Kugwiritsidwa ntchito kwa dongosolo loyamba la mitsempha limatsimikiziridwa ndi magazi ku ubongo. Pafupifupi 30 peresenti ya tizilombo toyambitsa matenda imachokera ku 2 vertebral mitsempha. Iwo ali ndi udindo wofalitsa magazi m'magawo apansi a ubongo, kumene malo ofunika kwambiri a ubongo alipo.
Matenda a mitsempha yotchedwa vertebral - zimayambitsa
Zonse zomwe zimayambitsa kusokonezeka kwa zombo zotchulidwazo zimagawidwa m'magulu akulu awiri. Woyamba amagwirizanitsa zowonongeka zilizonse. Matendawa amadziwika kwambiri, koma matenda ena a minofu angayambitse:
- dysplasia;
- kupweteka kwamakina;
- heliated intervertebral discs;
- zovuta;
- kusamuka kwa mafupa;
- arthrosis;
- chithandizo;
- osteophytes;
- mchere umapereka;
- kutulutsa kwa discs;
- spondylosis;
- matenda otupa mafupa.
Gulu lachiwiri limaphatikizapo osakhala abortogenic pathologies (osagwirizana ndi matenda a msana ndi ziwalo):
- ziphuphu;
- zosavuta za kukula kwa mitsempha;
- mpweya wa ziwiya ndi minofu ya khosi;
- atherosclerosis;
- chithunzi;
- arteritis;
- chithandizo;
- zofiira m'matumbo ofewa a m'khosi.
Matenda a mitsempha - zizindikiro
Chizindikiro chachikulu cha matendawa ndikumva kupweteka kosiyanasiyana. Matenda a Vascula ndi vertebrogenic a mitsempha yazitsulo amatsatiridwa ndi zizindikiro zina:
- kusowa malire;
- kumva;
- kuwonongeka kwa maonekedwe;
- phokoso m'makutu;
- chizungulire;
- kunyoza, nthawizina ndi kusanza;
- kuwonjezeka kwa magazi;
- chowopsa;
- angina pectoris;
- ziwonetsero zosakhalitsa za ischemic;
- kumverera kwa "mchenga", kuuma kwa chiwalo cha maso;
- kuyenda;
- kufooka, kumangirira kwa khungu la nkhope;
- kutaya chidziwitso;
- Matenda afupipafupi a zamasamba - njala yaikulu, ludzu, ziwombankhanga, malungo;
- mawu osokoneza.
Ululu wa matenda oopsa a mitsempha
Chifukwa cha kuchuluka kwa magazi m'magazi ake, njala imayamba. Kumbuyo kwa hypoxia, pamakhala mutu wamphongo wovuta kwambiri - matenda a m'mitsempha nthawi zina amatsutsana ndi ziwawa zamphamvu monga migraine. Pazifukwa zotere munthu amamva bwino ngakhale pamene akumenyana kapena akukhudza.
Kawirikawiri, matenda a mitsempha yam'mimba amachititsa ululu m'madera ena a thupi:
- khosi (cervicalgia);
- thora;
- nkhope yachifupi;
- pharynx;
Matenda a mitsempha yotentha - kusowa kupuma
Kuwonjezeka kwa matenda osapereka chithandizo chokwanira kumabweretsa kuwonjezeka kwa mawonetseredwe a chipatala ndi zochitika za mavuto. Zikatero, zizindikiro zowonjezereka zimaphatikizapo zizindikiro zowopsa za mitsempha - zizindikiro zimaphatikizapo zizindikiro zofanana ndi matenda a mtima:
- kupuma kapena kupuma pang'ono;
- kupyola ululu mu chifuwa;
- chidziwitso chodzidzimutsa.
Nthawi zina pali matenda a Bernard-Horner. Amadziwika ndi kumverera kosalekeza kukhalapo pamphuno kapena pamtima pa chinthu chachilendo ("mtanda"), chomwe chimalepheretsa kupuma bwino, kumeza chakudya kapena madzi. Kuonjezera apo, pali paresthesia ya theka la nkhope - kuperewera kwa masaya, milomo, kuyimba kapena "kukukwa."
Matenda a mitsempha yowonongeka
Matendawa ali ofanana mu mawonetseredwe a chipatala kuti akugwiridwe ndi migraine ndi aura. Pofuna kusiyanitsa matenda a mitsempha yowonongeka ndi zovuta zina, kuyembekezera kuchipatala kumafunika. Choyamba, dokotala amasonkhanitsa zambiri zokhudza zizindikiro zomwe zilipo, kuuma kwake komanso nthawi yake. Pakafukufuku, katswiri akukonzekera madandaulo omwe alipo - ululu kumbuyo kwa chigaza, kupweteka kwa minofu ya occipital, zovuta kutembenuza mutu. Matenda otsiriza a "vertebral artery syndrome" amakhazikitsidwa potsatira izi:
- dothi la dopplerography la zombo ;
- X-ray ya khola lachiberekero;
- maginito ojambula maginito kapena computed tomography.
Matenda a mitsempha yotentha - mankhwala
Nkhondo yolimbana ndi matendawa iyenera kukhala yowonjezereka ndipo cholinga chake ndicho kuthetsa chifukwa cha matenda osokoneza magazi m'magazi a ubongo. Mmene mungachiritse matenda a mitsempha yotentha:
- Tengani mankhwala olembedwa ndi dokotala - anti-inflammatory, antimigrenous mankhwala, venotonics, minofu yopumula ndi njira zina.
- Chitani minofu yapadera ya kumbuyo ndi chigawo cha kolala.
- Nthawi zonse muzivala chipangizo cha mafupa (collar ya Shantz) kuti mubwezeretse katunduyo pa msana.
- Chitani zochiritsira zojambulajambula.
- Pitani ku ma physiotherapy sessions.
Kuchita masewera olimbitsa thupi
Chifukwa cha kupweteka ndi zizindikilo zina za matenda omwe akufotokozedwa, kuchita masewera olimbitsa thupi ndi koyenera, komwe kumapangitsa kuti minofu ikhale yosangalatsa kwambiri popanda kusuntha kwadzidzidzi pamutu. Matenda a mitsempha yotchedwa vertebral ameri amagwiritsidwa ntchito ndi zotupa, njira zopangira mphamvu sizingatheke. Mphepete mwachitsulo ndi kutembenuka kwa mutu ndi matalikiti akulu, zikhoza kuipitsa mkhalidwewo.
Masewero olimbitsa thupi omwe ali ndi vertebral syndrome ali ndi machitidwe atatu okha:
- Malo oyambira akukhala pa mpando ndi mzere wowongoka. Gwiritsani manja anu pazitsamba ndikuziyika pansi pa chibwano. Amayika manja awo, ndikuyesa kutsitsa mutu wawo. Manjawa ayenera kutsutsidwa, kotero kuti minofu ya khosi ikhale yolimba, koma msanawo sukusuntha. Bwerezani katatu kwa 3-5 seconds.
- Ikani dzanja lamanzere pa tsaya lachilendo ndi kunja kwa mgwalangwa. Yesani kutembenuzira mutu wanu kumanja. Pakati pa maseŵera olimbitsa thupi, mkono umatsutsana ndi mutu, umene umapangitsa kuti mitsempha ya m'khosi ikhale yovuta. Bwerezani zomwezo kumbali ina. Chitani ntchitoyi katatu kwa masekondi 4-5 (pa dzanja lililonse).
- Ikani manjawo mu chipika, ikani iwo kumbuyo kwa mutu. Yesani kubwezera mutu wanu, kugonjetsa manja anu. Bweretsani kasanu kwa masekondi atatu.
Kutsekemera ndi matenda opatsirana amtundu
Mtundu woterewu umaloledwa kugwiritsa ntchito pokhapokha mutatha mankhwala akuluakulu. Choyamba, ndikofunika kusiya kutupa ndi kuchepetsa matenda opatsirana amterebral - mankhwala kuchipatala ndi kusisita panthawi yovuta akhoza kutha molakwika. Njira zamakono muzochitika zoterezi zidzakhumudwitsa kwambiri mitsempha ya mitsempha komanso kulimbitsa zizindikiro. Nkofunika kuti misala itatha pambuyo poti exaceration ichitidwa ndi katswiri wodziwa bwino, simungakhoze kuchita nokha.
Matenda a mitsempha yotentha - mankhwala, mankhwala
Magulu angapo ogwiritsira ntchito mankhwalawa amagwiritsidwa ntchito pa chithandizo cha matendawa. Mankhwala osagwiritsa ntchito steroidal anti-inflammatory:
- Meloksikam ;
- Nimesulide;
- Aertal;
- Diclofenac;
- Celecoxib.
Zosangalatsa za mitsempha zachitetezo chapakati zimathandiza kuchepetsa matenda ndi kuthetsa kuphwanya kwazitsulo zamadzimadzi:
- Baclofen;
- Midokalm;
- Tolperisone.
Kupititsa patsogolo mankhwala a neuronal kagwiritsidwe ntchito:
- Cerebrolysin;
- Gliatilin;
- Choyimira;
- Chitsulo;
- Mexidol.
Kawirikawiri ndi kofunika kukonzanso kutuluka kwa magazi kuti athetse vuto la mitsempha yowonongeka - mankhwala omwe amapangitsa izi:
- Cinnarizine ;
- Instenon;
- Agapurin;
- Nicergoline;
- Vinpocetine.
Kubwezeretsani kagayidwe ka maselo m'mitsempha ndi mitsempha ya magazi kumalola:
- Trimetazidine;
- Kusakaniza ;
- Tiotriazolin.
Kuteteza mapangidwe a thrombi ndi kukula kwa atherosclerosis kudzathandiza angioprotectors ndi venotonics:
- Diosmin;
- Troxerutin;
- Heparin.
Kuzoloŵera kwa mitsempha ya mitsempha ya mitsempha imayankhidwa ndi:
- Neurobion;
- Milgamma ;
- Neurovitan.
Ngati matenda a migraine amapezeka, adokotala amalemba ma triptans:
- Zomig;
- Sumygamren;
- Yathanso.
Matenda a mitsempha - opaleshoni
Pamene njira zonse zowatchulidwa za mankhwala sizingatheke, wodwalayo akulimbikitsidwa kuti athandizidwe. Kuchita opaleshoni ya matenda a mitsempha kumathandiza kuthetsa zinthu zomwe zimapangitsa kuti thupi lizizizira komanso kusokonezeka kwa ubongo. Zosiyanasiyana za kusokoneza:
- kumvetsetsa kwapakati;
- kuchotsedwa kwa mafinya;
- kuponderezedwa kwa mitsempha yowongoka;
- chisokonezo cha kukula kwakukulu;
- kuyambira kwa silinda ndi stent.
Matenda a mitsempha yotchedwa vertebral artery - prognosis
Matendawa ndi ochiritsidwa bwino ngati atatsimikiziridwa molondola zomwe zimayambitsa zomwe zimayambitsa matendawa. Matenda a mitsempha yamtundu wa chiberekero osteochondrosis ndi zovuta zina za minofu zimakhala zovuta kwambiri kuzigwiritsa ntchito kusiyana ndi zovuta zobweretsa zochotsa mimba, koma njira yowonjezera imathandizira kuthetseratu zizindikiro za matendawa m'mavuto onsewo.