Imithambo vertebral. vertebral Umthambo syndrome: izimpawu, uphethwe, ukuphathwa

Umthambo vertebral asuke izitsha subclavian ezinkulu. Lezi ziteshi uthuthukise izingxenye zobuchopho. Ikakhulu, i-igazi bephethe occipital iyizingxenye, cerebellum, isiqu. Ngaphezu kwalokho hlaziya ngokuningiliziwe, kuyini ukuba umthambo vertebral. Lesi sihloko sizosisiza ukuchaza ukusebenza iziyaluyalu semithambo, izindlela zokwelapha nokwelapha esetshenziswa ukubhekana nabo.

Uhlolojikelele

I izingxenye Umthambo vertebral udabula iziteshi ezakhiwe izinqubo transverse we wesibeletho ithambo izakhi. Ukuze indawo yayo, nezitsha igama lakho. Engena phakathi ngalo ingaphakathi cranial ngokusebenzisa Magnum foramen, Umthambo vertebral empandni ubuchopho uhlangane esiteshini basilar. Kule sayithi, awabonisi phezulu. Ngaphansi ama- cerebral kwenzeka ekhelini. Ngakolunye uhlangothi udlulisela ilungelo, futhi ngakolunye - kwesokunxele Umthambo vertebral.

nokwakheka

isiteshi ngayinye ihlukaniswe yaba izingxenye ezithile. Thola kumasegmenti ezilandelayo Umthambo vertebral:

• Intracranial. Lesi sigaba inweba kufika ku-cranial ingaphakathi isikhala kwetinhlavu kanye amagatsha uhlangane isiteshi basilar.
• Nape. Lokhu ingxenye elisukela esidayisa izinqubo isiteshi (yokusetshenziswa) ka amathambo (wesibeletho) ngaphambi engena ingaphakathi cranial.
• Intamo. Lesi sigaba ubabonisa ngokusebenzisa izinqubo isiteshi (transverse) amathambo wesibeletho.
• Prespinal. Lena ingxenye phansi. Ingxenye elisukela iphuzu umsuka izitsha vertebral kusukela subclavian emnyango izinqubo isiteshi amathambo nomgogodla wesibeletho.

ikhanda liningi igazi

Ubuchopho feeds amachibi ezimbili: vertebrobasilar futhi carotid. Lezi zingozi zihlanganisa ama imithambo carotid (yangaphakathi). Zinikeza% 70 kuya kwangu-85 aleyo ngqikithi igazi ivolumu. Imithambo carotid banesibopho cishe zonke iziyaluyalu ezinkulu zobuchopho kwegazi. Lokhu ngokuyinhloko ibhekisela imivimbo. Kule ndaba, ngesikhathi luhlolo pay yabo ukunakekelwa okukhethekile. izilonda zabo atherosclerotic nemiphumela zalokhu into ephezulu isithakazelo nangodokotela bababhekene nezifo zenhliziyo kanye odokotela abahlinzayo semithambo kanye neurologists. Lo mgodi vertebrobasilar kuhlanganisa ilungelo kanye kwesokunxele Umthambo vertebral. Zinikeza mayelana 15-30% wezindleko igazi ivolumu. Umonakalo onjalo ezifana nesifo sohlangothi, kungaba sina ukulimaza isiguli ngisho ukwenza kube ayivumelekile.

iziyaluyalu igazi

imithambo vertebral namagatsha awo uthuthukise cerebellum. Ngezinye nokuntuleka kwegazi nesenzakalo cishe isiyezi. Lokhu uphawu umfula vertebral ibizwa ngokuthi "esingamahlalakhona vertebrobasilar". Ngokusebenzisa Ukucabangela izitsha Kwenziwa supply stem ingqondo. Kulesi sakhiwo, bagxila izikhungo esibalulekile kwezimila nokusakaza. Kule ndaba, unhlangothi kwenzeka endaweni kunzima ngokwanele futhi kaningi esiholela ekufeni. Lokhu kusho ingozi osteochondrosis omkhulu wesibeletho. vertebral Umthambo syndrome ngenxa izakhi ithambo ukusonteka. Imikhumbi babe tortuous, okuholela ukuphazamiseka igazi eligciniwe.

Izimbangela ukwephulwa

Ukunisa izici kwezimiso sokugembula kungaba vertebral futhi nevertebrogennoy nemvelo. Kulo mBhalo sikhuluma ukulimala ukuthi azihlangene yomgogodla. Kulindeleke ukuthi anomalies azalwa naso we usayizi nenkambo izitsha noma isifo sokuqina kwemithambo yegazi. Kodwa isizathu sokugcina sitholakale kanini. Lezi anomalies ungenayo i value ezimele. Kodwa ngenxa ukwengeza ezinye izici ecindezela imithambo akha isimo ezingezinhle kakhulu.

izilonda vertebral zibangelwa pathologies ezehlukene yomgogodla (osteochondrosis - ikakhulukazi). Lezi iziyaluyalu engaveza ngokwabo ngisho nangesikhathi beseyizingane noma usakhula ngaphansi kwesimo dysplastic noma ukuntengantenga posttraumatic yomgogodla wesibeletho. Ngenxa yalokho, lokho kungasilimaza zikhubazekile imithambo vertebral.

Izimpawu ukuntuleka liningi igazi

Kakhulu isici isici se-pathology kubhekwe ukuba njalo, kwezinye izimo okwandisa paroxysmal ubuhlungu throbbing ubuhlungu sisekhanda lakhe. Ngokuvamile, it itholakala endaweni occipital. Ngesikhathi kuhlaselwa ubuhlungu okungenzeka basakazekela kwezinye izindawo. Ngokuvamile lona unikeza ukuba izisekelo iso futhi ekhaleni, engxenyeni parietal-yesikhashana emabunzini noma indlebe. Soreness kungaba paroxysmal noma uhlobo unomphela. emizweni Kuhunyushelwe ngokuvamile ngesandla esisodwa.

ngobubele ekhanda ivela kaningi. Lo muzwa livela ngisho ne umthinte, ecwaninga. Lapho ukuvula noma ngokutshekisa ikhanda singenzeka isici ziwe, ukushiswa siyenzeka kwezinye izimo.

Kwezinye izimo, iziguli ezinemishini Umthambo vertebral syndrome ibonakala isiyezi ephelezelwa ukucanuzela kwenhliziyo noma ukuhlanza, ukulahlekelwa kukuzwa, ukushaya / umsindo ezindlebeni, abanokukhubazeka okuhlukahlukene ezibukwayo. Lesi sakamuva kumele zihlanganisa ezinjengokungcoliswa ukubukeka isihenqo inkungu phambi kwamehlo, umbono double, bungacaci abanye. Ngezikhathi ezithile iziguli esekhala umuzwa khona nomzimba angaphandle emphinjeni (pharyngeal migraine) kanye nobunzima ukugwinya. Phakathi iziyaluyalu autonomic kungase umuzwa iDemo wayebulawa indlala, ukoma, umuzwa imfiva noma Ukugodola.

Ukunqotshwa kwe-plexus nozwela

Kulokhu kukhona Syndrome, Bernard-Horner. State kuhambisana, njengoba umthetho, ubuhlungu eyodwa emaceleni futhi paresthesias. Izimpawu ngokuvamile uthwebule ukubhekana kanzima ulwanga, namazinyo nolimi. Emphinjeni kukhona ukuluma, evutha ukuzwa, uzizwa khona nomzimba angaphandle. Ngaphezu lezi zimpawu, kukhona iziyaluyalu uhlobo vestibular ngesimo isiyezi, ngokumangalisayo futhi zingawi. Lezi iziyaluyalu ahambisana nesicanucanu ukukhala noma umsindo endlebeni. Phakathi bekhanda kukhona imfiva, kwehle ukusebenza, ukujuluka yanda, ukukhathala yanda, kwehle acuity ezibukwayo, "kulokolokoza izimpukane phambi kwamehlo akhe" livela. Ukuze noma yiluphi ushintsho, isikhundla sokuba inhloko ubuhlungu umfutho kuxhomeke kakhulu. Kodwa ngesikhathi esifanayo isiguli ungathola isikhundla lapho le muzwa uba kakhulu wancipha ngokuphelele.

anomaly azalwa naso

Lesi sigaba libhekisela pathologies hypoplasia. I kwesokunxele Umthambo vertebral kuthintwa kancane njalo. izimpawu isifo kuyagcinwa ngokushesha. Izimpawu zisondelene kakhulu hemodynamic ebucayini. Lokhu kusho ukuthi ngaphambi yokujama tsi kanye nokuntuleka liningi igazi baba emtholampilo abalulekile, kuzothatha isikhathi esithile. Kufanele kukhunjulwe ukuthi umzimba womuntu kuthiwa uhlawula ezivumela isikhathi esinikeziwe ukugcina ukudla okuvamile.

Izimbangela anomaly

Kungani ukuthuthukisa hypoplasia? I kwesokunxele Umthambo vertebral zingase zimiswe kahle utero ngenxa yezizathu eziningana. Khona-ke abakhululiwe eziyinhloko zihlanganisa:

• Nemivimbo, abesifazane iwe phakathi sokukhulelwa.
• Ukusetshenziswa kotshwala kokubeletha, kunemithi noma amaphilisi owaphuzayo, izidakamizwa, nokubhema.
• Kudluliselwe ngesikhathi sokukhulelwa, izifo ezithathelwanayo.
• umlando womndeni.

Against isizinda hypoplasia yabonisa ukuvaleka enkulu Umthambo endaweni entry lwalo isiteshi eliholela ingaphakathi cranial.

ukuhlola

Ukukhomba zokugula kuhilela ukusetshenziswa izindlela zocwaningo amaningi. Okokuqala, uchwepheshe iziphetho yayo esekelwe esithombeni emtholampilo. Kulokhu sikhuluma ulwazi olutholakale luhlolo esithinta izinzwa, kanye izikhalazo lesiguli. Lapho uphethwe ngokuvamile Kutholwe ukungezwani entanyeni, ubunzima turning ikhanda, isisa ku kwengcindezi izinqubo 1 no-2 e amathambo wesibeletho. Ucwaningo liyasetshenziswa X-ray. MRI kubhekwa umcimbi saziso. Le nqubo ivumela ukuba embule ngqo imbangela zegazi ezibangelwa, ukuthola kwesigaba kokucindezelwa bomkhumbi. Eyodwa yezindlela ezinkulu ekuxilongweni a ultrasound Doppler (Doppler ultrasonic). Phakathi ukuhlola Uchwepheshe kufanele ukuhlukanisa migraine syndrome.

izinyathelo zokwelapha

Uma kwegazi siyabhubha (ayisesemikhulu noma zikhubazekile Umthambo vertebral), ukwelashwa ngokuvamile eziyinkimbinkimbi iqondiswa. izinyathelo zokwelapha incike yobudala lesiguli, kobukhulu isimo, kanye izici ngamunye isiguli. Ngenxa yokuthi iziguli enjalo basengozini yokushaywa unhlangothi, izinyathelo zokwelapha ngokuyinhloko okuhloswe ngalo ukuqeda yokuphazamiseka ukugeleza kwegazi futhi zibe semithambo. Isakhiwo esetshenziswa ekwelashweni cleaner pharmacopuncture. Ngaphezu kwalokho, Reflexology esimisiwe, ukudla izinhlobo eziningi imithi. Phakathi kwezidakamizwa oboniswa isicelo - antidepressant ukukhanya namanxusa eqeda ukuvuvukala. It Kunconywa nemithi ezifana "Aminophylline," "Cinnarizine," "Cavintonum". kusho "Betahistine" kuboniswa ngenxa inzululwane.

Uma kuphazamiseka ngokuhamba Ukuhlola emgogodleni noma kwegazi cerebral Kunconywe yokwamukelwa isiguli esibhedlela. Uma kungekho sidingo esiphuthumayo ukuba ngilaliswe esibhedlela Uchwepheshe angase atuse yesikhashana egqoke collar Schanz. Lokhu corset isetshenziswa ukunciphisa umthwalo phezu emgogodleni wesibeletho. Against isizinda vertebral Umthambo syndrome ngokuvamile esimisiwe kwamathambo, Physiotherapy futhi ukutshopa, analgesics electrophoresis, phonophoresis, imisinga diadynamic.