Mathata a ho potoloha ha mali a Vertebrobasilar

Mathata a potoloho ea mali ke maemo ao ho ona phepelo ea mali mokokotlong oa boko e sitisoang.

Methapo e 'meli ea lesapo la mokokotlo ea ikopanya ho etsa mothapo oa basilar. Tsena ke methapo ea mantlha ea mali e fanang ka phallo ea mali mokokotlong oa boko.

Likarolo tse ka morao bokong tse amohelang mali ho tsoa methapong ena lia hlokahala ho boloka motho a phela. Libaka tsena li laola ho hema, ho otla ha pelo, ho koenya, ho bona, ho sisinyeha, le ho ema kapa ho leka-lekana. Lesebelisoa tsohle tsa methapo tse hokahanyang boko le 'mele oohle li feta ka bokong.

Maemo a mangata a fapaneng a ka fokotsa kapa a emisa phallo ea mali karolong e ka morao ea boko. Lisosa tse atileng haholo ke ho tsuba, khatello e phahameng ea mali, lefu la tsoekere le cholesterol e phahameng. Tsena li ts'oana le lisosa tsa kotsi tsa leqeba lefe kapa lefe.

Lisosa tse ling li kenyelletsa:

• Ho lla leboteng la mothapo
• Mali a koetsoeng ka pelong e eang methapong ea vertebrobasilar mme e bake setorouku
• Ho ruruha ha sekepe sa mali
• Matšoao a amanang a lisele
• Mathata masapong a mokokotlo oa molala
• Khatello ea kantle ho methapo ea vertebrobasilar, joalo ka e tsoang siling ea salon (e bitsoang lebitso la botle ba parlour syndrome)

Matšoao a tloaelehileng a ka kenyelletsa:

• Ho thata ho bitsa mantsoe, puo e thellisitsoeng
• Ho thata ho koenya
• Pono e habeli kapa tahlehelo ea pono
• Ho ba lerootho kapa ho hlohlona, ​​hangata sefahlehong kapa hloohong
• Ho oa ka tšohanyetso (ho hlasela)
• Vertigo (maikutlo a lintho tse potolohang)
• Ho lahleheloa ke mohopolo

Matšoao a mang a kenyeletsa:

• Mathata a ho laola senya kapa mala
• Ho thata ho tsamaea (ho se tsitse)
• Ho opeloa ke hlooho, molala o bohloko
• Ho lahleheloa ke kutlo
• Bofokoli ba mesifa
• Ho nyekeloa le ho hlatsa
• Bohloko karolong e le 'ngoe kapa ho feta ea' mele, e mpefalang ka ho ama le mocheso o batang
• Tšebelisano e mpe
• Boroko kapa boroko boo motho a ke keng a tsosoa ho bona
• Ka tšohanyetso, mekhatlo e sa tsamaellaneng
• Ho fufuleloa sefahlehong, matsohong kapa maotong

O kanna oa ba le liteko tse latelang, ho latela sesosa:

• CT kapa MRI ea boko
• Computed tomography angiography (CTA), magnetic resonance angiography (MRA), kapa ultrasound ho sheba methapo ea mali bokong
• Liteko tsa mali, ho kenyeletsoa le lithuto tsa ho koala mali
• Echocardiogram
• Electrocardiogram (ECG) le Holter monitor (lihora tse 24 ECG)
• X-ray ea methapo (angiogram)

Matšoao a likokoana-hloko a qalang ka tšohanyetso ke tšohanyetso ea bongaka e hlokang ho phekoloa hang-hang. Kalafo e tšoana le ea stroke.

Ho phekola le ho thibela boemo, mofani oa tlhokomelo ea bophelo ba hau a ka khothaletsa:

• Ho noa lithethefatsi tse fokotsang mali, tse kang aspirin, warfarin (Coumadin), kapa clopidogrel (Plavix) ho theola kotsi ea stroke
• Ho fetola lijo tsa hau
• Meriana ea ho theola k'holeseterole le ho laola khatello ea mali hantle
• Ho ikoetlisa
• Ho theola boima ba 'mele
• Ho emisa ho tsuba

Mekhoa e hlaselang kapa opereishene ea ho phekola methapo e mesesaane karolong ena ea boko ha e ithutuoe hantle kapa hona ho pakoa.

Ponahalo e latela:

• Palo ea tšenyo ea boko
• Ke mesebetsi efe ea 'mele e amehileng
• U fumana kalafo kapele hakae
• U fola kapele hakae

Motho ka mong o na le nako e fapaneng ea ho hlaphoheloa mme o hloka tlhokomelo ea nako e telele. Mathata a ho tsamaea, ho nahana le ho bua hangata a ntlafala libekeng kapa likhoeling tsa pele. Batho ba bang ba tla lula ba ntlafala ka likhoeli kapa lilemo.

Mathata a mathata a ho potoloha ha mali a vertebrobasilar ke setorouku le mathata a sona. Tsena li kenyelletsa:

• Ho hema (ho hema) ho hloleha (ho ka hlokang ts'ebeliso ea mochini ho thusa motho ho hema)
• Mathata a matšoafo (haholo-holo tšoaetso ea matšoafo)
• Lefu la pelo
• Ho hloka metsi 'meleng (ho felloa ke metsi' meleng) le mathata a ho metsa (ka linako tse ling ho hloka phepo ea li-tube)
• Mathata a motsamao kapa maikutlo, ho kenyelletsa ho holofala le ho ba shohlo
• Ho theha maqeba maotong
• Ho lahleheloa ke pono

Mathata a bakoang ke meriana kapa opereishene le ona a ka hlaha.

Letsetsa 911 kapa nomoro ea hau ea tšohanyetso ea lehae, kapa u fihle kamoreng ea maemo a tšohanyetso haeba u na le matšoao a lefu la mokokotlo la 'mele.

Ho haella ha Vertebrobasilar; Ho potoloha ka morao ischemia; Botle ba lefu la botle; TIA - ho haella ha vertebrobasilar; Ho tsekela - ho hloka matla ha vertebrobasilar; Vertigo - ho haella ha vertebrobasilar

• Metsing ea boko

Crane BT, DM ea Kaylie. Mathata a bohareng ba liaparo. Ka: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 7th. Philadelphia, PA: Elsevier; 2021: khaolo ea 168.

Kernan WN, Ovbiagele B, HR e Mnyama, et al. Litaelo tsa thibelo ea setorouku ho bakuli ba nang le lefu la ho hlaseloa ke lefu la stroke le la nakoana: tataiso bakeng sa litsebi tsa tlhokomelo ea bophelo bo botle ho tsoa ho American Heart Association / American Stroke Association. Leqeba. 2014; 45 (7): 2160-2236. PMID: 24788967 e fetotsoe.ncbi.nlm.nih.gov/24788967/.

Mofuthu Kim JS, Caplan LR. Lefu la Vertebrobasilar. Ka: Grotta JC, Albers GW, Broderick JP, et al, eds. Leqeba: Pathophysiology, Diagnosis le Management. La 6th. Philadelphia, PA: Elsevier; 2016: khaolo ea 26.

Liu X, Dai Q, Ye R, et al; BATLISISI BA TEKOLO BA TSOHLE. Phekolo ea Endovascular khahlanong le kalafo e tloaelehileng ea bongaka bakeng sa ho koaloa ha methapo ea methapo ea mafu (BEST): teko e bulehileng, teko e laoloang ka linako tsohle. Lancet Neurol. 2020; 19 (2): 115-122. PMID: 31831388 pubmed.ncbi.nlm.nih.gov/31831388/.