Bulbar syndrome, calaamadaha, sababaha, daaweynta

syndrome Bulbar yeedhay bulbar curyaan ah - a sublingual dhaawac syndrome, glossopharyngeal iyo dareemayaasha cranial vagal, xuduntii ah kuwaas oo ku yaala oblongata medulla ah. Bulbar syndrome dhacdaa dabaq (in ka yar hal dhinac) nuclei ay waxyeello X, IX, XI iyo dareemayaasha cranial XII, caudal koox ee taabanaya oo gundhig in oblongata medulla ah. Intaa waxaa dheer, dhaawaca xididdada qaawan oo dogob dareemayaasha gudahood saabka cranial iyo wixii ka dambeeya.

Marka bulbar syndrome wuxuu dhacaa curyaannimo flaccid oo ka mid ah muruqyada dhuunta, bushimaha, carrabka, dhanxanegga jilicsan, hurgunka iyo xadhkahooda vocal. Natiijada tani waa dysphagia qallal (liqidda function disorder) iyo dysarthria ah (khalkhal hadalka). dysarthria Bulbar waxa lagu gartaa cod daciif ah iyo godkii, ilaa aphonia dhamaystiran, waxaa twang iyo "isku dari kara" codadka. Dhawaaq of shibbane kala duwan ah meesha uu dhigoodu (apicals, labial, velar) iyo hab ah sameynta (Afyare, occlusives, jilicsan, adag) noqonayaa nooca la mid ah, iyo shaqalada - dhif garan midba midka kale. Hadalka bukaanka qaba cudurka ah "syndrome bulbar" hoos u dhac iyo bukaan aad u daallan. Iyadoo ku xiran darnaanta paresis muruqa iyo bulbar baahsanaanta dysarthria syndrome laga yaabaa caalamiga ah, qayb ahaan ama la xushay.

Bukaanka qaba bulbar ceejiya curyaan xataa cuntada dareeraha ah, sida awoodin in ay soo saaraan wax liqidda Motion, xaaladaha daran, bukaanka horumarinta xanuunada dhaqdhaqaaqa wadnaha iyo garaaca Neefta in inta badan keenta in la dilaa. Sidaa darteed waa daryeelka waqtigii aad muhiim u ah degdegga ah ee bukaanka qaba this syndrome. Waa in la baabi'iyo khatar u leeyahay nolol iyo gaadiidka xiga xarun caafimaad oo gaar ah.

Bulbar syndrome waxa lagu gartaa cudurada soo socda:

- cudurada hidde, sida cudurka Kennedy iyo porfyri;

- cudurka dhuumaha (medulla myocardial);

- siringobulbiya, cudurka neuron motor,

- cudurada bararka iyo faafa (cudur ku faraxnay, Guillain-Barre syndrome);

- kansarka (Gliom, stem maskaxda).

The salaysan talagalay in lagu ogaado curyaannimo bulbar waa aqoonsiga calaamadaha dabeecadda ama calaamado clinical. Hababka ugu kalsoonaan karo cudurka cudurkan waxaa ka mid ah macluumaadka electromyography iyo baaritaan si toos ah anitenatus.

Waxaa bulbar iyo pseudobulbar syndromes. Farqiga ugu muhiimsan ee u dhaxeeya been in xaqiiqda ah in muruqyada pseudobulbar syndrome curyaan ha noqoto atrophied, ie curyaannimo waa durugsan, fibrillary ma dhifasho muruqyada carrabka iyo falcelinta ee xumaanshaha. palsy Pseudobulbar waxaa inta badan la socda rabshado iyagoo qaylinaya oo qosol, oo waxaa sababa isgaarsiinta failure dhexeeya qanjidhada subcortical dhexe iyo jilif. palsy Pseudobulbar , ka duwan bulbar ma keeni xibin gal (joojin neefta), iyo rabshooyin garaaca wadnaha. Waxaa la arkay in a lesions waajihi maskaxda la taaban karo isagoo vascular, faafa, Bilowgii argagaxa ama sarkhaan.

Bulbar syndrome, daaweynta.

curyaannimo bulbar ee Daaweynta waxaa loogu talagalay inta ugu baabi'inta hawlaha cudurka iyo magdhow dahsoon waxaa daciif ah. Si loo hagaajiyo hawlaha wax liqidda waxaa lagu qorayaa daawooyin sida glutamic acid, Neostigmine, nootropics, galantamine iyo fitamiino, iyo dhareerka kordhay - atropine daroogada. Quudinta bukaanka kuwaas oo la sameeyo iyada oo baaritaan ah, ie, enterally. In case of xad gudub ku ah shaqada neefsashada lagu meeleeyo qalabka neefsashada ah.