Izinkinga zokujikeleza kwegazi ze-Vertebrobasilar

Ukuphazamiseka kokujikeleza kwegazi kwe-Vertebrobasilar kuyizimo lapho ukuphazamiseka kwegazi ngemuva kobuchopho kuphazamiseka.

Kuhlangana imithambo emibili yomqolo ukwakha umthambo we-basilar. Le yimithambo yegazi eyinhloko ehlinzeka ngokugeleza kwegazi emuva kobuchopho.

Izindawo ezingemuva kobuchopho ezithola igazi kule mithambo yegazi ziyadingeka ukugcina umuntu ephila. Lezi zindawo zilawula ukuphefumula, ukushaya kwenhliziyo, ukugwinya, ukubona, ukunyakaza, nokuma noma ukulinganisela. Zonke izimpawu zesistimu yezinzwa ezixhumanisa ubuchopho nomzimba wonke zidlula ngemuva kobuchopho.

Izimo eziningi ezahlukahlukene zinganciphisa noma zimise ukugeleza kwegazi engxenyeni engemuva yobuchopho. Izici eziyingozi kakhulu ukubhema, umfutho wegazi ophakeme, isifo sikashukela, kanye nezinga eliphezulu le-cholesterol. Lokhu kufana nezici ezinobungozi kunoma yisiphi isifo sohlangothi.

Ezinye izimbangela zifaka:

• Izinyembezi odongeni lomthambo
• Amahlule egazi enhliziyweni ahambela imithambo ye-vertebrobasilar futhi abangele isifo sohlangothi
• Ukuvuvukala kwesitsha segazi
• Izifo zezicubu ezixhuma
• Izinkinga emathanjeni omgogodla entanyeni
• Ingcindezi engaphandle emithanjeni ye-vertebrobasilar, efana ne-salon sink (ebizwa nge-beauty parlor syndrome)

Izimpawu ezivamile zingafaka:

• Kunzima ukuphimisa amagama, ukukhuluma okungaqondakali
• Kunzima ukugwinya
• Ukubona kabili noma ukulahleka kombono
• Ukuba ndikindiki noma ukuncinza, imvamisa ebusweni noma ekhanda
• Ukuwa okungazelelwe (ukwehla kokuhlaselwa)
• I-Vertigo (ukuzwa kwezinto ezizungezayo)
• Ukulahleka kwememori

Ezinye izimpawu zingafaka:

• Izinkinga zokulawula isinye noma amathumbu
• Ukuhamba kanzima (ukuhamba okungazinzile)
• Ubuhlungu bekhanda, ubuhlungu bentamo
• Ukulahlekelwa ukuzwa
• Ubuthakathaka bemisipha
• Isicanucanu nokuhlanza
• Ubuhlungu engxenyeni eyodwa noma eziningi zomzimba, okuya ngokuya kube kubi ngokuthinta namazinga okushisa abandayo
• Ukudidiyela okungalungile
• Ukulala noma ukulala umuntu angenakuvuswa kukho
• Ngokushesha, ukunyakaza okungahambisani
• Ukujuluka ebusweni, izingalo, noma imilenze

Ungaba nokuhlolwa okulandelayo, ngokuya ngesizathu:

• I-CT noma i-MRI yobuchopho
• I-computed tomography angiography (CTA), i-magnetic resonance angiography (MRA), noma i-ultrasound ukubheka imithambo yegazi ebuchosheni
• Ukuhlolwa kwegazi, kufaka phakathi izifundo zokuvala igazi
• I-Echocardiogram
• I-Electrocardiogram (ECG) ne-Holter qapha (i-ECG yamahora angama-24)
• Ama-X-ray wemithambo (angiogram)

Izimpawu ze-Vertebrobasilar eziqala ngokuzumayo yisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha. Ukwelashwa kuyefana nalokho kokushaywa unhlangothi.

Ukwelapha nokuvikela lesi simo, umhlinzeki wakho wezokunakekelwa kwempilo angancoma:

• Ukuthatha izidakamizwa zokuncipha igazi, njenge-aspirin, i-warfarin (i-Coumadin), noma i-clopidogrel (i-Plavix) ukwehlisa ubungozi bokushaywa unhlangothi
• Ukushintsha indlela odla ngayo
• Imithi yokwehlisa i-cholesterol nokulawula kangcono umfutho wegazi
• Ukuzivocavoca umzimba
• Ukwehlisa isisindo
• Ukuyeka ukubhema

Izinqubo noma ukuhlinzwa okuhlasela ukwelapha imithambo emincane kule ngxenye yobuchopho akufundiswanga kahle noma akufakazelwa.

Umbono uncike ku:

• Inani lokulimala kobuchopho
• Yimiphi imisebenzi yomzimba ethintekile
• Usheshe uthole imishanguzo
• Usinda ngokushesha kangakanani

Umuntu ngamunye unesikhathi esihlukile sokutakula kanye nesidingo sokunakekelwa kwesikhathi eside. Izinkinga ngokuhamba, ukucabanga nokukhuluma kuvame ukuba ngcono emasontweni noma ezinyangeni zokuqala. Abanye abantu bazoqhubeka nokuthuthuka izinyanga noma iminyaka.

Izinkinga zezinkinga ze-vertebrobasilar circulatory yi-stroke nezinkinga zayo. Lokhu kufaka phakathi:

• Ukwehluleka ukuphefumula (ukuphefumula) (okungadinga ukusetshenziswa komshini ukusiza umuntu ukuthi aphefumule)
• Izinkinga zamaphaphu (ikakhulukazi ukutheleleka kwamaphaphu)
• Isifo senhliziyo
• Ukuntuleka koketshezi emzimbeni (ukungabi namanzi emzimbeni) nezinkinga zokugwinya (kwesinye isikhathi kudinga ukondliwa ngamashubhu)
• Izinkinga ngokunyakaza noma ukuzwa, kufaka phakathi ukukhubazeka nokuba ndikindiki
• Ukwakhiwa kwamahlule emilenzeni
• Ukulahleka kombono

Izinkinga ezibangelwa yimithi noma ukuhlinzwa nazo zingavela.

Shayela u-911 noma inombolo yakho ephuthumayo yasendaweni, noma uye egumbini lezimo eziphuthumayo uma unezimpawu zesifo sokujikeleza kwegazi se-vertebrobasilar.

Ukungasebenzi kahle kwe-Vertebrobasilar; Ukujikeleza kwegazi ngemuva kweschemia; Ubuhle bokugula; I-TIA - ukungasebenzi kahle kwe-vertebrobasilar; Isiyezi - ukungasebenzi kahle kwe-vertebrobasilar; I-Vertigo - ukungasebenzi kahle kwama-vertebrobasilar

• Imithambo yegazi yobuchopho

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UKernan WN, Ovbiagele B, Black HR, et al. Imihlahlandlela yokuvinjelwa kwesifo sohlangothi ezigulini ezinesifo sohlangothi kanye nokuhlaselwa yischemic okwedlulayo: umhlahlandlela wabasebenzi bezempilo abavela e-American Heart Association / American Stroke Association. Unhlangothi. 2014; 45 (7): 2160-2236. I-PMID: 24788967 pubmed.ncbi.nlm.nih.gov/24788967/.

UKim JS, uCaplan LR. Isifo se-Vertebrobasilar. Ku: Grotta JC, Albers GW, Broderick JP, et al, ama-eds. Unhlangothi: I-Pathophysiology, i-Diagnosis, ne-Management. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2016: isahluko 26.

U-Liu X, Dai Q, Ye R, et al; Abaphenyi Bokulingwa Abakhulu Kakhulu. Ukwelashwa kwe-Endovascular kuqhathaniswa nokwelashwa okujwayelekile kwe-vertebrobasilar artery occlusion (BEST): ilebula evulekile, isilingo esilawulwa ngokungahleliwe. ILancet Neurol. 2020; 19 (2): 115-122. I-PMID: 31831388 pubmed.ncbi.nlm.nih.gov/31831388/.