Wallenberg - Zakharchenko Syndrome: Zizindikiro, Abereke

Wallenberg syndrome - Zakharchenko otchedwa kuwonongeka kwa bongo chifukwa kuswa kotunga magazi ake. syndrome Izi dzina lake polemekeza asayansi amene ankati iwo pafupifupi imodzi. izo limatchedwa dorsolateral medullary syndrome. Pali matenda chifukwa insultoobraznogo kumbuyo thrombosis mtsempha wamagazi. Ndi udindo kusowa magazi cerebellum lapansi.

Kufotokozera za matenda

Man kawirikawiri wotaya chikumbumtima pamene Wallenberg syndrome - Zakharchenko, koma pali kuukira mwadzidzidzi wa vertigo, amene amakwiya kutaya moyenera, chifukwa zowawa mtsempha wamagazi cerebellar.

Komanso, pali hiccup kapena retching, komanso chizindikiro cha stupefaction wofatsa.

Chifukwa angayambitse thrombosis atherosclerosis. Komabe, pali milandu endarteriita vertebral mtsempha wamagazi, amene chinzonono mtundu kapena revmovaskulita.

Pali imfa wozengereza khalidwe thrombotic kapena netromboticheskogo. The zambiri anakhudzidwa Malo mtsempha wamagazi vertebral kapena basilar.

Wallenberg - Zaharchenko syndrome amapezeka ndi nthawi ya kusintha ndi kuwonongeka thanzi. Koma izi ndi ndondomeko za kupitilira matenda.

Monga matenda angayambe?

Iwo akhoza kukhala mitundu asanu. Kwathunthu zimatengera pamene pakati ndi matenda ndipo kodi zizindikiro matenda.

Tiyeni tikambirane mitundu syndrome mwatsatanetsatane.

Mtundu waukulu

Institute of ubongo, chikutsimikizira kuti zizindikiro zimenezi zimachitika pa matenda wapatsidwa;

• syndrome Horner ndi ;
• dissociated pamalo matenda kutengeka m'katikati ndi caudal mabacteria Zeldera;
• cerebellar gemiataksiya;
• ziwalo za nyama m'kamwa zofewa ndipo timinofu.

Mitundu n'kukhala chitukuko

Kodi angakhale Wallenberg - Zakharchenko syndrome? Pali mitundu ina zochepa wamba. Kawirikawiri gawo asapatsiridwe akumugwira pons chifukwa chakuti obisika kwambiri zapambuyo otsika mtsempha wamagazi cerebellar.

Kawirikawiri mtundu wa matenda zimawonedwa chiwonetsero cha zinthu zina, m'magulu awiri - ndi zosalongosoka chimodzi kapena chiwiri mitsempha.

Pamene m'kati mbali kugwa mchira mu medulla oblongata, womwe ndi mtsinje mthunzi cerebellar yafupika. Ipsilateral azipereka zizindikiro zofanana ndi za mtundu wapachiyambi wa syndrome.

Nthawi zambiri zikamera wa mtanda triplegii kapena hemiplegia. Nayenso alternating syndrome Wallenberg - Zakharchenko.

Ndi kugonjetsedwa kwa pakati pa njira cerebrospinal wa trigeminal mitsempha muzu kapena nkhani za mtundu wina wa matenda Wallenberg - Zakharchenko.

Kungakhale kuphwanya njira kuti ali ndi udindo tilinazo wa kutsidya lina la nkhope. kusintha wina alibe mu tilinazo chapamwamba nkhope zikusowa. Ie mbali za mu zone Zeldera. Kodi kuphimba nkhope gemigipesteziya pamwamba chiwopsezo. Pali chipinda kuwonjezeka chopweteka chifukwa monga ochititsa pa wachiwiri mbali nkhope. Iwo amakhala ndi zizindikiro zofanana ndi za mtundu woyamba, kokha yophunzitsa kwambiri.

Matenda zizindikiro za matendawa

Kodi deta pa izi Institute of ubongo chiyani? Ndi matenda ichi, pali zizindikiro zosiyanasiyana:

• munthu lovuta kulitsatira;
• Mawu ake wosweka;
• gawo la m'kamwa zofewa salinso yogwira;
• timinofu kusuntha zoipa;
• Horner syndrome amapezeka;
• kuoneka vestibular-cerebellar zizindikiro (kayendedwe kanthu mwendo, manja, amphamvu kugwedeza, muyezo wasweka);
• kutentha kapena kupweteka mbali ina ya palibe mantha; mutu pa mbali akhudzidwa kapena pa nkhope.

Choncho nthawi zambiri anawona Wallenberg - syndrome Zakharchenko.

Zizindikiro zonsezi matenda uka chifukwa chakuti zapambuyo otsika mtsempha wamagazi cerebellar ali oletsedwa. mbali yakunja ya medulla oblongata akufa chifukwa.

Ndicho akuvutika malo mitsempha trigeminal (a akwera natsikira matabwa ulusi wachifundo).

zochiritsira

Kukha mwazi palibe zambiri matenda oopsa si pangozi. Koma ngati sanalandire chithandizo, amatha zosiyanasiyana mavuto moyo pachiswe. Choncho, ngati zizindikiro pamwamba kuoneka, ndiye kanthu ayenera kumwedwa nthawi yomweyo.

Kamodzi syndrome Wallenberg - Zakharchenko woyamba anaonekera, ntchito yofunika kwambiri ya ubongo ayenera okhazikika, kutupa kwa zimakhala kuchotsedwa. Ndi bwino kuchita mwai maola oyambirira nkhondo.

kuwonongeka zochepa adzakhala kuonekera ngati thandizo inaperekedwa m'nthawi yake. The ndondomeko kuchira zidzachitika mosavuta ndipo mwamsanga. Ndi yaitali kulephera kupereka thandizo pali inasinthiratu, ndi ichi, nayenso, amakwiya munthu wolumala.

Ngati kusokonezedwa kupuma, muyenera mankhwala oxygen. Kuchita izi, ntchito chigoba kapena makina mpweya wabwino.

Kodi n'chiyaninso chimene muyenera?

Ntchito mtima zanuzo zizikhala, komanso kuyesa ziziyenda kuthamanga kwa magazi kuchepetsa yachibadwa. Ndipotu, vuto la Wallenberg - Zakharchenko nthawi zambiri zotsatira zake ndi matenda oopsa. A mtima pa maziko yothandizira ayenera kutenga mankhwala kuchepetsa zoipazi.

Komanso, zotchulidwa glycosides mtima ndi ku feteleza. Kuteteza matenda a magazi clotting ndi wochindikala. Neuroprotective amateteza maselo a mu ubongo. Mwa mankhwala wapadera kuchotsedwa ululu, masulani minofu. Amagwiritsidwanso zambiri zotchulidwa anticonvulsant ndi mankhwala sedative.

Wallenberg - Zakharchenko ife syndrome kufotokozedwa mwatsatanetsatane m'nkhani ino.