Vertebrobasilar kutenderera kwekutenderera

Vertebrobasilar circulatory disorders ndiwo mamiriro ezvinhu apo kuwedzerwa kweropa kumusana kwehuropi kwakakanganiswa.

Mitsipa miviri yemitsipa inobatana kuita artery basilar. Iyi ndiyo midziyo mikuru yeropa inopa kuyerera kweropa kuseri kwehuropi.

Nzvimbo dziri kuseri kwehuropi dzinogashira ropa kubva mutsinga idzi dzinodiwa kuti munhu arambe ari mupenyu. Idzi nzvimbo dzinodzora kufema, kurova kwemoyo, kumedza, kuona, kufamba, uye kumira kana kuenzanisa. Ese eesystem system anonongedzera anobatanidza huropi kune yakasara yemuviri inopfuura nekumashure kwehuropi.

Mamiriro mazhinji akasiyana anogona kudzora kana kumisa kuyerera kweropa muchikamu chekumashure cheuropi. Zvinowanzoitika panjodzi kusvuta, kukwirisa kweropa, chirwere cheshuga, uye cholesterol yakawanda. Izvi zvakafanana nezvinokonzera njodzi yekurohwa chero kupi.

Zvimwe zvikonzero zvinosanganisira:

• Kubvarura pamadziro etsinga
• Ropa rinovhara mumoyo iro rinoenda kune ma vertebrobasilar arteri uye rinokonzera sitiroko
• Ropa mudziyo kuzvimba
• Zvinobatanidza zvinyama zvirwere
• Matambudziko mumapfupa emusana emutsipa
• Kunze kwekumanikidza kwema vertebrobasilar arteri, senge kubva kusalon soni (inonzi zita renzvimbo yekunaka syndrome)

Zviratidzo zvakajairika zvinogona kusanganisira:

• Zvakaoma kududza mazwi, kutaura kwakadzikira
• Zvakaoma kumedza
• Kuona kaviri kana kurasikirwa kwemaonero
• Unhu kana kugwinha, kazhinji pachiso kana mumusoro
• Kamwe kamwe kuwira (kudonha kurwisa)
• Vertigo (kunzwa kwezvinhu kuri kutenderera)
• Kurasikirwa kwendangariro

Zvimwe zviratidzo zvinogona kusanganisira:

• Matambudziko edundira kana ura
• Kuoma kufamba (kusagadzikana gait)
• Kutemwa nemusoro, mutsipa kurwadza
• Kunzwa kurasikirwa
• Tsvina kushaya simba
• Kusvotwa uye kurutsa
• Marwadzo mune chimwe kana zvimwe zvikamu zvemuviri, izvo zvinowedzera kuwedzera nekubata uye kutonhora kutonhora
• Kurongeka kwakashata
• Kurara kana kurara uko munhu asingakwanise kumutswa
• Kamwe kamwe, mafambiro asina kubatana
• Kudikitira kumeso, maoko, kana makumbo

Unogona kunge uine bvunzo dzinotevera, zvinoenderana nechikonzero.

• CT kana MRI yehuropi
• Computed tomography angiography (CTA), magnetic resonance angiography (MRA), kana ultrasound yekutarisa tsinga dzeropa muuropi.
• Kuongororwa kweropa, kusanganisira kudzidza kuvhara ropa
• Echocardiogram
• Electrocardiogram (ECG) uye Holter Monitor (24-awa ECG)
• X-ray yeiyo arteri (angiogram)

Vertebrobasilar zviratidzo zvinotanga kamwe-kamwe ndezvekurapwa kwekukurumidzira kunoda kurapwa ipapo ipapo. Kurapa kwakafanana neicho sitiroko.

Kuti urape uye udzivirire mamiriro acho, mupi wako wezvehutano anogona kukurudzira:

• Kutora mishonga yekucheka ropa, yakadai saaspirin, warfarin (Coumadin), kana clopidogrel (Plavix) kudzikisa njodzi yekurwara
• Kuchinja kudya kwako
• Mushonga wekudzikisa cholesterol uye nekudzora zvirinani BP
• Kudzidzira
• Kuderedza uremu
• Kurega kusvuta

Maitiro ekupinda kana kuvhiya kurapa tsinga dzakadzikira muchikamu chino cheuropi hadzina kunyatsodzidziswa kana kuratidzwa.

Maonero anoenderana ne:

• Kuwanda kwekukuvara kwehuropi
• Ndeapi mabasa emuviri akanganiswa
• Unokurumidza sei kurapwa
• Unokurumidza sei kupora

Munhu wega wega ane imwe nguva yekudzoreredza uye inoda yekutarisirwa kwenguva refu. Zvinetso nekufamba, kufunga, uye kutaura zvinowanzovandudza mumavhiki ekutanga kana mwedzi. Vamwe vanhu vacharamba vachivandudza kwemwedzi kana makore.

Matambudziko e vertebrobasilar circulatory kusagadzikana sitiroko uye matambudziko ayo. Izvi zvinosanganisira:

• Kufema (kufema) kutadza (izvo zvingangoda kushandiswa kwemuchina kubatsira munhu kufema)
• Matambudziko emapapu (kunyanya hutachiona hwemapapu)
• Kumira kurova kwemoyo
• Kushaikwa kwemvura mumuviri (kupera mvura mumuviri) uye nekumedza matambudziko (dzimwe nguva zvinoda kudya kwepombi)
• Zvinetso nekufamba kana kunzwa, kusanganisira kuoma mitezo uye chiveve
• Kuumbwa kwemamota mumakumbo
• Chiratidzo kurasikirwa

Matambudziko anokonzerwa nemishonga kana kuvhiyiwa anogona kuitika.

Fonera 911 kana yako yemuno emergency emergency, kana svika kuimba yekukurumidzira kana uine chero zviratidzo zve vertebrobasilar circulatory disorder.

Vertebrobasilar insufficiency; Posterior kutenderera ischemia; Runako parlor syndrome; TIA - vertebrobasilar insufficiency; Dzungu - vertebrobasilar insufficiency; Vertigo - vertebrobasilar kusakwana

• Tsinga dzehuropi

Crane BT, Kaylie DM. Matambudziko epakati epakati. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 168.

Kernan WN, Ovbiagele B, Nhema HR, et al. Nhungamiro yekudzivirira sitiroko kune varwere vane sitiroko uye inopera ischemic kurwisa: nhungamiro yevashandi vehutano kubva kuAmerican Heart Association / American Stroke Association Kurohwa. 2014; 45 (7): 2160-2236. PMID: 24788967 yakanyorwa.ncbi.nlm.nih.gov/24788967/.

Kim JS, Caplan LR. Vertebrobasilar chirwere. Mune: Grotta JC, Albers GW, Broderick JP, et al, eds. Stroke: Pathophysiology, Kuongorora, uye Management. 6th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 26.

Liu X, Dai Q, Ye R, et al; VANOGONESA Vaedzo Vanoongorora. Endovascular kurapwa maringe neyakajairwa kurapwa kweiyo vertebrobasilar artery kuvharirwa (BEST): yakavhurika-chitambi, yakasarudzika inodzorwa kutongwa. Lancet Neurol. 2020; 19 (2): 115-122. PMID: 31831388 pubmed.ncbi.nlm.nih.gov/31831388/.