Umshini we-basilar uqukethe imibhoshongo emibili ye-vertebral ehlangene ndawonye. Lezi yiziqukathi eziyinhloko yegazi ngemuva kwengqondo. Le ndawo yobuchopho, eyaziwa ngokuthi i-brainstem iqondisa ukunyakaza nokulinganisela futhi idlala indima ebalulekile ekulele, ephupha, ukugaya, ukugwinya, ukuphefumula, umbono nokukala kwenhliziyo.
Izimbangela
Kunezimo ezihlukahlukene ezingathinta ukugeleza kokugeleza kwegazi ku-brainstem. I-stroke eyenzeka engqondweni ye-brainstem ingabangelwa i-clot yegazi noma i-bloodmill. Kwezinye izimo, ukulimala kwengqondo kungase kube umphumela wokulimala komshini ngenxa yesikhukhula esiphuthumayo noma ukunyakaza kwentamo.
Ngokufanayo nezimo zokubeka ingozi ngenxa yesifo, izimbangela ze-basilar artery stroke zihlanganisa okulandelayo:
- Ukubhema
- Umfutho wegazi ophezulu
- Isifo sikashukela
- Amazinga we-cholesterol ephakeme
- Ukuphakama kwodonga oluhle
- Izifo ezixhumene nezicubu
- I-Vasculitis
- Isimo se-Orthopedic yentamo
Izimpawu
Imivimbo ngenxa yokuvela noma ukuphuma kwe-artery basilar ingabangela izimpawu ezihlukahlukene ezihlanganisa ukukhubazeka, ukuphefumula kanzima, ukugwinya, umbono ophindwe kabili, i- coma , ngisho nokufa.
Ezinye zezibonakaliso ezivamile ze-basilar stroke stroke zihlanganisa okulandelayo:
- Ukulinganisela ubunzima
- I-Vertigo
- Umbono kabili noma ukulahlekelwa umbono
- Ukulahlekelwa kokusebenzisana
- Ukucindezela ubunzima
- Kunzima ukubiza amagama
- Ubumbulu
- Ubuthakathaka engxenyeni eyodwa yomzimba
- I-nausea
- Ukulahlekelwa kwememori
- I-Incontinence
- Izinwele
- Ukuphunga
Ukuxilongwa
Izibhamu ezenzeka engqondweni ye-brainstem zinzima ukuxilonga ngoba izimpawu zabo ziyinkimbinkimbi. Ukuhlolwa okulandelayo kungenziwa ukuze kutholakale ukuxilongwa:
- CT scan
- Ukuskena kwe-MRI
- I-computed tomography angiogram (i-CTA)
- I-resonance angonography yama-magnetic (MRA)
- I-Ultrasound
- Ukuhlolwa kwegazi
- I-Echocardiogram
- I-Electrocardiogram (ECG)
- Holter Monitor
- X-ray
Ukwelapha
I-stroke yisimo esiphuthumayo sezokwelapha futhi sidinga ukuphathwa ngokushesha. Ukwelashwa kwesifo somzimba we-basilar kufana nesimo sohlangothi. Ukwelashwa kungafaka phakathi ukuphathwa kwe-activminogen activator (tPA) ye-tishu ye-intravenous (tPA) uma nje isiguli sitholile kungakapheli amahora amathathu ukuqala kwezimpawu.
Ukunciphisa Izingozi Zezingozi
Yize ezinye izici ezithile eziyingozi njengebudala, ubulili, ubuhlanga kanye nobuhlanga bengenakulawulwa, isiguli esinengozi yokushaya isifo singanciphisa ingozi yokushaywa yisifo ngokuqala ukwelashwa okulawula izinto eziyingozi bese kulungisa indlela yokuphila.
Izindlela zokulawula izici ezingozini ze-stroke zihlanganisa:
- Ukuyeka ukubhema
- Ukulahlekelwa isisindo
- Ukusebenzisa
- Ukunciphisa ukungenisa utshwala
- Ukusebenzisa izidakamizwa ezinomzimba wegazi ukuvimbela ukwakheka kwezindwangu