tas li ntawd, vim qhov mob syndrome, khaus ntawm cov kab mob vertebral thiab hyperactivation ntawm sympathetic qab haus huv tshwm sim. Raws li qhov tshwm sim, qhov innervation ntawm cov hlab ntsha vertebral tshwm sim, nrog rau lub sij hawm ntev thiab muaj zog spasm.
Kev kuaj mob NDV hauv tus menyuam yaus thiab cov neeg laus
Nyob rau hauv me nyuam yaus, qhov tsos ntawm tus kab mob tej zaum yuav yog vim lub anatomical nta ntawm tus qauvtxha caj qaum, vim yog tsev neeg keeb kwm los yog tshwm sim los ntawm kev yug me nyuam thiab kev raug mob ntawm lub hlwb thaum yau.
VBI tau kuaj pom hauv ntau tus menyuam yaus hauv neurology.
Nyob rau hauv hnub nyoog laus, vertebrobasilar insufficiency tej zaum yuav tshwm sim los ntawm atherosclerotic hloov nyob rau hauv cov hlab ntsha ntawm qaum. Hauv qhov no, atherosclerotic plaques tsim nyob rau hauv lumen ntawm cov hlab ntsha loj. Cov quav hniav muaj cov roj cholesterol ntau, uas txhaws cov lumen ntawm cov hlab ntsha thiab cuam tshuam cov ntshav mus rau lub hlwb.
Qee zaum, cov ntshav txhaws tshwm sim hauv thaj chaw ntawm cov quav hniav hauv zos, uas ntxiv thaiv cov hlab ntsha lumen. Cov ntshav muab los kuj yuav raug cuam tshuam los ntawm kev txhaws ntawm cov hlab ntsha los ntawm cov hlab ntsha uas tsim nyob rau hauv lwm qhov chaw ntawm lub cev thiab dhau los ntawm cov hlab ntsha mus rau hauv lub pas dej ua ke ntawm cov hlab ntsha vertebral. Hauv qhov no, peb tab tom tham txog thromboembolism.
VBI feem ntau kuaj pom hauv neurology.
Tus mob tuaj yeem tshwm sim los ntawm kev kho mob tsis raug, nrog rau kev siv phau ntawv kho mob thiab raug mob rau thaj tsam qaum. Lwm qhov kev pheej hmoo rau kev loj hlob ntawm tus mob yog stenosis ntawm cov hlab ntsha subclavian, uas muab cov ntshav mus rau sab sauv qaum.
Tawm tsam keeb kwm ntawm fibromuscular dysplasia, ntau qhov nruab nrab ntawm cov hlab ntsha stenoses tau tsim. Qee zaum, cov hlab ntsha ntawm tus txha caj qaum kuj koom nrog cov txheej txheem pathological, uas ua rau kev kuaj mob VBN.
Symptoms
Kev tshwm sim ntawm vertebrobasilar insufficiency tuaj yeem ua tau heevsib txawv. Neurological cov cim qhia ntawm pathology yuav suav nrog kev pom, vestibular thiab conduction lossis kev puas siab puas ntsws. Tsis tas li ntawd, nrog rau kev kuaj mob ntawm VBN hauv neurology, muaj kev ua haujlwm tsis zoo ntawm cov hlab ntsha nyob hauv pob txha taub hau.
Ntawm ib feem ntawm lub cev musculoskeletal, VBN tau tshwm sim los ntawm kev ua haujlwm tsis zoo, nrog rau lub hauv paus paresis. Raws li txoj cai, tus mob no yog tus cwj pwm los ntawm kev sib xyaw ua ke ntawm ataxia dynamic thiab txhob txwm tshee hauv cov ceg, nrog rau txo cov leeg nqaij ntawm qhov tsos asymmetric.
Qhov hnyav thiab sib xyaw ua ke ntawm ntau yam tsos mob ntawm VBN yog vim qhov mob ntawm ischemic lesions thiab lawv qhov chaw nyob, nrog rau qhov muaj peev xwm ntawm kev sib koom ua ke.
Kev hnov mob feem ntau nrog hypo- lossis tshuaj loog hauv ib nrab ntawm lub cev lossis ceg ceg, nrog rau ntau yam paresthesias.
Nyob rau hauv txhua tus neeg mob thib plaub uas kuaj tau VBN, cov tsos mob yuav txawv, tab sis yuav luag txhua zaus muaj kev ua txhaum ntawm qhov muag thiab qhov tob tob, uas tau piav qhia los ntawm kev tsis sib haum xeeb hauv kev ua haujlwm ntawm ventrolateral thalamus hauv thaj chaw ntawm cov ntshav muab rau. sab nraud villous hlab ntsha nyob rau hauv nws posterior seem. Nws yog deb ntawm ib txwm ua tau los kuaj cov hlab ntshav hauv thaj av ntawm cov hlab ntsha ntawm tus txha nraub qaum, yog li ntawd, nws yog feem ntau yuav tsum tau siv cov hau kev neuroimaging ntxiv.
Kev pom kev cuam tshuam hauv VBN yog nrog cov tsos mob xws li scotoma, cortical dig muag, homonymous hemianopsia, thiab photopsia.
Yog koj swbkuj yog lub paj hlwb qia, muaj kev cuam tshuam hauv kev ua haujlwm ntawm cov hlab ntsha ntawm pob txha taub hau. Raws li qhov tshwm sim, lub ntsej muag paj hlwb paresis, bulbar syndrome, thiab ntau qhov muag tsis pom kev tau pom.
Cov tsos mob uas tau teev tseg, raws li txoj cai, tshwm sim ua ke, txawm li cas los xij, hauv qhov tshwj xeeb, muaj cov cim qhia ib leeg, uas tau piav qhia los ntawm hom thim rov qab ntawm ischemia hauv lub cev ntawm cov hlab ntsha vertebrobasilar.
Ntau zaus, cov kab mob ntawm cov hlab ntsha vertebral cuam tshuam nrog kev kub ntxhov hauv lub paj hlwb kuj cuam tshuam nrog sciatica hauv caj dab. Cov cim qhia ntawm tus kab mob no yog mob palpation thiab tsis muaj kev txav mus los ntawm ncauj tsev menyuam. Qhov mob ntawm qhov mob hnyav nce nrog tig thiab tig taub hau.
kiv taub hau thiab teeb meem ntawm lub cev muaj zog
Paroxysmal kiv taub hau kuj tseem qhia tau tias muaj teeb meem nrog cov ntshav mus rau lub hlwb. Qhov tshwm sim no yog vim lub siab rhiab heev ntawm vestibular apparatus rau cov tsos mob ischemic. kiv taub hau tuaj yeem sib xyaw lossis ua haujlwm, thaum lub zog yog rectilinear, thiab tus neeg mob xav tias nws, ob qho tib si kev sib hloov ntawm cov khoom nyob ib puag ncig nws thiab nws lub cev.
Lwm tus yam ntxwv ntawm VBN sawv tawm - kev mob ntawm lub cev tsis muaj zog, nrog rau xeev siab thiab ntuav, lub plawv dhia tsis zoo, nce ntshav siab thiab hnyav hyperhidrosis.
Ua ke nrog lwm cov tsos mob, kev hnov lus tsis zoo kuj tuaj yeem qhia VBN. Qhov no tuaj yeem yog ob qho tib si txo qis hauv kev mloog zoo, thiabcongestion, tinnitus. Raws li txoj cai, xws li cov cim qhia tias ischemia nyob rau hauv thaj tsam ntawm sab anterior ntawm lub cerebellum.
Nws yuav tsum nkag siab tias cov tsos mob uas tau teev tseg kuj yog yam ntxwv ntawm lwm yam pathologies ntawm lub paj hlwb thiab cov hlab plawv, yog li nws yog ib qho tseem ceeb uas yuav tsum tau ua kom tiav kev kuaj xyuas thiab kev kuaj mob sib txawv kom paub meej qhov kev kuaj mob.
Diagnosis
Cov kauj ruam tseem ceeb tshaj plaws hauv kev kuaj mob vertebrobasilar insufficiency yog txhawm rau txheeb xyuas qhov ua rau provoked txoj kev loj hlob ntawm cov txheej txheem pathological. Rau lub hom phiaj no, ib qho kev ntsuam xyuas cov paj hlwb kom ntxaws, tsom rau kev sib txawv ntawm cov kab mob los ntawm cov kab mob zoo sib xws. Yog li, txhawm rau txheeb xyuas VBI, cov kev tshawb fawb hauv qab no tau ua tiav:
1. Doppler ultrasound tso cai rau koj los ntsuas lub xeev ntawm cov ntshav muab rau cov hlab ntsha ntawm lub hlwb thiab cov hlab ntsha loj. Txoj kev no ua ke nrog duplex scanning thiab dopplerography, muab lub tswv yim ntawm lub xeev ntawm cov hlab ntsha vertebral.
2. Rheoencephalography ua ke nrog infrared thermography kuj tso cai rau koj los ntsuas lub xeev ntawm cov hlab ntsha ntawm lub paj hlwb thiab qaum, tab sis lawv tsis tshua paub ntau dua li txoj kev dhau los.
3. Kev suav thiab sib nqus resonance imaging ua rau nws muaj peev xwm txheeb xyuas qhov muaj ntawm intervertebral hernias, nrog rau lwm cov txheej txheem pathological nyob rau hauv tus txha caj qaum uas tuaj yeem ua rau kev loj hlob ntawm VBN.
4. X-ray tshuaj ntsuam xyuas qhov mob ntawm lub ncauj tsev menyuam qaum.
5. Kev sim ua haujlwm, ua nrog kev txuas ntxiv thiab flexion, tso cai rau koj los txiav txim qhov muaj spondylolisthesis.
Hauv qee kis, tsis muaj kev kuaj mob tsawg dua tuaj yeem ua tau xws li acoustic stimulation, vestibulological kuaj, audiometry, thiab lwm yam. Kev kuaj ntshav rau kev kuaj VBN yog kuaj ntshav biochemistry thiab coagulation.
Kev kho VBI tiv thaiv keeb kwm ntawm ncauj tsev menyuam osteochondrosis yog dab tsi?
kev kho mob
Kev xaiv ntawm kev kho mob ncaj qha nyob ntawm qib thiab qhov xwm txheej ntawm vascular puas tsuaj. Conservative kev kho mob ntawm vertebrobasilar insufficiency suav nrog cov tshuaj hauv qab no:
1. Cov tshuaj antiplatelet. Qhov kev txiav txim ntawm pawg tshuaj no yog txhawm rau txo cov ntshav txhaws. Kev siv cov tshuaj antiplatelet yog vim qhov xav tau los tiv thaiv kev tsim cov ntshav txhaws. Cov tshuaj aspirin yog cov ntshav thinner tshaj plaws. Nws yuav tsum tau nco ntsoov tias acetylsalicylic acid tsis zoo cuam tshuam rau lub xeev ntawm txoj hnyuv thiab tuaj yeem ua rau hemorrhagic syndrome. Nws yog contraindicated rau noj nrog cov pathologies uas twb muaj lawm ntawm lub plab zom mov, thiab nws kuj tsis pom zoo kom haus cov tshuaj ntawm lub plab khoob.
2. Cov tshuaj uas nthuav cov hlab ntsha. Lawv tsim nyog los tiv thaiv cov hlab ntsha. Raws li txoj cai, kev kho mob yuav tsum tau nyob rau lub caij nplooj ntoos hlav thiab lub caij nplooj zeeg. Cov koob tshuaj yuav tsum tau nce los ntawm qhov qis tshaj mus rau qhov zoo tshaj plaws kho tus nqi. Yog hais tias monotherapy tsis muab qhov zoo dynamics nyob rau hauv tus neeg mob tus mob, ib txhijnoj ntau yam tshuaj zoo sib xws.
3. Metabolic thiab nootropic tshuaj. Cov tshuaj feem ntau yog Piracetam, Actovegin, Glycine, Nicergoline, Semax, thiab lwm yam. Cov tshuaj no yog siv los txhawb kev ua haujlwm ntawm lub hlwb, txo qis tawm tsam keeb kwm ntawm VBN hauv tsev menyuam osteochondrosis.
Kev kho mob tsis txwv rau qhov no.
Ntxiv nrog rau cov tshuaj no, vertebrobasilar insufficiency tuaj yeem kho nrog cov tshuaj uas normalize ntshav siab. Ntawm tus kheej, cov tshuaj tua kab mob, tshuaj tiv thaiv kev ntxhov siab, hypnotics thiab sedatives, nrog rau cov tshuaj tiv thaiv kab mob thiab tshuaj tiv thaiv kiv taub hau tuaj yeem raug sau ua tshuaj ntxiv. Cov tshuaj tau teev tseg ua rau muaj kev tshem tawm cov tsos mob hauv kev kuaj mob ntawm VBN hauv neurology.
Kev kho yuav tsum ua kom tiav thiab raws sijhawm.
Lwm yam kev kho mob
Yog hais tias qhov kev kawm ntawm vertebrobasilar insufficiency yog tus yam ntxwv hnyav, kev phais yuav raug sau tseg. Lub hom phiaj ntawm kev ua haujlwm yog txhawm rau tshem tawm cov kab mob hauv lub cev los ntawm VBN. Qhov no yog ua los ntawm kev nthuav cov hlab ntsha basilar thiab vertebral. Tsis tas li ntawd, kev ua haujlwm tso cai rau koj kom tshem tawm compression ntawm intervertebral discs, txo qhov nro thiab stenosis ntawm lawv. Xws li kev kho mob xws li endarterectomy thiab microdiscectomy tuaj yeem ua raws li kev kho mob phais.
Neurologists ntseeg tias kev kho mob ntawm vertebrobasilar insufficiency yuav tsum muaj nyob rau hauv ib qho nyuaj. Vim li noCov neeg mob uas muaj qhov kev kuaj mob no, ntxiv rau kev kho tshuaj, tau muab cov kev kho mob tshwj xeeb, nrog rau kev kho lub cev.
Tsis tas li ntawd, VBI raug kho siv cov hauv qab no:
1. Kev kho mob zaws tsom txhawm rau txhim kho cov ntshav ncig.
2. Mus ntsib kws kho mob.
3. Acupuncture thiab reflexology los txo cov leeg nqaij.
4. Hirudotherapy. Yuav luag tag nrho cov kab mob vascular tuaj yeem raug tshem tawm nrog leeches ua ib txoj hauv kev kho ntxiv.
5. Magnetotherapy. Favorably cuam tshuam rau lub circulatory system.
6. Hnav ib qho tshwj xeeb kho corset ncig lub caj dab.
Kev kho mob raws sijhawm thiab raug ntawm VBI tawm tsam keeb kwm ntawm lub ncauj tsev menyuam osteochondrosis tso cai rau koj tshem tawm cov kab mob tag nrho. Txwv tsis pub, txoj kev pheej hmoo ntawm pathology ua ntev zuj zus, nrog rau kev tsis zoo ntawm tus neeg mob lub neej zoo.
Huab cua
Kev kuaj mob rau vertebrobasilar insufficiency yog tsim los ntawm qhov mob hnyav thiab qhov xwm txheej ntawm cov kab mob ntawm cov hlab plawv uas ua rau tus mob no, nrog rau qib ntawm cov hlab ntsha puas tsuaj thiab muaj peev xwm tsim kom muaj ib qho bypass ntshav muab rau hauv hlwb.
Yog tias cov hlab ntsha pom qhov ua rau nqaim ntau dua, thiab kev kho kom raug tsis tau ua tiav raws sijhawm, qhov kev pheej hmoo ntawm kev tsim cov txiaj ntsig tsis zoo thiab cov teeb meem nce ntxiv. Cov neeg mob xws li mob stroke, nrog rau dyscirculatory hom encephalopathy tiv thaiv keeb kwm yav dhau los ntawm cov paj hlwb tsis txaus.
AuspiciousQhov kev kwv yees rau VBI tsuas yog ua tau tsuas yog nyob rau hauv rooj plaub ntawm kev soj ntsuam txaus siab ntawm lub xeev ntawm cov hlab ntsha hauv hlwb, nrog rau kev kho kom raug tawm tsam keeb kwm yav dhau los ntawm cov kab mob me me.
Kev Tiv Thaiv
Yuav tsum ntsuas kev tiv thaiv rau NDV yog:
1. Txhob haus luam yeeb, haus cawv thiab yeeb tshuaj.
2. Kev saib xyuas ntshav siab.
3. Ua raws li kev noj zaub mov tshwj xeeb. Qab zib pastries, ntsev, ntsim thiab ntsim zaub mov, marinades thiab cov kaus poom zaub mov yuav raug txwv. Cov khoom noj uas pom zoo rau NDV yog cov nqaij nruab deg, txiv hmab txiv ntoo thiab zaub, cov khoom noj muaj roj tsawg.
4. Lub xub ntiag ntawm lub cev muaj zog ntawm kev siv zog nruab nrab.
Qee zaum, cov kev ntsuas saum toj no txaus los tiv thaiv tus kab mob txawm tias tsis muaj kev kho mob thiab kho lub cev.
Yog tias kuaj pom tus kab mob nyob rau theem pib ntawm nws txoj kev loj hlob, kev kho mob yog ua raws li tus neeg mob sab nraud. Nrog rau kev tshawb pom tom qab ntawm cov txheej txheem pathological, kev mus pw hauv tsev kho mob tau pom zoo. Qhov no yog ua los tiv thaiv kev mob stroke.
Peb tau them cov tsos mob thiab kho NDV.
