Bulbar syndrome: izimpawu, izimbangela, ukwelashwa

Bulbar syndrome ngokuthi bulbar palsy - a sublingual ukulimala syndrome, glossopharyngeal futhi vagal nezinzwa cranial, i-nucleus ye okuyinto zitholakala oblongata medulla. Bulbar syndrome kwenzeka Duplex (ngaphansi kwelinye emaceleni) ezilimele nuclei X, IX, XI kanye no- XII ezinzwa cranial, caudal eqenjini ephathelene kanye linamathele oblongata medulla. Ngaphezu kwalokho, ukulimala izimpande obala futhi izinzwa iziqu ngaphakathi komgodi cranial nangale.

Lapho bulbar syndrome kwenzeka ukukhubazeka flaccid kwemisipha emphinjeni, izindebe, ulimi, ulwanga elithambile, epiglottis futhi yezwi. Waba yini umphumela walesi kuyinto dysphagia ukukhubazeka (singagwinyi disorder umsebenzi) kanye dysarthria (ukuphazamiseka yokukhuluma). Bulbar dysarthria libhekene izwi ababuthakathaka futhi elingenalutho, kuze aphonia ephelele, lapho Twang futhi "ukufiphala" umsindo. Yokubiza imisindo ungwaqa zehlukene endaweni ukuhambisana (apicals, labial, velar) futhi indlela tekwakha (slot, occlusives, elithambile, okuqinile) iba uhlobo olufanayo, kanye onkamisa - akuvamile distinguishable nga nomunye. Inkulumo ezigulini kwathiwa unesifo "bulbar syndrome" ehlile neziguli ukhathele kakhulu. Kuye kobukhulu imisipha paresis kanye yayo nokudlanga bulbar dysarthria syndrome zingase kwenziwe embulungeni yonke, ngokwengxenye noma zikhethe.

Iziguli bulbar binda palsy ngisho ukudla ketshezi, njengoba behluleka ukuveza singagwinyi Ukunyakaza, ezimweni ezimbi kakhulu, iziguli ziba iziyaluyalu umsebenzi inhliziyo nokuphefumula kwezimila isigqi impela kaningi esiholela ekufeni. Ngakho-ke kuyinto ukunakekelwa eziphuthumayo ebaluleke kakhulu ngesikhathi esifanele iziguli lesi sifo. Kuyinto nyá usongo ekuphileni futhi zokuthutha okwalandela a isikhungo sokwelapha ezikhethekile.

Bulbar syndrome libhekene lezi zifo ezilandelayo:

- nezifo ngenxa yezakhi zofuzo, ezifana nesifo Kennedy futhi porphyria;

- isifo semithambo (medulla esivimba amanzi);

- siringobulbiya, isifo se-motor neuron;

- Izifo ukuvuvukala futhi ezithathelwanayo (isifo saseLyme, Guillain-Barre syndrome);

- zomdlavuza (glioma, ubuchopho stem).

Isisekelo ekuxilongweni bulbar ukukhubazeka iyona ukuhlonza izimpawu isici noma izimpawu zokwelashwa. Izindlela okunokwethenjelwa kakhulu sitholakele lesi sifo zihlanganisa idatha electromyography neluhlolo ngqo oropharynx.

Kube bulbar futhi pseudobulbar syndromes. Umehluko omkhulu phakathi kwabo itholakala lokuthi ukuthi imisipha pseudobulbar syndrome ikhubazeke ningaboshelwa atrophied, okusho ukukhubazeka kuyinto neuropathy, akukho fibrillary ukudikiza nemisipha yolimi futhi ukusabela ukonakala. Pseudobulbar palsy uvame ukuhambisana enobudlova ukukhala futhi zihleka, okuyinto zibangelwa zokuxhumana ukwehluleka phakathi maphakathi ISIZINDA subcortical nebhalsamu namagxolo. Pseudobulbar palsy , ngokungafani bulbar azibangelwa zokuphelelwa umoya (ukumisa ukuphefumula), futhi inhliziyo isigqi thuthuva. It is ebonwe enkulu ngokukhukhumala kwentamo izilonda ubuchopho kokuba semithambo, esithathelanayo, kuhlasimulise noma ukudakwa genesis.

Bulbar syndrome: ukwelashwa.

bulbar ukukhubazeka we-Treatment kuhloswe ikakhulu ukuqeda eyisisekelo isifo futhi isinxephezelo ukusebenza kahle. Ukuze uthuthukise imisebenzi singagwinyi babelwa izidakamizwa ezifana glutamic acid, Neostigmine, nootropics, galantamine namavithamini futhi ngezinye amathe anda - izidakamizwa atropine. Ukondla kulezi ziguli yenziwa ngokusebenzisa uphenyo, okungukuthi, enterally. Endabeni ka kokunikezwa kwe-umsebenzi zokuphefumula sabelwe womoya-mpilo.