Hypoglossal tsinga. Pakuongorora hypoglossal etsinga

Vanhu vasina dzidzo zvokurapa, ungangova kufungidzira hypoglossal etsinga. Asi mune zvimwe zviitiko, mashoko aya anogona kuva inokosha chaizvo. Pane zvinetso zvinogona kukanganisa mararamiro chokuita mutauro uye hypoglossal etsinga. Ngationgororei navo zvizere.

Just pamusoro zvakaoma

Hypoglossal tsinga zvokushandisa, kureva anokurukura tsinga harinzwi mutauro pamwe epfungwa. Inopa injini (efferent) tsinga, vachibvumira musimboti tsinga kudzora mabasa mutauro uye orbicularis oris tsandanyama. The tsinga iri aiwanzopiwa wokushanda, rinomiririra namaviri peya cranial tsinga. Vachibuda anterolateral sulcus uye neerekitironi rayo riri mumhenderekedzo medulla oblongata.

Oral hypoglossal tsinga anotumira pulses uye inopa basa rokumusoro, yakaderera, longitudinal, transverse uye rurimi tote tsandanyama. Ndiye anokonzera kufamba chirebvu-lingual, sublingual, lingual uye styloid tsandanyama.

Sei kunzwisisa chiremba. Meaning yematemu

Sezvo mashoko pamusoro hypoglossal etsinga zvishoma yakaoma kunzwisisa, varwere havasi kunzwisisa nyanzvi inoti. Kuti tinzwisise chirwere, zvinokosha kuziva zvimwe mashoko:

1. Gemiglossoplegiya. Iri izwi rinoreva kuoma hafu rurimi.
2. Laloplegi - ezvinhu wakakwana kuoma rurimi.
3. "Dysarthria". Chirwere, buritsa kutyora zvakajeka kutaura. Kunokanganisika achiperekedzwa nokunzwa extraneous zvinhu pamuromo.
4. "Anartrija '- chirwere, kugadzirisa kuti kutaura zvakajeka hazvibviri.

Tsanangudzo idzi dzinogona kuwanikwa nhoroondo chokuita hypoglossal etsinga, kazhinji. kukosha kwavo kuti vayeuke.

Chii murwere anonyunyuta

Kuona chiremba, varwere kunyanya kugunun'una pamusoro utera mutauro. Ivo zvakaoma kutaura, uye dzimwe nguva kunyange kumedza. Zvishoma nezvishoma, dambudziko riri kukura, uye rurimi kunoita zvakaipisisa. Murwere angafunga kuti ane "muromo uzere Porridge", nokuti iyo kutaura kwake rakaoma kunzwisisa. In chakakomba kacho vanongonyangarika chose.

zvokurapa ongororo

Kana nyanzvi yevaifungidzirwa rakarova hypoglossal tsinga, zviratidzo izvozvo achasarudza panguva rokuongorora mumutauro dzaiita zvokutaurwa mhango. Chinhu chokutanga chiremba akakumbira kuti vaomerere rurimi rwake. Usashamisika, chiito nyore ichi zvingaratidza dambudziko inokosha. Chiremba achakwanisa nemaziso kuona kukura kwakaita chirwere. Kana hypoglossal etsinga asingadi kushanda, rurimi dzikatsauka kurutivi. Izvi imhaka hypotonia kuti tsandanyama rimwe divi. The pepasi muviri anotarira Enrugado uye anova mafungu. Asi pano tinofanira kuyeuka kuti varwere vakawanda nemaune kuramba mutauro kurutivi chiremba kuitira kuti zviri nani kuitarisa. Kana pane chokwadi kuti kana chero kana involuntary mutauro akaramba, kupa murwere kuti kubata muromo yokumusoro muromo. Kana chirwere asipo, muromo chichange iri pakati, kana iwe akatema tsinga - iri misha rimwe divi.

Kunze zvarakasiya chiremba vanofanira kuteerera atrophy uye fibrillar twitching.

Bilateral lesion of hypoglossal etsinga iri kuchengetwa anenge 20% nyaya. chirwere ichi chinogona kurapwa kuipa uye kunogona kupedza kurasikirwa kutaura.

Options kuongorora chirwere. neuropathy

Kutaura zvazviri, neuropathy - akuvara tsinga, akapfeka isiri anogumbura zvakasikwa. Kana ari hypoglossal etsinga kupiwa chirwere rakakamurwa nechepakati uye peripheral neuropathy.

Central kortikonuklearnyh nzira kunokanganisa tsinga. Dambudziko rinokanganisa cortex, uye musimboti wegumi cranial tsinga. Izvi rworudzi neuropathy inowanzopiwa pamwe zvinetso chiso etsinga. Language kana protruded dzikatsauka kune pakatarisana kurutivi maronda, sezvo chinoumba ari hypoglossal etsinga imhaka nevakomana hemisphere. Atrophy uye fibrillar twitching kwete kuchengetwa.

The muitiro angava matanho akawanda. Kana hypoglossal etsinga akarova chete munzvimbo yomunyika wedhipatimendi, njodzi tsandanyama chete kushanda mutauro.

Kana lesion rinotanga pazasi mbudo mugero ari hypoglossal etsinga, dambudziko kunokanganisa etsinga fibers chokuita remuromo spines. Izvi zvinotungamirira nokuvhiringidzirwa nokushanda kwenhengo dzemuviri vanobatisisa dokeriro. Kumedza chichapiwa zvava Vakagwinya divi.

peripheral neuropathy

Flaccid kuoma hypoglossal etsinga kunokwanisa kuonekwa kana kwacho rinokanganisa musana kana intracerebral neerekitironi. Doctors vanogona kushandisa mashoko okuti "paresis pakati tsandanyama rurimi." Vose mazita aya noenderana. Kakawanda, chirwere ichi ndicho chimwe madziro, asi kana paine zvokurwara tsanga, zvinogona kuratidza kukuvara tsandanyama kumativi ose. On kuongororwa, dambudziko riri kuoneka atrophy rurimi. Zvinyama anorasikirwa elasticity, anova flabby uye "yakaunyana". Kana nyaya iri huru, muviri injini basa rakanga yekudyidzana zvishoma.

Kana hypoglossal etsinga zvinovhiringidzika rumwe rutivi, rurimi iri nemumuromo mhango iri misha kune yakasimba divi. Kana murwere tumiti akabuda rurimi rwake, iye zvava njodzi divi. Chiremba anogona kuchengeta fibrillar chakamira pakunodengenyeka zvine (twitching). Izvi dzimwe nguva kuvhiringidzwa zvatinosiita pfura tsandanyama, izvo zvinogona kuitika panguva voltage yomutauro panguva yakabudikira. Kana nyanzvi akaona chiitiko ichi, icho kubvunza murwere kuti Tsandanyama rurimi. Normal tsandanyama chakamira pakunodengenyeka zvine kutora nzvimbo, uye fibrillar zviripo.

With zvakadzama renyukireya tsinga lesion mamwe chiratidzo kungava dzeraundi tsandanyama atrophy muromo. Murwere haasi kukwanisa kuita nyore zviito - kuisa pasi miromo yavo ive zvakasimba chubhu, pembe, nokurova.

Mugore flaccid paresis bilaterally akaoma rutivi rwomuviri nhengo hunogara pamusoro pasi nomumukanwa mhango. Speech uye mano ingest yekudyidzana chibharo.

Zvikonzero pokukundwa musimboti hypoglossal etsinga vari zvakakomba zvakakwana. Pakati inonyanya kusunungurwa:

• gravis;
• gwenya dzouropi chirwere, kureva pokukundwa injini Tutsinga tunofambisa mashoko utwu ;
• siringobulbiyu;
• poriyo;
• vascular matambudziko.

Muudzame zviratidzo zvirwere zvakawanda.

Bulbar uye pseudobulbar mitezo

The mhaka chirwere chiri chinopedza wokutanga zvinyama degeneration ari cortex, havachanyatsogoni ropa riyerere ari medulla oblongata, chimiro hunde anomera polientsefalomielit, STRUCTURAL zvokurwara, kukuvara, dehenya chawo.

Tags: Kuchakati zii pamusoro epiglottis, dokeriro uye munyoro mukanwa, inzwi shanduko, kurasikirwa kutaura coherent, chinetso pakuparadza (mvura zvokudya anogona iyerere kupinda mhino), kufema kukundikana. Vocal chords or the mu "cadaveric nzvimbo" mutauro fibrillar twitching. Kana anowedzera kukanganiswa chiso uye trigeminal tsinga, kuti masseter tsandanyama atrophy, uye nechezasi shaya droops.

Pseudobulbar mitezo zvakafanana zvikuru bulbar, asi ichi kukundwa korkovoyadernyh ukama mativi. Kwadzinoita vazhinji cranial tsinga, kusanganisira hypoglossal etsinga, pane chepfungwa ischemia. Zviratidzo akawedzera salivating dzepanguva fambisa pakati eyeballs, kudhakwa kuchema kana kuseka, dementia uye kuderedzwa njere.

Nzira nechirwere uye kurapwa

Chiremba anoitisa nhoroondo yezvokurapa, kuita kuona vaongo- kuzosimbisa chirwere anogadza CT kana MRI wouropi. Izvi zvinobvumira kuti kuona chikonzero compression pamusoro hypoglossal etsinga.

Kurapwa yakapiwa pashure nokusimbisa nechirwere. The chinangwa chikuru - kunobatsirawo runotikurudzira chirwere. Dzokuzvirapa hazvibvumirwi!