Ðe wò hã nèle sesem le ɖokuiwò me be yeƒe ta le ƒoƒom alo yeƒe ta le ƒoƒom? Esia ate ŋu anye Vertebrobasilar Insufficiency!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe ta gbãna, yeƒe ta me mekɔna o, alo megate ŋu da sɔ o ne èle azɔli zɔma? Ame aɖewo hã ƒoa nu tsia tre ɖe woƒe nyawo ŋu ne wole nu ƒom. Mègabu dzesi siawo be wosɔ o. Woate ŋu anye nɔnɔme aɖe si ɖea ʋu ƒe sisi yi wò ahɔhɔ̃ ƒe megbe dzi kpɔtɔna ƒe dzesiwo. Egbea, míele nu ƒom tso nɔnɔme aɖe si woyɔna be Vertebrobasilar Insufficiency (VBI) ŋu .

Nukae nye akɔta ƒe dɔmawɔmawɔ nyuie (VBI)?

Kpuie ko la, vertebrobasilar insufficiency (VBI) nye nɔnɔme si me ʋu ƒe sisi yi wò ahɔhɔ̃ ƒe megbe dzi ɖena kpɔtɔna alo tɔa te. Míaƒe ahɔhɔ̃ ƒe megbekpa siae kpɔa ŋusẽ ɖe dadasɔ kple ʋuʋu dzi. Eyata bu kuxi siwo ate ŋu ado mo ɖa ne ʋu mesu akpa sia o ŋu kpɔ.

Lãmesẽkuxi suesuesuewo koe le amesiwo ŋu VBI le ƒe akpa gãtɔ ŋu. Gake nɔnɔme sia dea afɔku me be nàxɔ ʋusɔgbɔdɔ alo ʋusɔgbɔdɔ si nɔa anyi ɣeyiɣi kpui aɖe (TIA) , si nye nɔnɔme si ɖi ʋusɔgbɔdɔ sue aɖe. Ɣeaɖewoɣi la, nɔnɔme sia ate ŋu asẽ eye ate ŋu ana ame nazu nuwɔametɔ le eƒe agbemeŋkekewo katã me alo aku gɔ̃ hã. Esia tae wòle vevie be nànya esia ɖo.

Zi geɖe la, ɖɔktawo daa VBI ƒe nɔnɔme sia to aɖaŋuɖoɖo nana be woatrɔ agbenɔnɔ me, eye ne ehiã la, woŋlɔa atikewo na wo. Gake ne dzesiawo gakpɔtɔ li le afɔɖeɖe siawo megbe la, ate ŋu ahiã be woawɔ dɔ nɛ.

Ðe VBI ƒomevi vovovowo lia?

Ẽ, ƒomevi tɔxɛ ɖeka aɖe li. Woyɔe be Ɣeyiɣi kpui aɖe ƒe Akɔta ƒe Dɔmawɔmawɔ nyuie . Esia mebɔ vie o. Nɔnɔme sia dzɔna ne ètrɔ ta alo trɔ ta. Ðɔktawo hã yɔnɛ be:

• Bow hunter ƒe dɔléle
• Ta ƒe tɔtrɔ ƒe syncope
• Vertebrobasilar ƒe tɔtrɔ ƒe dɔmawɔmawɔ nyuie

Nusi dzɔna le nɔnɔme sia mee nye be ʋuka aɖe si tsɔa ʋu yia ahɔhɔ̃a me la xena hena ɣeyiɣi aɖe ne wotrɔ ta.

Amekae ate ŋu axɔ VBI wu?

Afɔku gã aɖe le ŋuwò be nàxɔ VBI ne èxɔ wu ƒe 50 eye nɔnɔme siawo le ŋuwò:

• Ne dzitodzito me dɔléle alo ʋuka siwo le gota (PAD) , siwo nye kuxi siwo le ʋuka siwo naa ʋu dzia kple ŋutinu siwo le didiƒe abe afɔwo kple abɔwo ene ŋu.
• Ne suklidɔ le ŋuwò la .
• Ne ame aɖe si le ƒomea me xɔ VBI do ŋgɔ (domenyinu ƒe kadodo).
• Ne ʋusɔgbɔdɔ (Hypertension) alo ʋumemi sɔ gbɔ ɖe wò ʋu me .
• Ne atamanono ƒe ŋutinya le asiwò.
• Amidada, si fia be ne lolo akpa le ame ŋu vevie.
• Ne ami (plaque) le wò ʋukawo me la, efia be ʋukawo me ʋu ƒe sisi le ŋuwò .
• Ne ami siwo le ʋua me dzi ɖe edzi la, woyɔnɛ be ʋumemi si sɔ gbɔ wu .

Dzitodzito me dɔléle siwo ate ŋu axe ʋuka aɖe hã dzia VBI ƒe afɔkua ɖe edzi. Le kpɔɖeŋu me:

• Atrial fibrillation (Afib) (dzi ƒe ʋuʋu ƒe dɔléle) .
• Ʋu ƒe sisi ƒe dɔlélewo
• Dɔlékuiwo xɔxɔ le dzia ƒe akpa si le eme (infective endocarditis) .
• Vertebral artery dissection ( ʋuka si me ʋu sina tona yia ahɔhɔ̃a me ƒe gli ƒe ʋuʋu) .

Le akɔntabubu nu la, ŋutsuwo ate ŋu axɔ VBI zi gbɔ zi eve wu nyɔnuwo. Nɔnɔmea bɔ ɖe to aɖewo hã dome wu.

Aleke gbegbee VBI bɔe?

Wogblɔ be ame siwo xɔ wu ƒe 70 la dometɔ siwo ade 25%, alo abe ame ɖeka le ene ɖesiaɖe me, ate ŋu axɔ VBI. Eyata esia menye nusi ŋu womese kpɔ kura o.

Nukawoe nye nu vevi siwo gbɔ VBI tsona?

Nusi koŋ gbɔ VBI tsona zi geɖe enye nɔnɔme aɖe si woyɔna be ʋukawo ƒe ʋuʋu . Abe alesi míegblɔe va yi ene la, ɣeyiɣi sia mee ami siwo le ʋukawo me (plaque) siwo me ʋumemi kple calcium le la ƒoa ƒu ɖe ʋukawo me, si wɔnɛ be wotsia ʋukawo me eye wòɖea ʋu ƒe sisi dzi kpɔtɔna. Ele abe ɖiƒoƒo si ge ɖe tsi ƒe pɔmpi me ene.

Susu bubu siwo bɔ hã li:

• Penetrating artery disease ( ʋuka sue ŋutɔ siwo le ahɔhɔ̃a me ƒe xexe) .
• Aklã me ʋu ƒe sisi (ʋu ƒe sisi le aklã me – esia ateŋu akpɔ ŋusẽ si mele tẽ o) .
• Vertebral artery dissection ( akɔta ƒe ʋuka ƒe gli ƒe vuvu) .

Susu siwo mebɔ o hã li:

• Ʋumedɔlélewo (Coagulopathies) .
• Atike vɔ̃ɖiwo zazã ƒe numame
• Fibromuscular dysplasia (FMD) (ʋukawo ƒe gliwo ƒe tsitsi si mesɔ o) .
• Taɖuame – Taɖuame sesẽ aɖewo ateŋu asɔ kple nɔnɔmea.

Nukae nye VBI ƒe dzesiwo?

Ame si ŋu VBI le ate ŋu akpɔ dzesi siawo dometɔ ɖeka alo esi wu nenema. Esiawo ate ŋu ado kpata eye woabu le ɣeyiɣi aɖe megbe, alo woate ŋu anɔ anyi ɖaa.

• Dadasɔ ƒe kuxiwo : taɖuame, sese le ɖokuiwò me be nuwo le tsatsam le ye ŋu ( vertigo ). Bu eŋu kpɔ, ne èse le ɖokuiwò me be yeƒe ta le ƒoƒom ne èle tsitrenu ko gɔ̃ hã la, aleke nàse le ɖokuiwò me ne èle zɔzɔm?
• Tɔtɔ, susu ƒe dɔmawɔmawɔ nyuie ( delirium ).
• Nuɖuɖu mimi sesẽ ( dysphagia ).
• Dɔléle siwo gblẽa nu le ʋuʋu kple nuwɔwɔ aduadu ŋu ( ataxia) .) - Ele abe ɖe màte ŋu azɔ o ene, esesẽna be nàɖu wò abɔwo kple afɔwo dzi.
• Nukpɔkpɔ eve alo nukpɔkpɔ ƒe bu.
• Ame ƒe susu ƒe dɔwɔwɔ zi ɖeka ( syncope ).
• Wò ŋutilã ƒe akpa aɖe ƒe ʋuʋu.
• Nyawo gbɔgblɔ kple wo ƒoƒo ƒuƒlu ne wole nu ƒom ( dysarthria ).
• Ame ƒe tagbɔ bu kpata eye wòdze anyigba (drop attacks).
• Aɖuɖɔtoe dzi ɖuɖu ƒe ŋutetemanɔamesi (Urinary incontinence).
• Aɖuɖɔtoe kple ʋuʋudedi.

Vevietɔ: Ne dzesi siawo dometɔ aɖe le ŋuwò, vevietɔ ne eva kpata eye wògava la, kpɔ egbɔ be yedi atikewɔlawo ƒe aɖaŋuɖoɖo, elabena ate ŋu anye ʋusɔgbɔdɔ ƒe dzesi.

Aleke ɖɔktawo wɔa dea dzesi VBI?

Ne èyi ɖɔkta gbɔ la, abia wò gbã tso wò dzesiwo ŋu. Emegbe, woawɔ ŋutilãmedɔdada. Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ ʋɛ bubuwo atsɔ aɖo kpe nɔnɔmea tututu dzi.

• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo:
• CT scan (computed tomography scan) alo MRI (magnetic resonance imaging) ɖea ʋuka siwo le wò ahɔhɔ̃ ƒe megbe la ƒe foto. Esia ate ŋu akpe ɖe mía ŋu míakpɔe ɖa be ʋukawo xe alo nu gblẽ le wo ŋu hã.
• Angiography: Esia nye dodokpɔ si me wozãa X-ray nɔnɔmetatawo tsɔ doa wò ʋukawo (ʋukawo) kpɔna. Ɣeaɖewoɣi la, wodoa tsi tɔxɛ aɖe (amadede si to vovo na wo nɔewo) ɖe ʋukaawo me tsɔ wɔa nɔnɔmetata siawo.
• CTA (computed tomography angiography) alo MRA (magnetic resonance angiography): Dodokpɔ siawo ate ŋu awɔ wò ʋukawo ƒe nɔnɔmetata siwo me kɔ ŋutɔ, siwo le akpa etɔ̃ (3D).
• Echocardiogram (Echo): Esia le abe dzia ƒe ultrasound scan ene. Eléa ŋku ɖe alesi dzia ƒe xɔwo kple ʋukawo le dɔ wɔm ŋu, kple alesi dzia le ʋu ƒom (pumping action).
• Electrocardiogram (ECG alo EKG): Esia dzidzea wò dzi ƒe elektrikŋusẽ ƒe dɔwɔwɔ. Ate ŋu ade dzesi masɔmasɔ ɖesiaɖe si le wò dzi ƒe tsotso me.
• Holter monitor: Esia nye mɔ̃ sue aɖe si wodona ɖe wò ŋutilã dzi gaƒoƒo 24 va ɖo 48. Eŋlɔa wò dzi ƒe elektrikŋusẽ ƒe dɔwɔwɔ ɖi ɣesiaɣi esime nèle dɔ siwo sɔ wɔm.
• Prothrombin time (PT) kple partial thromboplastin time (PTT) ƒe ʋudodokpɔ: Ʋudodokpɔ siawo dzidzea ɣeyiɣi si wò ʋu xɔna hafi ʋuna.

Menye dodokpɔ siawo katãe ahiã o. Wò ɖɔkta atso nya me le dodokpɔ siwo nàbia ŋu le wò dzesiwo kple nɔnɔmea nu.

Aleke wowɔa nu ɖe ​​VBI ŋui?

Atikewɔwɔmɔnu vovovowo li. Wò ɖɔkta anɔ te ɖe wò nɔnɔmea dzi atso nya me le atikewɔwɔ si sɔ wu ŋu.

1. Agbenɔnɔ ƒe tɔtrɔ:

Zi geɖe la, nu gbãtɔ si woate kpɔe nye be woaɖe dzesiawo dzi akpɔtɔ to tɔtrɔ aɖewo wɔwɔ le agbenɔnɔ me me.

• Lé lolo nyuie me ɖe asi: Lolo akpae nye dɔléle geɖe ƒe ke.
• Kpɔ ʋumemi dzi to wò nuɖuɖu tɔtrɔ me: Ele vevie ŋutɔ be nàɖe nuɖuɖu siwo me ami kple ami sɔ gbɔ ɖo dzi akpɔtɔ.
• Kamedede: Nu bɔbɔe aɖe abe azɔlizɔzɔ aɖabaƒoƒo 30 gbesiagbe ene gɔ̃ hã ate ŋu ana tɔtrɔ gã aɖe nava.
• Atamanono dzudzɔ: Esia nye nusi wòle be nàwɔ godoo.

2. Atikewo (atikewo):

Ðɔktaa ate ŋu aŋlɔ atike siwo woatsɔ aɖu lãmesẽkuxiwo dzi.

• Atike siwo léa ʋu ƒe sisi nu: Abe aspirin ene.
• Ʋu ƒe sisi dzi ɖuɖu ƒe atike.
• Atike siwo ɖea ʋumemi dzi kpɔtɔna.
• Atike siwo wozãna tsɔ léa suklidɔ nu.

3. Amekoko:

Ne agbenɔnɔ ƒe tɔtrɔwo kple atikewo mena ʋu gazɔna o la, wò ɖɔkta ate ŋu ado susu ɖa be woawɔ dɔ na wò.

• Carotid endarterectomy: Esia bia be woawɔ amekoko atsɔ aɖe ami siwo le kɔ me (plaque) ɖa le ʋuka gã aɖe si le kɔa me (carotid artery) me.
• Coronary angioplasty kple stent: Ne ʋuka aɖe si le dzia me xe la, wotsɔa ga mesh (stent) si me ʋuƒo sue aɖe le dea eme be wòakeke ʋukaa.
• Coronary artery bypass surgery: Wotsɔa ʋuka si le lãmesẽ me si woɖe tso ŋutilã ƒe akpa bubu ɖɔlia ʋuka si gblẽ le dzia me.
• Akɔta ƒe ʋukawo gbugbɔgatu: Amekoko ɖɔa nusiwo gblẽ le akɔta ƒe ʋuka siwo tsɔa ʋu yia ahɔhɔ̃a me la ɖo.

VBI si nɔa anyi ɣeyiɣi kpui aɖe ƒe atikewɔwɔ:

Abe VBI nɔnɔme si ŋu míeƒo nu tsoe va yi ƒe atike ene, si dzɔna ne wole ta trɔm:

• Kɔmewu alo kɔmewu.
• Atikewo.
• Amekoko, ɖewohĩ amekoko si me womewɔa nu boo aɖeke le o gɔ̃ hã ate ŋu adzɔ.

Aleke nàwɔ aɖe afɔku si le VBI xɔxɔ me dzi akpɔtɔ?

Ne èwɔ ɖe aɖaŋuɖoɖo siawo dzi la, àte ŋu aɖe afɔku si le VBI xɔxɔ me dzi akpɔtɔ ŋutɔ:

• Ƒo nuɖuɖu si naa lãmesẽ: Ƒo amagbewo, atikutsetsewo, kple nuɖuɖu siwo me fibre sɔ gbɔ ɖo geɖe wu. Ðe ami, sukli, kple dze dzi kpɔtɔ.
• Kamedede edziedzi.
• Lãmetsiŋusẽ ƒe agbɔsɔsɔ dzi ɖuɖu.
• Ne lãmesẽkuxi bubuwo abe ʋusɔgbɔdɔ alo suklidɔ ene le ŋuwò la, ɖu wo dzi nyuie le atikewɔlawo ƒe aɖaŋuɖoɖo nu.
• Atamanono dzi ɖeɖe kpɔtɔ.

Nu siawo kpena ɖe ame ŋu be woakpɔ ame ta tso menye VBI ɖeɖeko me o, ke boŋ dɔléle bubu geɖewo hã me.

Nukae nye amesi ŋu VBI le ƒe lãmesẽ ƒe nɔnɔme? (Nukpɔsusu) .

Ame aɖe si ŋu VBI le ƒe ŋgɔdonya nɔ te ɖe nu geɖe dzi:

• Afisi ahɔhɔ̃a ƒe dɔwɔwɔ gblẽ nu le ( ahɔhɔ̃mekawo ƒe dɔmawɔmawɔ nyuie ƒe sesẽme) .
• Eɖanye be ʋusɔgbɔdɔ dze dziwò va yi o.
• Ƒe.
• Ðe lãmesẽkuxi bubu aɖewo gali?

Ne VBI va nu sẽ la, ate ŋu ana ame nazu nuwɔametɔ eye wòaku gɔ̃ hã. Gake ne wokpɔe dze sii kaba eye wowɔ atike na wo nyuie la, woate ŋu ado tso eme nyuie ŋutɔ.

Ðe VBI ate ŋu agblẽ nu le ame ŋu ɣeyiɣi didia?

Ame geɖe siwo ƒe dzesiwo mesẽ o ate ŋu atsɔ agbenɔnɔ ƒe tɔtrɔ kple atikewo akpɔ woƒe dzesiwo gbɔ. Gake ne dzesiawo nu sẽ la, ate ŋu ahiã be woaɖɔ wo ɖo ɣleti geɖe, ƒe geɖe gɔ̃ hã.

Kuxi (kuxiwo) siwo ate ŋu ado mo ɖa le VBI ta dometɔ aɖewoe nye:

• Ʋu ƒe sisi le afɔwo me - Deep Vein Thrombosis (DVT) .
• Ʋu ƒe sisi le lãkusiwo me - Pulmonary Embolism .
• Tsikuɖiɖi kple nu mimi sesẽ.
• Yagbɔgbɔ sesẽ.
• Lãmetsiŋusẽ alo lãmetutudɔ.
• Dɔgbo ƒe dɔdzẽ ( gastritis ).
• Dzidɔ ( dzitodzito me dɔléle) .
• Aklãdɔlélewo.
• Nyaƒoɖeamenu ƒe abi / abadzivɔwo.
• Ʋusɔgbɔdɔ alo ʋusɔgbɔdɔ si nɔa anyi ɣeyiɣi kpui aɖe (TIA) .
• Nukpɔkpɔ ƒe bu.

Ðe VBI ate ŋu agadzɔ ake le atikewɔwɔ vɔ megbea?

VBI ƒe gbugbɔgadzɔ ƒe agbɔsɔsɔme le 10% va ɖo 15% dome. Esia fia be ne èhaya hã la, mɔnukpɔkpɔ li be wòagatrɔ ava. Eyata ele vevie be nàyi edzi awɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi eye nàlé agbe nyui nɔnɔ me ɖe asi.

Ne VBI le ŋunye la, aleke mawɔ akpɔ ɖokuinye dzi?

Ne wokpɔ VBI le ŋuwò la, ele vevie be nàsrɔ̃ nu tso nu vovovo siwo ate ŋu akpe ɖe ŋuwò le wò hayahaya me ŋu. Ðewohĩ àhiã kpekpeɖeŋu le nuwo abe:

• Tsinyegoe kple dɔgbo ƒe hehexɔxɔ.
• Nunyiame ŋuti aɖaŋuɖoɖowo.
• Dedienɔnɔ ƒe kakaɖedzi nana le aƒeme.
• Alesi woawɔ gbesiagbedɔwoe fiafia.

Atikewɔwɔ siawo ƒomevi ate ŋu akpe ɖe ŋuwò:

• Dɔwɔwɔ ƒe atikewɔwɔ: Fiafia wò alesi nàwɔ gbesiagbedɔwo le ɖokuiwò si.
• Lãmesẽfefewɔwɔ: Enaa ŋutilã ƒe ʋuʋu, ŋusẽ, kple dadasɔ nyona ɖe edzi.
• Nuƒoƒo ƒe atikewɔwɔ: Ekpena ɖe ame ŋu le nuƒoƒo kple nu mimi ƒe kuxiwo me.

Àte ŋu ahiã dɔnɔdzikpɔla si kpɔa dɔnɔwo dzi le aƒeme ƒe kpekpeɖeŋu hã be wòalé ŋku ɖe wò hayahaya ƒe ɖoɖoa ŋu.

Gbedasi si Wotsɔ Yi Aƒeme: Nukae míesrɔ̃ tso esia me?

Enyo, eyata, vertebrobasilar insufficiency (VBI) si ŋu míeƒo nu tsoe egbea.Enye nɔnɔme si me ʋu ƒe sisi yi ahɔhɔ̃a ƒe megbe dzi ɖena kpɔtɔna. Esia ate ŋu ahe dzesiwo abe taɖuame, ame ƒe ŋutilã dzi ɖuɖu, kple nuƒoƒo sesẽ ene vɛ. Nusi koŋ gbɔ wòtsonae nye ʋukawo ƒe xexe to ami siwo le lãme na ame (atherosclerosis) ta.

Mega tsi dzi o! Zi geɖe la, woate ŋu aɖu nɔnɔme sia dzi to agbenɔnɔ ƒe tɔtrɔ kple atikewo zazã me. Ðewohĩ ahiã be woawɔ dɔ na ame aɖewo gɔ̃ hã.

Ne dzesi siawo dometɔ aɖe le ŋuwò la, mègaŋe aɖaba ƒu wo dzi o. Kpɔ ɖɔkta enumake hena aɖaŋuɖoɖo. Ne èkpɔ wo kaba la, ate ŋu akpe ɖe ŋuwò nàda wo bɔbɔe wu eye wòaxe mɔ na nɔnɔme sesẽwo be woagava do mo ɖa o.

Nuwo abe dɔdamɔnu, kamedede, kple nuƒoƒo ƒe atikewɔwɔ ene ate ŋu akpe ɖe ŋuwò nàna wò gbesiagbegbenɔnɔ nanɔ bɔbɔe. Nɔ lãmesẽ me!

` Vertebrobasilar Insufficiency, VBI, Ahɔhɔ̃ me ʋu ƒe sisi, Taɖuame, Lãmetsiŋusẽ, TIA, Ʋukawo ƒe ʋuʋu, Ʋusɔgbɔdɔ