Koj puas tau xav txog seb lub cev zoo kawg no hu ua peb lub hlwb ua haujlwm li cas txhua hnub thiab txhua hmo? Qhov laj thawj tseem ceeb rau qhov ntawd yog qhov nws tau txais cov ntshav tas li. Peb txhua tus tau hnov txog cov hlab ntsha loj hauv pem hauv ntej ntawm lub caj dab (cov hlab ntsha carotid), tab sis koj puas paub tias muaj lwm ob lub hlab ntsha tseem ceeb uas nqa cov ntshav mus rau lub hlwb los ntawm tom qab ntawm lub caj dab, sab hauv tus txha nraub qaum? Qhov ntawd yog qhov peb yuav tham txog hnub no.
Hais yooj yim xwb, Vertebral Artery yog dab tsi?
Cov hlab ntsha vertebral yog ob lub hlab ntsha loj uas khiav hla cov vertebrae hauv peb lub caj dab thiab muab ntshav rau lub hlwb thiab cov hlab ntsha spinal. Yog xav kom meej, peb muaj ob lub hlab ntsha vertebral , ib lub nyob rau sab xis thiab ib lub nyob rau sab laug. Ob lub hlab ntsha no mus ncig mus rau ntawm tus txha nraub qaum thiab koom ua ke ntawm lub hauv paus ntawm lub pob txha taub hau los ua ib lub hlab ntsha loj. Peb hu nws ua basilar artery. Hauv kev kho mob, tag nrho lub cev no hu ua vertebrobasilar system .
Xav txog seb, peb lub hlwb zoo li lub nroog loj. Muaj ob lub kav dej tseem ceeb uas muab dej rau lub nroog ntawd. Ib qho yog cov hlab ntsha carotid uas peb txhua tus paub. Lwm lub kav dej tseem ceeb tshaj plaws yog cov hlab ntsha vertebral no.
Qhov tseem ceeb ntawm cov hlab ntsha no yog dab tsi?
Lub luag haujlwm ntawm cov hlab ntsha no tsis yog qhov tsis tseem ceeb. Ob lub hlab ntsha vertebral no muab 20% ntawm tag nrho cov ntshav mus rau lub hlwb, uas yog lub chaw tswj hwm ntawm peb lub cev tag nrho. 80% seem los ntawm cov hlab ntsha carotid uas peb tau hais ua ntej.
Cov hlab ntsha no kuj txuas mus ua cov ceg me dua. Cov ceg loj tshaj plaws ntawm cov ceg no muab ntshav mus rau ib feem tseem ceeb ntawm peb lub hlwb. Ntawd yog lub hlwb me me, lossis cerebellum.
Yuav ua li cas rau lub cerebellum?
Koj puas nco qab koj kawm caij tsheb kauj vab li cas thaum koj tseem yog menyuam yaus? Thaum xub thawj koj ntog thiab ntog pes tsawg zaus? Tab sis tom qab ntawd koj tau siv rau nws. Ib yam li ntawd, ntau yam hauv peb lub cev, xws li kev sib npaug , kev txav mus los , kev hais lus, thiab kev pom, raug tswj hwm los ntawm qhov no ntawm lub hlwb. Yog li xav txog seb cov hlab ntsha vertebral no muaj nqis npaum li cas uas muab ntshav rau nws.
Cov hlab ntsha vertebral no nyob qhov twg?
Ob lub hlab ntsha no pib nyob rau sab saud ntawm peb lub hauv siab, hauv qab lub pob txha caj dab, ua cov hlab ntsha hu ua subclavian arteries. Los ntawm qhov ntawd, lawv mus rau sab saud los ntawm cov qhov qhib tshwj xeeb (transverse foramen) hauv cov pob txha caj dab, zoo li lub tsheb hla ib pawg qhov ntawm txoj kev roob.
Hauv txoj kev taug kev no, cov hlab ntsha no tau muab faib ua plaub ntu thiab hu ua lawv. Txawm hais tias qhov no yog me ntsis kev kho mob, cia peb saib nws li no kom yooj yim dua rau kev nkag siab.
| Tshooj | Hais yooj yim xwb... |
|---|---|
| Tshooj V1 | Qhov pib ntawm txoj kev taug kev: Qhov no yog qhov uas cov hlab ntsha pib thiab xaus rau ntawm tus txha caj qaum. |
| Tshooj V2 | Kev taug kev hauv tus txha nqaj qaum: Qhov no ntawm tus txha nqaj qaum caj dab mus ncig ntawm C6 mus rau C2 mus txog rau hauv cov pob txha caj qaum. Nws zoo li taug kev hauv lub tawb nyab xeeb. |
| Tshooj V3 | Khoov ua ntej nkag mus rau hauv lub taub hau: Cov hlab ntsha no dov saum toj ntawm cov pob txha caj qaum sab saud (C1) hauv caj dab, npaj nkag mus rau hauv lub taub hau. |
| Tshooj V4 | Lub Hom Phiaj - Intracranial: Qhov chaw uas cov hlab ntsha nkag mus rau hauv lub taub hau thiab koom nrog cov hlab ntsha vertebral nyob rau sab tod los ua cov hlab ntsha basilar. |
Cov kab mob dab tsi uas cuam tshuam rau cov hlab ntsha muaj nqis no?
Ib yam li lwm cov hlab ntsha, cov hlab ntsha vertebral no kuj muaj teeb meem. Qhov teeb meem tseem ceeb yog kev sib sau ua ke ntawm cov rog thiab cov roj cholesterol hauv cov hlab ntsha. Peb hu qhov no ua atherosclerosis .
Xav txog nws zoo li xeb sib sau ua ke hauv cov kav dej raws sijhawm. Tom qab ntawd sab hauv ntawm cov kav dej nqaim thiab cov dej ntws txo qis. Yog li ntawd cov roj sib sau ua ke hauv cov hlab ntsha no. Peb hu qhov no ua Vertebral Artery Stenosis , uas txhais tau tias cov hlab ntsha nqaim.
Thaum cov hlab ntsha nqaim li no, muaj ntau yam tshwm sim txaus ntshai:
- Cov Ntshav Ntshav:Cov ntshav ntws tuaj yeem raug thaiv rau hauv cov chaw nqaim thiab cov ntshav txhaws tuaj yeem tsim. Yog tias cov ntshav txhaws no tawg thiab thaiv lwm cov hlab ntsha me me hauv lub hlwb, nws tuaj yeem ua rau muaj kev phom sij heev.
- TIA (Ministroke) thiab Stroke: Cov ntshav txhaws lossis kev thaiv cov ntshav mus rau ib feem ntawm lub hlwb tuaj yeem ua rau nws puas tsuaj. Peb hu qhov no ua stroke. Qee zaum cov tsos mob tuaj thiab ploj mus tsuas yog ob peb feeb xwb. Qhov no hu ua "Transient Ischemic Attack - TIA" lossis ministroke. Qhov no kuj yog ib qho cim ceeb toom loj ntawm mob stroke loj.
- Kab mob Vertebrobasilar Insufficiency: Qhov no txhais tau tias sab nraub qaum ntawm lub hlwb tsis tau txais ntshav txaus. Qhov no tuaj yeem ua rau muaj cov tsos mob xws li kiv taub hau, taug kev tsis taus, thiab pom kev tsis meej.
Tsis tas li ntawd xwb, muaj ob peb yam teeb meem ntxiv:
- Kev Poob Ntshav Hauv Cov Hlwb: Qhov no yog ib qho mob uas phab ntsa ntawm cov hlab ntsha tuaj yeem tawg vim muaj xwm txheej, raug mob caj dab, lossis qee yam mob caj ces (piv txwv li fibromuscular dysplasia). Qhov no kuj yog ib qho xwm txheej ceev uas tuaj yeem ua rau mob stroke.
- Bowhunter's Syndrome: Qhov no yog ib qho mob tsis tshua muaj. Qhov tshwm sim yog tias thaum ib tug neeg tig lawv lub taub hau mus rau ib sab, ib qho pob txha loj hlob, hu ua bulging disc, nias lub vertebral artery. Nws tau txais nws lub npe vim nws zoo li tus neeg tua hneev. Cov tsos mob xws li kiv taub hau thiab qhov muag xiav tsuas yog tshwm sim thaum tig lub taub hau.
Peb yuav tiv thaiv cov hlab ntsha muaj nqis no li cas?
Vim tias qhov ua rau cov hlab ntsha no puas tsuaj yog vim cov hlab ntsha nqaim (stenosis) uas peb tau tham txog ua ntej, qhov zoo tshaj plaws uas yuav tsum ua yog tiv thaiv nws. Muaj qee yam yooj yim, tab sis tseem ceeb heev uas koj tuaj yeem ua tau los ua qhov ntawd.
- Ua kom koj lub cev nquag: Ua kom koj lub cev tawm dag zog nruab nrab tsawg kawg yog 30 feeb rau txhua hnub hauv ib lub lim tiam. Kev taug kev sai sai, khiav, lossis caij tsheb kauj vab yog cov kev xaiv zoo.
- Noj zaub mov zoo rau lub plawv: Txo cov khoom noj uas muaj roj, roj cholesterol, thiab ntsev ntau li ntau tau. Noj txiv hmab txiv ntoo, zaub, taum pauv, thiab ntses me me hauv koj cov zaub mov.
- Tswj koj qhov hnyav kom noj qab nyob zoo: Nws yog ib qho tseem ceeb heev uas yuav tsum tswj koj qhov hnyav kom haum rau koj qhov siab. Yog tias koj rog dhau, sim maj mam txo qhov hnyav.
- Tswj lwm yam kab mob: Yog tias koj muaj cov kab mob xws li ntshav qab zib, ntshav siab, lossis roj cholesterol ntau , ua raws li koj tus kws kho mob cov lus qhia thiab siv cov tshuaj uas tau sau tseg kom tswj tau lawv.
- Tsis txhob haus luam yeeb kiag li: Kev haus luam yeeb yog qhov ua rau koj cov hlab ntsha puas tsuaj loj tshaj plaws. Yog tias koj haus luam yeeb, ua txhua yam kom koj tso tseg. Nws yog qhov zoo tshaj plaws uas koj ua tau rau koj lub cev.
Thaum twg koj yuav tsum mus ntsib kws kho mob?
Muaj qee cov tsos mob, yog tias lawv tshwm simTsis txhob ncua sij hawm li. Tej zaum qhov no yuav yog cov cim qhia tias koj muaj mob stroke. Qhov zoo tshaj plaws uas yuav tsum ua thaum lub sijhawm no yog mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws tam sim ntawd.
| Ceeb Toom! Yog tias koj muaj cov tsos mob no, mus rau ETU tam sim ntawd! | |
|---|---|
| Kab mob Vertigo hnyav heev | Ib qho kev kiv taub hau uas tsis tuaj yeem tswj tau uas zoo li lub ntiaj teb tig ib puag ncig koj. |
| Tsis sib npaug | Zoo li koj yuav ntog, sawv tsis tau lossis taug kev ncaj. |
| Kev hloov pauv ntawm qhov muag pom kev | Pom ob sab lossis poob qhov muag tam sim ntawd. |
| Kev tuag tes tuag taw | Tsis muaj zog lossis tsis muaj zog ntawm ib sab ntawm lub ntsej muag, caj npab, lossis ceg. |
| Rub thiab poob rau tsis muaj laj thawj | Yog koj cia li poob rau hauv av yam tsis muaj laj thawj tshwj xeeb, yam tsis tau poob siab. |
Tsis txhob tsis quav ntsej cov tsos mob no. Lub sijhawm yog qhov tseem ceeb hauv kev mob stroke. Txhua ob feeb uas dhau mus yam tsis tau kev kho mob ua rau lub hlwb puas tsuaj ntau ntxiv. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev pab kho mob tam sim ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Cov hlab ntsha hauv lub cev yog ob lub hlab ntsha tseem ceeb heev uas muab ntshav rau peb lub hlwb thiab tus txha caj qaum.
- Cov roj cholesterol sib sau ua ke hauv cov hlab ntsha no tuaj yeem ua rau nqaim (stenosis) thiab cov mob hnyav xws li mob hlwb.
- Kev ua neej noj qab haus huv (kev noj zaub mov zoo, kev tawm dag zog, thiab kev tsis txhob haus luam yeeb) tuaj yeem tiv thaiv cov hlab ntsha muaj nqis no.
- Yog tias koj muaj cov tsos mob ntawm tus mob stroke, xws li kiv taub hau heev, tsis muaj zog, pom kev tsis meej, lossis tsis hnov ib sab ntawm lub cev, tsis txhob nkim sijhawm thiab mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
- Yog koj muaj kev txhawj xeeb txog koj txoj kev noj qab haus huv, nrog koj tus kws kho mob hauv tsev neeg tham.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus