Bulbar syndrome: mgbaàmà, na-akpata, ọgwụgwọ

Bulbar syndrome akpọ bulbar ụbụrụ - a sublingual mmerụ syndrome, glossopharyngeal na vagal cranial akwara, ntọala nke na-emi odude ke medulla oblongata. Bulbar syndrome n'akparamagwa duplex (obere na otu kwadoro) mebiri emebi nuclei X, IX, XI na XII cranial akwara, caudal na metụtara ìgwè na-agbakwunyere na medulla oblongata. Ke adianade do, mmebi gụrụ mgbọrọgwụ na akwara Kporo n'ime cranial oghere na karịrị.

Mgbe bulbar syndrome emee flaccid mkpọnwụ nke akpịrị uru, egbugbere ọnụ, ire, adụ okpo ọnụ, epiglottis na akwara ụda olu. The N'ihi nke a bụ a mkpọnwụ dysphagia (ilo aghara ọrụ) na dysarthria (nsogbu ikwu okwu). Bulbar dysarthria e ji na-adịghị ike na oghere olu, ruo mgbe zuru ezu aphonia, e twang na "blur" ụda. Pronunciation nke mgbochiume ụda dị iche iche na ebe articulation (apicals, labial, velar) na a usoro nke na-akpụ (oghere, occlusives, adụ, siri ike) na-aghọ otu ụdị, na ụdaume - adịkarịghị distinguishable ọ bụla ọzọ. Speech na ọrịa na a nchoputa nke "bulbar syndrome" kwụsịlata na nnọọ ike gwụrụ ọrịa. Dabere na ogo muscle paresis na ya njupụta bulbar dysarthria syndrome nwere ike zuru ụwa ọnụ, ele mmadụ anya n'ihu ma ọ bụ nhọrọ.

Ọrịa na bulbar ụbụrụ ịkpagbu ọbụna mmiri mmiri na nri, dị ka enweghị ike na-emepụta ilo Motion, n'oké ikpe, ọrịa ịzụlite ọrịa nke gbasara obi ọrụ na respiration rhythms na-eduga n'ọnwụ. Ya mere, ọ dị oké mkpa na-adọ mberede elekọta ọrịa na a syndrome. Ọ bụ iwepụ ihe iyi egwu ndụ na ụdi njem ka a pụrụ iche na ọgwụ na ahụ ike eweta.

Bulbar syndrome e ji ndị na-esonụ ọrịa:

- mkpụrụ ndụ ihe nketa ka ọrịa, dị ka Kennedy ọrịa na porphyria;

- vaskụla ọrịa (myocardial medulla);

- siringobulbiya, moto otu ụdị ọrịa akwara;

- mkpali na-efe efe (ọrịa Lyme, Guillain-Barre syndrome);

- ọrịa cancer (glioma, ụbụrụ azuokokoosisi).

The ndabere maka Ịchọpụta Otú Nsogbu bulbar mkpọnwụ bụ njirimara e ji mara ihe ịrịba ama ma ọ bụ na-adakarị mgbaàmà. The kasị pụrụ ịdabere na ụzọ maka nchoputa nke ọrịa a na-agụnye electromyography data na kpọmkwem ule nke oropharynx.

E bulbar na pseudobulbar ọrịamkpokọta. Isi ihe dị iche n'etiti ha dabeere n'eziokwu na pseudobulbar syndrome kpọnwụrụ uru adịghị aghọ atrophied, ie mkpọnwụ bụ elu, ọ dịghị fibrillary tuwichi uru nke ire na mmeghachi omume nke mbelata. Pseudobulbar ụbụrụ na-esokarị eme ihe ike na-eti mkpu na-achị ọchị, nke na-kpatara nkwurịta okwu ọdịda n'etiti Central subcortical ọnụ na ogbugbo. Pseudobulbar ụbụrụ , n'adịghị bulbar ghara ime ka apnea (cessation nke iku ume), na obi n'afọ iri na ụma disturbances. Ọ a hụrụ na a ọkpụrụkpụ asị ibe ụbụrụ ọnya enwe vaskụla, na-efe efe, na-akpasasị uche ma ọ bụ igbu egbu Jenesis.

Bulbar syndrome: ọgwụgwọ.

bulbar mkpọnwụ nke Ọgwụgwọ a na-iji tumadi na iwepu kpatara ọrịa na ụgwọ ọrụ na-isi. Ka iwelie mma ilo ọrụ e kenyere na ọgwụ ọjọọ ndị dị otú ahụ dị ka glutamic acid, Neostigmine, nootropics, galantamine na vitamin, na na ụba salivation - ọgwụ atropine. Nri ndị ọrịa a na-mere site na nyocha, ie, enterally. Bụrụ na nke mebiri nke akụkụ okuku ume na ọrụ e kenyere ya a ventilator.