Hypoplasia rwerudyi vertebral tsinga: kurapwa zvinhu uye kurapwa

Inonzi "zvakanaka vertebral tsinga hypoplasia" iri tsika zvokurapa kunoreva yakananga pathological mamiriro hwokuratidza underdevelopment ngarava, inova nemhaka kubatsira hemodynamics muuropi, kunyanya mu kumashure dhipatimendi yake, iyo yakaumbwa kubva Denderedzwa Willis midziyo bheseni kwayo. Kazhinji, munhu yakatanga maviri vertebral arteries, iro davi kubva subclavian tsinga uye kutungamirirwa kuti dehenya chaicho nzira vanosarudza. vascular nzvimbo nyaya iri remuromo nomuzongoza ndechokuti vari discontinuous vari nzira chaiyo inopfurwa nokuvapo mumakomba vertebral transverse dzinotsanagura ari remuromo vertebrae C7 C2. At padanho rechipiri remuromo vertebral tsinga siyana ane kusveta (vasiri vachikotama) kuderedza ropa kupomba chinozunguzirwa uye kupomba nevezera vasati vapinda cranial mhango. Muchiitiko chino, hypoplasia pamusoro vertebral tsinga iri inonyanyoshandiswa pasika nzvimbo bazi nzvimbo kubva mudziyo hombe kuti vachikotama nguva.

Musimboti pfungwa "hypoplasia rwerudyi vertebral tsinga" uye pathogenesis kwacho

Under hypoplasia zvaireva hypoplasia mudziyo kunoratidzwa chinokosha aienda pamusoro lumen pa nzvimbo ndima yayo mafupa Canal. aienda ichi chokuita kutyora mutsipa nadzo uye musana mbiru, zvoita kuti anononoka akavaka-up of zviratidzo. It kashoma anokundikana kuziva zviri chikuru vasiri kushandiswa rokuongorora, sezvo zvikuru zvichemo murwere dziri kurwadziwa remuromo nharaunda. Zvisinei, hypoplasia rwerudyi vertebral tsinga hakuna chokuita remuromo marwadzo, nekuti panguva ino pamwero hazvina kupa matavi, izvo zvinoreva kuti mutsipa zviremera varege kuona ischemia nokuda kurambidzwa ayo. Nekuti kururamiswa riri pasi inokosha zvokurwara, ichiteverwa vertigo zviratidzo inonyangarika pachavo.

Kutaura zvazviri, nokuti chirwere pakati pathological vanofanira kutungamirirwa nenheyo kukosha, sezvo deformation ari remuromo vertebrae chirwere anokwanisa kuva mushanduro kuroorwa uye kaviri. mumwe muitiro kwakadaro chinoshanda munguva uye anotora zvizhinji zvakanaka nokuda compensatory nokusimbaradza ari yakasimba midziyo ropa kuti vawedzere lumen dzavo. Zvokurwara uye kubatanidzwa duku ukoshi nokuda rinokosha wedunhu mudziyo chepfungwa kuparadzirwa, rwunokwanisa dzakavakwa navanopinda anastamozirovanii arteries. Panyaya iyi, chete posterior nzvimbo uropi hunde uye cerebellum vangatambura pasi bilateral vertebral tsinga hypoplasia.

Muripo hypoplasia kuti vasiri mabasa

Kana paine nyayawo hypoplasia rwerudyi vertebral tsinga, zviratidzo zvinosanganisira wandei asiri dzakananga zviratidzo zvinoitika somugumisiro dzichipfekeka zvirwere ropa wedzerai necheshure wouropi. Kutaura zvazviri, kana kunoitika, zvichiitika pachena decompensated uye kunoda kuvhiya kurapwa. Zvisinei, kusvikira panguva ino, sokuvapo uropi haasi kuona kweropa kushayiwa kuti zvokurwara akadai hypoplastic zvakanaka vertebral tsinga, kurapwa kunofanira kusanganisira pharmacological yomuchipatara chete hunowedzera midziyo arterial mubhedha.

Hypoplasia rwerudyi vertebral tsinga: kuongorora chirwere

Kuziva chirwere rinoitwa panguva kwokutanga kuongororwa pedyo wetsinga. Vari kufungwa zvichemo discoordination, isingawanzowanikwi kufenda, vanodzedzereka pamusoro inosimuka. Vanoongorora kwavari, uyewo mukana wokuti pamberi kuvhiringidzika nemamiriro remuromo nomuzongoza, chiremba wetsinga anogona kutumira murwere kuti Ultrasound pakuongorora vertebral arteries. Panyaya iyi yairambidzwa lumen pane 2 mm mu dhayamita (anowanzoita 3,6 - 3.8 mm) - yakajeka chirwere chiratidzo morphologically achisimbisa pamberi chirwere. Zvinogona kuitwa, uye angiography pamwe musiyano kutarisira.