Vertebral akwara. vertebral akwara syndrome: mgbaàmà, nchoputa, ọgwụgwọ

Vertebral akwara ahụ pụọ subclavian nnukwu arịa. Ndị a ọwa zụọ akụkụ ụbụrụ. Karịsịa, ọbara ọnọ na occipital lobes, cerebellum, ogwe. Ọzọkwa nyochaa n'ụzọ zuru ezu, ihe kasị nke vertebral akwara. Isiokwu a ga-akọwa ịrụ ọrụ nke vaskụla ọrịa, na-adakarị na ọgwụgwọ na usoro ahụ lebara ha.

Isi

The agba nke vertebral akwara gabiga ọwa kpụrụ akpụ site na transverse Filiks nke cervical ọkpụkpụ ọcha. N'ihi na ya na ọnọdụ, na arịa na-aha. Abami n'ime cranial oghere site foramen Magnum, vertebral akwara na ụbụrụ azuokokoosisi jikọrọ ọnụ na basilar ọwa. Site na nke a site, ha ịgbatị gaba. N'okpuru ọrịa ụbụrụ ammamihe etịbe branching. Na otu aka gbatịrị nri, na ndị ọzọ - ekpe vertebral akwara.

mmewere

Onye ọ bụla ọwa ekewa ụfọdụ. Chọpụta ndị na-esonụ agba nke vertebral akwara:

• Intracranial. Nkebi a gbatịrị ruo cranial oghere ohere guzobere na alaka jikota basilar ọwa.
• Nape. A nke gbatịrị si tinyekwa nke ọwa Filiks (transversal) nke vertebrae (cervical) tupu abanye cranial oghere.
• N'olu. Nkebi a gbatịrị site n'usoro Filiks (transverse) na cervical vertebrae.
• Prespinal. Nke a bụ ala òkè. The nke gbatịrị si n'ókè nke mbido nke vertebral arịa si subclavian n'ọnụ ụzọ ọwa Filiks nke vertebrae nke cervical spain.

isi ọbara esenyịn

Ụbụrụ na-azụ abụọ ọdọ mmiri: vertebrobasilar na carotid. Nke ikpeazụ na-agụnye ndị carotid akwara (esịtidem). Ha na-enye a 70 85% nke ngụkọta ọbara olu. The carotid akwara na-ahụ maka fọrọ nke nta niile nke isi ọrịa ụbụrụ mgbasa. Nke a bụ isi ihe na-ezo aka ọnụ ụtarị. Na nke a, n'oge na-enyocha ha na-akwụ pụrụ iche. Ha atherosclerotic ọnya na nke a pụta bụ ihe nke elu mmasị cardiologists na vaskụla dọkịta na-awa na neurologists. The vertebrobasilar efere na-agụnye nri na ekpe vertebral akwara. Ha na-enye banyere 15-30% nke ngụkọta ọbara olu. Mmebi dị otú ahụ dị ka ọrịa strok, nwere ike kpọrọ ibutere ndidi eme ọbụna ka ọ ghara ịdị irè.

Blood ọrịa

Vertebral akwara ndị gara na ha alaka-zụọ cerebellum. Na erughi nke inweta ọbara ndị yiri omume nke dizziness. Nke a mgbaàmà nke vertebral akwara na-akpọ "vertebrobasilar insufficiency". Site echiche nke arịa a rụrụ ọkọnọ nke ụbụrụ azuokokoosisi. Na nke a Ọdịdị, lekwasị mkpa emmepe nke respiration na mgbasa. Na nke a, a ọrịa strok pụtara na ebe bụ ike zuru ezu na mgbe na-eduga ná ọnwụ. Ọ na-anọchi anya a oké ihe ize ndụ cervical osteochondrosis. vertebral akwara syndrome amalite n'ihi ọkpụkpụ deformation ọcha. Arịa ibu tortuous, na-eduga-emeghasịkwa nke ọbara ọkọnọ.

Ndị na-akpata nke imebi

Precipitating ihe nke enweghị nchịkwa ọnọdụ nwere ike ịbụ vertebral na nevertebrogennoy okike. Na nke ikpeazụ ikpe anyị na-ekwu okwu banyere unan na-enweghị njikọ na spain. Ha bụ n'ihi congenital anomalies nke size na N'ezie nke arịa ma ọ bụ atherosclerosis. Ma nke ikpeazụ mere na-chọpụtara infrequently. Ndị a anomalies enweghị otu nọọrọ onwe ha uru. Ma n'ihi na mgbakwunye na nke ndị ọzọ na ihe na-apịpụta akwara kpụrụ a nnọọ ọjọọ ọnọdụ.

Vertebral ọnya na-kpatara dị iche iche pathologies nke ọkpụkpụ azụ (osteochondrosis - tumadi). Ndị a na-anaghị ekwe nwere ike egosipụta onwe ha ọbụna nwata ma ọ bụ na-eto eto megide backdrop nke dysplastic ma ọ bụ posttraumatic akwusighi nke cervical spain. N'ihi ya, ọ nwere ike nkwarụ vertebral akwara.

Mgbaàmà nke erughi nke ọbara esenyịn

The kasị mara mma nke daa ọrịa atụle ga-mgbe nile, ụfọdụ na-amụba paroxysmal egbu mgbu throbbing mgbu isi ya. A, ọ na-metụtara nanị akụkụ ụfọdụ na occipital ebe. N'oge agha, ihe mgbu nwere ike igbasa ndị ọzọ ebe. Ọtụtụ mgbe ọ na-enye anya anya na imi, na parietal-temporal òkè ọkpọiso ma ọ bụ ntị. Soreness nwere ike ịbụ ma paroxysmal ma ọ bụ na-adịgide adịgide na okike. Metụtara nanị akụkụ ụfọdụ sensations abụkarị otu aka.

nro nke ahịa ala isi pụtara ugboro ugboro. Nke a mmetụta yiri ọbụna na a nta aka, combing. Mgbe mbịne ma ọ bụ tilting isi nwere ike ime ihe e ji mara crunch, ọkụ a hụrụ na ụfọdụ.

Mgbe ụfọdụ, ọrịa na vertebral akwara syndrome ogosiri dizziness so site ọgbụgbọ ma ọ bụ vomiting, ikpe ọnwụ, ịkụ / mkpọtụ ke ntị, dị iche iche na visual impairments. Nke ikpeazụ ga-agụnye ndị dị otú ahụ phenomena dị ka ọdịdị nke a ákwà nke alụlụ n'anya, abụọ ọhụụ, bịara ikiri na ndị ọzọ. Mgbe ụfọdụ ọrịa mkpesa nke a mmetụta nke ọnụnọ nke a mba ọzọ ahụ na akpịrị (pharyngeal migraine) na ihe isi ike na-elo ihe. N'etiti autonomic ọrịa nwere ike a obere mmetụta nke agụụ, akpịrị ịkpọ nkụ, mmetụta nke fever ma ọ bụ akpata oyi.

The mmeri nke ọmịiko plexus

Na nke a bụrụ na e ọrịa, Bernard-Horner. State na-esonyere, dị ka a na-achị, onye na-kwadoro ihe mgbu na paresthesias. Mgbaàmà-emekarị weghara ihu na ike palate, ezé na asụsụ. Na akpịrị na e nwere a tingling, ọkụ sensashion, na-eche na ọnụnọ nke a mba ọzọ ahụ. Tụkwasị na nke a mgbaàmà, e nwere ọgba aghara nke vestibular ụdị na ụdị dizziness, ebu na-ada site na. Ndị a na-anaghị ekwe na-ebu ọgbụgbọ na gbanyere mkpọrọgwụ n'obi ma ọ bụ mkpọtụ na ntị. N'oge isi ọwụwa e a fever, ebelata arụmọrụ, mụbara sweating, mụbara ike ọgwụgwụ, na-ebelata visual acuity, "filika ijiji n'anya-ya" na-egosi. Maka mgbanwe ọ bụla na ọnọdụ nke isi mgbu osisi ike nke ukwuu enwekwukwa. Ma n'otu oge ọrịa nwere ike ịhụ a ọnọdụ a mmetụta na-budata belata ma ọ bụ tutu amama kpamkpam.

congenital anomaly

Nke a na udi na-ezo pathologies hypoplasia. The ekpe vertebral akwara na-emetụta obere ugboro ugboro. ọrịa mgbaàmà na-hụrụ ozugbo. Mgbaàmà na-akpachi anya na hemodynamic ikwere. Nke a pụtara na n'ihu ndị ọnọdụ na-achọghị na enweghị ọbara esenyịn ibu clinically ịrịba ama, ọ ga-ewe oge ụfọdụ. Ọ ga-eti na na ahụ mmadụ na-compensating usoro na-ekwe ka ihe a nyere oge nke na-nkịtị nri.

Ndị na-akpata nke anomaly

Mere ịzụlite hypoplasia? The ekpe vertebral akwara pụrụ kpụrụ n'ụzọ ziri ezi na utero n'ihi ọtụtụ ihe. Ndị bụ isi na-agụnye:

• Bruises, nwanyi-ada n'oge gestation.
• The ojiji nke prenatal mmanya, ụfọdụ ọgwụ, ọgwụ ọjọọ, na ise siga.
• Agafere n'oge ime, na-efe efe.
• Family mere eme.

Against ndabere nke hypoplasia gosiri a ịrịba ibelata nke akwara na saịtị nke ya abanye ọwa na-eduga n'ime cranial oghere.

nchọpụta nsogbu

Identification n'ịmụ banyere ọrịa na-agụnye iji multiple research ụzọ. Mbụ niile, ọkachamara ya nkwubi okwu ndị dabeere na-adakarị picture. Na nke a anyị na-ekwu okwu banyere ozi nwetara na akwara ozi nnyocha, nakwa dị ka ọrịa na-mkpesa. Mgbe nchoputa a na-ahụrụ erughị ala n'olu, ihe isi ike na-atụgharị isi, ịdị nro na ọnọdụ maka Filiks 1 na nke 2 na cervical vertebrae. Ndị nnyocha e mere na-eji X-ụzarị. MRI a na-ewere a amanyere bụ iwu nke omume. Nke a na usoro na-enye ohere ka a mata kpọmkwem ihe kpatara ọbara ọrịa, ịchọpụta mkpakọ ngalaba nke arịa. Otu n'ime ndị isi ụzọ nke Ịchọpụta Otú Nsogbu a Doppler ultrasound (ultrasonic Doppler). N'oge nchọpụta nsogbu ọkachamara ga ọdịiche dị migraine syndrome.

ọgwụgwọ jikoro

Ọ bụrụ na nsogbu mgbasa (narrowed ma ọ bụ nkwarụ vertebral akwara), ọgwụgwọ na-emekarị mgbagwoju ndinọ. Therapeutic jikoro adabere na ọrịa afọ, ogo nke ọnọdụ, nakwa dị ka onye e ji mara nke onye ọrịa. N'ihi na eziokwu na ndị dị otú ọrịa bụ ndị n'ihe ize ndụ nke ọrịa strok, ọgwụgwọ jikoro isi iji na-ewepụ nsogbu na ọbara na vaskụla apịajighị apịaji. The mgbagwoju eji agụụ ọgwụgwọ pharmacopuncture. Ke adianade do, họpụtara reflexology, na-ewere a ọnụ ọgụgụ nke ọgwụ. Otu n'ime ihe ndị ọgwụ ọjọọ eme gosiri ngwa - ìhè antidepressants na mgbochi mkpali mmadụ. Ọ na-atụ aro ndị dị otú ahụ ọgwụ dị ka "Aminophylline," "Cinnarizine," "Cavintonum". pụtara "Betahistine" gosiri maka vertigo.

N'ihe banyere ọrịa na nnyocha e mere na-arịa ọrịa ma ọ bụ ọgidigi azụ ọbara na-atụ aro ọrịa ụlọ ọgwụ. Ọ bụrụ na ọ dịghị mkpa-anọ n'ụlọ ọgwụ ọkachamara nwere ike ikwu na nwa oge yi olu akwa Schanz. Nke a corset na-eji iji belata ibu na cervical spain. Against ndabere nke vertebral akwara ọrịa mgbe họpụtara chiropractic, physiotherapy na igba okpukpu, analgesics electrophoresis, phonophoresis, diadynamic okwukwo.