Brown-Sequard syndrome. Possible dzakasiyana kosi

Vanhu vazhinji vanowanzoodzwa idzokororo musana marwadzo. Dzavo zvikonzero zvakasiyana: kunotevera, chetsinga chirwere pamusoro kukuvara tsinga. Mumwe kuratidzwa zvirwere chokuita musana marwadzo yakaomesesa, Brown-Sequard ndiye syndrome.

Rinomiririra kunzwisisa zvose inoshanda uye injini zvirwere zvinokonzerwa musana kukuvara mu dhayamita. List pamusoro inoti uye nezvirwere umo urwere akawanikwa, ndizvo chaizvo guru. Huru uye inonyanya chikonzero parinowanika chinhu zvinokuvadza, iyo inogona kuwanikwa somugumisiro vari vakabayiwa, uye somugumisiro kungopotsera kukuvara simba. Nyaya apo Brown-Sequard chirwere ari pamusana mutsaona, izvo zvakakonzera imwe kutsemuka chinhu pamwe nemichina.

Ndoda, asi achiri pakanga zviitiko panowanikwa chirwere ichi nokuda extramedullary namamota, herniated Disc, epidulyarnoy hematoma, musana infarction kana kupatsanurwa kubva vertebral tsinga. Asi chikuru chikonzero - chinhu musana zvinokuvadza somugumisiro zvokuimba kukuvara.

Rinotsanangura dzimwe kuratidzwa, anokonzerwa pamusoro-kutaurwa syndrome. Saka, ndirwo chaiwo mumwe zvinotevera. On parutivi lesion nzvimbo ichibudira kana paresis kana kuoma makumbo zvose. Pane simba agumbuka wanda (uremu, kumanikidza), uye pasina ayo ari muchimiro chiveve munzvimbo innervation pamusoro zvikamu kuti damage kunotevera. Kurutivi wakatarisana maronda, pane kushayikwa pamusoro wanda (tembiricha, marwadzo)

Brown-Sequard chirwere shure musimboti ane zvinotevera zvinhu. Zviratidzo zviri iyi vamwe. Kurutivi pachoto iyo vanoisa pangava kutyora pemvura nehanya nevamwe - rutivi rwomuviri uye paresis. Brown-Sequard chiratidzo aripo chete kurutivi akatyoka (injini zvinetso, kutsinga dzinouya zvirwere).

Vanonzi haasaruri chirwere musimboti wakasiyana kubva kumusoro pakuti anenge asina zviratidzo kuoneka kana vakachengeta chete zonally.

zvakasiyana-siyana kwakadaro pangava kuratidzwa yakafanira, kupfuura zvose, nzvimbo uye hunhu (ronda, contusion, namamota uropi, chinoda kugadziriswa epidurit, pakaputsika vakawanda kuparadzirwa musana) zvinokuvadza.

Chinhu chinokosha chinoratidza zvirwere zvakadai Brown-Sequard urwere, ndiko kuti tikafunga pamusoro kuchinja, kuti nehanya mune tsandanyama uye mapfundo zvichengeteke. Izvi zviri nyore akatsanangura kuti tambo iri kunze musana inoramba yakabatana, nekuti kugoverwa ropa rinoitwa achishandisa musana tsinga.

The pamusoro zviratidzo zvechirwere urwere pakati Brown-Sequard akaora yasimbiswa uye vave kakawanda kuchengetwa okurapa.