Tus Sau: Marcus Baldwin
Hnub Kev Tsim: 19 Lub Rau Hlis Ntuj 2021
Hloov Hnub: 21 Lub Kawm Ob Hlis Ntuj 2024
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Vertebrobasilar circulatory ntshawv siab - Tshuaj Kho Mob
Vertebrobasilar circulatory ntshawv siab - Tshuaj Kho Mob

Vertebrobasilar circulatory ntshawv siab yog cov mob uas xa ntshav mus rau tom qab lub hlwb kev ua haujlwm tsis zoo.

Ob txoj hlab ntsha txha caj qaum koom ua ke txhawm rau tsim cov hlab ntsha liab. Cov no yog cov roj ntsha tseem ceeb uas muab cov ntshav txaus rau tom qab lub hlwb.

Cov chaw nyob tom qab ntawm lub paj hlwb uas tau txais cov ntshav los ntawm cov hlab ntsha no yog xav tau los ua kom tib neeg muaj sia nyob. Cov chaw no tswj hwm kev ua pa, lub plawv dhia, nqos, lub zeem muag, txav, thiab kev sawv ntsug lossis sib npaug. Txhua lub suab ntawm lub paj hlwb uas txuas lub hlwb mus rau tas lub cev tau dhau los ntawm sab nraum qab ntawm lub hlwb.

Ntau yam mob txawv yuav txo lossis tso ntshav tawm nyob rau sab nraum qab ntawm lub hlwb. Feem ntau cov kev pheej hmoo txaus ntshai feem ntau yog haus luam yeeb, ntshav siab, ntshav qab zib, thiab cov ntshav siab nyob hauv siab. Cov no yog qhov zoo sib xws nrog cov phom sij phom sij rau cov hlab ntsha tawg.

Lwm cov laj thawj suav nrog:

  • Dua ntawm cov leeg ntshav ntawm phab ntsa
  • Cov ntshav txhaws hauv lub plawv uas taug mus rau txoj hlab ntshav txhaws thiab ua rau mob stroke ntshav
  • Txog hlab ntshav o tuaj
  • Txuas cov ntaub so ntswg mob
  • Cov teeb meem hauv tus txha caj qaum ntawm caj dab
  • Sab nraud tso siab rau cov leeg ntshav txha caj qaum, xws li los ntawm lub dab ntxuav hauv chav dej (lub npe zoo nkauj parlor syndrome)

Cov tsos mob tshwm sim tuaj yeem suav nrog:


  • Cov ncauj lus tsis yooj yim hais, hais lus tsis meej
  • Nyuaj nqos nyuaj
  • Pom ob zaug lossis tsis pom kev
  • Xuas caj dab lossis tingling, feem ntau ntawm lub ntsej muag lossis tawv taub hau
  • Tsog ntog (poob tawm tsam)
  • Vertigo (kev hnov ​​ntawm yam txaij ncig)
  • Kev nco ploj

Lwm cov tsos mob tuaj yeem suav nrog:

  • Lub zais zis los yog plab hnyuv tswj teeb meem
  • Taug kev nyuaj (tsis ruaj siab gait)
  • Mob taub hau, mob caj dab
  • Hnov tsis hnov ​​lus
  • Nqaij tsis muaj zog
  • Xeev siab thiab ntuav
  • Kev hnov ​​mob hauv ib lossis ntau qhov chaw ntawm lub cev, uas tau txais zuj zus nrog kov thiab txias txias
  • Kev koom ua ke tsis zoo
  • Tsaug zog lossis tsaug zog uas tus neeg tsis tuaj yeem tsim
  • Tam sim ntawd, uncoordinated tsiv
  • Tawm hws ntawm lub ntsej muag, caj npab, lossis ceg

Koj tuaj yeem muaj cov kev ntsuas hauv qab no, nyob ntawm qhov ua rau:

  • CT lossis MRI ntawm lub paj hlwb
  • Tham tomography angiography (CTA), cov duab ntawm lub ntsej muag sib nqus (MRA), lossis ultrasound los saib cov leeg ntshav hauv lub hlwb.
  • Kev kuaj ntshav, nrog rau kev tshawb nrhiav ntshav txhaws
  • Echocardiogram
  • Electrocardiogram (ECG) thiab Holter saib (24-teev ECG)
  • Xoo hluav taws xob ntawm cov hlab ntsha (angiogram)

Vertebrobasilar cov tsos mob uas pib sai yog mob ceev ceev uas yuav tsum tau kho tam sim. Txoj kev kho yog zoo ib yam li ntawd mob stroke.


Txhawm rau kho thiab tiv thaiv tus mob, koj tus kws kho mob yuav qhia kom:

  • Kev noj tshuaj ntshav-ua kom ntshav qab zib, xws li tshuaj aspirin, warfarin (Coumadin), lossis clopidogrel (Plavix) kom txo qis kev pheej hmoo ntawm mob stroke
  • Hloov pauv koj cov khoom noj
  • Cov tshuaj noj kom txo qis roj thiab tswj tau ntshav siab
  • Kev tawm dag zog
  • Poob phaus
  • Txiav kev haus luam yeeb

Tus txheej txheem tsis zoo lossis phais mob los kho cov hlab ntsha hauv qhov chaw ntawm lub hlwb no tsis tau kawm zoo los ua pov thawj.

Qhov tshwm sim nyob ntawm:

  • Tus nqi ntawm lub hlwb puas
  • Dab tsi lub cev ua haujlwm tau muaj kev cuam tshuam
  • Koj yuav tau txais kev kho mob sai npaum li cas
  • Koj yuav rov qab sai npaum li cas

Txhua tus neeg muaj lub sijhawm rov qab los txawv thiab xav tau kev saib xyuas mus ntev. Cov teeb meem ntawm kev txav mus los, xav, thiab hais lus feem ntau txhim kho hauv thawj lub asthiv lossis hli. Qee tus neeg yuav maj mam txhim kho rau lub hlis lossis xyoo.

Teeb meem ntawm vertebrobasilar circulatory ntshawv siab yog mob stroke thiab nws cov teeb meem nyuaj. Cov no suav nrog:


  • Kev Ua pa (ua pa) tsis ua haujlwm (uas yuav xav tau siv lub tshuab kom pab tus neeg ua pa)
  • Mob ntsws teeb meem (tshwj xeeb yog mob ntsws)
  • Plawv nres
  • Tsis muaj dej txaus hauv lub cev (lub cev qhuav dej) thiab teeb meem nqos (qee zaum xav tau lub raj mis pub)
  • Cov teeb meem ntawm kev txav lossis hnov ​​qhov muag, suav nrog tuag tes tuag taw thiab loog
  • Tsim ntawm clog nyob rau hauv ob txhais ceg
  • Tsis pom kev

Cov teeb meem tshwm sim los ntawm cov tshuaj lossis phais mob kuj yuav tshwm sim.

Hu 911 lossis koj tus lej kub ntxhov hauv nroog, lossis mus rau chav kho mob xwm txheej kub ntxhov ceev yog tias koj muaj cov tsos mob ntsig txog mob caj dab.

Vertebrobasilar tsis txaus ntseeg; Kev loj hlob ischemia; Cov tsos mob zoo nkauj parlor; TIA - vertebrobasilar tsis txaus ntseeg; Kiv taub hau - vertebrobasilar tsis txaus; Vertigo - vertebrobasilar tsis txaus

  • Arteries ntawm lub paj hlwb

Crane BT, Kaylie DM. Nruab nrab vestibular mob. Hauv: Flint PW, Francis HW, Haughey BH, li al, eds. Cummings Otolaryngology: Taub Hau Thiab Caj DabCov. 7 tus ed. Philadelphia, PA: Elsevier; 2021: chap 168.

Kernan WN, Ovbiagele B, Dub HR, li al. Cov lus qhia rau kev tiv thaiv mob stroke hauv cov neeg mob uas muaj mob stroke thiab hloov ischemic nres: cov lus qhia rau cov kws kho mob los ntawm American Heart Association / American Stroke Association. Mob strokeCov. Xyoo 2014; 45 (7): 2160-2236. PMID: 24788967 pubmed.ncbi.nlm.nih.gov/24788967/.

Kim JS, Caplan LR. Vertebrobasilar kab mob. Hauv: Grotta JC, Albers GW, Broderick JP, li al, eds. Mob stroke: Pathophysiology, Kev kuaj mob, thiab Kev tswj hwmCov. 6 tus ed. Philadelphia, PA: Elsevier; 2016: chap 26.

Liu X, Dai Q, Ye R, li al; Cov Neeg Soj Ntsuam Zoo Tshaj Plaws. Endovascular kho mob piv rau cov qauv kev kho mob rau cov leeg pob txha caj qaum (BEST): daim ntawv qhia qhib, sim tswj kev sim. Lancet NeurolCov. 2020; 19 (2): 115-122. PMID: 31831388 pubmed.ncbi.nlm.nih.gov/31831388/.

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