Tshebetso ea tsamaiso ea methapo e kholo e tiisoa ke phepelo ea mali bokong. Hoo e ka bang karolo ea 30 lekholong ea mokelikeli oa likokoana-hloko o tsoa li-artery tse 2 tsa methapo. Ba ikarabella bakeng sa ho potoloha ha mali ka mor'a likarolo tsa boko, moo lihlopha tsa bohlokoa tsa meriana li leng teng.
Syndrome ea methapo ea motsoako - lisosa
Lintho tsohle tse lebisang ho ferekanyang lijana tse hlalositsoeng li aroloa lihlopha tse peli tse kholo. Ea pele e kopanya sesosa leha e le sefe sa vertebrogenic. Ho fumanoa ha vertebral artery syndrome le mokokotlo oa osteochondrosis ho tloaelehile, empa maloetse a mang a tsamaiso ea mesifa e ka 'na ea e halefisa:
- dysplasia;
- tšenyo e tsitsitseng;
- li-discs tsa internetebral herniated;
- ho se utloisisehe ho fosahetse;
- ho falla ha mehaho ea masapo;
- arthrosis;
- scoliosis;
- li-osteophyte;
- letsoai le boloka;
- ho kenngoa ha discs;
- spondylosis;
- ho fokola ha masapo.
Sehlopha sa bobeli se akarelletsa mafu a se nang bo-abortogenic (a sa amanang le mafu a mokokotlo le manonyeletso):
- lihlapa;
- ho se tloaelehe ha tlhahiso ea methapo ea meriana;
- li-spasms tsa lijana le mesifa ea molaleng;
- atherosclerosis;
- embolism;
- arteritis;
- li-thromboses;
- ho haelloa ke lisele tse bonolo tsa molaleng.
Matšoao a methapo ea methapo ea matšoao - matšoao
Letšoao le ka sehloohong la lefu lena le hlaseloa ke bohloko bo fapaneng. Matšoao a li-Vascular le vertebrogenic a methapo ea mali e tsamaisana le matšoao a mang:
- ho felloa ke tekano;
- ho fokola ha kutlo;
- ho senyeha ha lintho tse bonahalang;
- lerata litsebeng;
- botsoa;
- ho nyefoloa, ka linako tse ling ka ho hlatsa;
- khatello ea mali e eketsehileng;
- khatello ea kelello;
- angina pectoris;
- litlhaselo tse sa tloaelehang tsa sischemic;
- boikutlo ba "lehlabathe", bo omileng ba mahlo a mahlo a mahlo;
- ho tsamaea ka thata;
- ho sithabela, ho bokolla ha letlalo la sefahleho;
- tahlehelo ea tsebo;
- Mathata a limela tsa nakoana - tlala e khōlō, lenyora, ho tsuba, feberu;
- puo e senyehileng.
Bohloko bo botona ba methapo ea methapo ea mali
Ka lebaka la phekolo e lekaneng ea mali ea boko liphatsong tsa hae, khaello ea oksijene e qala. Ka morao ea hypoxia, ho na le hlooho e bohloko e le 'ngoe-mokokotlo oa artery syndrome ka linako tse ling o tsamaea le litlhaselo tse matla tse kang migraine. Nakong ea li-spasms tse joalo motho o ikutloa a sa phutholoha leha a kopana kapa a ama.
Hangata, lefu la methapo ea motsoako e baka bohloko ho likarolong tse ling tsa 'mele:
- molala (cervicalgia);
- thorax;
- sefahleho sa bobeli;
- pharynx;
Matšoao a methapo ea mokokotlo - ho se phefumolohe
Khatelo-pele ea mafu a se nang phekolo e lekaneng e lebisa hoketsekong ea liphatlalatso tsa eona tsa meriana le ho hlaha ha mathata. Maemong a joalo, matšoao a matla a tsamaeang le motsoako oa methapo ea matšoao - matšoao a kenyelletsa liketsahalo tse tšoanang le lefu la pelo:
- ho tsieleha kapa ho hema;
- ho phunya bohloko ka sefubeng;
- ho lemoha ho fosahetseng.
Ka linako tse ling ho na le lefu la Bernard-Horner. E khetholloa ke boikutlo ba ho ba teng kamehla molaleng kapa molaleng oa ntho ea mojaki ("lump"), e thibelang phefumoloho e tloaelehileng, ho kenngoa ha lijo kapa metsi. Ho phaella moo, ho na le paresthesia ea halofo ea sefahleho - ho senyeha ha marama, melomo, ho utloa bohloko kapa ho "khahla ho khahla."
Matšoao a methapo ea mokokotlo - ho hlahlojoa
Lefu le hlahisitsoeng le tšoana le litšoantšong tsa tleliniking ho hlaselang migraine le aura. Ho khetholla lefu la methapo ea methapo le mafu a mang, tlhahlobo e feletseng ea bongaka ea hlokahala. Ntlha ea pele, ngaka e bokella boitsebiso bo mabapi le matšoao a teng, boholo ba tsona le nako ea tsona. Nakong ea tlhahlobo, setsebi se lokisa litletlebo tse teng - bothata bo ka morao ea lehata, tsitsipano ea mesifa ea occipital, bothata ba ho fetola hlooho. Tlhahlobo ea ho qetela ea "vertebral artery syndrome" e thehiloe motheong oa lithuto tse latelang:
- lisebelisoa tsa dopplerography tsa ultrasound;
- X-ray ea mokokotlo oa mokokotlo;
- papiso ea mahlaseli a matla a khoheli kapa computed tomography.
Matšoao a methapo ea mokokotlo - phekolo
Ho loantša lefu lena ho lokela ho ba le kakaretso 'me ho reretsoe ho felisa sesosa sa ho fokolloa ke mali meleng ea boko. Tsela ea ho phekola lefu la methapo ea motsoako:
- Nka meriana e boletsoeng ke ngaka - lithethefatsi tse khahlanong le ho ruruha, li-antimigrenous, venotonics, li-relaxation tsa mesifa le mekhoa e meng.
- Etsa ho silila ho khethehileng ka morao le sebaka sa molaleng.
- Kamehla u apere sesebelisoa sa masapo (molala oa Shantz) ho lefella moroalo mokokong oa mokokotlo.
- Etsa li-gymnastics tsa phekolo.
- Etela li-physiotherapy sessions.
Ho ikoetlisa ka bothata ba lefu la methapo ea methapo
Bakeng sa khatholoho ea bohloko le matšoao a mang a lefu lena le hlalositsoeng, ho ikoetlisa ho nepahetse, ho fanang ka boikhathollo bo phahameng ba mesifa ntle le ho sisinyeha ha tšohanyetso molala. Matšoao a methapo ea methapo e amanang le ho ruruha, kahoo ho ikoetlisa ho matla ho ke ke ha etsoa. Li-slope le likhahla tse khōlō li le kotsi haholo, li ka mpefatsa boemo.
Gymnastics ea methapo ea methapo ea motsoako e nang le lefu la methapo ea methapo e na le liketso tse 3 feela tse latelang:
- Sebaka sa ho qala se lutse setulong se khutlisitsoeng morao. Kopanya liatla le ho li beha tlas'a lesoba. Ba beha khatello matsoho, ba leka ho sutumelletsa lihlooho. Liatla li lokela ho hanyetsoa, e le hore mesifa ea molaleng e tiisoe, empa mokokotlo ha o sisinyehe. Pheta ka makhetlo a mararo bakeng sa metsotsoana 3-5.
- Beha letsoho le letšehali lerameng le fapaneng le karolo e ka ntle ea palema. Leka ho fetola hlooho ea hau ka ho le letona. Nakong ea boikoetliso, letsoho le na le ho hanyetsa hlooho, e fanang ka tsitsipano ho mesifa ea lateral ea molala. Pheta ketso e tšoanang ka lehlakoreng le leng. Etsa mosebetsi ona ka makhetlo a mararo bakeng sa metsotsoana e 4-5 (bakeng sa letsoho le leng le le leng).
- Beha liatla ka sekoting, li behe ka morao hloohong. Leka ho khutlisa hlooho ea hau, hanyetsa matsoho a hau. Pheta ka makhetlo a 5 ka metsotsoana e meraro.
Ho silila ka lefu la methapo ea artery
Mofuta ona oa motlakase o lumelloa hore o sebelisoe feela kamora 'meriana o moholo oa phekolo. Ntlha ea pele, ke habohlokoa ho khaotsa ho ruruha le ho fokotsa lefu la methapo ea methapo ea meriana - phekolo ea lapeng le ho silila ka nako e thata e ka fela hampe. Mekhoa ea tsamaiso ea maemo maemong a joalo e tla etsa hore ho be le ho tlōla ho eketsehileng ha methapo ea mali le ho matlafatsa matšoao. Ke habohlokoa hore ho silila ka mor'a ho ferekana ho etsoang ke setsebi se tšoanelehang, u ke ke ua se etsa.
Matšoao a methapo ea mokokotlo - phekolo, lithethefatsi
Lihlopha tse 'maloa tsa litsebi tsa phekolo li sebelisoa phekolo ea lefu lena. Lithethefatsi tse seng tsa steroidal tse khahlanong le ho ruruha:
- Meloksikam ;
- Nimesulide;
- Aertal;
- Diclofenac;
- Celecoxib.
Phomolo ea mesifa ea bohato bo bohareng e thusa ho fokotsa lefu lena le ho felisa ho tlōla ha methapo ea 'mele:
- Baclofen;
- Midokalm;
- Tolperisone.
Ho ntlafatsa methapole ea neuronal e sebelisitsoeng:
- Cerebrolysin;
- Gliatilin;
- Actovegin;
- Citicoline;
- Mexidol.
Hangata ho hlokahala hore ho ntlafatsoe phallo ea mali ho thibela lefu la methapo ea methapo ea lithethefatsi - lithethefatsi tse hlahisang phello ena:
- Cinnarizine ;
- Instenon;
- Agapurin;
- Nicergoline;
- Vinpocetine.
Ho tsosolosa metabolism mesifa le methapo ea mali ho lumella:
- Trimetazidine;
- Mildronate ;
- Tiotriazolin.
Ho thibela ho thehoa ha thrombi le tsoelo-pele ea atherosclerosis ho tla thusa angioprotectors le venotonics:
- Diosmin;
- Troxerutin;
- Heparin.
Ho tloaeleha ha meriana ea methapo ea meriana ho arajoa ke:
- Neurobion;
- Milgamma ;
- Se-neurovitan.
Haeba tlhaselo ea migraine e etsahala, ngaka e fana ka litaelo tsa triptane:
- Zomig;
- Sumygamren;
- Rapimed.
Syndrome ea methapo ea methapo ea mokokotlo
Ha mekhoa eohle e thathamisitsoeng ea phekolo e sa sebetse, mokuli o khothalletsoa ho kenella ho buuoa. Ho phekoloa ha lefu la methapo ea methapo e matla ho etsa hore ho felisoe lisosa tse lebisang ho senya sejana sa mali le ho senya phepelo ea mokelikeli oa likokoana-hloko ho ea boko. Mefuta e mengata ea ho qhekella:
- kutloelo-bohloko ea nakoana;
- ho tlosoa ha li-osteophyte;
- ho tepella ha setho sa motsoako o motsoako;
- ho ts'oaroa ha lihlahisoa tse ngata;
- kenyelletso ea silinda ka stent.
Syndrome ea methapo ea methapo ea ho itšireletsa - ho phatloha
Lefu lena lea phekoloa hantle ha le khetholloa hantle ka lisosa tsa lisosa tsa lona, ho hlahlojoa ka nako e nepahetseng le phekolo e nepahetseng. Matšoao a methapo ea methapo ea mokokotlo khahlanong le semelo sa mokokotlo oa osteochondrosis le mekhoa e meng ea lefu la mesifa e thata haholo ho feta ho e-na le mathata a ho ntša mpa, empa mokhoa o felletseng o thusa ho felisa ka ho feletseng matšoao a lefu lena maemong a mabeli.