Bulbar ciwo: cututtuka, haddasawa, magani

Bulbar ciwo kira bulbar palsy - a sublingual rauni ciwo, glossopharyngeal da vagal girman kwanyar jijiyoyi, da tsakiya da ake located in medulla oblongata. Bulbar ciwo ya auku a Duplex (kasa a daya mai gefe) lalace nuclei X, IX, XI da XII girman kwanyar jijiya, caudal zuwa dangane da kungiyar da kuma saka a cikin medulla oblongata. Bugu da kari, lalacewar fallasa tushen da jijiya kututturan cikin girman kwanyar rami da kuma bayan.

Lokacin da bulbar ciwo ya auku flaccid inna daga cikin makogwaro tsokoki, da lebe da harshe, taushi da palate, epiglottis da vocal igiyoyinsu. A sakamakon wannan ne wani inna dysphagia (hadiya cuta aiki) da kuma dysarthria (hargitsi na magana). Bulbar dysarthria ne halin da rauni, kuma m murya, har da cikakken aphonia, akwai twang da kuma "blur" sauti. Pronunciation na baƙi sauti iri dabam-dabam a cikin wurin sanarwa akan abinda (apicals, labial, velar) da kuma wani hanya domin kafa (Ramin, occlusives, taushi, m) ya zama guda type, kuma vowels - wuya a iya rarrabe daga juna. Jawabin a marasa lafiya tare da ganewar asali "bulbar ciwo" ragae saukar da sosai gaji marasa lafiya. Dangane da tsanani daga tsoka paresis kuma ta ruwan dare bulbar dysarthria ciwo iya zama duniya, m, ko zabe.

Marasa lafiya da bulbar palsy shaƙa ko da ruwa da abinci, kamar yadda iya samar da hadiya Motion, a mai tsanani lokuta, mara lafiya cuta na cardiac aiki da kuma numfasawa rhythms cewa sau da yawa take kaiwa zuwa mutuwa. Saboda haka yana da muhimmanci dace gaggawa kula ga marasa lafiya tare da wannan ciwo. Shi ne ya kawar da barazana ga rayuwar da m sufuri zuwa na musamman likita makaman.

Bulbar ciwo ne halin da wadannan cututtuka:

- kwayoyin cututtuka, kamar Kennedy ta cutar da porphyria.

- jijiyoyin bugun gini cuta (tsokar medulla).

- siringobulbiya, motor neuron cũta.

- kumburi da cututtuka (Lyme cuta, Guillain-Barre ciwo).

- cancers (glioma, kwakwalwa kara).

Dalili na diagnosing bulbar inna ne ganewa halayyar ãyõyi, ko na asibiti bayyanar cututtuka. A mafi yawan abin dogara da hanyoyin for ganewar asali da wannan cuta sun hada da electromyography data da kuma kai tsaye jarrabawa na oropharynx.

Akwai bulbar da pseudobulbar syndromes. Babban bambancin dake tsakanin su ta'allaka ne da cewa pseudobulbar ciwo gurgunta tsokoki kada ku atrophied, watau inna ne na gefe, babu fibrillary fizge tsokoki na harshe da kuma dauki na degeneration. Pseudobulbar palsy ne sau da yawa tare da tashin hankali da kuka da dariya, wanda ake sa ta sadarwa gazawar tsakanin tsakiyar subcortical nodes da haushi. Pseudobulbar palsy , sabanin bulbar ba sa apnea (lõkacin fatara daga numfashi), da kuma zuciya kari disturbances. An lura a wani gwaji yaxuwa kwakwalwa raunuka da ciwon jijiyoyin bugun gini, dauke da kwayar cutar, traumatic ko maye Farawa.

Bulbar ciwo: magani.

bulbar inna na jiyya ne da nufin yafi a kawar da tamkar cuta da kuma diyya ayyuka suna sosai. Don inganta hadiya ayyuka suna sanya wa kwayoyi kamar glutamic acid, Neostigmine, nootropics, galantamine da kuma bitamin, da kuma a ƙara salivation - miyagun ƙwayoyi atropine. Ciyar da wadannan marasa lafiya da aka sanya ta cikin bincike, watau, enterally. A hali na take hakkin da numfashi aiki da ake sa wa a ventilator.