Hypoglossal mitsempha. Kuphunzira mitsempha hypoglossal

Anthu amene alibe maphunziro zachipatala, ndi chodziwikiratu kuti aganizire zomwe mitsempha hypoglossal. Koma nthawi zina, zimenezi n'zofunika kwambiri. Pali mavuto amene angathe kusokoneza yacimwemwe kugwirizana ndi chinenero ndi mitsempha hypoglossal. Tiyeni tione iwo mwatsatanetsatane.

Monga za zovuta za

Hypoglossal katundu mitsempha, mwachitsanzo amalankhulira molekezera mitsempha chinenero ndi chapakati mantha dongosolo. Imakhala galimoto (efferent) mitsempha, kulola chapakati mantha dongosolo kulamulira zochitika za chinenero ndi orbicularis oris minofu. Mitsempha ndi wophatikizidwa, ikuimira ndi ciwiri awiri misempha cranial. Potuluka sulcus anterolateral ndi phata lake lili m'mphepete mwa medulla oblongata.

Oral hypoglossal mitsempha amatumiza nyemba ndipo amapereka ntchito chapamwamba, m'munsi, kotenga, yopingasa ndi minofu ofukula lilime. Iye ali ndi udindo kwa kayendedwe ka chibwano-lingual, sublingual, lingual ndi styloid minofu.

Kodi kumvetsa dokotala. Tanthauzo la mawu

Monga nkhani pa mitsempha hypoglossal pang'ono yovuta kumvetsa, odwala si nthawi zonse kumvetsa zimene katswiri limanena. Kumvetsa ndi matenda, m'pofunika kudziwa zina mawu:

1. Gemiglossoplegiya. Mawu amenewa amanena za ziwalo hafu ya lilime.
2. Laloplegi - mkhalidwe ziwalo wathunthu ya lilime.
3. "Dysarthria". Matenda, kuulula kuphwanya kulankhula kulankhula. Slurred limodzi ndi kumverera kwa zinthu extraneous pakamwa.
4. "Anartrija '- matenda, kukambirana kuti mawu kulankhula ndi zosatheka.

matanthauzo amenewa amapezeka mu mbiri zokhudzana ndi mitsempha hypoglossal, nthawi zambiri. kufunika kukumbukira.

Kodi wodwalayo anadandaula

Kuwona dotolo, odwala ambiri akudandaula za kufooka kwa chinenero. Zimawavuta kulankhula, ndipo ngakhale kumeza. Pang'onopang'ono, vuto ndi kukula, ndi lilime amasuntha poipa. Wodwalayo angaganize kuti iye ali "pakamwa zonse phala", chifukwa cha zomwe mawu ake ndi ovuta kuwamvetsa. Zikavuta, izo Mwamsanga kwathunthu.

Kupenda mankhwala

Ngati akuwakayikira katswiri udagunda mitsempha hypoglossal, zizindikiro ndikuemene pa anayendera m'chilankhulo cha M'mimbamo m'kamwa. Chinthu choyamba dokotalayo anafunsa kumamatira lilime lake. Musadabwe, kanthu imeneyi zingasonyeze vuto ofunika. dokotala adzatha zowoneka kudziwa mmene matendawa. Ngati mitsempha hypoglossal sichikugwira ntchito, lilime kumbali pambali. Ichi ndi chifukwa hypotonia minofu mbali imodzi. Padziko lonse thupi limawoneka wamakwinya ndipo akhakula. Koma apa tiyenera kukumbukira kuti odwala ambiri mwadala kukana chinenero kwa dokotala kuti iye akanakhoza bwino kuyang'ana pa izo. Ngati pali kukayika ngati mwachisawawa kapena musanaganizire chinenero adakana, kupereka wodwala kukhudza msonga ya Mlomo chapamwamba. Ngati matenda palibe, nsonga adzakhala ili pakati, ngati inu nakantha mitsempha - ndi pokhala mbali imodzi.

Kuwonjezera zolakwika dokotala ayenera kulabadira manja ndi fibrillar kukokana.

Amgwirizano chotupa ya mitsempha hypoglossal zimawonedwa pafupifupi 20% ya milandu. matenda angachiritsidwe oipa kungachititse kuti kumaliza imfa ya kulankhula.

Mungasankhe matenda. neuropathy

Ndipotu, neuropathy - ndi kuvulala mitsempha, atavala sanali yotupa mu chirengedwe. Mu nkhani ya hypoglossal mitsempha matenda anapatsidwa lagawidwa chapakati ndi zotumphukira neuropathy.

Chapakati kortikonuklearnyh njira amakhudza mitsempha. vuto amakhudza kotekisi, ndi phata la akhumi misempha cranial. Mtundu wa neuropathy nthawi pamodzi ndi mavuto a mitsempha nkhope. Language pamene anatuluka kumbali kwa mbali ina ya zotupa, monga maziko a mitsempha hypoglossal chifukwa Chigawo zosiyana. Manja ndi fibrillar kukokana mwaonapo.

ndondomeko mwina ndi zinthu zingapo. Ngati mitsempha hypoglossal anapha yekha m'dera la dipatimenti mkati, minofu akhudzidwa kokha ntchito ya chinenero.

Ngati chotupa akuyamba m'munsimu kuchoka njira ya mitsempha hypoglossal, vuto amakhudza ulusi mitsempha chikugwirizana ndi spines khomo lachiberekero. Zimenezi zimabweretsa kusokonezeka kwa ntchito kwa minofu akugwira m'phuno. Kumeza adzakhala ankatembenukira kwa mbali wathanzi.

neuropathy zotumphukira

Flaccid ziwalo za mitsempha hypoglossal amawapeza ngati ndondomeko amakhudza msana kapena intracerebral phata. Madokotala angathe kugwiritsa ntchito mawu akuti "paresis minofu ya lilime." Onse Maina onsewa amadziwika ofanana. Nthawi zambiri, matenda ndi mmodzi ndiye amaganiza, koma ngati pali kudwala maso, kuti akhoza kusonyeza minofu kuwonongeka mbali zonse. Kuzionetsetsa, vuto ndi noticeable manja ya lilime. Minofu wotaya elasticity, amakhala flabby ndi "ankangodzigwera". Ngati choncho kwambiri, thupi la ntchito galimoto anali kwambiri okha.

Ngati mitsempha hypoglossal zimakhudzira pa dzanja limodzi, lilime mu M'mimbamo m'kamwa ndi pokhala mbali wawo. Pamene wodwala amakhala lirime lake, anasamutsira ku mbali akhudzidwa. adokotala akhoza kusunga inagwedezeka fibrillar (kukokana). Izi ndi zina amasokonezeka ndi alipidwa minofu twitch, zomwe zingachitike pa voteji a chinenero pa yotundumukira kunja kwa mpanda. Ngati katswiri anaona zodabwitsazi, ayenera kufunsa wodwala kumasuka minofu ya lilime. Normal minofu Zivomezi zikumvekabe zichitike, fibrillar kukhala.

Ndi chakuya mitsempha nyukiliya chotupa chizindikiro zina zingakhale zozungulira minofu ya manja pakamwa. Wodwalayo sangathe kuchita zimene losavuta - n'kutsamira milomo yawo mu zolimba chubu, malikhweru, nkhonya.

Mu paresis flaccid bilaterally ziwalo limba wotani pansi M'mimbamo m'kamwa. Kulankhula ndi luso ingest kwambiri wolambira Mulungu.

Chifukwa kugonjetsedwa kwa phata la mitsempha hypoglossal kwambiri moti. Za kumasulidwa ambiri:

• gravis;
• owononga minyewa matenda, mwachitsanzo kugonjetsedwa kwa manyuroni injini ;
• siringobulbiyu;
• poliyo;
• mavuto mtima.

Mwatsatanetsatane zizindikiro za matenda angapo.

Bulbar ndi pseudobulbar manjenje

Chifukwa cha matenda ndi osachiritsika woyamba minofu alibe mu kotekisi, ndi mkhutu magazi ambiri medulla oblongata, maonekedwe a zotupa tsinde polientsefalomielit, structural kudwala, kuvulala, chigaza m'munsi.

Tags: kunja kuli zii wa epiglottis, m'phuno ndi m'kamwa zofewa, kusintha mawu, imfa ya kulankhula coherent, amavutika Pomeza (madzi chakudya akhoza kuyenda mu mphuno), kupuma kulephera. makodi amapilira mu "cadaveric udindo" chinenero fibrillar kukokana. Ngati Komanso anakhudzidwa ndi nkhope ndi trigeminal mitsempha, ndi masseter minofu ya manja, ndi kutsikira pa masaya droops.

Pseudobulbar manjenje ndi ofanana kwambiri bulbar, koma kugonjetsedwa izi korkovoyadernyh kugona ndi mbali zonse. Zimakhudzira ambiri misempha cranial, kuphatikizapo mitsempha hypoglossal, pali ischemia ubongo. Zizindikiro Added salivating kayendedwe reflex wa eyeballs ndi chifundo cha kulira kapena kuseka, maganizo ndi kuchepetsedwa nzeru.

Njira matenda ndi mankhwala

dokotala amakhala mbiri mankhwala, kuchita kuyendera zithunzi kutsimikiza matenda chimaika CT kapena Kujambula ubongo. Zimenezi zimathandiza kudziwa chifukwa cha psinjika za mitsempha hypoglossal.

chithandizo iliyonse pambuyo chitsimikiziro cha matenda. Cholinga chachikulu - ndi ubwino matenda chachikulu. Self-mankhwala sikuloledwa!