Kev ua hauj lwm ntawm lub hauv paus ntawm lub paj hlwb yog ensured los ntawm cov ntshav txaus rau lub hlwb. Kwv yees li ntawm 30% ntawm cov roj ntsha kua tawm los ntawm 2 vertebral arteries. Lawv muaj lub luag haujlwm ntawm cov ntshav hauv cov pos hniav hauv lub hlwb, qhov chaw tseem ceeb hauv cov leeg hlwb.
Syndrome ntawm vertebral artery - ua rau
Txhua yam ua rau kev cuam tshuam ntawm cov nkoj uas tau piav qhia yog muab cais ua 2 pawg loj. Thawj sib koom ua ke ua vertebrogenic ua. Tus mob ntawm vertebral artery syndrome nrog ncauj tsev menyuam osteochondrosis ntau dua, tab sis lwm cov kab mob ntawm lub cev musculoskeletal yuav ua rau nws mob:
- dysplasia;
- mechanical puas tsuaj;
- herniated intervertebral discs;
- kev mob plab;
- tawm ntawm pob txha txoj kab;
- arthrosis;
- scoliosis;
- osteophytes;
- ntsev dej;
- protrusion ntawm discs;
- spondylosis;
- osteoporosis.
Qhov thib ob pab pawg neeg muaj xws li kab mob uas tsis yog-abortogenic (tsis hais txog cov kab mob ntawm qaum thiab pob qij txha):
- qog;
- txawv txav ntawm txoj kev loj hlob ntawm cov hlab ntsha;
- spasms ntawm cov hlab ntsha thiab cov leeg ntawm lub caj dab;
- atherosclerosis;
- embolism;
- mob ntsws;
- ntsws muaj zog;
- caws pliav hauv cov nqaij mos ntawm lub caj dab.
Syndrome ntawm vertebral artery - cov tsos mob
Lub plawv tseem ceeb ntawm tus kab mob no yog tawm tsam qhov mob ntawm qhov sib txawv. Vascular thiab vertebrogenic syndrome ntawm vertebral artery yog nrog lwm cov tsos mob:
- tsis tshuav nyiaj npaum li cas;
- tsis hnov lus zoo;
- deterioration ntawm kev pom tseeb tseeb;
- suab nrov hauv pob ntseg;
- kiv taub hau;
- xeev siab, qee zaus nrog ntuav;
- ntxiv ntshav siab;
- kub siab;
- angina pectoris;
- tus kab mob tsis sib haum xeeb;
- hnov plawv ntawm "xuab zeb", ua rau lub qhov muag tsis pom ntawm lub qhov muag;
- thawv taug kev;
- loog, tingling ntawm daim tawv nqaij ntawm lub ntsej muag;
- tsis nco qab;
- sij hawm luv tsaj zaubmob - mob tshaib nqhis, nqhis dej, ua daus no, ua npaws;
- slurred hais lus.
Mob hauv vertebral artery syndrome
Vim tias cov ntshav tsis txaus ntawm lub hlwb hauv nws cov ntaub so ntswg, pib ua rau lub cev tshaib plab. Nyob rau hauv keeb kwm ntawm hypoxia, yog mob taub hau ib leeg-mob taub hau - vertebral artery syndrome qee zaum muaj cov kev tawm tsam muaj zog zoo nkaus li ib tus mob cancer. Thaum lub sij hawm zoo li no tus neeg xav tias tsis xis nyob txawm tias thaum sib txuas los yog kov ub kov no.
Feem ntau, qhov mob ntawm vertebral artery ua rau mob hauv lwm qhov hauv lub cev:
- lub caj dab (ncauj tsev menyuam);
- tob;
- ib nrab lub ntsej muag;
- pharynx;
Syndrome ntawm vertebral artery - tsis ua pa
Kev mob ntawm pathology tsis txaus kev kho mob ua rau muaj kev nce rau hauv nws qhov kev mob tshwm sim thiab qhov tshwm sim ntawm cov teeb meem. Thaum zoo li no, cov tsos mob hnyav ntau dua nrog rau vertebral artery syndromes - cov tsos mob muaj xws li mob qog nqaij hlav hauv lub plawv:
- kev ua pa lossis ua tsis taus pa;
- piercing mob hauv siab;
- qhov muag plooj plooj.
Qee lub sij hawm muaj Bernard Horn Horner syndrome. Nws yog ib qho zoo nkaus li muaj qhov mob nyob hauv caj pas los caj pas ntawm ib qho chaw txawv teb chaws ("lump"), uas ua rau tsis ua pa li qub, noj cov zaub mov los yog kua. Tsis tas li ntawd, muaj cov txheej txheem ntawm ib nrab ntawm lub ntsej muag - loog loog ntawm lub puab tsaig, daim di ncauj, tingling nov los yog "nkag quaj."
Syndrome ntawm vertebral artery - mob
Tus kab mob uas nthuav qhia yog zoo ib yam li cov kev mob tshwm sim rau cov mob migraine tawm tsam nrog aura. Yuav kom paub qhov txawv ntawm tus kab mob vertebral artery thiab lwm yam kab mob, yuav tsum muaj kev ntsuam xyuas txhua yam. Ua ntej, tus kws kho mob khaws cov ntaub ntawv txog cov tsos mob tshwm sim, lawv qhov mob hnyav thiab ntev npaum li cas. Thaum kuaj xyuas, tus kws kho mob tshwj xeeb kho cov lus tsis txaus siab - muaj mob nyob tom qab ntawm pob txha taub hau, nrawm ntawm cov leeg nqaij occipital, nyuaj rau tig lub taub hau. Qhov ntsuam xyuas zaum kawg ntawm "vertebral artery syndrome" yog tsim los ntawm cov kev tshawb fawb nram qab no:
- Ultrasound dopplerography ntawm cov hlab ntsha ;
- Xoo hluav taws xob ntawm lub ncauj tsev menyuam;
- magnetic resonance imaging lossis computed tomography.
Syndrome ntawm vertebral artery - kev kho mob
Kev sib ntaus tawm tsam tus kabmob no yuav tsum muaj kev qhia thiab tswj ntawm qhov ua rau ntawm qhov ua rau cov ntshav tsis zoo rau lub paj hlwb. Yuav kho tus mob ntawm vertebral artery syndrome li cas:
- Noj cov tshuaj uas kws kho los ntawm kws kho mob - cov tshuaj tiv thaiv, cov tshuaj tiv thaiv, venotonics, cov leeg mob thiab lwm yam.
- Ua ib qho tshwj xeeb zaws ntawm nraub qaum thiab caj dab thaj tsam.
- Maj mam hnav cov khoom siv orthopedic (lub caj dab Shantz) kom them nyiaj rau ntawm lub ncauj tsev menyuam nqaj qaum.
- Ua kev kho pob txaij (gymnastics).
- Tuaj koom nrog kev kho mob lub cev.
Cov kev ua hauv vertebral artery syndrome
Rau qhov mob ntawm qhov mob thiab lwm cov tsos mob ntawm cov kev qhia txog kev mob lub cev, kev siv tshuaj kho kom tsim nyog, uas yog qhov kev tso siab ntau tshaj ntawm cov leeg tsis txav ntawm lub caj dab. Syndrome ntawm vertebral artery yog txuam nrog cov txheej txheem ntawm kev mob, kev ua kom dynamic tsis tuaj yeem ua tau. Qhov tshwj xeeb tshaj yog txaus ntshai yog lub qhov chaw siab tshaj thiab kev lem ntawm lub taub hau nrog ib tug loj amplitude, lawv muaj peev xwm worsen tus mob.
Kev ua si hauv qab isometric nrog vertebral artery syndrome yog tsuas yog 3 yam nkaus xwb:
- Qhov pib ntawm txoj hauj lwm yog zaum ntawm lub rooj zaum nrog straightened back. Txuas lub xib teg thiab muab lawv tso rau hauv lub puab tsaig. Lawv tso siab rau lawv txhais tes, sim nyom lawv taub hau rau pem hauv ntej. Lub xib teg yuav tsum tsis kam, kom cov nqaij ntshiv nruj, tab sis tus qaum tsis txav. Rov ua 3 zaug rau 3-5 feeb.
- Muab sab tes xis rau sab plhu rov qab sab nraud nrog sab nraud ntawm xib teg. Sim tig koj lub taub hau rau sab xis. Thaum lub caij ua exercise, lub caj npab ua rau lub taub hau, uas muab nro rau cov leeg nqaij ntawm lub caj dab. Rov qab ua li qub rau sab nraud. Ua ib ce 3 zaug rau 4-5 feeb (rau txhua tes).
- Muab lub xib teg pov tseg, muab tso rau sab nraum qab ntawm lub taub hau. Sim ntxig koj taub hau rov qab, tiv thaiv koj ob txhais tes. Rov ua 5 zaug rau 3 vib nas this.
Massage nrog vertebral artery syndrome
Hom kev siv no yog tso cai rau siv tau tom qab lub ntsiab ntawm txoj kev kho. Ua ntej, nws yog ib qho tseem ceeb uas yuav tsum tsis txhob mob thiab ua kom vertebral artery syndrome - kho tom tsev nrog zaws thaum lub caij nyoog mob nyhav heev. Kev ceev cov txheej txheem nyob rau hauv xws li tej xwm txheej yuav ua rau muaj kev cuam tshuam ntau dua ntawm cov hlab ntsha thiab kev ntxiv dag zog ntawm cov tsos mob. Nws yog ib qho tseem ceeb tias qhov zaws tom qab kev quab yuam ua los ntawm ib tus kws tsim tshwj xeeb, koj ua tsis tau nws tus kheej.
Syndrome ntawm vertebral artery - kev kho, tshuaj
Muaj ntau pawg ntawm cov neeg ua haujlwm pharmacological yog siv los kho tus kab mob no. Cov tshuaj tsis-steroidal anti-inflammatory drugs:
- Meloksikam ;
- Nimesulide;
- Aertal;
- Diclofenac;
- Celecoxib.
Cov leeg mob ntawm lub hauv paus ua haujlwm pab kom tshem tau qhov syndrome thiab tshem tawm cov kev ua txhaum ntawm vertebral artery:
- Baclofen;
- Midokalm;
- Tolperisone.
Txhim kho cov kab mob roj ntsha neuronal:
- Cerebrolysin;
- Gliatilin;
- Actovegin;
- Citicoline;
- Mexidol.
Nws yog feem ntau tsim nyog los txhim kho qhov khiav ntawm cov ntshav mus nres qhov syndrome ntawm vertebral artery - cov tshuaj uas tsim cov nyhuv no:
- Cinnarizine ;
- Instenon;
- Agapurin;
- Nicergoline;
- Vinpocetine.
Restore metabolism hauv cov leeg thiab cov hlab ntsha pub:
- Trimetazidine;
- Mildronate ;
- Tiotriazolin.
Txhawm rau tiv thaiv tus kab mob thrombi thiab qhov kev mob ntawm txoj kev atherosclerosis yuav pab cov kws kho xoos thiab cov venotonics:
- Diosmin;
- Troxerutin;
- Heparin.
Lub cev nqaij tawv ntawm lub paj hlwb ntawm lub cev yog:
- Neurobion;
- Milgamma ;
- Neurovitan.
Yog tias migraine tawm tsam tshwm sim, tus kws kho mob tau qhia cov thaib:
- Zomig;
- Sumygamren;
- Tshaj tawm.
Syndrome ntawm vertebral artery - ua haujlwm
Thaum twg tag nrho cov kev cai lij choj ntawm txoj kev kho yog tsis zoo, tus neeg mob tau pom zoo rau kev kho phais. Kev phais rau vertebral artery syndrome ua kom tshem tawm cov teeb meem uas ua rau kom nqus tau cov hlab ntsha thiab cuam tshuam ntawm cov khoom siv roj ntsha mus rau lub hlwb. Variants ntawm manipulation:
- periarterial sympathectomy;
- tshem tawm cov osteophytes;
- decompression ntawm vertebral artery;
- excision ntawm uncoververal growths;
- kev qhia ntawm ib lub tog raj kheej nrog lub stent.
Syndrome ntawm vertebral leeg - qhov kev mob
Tus kab mob no yog kho kom zoo yog tias nws raug txiav txim siab ua rau nws tshwm sim, kev kuaj mob raws sij hawm thiab kev kho kom yog. Syndrome ntawm vertebral artery tiv thaiv keeb kwm ntawm ncauj tsev menyuam hlav osteochondrosis thiab lwm pathologies ntawm lub cev musculoskelalal yog nyuaj rau kev tswj dua li cov teeb meem uas tsis mob plab, tab sis ib qho kev qhia yuav pab kom tshem tau cov tsos mob ntawm tus kab mob hauv ob qho xwm txheej.