Imithambo Vertebral. vertebral kwimithambo syndrome: iimpawu, isifo, unyango

Umthambo Vertebral kumka iimpahla ezinkulu subclavian. Ezi ndlela sikhule amalungu obuchopho. Ngokukodwa, igazi ekhutshwe kunye isithinzi Occipital, kwiCerebellum, buti. Ngaphezu koko uhlaziye iinkcukacha, yintoni eyenza ukuba umthambo vertebral. Eli nqaku liza ukuchaza ukusebenza ukuphazamiseka semithambo, iindlela zonyango nezinyangayo zisetyenziselwa ukukhawulelana nazo.

Overview

Ezi ziqwempu kwemithambo vertebral kucanda imiphantsi akhiwa iinkqubo ezinqamlezayo eziqalelo ithambo wesibeleko. Kuba indawo yayo, kunye neempahla zaye igama. Zingene kwisisu cranial ngokusebenzisa magnum foramen, Umthambo vertebral kwi esikhondweni ebuchotsheni angene channel basilar. Ukususela kule sayithi, awabonisi phezulu. Phantsi zifaka palsy kwenzeka eyayizalwa. Kwelinye icala omnye liphela sokunene, yaye kwelinye - kwemithambo vertebral ekhohlo.

nokwakheka

channel nganye yahlulwe kwezinye iindawo. Chonga ziqwempu zilandelayo kwemithambo vertebral:

• Intracranial. Eli candelo unabela ukuya cranial ukusekwa isithuba kwisisu kunye namasebe lokuhlanganisa channel basilar.
• Nape. Le ingxenye esusela yokuphuma iinkqubo channel (transversal) of omqolo (wesibeleko) phambi kokuba ukungena kwisisu cranial.
• Neck. Eli candelo inabela ngenkqubo channel (ezinqamlezayo) amathambo wesibeleko.
• Prespinal. Siso eso isabelo ezantsi. Ingxenye lisuka kwindawo imvelaphi iimpahla vertebral ukusuka subclavian emnyango kwiinkqubo ijelo amathambo yomqolo wesibeleko.

head igazi

Ubuchopho uyazondla nezadunge ezimbini: vertebrobasilar kunye carotid. Le yokugqibela ziquka imithambo carotid (ngaphakathi). Zikunikeza-70 ukuya ku-85% ye-umthamo wegazi iyonke. Kwemithambo carotid banoxanduva phantse yonke ukuphazamiseka eziphambili ejikeleza ebuchotsheni. Oku ngokuyintloko libhekisela kwamalungu omzimba. Kulo mba, ngethuba loviwo kwemivuzo ingqalelo ekhethekileyo. izilonda zabo atherosclerotic kunye neziphumo zoku injongo cardiologists eziphakamileyo umdla kunye noogqirha nemithambo kunye neurologists. Isitya vertebrobasilar ibandakanya ilungelo kunye kwemithambo vertebral ngasekhohlo. Zinika malunga 15-30% ye umthamo wegazi iyonke. umonakalo afana ngesibetho, angafaka ukwenzakalisa isigulane nokuba kube olungasebenziyo.

negazi

imithambo Vertebral kunye amasebe awo kondla kwiCerebellum. Xa ukuswela igazi ukuba kusenokwenzeka okuvela nesiyezi. Le uphawu kwemithambo vertebral kuthiwa "insufficiency vertebrobasilar". Ngokuqwalaselwa kweenqanawa lwenziwa nangoncedo esiqwini ebuchotsheni. Kwesi sakhiwo, kanzulu amaziko ezibalulekileyo nokuphefumla kunye ejikelezayo. Kulo mba, istroke kwenzeka kummandla kunzima ngokwaneleyo kwaye kaninzi ekhokelela ekufeni. Iluphawu ingozi osteochondrosis enkulu wesibeleko. vertebral kwimithambo syndrome ngenxa izinto deformation ithambo. Izikhephe baba jiko, ekhokelela uphazamiseko igazi.

Ubangelwa zokuphula

Ukunisa imiba yeemeko zophendlo lwezifo kunokuba vertebral kunye nevertebrogennoy indalo. Kwimeko yokugqibela sithetha iingozi akukho ngokunxibelelene kwalapho. Kokuba babe balindeleke ukuba mgaqweni iziphene lobungakanani kunye ikhondo kweenqanawa okanye yegazi. Kodwa ke isizathu yokugqibela unesifo kungeyonto ayenza rhoqo. Ezi mgaqweni abanawo ixabiso elizimeleyo. Kodwa ngenxa kongezwe ezinye izinto ukucudisa imithambo kwayileka imeko engafunekiyo kakhulu.

izilonda Vertebral zibangelwa ezimbi ezahlukeneyo yomqolo (osteochondrosis - ikakhulu). Ezi ukuphazamiseka ngazo bona ebuntwaneni okanye lokufikisa sizoku lwisana dysplastic okanye ukungazinzi posttraumatic yomqolo wesibeleko. Ngenxa yoko, oko gqitha imithambo vertebral.

Iimpawu ukuswela igazi

Eyona nto uphawu le ngezifo uthathwa rhoqo, kwezinye iimeko ukwandisa paroxysmal iintlungu throbbing esibuhlungu intloko yakhe. Ngokuqhelekileyo, oko yenzelwe kwindawo Occipital. Ngexesha ukuhlasela, iintlungu ingahlakazeki kwezinye iindawo. Kaninzi yena unika ukuya kwisokethi iliso kunye impumlo, kwi Parietal-temporal sabelo ebunzi okanye indlebe. Bomzimba isenokuba paroxysmal okanye ezisisigxina. njengokungathi eyendayo ngokuqhelekileyo ngesandla mnye.

ngobubele entlonzeni kwenzeka qho. Le imvakalelo livela nokuba ngokundibamba kancinane, combing. Xa Wabaguqukela okanye tilting intloko kuyenzeka kwemali iimpawu, ukutshisa elifana neli kwezinye iimeko.

Kwezinye iimeko, izigulane Umthambo vertebral syndrome elivelayo nesiyezi ekhatshwa isicaphucaphu okanye ukugabha, bakuva ilahleko, ikhalisa / ingxolo ezindlebeni, abanengxaki zokubonwayo. Le yokugqibela kufuneka ibandakanye ngezenzeko ezifana yimbonakalo umkhusane inkungu phambi kwamehlo, umbono kabini, awucaci kunye nabanye. Ngamanye amaxesha izigulane ezikhala imvakalelo ebusweni liqumrhu langaphandle emqaleni (pharyngeal migraine) kunye ubunzima ligwinya. Phakathi izifo yawo kusenokubakho imvakalelo elifutshane yindlala, unxano, imvakalelo fever okanye Ukugodola.

Ekubulaleni plexus onovelwano

Kule meko apho Syndrome, uBernard-Horner. State ihamba, njengoko umthetho, iintlungu macala kunye paresthesias. Iimpawu idla mazifake ngobuso inkalakahla nzima, amazinyo nolwimi. Emqaleni kukho esibuhlungu, esivuthayo imvakalelo, uziva phambi umzimba amazwe. Ukongeza kwezi mpawu, kukho ukuphazamiseka zohlobo vestibular ngohlobo nesiyezi, ukugxadazela kunye zingawi. Ezi ukuphazamiseka zihambisana isicaphucaphu kunye yokukhala okanye ingxolo endlebeni. Ngexesha yintloko kukho nangecesina, intsebenzo lehla, ukubila, amathuba ukudinwa, sinciphise acuity ezibonwayo, "yokudanyaza iyabhabha phambi kwamehlo akhe" livela. Kuba naluphi na utshintsho kwindawo yentloko ngamandla iintlungu ngcono kakhulu. Kodwa ke ngaxeshanye isigulane ukufumana indawo apho ndiziva zancitshiswa okanye kakhulu wasiphula konke.

anomaly naso

Olu didi libhekisa ezimbi hypoplasia. Kwemithambo vertebral eliseleyo ochaphazelekayo alufane. Iimpawu sifo zikhona ngoko nangoko. Ezi mpawu zinxulumene ngokusondeleyo hemodynamic ukusilela. Oku kuthetha ukuba phambi kokuba ngxi kunye nokusilela igazi baba ngokwezonyango ebalulekileyo, kuya kuthatha ixesha elide. Kufuneka kukhunjulwe ukuba umzimba lwabantu ukubuyekeza iindlela ezivumela ukuba kungabekwa ukugcina ukutya obuqhelekileyo.

Izinto ezibangela le anomaly

Kutheni ukuphuhlisa hypoplasia? Kwemithambo vertebral ngasekhohlo ukuze kwakheke ngokuchanekileyo Esibelekweni ngenxa yezizathu eziliqela. Abo main zibandakanya:

• Nemivumbo, abafazi kuwa ngexesha yokumitha.
• Ukusetyenziswa kotywala siswini, amayeza athile, iziyobisi, kunye nokutshaya.
• Watshintshelwa ngexesha lokukhulelwa, izifo ezosulelayo.
• imbali yosapho.

Ngokuchasene imvelaphi hypoplasia wabonisa exineneyo ebonakalayo kwemithambo kwisayithi okungena lwayo lijelo elikhokelela kwisisu cranial.

ekuxilongweni

Ukuchongwa leengxaki kubandakanya ukusetyenziswa kweendlela ezininzi zophando. Okokuqala, ingcaphephe izigqibo zayo esekelwe kumfanekiso lwezonyango. Kule meko sithetha ngayo inkcazelo efunyenwe kuviwo luvo, kwakunye izikhalazo yesigulana. Xa uxilongo idla bekubona kwempixano intamo, ubunzima Wajika intloko, isisa kwi uxinzelelo kwiinkqubo-1 nelesi-2 amathambo wesibeleko. Olu phando ikwasetyenziselwa-X-reyi. MRI uthathwa isiganeko mandatory. Le nkqubo ivumela ukuba atyhile ngqo negazi isizathu, ukuba ukubona icandelo ucinezelo benqanawa. Enye yeendlela eziphambili zokufumanis a ultrasound Doppler (Doppler cuke). Noxilongo specialist kufuneka umahluko migraine syndrome.

amanyathelo zonyango

Ukuba ejikelezayo zaphazanyiswa (iingqameko okanye gqitha Umthambo vertebral), unyango ngokuqhelekileyo ezintsonkothileyo iphethwe. amanyathelo therapeutic kuxhomekeka kubudala yesigulane, ubukhali imeko, kwakunye neempawu ngamnye yesigulana. Ngenxa yokuba izigulane ezinjalo basemngciphekweni nobetho, iziindawo amanyathelo zonyango lwajoliswa yokunqanda yokuphazamiseka flow igazi aqaqambayo nemithambo. I esimbaxa pharmacopuncture unyango cleaner ezisetyenziswayo. Ukongeza, i-Reflexology amisiweyo, ukuthatha iqela amayeza. Phakathi amachiza eboniswe kwisicelo - lakhula ukukhanya arhente anti-ukudumba. Kukhuthazwa amayeza afana "Aminophylline," "Cinnarizine," "Cavintonum". lithetha "Betahistine" Libonisa ukuba vertigo.

Kwimeko ukuphazamiseka ngexa iimviwo umnqonqo okanye kwegazi yobuchopho ezicetyiswayo sokwamkelwa isigulane esibhedlele. Ukuba akukho mfuneko engxamisekileyo ukuhlala specialist esibhedlele ingenza isindululo enxibe okwethutyana ikhola Schanz. Le corset isetyenziselwa ukunciphisa umthwalo kwi kwalapho wesibeleko. Ngokuchasene imvelaphi vertebral kwimithambo syndrome badla amisiweyo kwamathambo, ukuyifundisa kunye lokugqojozwa, analgesics electrophoresis, phonophoresis, imisinga diadynamic.