Hypoplasia kwelungelo Umthambo vertebral: izici zokwelapha kanye nokwelashwa

Ngokuthi "ilungelo vertebral Umthambo hypoplasia" umkhuba imithi ibhekisela esimweni ethize sokugembula libhekene nokungathuthuki bomkhumbi, okuyinto ngenxa umthelela hemodynamics ebuchosheni, ikakhulukazi emuva Jikelele eMnyangweni wakhe kwakhiwa okuyinto kusukela Circle Willis izitsha umcengezi yayo. Ngokuvamile, umuntu athuthukile ezimbili imithambo vertebral, okuyinto igatsha kusukela Umthambo subclavian futhi waqondisa ugebhezi indlela ethize bancamela. semithambo indawo sici yomgogodla wesibeletho siwukuthi bangamalungu discontinuous e isiteshi ekhethekile esenzelwa khona emigodini vertebral izinqubo transverse we wesibeletho amathambo C7 C2. Ezingeni lesibili wesibeletho vertebral Umthambo amafomu a USiphon (bokuphila ukugoba) ukunciphisa wave igazi ishayela uhlanganise ingcindezi ngaphambi kokungena ngaphakathi komgodi cranial. Kulokhu, hypoplasia we Umthambo vertebral ngokuvamile iningi amqaphela indawo yezindawo legatsha kusukela isitsha ezinkulu okwamanje eguqa.

Ingqikithi welithi "hypoplasia kwelungelo Umthambo vertebral" futhi inqubo pathogenesis

Ngaphansi hypoplasia kwakusho hypoplasia isitsha libhekene ukuvaleka abalulekile mafutha anciphisa isikhala esingaphakathi endaweni ndima yayo ithambo umsele. Lokhu ukuvaleka elihlobene ne-ukwephulwa kwezitho entanyeni ikholomu umgogodla, okuholela kancane Ukwakha-up of izimpawu. It akuvamile ehluleka aqaphele e primary ukuhlolwa non-ezikhethekile, njengoba kakhulu izikhalazo lesiguli ezisebusweni ubuhlungu esifundeni wesibeletho. Nokho, hypoplasia kwelungelo Umthambo vertebral neze exhumene ubuhlungu wesibeletho, ngoba kulelizinga ke akukuniki amagatsha, okusho ukuthi iziphathimandla entanyeni bangase bangakuboni ischemia ngenxa yemikhawulo yayo. Ngoba ukulungiswa kungaphansi zokugula eziyisisekelo, kulandele Vertigo izimpawu zinyamalale bebodwa.

Empeleni, ukuze kuhlonzwe isidingo sokugembula ukuba siqondiswe izimiso lokufaneleka, kusukela ukusonteka we wesibeletho amathambo isifo unekhono zibe izinguqulo olulodwa futhi double. inqubo enjalo sandisiwe ngesikhathi futhi kuthatha okuningi evumayo ngenxa oluqinisayo compensatory ka imithambo yegazi yayinjalo ukwandisa Isikhala sayo esingaphakathi kwabo. Pathology kanye enamathiselwe lwenani elincane ngenxa ekhethekile kudivayisi wesifunda kwegazi cerebral, is ngokuphelele esakhiwe endaweni ebanzi anastamozirovanii imithambo. Kulokhu, kuphela ezindaweni posterior stem ubuchopho kanye cerebellum bangase bahlupheke ngaphansi zamazwe amabili vertebral Umthambo hypoplasia.

Isinxephezelo hypoplasia imisebenzi bokuphila

Uma kukhona hypoplasia elingalodwa ilungelo Umthambo vertebral, izimpawu zihlanganisa eziningi izimpawu ze-non-ethize zenzeka ngenxa iziyaluyalu ukusebenza igazi eligciniwe kuya ezingemuva zobuchopho. Eqinisweni, uma kwenzeka, inqubo kusobala decompensated futhi zidinga ukwelashwa kuhlinzwa. Nokho, kuze kube manje, uma nje ubuchopho bengahlushwa ukuntula kwegazi ukuze zokugula ezifana hypoplastic kwesokudla Umthambo vertebral, ukwelashwa kufanele zihlanganisa ejenti kuphela kwemithi ezithuthukisa izitsha embhedeni ekhipha igazi enhliziyweni.

Hypoplasia kwelungelo Umthambo vertebral: Ihlahlubo

Ukwamukelwa isifo Kwenziwa ngesikhathi luhlolo kokuqala ngumuntu wezinzwa. Basuke kunakwe izikhalazo discoordination, yokufikelwa ezingavamile, inani eliphakeme lezakhamuzi zasemadolobheni ku liphuma. Ukuhlola kwabo, kanye amathuba khona yokuphazamiseka nokwakheka wesibeletho emgogodleni, isazi sezinzwa angathumela isiguli luhlolo ultrasound imithambo vertebral. Kulokhu mafutha anciphisa isikhala esingaphakathi izivimbelo kuka-2 mm ububanzi (ngokuvamile 3.6 - 3.8 mm) - kuyinkomba egqame bha zokuxilonga morphologically eqinisekisa khona lesi sifo. Kungase futhi kwenziwe, futhi angiography nge Ngokuphambene abaphathi.