Iyo vertebral arteri (arteri, kubva kuLatin arteria, kubva kuGreek artêria, vertebra, kubva kuLatin vertebra, kubva ku vertere) inovimbisa kugoverwa kweropa rinofema kuuropi.

nzvimbo. Vaviri muhuwandu, kuruboshwe uye kurudyi vertebral arteri ari mumutsipa nemusoro.

zera. Iwo vertebral arteri ane avhareji caliber ye3 kusvika 4 mm. Ivo vanowanzo kupa asymmetry: iyo yekuruboshwe vertebral arteri kazhinji ine yakakura caliber kupfuura chaiyo vertebral arteri. (1)

mavambo. Iyo vertebral arteri inotangira pamusoro pechiso chepamusoro che trunk ye subclavia arteri, uye inoumba iro rekutanga bazi rekudyidzana reyekupedzisira. (1)

Nzira. Iyo vertebral artery inofamba ichikwidza mutsipa kuti ibatanidze musoro. Iyo inokwereta iyo inopfuura canal, inoumbwa neakaunganidzwa emuchiberekero vertebrae. Kusvika padanho rekutanga remuromo wechibereki, inodarika foramen magnum, kana occipital foramen, kujoina chikamu chepashure chehuropi. (2)

Kuguma. Iwo maviri emagetsi emitsipa anowanikwa padanho rehuropi, uye kunyanya padanho rerove pakati pebhiriji uye medulla oblongata. Ivo vanobatana kuti vagadzire iyo basilar arteri kana trunk. (2)

Mapazi eiyo vertebral artery. Pakati penzira yayo, iyo vertebral arteri inopa kumuka kune akawanda akawanda kana mashoma kukosha matavi. Isu tinosiyanisa kunyanya (3):

• Iwo marorosi-musana matavi, anomuka padanho remuromo wechibereko;
• Iyo yekumberi uye yekumashure musana tsinga, iyo inotangira muchikamu chisina basa.

kudiridza. Iwo vertebral arteri ipapo iyo basilar trunk inoita basa rakakosha mukudzora kwemasisitimu ezvimiro zvakasiyana zvehuropi.

Kupatsanurwa kweiyo vertebral artery chirwere chinowirirana nechitarisiko uye kukura kwehematoma mukati meiyo vertebral arteri. Zvichienderana nechinzvimbo cheaya mahematoma, hunhu hwetsinga hunogona kudzikiswa kana kukanganiswa.

• Kana iyo caliber ye vertebral arteri yakadzikiswa, inogona kuvharwa. Izvi zvinokonzeresa kudzikira kana kunyangwe kumira kwevascularization, uye kunogona kutungamira kurwisa ischemic.
• Kana iyo caliber ye vertebral arteri ikamonyororwa, inogona kumanikidza zvivakwa zvakavakidzana. Mune zvimwe zviitiko, madziro etsinga anogona kutsemuka nekukonzeresa tsaona yekubuda ropa. Iyi ischemic uye hemorrhagic kurwisa kunoumba tsaona dzebrovascular tsaona. (4) (5)
• Thrombosis. Ichi chirwere chinoenderana nekuumbwa kweropa mumudziyo weropa. Kana chirwere ichi chikabata tsinga, inonzi arterial thrombosis. (5)

Arterial neBP. Ichi chirwere chinowirirana nekumanikidza kwakanyanya kweropa kumadziro emitsipa, zvichiitika kunyanya padanho retsinga yechikadzi. Inogona kuwedzera njodzi yevascular chirwere. (6)

Zvinodhaka zvinodhaka. Zvichienderana nemamiriro azivikanwa, mimwe mishonga inogona kupihwa simba rekudzikisa BP.

Thrombolyse. Inoshandiswa panguva yekurohwa, kurapwa uku kunosanganisira kupwanya iyo thrombi, kana kuwanda kweropa, nerubatsiro rwemishonga. (5)

Kuvhiya kurapa. Zvichienderana nechirwere chinowanikwa uye nekushanduka kwayo, kuvhiyiwa kunogona kudikanwa.

Kuongorora kwepanyama. Kutanga, kuongororwa kwekiriniki kunoitwa kuitira kuti uone uye kuongorora marwadzo anoonekwa nemurwere.

Chiremba imaging bvunzo. Kuti usimbise kana kudzamisa kuongororwa, X-ray, CT, CT angiography uye arteriography bvunzo dzinogona kuitwa.

• Doppler ultrasound. Iyi chaiyo ultrasound inoita kuti zvikwanise kucherechedza kuyerera kweropa.

Iyo vertebral arteri inoenderana nemisiyano dzakasiyana dzeatomical, kunyanya pane kwayakabva. Inowanzo tangira kumusoro kwepamusoro pe trunk yeiyo subclavia arteri asi zvinoitika kuti inotangira zasi ichiita yechipiri chibatiso chebazi reiyo subclavia arteri, mushure meiyo thyrocervical trunk. Inogona zvakare kusimuka kumusoro kwerwizi. Semuenzaniso, iyo yekuruboshwe vertebral artery inobuda kubva kune aortic arch mu5% yevanhu. (1) (2)