Vertebrobasilar Kev Tsis Txaus Ntseeg

Zoo Siab

• Dab tsi ua rau mob VBI?
• Leej twg thiaj li yuav kis tau tus mob VBI?
• Cov tsos mob ntawm tus mob VBI zoo li cas?
• Yuav kuaj li cas thiaj pom tus mob VBI?
• Yuav kho tus mob VBI li cas?
• Yuav tiv thaiv tus mob VBI li cas?
• Qhov tshwm sim mus sij hawm ntev yog dab tsi?

Dab tsi yog pob txha caj qaum ua tsis txaus?

Lub cev vertebrobasilar txoj hlab ntaws yog nyob tom qab ntawm koj lub hlwb thiab suav nrog cov leeg nqaij txha caj qaum thiab txhawm ntshav txhawm. Cov hlab ntsha no muab ntshav, oxygen, thiab khoom noj muaj txiaj ntsig rau lub hlwb ua haujlwm tseem ceeb, xws li koj lub paj hlwb hlwb, occipital lobes, thiab cerebellum.

Ib qho mob hu ua atherosclerosis tuaj yeem txo lossis tso ntshav khiav mus rau hauv cov hlab ntshav hauv koj lub cev, suav nrog lub kaw lus vertebrobasilar.

Atherosclerosis yog tawv thiab txhaws ntawm cov hlab ntsha. Nws tshwm sim thaum cov quav hniav uas ua los ntawm cov roj (cholesterol) thiab calcium tsim hauv koj cov hlab ntsha. Qhov ua ke ntawm cov quav hniav ua rau koj cov hlab ntsha nqaim thiab txo cov ntshav ntws. Ua haujlwm dhau sijhawm, cov quav hniav tuaj yeem ua rau nqaim thiab thaiv tag nrho koj cov hlab ntsha, tiv thaiv cov ntshav kom mus txog koj cov plab hnyuv siab raum.

Thaum cov ntshav ntws hauv cov hlab ntsha ntawm koj qhov system vertebrobasilar txo qis, qhov mob no tau raug hu ua kab mob hu ua vertebrobasilar insufficiency (VBI).

Dab tsi ua rau mob VBI?

VBI tshwm sim thaum cov ntshav ntws mus rau sab nraub qaum ntawm koj lub hlwb raug txo lossis nres. Raws li kev tshawb fawb, atherosclerosis yog qhov muaj ntau yam ua rau lub luag haujlwm.

Leej twg thiaj li yuav kis tau tus mob VBI?

Cov teeb meem pheej hmoo rau txoj kev loj hlob ntawm VBI yog zoo ib yam li cov kev txuam nrog tsim mob atherosclerosis. Cov no suav nrog:

• haus luam yeeb
• tawg (ntshav siab)
• mob ntshav qab zib
• rog dhau
• ua lub hnub nyoog dhau 50 xyoo
• tsev neeg muaj keeb kwm muaj tus kab mob
• tsa cov lipids (rog ntau) hauv cov ntshav, tseem hu ua hyperlipidemia

Cov neeg uas muaj mob atherosclerosis lossis mob hlab ntsha hlwb (PAD) muaj kev pheej hmoo ntau rau kev tsim tus mob VBI.

Cov tsos mob ntawm tus mob VBI zoo li cas?

Cov tsos mob ntawm tus mob VBI sib txawv raws qhov hnyav heev ntawm tus mob. Qee cov tsos mob yuav nyob ntev li ob peb feeb, thiab qee qhov kuj yuav mus li. Cov tsos mob tshwm sim ntawm VBI suav nrog:

• tsis pom kev hauv ib lossis ob lub qhov muag
• ob lub zeem muag
• kiv taub hau lossis kiv taub hau
• loog lossis tingling hauv tes lossis taw
• xeev siab thiab ntuav
• hais lus phem
• hloov pauv ntawm lub hlwb, suav nrog qhov tsis meej pem lossis tsis nco qab
• dheev, tsis muaj zog thoob plaws koj lub cev, uas yog hu ua kev tawm tsam
• poob ntawm kev tshuav thiab kev sib koom ua ke
• teeb meem nqos
• tsis muaj zog hauv qee qhov ntawm koj lub cev

Cov tsos mob tuaj yeem mus thiab mus, zoo li hauv kev hloov pauv ischemic nres (TIA).

Cov tsos mob ntawm tus mob VBI zoo ib yam li cov mob stroke. Nrhiav kev kho mob kub ceev yog tias koj muaj cov tsos mob no.

Kev tiv thaiv kev kho mob sai yuav pab tau koj txoj hmoo kom zoo dua yog tias koj qhov tsos mob tshwm sim los ntawm tus kab mob stroke.

Yuav kuaj li cas thiaj pom tus mob VBI?

Koj tus kws kho mob yuav kuaj lub cev thiab khiav ib qho kev ntsuas yog tias koj muaj cov tsos mob ntawm tus mob VBI. Koj tus kws kho mob yuav nug koj txog koj li kev noj qab haus huv tam sim no thiab tuaj yeem xaj kev sim hauv qab no:

• CT lossis MRI kuaj xyuas ntawm cov hlab ntshav tom qab koj lub hlwb
• cov duab hluav taws xob resonance angiography (MRA)
• kuaj ntshav txhawm rau txhawm rau txhawm rau txhawm rau ntshav kev co
• echocardiogram (ECG)
• angiogram (Xoo hluav taws xob ntawm koj cov hlab ntsha)

Muaj qee zaus, koj tus kws kho mob yuav xaj kom tau txha caj qaum (tseem hu ua mob caj pas).

Yuav kho tus mob VBI li cas?

Koj tus kws kho mob tuaj yeem pom ntau txoj kev kho mob txawv nyob ntawm qhov mob hnyav ntawm koj cov tsos mob. Lawv kuj tseem yuav pom zoo cov kev hloov hauv lub neej, suav nrog:

• txiav kev haus luam yeeb, yog koj haus luam yeeb
• hloov kev noj haus kom tswj tau cov roj (cholesterol)
• poob phaus, yog tias koj rog dhau heev lossis rog dhau
• ua neeg nquag

Ib qho ntxiv, koj tus kws kho mob tuaj yeem sau tshuaj noj tshuaj los pab txo koj txoj kev pheej hmoo puas lossis mob stroke ntev. Cov tshuaj yuav:

• tswj ntshav siab
• tswj ntshav qab zib
• txo cov qib roj cholesterol
• yoj koj cov ntshav
• txo coagulation ntawm koj cov ntshav

Muaj qee kis, koj tus kws kho mob yuav pom zoo kom phais ntshav kom ntshav txaus rau tom qab lub hlwb. Kev phais lub plab yog ib qho kev xaiv raws li yog endarterectomy (uas tshem tawm cov quav hniav tawm ntawm cov leeg).

Yuav tiv thaiv tus mob VBI li cas?

Qee zaum VBI tsis tuaj yeem tiv thaiv. Nov yog rooj plaub rau cov neeg laus lossis cov neeg uas tau mob stroke. Txawm li cas los xij, muaj cov kauj ruam uas txo qis kev txhim kho atherosclerosis thiab VBI. Cov no suav nrog:

• txiav kev haus luam yeeb
• tswj ntshav siab
• tswj ntshav qab zib
• noj zaub mov zoo rau lub cev uas muaj txiv hmab txiv ntoo, zaub, thiab nplej ntau ntau
• kev tawm dag zog lub cev

Qhov tshwm sim mus sij hawm ntev yog dab tsi?

Qhov tshwm sim rau VBI yog nyob ntawm koj cov tsos mob tam sim no, kev mob nkeeg, thiab hnub nyoog. Cov neeg hluas uas ntsib cov tsos mob me thiab tswj lawv los ntawm kev hloov pauv hauv lub neej thiab kev noj tshuaj feem ntau yuav muaj txiaj ntsig zoo. Cov hnub nyoog zoo, tsis muaj zog, thiab tus cwj nrag tuaj yeem cuam tshuam zoo rau koj qhov kev pom. Tham txog cov tswv yim thiab tshuaj siv nrog koj tus kws kho mob txhawm rau pab tiv thaiv VBI lossis txo qis nws cov tsos mob.