Koj puas kiv taub hau lossis qaug zog? Qhov no tej zaum yuav yog Vertebrobasilar Insufficiency!

Puas muaj tej lub sij hawm koj xav tias koj kiv taub hau, qaug zog, lossis tsis muaj zog thaum koj taug kev? Ib txhia neeg kuj hais lus tsis meej thaum lawv hais lus. Tsis txhob tsis quav ntsej cov tsos mob no ua ib txwm muaj. Tej zaum lawv yuav yog cov cim qhia tias muaj mob uas ua rau cov ntshav ntws mus rau tom qab koj lub hlwb tsis txaus. Hnub no, peb yuav tham txog ib yam mob hu ua Vertebrobasilar Insufficiency (VBI) .

Kab mob vertebrobasilar insufficiency (VBI) yog dab tsi?

Hais yooj yim xwb, vertebrobasilar insufficiency (VBI) yog ib qho mob uas cov ntshav ntws mus rau tom qab ntawm koj lub hlwb raug txo qis lossis nres. Qhov no yog qhov chaw ntawm peb lub hlwb uas yog lub luag haujlwm los tswj kev sib npaug thiab kev txav mus los. Yog li xav txog seb muaj teeb meem dab tsi tshwm sim yog tias qhov no tsis tau txais ntshav txaus.

Feem ntau cov neeg uas muaj VBI tsuas muaj teeb meem kev noj qab haus huv me me xwb. Txawm li cas los xij, qhov mob no ua rau koj muaj feem yuav mob stroke lossis transient ischemic attack (TIA) , ib yam mob zoo ib yam li mob stroke me me. Qee zaum qhov mob no tuaj yeem hnyav thiab ua rau muaj kev tsis taus mus ib txhis lossis tuag taus. Yog vim li ntawd nws thiaj li tseem ceeb kom paub txog qhov no.

Feem ntau cov kws kho mob kho tus mob VBI no los ntawm kev qhia kom hloov pauv lawv txoj kev ua neej thiab, yog tias tsim nyog, sau tshuaj. Txawm li cas los xij, yog tias cov tsos mob tseem muaj tom qab ua cov kev ntsuas no, tej zaum yuav tsum tau phais.

Puas muaj ntau hom VBIs sib txawv?

Yog, muaj ib hom tshwj xeeb. Nws hu ua Transient Vertebrobasilar Insufficiency . Qhov no tsis tshua muaj. Qhov mob no tshwm sim thaum koj tig lossis ntswj koj lub taub hau. Cov kws kho mob kuj hu nws tias:

• Kab mob Bowhunter syndrome
• Lub taub hau tig ib ncig
• Kev tsis txaus ntawm cov pob txha caj qaum uas tig tau

Qhov tshwm sim hauv qhov no yog tias cov hlab ntsha uas nqa ntshav mus rau lub hlwb ib ntus raug thaiv thaum tig lub taub hau.

Leej twg yuav muaj feem ntau dua los tsim VBI?

Koj muaj feem yuav mob VBI ntau dua yog tias koj muaj hnub nyoog tshaj 50 xyoo thiab muaj cov mob hauv qab no:

• Yog tias koj muaj kab mob plawv lossis kab mob hlab ntsha peripheral (PAD) , uas yog teeb meem nrog cov hlab ntsha uas muab ntshav mus rau lub plawv thiab cov kabmob nyob deb xws li ob txhais ceg thiab caj npab.
• Yog tias koj muaj mob ntshav qab zib mellitus .
• Yog tias ib tug neeg hauv tsev neeg tau muaj VBI ua ntej (qhov txuas ntawm caj ces).
• Yog koj muaj ntshav siab (Hypertension) los yog cov roj cholesterol ntau hauv koj cov ntshav .
• Yog koj muaj keeb kwm haus luam yeeb.
• Kev rog dhau, uas yog, yog tias muaj kev rog dhau heev.
• Yog tias koj muaj cov rog (plaque) hauv koj cov hlab ntsha, nws txhais tau tias koj muaj atherosclerosis .
• Yog tias cov roj lipid hauv cov ntshav siab dua, nws hu ua hyperlipidemia .

Cov mob cardioembolic uas tuaj yeem thaiv cov hlab ntsha kuj ua rau muaj kev pheej hmoo ntawm VBI. Piv txwv li:

• Atrial fibrillation (Afib) (kev mob plawv dhia tsis xwm yeem)
• Cov teeb meem ntshav txhaws
• Kev kis kab mob ntawm sab hauv ntawm lub plawv (infective endocarditis)
• Kev txiav cov hlab ntsha hauv lub vertebral artery ( kev rhuav tshem ntawm phab ntsa ntawm cov hlab ntsha ventricular uas nqa cov ntshav mus rau lub hlwb)

Raws li kev suav lej, cov txiv neej muaj ob npaug ntawm cov poj niam uas yuav muaj VBI. Tus mob no kuj tshwm sim ntau dua ntawm qee haiv neeg.

VBI feem ntau yog dab tsi?

Lawv hais tias kwv yees li 25% ntawm cov neeg hnub nyoog tshaj 70 xyoo, lossis kwv yees li ib ntawm plaub tus, tej zaum yuav muaj VBI. Yog li qhov no tsis yog ib yam dab tsi uas tsis tau hnov ​​​​dua li.

Dab tsi yog cov laj thawj tseem ceeb ntawm VBI?

Feem ntau, qhov ua rau muaj VBI yog ib yam mob hu ua atherosclerosis . Raws li peb tau hais ua ntej lawm, qhov no yog thaum cov rog (plaque) uas muaj cov roj cholesterol thiab calcium sib sau ua ke hauv cov hlab ntsha, ua rau lawv nqaim thiab txo cov ntshav ntws. Nws zoo li cov av nplaum hauv cov kav dej.

Muaj lwm yam laj thawj uas feem ntau tshwm sim:

• Kab mob nkag mus rau hauv cov hlab ntsha ( kev thaiv ntawm cov hlab ntsha me me hauv lub hlwb)
• Pulmonary embolism (cov ntshav txhaws hauv lub ntsws - qhov no tuaj yeem muaj qhov cuam tshuam tsis ncaj qha)
• Kev tawg ntawm cov hlab ntsha hauv lub vertebral ( kev rhuav ntawm phab ntsa ntawm cov hlab ntsha hauv lub vertebral)

Kuj tseem muaj qee yam tsis tshua muaj:

• Cov kab mob ntshav (Coagulopathies)
• Kev quav yeeb quav tshuaj
• Fibromuscular dysplasia (FMD) (kev loj hlob tsis zoo ntawm cov phab ntsa hlab ntsha)
• Mob taub hau migraine - Qee cov mob migraines hnyav tuaj yeem cuam tshuam nrog tus mob.

Cov tsos mob ntawm VBI yog dab tsi?

Ib tug neeg uas muaj VBI yuav muaj ib lossis ntau yam ntawm cov tsos mob no. Cov no yuav tshwm sim sai sai thiab ploj mus tom qab ib pliag, lossis lawv yuav nyob ntev.

• Teeb meem kev sib npaug : kiv taub hau, zoo li muaj tej yam tig ib ncig koj ( vertigo ). Xav txog seb, yog tias koj kiv taub hau txawm tias koj sawv ntsug xwb los, koj yuav xav li cas thaum koj taug kev?
• Kev tsis meej pem, kev tsis nco qab ( delirium ).
• Nyuaj nqos zaub mov ( dysphagia ).
• Cov kab mob uas cuam tshuam rau kev txav mus los thiab kev sib koom tes ( ataxia)) - Zoo li koj taug kev tsis tau, nws nyuaj rau tswj koj ob txhais ceg.
• Pom ob sab lossis poob qhov muag.
• Tsis nco qab sai sai ( syncope ).
• Kev tsis muaj zog ntawm ib feem ntawm koj lub cev.
• Hais lus tsis meej thiab tsis meej thaum hais lus ( dysarthria ).
• Tsis nco qab sai sai thiab ntog rau hauv av (tawm tsam poob).
• Tsis muaj peev xwm tswj tau cov zis (Urinary incontinence).
• Xeev siab thiab ntuav.

Tseem Ceeb: Yog tias koj muaj ib qho ntawm cov tsos mob no, tshwj xeeb tshaj yog tias lawv tshwm sim sai sai thiab rov tshwm sim dua, nco ntsoov nrhiav kev pab kho mob, vim tias lawv tuaj yeem yog ib qho cim qhia txog mob stroke.

Cov kws kho mob kuaj mob VBI li cas?

Thaum koj mus ntsib kws kho mob, nws yuav nug koj txog koj cov tsos mob ua ntej. Tom qab ntawd, lawv yuav kuaj koj lub cev. Tsis tas li ntawd xwb, lawv yuav kuaj ntxiv ob peb zaug kom paub meej tias koj muaj mob dab tsi.

• Kev ntsuam xyuas duab:
• Ib daim duab CT scan (computed tomography scan) lossis MRI (magnetic resonance imaging) thaij duab ntawm cov hlab ntsha hauv qab koj lub hlwb. Qhov no tuaj yeem pab pom seb puas muaj kev thaiv lossis kev puas tsuaj rau cov hlab ntsha.
• Kev kuaj mob Angiography: Qhov no yog ib qho kev kuaj uas siv cov duab X-ray los kuaj xyuas koj cov hlab ntsha (arteries). Qee zaum, ib qho kua tshwj xeeb (contrast dye) raug txhaj rau hauv cov hlab ntsha kom tsim cov duab no.
• CTA (computed tomography angiography) lossis MRA (magnetic resonance angiography): Cov kev kuaj no tuaj yeem tsim cov duab peb-seem (3D) ntawm koj cov hlab ntsha kom meej heev.
• Echocardiogram (Echo): Qhov no zoo li kev ntsuas ultrasound ntawm lub plawv. Nws xyuas seb lub plawv cov chav thiab cov qhov valve ua haujlwm li cas, thiab lub plawv tso ntshav li cas (tso ntshav).
• Electrocardiogram (ECG lossis EKG): Qhov no ntsuas qhov hluav taws xob ntawm koj lub plawv. Nws tuaj yeem ntes tau txhua qhov tsis zoo hauv koj lub plawv dhia.
• Holter monitor: Qhov no yog ib lub cuab yeej me me uas hnav rau ntawm koj lub cev rau 24 txog 48 teev. Nws sau cov hluav taws xob ntawm koj lub plawv tas li thaum koj ua cov haujlwm ib txwm muaj.
• Kev kuaj ntshav lub sijhawm Prothrombin (PT) thiab lub sijhawm ib nrab thromboplastin (PTT) : Cov kev kuaj ntshav no ntsuas lub sijhawm uas koj cov ntshav yuav khov.

Tsis yog txhua yam kev kuaj no yuav tsum tau ua. Koj tus kws kho mob yuav txiav txim siab seb yuav kuaj twg raws li koj cov tsos mob thiab mob nkeeg.

Yuav kho VBI li cas ?

Muaj ntau txoj kev kho mob. Koj tus kws kho mob yuav txiav txim siab seb yuav kho li cas raws li koj tus mob.

1. Kev hloov pauv hauv lub neej:

Feem ntau, thawj qhov uas yuav tsum sim yog txo cov tsos mob los ntawm kev hloov qee yam kev ua neej.

• Tswj kom muaj qhov hnyav noj qab nyob zoo: Kev rog dhau yog lub hauv paus ntawm ntau yam kab mob.
• Tswj cov roj cholesterol los ntawm kev hloov koj cov zaub mov noj: Nws yog ib qho tseem ceeb heev uas yuav tsum txo cov khoom noj uas muaj roj thiab rog ntau.
• Kev Ua Si: Txawm tias yog ib yam yooj yim xws li kev taug kev li 30 feeb hauv ib hnub tuaj yeem ua qhov sib txawv loj.
• Tso kev haus luam yeeb: Qhov no yog ib yam dab tsi uas koj yuav tsum ua.

2. Tshuaj (tshuaj):

Tus kws kho mob yuav sau ntawv kom noj tshuaj los tswj cov teeb meem kev noj qab haus huv.

• Cov tshuaj uas tswj cov ntshav txhaws: Zoo li aspirin.
• Tshuaj tswj ntshav siab.
• Cov tshuaj uas txo cov roj cholesterol.
• Tshuaj tswj ntshav qab zib.

3. Kev phais:

Yog tias kev hloov pauv hauv lub neej thiab kev siv tshuaj tsis pab kom cov ntshav rov qab ntws zoo li qub, koj tus kws kho mob yuav hais kom koj phais.

• Carotid endarterectomy: Qhov no suav nrog kev phais tshem tawm cov rog (plaque) los ntawm cov hlab ntsha loj hauv caj dab (carotid artery).
• Kev phais plawv thiab stent: Yog tias cov hlab ntsha hauv lub plawv raug thaiv, yuav muab ib daim hlau mesh (stent) nrog lub npas me me tso rau hauv kom cov hlab ntsha dav dua.
• Kev phais mob plawv los ntawm kev hla cov hlab ntsha hauv lub plawv: Ib txoj hlab ntsha uas puas lawm hauv lub plawv raug hloov nrog ib txoj hlab ntsha noj qab haus huv uas tau los ntawm lwm qhov ntawm lub cev.
• Kev kho cov hlab ntsha hauv lub vertebral artery: Kho cov hlab ntsha hauv lub vertebral artery uas nqa ntshav mus rau lub hlwb los ntawm kev phais.

Kev Kho Mob Rau Transient VBI:

Ua kev kho mob rau tus mob VBI uas peb tau tham txog ua ntej, uas tshwm sim thaum tig lub taub hau:

• Ib lub caj dab los yog lub dab tshos.
• Cov tshuaj kho mob.
• Kev phais, tej zaum txawm tias kev phais mob pob txha caj qaum uas tsis tshua muaj kev cuam tshuam, tej zaum yuav ua tau.

Koj yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm kev tsim VBI?

Yog koj ua raws li cov lus qhia no, koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev tsim VBI:

• Noj zaub mov kom zoo: Noj zaub, txiv hmab txiv ntoo, thiab cov khoom noj uas muaj fiber ntau. Txo cov roj, qab zib, thiab ntsev.
• Ua si nawv tsis tu ncua.
• Kev tswj cov roj cholesterol.
• Yog koj muaj lwm yam mob xws li ntshav siab lossis ntshav qab zib, tswj koj tus kheej kom zoo raws li kws kho mob qhia.
• Tso kev haus luam yeeb.

Cov no pab tiv thaiv tsis yog VBI xwb, tab sis kuj tiv thaiv ntau yam kab mob.

Tus neeg uas muaj VBI muaj mob zoo li cas? (Outlook)

Qhov kev kwv yees ntawm ib tus neeg uas muaj VBI nyob ntawm ntau yam:

• Qhov uas lub hlwb ua haujlwm tau raug cuam tshuam npaum li cas (qhov hnyav ntawm kev puas hlwb) .
• Seb koj puas tau muaj mob stroke yav dhau los.
• Hnub nyoog.
• Puas muaj lwm yam teeb meem kev noj qab haus huv?

Yog tias VBI hnyav zuj zus, nws tuaj yeem ua rau muaj kev tsis taus thiab txawm tias tuag. Txawm li cas los xij, yog tias paub thaum ntxov thiab kho kom zoo, yuav ua tau cov txiaj ntsig zoo heev.

VBI puas tuaj yeem ua rau muaj kev cuam tshuam mus sij hawm ntev?

Muaj coob tus neeg uas muaj cov tsos mob me me xwb los tswj tau lawv cov tsos mob los ntawm kev hloov lawv lub neej thiab siv tshuaj. Txawm li cas los xij, yog tias cov tsos mob hnyav heev, lawv yuav xav tau kev kho mob ntau lub hlis, txawm tias ntau xyoo.

Qee qhov teeb meem (teeb meem) uas tuaj yeem tshwm sim vim yog VBI yog:

• Cov ntshav txhaws hauv ob txhais ceg - Deep Vein Thrombosis (DVT) .
• Cov ntshav txhaws hauv lub ntsws - Pulmonary Embolism .
• Lub cev qhuav dej thiab nyuaj nqos.
• Ua pa nyuaj.
• Tuag tes tuag taw los yog loog tes.
• Kev mob ntawm lub plab ( gastritis ).
• Mob plawv nres ( myocardial infarction) .
• Kab mob ntsws.
• Kev raug mob los ntawm kev nias / mob txaj.
• Mob stroke los yog mob hlwb tsis ua haujlwm ib ntus (TIA) .
• Tsis pom kev.

VBI puas rov qab tshwm sim tom qab kev kho mob?

Tus nqi rov tshwm sim ntawm VBI yog nruab nrab ntawm 10% thiab 15%. Qhov no txhais tau tias txawm tias koj zoo lawm los xij, muaj lub sijhawm uas nws yuav rov qab los. Yog li ntawd, nws yog ib qho tseem ceeb kom ua raws li koj tus kws kho mob cov lus qhia thiab tswj kev noj qab haus huv.

Yog tias kuv muaj VBI, kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj raug kuaj pom tias muaj VBI, nws yog ib qho tseem ceeb uas yuav tsum kawm txog ntau yam uas tuaj yeem pab koj thaum koj rov zoo. Tej zaum koj yuav xav tau kev pab nrog tej yam xws li:

• Kev cob qhia ntawm lub zais zis thiab txoj hnyuv.
• Cov lus qhia txog kev noj haus.
• Xyuas kom muaj kev nyab xeeb hauv tsev.
• Qhia ua tej haujlwm txhua hnub.

Cov kev kho mob no yuav pab tau koj:

• Kev kho mob ua haujlwm: Qhia koj yuav ua li cas ua tej haujlwm txhua hnub ntawm koj tus kheej.
• Kev Kho Mob Lub Cev: Txhim kho lub cev txoj kev txav mus los, lub zog, thiab kev sib npaug.
• Kev Kho Mob Hais Lus: Pab nrog kev hais lus thiab kev nqos.

Tej zaum koj kuj tseem xav tau kev pab los ntawm tus kws saib xyuas neeg mob hauv tsev los saib xyuas koj txoj kev rov zoo.

Cov Lus Qhia Txog Kev Mus Tsev: Peb tau kawm dab tsi los ntawm qhov no?

Zoo, yog li, qhov vertebrobasilar insufficiency (VBI) uas peb tau tham txog hnub no.Nws yog ib qho mob uas cov ntshav ntws mus rau tom qab ntawm lub hlwb raug txo qis. Qhov no tuaj yeem ua rau muaj cov tsos mob xws li kiv taub hau, tsis muaj zog tswj lub cev, thiab hais lus tsis tau zoo. Qhov ua rau tseem ceeb yog kev txhaws ntawm cov hlab ntsha los ntawm cov rog (atherosclerosis).

Tsis txhob txhawj! Feem ntau, tus mob no tuaj yeem tswj tau los ntawm kev hloov pauv lub neej thiab tshuaj. Tej zaum ib txhia neeg yuav xav tau kev phais.

Yog koj muaj ib qho ntawm cov tsos mob no, tsis txhob tso tseg. Mus ntsib kws kho mob tam sim ntawd kom tau txais lus qhia. Kev kuaj pom thaum ntxov tuaj yeem pab koj kho lawv yooj yim dua thiab tiv thaiv cov mob hnyav dua kom tsis txhob tshwm sim.

Tej yam xws li kev kho mob ua haujlwm, kev kho lub cev, thiab kev kho kev hais lus tuaj yeem pab ua rau koj lub neej txhua hnub yooj yim dua. Nyob kom noj qab nyob zoo!

Kev Tsis Txaus ntawm Vertebrobasilar, VBI, Cerebral ischemia, Kiv taub hau, Mob Tuag Tes Tuag Taw, TIA, Atherosclerosis, Stroke