Vertebral arteries. vertebral tsinga chirwere: zviratidzo, nechirwere, kurapwa

Vertebral tsinga vabve subclavian midziyo huru. Mipata iyi chekugutsa zvikamu uropi. Kunyanya, ropa yaipiwa pamwe occipital lobes, cerebellum, hunde. Uyezve ongorora zvose, chii chinoumba mashoko vertebral tsinga. Nyaya ino kutsanangura kushanda vascular zvirwere, kurapwa uye dzokurapwa nzira inoshandiswa kugadzirisa navo.

tsananguro

The zvikamu zviri vertebral tsinga nomumvura migero inoumbwa ne transverse dzinotsanagura ari remuromo mapfupa zvinhu. Nokuti ayo nzvimbo, uye nemidziyo ainzi. Rakapinza muruoko cranial mhango kubudikidza foramen magnum, vertebral tsinga muuropi hunde batanidza zviri basilar gwara. Kubva panzvimbo iyi, ivo vatiitire zvichikwira. Mukutonga Hemisférios Cerebrais rikauya branching. Kune rumwe rutivi kunosvika rworudyi, uye pamusoro mumwe - kuruboshwe vertebral tsinga.

anatomi

Mumwe gwara rakakamurwa zvimwe zvikamu. Ziva zvinotevera mapazi eumambo vertebral tsinga:

• Intracranial. Chikamu ichi kunosvika kuna cranial mhango nzvimbo inotungamirwa uye mapazi batanidza basilar gwara.
• Nape. chidimbu ichi rinoenderera nzira yokubudisa ari gwara pezvakaitwa (transversal) of vertebrae (remuromo) asati kupinda cranial mhango.
• Neck. Chikamu ichi Kunoguma kupa pezvakaitwa (transverse) ari remuromo vertebrae.
• Prespinal. Ndiwo pasi mugove. The chidimbu rinoenderera semaonero kwakabva vertebral midziyo kubva subclavian kusvikira kusuo mugero pezvakaitwa ari vertebrae ari remuromo nomuzongoza.

musoro ropa zvitengeswa

Uropi anodyisa madziva maviri: vertebrobasilar uye carotid. Ekupedzisira zvinosanganisira kuti carotid arteries (zvemukati). Anopa 70 kusvika 85% yose inowanwa ropa vhoriyamu. The carotid arteries vane basa zvinenge zvose mikuru kusagadzikana pfungwa kutenderera. Izvi kunonyanya kureva kurohwa. Panyaya iyi, panguva kuongorora kwavo mari vainyatsotarisirwa. atherosclerotic maronda avo uye nemigumisiro ichi vanowirwa soro kufarira cardiologists uye vascular vanovhiya uye neurologists. The vertebrobasilar bheseni zvinosanganisira kodzero rworuboshwewo vertebral tsinga. Vanopa vanenge 15-30% yose inowanwa ropa vhoriyamu. kukuvara kwakadaro akadai sitiroko, anogona zvakakomba kukuvadza murwere kunyange kuti ndedzenhema.

zvirwere Blood

Vertebral arteries uye awo chekugutsa cerebellum. At kushayiwa ropa wedzerai zvimwe panowanikwa dzungu. chiratidzo ichi vertebral tsinga anonzi "vertebrobasilar insufficiency". Kuburikidza Kukurukura midziyo rinoitwa nerubatsiro uropi hunde. In mamiriro ichi, yakaomerera nzvimbo afemeruke uye kufamba kweropa kunokosha. Panyaya iyi, sitiroko rinowanikwa munharaunda zvakaoma zvakakwana uye kazhinji kunotungamirira kurufu. Rinomiririra mukuru ngozi remuromo osteochondrosis. vertebral tsinga chirwere hwapedyo nokuda pfupa deformation zvinhu. Midziyo kuva chakakombama, zvichitungamirira nokuvhiringidzirwa ropa rive.

The zvinokonzera kutyorwa

Precipitating zvinokonzera kuti pathological ezvinhu anogona kuva vertebral uye nevertebrogennoy hunhu. Mukupera Kana tiri kutaura pamusoro akuvara kuti vasina chokuita nomuzongoza. Zvinokonzerwa vachiberekwa anomalies poukuru uye kosi midziyo kana atherosclerosis. Asi pakupedzisira chikonzero kunokwanisa kuonekwa Kazhinji. anomalies izvi havana yakazvimirira ukoshi. Asi nokuda kuwedzera zvimwe zvinhu kudzvinya arteries vakaumba vanoshorwa zvikuru ezvinhu.

Vertebral maronda anokonzerwa siyana pathologies pamusoro musana (osteochondrosis - kunyanya). Zvirwere izvi zvinogona kuratidza pachavo kunyange pauduku kana kuyaruka pamusoro colour pakati dysplastic kana posttraumatic kusagadzikana pamusoro remuromo nomuzongoza. Somugumisiro, rinogona akaremara vertebral arteries.

Zviratidzo kushayiwa ropa zvitengeswa

The chinonyanya maitiro chepfungwa zvokurwara kuonekwa dzose, mune zvimwe zviitiko kuwedzera paroxysmal chinorwadza throbbing kurwadziwa musoro wake. Kazhinji, zviri vemunyika mune occipital munharaunda. Munguva kurwisa, marwadzo anogona kupararira kune dzimwe nzvimbo. Kazhinji iye Anopa ziso panosangana uye mhuno, mune parietal-rwepanyama mugove kuna pahuma kana nzeve. Soreness anogona kunge paroxysmal kana zvechigarire muzvarirwo. Vemunyika nezvekufadza Kazhinji neruoko rumwe.

nounyoro peganda romusoro kunoitika kakawanda. Kunzwa uku anooneka kunyange zvishoma kubata, combing. Kana akatendeuka kana tilting musoro kunogona kuitika maitiro crunch, unopfuta ari kuchengetwa dzimwe nguva.

Mune zvimwe zviitiko, varwere vertebral tsinga chirwere rinowanika dzungu achiperekedzwa svoto kana kurutsa, kusanzwa, achirira / ruzha munzeve, siyana havachaoni zvakanaka. The yokupedzisira inofanira kusanganisira zviitiko zvakadai nechitarisiko chidzitiro mhute vachizviona, chiono kaviri, Blurred uye nevamwe. Apo neapo varwere vanotsutsumwa unonzwa kuvapo muviri yokumwe pahuro (pharyngeal migraine) uye kuome kumedza. Pakati autonomic zvirwere vanogona pfupi kunzwa nzara, nyota, kunzwa nefivhiri kana chills.

The kukundwa aimunzwira tsitsi plexus

Muchiitiko ichi ikoko Syndrome, Bernard-Horner. State achabatsirwa, somunhu mutemo, mumwe ane mativi marwadzo uye paresthesias. Zviratidzo kazhinji andobata kutarisana zvakaoma mukanwa, mazino uye rurimi. Munguva huro pane tingling, ichipfuta manyawi, kunzwa kuvapo muviri yokumwe. Kuwedzera kune zviratidzo izvi, pane zvinetso zviri vestibular mhando muchimiro dzungu, vanodzedzereka akawira kuburikidza. Zvirwere izvi vari achiperekedzwa svoto uye kurira kana ruzha pahura. Panguva musoro pane fivha, ungaderedza kuita, wakawedzera vangadikitira, wakawedzera kuneta, ungaderedza kutarisana acuity, "kudzima nhunzi maziso ake pamberi" anooneka. Nokuti shanduko chero pachinzvimbo musoro marwadzo kuchinyanya kunowedzera chaizvo. Asi panguva murwere angawana nzvimbo umo kunzwa izvi yekudyidzana kushoma kana kuti kwakapera zvachose.

vachiberekwa anomaly

chikamu ichi zvinoreva pathologies hypoplasia. The akasiya vertebral tsinga zvinovhiringidzika zvishoma kakawanda. chirwere zviratidzo zvinochengetwa pakarepo. Zviratidzo zviri pedyo zvikuru hemodynamic nzwisisa. Izvi zvinoreva kuti kurega kunotanga uye kushaya ropa wedzerai vasati vava akaora chinokosha, izvozvo kutora nguva. Zvinofanira kurangarirwa kuti vari compensating zvigadziriswe kuti anobvumira kuti kupiwa nguva chengeta kwagara kudya mumuviri womunhu.

Zvinokonzera kuti anomaly

Sei kuva hypoplasia? The akasiya vertebral tsinga kunogona aumbwa zvakarurama mu utero nokuda kwezvikonzero zvinoverengeka. The zvihombe vanosanganisira:

• Mavanga, vakadzi kuwira panguva gestation.
• Kushandiswa pamuviri doro, vamwe mishonga, zvinodhaka, uye kusvuta.
• Kutamiswa panguva pamuviri, zvirwere zvinotapuriranwa.
• nhoroondo yemhuri.

Tikafunga hypoplasia wakaratidza chinokosha aienda pamusoro tsinga pa nzvimbo yaro kupinda mugero raipinda cranial mhango.

Diagnostics

Kuziva zvokurwara hunosanganisira kushandiswa vakawanda tsvakurudzo nzira. Chokutanga, nyanzvi dzacho pamashoko ari kunotoda mufananidzo. Muchiitiko ichi tiri kutaura mashoko yakawanikwa munzvimbo chetsinga kuongororwa, uyewo murwere zvichemo. Kana chirwere zvinowanzooneka dzakaonekwa Makakatanwa mutsipa, zvakaoma akashandura musoro, unyoro ari kumanikidzwa kuti pezvakaitwa 1 uye 2 remuromo vertebrae. The Ongororo unoshandiswawo X-ray. MRI anonzi chiitiko fanira. nzira iyi kunoita kuti kuzivisa chaiyo chikonzero ropa zvinetso, kuziva chikamu compression ari mudziyo. Chimwe chikuru nzira diagnosing munhu Doppler Ultrasound (ultrasonic Doppler). Panguva Diagnostics nyanzvi anofanira kusiyanisa migraine syndrome.

kuchirapa matanho

Kana anetseka kuparadzirwa (kujekesa kana akaremara vertebral tsinga), kurapwa kazhinji kunzwisisa chinotarisirwa. Kuchirapa matanho kuvimba murwere zera, kwokuomerwa ezvinhu, uyewo munhu zvechadenga murwere. Nokuti kuti varwere vakadaro vari pangozi sitiroko, kuchirapa matanho anonyanya zvainanga kubvisa vachivavhiringidza muropa kuyerera uye vascular kurwadza kwacho. The yakaoma kushandiswa Vacuum kurapwa pharmacopuncture. Mukuwedzera, yakatarwa reflexology, achitora zvinoverengeka mishonga. Pakati zvinodhaka akaratidza kushanda - chiedza antidepressants uye Anti-anogumbura nevamiririri. It rakarumbidza Mishonga akadai "Aminophylline," "Cinnarizine," "Cavintonum". rinoreva "Betahistine" kunoratidzwa nokuda vertigo.

Kana zvinetso mukufamba pakuongorora musana kana chepfungwa kweropa Recommended kuti murwere kubvuma kuchipatara. Kana pasina kudiwa kwokukurumidzira kugara kuchipatara nyanzvi ringavakurudzira kwekanguva akapfeka chipika Schanz. corset ichi chinoshandiswa kuderedza mutoro pamusoro remuromo nomuzongoza. Tikafunga vertebral tsinga chirwere kazhinji vakagadzwa chiropractic, physiotherapy uye jekiseni, analgesics electrophoresis, phonophoresis, diadynamic dzenzvimbo.