Nā maʻi o ka holo ʻana o Vertebrobasilar

ʻO nā maʻi ʻōnaehana Vertebrobasilar nā kūlana kahi i hoʻohuli ʻia ai ka lako o ke koko i ka hope o ka lolo.

Hoʻopili nā aʻa vertebral ʻelua e hana i ke aʻa basilar. ʻO kēia nā kīʻaha koko nui e hāʻawi i ke kahe o ke koko i ka hope o ka lolo.

ʻO nā wahi ma ke kua o ka lolo e loaʻa ai ke koko mai kēia mau aʻa e pono ai e ola ke kanaka. Mālama kēia mau wahi i ka hanu ʻana, ka helu o ka puʻuwai, ka ale ʻana, ka ʻike, ka neʻe, a me ke kūlana a me ke kaulike paha. ʻO nā hōʻailona ʻōnaehana āpau e hoʻohui i ka lolo i ke koena o ke kino e hele ma hope o ka lolo.

Hiki i nā ʻano ʻano like ʻole ke hōʻemi a hōʻoki paha i ke kahe o ke koko ma ka ʻaoʻao hope o ka lolo. ʻO nā kumu pilikia maʻamau ka paka ʻana, ke koko kiʻekiʻe, ka maʻi kō, a me kahi pae kolesterol kiʻekiʻe. Ua like kēia mau mea me nā mea pilikia no kekahi hahau.

Nā kumu ʻē aʻe e:

• Haehae i ka paia o kahi aʻa
• Hoʻopili ke koko i ka puʻuwai e hele i nā aʻa vertebrobasilar a hana i ka hahau
• Huʻi kō kīʻaha koko
• Nā maʻi palahalaha hoʻohui
• Nā pilikia i nā iwi iwi o ka ʻāʻī
• Kaomi ma waho o nā aʻa vertebrobasilar, e like me ka mea e iho ai i ka salone (i kapa ʻia ʻo ka nani parlor maʻi maʻi)

Pili pū nā ʻōuli maʻamau:

• Pilikia ka hoʻopuka ʻana i nā huaʻōlelo, haʻi ʻōlelo pōpō
• Pilikia i ka ale ʻana
• Pālua ka hihiʻo a i ʻole ka nalo ʻana o ka hihiʻo
• Numbness a i ʻole tingling, pinepine i ka maka a i ʻole ka ʻili
• Hāʻule hāʻule (hāʻule hāʻule)
• Vertigo (ke ʻano o nā mea e puni ana)
• Poho hoʻomanaʻo

Hiki i nā ʻōuli ʻē aʻe ke:

• Nā pilikia e pale ai i ka ʻōpū a i ʻole ka ʻōpū
• Hele wāwae paʻakikī (hele wāwae ʻole)
• ʻEha poʻo, ʻeha ka ʻāʻī
• Lohe hoʻolohe
• Nāwaliwali ka ʻiʻo
• ʻO Nusea a me ka luaʻi
• ʻEha ma hoʻokahi a ʻoi paha mau ʻāpana o ke kino, i ʻoi aku ka maikaʻi me ka hoʻopā a me ke anuanu
• Hoʻohui maikaʻi ʻole
• ʻO ka hiamoe a hiamoe paha kahi i hiki ʻole ke ala aʻe i ke kanaka
• Nā neʻe koke, hoʻoneʻe like ʻole
• ʻO ka hou i ka maka, nā lima, a me nā wāwae

Loaʻa iā ʻoe nā hoʻokolohua aʻe, kaukaʻi ʻia i ke kumu.

• CT a MRI paha o ka lolo
• Angiography tomography i helu ʻia (CTA), angiography resonance ʻume mākenēki (MRA), a i ʻole ultrasound e nānā i nā kīʻaha koko i ka lolo.
• Nā hoʻāʻo koko, me nā hoʻopaʻa ʻana o ke kāpili ʻana i ke koko
• ʻEchocardiogram
• Electrocardiogram (ECG) a me Holter monitor (24-hola ECG)
• Nā kukuna X o nā aʻa (angiogram)

ʻO nā hōʻailona Vertebrobasilar e hoʻomaka koke i kahi pilikia olakino e pono e mālama koke. Ua like ka mālama ʻana me kēlā no ka hahau.

E mālama a pale i ke ʻano, hiki i kāu kauka olakino ke ʻōlelo:

• Lawe i nā lāʻau hoʻoliʻiliʻi koko, e like me aspirin, warfarin (Coumadin), a i ʻole clopidogrel (Plavix) e hoʻohaʻahaʻa i ka makaʻu no ka hahau
• Ke hoʻololi nei i kāu papaʻai
• ʻO ka lāʻau e hoʻohaʻahaʻa ai i ka kolesterol a ʻoi aku ka maikaʻi o ka kaohi o ke koko
• Hoʻoikaika kino
• Lilo kaupaona
• Kaohi ʻana i ka paka

ʻAʻole aʻo ʻia a hōʻoia ʻia paha nā kaʻina hana invasive a i ʻole ke ʻoki kino e mālama ai i nā aʻa ʻikiʻī i kēia ʻāpana o ka lolo.

Aia ka nānā i:

• Ka nui o ka poino o ka lolo
• He aha nā hana a ke kino i hoʻopili ʻia
• Pehea kou wikiwiki e loaʻa ai ka lāʻau
• Pehea kou wikiwiki e ola ai

He manawa ʻokoʻa ko kēlā me kēia kanaka a me ka pono no ka mālama wā lōʻihi. ʻO nā pilikia me ka neʻe ʻana, ka noʻonoʻo ʻana, a me ke kamaʻilio ʻana e hoʻomaikaʻi pinepine i nā pule mua a i ʻole mau mahina. E hoʻomaikaʻi mau kekahi poʻe i mau mahina a mau makahiki paha.

Hoʻopilikia i nā ʻōpū o ka vertebrobasilar kahe a me nā pilikia. Pākuʻi ʻia kēia mau mea:

• Ka hanu ʻana (hanu) ʻole (kahi e koi ai i ka hoʻohana ʻana o kahi mīkini e kōkua i ke kanaka e hanu)
• Nā pilikia o ka puʻu (ʻoi aku hoʻi o nā maʻi lolo)
• Maʻi hohola
• Ka nele o nā wai i ke kino (dehydration) a me ka ale ʻana i nā pilikia (i kekahi manawa e koi ana i ka hānai Tube)
• Nā pilikia me ka neʻe a i ʻole ka sensation, e like me ka lōlō a me ka helu
• Ke hoʻokumu ʻia ʻana o nā ʻōpala i nā wāwae
• Lilo hihio

Kūpono ʻia nā pilikia e nā lāʻau a i ʻole ke ʻoki.

Kāhea iā 911 a i ʻole kāu helu kūloko kūloko, a i ʻole e kiʻi i ka lumi pilikia inā loaʻa iā ʻoe kekahi mau ʻōuli o ka vertebrobasilar circulatory maʻi.

Ka lawa ʻole o Vertebrobasilar; Ischemia hoʻoliʻiliʻi posterior; Beauty parlor maʻi pale; TIA - lawa ʻole o vertebrobasilar; Kahakaha - lawa ʻole o vertebrobasilar; Vertigo - lawa ʻole o vertebrobasilar

• Nā aʻa o ka lolo

ʻO Crane BT, ʻo Kaylie DM. Nā maʻi vestibular waena. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 168.

Kernan WN, Ovbiagele B, Black HR, et al. Nā ʻōkuhi no ka pale ʻana i ka hahau i nā mea maʻi me ka hahau a me ka hoʻouka ischemic kuikawa: he alakaʻi no nā ʻoihana mālama ola mai ka American Heart Association / American Stroke Association. Hahau. 2014; 45 (7): 2160-2236. PMID: 24788967 pubmed.ncbi.nlm.nih.gov/24788967/.

Kim JS, Caplan LR. Maʻi Vertebrobasilar. I: Grotta JC, Albers GW, Broderick JP, et al, eds. ʻOhana: Pathophysiology, Diagnosis, a me Management. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 26.

Liu X, Dai Q, Ye R, et al; Nā kānaka noiʻi hoʻokolokolo maikaʻi loa. Hoʻomaʻamaʻa endovascular me ka lāʻau lapaʻau maʻamau no ka vertebrobasilar artery occlusion (PALAPALA): kahi lepili hāmama, kahi hoʻokolohua hoʻokolohua kaulike ʻia. Lancet Neurol. 2020; 19 (2): 115-122. PMID: 31831388 pubmed.ncbi.nlm.nih.gov/31831388/.