Bulbar syndrome: tohumate, take, maimoatanga

syndrome Bulbar i huaina bulbar pararutiki - he syndrome whara sublingual, glossopharyngeal me vagal raru cranial, te karihi o e kei roto i te oblongata medulla. puta Bulbar syndrome i roto i Matarua (iti iho i te kotahi-taha) pakaru karihi X, IX, XI me XII karere cranial, caudal ki te rōpū e pā ana ka noho pūmau i roto i te oblongata medulla. I tua atu, kino ki pakiaka whai wāhi me kahiwi karere i roto i te kōhao cranial me tua atu.

A, no te puta bulbar syndrome pāpāngia momohe o nga uaua korokoro, ngutu, te arero, ngao ngawari, ngao horomi me aho waiata. Ko te hua o tenei ko te dysphagia pāpāngia (horomia mate mahi) me dysarthria (ngangau o korero). āhuatanga Bulbar dysarthria e reo ngoikore, me te tuwhera, tae noa ki te aphonia oti, i reira twang me "rākau" oro. Pronunciation o oro orokati rere i roto i te wahi o te wahapū (apicals, labial, ngao ngohe) me te tikanga mō te hanga (mokamoka, occlusives, ngohengohe, mārō) riro te momo kotahi, me oropuare - uaua wehea ia atu. Kōrero i roto i te tūroro ki te tātaritanga o "syndrome bulbar" pakanga iho me tūroro rawa ngenge. Tei runga i te pakeke o te uaua paresis me tona nuinga bulbar dysarthria syndrome kia ao, kanohi whiriwhiri ranei.

Tūroro ki bulbar pararutiki kowaowaotia ara kai wai, ka rite ki taea ki te whakaputa i horomia Motion, i roto i ngā take kino, tūroro whakawhanake disorders o mahi cardiac me ungeri respiration e maha arata'i ki te mate. Na reira ko te reira tino nui tiaki ohotata wā mō ngā tūroro ki tenei syndrome. Ko ki te whakakore i te riri ki te ora, me te transportation muri ki te whare motuhake hauora.

āhuatanga Bulbar syndrome e te mate e whai ake nei:

- mate ira, pērā i te mate o Kennedy me porphyria;

- mate iaia (medulla myocardial);

- siringobulbiya, mate motor neuron;

- inflammatory me hopuhopu mate (mate Lyme, Guillain-Barre syndrome);

- pukupuku (glioma, kakau roro).

Ko te pūtake mō te Tātarihia te bulbar pāpāngia ko te tāututanga tohu āhuatanga ranei tohu haumanu. Ko te tikanga tino pono hoki te tātaritanga o tenei mate ngā raraunga electromyography me whakamātautau tika o te pū māngai.

bulbar me pseudobulbar syndromes reira. Ko te rerekētanga matua i waenganui i a ratou takoto i roto i te meka e kore e riro atrophied nga uaua pseudobulbar syndrome pararutiki, arā he piringa pāpāngia, kahore fibrillary tākiri uaua o te arero, me te tauhohe o te e hōloa. Kei te maha haere tahi Pseudobulbar pararutiki e tutu e karanga ana, me te kata, e kua meinga e te kore kōrero i waenganui i pokapū ngā kōpuku subcortical me te kiri. Pseudobulbar pararutiki , pērā bulbar kore meinga apnea (paipa o manawa), me raruraru manawataki ngakau. Kei te kitea te reira i roto i te nui pāpaka roro E ruia ana he iaia, hopuhopu, Genesis pāmamae haurangi ranei.

Bulbar syndrome: maimoatanga.

hāngai bulbar pāpāngia o Treatment te nuinga i whakakore e waimaero te mate me te utu mahi whāriki. Ki te whakapai ake kua whakaritea horomia mahi ki taero pērā i te waikawa glutamic, Neostigmine, nootropics, galantamine me huaora, me i nui haere salivation - tarukino atropine. Feeding enei tūroro e hanga i roto i te uiuia ai, arā, enterally. I roto i te take o te ofatiraa o te mahi romahā faataahia te ki te ventilator.