Ua ʻike anei ʻoe i kēia kīʻaha koko makamae i loko o kou ʻāʻī? (Vertebral Artery) E kamaʻilio kikoʻī kākou!

Mālama nui mākou a pau i ko mākou olakino kino. He mea nui loa ka ʻike e pili ana i ka ʻōnaehana vascular e hoʻolako ana i ke koko i ko mākou lolo a me ke kaula spinal. I kēia lā e kamaʻilio mākou e pili ana i kekahi ʻano koʻikoʻi o ke kīʻaha koko. ʻO kēia ka mea a mākou e kapa nei he '(Vertebral Arteries)'. I ka pololei, ua like kēia me ke koko ola e hānai ana i ka ʻaoʻao o luna o ko mākou kino.

He aha kēia mau '(Vertebral Arteries)'? He aha kā lākou hana maoli?

I ka ʻōlelo maʻalahi, ʻo nā `Vertebral Arteries` ʻelua mau kīʻaha koko nui i loko o ko kākou ʻāʻī e lawe ana i ke koko i ka lolo a me ke kaula spinal (ke aʻalolo nui e holo ana ma o ka iwi kuamoʻo). ʻAe, ʻelua, hoʻokahi ma ka ʻaoʻao hema a ʻo kekahi ma ka ʻaoʻao ʻākau. Loaʻa ka inoa `Vertebral` mai ka ʻoiaʻiʻo e holo ana kēia mau aʻa ma ko kākou vertebrae, nā iwi o ka iwi kuamoʻo. Hoʻohui kēia mau aʻa ʻelua ma ke kumu o ke poʻo e hana i kahi aʻa nui i kapa ʻia ʻo `Basilar Artery`. Kāhea pū mākou i kēia ʻōnaehana holoʻokoʻa ʻo `Vertebrobasilar system`.

No laila, ʻo ka hana nui o kēia mau mea, ʻo ia ka hoʻolako ʻana i ko kākou lolo me ka oxygen a me nā meaʻai e pono ai . Ua ʻike anei ʻoe he 20% o ke kahe koko holoʻokoʻa i ko kākou lolo e hoʻolako ʻia e kēia mau "Vertebral Arteries" . ʻO ke koena 80% e hoʻolako ʻia e kekahi aʻa nui ʻē aʻe ma ka ʻāʻī i kapa ʻia ʻo "Carotid Artery". No laila e noʻonoʻo i ke koʻikoʻi o kēia mau mea!

Hoʻopuka kēia mau ʻ(Vertebral Arteries)' i nā lālā liʻiliʻi he nui. ʻO ka mea nui loa o lākou ua kapa ʻia ʻo '(Posterior Inferior Cerebellar Artery)'. ʻO kēia kekahi o nā ʻaʻa nui ʻekolu e hoʻolako ana i ke koko i ko kākou '(Cerebellum)', ʻo ia hoʻi, kahi ʻāpana liʻiliʻi o ka lolo (ka cerebellum). He mea nui loa kēia '(Cerebellum)'. Kōkua ia i ka hoʻomalu ʻana i nā mea he nui i loko o ko kākou kino, e like me ke kaulike, ka neʻe ʻana, ka ʻōlelo, a me ka ʻike.

No laila, ma hea kēia mau "Vertebral Arteries"?

Hoʻomaka kēia mau ʻelua (Vertebral Arteries) mai nā ʻ(Subclavian Arteries) ma lalo o ko kākou iwi ʻāʻī, ʻo ia hoʻi, ma lalo o ka iwi ``clavicle``. Hoʻomaka kēia mau ʻ(Subclavian Arteries)` mai ka ``Aorta``, ʻo ia ke kīʻaha koko nui loa o ko kākou kino. ʻO ka ``Aorta`` ka mea e lawe i ke koko mai ka puʻuwai a i ke kino holoʻokoʻa. I ka pololei, hoʻomaka ka ``Subclavian Artery`` ma ka ʻaoʻao ʻākau mai ka ``Brachiocephalic Artery`` e hele mai ana mai ka ``Aorta``. Hoʻomaka pololei ka ``Subclavian Artery`` ma ka ʻaoʻao hema mai ka ``Aorta``.

A laila, ʻo kēia mau ʻelua (Vertebral Arteries)', ma ke kaʻawale, e piʻi i luna ma nā ʻaoʻao hema a me ka ʻākau o ko kākou iwi kuamoʻo ma ka ʻāʻī. Uhi ʻia kēia mau aʻa e nā ʻiʻo i kapa ʻia ʻo '(Suboccipital muscles)' ma ke kumu o ke poʻo. Kāhea pū mākou i kēia wahi ʻo '(Suboccipital triangle)'.

He aha nā ʻāpana kūikawā o ke aʻa Vertebral ma kona ala?

E noʻonoʻo e like me ke alanui lōʻihi. Aia nā huina like ʻole a me nā wahi like ʻole ma kēlā alanui. Pēlā i māhele ʻia ai kēia `(Vertebral Artery)` i ʻehā ʻāpana (`segments`) e like me ka wahi e hele ai. E nānā kākou i ko lākou ʻano:

• ʻĀpana V1 (pre-foraminal):ʻO kēia ka ʻāpana mua e hoʻomaka me ka "Subclavian Artery". Hele kēia ma hope o ka "Carotid Artery", kekahi aʻa nui ʻē aʻe ma ka ʻāʻī.
• ʻĀpana V2 (foraminal): Piʻi pū kēia ʻāpana me nā aʻa vertebral (nā aʻa e lawe ana i ke koko i hope) a me nā aʻalolo. Komo kēia "Vertebral Artery" ma o kahi puka i kapa ʻia ʻo "Transverse Foramen" ma ka vertebra C6 (ʻo ia hoʻi ke ono o ka vertebra ma ka ʻāʻī) a puka i waho ma o ka vertebra C2 (ka lua o ka vertebra ma lalo o ke poʻo).
• ʻĀpana V3 (extradural a extraspinal paha): Piʻo iki kēia ʻāpana a wili i kona hele ʻana ma luna o ka vertebra C1 (i kapa ʻia hoʻi ʻo "Atlas", ʻo ia ka iwi kiʻekiʻe loa o ka iwi kuamoʻo) a komo i loko o ke poʻo.
• ʻĀpana V4 (intradural a intracranial paha): ʻO kēia ka ʻāpana hope loa e komo i loko o ke poʻo. A laila, hui pū ka ʻākau a me ka hema `(Vertebral Arteries)` e hana i ka `(Basilar Artery)` i ʻōlelo mua ʻia.

Ua ʻike anei ʻoe i ka paʻakikī o kēia mau aa koko e hoʻolako i ke koko i ko kākou lolo?

He aha nā maʻi a me nā pilikia e hiki ke hoʻopilikia i nā `(Vertebral Arteries)`?

ʻAe, e nānā kākou i ke ʻano o nā pilikia e hiki ai i kēia mau kīʻaha koko makamae ke hana.

ʻO ka hapa nui o ka manawa, kū mai nā pilikia ma muli o ka hōʻiliʻili ʻana o ka momona a me ka cholesterol i loko o kēia mau aʻa, a mākou e kapa nei he `(plaque)`. Ua like kēia me ka lepo a me nā ʻōpala e hōʻiliʻili ana i loko o kahi paipu wai i ka hala ʻana o ka manawa. Kāhea mākou i kēia kūlana he `(atherosclerosis)` . Inā hōʻiliʻili nui kēia `(plaque)`, hiki ke pani loa ʻia ke aʻa.

Ke ulu ka `(Atherosclerosis)` i loko o nā `(Vertebral Arteries)` e like me kēia, ua kapa ʻia ʻo `(Vertebral Artery Stenosis)`. ʻO ia hoʻi, ua haiki ke aʻa. He aha ke kumu o kēia?

• Hiki ke hana ʻia nā ʻūpā koko. Hiki ke ālai ʻia ke kahe o ke koko ma kēia mau wahi i haiki ʻia a hiki ke hana ʻia nā ʻūpā koko.
• ʻO ka haki ʻana o ke koko i ka lolo no kekahi manawa pōkole hiki ke hana i kahi "Transient Ischemic Attack - TIA". Kāhea pū mākou i kēia he "mini stroke".
• Hiki ke loaʻa ka hahau. Hiki ke hana ʻia kēia inā e ālai loa kahi ʻūpā koko i kahi aʻa i loko o ka lolo.
• Hiki ke loaʻa kahi kūlana i kapa ʻia ʻo "Vertebrobasilar insufficiency". ʻO ke ʻano kēia, ʻaʻole lawa ke koko i ka lolo.

Ma waho aʻe o kēia, aia kekahi mau kūlana ʻē aʻe e hoʻopilikia ai i kēia mau veins:

• ʻO ka ʻoki ʻana o ke aʻa cervical: He haehae kēia i ka paia o ke aʻa carotid a i ʻole vertebral ma ka ʻāʻī. Hiki ke hana kēia ma muli o ka trauma, a i ʻole i nā poʻe me nā kīʻaha koko nāwaliwali ma muli o kekahi mau maʻi pili (e like me Fibromuscular Dysplasia).
• `(Rotational Vertebral Artery Stenosis)`: He ʻano maʻi laha ʻole kēia. Hana pinepine ia i ka wā e ʻomi ʻia ai kahi `(Vertebral Artery)` ma muli o ka ulu ʻole ʻia o ka iwi, e kaupalena ana i ke kahe koko i ka lolo. Ua kapa ʻia hoʻi kēia `(Bowhunter's Syndrome)` no ka mea, hoʻonui pinepine kēia ʻomi i kekahi manawa i ka wā o ke kūlana pana pua.

No laila pehea lā e mālama ai i ke olakino o kēia mau 'Vertebral Arteries' makamae?

ʻO kēia ka mea nui loa. Inā hana mākou i kekahi mau hoʻololi liʻiliʻi i ko mākou nohona, hiki iā mākou ke hōʻemi nui i ka pilikia o ka loaʻa ʻana o nā maʻi e like me `(Vertebral Artery Stenosis)`. E nānā inā hiki iā ʻoe ke hana i kēia mau mea:

• E noho hana ikaika i ka hapa nui o nā lā o ka pule. ʻO ia hoʻi, e hoʻoikaika kino. ʻOiai he hele wāwae pōkole, ua maikaʻi nō.
• E ʻai i ka meaʻai olakino no ka puʻuwai. ʻOi aku ka maikaʻi o nā meaʻai haʻahaʻa i ka momona, cholesterol, a me ka paʻakai. E ʻai i nā mea kanu, nā huaʻai, nā palaoa piha, a me nā meaʻai kiʻekiʻe i ka fiber.
• E mālama i ke kaumaha olakino. He mea nui loa ka mālama ʻana i ke kaumaha kūpono no kou kiʻekiʻe.
• Inā loaʻa iā ʻoe nā maʻi e like me ka maʻi diabetes, ke koko kiʻekiʻe, a i ʻole ke kolamu kiʻekiʻe, e kāohi pono iā lākou. E hahai pono i nā ʻōlelo a kāu kauka.
• Inā ʻoe e puhipaka, e hoʻōki loa. He mea ʻino loa ka puhipaka i nā kīʻaha koko.

E hoʻomanaʻo, kōkua kēia mau mea ʻaʻole wale i ka mālama ʻana i kāu mau "Vertebral Arteries" akā i ke olakino o ka ʻōnaehana vascular o ke kino holoʻokoʻa.

Āhea ʻoe e ʻike ai i ke kauka?

Aia kekahi mau hōʻailona, ​​inā ʻike ʻia lākou, pono ʻoe e ʻike koke i ke kauka, no ka mea, he mau hōʻailona paha ia o kahi maʻi koʻikoʻi.

• Nā hōʻailona o ka hahau ʻana: ʻOi aku,
• ʻO ka vertigo koʻikoʻi
• Ka nalowale o ke kaulike i loko o ke kino (kūlike ʻole)
• ʻIke pālua a nalowale paha ka ʻike
• Ka maʻi lolo
• Inā hāʻule pinepine ʻoe me ke kumu ʻole `(Nā hāʻule i wehewehe ʻole ʻia)`

Inā ʻoe a i ʻole kekahi āu i ʻike ai e ʻike nei i kēia, mai hoʻonele i ka manawa a e ʻimi koke i ke aʻo lapaʻau. ʻO ka wikiwiki o kou mālama ʻana i kahi maʻi e like me `(Stroke)`, ʻoi aku ka maikaʻi o ka hopena.

No laila, e hoʻomanaʻo kākou i nā mea nui loa mai nā mea a kākou i kamaʻilio ai? (Leka Lawe-Home)

Ua ʻike ʻoe i kēia manawa ʻo nā "Vertebral Arteries" a mākou i kamaʻilio ai i kēia lā he ʻōnaehana koʻikoʻi loa ia o nā aʻa koko e hoʻolako i ke koko i ko mākou lolo a me ke kaula kuamoʻo. ʻO ka mālama ʻana i kēia mau mea olakino he mea nui ia no ka hana olakino o kā mākou "Nervous system".

ʻO ka Vertebral Artery Stenosis, a i ʻole Vertebrobasilar insufficiency, ke kumu o ka hōʻiliʻili ʻana o ka plaque i loko o nā aʻa. Hoʻopaʻa kēia i ke kahe koko a hoʻonui i ka pilikia o ka hahau ʻana a me ka TIA.

Akā ʻo ka nūhou maikaʻi, hiki iā kākou ke hōʻemi nui i kēia pilikia ma o ka hoʻololi ʻana i ke ʻano o ka nohona olakino. ʻO nā ala maikaʻi loa e hana ai i kēia, ʻo ia ka ʻai ʻana i ka meaʻai olakino, hoʻoikaika kino mau , pale i ka puhipaka, a me ka mālama ʻana i nā kūlana olakino e like me ka maʻi diabetes a me ke koko kiʻekiʻe .

No laila, e mālama i kou olakino. No ka mea, ʻaʻohe mea i ʻoi aku ka waiwai ma mua o ke olakino!

`ke aʻa vertebral, ke koko i ka lolo, nā aʻa ʻāʻī, ka maʻi lolo, ka hahau ʻana, ka ʻūlū ʻana o nā aʻa, nā waihona cholesterol