Kushanda kwepakati yenheyo yehurumende kunovimbiswa neropa kuuropi. Inenge 30% yehutachiona inobuda kubva 2 vertebral arteries. Ivo ndivo vanokonzerwa neropa rekupararira mumashure ekumucheto kwehuropi, uko kunokosha kwehutano hwehutano huripo.
Syndrome ye vertebral artery - zvinokonzera
Zvose zvinokonzera kukanganiswa kwemidziyo yakatsanangurwa inotsanangurwa mumapoka maviri makuru. Wekutanga anobatanidza chero zvikonzero zve vertebrogenic. Kuongororwa kwe vertebral artery syndrome nekervical osteochondrosis inowanzoonekwa, asi zvimwe zvirwere zve musculoskeletal system zvinogona kumutsa:
- dysplasia;
- mechanical damage;
- herniated intervertebral discs;
- kuberekwa kusagadzikana;
- kushandiswa kwemapfupa emapfupa;
- arthrosis;
- scoliosis;
- osteophytes;
- munyu unoisa;
- kuburitsa kwema discs;
- spondylosis;
- osteoporosis.
Boka rechipiri rinobatanidza kwete-abortogenic pathologies (isingaenderani nezvirwere zvepamusoro uye majoini):
- matumbo;
- kusagadzikana kwekuvandudzwa kwemasiteri;
- tsvina yemidziyo nemisumbu yemutsipa;
- atherosclerosis;
- embolism;
- arteritis;
- thromboses;
- tsvina muzvinyoro zvinyoro zvemutsipa.
Syndrome ye vertebral arteri - zviratidzo
Chiratidzo chikuru chechirwere ichi chiri kurwisa kurwadziwa kwekusiyana kwakasimba. Vascular uye vertebrogenic syndrome ye vertebral arteri inopindirana nezvimwe zviratidzo:
- kurasikirwa nekuenzanisa;
- kunzwa kutadza;
- kuora kwemaonero anooneka;
- ruzha munzeve;
- chizoro;
- kushungurudzika, dzimwe nguva nemarutsi;
- kuwedzerwa ropa;
- hypertension;
- angina pectoris;
- kurwisa kwechikafu chinokanganisa;
- manzwiro e "jecha", kuoma kwemakumbo emakumbo emeso;
- shaky walk;
- kupera, kusungirirwa kweganda rechitema;
- kurasikirwa kwekuziva;
- Kushungurudzika kwenguva pfupi yezvinomera zvinomera - nzara huru, nyota, chills, fever;
- slurred speech.
Pain in vertebral artery syndrome
Nemhaka yekushaikwa kweropa ropa reuropi mumakumbo ake, oxygen inzara inotanga. Panzvimbo ye hypo hypoia, pane bhata rimwechete-hutachiona hwemusoro - vertebral artery syndrome dzimwe nguva inowirirana nekurwisana kwakasimba kwakafanana nekemigraine. Munguva dzepasipo dzakadaro munhu anonzwa asinganzwisisi kunyange kana achirwa kana kubata.
Kakawanda, chirwere chetestrebral artery chinokonzera kurwa mune dzimwe nhengo dzomuviri:
- mutsi (cervicalgia);
- thorax;
- hafu chiso;
- pharynx;
Syndrome ye-vertebral arteri - kusava nekufema
Kufambira mberi kwehutachiona pasina kukodzera kwakakwana kunokurudzira kuwedzera mumakiriniki ekuratidzwa uye kuitika kwezvinetso. Mumamiriro ezvinhu akadaro, zviratidzo zvakakomba zvinowedzera vertebral artery syndrome - zviratidzo zvinosanganisira zvikamu zvakafanana nekurwadziwa kwemwoyo:
- kuora mwoyo kana kukurumidza kufema;
- kurova kurwadziwa mubhokisi;
- kukanganisa pfungwa.
Dzimwe nguva pane Bernard-Horner syndrome. Iyo inoratidzirwa nekunzwa kwekugara uripo mumutsipa kana pamutsipa wechinhu chinosarudzwa ("lump"), iyo inodzivisa kufema kufema, kuisa zvokudya kana mvura. Mukuwedzera, kune paresthesia yehafu yechiso - kushaya simba kwemasama, miromo, kunzwa kunzwika kana "kutambaira kunokambaira."
Syndrome ye vertebral arteri - kuongororwa
Icho chinonzi chirwere chakafanana mumakiriniki ekuratidzira kune migraine kurwisa ne aura. Kusiyanisa chirwere chetestreal artery nezvimwe zvirwere, chirongwa chakazara chekurapa chinodiwa. Chokutanga, chiremba anounganidza ruzivo pamusoro pezviratidzo zviripo, kusuruvara kwavo uye nguva. Panguva yekuongorora, nyanzvi inogadzirisa zvikwangwani zviripo - marwadzo mushure mehenya, kusagadzikana kwemitsipa ye occipital, kunetseka kuchinja musoro. Kupedzisira kuongororwa kwe "vertebral artery syndrome" kunosimbiswa pachishandiswa zvidzidzo zvinotevera:
- ultrasound dopplerography yemidziyo ;
- X-ray yepervical spine;
- magnetic resonance imaging kana kuti computed tomography.
Syndrome ye vertebral arteri - kurapwa
Kurwisana nechirwere ichi kunofanira kunge chakazara uye chinangwa chekubvisa chinokonzera kukanganiswa kweropa kumakumbo europi. Nzira yekurapa nayo chirwere chemuviri wekare:
- Tora mishonga inorayirwa nachiremba-anti-inflammatory, antimigrenous drugs, venotonics, muscle relaxants nemamwe nzira.
- Ita massage inokosha yemusana uye nzvimbo yemirasi.
- Nguva dzose upfeke chigadzirwa chemapfupa (iyo kirasi yaShantz) kubhadhara mutoro pamushonga wemumuromo.
- Ita maitiro ekurapa gymnastics.
- Enda kune physiotherapy sessions.
Anodzidzira muuttebral artery syndrome
Nokuda kwekusununguka kwekurwadziwa uye zvimwe zviratidzo zvehupenyu hunotsanangurwa, chirwere chekurapa chakakodzera, chinoita kuti pave nekuzorora kukuru kwemisungo kunze kwekufamba kamwe kamwe kwemuhuro. Syndrome ye vertebral arteri inobatanidza nekuvhiringidza maitiro, saka maitiro anosimba haagoni kuitwa. Zvinonyanya kuipa ndeyekutsika uye kutendeuka kwe musoro nemakwikwi makuru, vanogona kukuvadza mamiriro acho ezvinhu.
Basic isometric gymnastics ne vertebral artery syndrome ine maitiro matatu chete:
- Nzvimbo yekutanga iri kugara pachigaro uye yakananga zvakare. Unganidza zvimiti uye uzviise pasi pechiganda. Vanoisa kumanikidzwa pamaoko avo, vachiedza kuisa musoro wavo mberi. Zvichindwe zvinofanira kupikiswa, kuitira kuti mitsipa yemutsipa iomedze, asi musana haufaniri kufamba. Dzokorora 3 katatu kwemaminitsi 3-5.
- Isa ruoko rworuboshwe pane chekisi rakatarisana nechokunze kwechigunwe. Edza kudzorera musoro wako kurudyi. Panguva yekurovedza muviri, ruoko runoita kupikisa musoro, iyo inopa kukanganisa kumisungo yakasara yemutsipa. Dzokorora chiito chimwechete kune rumwe rutivi. Ita basa racho katatu kwemaminitsi 4-5 (kune rumwe rutivi).
- Isa zvigaro muhomwe, uzviise pamusana wemusoro. Edza kubvisa musoro wako shure, kurwisa maoko ako. Dzokorora kanomwe kwemaminitsi matatu.
Kuchengetedza neuttebral artery syndrome
Iko rudzi rwehuwandu hwemabhuku hunobvumirwa kushanda chete mushure mokunge maitiro makuru ekurapa. Kutanga, zvakakosha kumisa kuvhiringidza uye kuderedza vertebral artery syndrome - kurapwa pamusha nekushambadza munguva yakaoma kunogona kuguma zvakashata. Nzira dzekushandisa mumamiriro ezvinhu akadaro dzinokonzera kukanganisa kwakanyanya kwemidziyo yeropa nekusimbisa zviratidzo. Zvakakosha kuti kuisa muviri mushure mekuwedzera kwekugadzirwa kunoitwa nemudzidzisi anokwanisa, haugone kuzviita iwe pachako.
Syndrome ye-vertebral arteri - kurapwa, zvinodhaka
Mapoka emapoka ezvemapurisa anoshandiswa mukurapa kwechirwere ichi. Non-steroidal anti-inflammatory drugs:
- Meloksikam ;
- Nimesulide;
- Aertal;
- Diclofenac;
- Celecoxib.
Tsvina yekudzivirira yepakati yekuita inobatsira kuderedza chirwere uye kubvisa kukanganisa kwechimiro chetachiona:
- Baclofen;
- Midokalm;
- Tolperisone.
Kuvandudza neuronal metabolism yakashandiswa:
- Cerebrolysin;
- Gliatilin;
- Actovegin;
- Citicoline;
- Mexidol.
Iyo inowanzodiwa kuvandudza kubuda kweropa kuvhara chirwere chetestreal artery - mishonga inobereka izvi:
- Cinnarizine ;
- Instenon;
- Agapurin;
- Nicergoline;
- Vinpocetine.
Kudzorera metabolism mumasumbu uye midzi yeropa inobvumira:
- Trimetazidine;
- Mildronate ;
- Tiotriazolin.
Kudzivirira kuumbwa kwe thrombi uye kufambira mberi kweherosclerosis kunobatsira angioprotectors uye venotonics:
- Diosmin;
- Troxerutin;
- Heparin.
Iko kushandiswa kwemasero cell nutrition kunobvunzwa ne:
- Neurobion;
- Milgamma ;
- Neurovitan.
Kana migraine ichirwisa, chiremba anonyora triptans:
- Zomig;
- Sumygamren;
- Rapimed.
Syndrome ye vertebral artery - operation
Apo zvose zvinorongwa maitiro ekurapa hazvibatsiri, murwere anorayirwa kuti apindire chirwere. Kuvhiya kwetteralal artery syndrome kunoita kuti kugadziriswa kwezvinhu zvinokonzera kudzvinyirira ropa mudziyo nekuvhiringidzwa kwehupenyu hwehupenyu hwehutano kusvika kuuropi. Kusiyana kwekugadzirisa:
- periarterial sympathectomy;
- kubviswa kweansteophytes;
- kudzvinyirirwa kwehutachiona;
- kusagadzikana kwekufumurwa kwekuwedzera;
- kuiswa kwegurinda ne stent.
Syndrome ye vertebral artery - prognosis
Ichi chirwere chinoporesa zvakanaka kana chichinyatsotsanangurira zvikonzero zvekuitika kwayo, panguva yakatarisa kuongororwa uye kugadzirisa kurapa. Syndrome ye-vertebral arteri inopesana nechemberi yekervical osteochondrosis nezvimwe zvirwere zve musculoskeletal system zvakaoma zvikuru kutarisira kupfuura pane zvisingabatsiri kubvisa pamuviri, asi nzira yakakwana inobatsira kubvisa zvachose zviratidzo zvechirwere mumamiriro maviri aya.