Kulephera kwa Vertebrobasilar

Zamkati

• Nchiyani chimayambitsa VBI?
• Ndani ali pachiwopsezo cha VBI?
• Kodi Zizindikiro za VBI ndi ziti?
• Kodi VBI imapezeka bwanji?
• Kodi VBI imathandizidwa bwanji?
• Kodi VBI ingapewe bwanji?
• Kodi malingaliro akutali ndi otani?

Kodi kusowa kwa ma vertebrobasilar ndi chiyani?

Mitsempha ya vertebrobasilar arterial system ili kumbuyo kwa ubongo wanu ndipo imaphatikizira mitsempha yamtundu ndi basilar. Mitsempha imeneyi imapereka magazi, okosijeni, ndi michere m'mbali zofunikira zaubongo, monga ubongo wanu, ma occipital lobes, ndi cerebellum.

Vuto lotchedwa atherosclerosis limatha kuchepetsa kapena kuyimitsa kutuluka kwa magazi mumitsempha iliyonse mthupi lanu, kuphatikiza ma vertebrobasilar system.

Atherosclerosis ndikulimba ndi kutsekeka kwamitsempha. Zimachitika pamene chikwangwani chomwe chimapangidwa ndi cholesterol ndi calcium chimakhazikika m'mitsempha yanu. Chikwangwani chambiri chimachepetsa mitsempha yanu ndikuchepetsa magazi. Popita nthawi, chikwangwani chimatha kuchepa komanso kutsekereza mitsempha yanu, kuteteza magazi kuti asafike kumalimba.

Magazi akamayenda m'mitsempha ya ma vertebrobasilar system amachepetsedwa kwambiri, vutoli limadziwika kuti vertebrobasilar insufficiency (VBI).

Nchiyani chimayambitsa VBI?

VBI imachitika pamene magazi amayenda kumbuyo kwa ubongo wanu kuchepetsedwa kapena kuyima. Malinga ndi kafukufuku, atherosclerosis ndiye chimayambitsa vutoli.

Ndani ali pachiwopsezo cha VBI?

Zowopsa pakukula kwa VBI ndizofanana ndi zomwe zimakhudzana ndi atherosclerosis. Izi zikuphatikiza:

• kusuta
• matenda oopsa (kuthamanga kwa magazi)
• matenda ashuga
• kunenepa kwambiri
• kukhala wazaka zopitilira 50
• banja mbiri ya matenda
• kuchuluka kwa lipids (mafuta) m'magazi, omwe amadziwikanso kuti hyperlipidemia

Anthu omwe ali ndi atherosclerosis kapena peripheral arterial disease (PAD) ali ndi chiopsezo chowonjezeka chokhala ndi VBI.

Kodi Zizindikiro za VBI ndi ziti?

Zizindikiro za VBI zimasiyana kutengera kukula kwa vutoli. Zizindikiro zina zimatha kukhala kwakanthawi, ndipo zina zimatha kukhala zosatha. Zizindikiro zodziwika bwino za VBI ndi izi:

• kutayika kwamaso m'maso amodzi kapena onse awiri
• masomphenya awiri
• chizungulire kapena chizungulire
• dzanzi kapena kumva kulasalasa m'manja kapena m'mapazi
• nseru ndi kusanza
• mawu osalankhula
• kusintha kwa malingaliro, kuphatikizapo kusokonezeka kapena kutaya chidziwitso
• mwadzidzidzi, kufooka kwakukulu mthupi lanu lonse, komwe kumatchedwa kuti dontho
• kutaya bwino komanso kulumikizana
• zovuta kumeza
• kufooka kwa gawo lina la thupi lanu

Zizindikiro zimatha kubwera ndikupita, monga momwe zimakhalira posachedwa ischemic attack (TIA).

Zizindikiro za VBI ndizofanana ndi za sitiroko. Funsani chithandizo chadzidzidzi ngati mukukumana ndi izi.

Kulowererapo kwachipatala nthawi yomweyo kumathandizira kukulitsa mwayi wanu wochira ngati zizindikilo zanu zimachitika chifukwa cha sitiroko.

Kodi VBI imapezeka bwanji?

Dokotala wanu amayeza thupi ndikuyesa mayeso angapo ngati muli ndi zizindikiro za VBI. Dokotala wanu adzakufunsani zaumoyo wanu ndipo akhoza kuyitanitsa mayeso otsatirawa:

• CT kapena MRI amayang'ana kuti ayang'ane mitsempha yamagazi kumbuyo kwa ubongo wanu
• maginito amvekedwe angiography (MRA)
• kuyesa magazi kuti aone kutsekeka kwa magazi
• Echocardiogram (ECG)
• angiogram (X-ray yamitsempha yanu)

Nthawi zambiri, dokotala wanu amathanso kuyitanitsa pampu wamtsempha (wotchedwanso kuti lumbar puncture).

Kodi VBI imathandizidwa bwanji?

Dokotala wanu akhoza kulimbikitsa njira zingapo zamankhwala kutengera kukula kwa zizindikilo zanu. Akulimbikitsanso kusintha kwamakhalidwe, kuphatikizapo:

• kusiya kusuta, ngati mumasuta
• kusintha zakudya zanu kuti muchepetse kuchuluka kwama cholesterol
• kuonda, ngati wonenepa kwambiri kapena wonenepa kwambiri
• kukhala achangu kwambiri

Kuphatikiza apo, dokotala akhoza kukupatsirani mankhwala othandizira kuti muchepetse chiwopsezo chakuwonongeka kapena kupweteka. Mankhwalawa atha:

• kuchepetsa magazi
• kuletsa matenda ashuga
• kuchepetsa mafuta m'thupi
• chepetsa magazi ako
• kuchepetsa magazi magazi

Nthawi zina, dokotala wanu amalimbikitsa kuchitidwa opaleshoni kuti abwezeretse magazi kumbuyo kwa ubongo. Kuchita opaleshoni yolambalala ndichosankha monga endarterectomy (yomwe imachotsa zolembapo pamitsempha yomwe yakhudzidwa).

Kodi VBI ingapewe bwanji?

Nthawi zina VBI sitingapewe. Izi zikhoza kukhala choncho kwa iwo omwe akukalamba kapena omwe adwala sitiroko. Komabe, pali njira zomwe zimachepetsa kukula kwa atherosclerosis ndi VBI. Izi zikuphatikiza:

• kusiya kusuta
• kuchepetsa kuthamanga kwa magazi
• kuwongolera shuga wamagazi
• kudya chakudya chopatsa thanzi chomwe chili ndi zipatso, ndiwo zamasamba, ndi mbewu zonse
• kukhala otakataka

Kodi malingaliro akutali ndi otani?

Maganizo a VBI amatengera zizindikiro zanu, thanzi lanu, komanso msinkhu wanu. Achinyamata omwe amakhala ndi zizindikilo zochepa ndikuwongolera pakusintha kwa moyo wawo komanso mankhwala amakhala ndi zotsatira zabwino. Kukalamba, kufooka, ndi zikwapu zimatha kusokoneza malingaliro anu. Kambiranani njira ndi mankhwala ndi dokotala kuti muthandize kupewa VBI kapena kuchepetsa zizindikilo zake.