Bulbar syndrome: zizindikiro zimayambitsa, chithandizo

Bulbar matenda otchedwa bulbar manjenje - ndi sublingual kuvulala matenda, glossopharyngeal ndi vagal misempha cranial, phata la zomwe zili medulla oblongata. Bulbar syndrome amapezeka duplex (kupatula pa wina amaganiza) mtima kuonongeka X, IX, XI ndi XII cranial mitsempha, caudal kwa gulu zokhudza ndi ophatikizidwa mu medulla oblongata. Komanso, kuwonongeka kwa mizu poyera makungwa mitsempha mkati M'mimbamo cranial ndi kupitirira.

Pamene bulbar syndrome amapezeka flaccid ziwalo za nyama zapakhosi, milomo, lilime, m'kamwa zofewa, epiglottis ndi timinofu. Motero ndi ziwalo dysphagia (Pomeza matenda ntchito) ndi dysarthria (chisokonezo wa kulankhula). Bulbar dysarthria amakhala ndi mawu ofooka ndi dzenje, mpaka aphonia wathunthu, apo twang ndi "blur" zikumveka. Katchulidwe mawu consonant zimasiyanasiyana malo a articulation (apicals, labial, velar) ndi njira yopezera (kagawo, occlusives, zofewa, olimba) amakhala yofanana ndi mavawelo - kawirikawiri distinguishable Chrixitu. Kulankhula odwala ndi matenda a "bulbar syndrome" mochedwa ndi odwala atatopa kwambiri. Malinga ndi kukula kwa minofu paresis ndiponso kuchuluka bulbar dysarthria syndrome akhale padziko lonse, tsankho kapena kusankha.

Odwala bulbar manjenje kutsamwa ngakhale madzi chakudya, monga analephera kupanga Pomeza Zoyenda, mu Zikavuta, odwala kukhala matenda a ntchito mtima ndi kaimbidwe kupuma kuti nthawi zambiri limadzetsa imfa. Choncho n'kofunika kwambiri yake chisamaliro mwadzidzidzi kwa odwala matenda izi. Ndi kuthetseratu choopsa pa moyo mayendedwe wotsatira ku malo apadera zachipatala.

syndrome Bulbar amakhala ndi matenda otsatirawa:

- matenda chibadwa, monga matenda Kennedy ndi porphyria;

- matenda mtima (m'mnyewa wamtima medulla);

- siringobulbiya, matenda owononga minyewa;

- matenda yotupa ndi matenda (matenda Lyme, Guillain-Barre syndrome);

- khansa (glioma, ubongo tsinde).

Maziko Kupeza Vuto bulbar ziwalo ndi chizindikiritso zizindikiro khalidwe kapena zizindikiro matenda. The njira yodalirika kwa matenda a matenda monga deta electromyography zoona mwachindunji oropharynx lapansi.

Pali bulbar ndi pseudobulbar syndromes. Chachikulu kusiyana pakati pa iwo kwagona kuti minofu pseudobulbar syndrome analumala Musakhale atrophied, mwachitsanzo ziwalo ndi zotumphukira, palibe fibrillary twitch minofu ya lilime ndi zimene alibe. Pseudobulbar manjenje nthawi zambiri limodzi ndi chiwawa akulira ndi kuseka, amene amayamba ndi kulephera kulankhulana pakati pa mfundo chapakati subcortical ndi khungwa. Pseudobulbar manjenje , mosiyana bulbar amayambitsa apnea (kutha kupuma), ndi mtima mungoli chisokonezo. Iwo anati mu yokulirapo akakufunsani zotupa ubongo ndi mtima, matenda, zoopsa kapena kuledzera chiyambi.

Bulbar syndrome: chithandizo.

bulbar ziwalo za Chithandizo umalimbana makamaka kuchotsa chachikulu matenda ndi chipukuta misozi ntchito ndi olemala. Kusintha Pomeza ntchito amapatsidwa mankhwala monga asidi glutamic, Neostigmine, nootropics, galantamine ndi mavitamini, ndi pa kuchuluka salivation - mankhwala atropine. Kudyetsa odwala awa kudzera mwa kafukufuku, ie, enterally. Ngati kuphwanya ntchito kupuma amagwira ntchito makina othandiza.