Vertebral arteries. vertebral artery maʻi pale: symptoms,ʻike, lapaʻau

Vertebral artery haalele mai na moku nui subclavian. Mau kaha hooluolu iho i ka māhele o ka lolo. Ma 'ana, lako i ke koko me ka occipital lobes, cerebellum, kumu. Hou kālailai i au mamuli, mea kūpono ai ka vertebral artery. He 'atikala e wehewehe i ka functioning o vascular kāna hana, a me ka lapaʻau pākōlea ki ina hana like i hoʻohana e hoʻoponopono' ia.

Overview

Ka Hoʻohana o ka vertebral artery kekahi, ma na kaha i hanaʻia ma ka transverse keʻano o ka hanaʻana o ka cervical iwi hehee wale. No kona wahi, a me nā kīʻaha i kapaʻia. Penetrating i loko o ka cranial lua ma ka foramen magnum, vertebral artery ma o ka lolo kumu merge ma basilar Kanal. Mai kēia paena, e hohola aku i luna. Ma lalo o ka cerebral hemispheres mākaukau kaua paha ma ai manamana ai. Ma ka kekahi lima kŰlń ao'ākau, a ma ka 'ē aʻe - ka hema vertebral artery.

'anatomia

Kēlā me kēia Kanal ua maheleia i loko o kekahi mau wahi. E kuhikuhi i na kēia Hoʻohana o ka vertebral artery:

• Intracranial. Kēia māhele kŰlń ao mai ai i ka cranial lua makahiki ho okumu a me na lala merge basilar Kanal.
• Nape. Kēia Hoʻohana kŰlń ao, mai ka mākeke o ke kai keʻano o ka hanaʻana (transversal) o vertebrae (cervical) ma mua e komo i loko o ka cranial lua.
• 'ā'ī. Kēia māhele kŰlń ao ma ka moana keʻano o ka hanaʻana (transverse) ka cervical vertebrae.
• Prespinal. 'O kēia ka lalo hapa. Ka Hoʻohana kŰlń ao mai wahi o ke kumu o ka ipu vertebral mai ka subclavian a hiki i ke komoʻana o ke kai keʻano o ka hanaʻana o ka vertebrae o ka cervical spine.

poo koko lako

Ka lolo i hanai mau loko: vertebrobasilar a me ka carotid. Ka hope nā ka carotid arteries (maloko). Ka mea, i ka 70 i ka 85% o ka heluna koko ka leo. Ke carotid arteries i kuleana no ka aneane a pau o ka nui kāna hana o ka lolo holo. He kuhikuhi pili i ka hahau ana. Ma keia manao, i ka hookolokolo ana o ko lākou uku kūikawā noonoo. Lākou atherosclerotic lesions a me ka hopena o keia mea i ka mea o ka kiʻekiʻe hoihoi cardiologists a me vascular surgeons a me neurologists. Ke vertebrobasilar pa holoi ka loaʻa o ka akau, a me ka lima hema vertebral artery. Ka mea, i kahi o 15-30% o ka heluna koko ka leo. Oia poino e like me hahauʻana, hiki seriouslyʻino i ka hoʻomanawanui, a hiki e ia kūponoʻole.

koko kāna hana

Vertebral arteries a me kā lākou mau lala e hooluolu iho i ka cerebellum. At deficiency o ke koko na lako a hiki i ka paha hanana o ka pōniuniu. Kēia symptom o ka vertebral artery ua kapaia "vertebrobasilar insufficiency". Ma noonoo ana o na moku ua lawe mai kokuaia mai o ka lolo kumu. Ma keia 'ole, i kia nui ioauoa o ka hanu a me ka holo. Ma keia manao, he hahau ia lŘlŘ i loko o ka wahi mea paakiki lakou e maona ai a me ka pinepine hiki aku ai i ka make. Ua ho i ka nui pilikia cervical osteochondrosis. vertebral artery maʻi pale e hoʻomōhala ana i aie i ka iwi deformation hehee wale. Moku lilo tortuous, e alakai ana i ka hoʻohuikau 'ana i ke koko lako.

Nā kumu o nā aʻe '

Precipitating kumumea o pathological kūlana hiki e vertebral a me nevertebrogennoy ano. Ma ka hope hihia mākou e kamaʻilio e pili ana i nā palapū i i ole e pili ana me ka spine. Ka mea, e ku pono ana i congenital anomalies o ka nui a me ka papa o na moku a me atherosclerosis. Akā, i ka hope kumu ua diagnosed infrequently. Mau anomalies e ole i he aupuni kūʻokoʻa waiwai. Akā, ma muli o ka hou o nā aʻe'ōpā arteries i hana i ka loa lakou malaila kulana.

Vertebral lesions i kena ae la ma kekahi mau pathologies o ka spine (osteochondrosis -ʻano nui). Mau kāna hana e hoike mai ai ia lakou iho a hiki i ka wā kamaliʻi a adolescence ku ei ka backdrop o dysplastic a posttraumatic instability o ka cervical spine. E like me ia i kaʻilihune, ka mea hiki ke ino vertebral arteries.

Symptoms o deficiency o ke koko lako

Ka loa ano hiʻona o ka pathology manaoia e e ikaika, ma kekahi hihia e māhuahua paroxysmal ola throbbing eha ma kona poo. Nō kāu, ka mea, ua IIeEeAIEUIeXAIIUE i loko o ka occipital wahi. Iloko o ke kaua,ʻeha e hohola ai i nā wahi. Loa pinepine ia i hāʻawi mai ai i ka maka kīnā a me ka ihu, ma ka parietal-kino hapa i ka lae a me ka pepeiao. Soreness hiki e kekahi paroxysmal a me ka mau ano. IIeEeAIEUIeXAIIUE ka waiʻona ma ke pele me kekahi lima.

ka palupalu o ka ili poo ia lŘlŘ pinepine ia. Kēia like 'ōili mai, a hiki i ka hōʻemi iki nano, lenalena. I ka huli a me ka lń i ke poo ke hana ano kamumu, aa ana ua nānāʻana aku i loko o kekahi mau hihia.

Ma kekahi mau hihia, nā mea maʻi me ka vertebral artery maʻi pale i Konakele. Pōniuniu pu ma ka nausea a me ka luaʻi, lohe poho, ringing / leo i loko o nā pepeiao, na pilikia makapō impairments. Na la mahope e hoʻohui i kaʻike manaʻo like me ka helehelena o ka uhi paapu ana o keia noe i mua o nā maka, papalua hihiʻo, blurred a me na mea e ae. Kēlā wā i kēia wā hoʻomanawanui iki mai ohumu ana o ke aloha o ke alo aku o kekahi haole kino i loko o ka puu (pharyngeal migraine) a me ka pilikia ma ka moni 'ia. Iwaena o autonomic kāna hana i 'ike i ka pōkole aloha o ka pololi, ka makewai, aloha o ke kuni, a me ka ole.

I ka make ana o ke aloha o plexus

Ma keia hihia malaila maʻi pale, Bernard-Horner. State Ua hele pū, e like me ka rula, hoʻokahi-kapakahi ka eha, a me ka paresthesias. Symptoms i hookuu hoʻopio maka i ka paakiki kīleo, niho a me ka elelo. Ma ka lakou kaniai he mea he tingling, kuni ka waiʻona ma, e manao ana ke alo aku o ka haole kino. Ma waho aʻeo ia mau symptoms, loaʻa nō kāna hana o ka vestibular 'ano i loko o ka palapala o ka pōniuniu, i kunewa, a haule iho la ia ma. Mau kāna hana pū 'oe me nausea a me ka ringing a kani i loko o ka pepeiao. Ma headaches aia mea he mai kuni, ua hoʻemi hana ana, mahuahua sweating, mahuahua luhi, ua hoʻemi pilikia makapō acuity, "flicker lele mua o kona mau maka" ikeia. No kekahi loli ma ka oihana o ke poo eha pinepine 'loa hoʻokāʻoi. Akā, i ka mea ia manawa ke hoʻomanawanui ke loaʻa i ka oihana ma i keia manao ua me ka nui loa hoemi paha eliminated loa.

congenital anomaly

Kēia waeʻano pili pathologies hypoplasia. Ka haʻalele vertebral artery ua loli emi pinepine ia. maʻi symptoms i malama koke. Nā symptoms i pili loa me ka hemodynamicʻae like hoʻokuʻu ma kahai hou pili. Kēia 'o ia hoʻi i mua o ka stagnation a me ka emi ana o ke koko lako i clinically nui, ka mea, e lawe i kekahi manawa. Ua hoʻomanaʻoʻia ai ia i loko o ke kanaka kino e compensating maomeka e ae no ka haawi wā o ka malama maʻamauʻai.

Nā kumu o ka anomaly

No ke aha la hoʻomōhala hypoplasia? Ka haʻalele vertebral artery hiki ke hana pono ma ka utero no kekahi mau kumu. I ka papa kuhikuhiE poʻe loaʻa:

• Paopao koke mai oia, na wahine hāʻule i gestation.
• Ka hoʻohana a prenatal ka waiʻona, kekahi lapaʻauʻia, ai ', a me ka uwahi ana.
• Neʻe i hāpai keiki, infectious maʻi.
• Family mōʻaukala.

E kū'ē i ke kāʻei kua o ka hypoplasia hōʻike he nui hou o ka artery ma ke kahua o kona komoʻana i loko o ka moana alakai i loko o ka cranial lua.

lapaʻau '

'Ike o pathology komo ai i ka hoʻohana' ana i mau noiʻi ki ina hana like. Mua o nā mea a pau, he akamai i loko o kona hopena a me ka nānā 'ana ma o ka lapaʻau kiʻi. Ma keia hihia mākou e kamaʻilio e pili ana i ka 'ike i loaa i loko o ka neurological ninaninau, e like me ka hoʻomanawanui i ka hoopii. A hiki aku i kaʻike, ua pinepine 'akomi i hoʻopilikia'ā'ī, pilikia haliu ae la i ke poo, no ka palupalu ma ka puʻe no keʻano o ka hanaʻana 1 a me 2 i loko o ka cervical vertebrae. Ke anamanaʻo Ua hoi hoʻohana X-kukuna. MRI ua noʻonoʻo i ka OAXA kekahi hanana. Kēia kaʻina hana apono 'i ka hoike i ke kiko'ī kumu koko kāna hana, e huai ae mīkini'opihia pauku o ka moku. Kekahi o ka mea nui ano o diagnosing kekahi Doppler ultrasound (kani ultrasonic Doppler). Ma lapaʻau 'hoʻomalu e differentiate migraine maʻi pale.

pākōlea ana

Inā pilikia holo (hou a ino vertebral artery), lapaʻau 'ana luna' ua lawelawe. Pākōlea ana hilinaʻi ma luna o ke ahonui o ka makahiki, ka oolea o keʻano, a pēlā hoʻi me ka kanaka ano o ka hoʻomanawanui. Aie i ka mea i ka hoʻomanawanuiʻana i ma pilikia o ka hahauʻana, pākōlea ana kuhikuhi pahuna ma ke kāpaeʻana haunaele ma koko a me ka vascular spasms. Ka luna 'hoʻohana holo lapaau pharmacopuncture. Eia hou, i ka manawa i reflexology, e lawe i ka helu o ka lapaʻauʻia. Mawaena o na ai 'hoikeia e noi - malamalama antidepressants a me Anati-hoʻoʻino konohiki. Ua pono e like me na laau i "Aminophylline," "Cinnarizine," "Cavintonum". o ia hoʻi, "Betahistine" ua hōʻike no ka vertigo.

I Ina o kāna hana i loko o ka papa o ka hookolokolo ana o ka spinal kaula a cerebral circulatory paipai no ka hoʻomanawanui i ka noi komo i ka haukapila. Inā he mea ole ka manaʻo pono, e noho ma ka haukapila hoʻomalu e waiho aku? Aiaiiuie ua hoʻokomoʻia pūliki koa Schanz. Kēia corset ua hoʻohana 'ia e emi i ka haawe ana ma luna o ka cervical spine. E kū'ē i ke kāʻei kua o vertebral artery maʻi pale pinepine waeia chiropractic, physiotherapy a me ka acupuncture, analgesics electrophoresis, phonophoresis, diadynamic paialewa.