Bulbar Syndrome: Zviratidzo, Zvinokonzera, Kurapa

Bulbar syndrome, inonzi bulbar paralysis, ihosha yekuvhiringidza kune zvinyorwa zvinyorwa, glossopharyngeal uye vagal cranial mitsipa, iyo nuclei iri mu medulla oblongata. Bharbar syndrome inobata pamwe chete (zvishoma nezvishoma neunilateral) kukuvadza ku X, IX, XI uye XII nuclei yezvipembenene zvinokonzerwa neboka re caudal uye rakapindirwa mu medulla oblongata. Mukuwedzera, midzi nemagunwe emutsipa mukati memakumbo emvura uye kunze kwayo zvakashata.

Ne bulbar syndrome, chirwere chekushaya rutivi rwemisungo ye pharynx, miromo, rurimi, ruvara rwemafupa, epiglottis uye mapepa ezwi anowanikwa. Chigumisiro chekushaya simba kwakadaro is dysphagia (kusagadzikana kwekumedza) uye dysarthria (kutaura kushungurudza). Bharbar dysarthria inoratidzwa nezwi risina simba uye risina matsi, kusvika kune aphonia yakazara, pane manzwi uye "kusvibiswa" kwemashoko. Kutaura kwemashoko akangwara akasiyana munzvimbo yekutaurirana (mberi, rurimi, kumashure, nerurimi) uye nenzira yekuumbwa (gadziriro, kumisa, kunyoroka, zvakaoma) inova yakafanana, uye mavharidzi haasati asiyaniswa kubva kune mumwe. Kutaura kune varwere vanorwara ne "bulbar syndrome" kunonoka uye kunetseka zvikuru nevarwere. Zvichienderana nekuoma kwemisara paresis uye kupararira kwayo, chirwere che bulbar dysarthria chinogona kuva chepasi pose, chisarudzo kana kusarudzwa.

Varwere vane hutachiona vakaoma muviri vanomanikidzwa kunyange nehuwandu hwekudya, nokuti Asingakwanisi kubereka kumedza, kunyanya mamiriro akaoma, varwere vanokura kushungurudzika kwebasa remwoyo uye mapurogiramu ekufema, izvo zvinowanzotungamirira kurufu. Nokudaro, panguva yakakodzera kutarisira kwakakodzera kune varwere vane chirwere ichi chinonyanya kukosha. Inosanganisira kubvisa kutyisidzirwa kwehupenyu uye kuitakura kune imwe nzvimbo yezvehutano.

Bulbar syndrome inowanikwa kune zvirwere zvinotevera:

- zvirwere zvechivi, zvakadai seKennedy's disease uye porphyria;

- Vascular disease (myocardial infarction);

- syringobulbia, chirwere chemoto chinonzi neuron;

- Zvirwere zvinoputira-zvirwere (chirwere cheLyme, Guillain-Barre syndrome);

- Zvirwere zveAcological (brain stem glioma).

Chikonzero chekuongororwa kwegurbar kupora muviri ndiko kuratidzwa kwezviratidzo zviratidzo kana zviratidzo zvekurapa. Nzira dzakavimbika dzekuongorora chirwere ichi dzinosanganisira data ye electromyography uye kunyatsoongororwa kwe oropharynx.

Pano pane bhuru uye pseudobulbar syndromes. Mhedzisiro huru pakati pavo ndeyokuti nepseudobulbar syndrome mishonga yomuviri haifaniri kutorwa, i.e. Kuparara kwepachiviri kunoputika, hakuna maitiro e fibrillar emisungo yerurimi uye kuitika kwekuberekwa patsva. Pseudobulbar kupora muviri kunowanzoperekedzwa nekuchema kwechisimba nekuseka, izvo zvinokonzerwa nekuvhiringidzwa kwekubatana pakati pepakati subcortical nodes uye cortex. Pseudobulbar syndrome inopesana nesimbi inokonzera kusaputika (kurega kufema) uye kukanganiswa mumhanzi we mwoyo. Inonyanya kuonekwa muzvipembenene zvakasiyana-siyana zveuropi, izvo zvine masimba, zvinotapukira, kudhakwa kana kushungurudzika.

Bulbar syndrome: kurapwa.

Kurapa kwebhurari kuora muviri kunorayirwa, kunyanya, kubviswa kwechirwere chinokonzera uye kubhadhara kwebasa rakaputsika. Kuvandudza basa rekugadza mishonga yakanyorwa yakadai se glutamic acid, proserine, nootropic zvinodhaka, galantamine uye mavitamini, uye nekuwedzera salivation - mishonga atropine. Kudya varwere vakadaro kunoitwa kuburikidza neprobeti, i.e. Inhare. Kana pane kutyora kwebasa rekupumadza, kupisa kwemajini kunorayirwa.