Ka lawa ʻole Vertebrobasilar
Anter
- He aha ke kumu o VBI?
- ʻO wai ka pilikia ma VBI?
- He aha nā hōʻailona o VBI?
- Pehea e ʻike ʻia ai ka VBI?
- Pehea e mālama ʻia ai ʻo VBI?
- Pehea e pale aku ai iā VBI?
- He aha ka manaʻo lōʻihi?
He aha ka lawa ʻole o ka vertebrobasilar?
Aia ka ʻōnaehana vertebrobasilar arterial ma ka hope o kou lolo a hoʻokomo i nā aʻa vertebral a me basilar. Hāʻawi kēia mau aʻa i ke koko, oxygen, a me nā meaola i nā hanana lolo nui, e like me kou ʻōnaehana lolo, nā ʻola i loko, a me nā cerebellum.
Hiki i kahi ʻano i kapa ʻia ʻo atherosclerosis ke hōʻemi a hōʻoki paha i ke kahe o ke koko i nā aʻa i loko o kou kino, me ka ʻōnaehana vertebrobasilar.
ʻO Atherosclerosis kahi paʻakikī a paʻa i nā aʻa. Hana ʻia ia i ka wā e kūkulu ai ka pāka i hana ʻia me ka cholesterol a me ka calcium i loko o kāu mau aʻa. ʻO ke kūkulu ʻia ʻana o ka plake e hoʻopili i kou mau aʻa a hoʻoliʻiliʻi i ke kahe o ke koko. I ka hala ʻana o ka manawa, hiki i ka pākaʻi ke kīkī a pale loa i kou mau aʻa, e pale ana i ke koko mai kou hiki ʻana i kāu mau lālā ola.
Ke hoʻemi nui ʻia ke kahe o ke koko i loko o nā aʻa o kāu ʻōnaehana vertebrobasilar, ʻike ʻia kēia ʻano he lawa ʻole ʻo vertebrobasilar (VBI).
He aha ke kumu o VBI?
Hana ʻo VBI ke hoʻemi ʻia a kū paha ke kahe o ke koko i ka hope o kou lolo. Wahi a ka noiʻi, ʻo atherosclerosis ke kumu maʻamau o kēia maʻi.
ʻO wai ka pilikia ma VBI?
ʻO nā kumu pilikia no ka hoʻomohala ʻana o VBI e like me nā mea e pili ana i ka hoʻomohala atherosclerosis. Pākuʻi ʻia kēia mau mea:
- puhipaka
- hypertension (kiʻekiʻe ke koko kiʻekiʻe)
- diabetes
- momona
- ma luna o 50 mau makahiki
- moʻolelo ʻohana o ka maʻi
- kiʻekiʻe o nā lipids (momona) i loko o ke koko, i ʻike ʻia ʻo hyperlipidemia
ʻO ka poʻe i loaʻa i ka atherosclerosis a i ʻole ka maʻi ākea ākea (PAD) e hoʻonui i ka makaʻu no ka hoʻomohala ʻana i VBI.
He aha nā hōʻailona o VBI?
Hoʻololi nā ʻōuli o VBI i ka nui o ke ʻano. E mau paha kekahi mau ʻōuli no kekahi mau minuke, a paʻa mau paha kekahi. ʻO nā ʻōuli maʻamau o VBI e hoʻopili ʻia:
- nalo o ka hihiʻo i hoʻokahi a i ʻole nā maka ʻelua
- hihio pālua
- dizziness a i ʻole vertigo
- numbness a ʻūlū paha i nā lima a me nā wāwae
- nausea a me ka luaʻi
- haʻi waha
- nā hoʻololi i ke kūlana noʻonoʻo, me ka huikau a me ka nalo ʻana o ka ʻike
- hikiwawe, nāwaliwali koʻikoʻi ma kou kino, i kapa ʻia he hoʻouka kulu
- lilo o ke kaulike a me ka hoʻohui ʻana
- paʻakikī i ka ale ʻana
- nāwaliwali i kahi ʻāpana o kou kino
Hiki i nā ʻōuli ke hele a hele aku, e like me ka hoʻouka ischemic kuewa (TIA).
Ua like nā ʻōuli o VBI me nā maʻi hahau. E ʻimi i ka mālama olakino inā loaʻa ʻoe i kēia mau ʻōuli.
ʻO ke kōkua olakino koke e kōkua i ka hoʻonui i kou manawa o ke ola inā ʻo kāu mau ʻōuli nā hopena o ka maʻi hahau.
Pehea e ʻike ʻia ai ka VBI?
E hana ana kāu kauka i kahi hoʻokolohua kino a holo i kahi o nā hoʻokolohua inā loaʻa iā ʻoe nā ʻōuli o VBI. E nīnau aku kāu kauka iā ʻoe e pili ana i kāu ʻano olakino o kēia manawa a kauoha paha i nā hoʻokolohua aʻe:
- ʻImi ʻo CT a MRI paha e nānā i nā kīʻaha koko ma ka hope o kou lolo
- angiography resonance ʻume mākenēki (MRA)
- nā hoʻāʻo ʻana i ke koko e loiloi i ka hiki ke hoʻopili ʻana
- echocardiogram (ECG)
- angiogram (X-ray o kāu mau aʻa)
I nā hanana kakaʻikahi, hiki i kāu kauka ke kauoha aku i kahi kīʻaha pākū (ʻo ia hoʻi i ʻike ʻia he lumbar puncture).
Pehea e mālama ʻia ai ʻo VBI?
Hiki i kāu kauka ke koi aku i nā koho lapaʻau like ʻole e pili ana i ka paʻakikī o kāu mau ʻōuli. Paipai pū lākou i nā loli nohona, e like me:
- haʻalele i ka puhipaka, inā puhi ʻoe
- ke hoʻololi nei i kāu papaʻai e kāohi i nā pae kolesterol
- ke kaupaona ʻana o ke kaupaona, inā ʻoi aku kou kaumaha a momona paha
- e lilo i mea ʻeleu hou aku
Hoʻohui ʻia, hiki i kāu kauka ke kauoha i nā lāʻau e kōkua i ka hōʻemi ʻana i kou makaʻu i ka pōʻino mau loa a i ʻole ka hahau. Hiki i kēia mau lāʻau:
- kāohi i ke kaomi koko
- kāohi diabetes
- hoʻemi i nā pae kolesterol
- lahilahi kou koko
- hoʻemi i ka coagulation o kou koko
I kekahi mau hihia, hiki i kāu kauka ke koi aku i ke kaukana e hoʻihoʻi i ke kahe o ke koko i ka hope o ka lolo. ʻO ke kīʻaha Bypass kahi koho e like me kahi endarterectomy (kahi e hemo ai i ka pahu mai ke aʻa i hoʻopili ʻia).
Pehea e pale aku ai iā VBI?
I kekahi manawa ʻaʻole hiki ke pale ʻia ʻo VBI. Hiki i kēia ke hihia no ka poʻe ʻelemakule a i ʻole nā mea i loaʻa i ka maʻi kō. Eia nō naʻe, aia nā ʻanuʻu e hōʻemi i ka hoʻomohala ʻana o atherosclerosis a me VBI. Pākuʻi ʻia kēia mau mea:
- haʻalele i ka puhipaka
- ka kaohi ʻana i ke koko
- ke kaohi ʻana i ke kō kō
- e ʻai nei i ka papaʻai olakino i momona i nā huaʻai, nā mea kanu, a me nā hua piha
- e hooikaika kino ana
He aha ka manaʻo lōʻihi?
Aia ka nānā no VBI i kāu mau hōʻailona o kēia manawa, nā kūlana olakino, a me nā makahiki. ʻO ka poʻe ʻōpio i ʻike i nā ʻōuli mālie a kāohi iā lākou ma o nā loli nohona a me nā lāʻau lapaʻau e loaʻa nā hopena maikaʻi. Hiki i nā makahiki kiʻekiʻe, nāwaliwali, a me nā hahau ke hoʻololi i kāu nānā. Kūkākūkā i nā hoʻolālā a me nā lāʻau me kāu kauka e kōkua ai i ka pale ʻana iā VBI a i ʻole hoʻemi i kāna mau hōʻailona.