Izvi zvinopindirana zvakanyanyisa we arteri uye hurongwa hwayo hwemitsipa inoita kuti ive yakaoma zvikuru, kunyange nekuchinja kuduku mumapfupa-mavara emusana. Neuropathologist inoritumidza kuti "inopera arteri mumamiriro ekuwedzera." Kutambudza kwehutano plexus kunokwanisika nekuda kwekugadziriswa kwemagetsi, musimba nemisumbu dzemakumbo, unco-vertebral growths, subluxation uye anterior proliferation, uyewo intervertebral joint anomalies.
Ndakatarisa nzira nhatu dzingangodaro dzesimba rekushandurwa kwepfungwa pamagadzirirwo emagetsi uye kupararira kwepfungwa:
1) kutsamwirwa kwechirwere chepfungwa (pasina kushungurudzika uye kukanganiswa), izvo zvinokonzera kushanduka kwakasiyana-siyana;
2) zvakakomba zvinokonzerwa nemudziyo, kudzvinyirira kwayo kana kuvhiringidzwa kwehutendeseka, kudzivirira kutenderera kweropa kwemazuva ose uye, zvichidaro, kuchinja hurumende yekupararira;
3) zvinokonzera kushungurudzika kunokonzerwa nemudziyo, izvo zvinoita kuti kuve nekugadzirwa kwe-atherosclerotic nekuumbwa kwemakanda, ayo, ayo, anokonzera kubuda kwepanyika mumidziyo yeuropi.
Nekugadzirisa magetsi kwechikamu chinonyanya kukwana, kuputika kunowedzera mu axillo-atlanto-occipital munharaunda. Iyi dhipatimendi, iyo inowanzotakura mutoro wayo, ndiyo nzvimbo yakasarudzwa. Muchigadzirwa chepfungwa dzevascular, zvakakosha kufunga nezvekukwanisa kubhadhara ropa rehupi hweuropi. Kushayikwa kweropa kunopera, zvichibva pakuvhara, kunogona kubhadharwa ne:
1) kuwedzerwa kweropa kunopfuurira kuburikidza nemutsetse wenharaunda;
2) retroastoidal anastomosis;
3) kuburikidza nemashure ekupedzisira ekubatanidza mitsetse ye Circle Willis.
Kubhadhara ropa kuyerera hakusi mumamiriro ezvinhu ose zvakaenzana nenzira inokwanisika pamusana pezvinyorwa zvakasiyana-siyana zvemaatomical uye zvakasiyana-siyana mumamiriro emidziyo. Tsvakurudzo dzakawanda dzakagadzirirwa dambudziko rekuora kwehupombwe kubva muzana remakore asati apera. Vatsvakurudzi vanosimbisa kutyisa kwakanyanya mukushanda kwebasa mumutsipa wekervical. Apo fetus iri kubviswa, mutoro unorema unowira pairi. Izvi zvinotungamirirwa nezvinhu zvinoshandiswa nenzira idzi: kutenderera kumusoro nemasana ekugadzikana, kukwevera musoro pasi pemamiriro akafanana, kudzivirira perineum pamusoro pekupedzisira kwekuedza, kubudisa fetus. Chero chakanga chakaipisisa chakanga chiri nguva ye inshuwarisi yepreineum pamusoro pechirango chekuenderera mberi kwekuedza. Asi nguva iyi pakuberekwa kunowanzoita kuti kutambanudzirwa kwemitemo ye cervico-occipital mumwana! Uye kunyange kana mhuka yemunhu akaberekwa ichirarama nechisimba ichi, pashure pemakore 6-8 mushure mokuberekwa, apo mwana anotanga kupedza nguva yakawanda mukugadzikana ne anteflexia yemusoro, apo mwana anotanga kugadzirira chikoro uye anoita chero rimwe basa rakananga, zvinoratidza kuti chirwere cheservic is insolvent !! !! Misungo pazera iri isine simba, uye cervico-occipital mitsetse yakatambanudzwa, uye semugumisiro - vertebrae yemudzimai inotanga kusanganirana. Muchiziviso che-X-ray, izvi zvinoratidzirwa nemasitepisi-kufanana nekuderera kwechiberekero chechibereki muchimiro chepseudospendilolisthesis. Zvose izvi, kunyange nezvakaoma zvakanyanya, zvinokonzera njodzi yekukurumidza kunetseka kwepamuviri iyo inowanikwa mumugwagwa wezvinyorwa zvinotenderera zvepervical vertebrae.
Nemhaka yehutano hwakagadziriswa huripo, vertebrobasilar vascular insufficiency inogona kubhadharwa chikamu kwenguva yakawanda nekuda kweropa ruchibuda kubva muhurongwa. Zvisinei, panguva ipi zvayo pasi pesimba rekupererwa kwepfungwa, kushungurudzika mupfungwa, mamiriro ekumanikidzika, kuora mwoyo kwehutachiona humodynamics kunogona kuitika. Muzviitiko zvinyoro, zvinoratidzika semusoro wemusoro, zvakasiyana-siyana zvevirum-vascular paroxysms, zvinokonzera vestibular zvinopinda muchiratidzo-chinetso chechigarire chisimba chisina kukwana. Mumatambudziko akaoma, kukundikana kubhadharisa hutachiona humodynamics kunogona kukonzera kuora mwoyo kwakanyanya kweperesi yepamusoro kusvika pakuvandudzika kwechirwere chechirwere chechemere.
Kunyangwe nzira yekuzvarwa kwepanyama, nekuda kwehutano hwemagadzirirwo emakemikari, inogona kuoma nekutambanudza michina inoshandiswa yemutsara wemukati, iyo inokonzera kusagadzikana kwemagetsi emukondonhi. Muzviitiko izvi, njodzi inogona kukanganisa kunyange mumatambudziko mashoma epamba kana kushingaira kwepanyama, zvichiita kuti kugadziriswa kwe vertebrae uye kushandiswa kwePA. Muchipatara, izvi zvinoratidzika sechirwere chepelinha kana kuomesa kwemutsara. Kakawanda, kukanganiswa kwakadaro kunogona kuitika mukurota, nekutendeuka kwakadzika kusingazivi kwemukoko kana mushure mokunge mumwe munhu achida musoro pamusoro pechidzidzo chemuviri wechidzidzo. Mune mimwe mikana yakaoma, pane kusapindika kwepfungwa yekusachengetedza kwemavara emharavertebral pamwero we vertebrae yakakuvadzwa, iyo inotungamirira kukurudzirwa kweflaccid paresis yesimba uye bhanhire rebhepa, pamwe chete nemarara mumisumbu mukukura. Pane kupfupisa kwemasumbu aya pakufananidza nemisungo yechipfuva chine utano, iyo inoratidzirwa ne-asymmetry yekumire kwemafudzi epafudzi uye bhanhire repafudzi nehupenyu hutsva hwe scoliosis.
Kushaya simba kwezvigadzirwa zvemuviri wepervical spine uye kukura kwehutano husina kunaka mu intervertebral discs, pamwero wezvinyorwa zvinokonzera kushungurudzika, zvinotungamirira kumucheto wechibereki osteochondrosis. Kuziva vana vari panjodzi kuti zvigone kunonoka kunonoka kuberekwa, iwe unoda kuziva zviratidzo zvakawanda, zvakabatanidzwa mune chirwere chepachiviri chechirwere chisina kukwana (CMS) uye miatonic syndrome. Zvinonyanya kukosha kuti zvionekwe semugumisiro wekukuvara kwechibereki uye kurambira hupenyu, kuva chiratidzo chekukuvadza kumucheto wekervical. Chiratidzo chekutanga chinowanikwa - hutachiwana hweCMS, mumutambo, hupfupika flaccid paraparesis yemakumbo epamusoro uye hunovapo sechikonzero chechirwere chisina kuoma chechivharo chechibereki chepelinha. Nokudaro, kushandiswa kwekliniki, radiological, syphomiographic, REG uye DG-nzira dzinoita kuti zvikwanise kunyatsotsanangura, kunyange pane zvisingarongedzwi maitiro ekutambura kwemutsipa.
Basa rekudzivirira mutsipa mukati mepathogenesis yezviso zvemaziso
Imwe pfungwa yakarongedzwa naye inobatanidza kushaya simba kwemakumbo e-ciliary, ayo anozivikanwa kuti ane parasympathetic uye anonzwira tsitsi kusachengetedzwa, ne ischemia yepamusoro yakakwirira yezvokuchengetedza munzvimbo munharaunda ye posterior hypothalamus, kune rumwe rutivi, uye kune rumwe rutivi, nekushungurudzika kwechipiri kwehemodynamics mumubhedha uye mishonga inobata ropa rekugara kwemisungo pachavo. Kujekesa pathogenesis yekushaiwa kwekugara, takadzidza kuyerera kweropa muVBB uye kuIAC mune vana vanoona vari pedyo-vane zvirwere zvakasiyana-siyana zvekugadzirisa basa. Izvo zvinoreva hutano hwehuwandu hwekuyerera kweropa rechitsiko checarotid zvakanyanya kuderedzwa muvana vemapoka ose matatu. Iye zvino unoziva kuti chii chinoshungurudza chemuviri wepervical.