Mkpokọta a na nsochi nke ikuku na usoro nhụjuanya ya na-eme ka ọ bụrụ nke na-adịghị ike, ọbụna na-enwe obere mgbanwe n'ọkpụkpụ nke ọkpụkpụ-cartilaginous nke azụ. Ndi neuropathologists na-akpọ ya "ikuku intracranial na ọnọdụ ndị ọzọ." Ọ na-eme ka ịkpụ ọrụ nke plexus na-akwara kwe omume n'ihi mmebi nke mgbochi, nkwonkwo akwara na nkwonkwo akwara, unco-vertebral growths, subluxation na ọdịdị ọdịdị, yana nkwonkwo nkwonkwo nkwonkwo.
Achọpụtara m ụzọ atọ nwere ike isi mee ka mmetụ ahụ gbanwere na mpempe akwụkwọ na ịme ụbụrụ:
1) iwe nke nchịkọta anụ ahụ (na-enweghị nbibi na mkparịta ụka), nke na-akpata ọtụtụ mmeghachi omume reflex;
2) mmetụta zuru oke na arịa ahụ, mkparịta ụka ya ma ọ bụ imebi nke iguzosi ike n'ezi ihe, na-egbochi ọbara na-emekarị, na, ya mere, na-emetụta steeti mgbasa;
3) mmetụta na-emetụta ụbụrụ dị ogologo n'elu arịa ahụ, nke na-enye aka na mmepe nke usoro atherosclerotic na nhazi nke plaques, nke, n'aka nke ya, emetụta usoro ọbara n'ime arịa ụbụrụ.
Site na ntinye aka nke akụkụ dị nso, spasm na-amalite na mpaghara axillo-atlanto-occipital. Ngalaba a, nke na-ebutekarị ibu arọ ya, bụ mpaghara spasmogenic. N'ime usoro nke ọrịa vascular, ọ dị mkpa iburu n'uche ihe ndị nwere ike iji nweta ọbara nke ụbụrụ. Enweghị oke ọbara, nke sitere na mwepụ, nwere ike ịkwụ ụgwọ ya:
1) mụbara ọbara na-asọba site na nkwonkwo ikuku;
2) retroastoidal anastomosis;
3) site n'azụ njikọ nke oghere Willis.
Akwụsị ọbara na-akwụ ụgwọ abụghị ihe niile ọ bụla ga-ekwe omume n'ihi ụda dị iche iche na arụ ọrụ dịgasị iche iche na usoro nke arịa ahụ. Enwere otutu nyocha na nsogbu nke mmebi ụbụrụ kemgbe narị afọ gara aga. Ndị na-eme nnyocha na-emesi ike ịchọta nsogbu na-arụ ọrụ n'ime ọkpụkpụ azụ. Mgbe ewepụrụ nwa ebu n'afọ, nnukwu ibu dị na ya. A na-eme nke a site na njirimara nke ụzọ: ntụgharị isi na eriri nwa ebu n'afọ, na-adọta isi n'okpuru otu ọnọdụ ahụ, na-echebe perineum megide nzụlite nke mgbalị ọ bụla, na-ekpochapụ nwa ebu n'afọ. Ọ dịghị ihe dị ize ndụ bụ oge nke mkpuchi perineum megide ọnụ ọgụgụ nke mgbalị ndị ị na-eme. Ma oge nke a mgbe a na-amụ nwa na-edugakarị na ịmalite ịmịga cervico-occipital n'ime nwa ahụ! Ọbụna ma ọ bụrụ na akụkụ ahụ nke onye a mụrụ na-anagide ntachi anya nke a, mgbe afọ 6-8 gasịrị mgbe ọ mụsịrị nwa, mgbe nwatakịrị ahụ na-amalite itinyekwu oge n'ogo na anteflexia nke isi, mgbe nwatakịrị ahụ malitere ịkwadebe maka ụlọ akwụkwọ ma rụọ ọrụ ọ bụla ọzọ, ọ na - apụta na ọkpụkpụ na - !! Mkpụrụ na afọ a ka na-adịghị ike, a na-agbatịkwa ligaments cervico-occipital, n'ihi ya - ụbụrụ cervical ga-amalite ịgwakọta n'etiti onwe ya. Na nyocha X-ray, a na-egosipụta nke a site na nkedo nke steepụ na-eme ka ọkpụkpụ na-egbuke egbuke n'ụdị pseudospondlinklisthesis. Ihe a nile, ọbụna na nsogbu ndị dị otú ahụ dị ntakịrị, na-emepụta ihe ize ndụ nke igbu oge mmịkpụ azụ nke na-apụta na canal nke usoro ntụgharị nke cervical vertebrae.
N'ihi usoro mmejuputa nke a na-enweghi, enwere ike iji ego buru ibu nke a na-akwụ ụgwọ ruo oge buru ibu site na usoro. Otú ọ dị, n'oge ọ bụla n'okpuru nduzi nke mgbagha uche, nrụgide anụ ahụ, ọnọdụ nrụgide, mkpesa ụbụrụ hemodynamics nwere ike ime. N'ọnọdụ dị nwayọọ, ọ na-egosipụta onwe ya dị ka isi ọwụwa, dịgasị iche iche na vegetative-vascular paroxysms, nsogbu ụlọ obibi nke dabara na mgbaàmà nke mgbagwoju anya nke ụbụrụ na-adịghị ala ala. N'okwu ndị ka njọ, enweghị ike ịkwụ ụgwọ hemodynamics nke ụbụrụ nwere ike iduga nnukwu mmerụ nke ụbụrụ ụbụrụ maka mmepe nke ọrịa strok.
Ọbụna usoro omumu ọmụmụ, n'ihi peculiarities nke usoro obstetrics, nwere ike mgbagwoju anya site n'ịgbatị ihe ngwongwo nke eriri ụkwụ, nke na-eme ka enweghi ike nke vertebrae cervical. N'ọnọdụ ndị a, ihe ize ndụ ahụ nwere ike ịdakwasị ọbụna obere mkparịta ụka ụlọ ma ọ bụ nrụrụ ahụ dị nro, na-eduga ná nchịkwa nke vertebrae na mkparịta ụka nke PA. N'ihe gbasara ahụike, nke a na-egosipụta onwe ya dịka ọnyá strok ma ọ bụ mkpakọ nke eriri afọ. Ọtụtụ mgbe, nchịkwa dị otú ahụ nwere ike ime na nrọ, site na ntụgharị dị egwu nke isi ma ọ bụ mgbe onye ọzọ dakwasịrị n'isi na nkuzi mmụta anụ ahụ. N'okwu ndị dị nro, enwere ike ịbanye na mgbochi nke mgbochi paravertebral na ọkwa nke vertebrae ahụ merụrụ ahụ, nke na-eduga ná mmepe nke flaccid paresis nke ogwe aka na akụrụ aka, na-ejikọta ya na nkwonkwo n'ime ahụ ike. Enwere mkpụmkpụ nke uru ndị a ma e jiri ya tụnyere uru ahụ dị mma, nke gosipụtara site n'igosi ngwongwo nke ubu na ubu aka na nchikota nke scoliosis.
Ihe na-adịghị ike nke ngwongwo ngwongwo nke spine cervical na mmepe nke ọrịa degenerative na disks intervertebral, na ọkwa nke traumatized vertebrae, na-eduga na cervical osteochondrosis n'oge. Iji chọpụta ụmụaka nọ n'ihe ize ndụ n'ihi na ọ ga-eme ngwa ngwa ịmụ nwa, ọ dị mkpa ka ị mara ọtụtụ ihe mgbaàmà, tinyere ọrịa nke afọ na-ezughị ezu (CMS) na miatonic syndrome. Ọ dị ezigbo mkpa na ha na - apụta n'ihi mmerụ ahụ na - egbu ma na - anọgide na - adịgide ndụ, ịbụ ihe na - egosi mmebi nke spine cervical. Ihe mgbaàmà nke mbụ - ọrịa CMS, n'ụzọ bụ isi, bụ paraparesis flaccid nke okpukpu ukwu ma na - amalite n'ihi ụdọ na - enweghị ike nke eriri anụ ahụ nke eriri afọ. Ya mere, iji usoro ọgwụgwọ, redio, syphomiographic, REG na DG-eme ka o kwe omume ịchọpụta ya n'ụzọ ziri ezi, ọbụlagodi n'ụdị ọdịdị na-enweghị isi nke nsogbu nhụjuanya ahụ.
Ọrụ nke akwara na-egbuke egbuke na nhụjuanya nke ọrịa anya
Echiche nke ya na-eme ka ọ bụrụ adịghị ike nke akwara ciliary, nke a maara na ọ bụ nhụjuanya na ọmịiko, na ischemia nke ebe dị elu nke autonomic na mpaghara nke hypothalamus, n'otu akụkụ, na n'aka nke ọzọ, nwere nsogbu abụọ nke hemodynamics na basin na arteries orbital ntinye ọbara nke muscle na-adọta onwe ha. Iji kọwaa ọdịdị nke nsogbu nke ụlọ, anyị mụtara ọbara ọbara na VBB na ICA na ụmụaka nwere anya dị iche iche nke ọrụ ọrụ. A na-eji nwayọọ nwayọọ wedata àgwà ụmụ nwoke nke atọ. Ugbu a ị maara ihe bụ trauma nke spine cervical.