The kukundwa of oculomotor etsinga: Zviratidzo

Oculomotor tsinga rinoreva boka zvakavhenganiswa tsinga. It rine injini uye parasympathetic fibers. Akafanirwa kuti oculomotor etsinga rinoitwa vachisimudza, richikwidibira, kutenderera, uye vamwe kufamba yeziso. Asi basa rake zvikuru kukosha, uye ndiyo chete ichi kwete. Uyu inodiwa dzichipfekeka pakuderedza kuti zvinoitika mashandiro ari kutarisana analyzer etsinga rinopawo zvisingatomboiti fungiro rwokufamba mboni kwomusikirwo chiedza.

The kukundwa of oculomotor etsinga; zviratidzo, chikuru anokuzviratidza

Zvinofanira kucherechedzwa kuti voga kutyora tsinga ichi hariwanikwi chaizvo. Heano huru zviratidzo:

• kutadza kufamba tsandanyama rokumusoro fungiro uye, sezvo zvakaguma kwayo kukwana kana zvakakwana kusiya;
• kushaya kuramba okumusoro oblique rectus, nokudaro unogona rokuongorora Exotropia;
• kutadza kufamba rekambani rectus tsandanyama uye somugumisiro, panowanikwa Chiitiko kuti ghosting (chiono miviri);
• kushayikwa kwaiita mboni kuti chiedza;
• kutyora innervation rekambani tsandanyama uye somugumisiro, imwe nekusagona ajairane ziso panguva dzakasiyana kure kubva pasi;
• hapana rutapudzo of rectus tsandanyama nameso vaviri, ndokusaka hazvibviri kutsausa eyeballs kupinda;
• protrusion ziso nokuda kukurasikirwa tsandanyama matauriro panze, ichi zvinosimbisa kuti paiva kukundwa ari oculomotor etsinga.

Kakawanda, Zviratidzo izvi zvose ikashandiswa pamwe concomitant zviratidzo kuti anokonzera dysfunction tsinga fibers noushamwari, pedyo boka tsandanyama uye nhengo dzomuviri.

Diagnostics zvinhu

Kana akarova ose fibers ose oculomotor etsinga, kuratidzwa izvi pachena kuti hapana mubvunzo tsanangudzo nechirwere haakonzeri. Izvi anonyanya ptosis (vachirembedza rokumusoro fungiro), mydriasis, kutsauka yeziso chokunze uye pasi.

Zvisinei, kazhinji kacho pane mubatanidzwa siyana ptosis uye mudzidzi dilation, uyewo zvimwe zvirwere zvinokonzerwa tsandanyama paresis. Muzviitiko zvakadaro, tinogona kutaura sei kukunda chikuru pavaipfuura fibers ari oculomotor etsinga, uye zvimwe zvinobvira kutyorwa ukama miviri. Rwirai yakakodzera uye yakarurama chirwere Muzviitiko zvakadaro zvakawanda zvakaoma.

Zvikonzero kukundwa, basa nenguva nechirwere uye kurapwa

Huru zvikonzero kukundwa ari oculomotor etsinga vari:

• kunotevera;
• neuroinfec- chirwere;
• namamota uropi dzakasiyana etiology;
• pnevrizma chepfungwa midziyo;
• chirwere cheshuga;
• nevanga.

Zvisinei, kazhinji kunokonzera kukwana kana kwakakwana kuparadzwa nuclei kana oculomotor tsinga fibers kuramba chete kubvuma. Saizvozvowo, vanogona haangasimbiswi. Muviri - zvikuru kunzwisisa maitiro, uye haana zvakazara kudzidza, asi zviri nechokwadi kuti nokuvhiringidzirwa rimwe rayo chikamu cheni transmits vamwe nhengo, tsinga uye tsandanyama.

Somuenzaniso, neuropathy of oculomotor etsinga ari zindoga hariwanikwi chaizvo, uye kazhinji munhu concomitant kuratidzwa echirwere kana vachiberekwa zvirwere, uyewo kuva pamusana dzechimwe pfungwa kukuvara uye anomera. Zvakakodzera uye nenguva pakurapa chirwere anogona kupfuura pasina matambudziko uye sequelae.

Kana vanofungidzirwa neuropathy pamusoro oculomotor etsinga, iva nechokwadi kuti kutora kosi miedzo, kusanganisira ropa nokuti muviri wacho CNS. Chete pashure migumisiro nokusimbisa nechirwere anogona kupiwa mushonga uye zvakakodzera kuita kudzokororwa nemiedzo.

chirwere chirwere

Kana paine fungidziro pakati kutyora mashandiro ari oculomotor etsinga, kusimbisa kana vanoramba ichi, uyewo kuzivisa chikonzero chaicho kuti kurambwa zvinogoneka chete aite yepamusoro nyanzvi kuongorora chirwere. Kakawanda izvi zvinoitwa munhu ophthalmologist, uye chete mune zvimwe zviitiko, kana nechirwere ari kupokana, mamwe mazano anogadzwa chiremba wetsinga.

Chirwere uye kuongorora ziso yakaitwa midziyo kombiyuta yemazuva ano, uyewo kuburikidza dzakasiyana-siyana unyanzvi nemiedzo. Somugumisiro, vapedza kunzwisisa imwe murwere anogona chirwere.

Uyewo, kuwedzera mureza nzira kunze kuongorora mamiriro ose fundus, tsanangudzo yepamusoro, mufambo ziso vasabatwa maitiro mboni kuti chiedza rinoitwa MRI uye angiography. Kana etiology haasi zvakazara dzakaonekwa, kunyange kana lesion pamusoro oculomotor etsinga akasimbisa hazvo chinoramba murwere zvichiongororwa, uyewo kuitisa inodzokororwa kuongorora.

Permanent richiona nezvezvabuda njodzi nhengo - a chinodiwa kurapwa

Izvi zvinokosha zvikuru, nekuti mangwanani kuziva mamwe kuchiita chirwere, uyewo kuramba richiona yokuvira munhu ramakanzi kurapwa vari rainyanya kukosha yose mamiriro ziso uye remangwana yose upenyu hwevanhu. Zvisinei, somuenzaniso, kuti oculomotor etsinga neuritis kakawanda ane simba zvakanaka panyaya zvaidiwa zvose zvinodiwa nomurwere, kurapwa rinoitwa chete pasi kuramba pokudzora unyanzvi.

Science haadi mira, uye munguva pfupi yapfuura mumwe itsva nzira diagnosing munhu superposition remagetsi kushanda pakuvheneka ziso tsandanyama kuongorora dzichipfekeka basa ravo. With nzira iyi yekudyidzana kunoderedza nguva iripo kuziva zvinokonzera mhirizhonga, uye zvinokwanisika kutanga kurapwa nokukurumidza uye kubudirira nemigumisiro yakanaka.

Inonyatsobudirira nzira kurapwa

Kamwe pane fungidziro ane zvichibvira kutyora mashandiro ari oculomotor etsinga, murwere pakarepo akakurudzira kuita kurovedza kusimbisa tsandanyama basa kwebasa nhengo wezvakaonekwa. Chokwadi, edza napo kusimbisa nayo kwazvo, uye kana kwete chete paiva nematambudziko, asi ivo kudzivirira, asi ichi ndicho chete chaizvo kutanga kukanganisa. Kana kutsikwa zvikuru yakakura chikamu, zviitwa izvi haazorambi kubatsira kupora, kunyange chinhu chinokosha kurapwa, vachiri.

Akatevera inonyanya dzokurumbidza ari kugamuchira mavhitaminzi zvakakodzera uye Pharmaceuticals, migumisiro rinova kutaurirwa kuwedzera ocular tsandanyama uye kudzorera mashandiro aro. Zvinogona kuva inokosha mavhitamini, ziso madonhwe, magirazi, mabhandeji, kuti murwere ziso kushanda nokushingaira.

Very nevakawanda nhasi dzinokosha ekombiyuta. Izvi vainyanya anonzi redhiyo mufananidzo.

Kushandisa ekombiyuta pakurapa zvirwere ziso mhasuro mabasa

Zvinonzi zvakaratidza kuti kana previewing mifananidzo nechitima ziso tsandanyama uye nokudaro kunonatsiridza ropa kuparadzirwa pakati pavo. Panguva ino, utano hwake kuti vane basa dzose anoita ziso, riri rehurumende kwakawedzera makakatanwa, uye vose reserves muviri zvainanga vachiongorora navo, nekuti vakawanda dzimwe nhengo panguva kuona vakasununguka uye regai zvinoda kuteerera kwakadaro.

Stereopicture zvechokwadi vane chiratidzo zvakanaka chaizvo, asi vanogona chete kushandiswa mushure mekubvunza chiremba. Zvechokwadi, dzimwe nguva, ivo inongova mushonga, uye vamwe - zvinogona kukonzera irreparable kukuvadza.

Current kurapa

Kana papera kungoreva nopindirana Diagnostics kwakaratidza kuti akarova oculomotor tsinga, kurapwa zvinofanira rakatanga pasina kunonoka. Mumwe nekusimba zvakanaka divi uye kushandiswa anobatsira ophthalmology kwemakore mashoma apfuura ndiyo mishonga pamwe elektrofarez maronda 1.5% neuromidin.

Zvinonzi kuitwa superimposing vatatu dzeraundi vakasiyana mumwe munzvimbo yacho electrodes, vaviri vane duku orbital nharaunda ganda rokumusoro fungiro uye meso yakavharwa. Batanidza navo aine forked waya electrode hombe nharaunda, riri papi mune nape munharaunda murwere musoro.

Ya nzira iyi yokurapa weboka 15 ezvidzidzo vakabata ose zuva - maminitsi 15-20. The nzira anobvumira zvakanangwa uye munharaunda kupesvedzera kanganisika neuromuscular synapses yeziso, uye renyukireya mamiriro oculomotor tsinga.

Kana murwere KWAKAKOSHA

In Kakawanda kacho kuita nokukurumidza kuvhiya kupindira. Zvinonzi zvainanga Achabvisa zvinokonzera chirwere. Kazhinji, nokuda nezvaanogona ano mushonga kwacho vari kuitwa pasi omunzvimbo yokutindivadza, uye zvinoitika kuita pasina muchipatara.

Chero dysfunction ziso tsandanyama uye madhigirii siyana kukuvara of oculomotor etsinga kukonzera zvikuru zvakakomba. Kana ziso rimwe anotanga kuona zvakaipa, kufadza wechipiri ari kuedza kudzikamisa kutyora ichi. Kuri kuti anotanga kuva ptosis, iri pedyo tsandanyama apo vanoita vachisimudza remakore oga. Ndokusaka kubva kuberekwa mwana inokurudzirwa kuva dzose bvunzo nomumwe ophthalmologist, uye chero chiitiko kwete kurasikirwa navo. Izvi zvinokosha zvikuru nokuti chete kudzivisa uye nenguva chirwere chendangariro zvikuru Zvakanyanya Kunaka Panguva Yepamuviri mugumisiro.