Pera vertebral. syndrome iatuku vertebral: tohumate, te tātaritanga, maimoatanga

mawehe iatuku vertebral i te oko nui subclavian. Enei awa e atawhai nga wahi o te roro. I roto i ngā, i te toto tukua ki matamata kōpako, roro tuarongo, kātua. tātari I tua atu i roto i te taipitopito, he aha te tikanga i te iatuku vertebral. Ka whakaahua i tenei tuhinga ki te mahi o disorders iaia, tikanga haumanu, me te whakaora whakamahia ki te whakatutuki ia ratou.

Overview

Ko te wāhanga o te iatuku vertebral haere i roto i te takere i hanga e te tukanga hake o nga mea timatanga wheua waha. Hoki tona wāhi, ka i huaina nga oko. Ongó ki te kōhao cranial roto i te Magnum puta iti, iatuku vertebral i roto i te kakau roro hanumi i te hongere basilar. Mai i tenei pae, whakawhānui ratou whakarunga. I raro i te tuakoi kaka e tupu te pekapeka. I toro tetahi te ringa matau, me i te tahi atu - te iatuku vertebral maui.

anatomy

Kei te wehea ia hongere ki etahi wahi. Te tautuhi i te wāhanga e whai ake nei o te iatuku vertebral:

• Intracranial. atu ana tēnei wāhanga ki runga ki te hanganga wāhi kōhao cranial me hanumi nga manga teihana basilar.
• Porokaki. atu ana tēnei wāhanga i te putanga o te tukanga awa (rārangi) o pekehoe (waha) i mua i te urunga ki te kōhao cranial.
• Neck. atu ana tēnei wāhanga i roto i te tukanga hongere (hake) te pekehoe waha.
• Prespinal. Ko te wahi raro tenei. toro te wāhanga i te pūwāhi o te take mai o nga oko vertebral i te subclavian ki te tomokanga o te tukanga awa o te pekehoe o te tuaiwi waha.

supply toto matenga

whāngai te roro e rua harotoroto: vertebrobasilar me te kakī. Ko te whakamutunga ngā nga pera kakī (ä-). whakarato rātou i te 70 ki te 85% o te rōrahi toto katoa. He kawenga mō te tata katoa o nga disorders nui o tohanga roro nga pera kakī. E pā matua tenei ki nga whiu. I roto i tenei whakaaro, i roto i te whakamātautau o ratou tokanga makehe utu. Ratou pāpaka atherosclerotic me hopearaa o tenei ko te ahanoa o cardiologists moni nui me tākuta iaia me neurologists. Ko te peihana vertebrobasilar ngā te tika, me te iatuku vertebral mahue. whakarato rātou i pā ana ki 15-30% o te rōrahi toto katoa. Taua kino pērā i patu, e taea te tino kino te manawanui noa kia muhu reira.

disorders toto

pera vertebral me ratou manga e atawhai te roro tuarongo. I hē o te supply toto ki te takanga pea o whanoke. ka karanga tenei tohumate o te iatuku vertebral te "iti hoki vertebrobasilar". Na roto i whakaaro o oko kawea i roto i supply o te kakau roro. I roto i tenei hanganga, hāngai pokapū faufaa o te respiration me te tohanga. I roto i tenei whakaaro, puta he patunga i roto i te mea pakeke te rohe nui, me te maha arata'i ki te mate. tohu te reira i te ati osteochondrosis nui waha. whakawhanake tika ki huānga wheua deformation syndrome uaua vertebral. riro whanoke oko, ārahi ki te rangirua o te supply toto.

Ko te take o maumaui

Precipitating āhuatanga o ngā āhuatanga pathological taea e vertebral me nevertebrogennoy āhua. I roto i te take whakamutunga e korero tatou e pā ana ki whara e kahore hononga ki te tuaiwi. E tika ana ki kōhikohiko congenital o te rahi me te akoranga o oko atherosclerosis ranei ratou. Ko pāngia te take whakamutunga e pinepine. e kore e ēnei kōhikohiko i te uara motuhake. Otiia e tika ana ki te tua o te tahi atu āhuatanga pēpēhinga pera i hanga i te huru rawa kino.

E meinga e pathologies rerekē o te tuaiwi (osteochondrosis - te nuinga) pāpaka vertebral. Ka taea e ēnei disorders faaite mai ratou ara i roto i te tamarikitanga taiohi ranei ki te puipuitua o dysplastic tapepe posttraumatic o te tuaiwi waha ranei. Ka rite ki te putanga, ka taea te hauā reira pera vertebral.

Tohu o hē o supply toto

Ko te āhuatanga āhuatanga tino o te māuiuitanga whakaaro ki kia tamau, i roto i ētahi wā te whakanui ake paroxysmal mamae mauiui fakamamahi i roto i tona matenga. Tikanga, kua paetata reira i roto i te rohe kōpako. I roto i te whakaeke, kia horahia te mamae ki ētahi atu wāhi. Nuinga o ngā wā homai ia ki te turanga kanohi me te ihu, i roto i te wahi kōpako-pae tino ki te rae taringa ranei. Ka taea e tetahi raru e rānei paroxysmal natula tūturu ranei. sensations paetata nuinga o ki kotahi ringa.

here o te tumuaki puta pinepine. puta ana tēnei mana'o noa ki te iti pa, heru. A, no te tahuri tilting taea te matenga puta chestnut āhuatanga ranei, kitea tahunga e i roto i ētahi wā.

I roto i ētahi wā, tūroro ki iatuku vertebral syndrome puta whanoke tahi e te whakapairuaki ruaki ranei, rongo mate, waea / ngangau i roto i te taringa, ngā hauā ataata. kia whakauru te whakamutunga pēnei ari rite te ahua o te arai o te kohu i mua nga kanohi, kite rua, te peroo me etahi atu. He wā amuamu tūroro o te mana'o o te aroaro o te tinana ke i roto i te korokoro (pharyngeal migraine) me te uaua i roto i te horomia. I roto i disorders autonomic kia wheako i te mana'o poto o te kai, te matewai, mana'o o te kirika Chills ranei.

Ko te hinganga o te plexus pukuaroha

I roto i tenei take ki reira Syndrome, Bernard-Horner. Kei te haere tahi State, rite ki te tikanga, te mamae-iu kotahi me paresthesias. Tohu te tikanga hopu kanohi te mangai pakeke, niho, me te arero. I roto i te korokoro i te reira te mea he mania, tahu sensation, ongo'i te aroaro o te tinana ke. I tua atu ki enei tohu, i reira he disorders o te momo vestibular i roto i te puka o te whanoke, wiri, me te hinga i roto i. E haere tahi ēnei disorders i whakapairuaki me Naawai ranei haruru i roto i te taringa. I roto i pāhoahoa reira ko te kirika, heke mahi, nui haere sweating, nui haere rohirohi, heke acuity ataata, "rere kōpura i mua i ona kanohi" puta. Hoki tetahi huringa i roto i te tūranga o te mamae kaha matenga nui whakarei. Otiia i te wa ano e taea e te manawanui kitea he tūranga i roto i nei te tino heke tenei mana'o whakakorea ranei katoa.

Pākatokato congenital

E pā ana tēnei kāwai pathologies hypoplasia. pāngia te iatuku vertebral mahue te iti auau. E kitea tonu tohu mate. Kei te tata e pā ana i te tohu ki hemodynamic tau. tikanga o tēnei e te aroaro o te stagnation me kore o te supply toto hei hauora nui, ka tango i te reira i te tahi wa. Kia mahara te reira e i roto i te tinana tangata e kapeneheihanatia tikanga e tukua mo te wā i homai o te pupuri kai noa.

Ko te take o te Pākatokato

He aha te whakawhanake hypoplasia? Ko te iatuku vertebral mahue taea te hanga e tika i roto i te utero mō ētahi take. Ko te hunga matua ngā:

• Karawarawa, hinga wahine roto i te hapūtanga.
• Ko te whakamahi o te waipiro prenatal, etahi rongoā, taero, me kai paipa.
• Whakawhitia i roto i te hapū, ngā mate hopuhopu.
• aamu utuafare.

whakakitea ki te whakamārama o te hypoplasia te whāiti nui o te iatuku i te pae o tona urunga ki te awa ārahi ki te kōhao cranial.

tātaringa

Identification o māuiuitanga tā te whakamahi o ngā tikanga rangahau maha. Tuatahi o te katoa, he tohunga i roto i ona whakatau e hāngai ana i runga i te pikitia haumanu. I roto i tenei take e korero tatou e pā ana ki ngā mōhiohio whiwhi i roto i te whakamātautau neurological, me te amuamu o te manawanui. A, no te te maha kitea te tātaritanga mānukanuka kaki, uaua tahuri te matenga, here i runga i te pēhanga mō ngā tukanga 1 me 2 i roto i te pekehoe waha. Kei te whakamahia hoki te rangahau X-hihi. whakaaro MRI te he hui whakahauanga. taea ana tēnei tukanga ki te whakakitea te take disorders toto tangohia, kia kitea wāhanga kōpeketanga o te oko. Ko tētahi o nga tikanga nui o Tātaritia te ultrasound Doppler (Doppler ultrasonic). I roto i tātaritanga kia rerekëtanga mātanga syndrome migraine.

mehua haumanu

Ki te tohanga ohorere (whāiti hauā iatuku vertebral ranei), maimoatanga te tikanga whakahaere matatini te. mehua haumanu whakawhirinaki i runga i tau o te manawanui, pakeke o te huru, me te te āhuatanga takitahi o te manawanui. Nā ki te meka i taua tūroro kei i mōrea o patu, mehua haumanu matua hāngai ana ki te whakakore raruraru i roto i te rere toto me mamae iaia. Ko te matatini pharmacopuncture mārua maimoatanga whakamahia. I tua atu, i te whakaritea reflexology, tango he maha o rongoā. I roto i te raau taero whakaaturia ki tono - pōuritanga marama me māngai anti-inflammatory. tūtohutia reira taua rongoā rite "Aminophylline," "Cinnarizine," "Cavintonum". tohua te tikanga "Betahistine" te mo te taninito.

I roto i te take o disorders i te akoranga o te whakamātautau o te ua ranei circulatory kaka Taunakitia mō te whakauru manawanui ki te hōhipera. Ki te kahore he hiahia akiaki ki te noho i roto i te hōhipera mātanga kia tūtohu rangitahi mau kara Schanz. whakamahia ana tēnei koere te ki te whakaiti i te kawenga i runga i te tuaiwi waha. Ki te whakamārama o te syndrome iatuku vertebral maha whakaritea Chiropractic, i tua me te mahi werowero ngira, Pë electrophoresis, phonophoresis, ngā diadynamic.