Vertebrobasilar rikicewar jini

Cututtukan jini na Vertebrobasilar su ne yanayin da wadatar jini a bayan kwakwalwa ke rikicewa.

Jijiyoyin jijiyoyin baya guda biyu sun hadu don samar da jijiyar basilar. Waɗannan sune manyan hanyoyin jini waɗanda ke ba da gudan jini zuwa bayan ƙwaƙwalwar.

Yankunan da ke bayan kwakwalwa da suke karbar jini daga wadannan jijiyoyin ana bukatar su dan kiyaye mutum. Wadannan yankuna suna sarrafa numfashi, bugun zuciya, haɗiyewa, hangen nesa, motsi, da kuma matsayinsu ko daidaito. Dukkanin siginar juyayi da ke hada kwakwalwa zuwa sauran jiki suna wucewa ta bayan kwakwalwa.

Yawancin yanayi daban-daban na iya rage ko dakatar da gudan jini a ɓangaren ɓangaren ƙwaƙwalwar. Abubuwan da suka fi yawan haɗari sune shan sigari, hawan jini, ciwon sukari, da kuma yawan matakin cholesterol. Waɗannan suna kama da abubuwan haɗari ga kowane bugun jini.

Sauran dalilai sun hada da:

• Hawaye a bangon jijiya
• Jinin jini a cikin zuciya wanda ke tafiya zuwa jijiyoyin vertebrobasilar kuma yana haifar da bugun jini
• Inflammationarfafa jini
• Cutar cututtukan nama
• Matsaloli a cikin kashin kashin baya na wuya
• Matsin lamba a waje da jijiyoyin vertebrobasilar, kamar su daga wurin wankan wanka (laƙabi da larurar ɗakin ɗakin kyau)

Kwayar cutar ta yau da kullun na iya haɗawa da:

• Wahalar furta kalmomi, magana mai rauni
• Matsalar haɗiyewa
• Gani biyu ko hangen nesa
• Jin ƙyama ko ƙwanƙwasawa, galibi akan fuska ko fatar kai
• Ba zato ba tsammani (saukar da hare-hare)
• Vertigo (jin abubuwan da ke zagayawa)
• Rashin ƙwaƙwalwar ajiya

Sauran cututtuka na iya haɗawa da:

• Matsalolin fitsari ko na hanji
• Wahalar tafiya (mara motsi)
• Ciwon kai, ciwon wuya
• Rashin ji
• Raunin jijiyoyi
• Tashin zuciya da amai
• Jin zafi a ɗaya ko fiye da sassan jiki, wanda ke daɗa muni tare da taɓawa da yanayin sanyi
• Rashin daidaito
• Barci ko bacci wanda baza'a iya farkawa mutum ba
• Kwatsam, ƙungiyoyi marasa haɗin kai
• Gumi a fuska, hannaye, ko kafafu

Kuna iya samun gwaje-gwaje masu zuwa, dangane da dalilin:

• CT ko MRI na kwakwalwa
• Utedididdigar yanayin halittu (CTA), angiography na maganadisu (MRA), ko duban dan tayi don duban jijiyoyin jini a cikin kwakwalwa
• Gwajin jini, gami da nazarin daskarewar jini
• Echocardiogram
• Electrocardiogram (ECG) da Holter saka idanu (ECG-hour 24)
• X-haskoki na jijiyoyin jini (angiogram)

Kwayoyin cututtukan Vertebrobasilar da ke farawa ba zato ba tsammani na gaggawa ne na likita wanda ke buƙatar kulawa nan take. Jiyya yayi kama da na bugun jini.

Don bi da kuma hana yanayin, mai ba da sabis na kiwon lafiya na iya bayar da shawarar:

• Shan magungunan rage jini, kamar su asfirin, warfarin (Coumadin), ko clopidogrel (Plavix) don rage barazanar kamuwa da cutar shanyewar barin jiki
• Canza abincinka
• Magani don rage yawan cholesterol da kuma kyakkyawan sarrafa hawan jini
• Motsa jiki
• Rashin nauyi
• Tsayawa shan taba

Hanyoyin da ke yaduwa ko tiyata don magance ƙarancin jijiyoyin a cikin wannan ɓangaren ƙwaƙwalwar ba a yin kyakkyawan nazari ko tabbatarwa.

Hangen nesa ya dogara da:

• Adadin lalacewar kwakwalwa
• Abin da aikin jiki ya shafa
• Yaya saurin samun magani
• Yaya sauri ka warke

Kowane mutum yana da lokacin dawowa na daban da buƙatar kulawa na dogon lokaci. Matsaloli na motsawa, tunani, da magana galibi suna haɓaka a farkon makonni ko watanni. Wasu mutane za su ci gaba da ingantawa har tsawon watanni ko shekaru.

Matsalolin rikice-rikicen ƙwayoyin cuta na vertebrobasilar sune bugun jini da rikitarwarsa. Wadannan sun hada da:

• Rashin numfashi (na numfashi) (wanda na iya buƙatar amfani da inji don taimakawa mutum numfashi)
• Matsalar huhu (musamman cututtukan huhu)
• Ciwon zuciya
• Rashin ruwa a jiki (rashin ruwa) da matsalolin haɗiye (wani lokacin ma ana buƙatar ciyar da bututu)
• Matsaloli tare da motsi ko motsin rai, gami da shanyewar jiki da rashin nutsuwa
• Samuwar daskarewa a kafafu
• Rashin hangen nesa

Matsalolin da magunguna ko tiyata suka haifar na iya faruwa.

Kira 911 ko lambar gaggawa ta gida, ko zuwa ɗakin gaggawa idan kuna da wasu alamun alamun cutar ƙwayar cuta ta vertebrobasilar.

Vertebrobasilar rashin isa; Yaduwar yanayin ischemia; Ciwon ɗakin kyau; TIA - ƙarancin ƙarancin vertebrobasilar; Dizziness - ƙarancin ƙarancin vertebrobasilar; Vertigo - ƙarancin ƙarancin vertebrobasilar

• Jijiyoyin kwakwalwa

Crane BT, Kaylie DM. Rikicin tsakiya na tsakiya. A cikin: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 168.

Kernan WN, Ovbiagele B, Black HR, et al. Sharuɗɗa don rigakafin bugun jini a cikin marasa lafiya tare da bugun jini da saurin kai hari: jagora ga ƙwararrun likitocin kiwon lafiya daga Heartungiyar Zuciya ta Amurka / Stungiyar Baƙin Amurka. Buguwa. 2014; 45 (7): 2160-2236. PMID: 24788967 pubmed.ncbi.nlm.nih.gov/24788967/.

Kim JS, Caplan LR. Vertebrobasilar cuta. A cikin: Grotta JC, Albers GW, Broderick JP, et al, eds. Bugun jini: Pathophysiology, Diagnosis, and Management. Na 6 ed. Philadelphia, PA: Elsevier; 2016: babi na 26.

Liu X, Dai Q, Ye R, et al; Mafi kyawun Masu Binciken Gwaji. Endovascular magani a kan misali magani ga vertebrobasilar jijiya occlusion (BEST): wani bude-lakabin, yi da ka sarrafawa fitina. Lancet Neurol. 2020; 19 (2): 115-122. PMID: 31831388 pubmed.ncbi.nlm.nih.gov/31831388/.