Bulbar syndrome: iimpawu, izinto, unyango

Bulbar syndrome ebizwa bulbar onedumbe - a sublingual ukwenzakala syndrome, glossopharyngeal kunye luvo vagal cranial, layila apho ibekwe Oblongata Medulla. Bulbar syndrome yenzeka kabini (ngaphantsi kwenye bucibusa) ezonakeleyo nuclei X, IX, XI nemithambo XII cranial, caudal kwiqela emalunga kwaye okulungiswe kwiqela Oblongata Medulla. Ukongeza, umonakalo iingcambu bako kunye neziqu luvo ngaphakathi kwisisu cranial nangaphezulu.

Xa bulbar syndrome kwenzeka ukushwabana iyathamba ye izihlunu zomqala, imilebe, ulwimi, inkalakahla ethambileyo, epiglottis kunye yayinemiphimbo. Isiphumo sale nto dysphagia ukukhubazeka (yokuginya umsebenzi disorder) kunye dysarthria (ukuphazamiseka of speech). Bulbar dysarthria luphawulwa ngelizwi buthathaka kwaye ezibuhlazarha, kude kube aphonia epheleleyo, kukho kanobom yaye "kweso" izandi. Pronunciation izandi ezingoonombini ezahlukeneyo endaweni ukuhambisana (apicals, labial, wenkxaso) kunye indlela ngokwakha (slot, occlusives, ithambile, eqinileyo) iba uhlobo olufanayo, kunye izikhamiso - abafane distinguishable enye kwenye. Intetho kubaguli unesifo "bulbar syndrome" zithe phantsi kunye nezigulane udinwe kakhulu. Kuxhomekeka ubuzaza paresis izihlunu kunye nokwanda bulbar yayo dysarthria syndrome inokuba jikelele, buso okanye bakhethe.

Izigulane bulbar ziliminxe palsy ukutya ulwelo, njengoko ayikwazanga ukukhupha yokuginya Motion, kwiimeko kakhulu, izigulane ukuphuhlisa ukuphazamiseka yemisebenzi ezesifuba izingqisho nokuphefumla kaninzi ekhokelela ekufeni. Ngoko ke kubaluleke kakhulu ngexesha yononophelo olungxamisekileyo izigulana sifo. Kuyinto ukuphelisa le isoyikiso kubomi babantu kunye zokuhamba emva ukuya kwiziko lonyango ezizodwa.

Bulbar syndrome luphawulwa zifo zilandelayo:

- izifo zofuzo, ezifana nesifo Kennedy kunye porphyria;

- isifo semithambo (Medulla engabalulekanga);

- siringobulbiya, isifo motor neuron;

- izifo ukudumba kwaye ezosulelayo (isifo Lyme, Guillain-Barre syndrome);

- zomhlaza (glioma, isiqu ubuchopho).

Isiseko zokufumanis bulbar ukushwabana sesokwalatha imiqondiso iimpawu okanye iimpawu zonyango. Eyona ndlela inokuthenjwa moshilongo kwesi sifo zibandakanya data electromyography kunye noviwo ngqo oropharynx.

Kukho bulbar kunye pseudobulbar syndromes. Umahluko omkhulu phakathi kwabo amanga neqiniso ukuba izihlunu pseudobulbar syndrome omzimba musani atrophied, ie ukukhubazeka na peripheral, akukho fibrillary ukudideka izihlunu ulwimi kunye ukusabela ukonakala. Pseudobulbar palsy Idla nodlame zidanduluka, behleka, ezo zibangelwa ukusilela unxibelelwano phakathi ezalathelwe esembindini subcortical kunye amaxolo. Pseudobulbar palsy , ngokungafaniyo bulbar akangonobangela umoya (ukumisa eziphefumlayo), kunye nokuphazamiseka intliziyo isingqisho. Oku ugcinwe ukwenzakala ebuchotsheni ehlasela kakhulu ukuba semithambo, ezosulelayo, unxinzelelo okanye ukunxila genesis.

Bulbar syndrome: unyango.

bulbar ukushwabana Unyango ijolise ikakhulu bayeke imisebenzi sifo kunye imbuyekezo naphantsi bakhubazekile. Ukuphucula imisebenzi yokuginya ababelwe ukuba iziyobisi ezifana glutamic acid, Neostigmine, nootropics, galantamine kunye neevithamini, yaye nokwanda izinkcwe - atropine iziyobisi. Ukondla ezi zigulane yenziwe ngokusebenzisa uphenyo, ie, enterally. Kwimeko zokugxojwa umsebenzi nokuphefumla wabelwa ukuya mpilo.