Ukuphazamiseka kokujikeleza kwegazi le-Vertebrobasilar

Ukuphazamiseka kokujikeleza kwegazi ngokukuko ziimeko apho ukuphazamiseka kwegazi ngasemva kwengqondo kuphazamiseka.

Imithambo ye-vertebral emibini iyajoyina ukwenza umthambo we-basilar. Le yimithambo yegazi ephambili ebonelela ngokuhamba kwegazi ngasemva kwengqondo.

Iindawo ezingasemva kobuchopho ezifumana igazi kwezi zithambo ziyafuneka ukugcina umntu ephila. Ezi ndawo zilawula ukuphefumla, ukubetha kwentliziyo, ukugwinya, umbono, ukuhamba, kunye nokuma komzimba okanye ibhalansi. Yonke imiqondiso yenkqubo yemithambo-luvo eqhagamshela ingqondo nawo wonke umzimba idlula ngasemva kwengqondo.

Iimeko ezininzi ezahlukeneyo zinokunciphisa okanye ziyeke ukuhamba kwegazi kwindawo engasemva kwengqondo. Ezona zinto zibeka emngciphekweni ukutshaya, uxinzelelo lwegazi oluphezulu, isifo seswekile, kunye nenqanaba eliphezulu le-cholesterol. Ezi ziyafana nemingcipheko yaso nasiphi na isifo.

Ezinye izizathu zibandakanya:

• Iinyembezi kudonga lwemithambo
• Igazi livale entliziyweni elihamba liye kwimithambo ye-vertebrobasilar kwaye ibangele ukubetha
• Ukudumba kwenqanawa yegazi
• Izifo ezinxibelelanayo
• Iingxaki kumathambo omqolo wentamo
• Uxinzelelo lwangaphandle kwimithambo ye-vertebrobasilar, efana ne-salon sink (ebizwa ngokuba yi-beauty parlor syndrome)

Iimpawu eziqhelekileyo zingabandakanya:

• Kunzima ukubiza amagama, intetho edibeneyo
• Kunzima ukugwinya
• Umbono kabini okanye ukulahleka kombono
• Ukuba ndindisholo okanye ukurhawuzelela, amaxesha amaninzi ebusweni okanye entlonzeni
• Ukuwa ngesiquphe (ukuhlaselwa)
• IVertigo (imvakalelo yezinto ezijikelezayo)
• Ukuphulukana nenkumbulo

Ezinye iimpawu zingabandakanya:

• Iingxaki zesisu okanye zokulawula amathumbu
• Ukuhamba nzima (ukungazinzi)
• Intloko ebuhlungu, intamo ebuhlungu
• Ukuphulukana nokuva
• Ubuthathaka bemisipha
• Isicaphucaphu nokugabha
• Intlungu kwilungu elinye okanye nangaphezulu lomzimba, eliba mandundu kukuchukumisa kunye nokubanda kubanda
• Ulungelelwaniso olubi
• Ukulala okanye ukulala apho umntu angenakuvuswa khona
• Ngequbuliso, iintshukumo ezingalungelelaniswanga
• Ukubila ebusweni, kwiingalo, okanye emilenzeni

Unokufumana ezi mvavanyo zilandelayo, kuxhomekeke kwisizathu:

• I-CT okanye iMRI yengqondo
• I-computed tomography angiography (CTA), i-magnetic resonance angiography (MRA), okanye i-ultrasound ukujonga imithambo yegazi kwingqondo.
• Uvavanyo lwegazi, kubandakanya nezifundo zokunqanda igazi
• Echocardiogram
• I-Electrocardiogram (ECG) kunye ne-Holter esweni (iiyure ezingama-24 ze-ECG)
• I-X-ray yemithambo (angiogram)

Iimpawu ze-Vertebrobasilar eziqala ngequbuliso yimeko engxamisekileyo yezonyango ekufuneka inyangwe kwangoko. Unyango luyafana nolo lokubetha.

Ukunyanga nokukhusela imeko, umboneleli wakho wezempilo unokucebisa:

• Ukuthatha iziyobisi ezinciphisa igazi, ezinje ngeasprini, warfarin (Coumadin), okanye iclopidogrel (Plavix) ukunciphisa umngcipheko wokubetha
• Ukutshintsha indlela otya ngayo
• Iyeza lokunciphisa i-cholesterol kunye nokulawula ngcono uxinzelelo lwegazi
• Ukuzivocavoca
• Ukunciphisa umzimba
• Ukuyeka ukutshaya

Iinkqubo ezingenayo okanye utyando ukunyanga imithambo emxinwa kule nxalenye yengqondo ayifundiswanga kakuhle okanye ayingqiniswanga.

Imbonakalo ixhomekeke:

• Isixa sokonakala kwengqondo
• Yeyiphi imisebenzi yomzimba echaphazelekayo
• Ngokukhawuleza ufumana unyango
• Ukhawuleza uchache

Umntu ngamnye unexesha elahlukileyo lokufumana kwakhona kunye nemfuno yokhathalelo lwexesha elide. Iingxaki ngokuhamba, ukucinga nokuthetha zihlala ziphucula kwiiveki zokuqala okanye kwiinyanga. Abanye abantu baya kuhlala bephucula iinyanga okanye iminyaka.

Iingxaki ze-vertebrobasilar ukuphazamiseka kwegazi kukuphazamiseka kunye nobunzima. Oku kubandakanya:

• Ukuphefumla (ukuphefumla) ukusilela (okungafuna ukusetyenziswa komatshini ukunceda umntu aphefumle)
• Iingxaki zemiphunga (ngakumbi usulelo lwemiphunga)
• Ukuhlaselwa yintliziyo
• Ukungabikho kwamanzi emzimbeni (ukungabikho kwamanzi) kunye neengxaki zokugwinya (ngamanye amaxesha zifuna ukondla ityhubhu)
• Iingxaki ngokuhamba okanye ukuziva, kubandakanya ukukhubazeka kunye nokubhabha
• Ukwenziwa kwamahlule emilenzeni
• Ukulahleka kombono

Iingxaki ezibangelwa ngamayeza okanye utyando zinokwenzeka.

Shayela i-911 okanye inombolo yakho yongxamiseko yendawo, okanye uye kwigumbi likaxakeka ukuba unayo nayiphi na impawu ye-vertebrobasilar disorder circulatory disorder.

Ukungonelanga kwe-Vertebrobasilar; Ukujikeleza okungasemva kweschemia; Parlor syndrome; I-TIA - ukungonelanga kwe-vertebrobasilar; Utywala - ukungabikho kwe-vertebrobasilar; I-Vertigo-ukungabikho ngokwaneleyo kwe-vertebrobasilar

• Imithambo yengqondo

I-Crane BT, iKaylie DM. Iingxaki eziphambili ze vestibular. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 168.

IKernan WN, iOvbiagele B, iBlack HR, et al. Izikhokelo zokuthintela ukubethwa sisifo kwizigulana ezinesifo sokubethwa kunye nokuhlaselwa kwesistim okwethutyana: isikhokelo seengcali kwezempilo ezivela kwiAmerican Heart Association / American Stroke Association. Ukubetha. Ngo-2014; 45 (7): 2160-2236. IINKCUKACHA: 24788967 pubmed.ncbi.nlm.nih.gov/24788967/.

UKim JS, uCaplan LR. Isifo se-Vertebrobasilar. Ku: Grotta JC, Albers GW, Broderick JP, et al, ii-eds. Stroke: IPathophysiology, uDiagnosis, kunye noLawulo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2016: isahluko 26.

Liu X, Dai Q, Ye R, et al; Abaphenyi abavavanyiweyo. Unyango lwe-Endovascular ngokuchasene nonyango oluqhelekileyo lonyango lwe-vertebrobasilar artery occlusion (BEST): ileyibhile evulekileyo, uvavanyo olulawulwa ngokungenamthetho. ILancet Neurol. Ngo-2020; 19 (2): 115-122. IINKCUKACHA: 31831388 pubmed.ncbi.nlm.nih.gov/31831388/.