Vertebrobasilar matenda ozungulira

Vertebrobasilar circulatory circulitations ndi momwe magazi amapatsira kumbuyo kwaubongo amasokonekera.

Mitsempha iwiri yamitsempha yolumikizana imapanga mitsempha ya basilar. Awa ndiwo mitsempha yayikulu yamagazi yomwe imatulutsa magazi kumbuyo kwa ubongo.

Madera akumbuyo kwaubongo omwe amalandira magazi kuchokera mumitsempha imeneyi amafunikira kuti munthu akhale ndi moyo. Maderawa amawongolera kupuma, kugunda kwa mtima, kumeza, masomphenya, kuyenda, kapangidwe kake kapena kulimbitsa thupi. Zizindikiro zonse zamanjenje zomwe zimalumikiza ubongo ndi thupi lonse zimadutsa kumbuyo kwa ubongo.

Zinthu zosiyanasiyana zimatha kuchepetsa kapena kuyimitsa kutuluka kwa magazi kumbuyo kwa ubongo. Zomwe zimayambitsa chiopsezo ndikusuta, kuthamanga kwa magazi, matenda ashuga, komanso kuchuluka kwama cholesterol. Izi ndizofanana ndi zomwe zimayambitsa chiwopsezo chilichonse.

Zina mwa zifukwa zake ndi izi:

• Misozi kukhoma kwa mtsempha wamagazi
• Magazi amatundikira mumtima omwe amapita kumitsempha yama vertebrobasilar ndikupangitsa sitiroko
• Kutupa kwa chotengera chamagazi
• Matenda othandizira
• Mavuto m'mafupa a msana wa khosi
• Kupanikizika kwakunja kwa mitsempha ya vertebrobasilar, monga kuchokera ku salon sink (yotchedwa beauty parlor syndrome)

Zizindikiro zodziwika zimaphatikizapo:

• Zovuta kutchula mawu, kusalankhula bwino
• Zovuta kumeza
• Kuwona kawiri kapena kutayika kwamaso
• Dzanzi kapena kumva kulasalasa, nthawi zambiri kumaso kapena kumutu
• Kugwa mwadzidzidzi (kugwetsa)
• Vertigo (kutengeka kwa zinthu zomwe zikuzungulira)
• Kutaya kukumbukira

Zizindikiro zina zitha kuphatikiza:

• Mavuto chikhodzodzo kapena matumbo
• Kuvuta kuyenda (kusakhazikika)
• Mutu, kupweteka kwa khosi
• Kutaya kwakumva
• Minofu kufooka
• Nseru ndi kusanza
• Kupweteka mu gawo limodzi kapena angapo amthupi, omwe amafika poipa ndikumakhudza komanso kuzizira
• Kugwirizana molakwika
• Kugona kapena kugona komwe munthu sangathe kudzutsidwa
• Mwadzidzidzi, mayendedwe osagwirizana
• Kutuluka thukuta pankhope, mikono, kapena miyendo

Mutha kukhala ndi mayeso awa, kutengera chifukwa chake:

• CT kapena MRI yaubongo
• Computed tomography angiography (CTA), magnetic resonance angiography (MRA), kapena ultrasound kuyang'ana mitsempha yamagazi muubongo
• Kuyesa magazi, kuphatikiza maphunziro a magazi
• Zojambulajambula
• Electrocardiogram (ECG) ndi Holter polojekiti (maola 24 ECG)
• X-ray ya mitsempha (angiogram)

Zizindikiro za Vertebrobasilar zomwe zimayamba mwadzidzidzi ndizadzidzidzi zamankhwala zomwe zimafunikira kuthandizidwa nthawi yomweyo. Chithandizo ndi chofanana ndi sitiroko.

Pofuna kuchiza ndikupewa vutoli, omwe amakuthandizani pa zaumoyo angakulimbikitseni:

• Kutenga mankhwala ochepetsa magazi, monga aspirin, warfarin (Coumadin), kapena clopidogrel (Plavix) kuti achepetse chiopsezo cha sitiroko
• Kusintha zakudya zanu
• Mankhwala ochepetsa mafuta m'thupi komanso kuwongolera kuthamanga kwa magazi
• Kuchita masewera olimbitsa thupi
• Kuchepetsa thupi
• Kuleka kusuta

Njira zowononga kapena opaleshoni yochizira mitsempha yochepetsetsa mu gawo ili la ubongo siziphunziridwa bwino kapena kutsimikiziridwa.

Maganizo ake amatengera:

• Kuchuluka kwa kuwonongeka kwa ubongo
• Ndi ntchito ziti za thupi zomwe zakhudzidwa
• Mumalandira chithandizo mwachangu bwanji
• Mumachira mwachangu

Munthu aliyense amakhala ndi nthawi yosintha mosiyana ndipo amafunikira chisamaliro cha nthawi yayitali. Mavuto akusuntha, kulingalira, ndi kuyankhula nthawi zambiri amakula m'masabata kapena miyezi yoyambirira. Anthu ena apitilizabe kusintha kwa miyezi kapena zaka.

Zovuta zamatenda ozungulira a vertebrobasilar ndi sitiroko komanso zovuta zake. Izi zikuphatikiza:

• Kupuma (kupuma) kulephera (komwe kungafune kugwiritsa ntchito makina kuthandiza munthu kupuma)
• Mavuto am'mapapo (makamaka matenda am'mapapo)
• Matenda amtima
• Kusowa madzi m'thupi (kusowa madzi m'thupi) ndi mavuto akumeza (nthawi zina kumafuna kudyetsa chubu)
• Mavuto ndi kuyenda kapena kumva, kuphatikiza ziwalo ndi dzanzi
• Mapangidwe a kuundana m'miyendo
• Kutaya masomphenya

Mavuto omwe amayamba chifukwa cha mankhwala kapena opaleshoni amathanso kuchitika.

Imbani 911 kapena nambala yadzidzidzi yakwanuko, kapena pitani kuchipinda chodzidzimutsa ngati muli ndi zizindikilo za vutoli.

Vertebrobasilar kulephera; Kutulutsa kwazithunzi ischemia; Malo okongoletsera okongola; TIA - kusakwanira kwa ma vertebrobasilar; Chizungulire - kusakwanira kwa vertebrobasilar; Vertigo - kusakwanira kwama vertebrobasilar

• Mitsempha ya ubongo

Crane BT, Kaylie DM. Matenda apakati a vestibular. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chap 168.

Kernan WN, Ovbiagele B, Wakuda HR, et al. Malangizo popewa kupwetekedwa kwa odwala omwe ali ndi sitiroko komanso kuperewera kwaposachedwa: chitsogozo cha akatswiri azaumoyo ochokera ku American Heart Association / American Stroke Association. Sitiroko. 2014; 45 (7): 2160-2236. PMID: 24788967 pubed.ncbi.nlm.nih.gov/24788967/.

[Adasankhidwa] Kim JS, Caplan LR. Matenda a Vertebrobasilar. Mu: Grotta JC, Albers GW, Broderick JP, et al, olemba. Stroke: Pathophysiology, Diagnosis, and Management. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2016: chap 26.

Liu X, Dai Q, Ye R, et al; Ofufuza Oyesera Abwino Kwambiri. Chithandizo cham'mitsempha motsutsana ndi mankhwala ochiritsira a vertebrobasilar artery occlusion (BEST): mayeso otseguka, oyeserera mosasinthika. Lancet Neurol. Kukonzekera. 2020; 19 (2): 115-122. PMID: 31831388 pubed.ncbi.nlm.nih.gov/31831388/.