Koj puas paub txog cov hlab ntsha no hauv koj lub caj dab? (Vertebral Artery) Cia peb tham kom meej!

Peb txhua tus yeej mob siab txog peb txoj kev noj qab haus huv. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog cov hlab ntsha uas muab ntshav rau peb lub hlwb thiab tus txha caj qaum. Hnub no peb yuav tham txog ib hom hlab ntsha tseem ceeb heev. Qhov no yog qhov peb hu ua '(Vertebral Arteries)'. Yog hais kom meej, cov no zoo li cov ntshav uas pub rau peb lub cev sab saud.

Cov '(Vertebral Arteries)' no yog dab tsi? Lawv ua dab tsi tiag?

Hais yooj yim xwb, cov 'Vertebral Arteries' yog ob lub hlab ntsha loj nyob hauv peb lub caj dab uas nqa ntshav mus rau lub hlwb thiab cov hlab ntsha qaum (cov hlab ntsha tseem ceeb uas khiav hla tus txha nraub qaum). Yog lawm, muaj ob, ib qho nyob rau sab laug thiab lwm qhov nyob rau sab xis. Lub npe 'Vertebral' los ntawm qhov tseeb tias cov hlab ntsha no khiav raws peb cov pob txha qaum, cov pob txha ntawm tus txha nraub qaum. Ob lub hlab ntsha no koom ua ke ntawm lub hauv paus ntawm lub pob txha taub hau los ua ib lub hlab ntsha loj hu ua 'Basilar Artery'. Peb kuj hu tag nrho lub cev no ua 'Vertebrobasilar system'.

Yog li, lub luag haujlwm tseem ceeb ntawm cov no yog muab peb lub hlwb nrog cov pa oxygen thiab cov as-ham uas nws xav tau . Koj puas paub tias 20% ntawm tag nrho cov ntshav ntws mus rau peb lub hlwb yog muab los ntawm cov "Vertebral Arteries" no . 80% seem yog muab los ntawm lwm cov hlab ntsha tseem ceeb hauv caj dab hu ua "Carotid Artery". Yog li xav txog seb cov no tseem ceeb npaum li cas!

Cov '(Vertebral Arteries)' no muab ntau ceg me me tawm. Qhov loj tshaj plaws ntawm lawv hu ua '(Posterior Inferior Cerebellar Artery)'. Qhov no yog ib qho ntawm peb lub hlab ntsha tseem ceeb uas muab ntshav rau peb '(Cerebellum)', uas yog, ib feem me me ntawm lub hlwb (cerebellum). '(Cerebellum)' no tseem ceeb heev. Nws pab tswj ntau yam hauv peb lub cev, xws li kev sib npaug, kev txav mus los, kev hais lus, thiab kev pom.

Yog li, cov "Vertebral Arteries" no nyob qhov twg?

Ob lub '(Vertebral Arteries)' no pib ntawm '(Subclavian Arteries)' nyob hauv qab peb lub pob txha caj dab, uas yog, nyob hauv qab 'clavicle' pob txha. Cov '(Subclavian Arteries)' no pib ntawm 'Aorta', uas yog cov hlab ntsha loj tshaj plaws hauv peb lub cev. Lub 'Aorta' yog lub uas nqa cov ntshav los ntawm lub plawv mus rau tag nrho lub cev. Yog xav kom meej, 'Subclavian Artery' nyob rau sab xis pib ntawm 'Brachiocephalic Artery' uas los ntawm 'Aorta'. Lub 'Subclavian Artery' nyob rau sab laug pib ncaj qha los ntawm 'Aorta'.

Tom qab ntawd ob lub '(Vertebral Arteries)' no, sib cais, mus rau sab laug thiab sab xis ntawm peb tus txha nqaj qaum hauv caj dab. Cov hlab ntsha no raug npog los ntawm cov leeg nqaij hu ua '(Suboccipital muscles)' ntawm lub hauv paus ntawm lub pob txha taub hau. Peb kuj hu thaj chaw no '(Suboccipital triangle)'.

Cov feem tshwj xeeb ntawm Vertebral Artery raws nws txoj kev yog dab tsi?

Xav txog nws zoo li txoj kev ntev. Muaj ntau qhov kev sib tshuam sib txawv thiab thaj chaw sib txawv ntawm txoj kev ntawd. Yog li ntawd, "(Vertebral Artery)" no tau muab faib ua plaub ntu ("segments") raws li thaj chaw uas nws mus. Cia peb saib lawv yog dab tsi:

• V1 (pre-foraminal) ntu:Qhov no yog thawj ntu uas pib nrog "Subclavian Artery". Qhov no mus tom qab "Carotid Artery", lwm txoj hlab ntsha loj hauv caj dab.
• V2 (foraminal): Qhov no mus rau saum toj nrog rau cov leeg nqaij vertebral (cov leeg nqaij uas nqa cov ntshav rov qab) thiab cov hlab ntsha. Lub "Vertebral Artery" no nkag mus los ntawm qhov qhib hu ua "Transverse Foramen" hauv C6 vertebra (piv txwv li lub vertebra thib rau hauv caj dab) thiab tawm los ntawm C2 vertebra (lub vertebra thib ob hauv qab lub taub hau).
• V3 (extradural lossis extraspinal): Qhov ntu no nkhaus thiab ntswj me ntsis thaum nws hla C1 vertebra (tseem hu ua "Atlas", uas yog pob txha saum toj kawg nkaus hauv tus txha nqaj qaum) thiab nkag mus rau hauv lub taub hau.
• V4 (intradural lossis intracranial): Qhov no yog qhov kawg uas nkag mus rau hauv lub taub hau. Tom qab ntawd sab xis thiab sab laug `(Vertebral Arteries)` sib koom ua ke los ua `(Basilar Artery)` uas tau hais ua ntej.

Koj puas tau pom tias cov leeg ntshav no nyuaj npaum li cas los muab ntshav rau peb lub hlwb?

Cov kab mob thiab kev tsis zoo twg tuaj yeem cuam tshuam rau '(Vertebral Arteries)'?

Zoo, tam sim no cia peb saib seb cov hlab ntsha muaj nqis no tuaj yeem ua rau muaj teeb meem dab tsi.

Feem ntau, cov teeb meem tshwm sim vim yog cov rog thiab cov roj cholesterol sib sau ua ke hauv cov hlab ntsha no, uas peb hu ua '(plaque)'. Qhov no zoo li cov av thiab cov khib nyiab uas sib sau ua ke hauv cov kav dej raws sijhawm. Peb hu qhov mob no tias '(atherosclerosis)' . Yog tias qhov '(plaque)' no sib sau ua ke ntau dhau, cov hlab ntsha tuaj yeem raug thaiv tag.

Thaum "(Atherosclerosis)" tshwm sim hauv "(Vertebral Arteries)" zoo li no, nws hu ua "(Vertebral Artery Stenosis)". Qhov ntawd txhais tau tias cov hlab ntsha nqaim. Dab tsi ua rau qhov no?

• Cov ntshav txhaws tuaj yeem tsim tau. Cov ntshav ntws tuaj yeem raug thaiv hauv cov chaw nqaim no thiab cov ntshav txhaws tuaj yeem tsim tau.
• Yog tias cov ntshav mus rau lub hlwb tsis txaus ib ntus ces yuav ua rau muaj "Transient Ischemic Attack - TIA". Peb kuj hu qhov no ua "mini stroke".
• Mob stroke yuav tshwm sim tau. Qhov no yuav tshwm sim tau yog tias cov ntshav txhaws txhaws tag nrho cov hlab ntsha hauv lub hlwb.
• Muaj ib qho mob hu ua "Vertebrobasilar insufficiency." Qhov no txhais tau tias lub hlwb tsis tau txais ntshav txaus.

Ntxiv rau qhov no, muaj lwm yam mob uas cuam tshuam rau cov leeg no:

• Kev Phais Cov Ntshav Qab Zib Hauv Cervical: Qhov no yog kev rhuav tshem ntawm phab ntsa ntawm cov hlab ntsha carotid lossis vertebral hauv caj dab. Qhov no tuaj yeem tshwm sim los ntawm kev raug mob, lossis rau cov neeg uas muaj cov hlab ntsha tsis muaj zog vim muaj qee yam teeb meem ntawm cov nqaij sib txuas (xws li Fibromuscular Dysplasia).
• `(Rotational Vertebral Artery Stenosis)`: Qhov no yog ib qho mob tsis tshua muaj. Feem ntau nws tshwm sim thaum `(Vertebral Artery)` raug nias vim yog kev loj hlob tsis xav tau ntawm pob txha, txwv tsis pub cov ntshav ntws mus rau lub hlwb. Qhov no kuj hu ua `(Bowhunter's Syndrome)` vim tias qhov kev nias no qee zaum nce ntxiv thaum lub sijhawm tua hneev.

Yog li peb yuav ua li cas thiaj li khaws cov '(Vertebral Arteries)' no kom noj qab nyob zoo?

Qhov no yog qhov tseem ceeb tshaj plaws. Yog tias peb ua ob peb qhov kev hloov me me hauv peb txoj kev ua neej, peb tuaj yeem txo qhov kev pheej hmoo ntawm kev muaj mob xws li '(Vertebral Artery Stenosis)'. Saib seb koj puas ua tau cov no:

• Ua kom koj lub cev muaj zog yuav luag txhua hnub hauv ib lub lim tiam. Qhov ntawd txhais tau tias koj yuav tsum tawm dag zog. Txawm tias taug kev luv luv xwb los kuj tau.
• Noj zaub mov zoo rau lub plawv. Cov khoom noj uas muaj roj tsawg, roj cholesterol, thiab ntsev yog qhov zoo tshaj plaws. Noj zaub, txiv hmab txiv ntoo, cov nplej tag nrho, thiab cov khoom noj uas muaj fiber ntau.
• Tswj koj qhov hnyav kom noj qab nyob zoo. Tswj koj qhov hnyav kom haum rau koj qhov siab yog qhov tseem ceeb heev.
• Yog koj muaj tej yam mob xws li ntshav qab zib, ntshav siab, lossis roj cholesterol ntau, tswj kom zoo. Ua raws li koj tus kws kho mob cov lus qhia kom meej.
• Yog koj haus luam yeeb, tso tseg kiag. Kev haus luam yeeb ua rau cov hlab ntsha puas tsuaj heev.

Nco ntsoov, cov no pab tsis yog tsuas yog koj cov "Vertebral Arteries" xwb tab sis tag nrho lub cev cov hlab ntsha noj qab nyob zoo.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Muaj qee cov tsos mob uas, yog tias lawv tshwm sim, koj yuav tsum mus ntsib kws kho mob tam sim ntawd, vim tias lawv yuav yog cov cim qhia ntawm tus mob hnyav.

• Cov cim qhia ntawm mob stroke: Tshwj xeeb,
• Mob taub hau hnyav heev
• Kev poob ntawm qhov sib npaug hauv lub cev (imbalance)
• Pom ob zaug los yog pom tsis meej
• Kev tuag tes tuag taw
• Yog koj ntog ntau zaus yam tsis muaj laj thawj (poob yam tsis muaj laj thawj)

Yog koj lossis ib tug neeg koj paub muaj teeb meem no, tsis txhob nkim sijhawm thiab nrhiav kev pab kho mob tam sim ntawd. Thaum koj kho tus mob xws li '(Stroke)' sai npaum li cas, qhov tshwm sim yuav zoo dua.

Yog li, cia peb nco ntsoov cov ntsiab lus tseem ceeb tshaj plaws los ntawm qhov peb tau tham txog? (Cov Lus Coj Mus Tsev)

Tam sim no koj paub lawm tias cov "Vertebral Arteries" uas peb tau tham txog hnub no yog ib qho tseem ceeb heev ntawm cov leeg ntshav uas muab ntshav rau peb lub hlwb thiab tus txha caj qaum. Kev ua kom cov no noj qab nyob zoo yog qhov tseem ceeb rau kev ua haujlwm zoo ntawm peb "Nervous system".

Kab mob Vertebral Artery Stenosis, lossis Vertebrobasilar insufficiency, yog tshwm sim los ntawm kev sib sau ua ke ntawm cov plaque hauv cov hlab ntsha. Qhov no txwv tsis pub cov ntshav ntws thiab ua rau muaj kev pheej hmoo ntawm kev mob stroke thiab TIA.

Tiamsis qhov xov xwm zoo yog tias peb tuaj yeem txo qhov kev pheej hmoo no los ntawm kev hloov pauv kev ua neej noj qab haus huv. Cov hauv kev zoo tshaj plaws los ua qhov no yog noj zaub mov zoo, tawm dag zog tsis tu ncua , tsis txhob haus luam yeeb, thiab tswj cov mob uas twb muaj lawm (xws li ntshav qab zib thiab ntshav siab) .

Yog li ntawd, saib xyuas koj txoj kev noj qab haus huv. Vim tias tsis muaj dab tsi muaj nqis tshaj kev noj qab haus huv!

`cov hlab ntsha vertebral, cov ntshav mus rau lub hlwb, cov leeg ntawm caj dab, kev tuag tes tuag taw, mob stroke, cov hlab ntsha nqaim, cov roj cholesterol tso rau hauv