Wallenberg - Zakharchenko Syndrome: Zviratidzo, Kurapwa

Wallenberg chirwere - Zakharchenko akadana uropi nokuda rwakavhunika ropa rayo zvitengeswa. chirwere ichi inonzi chokuremekedza masayendisiti muirondedzere anenge panguva imwe chete. unowanzonzi ari dorsolateral medullary syndrome. Pane chirwere yakafanira insultoobraznogo rwemberi tsinga thrombosis. Hazvina mhosva ropa Kusasvika cerebellum.

Description of chirwere

Man kashoma anorasikirwa kuziva apo Wallenberg chirwere - Zakharchenko, asi pane chimbichimbi yokurwiswa vertigo, iyo chinokurwadzai kurasikirwa dzakagadzikana nokuti kutambudzika cerebellar tsinga.

Uyezve, pane munhikwi kana retching, uyewo chiratidzo munyoro stupefaction.

Zvingaita kuti thrombosis atherosclerosis. Zvisinei, pane zviitiko endarteriita vertebral tsinga, izvo syphilitic mhando kana revmovaskulita.

Pane kunonoka kurasikirwa thrombotic kana netromboticheskogo hunhu. The anowanzodanwa sei nzvimbo vertebral kana basilar tsinga.

Wallenberg - Zaharchenko chirwere kunoitika chete yatinenge kuvandudza uye kudzikira mune utano. Asi ichi inofanira chirwere kunoita.

Kufanana chirwere chinogona kuitika?

Inogona kuva dzakasiyana shanu. Zvachose zvinoenderana papi pakati ndiyo chirwere uye chii vari zvekuchipatara zviratidzo.

Funga chirwere mhando zvizere.

The chikuru mhando

Institute of Neurology, zvinopupurira kuti zviratidzo izvi zvichiitika panguva kupiwa chirwere:

• Horner kuti urwere ;
• dissociated zvirwere manzwiro hukawanika iri pakati uye caudal zvikamu Zeldera;
• cerebellar gemiataksiya;
• kuoma tsandanyama ari nyoro mukanwa uye tsandanyama dzinobudisa inzwi.

Mhando vashoma okukura

Chiizve zvinogona Wallenberg - Zakharchenko chirwere? Kune vamwe zvishoma zvakajairika siyana. Kazhinji yakaderera mugove kuti unobatwa pons nokuti kuti zvikuru dzakachengeteka posterior akaderera cerebellar tsinga.

Kazhinji ichi Chirwere kuchengetwa kuratidzwa yakawedzerwa features, mapoka mapoka maviri - vane chakaremara rechitanhatu kana rechinomwe tsinga.

Kana muitiro kuchidonha muswe zvikamu zviri medulla oblongata, ari shure cerebellar tsinga ipfupi. Ipsilateral kupa zviratidzo zvimwechete kuti pakutanga mhando syndrome.

Kazhinji chidzoke pamuchinjikwa triplegii kana hemiplegia. Saka pachena rakatumbuka Wallenberg chirwere - Zakharchenko.

Kukurirwa kwakaita pakati cerebrospinal nzira trigeminal etsinga mudzi kana hurukuro pamusoro imwe nzira Wallenberg chirwere - Zakharchenko.

Kungava kutyora makwara dziri mhosva aikanganiswa nevakomana divi kumeso. Husina kuchinja rokumusoro aikanganiswa kumeso zvisipo. Kureva vaya nhengo kuti vari mapazi Zeldera. Anogona kufukidza chiso gemigipesteziya pamusoro susceptibility. Pane kuwedzera mukamuri zvinorwadza nokuti zvinosanganisira conductors ari wechipiri divi chiso. It kunoratidzwa chete zviratidzo kwakaita mhando wokutanga, chete mamwe Extensions.

Clinical zviratidzo urwere

Ndezvipi mashoko ari uyu Institute of Neurology? With chirwere ichi, pane zvakasiyana-siyana zviratidzo:

• murume zvakaoma kumedza;
• Kutaura kwake wakaputsika;
• chikamu nyoro mukanwa hakuchina basa;
• pahuro zvinokonzera zvakaipa kufamba;
• Horner urwere kunoitika;
• kuonekwa zviratidzo vestibular-cerebellar (isina gumbo kufamba, maoko, kuti tremor simba, nepakati wakaputsika);
• tembiricha kana marwadzo pakatarisana rutivi kuvhunduka ndisipo; nemusoro uri zvakakanganisa divi kana mhiri kumeso.

Saka kazhinji kuona Wallenberg - Zakharchenko syndrome.

kurapwa zviratidzo zvose izvi simuka nokuti chokuti posterior vakaderera cerebellar tsinga kukurukurirana kwacho. zvikamu rwokunze medulla oblongata vari kufa somugumisiro.

Kureva uchitambudzika nzvimbo trigeminal etsinga (the nokuburukira matanda tsitsi fibers).

kurapwa

Ropa vasipo kazhinji chinouraya haisi pangozi. Asi kana kuruboshwe untreated, unogona kuva siyana yematambudziko zvinouraya. Naizvozvo, kana pamusoro zviratidzo achivonekwa, chiito inofanira kutorwa pakarepo.

Kamwe Wallenberg chirwere - Zakharchenko kuoneka, zvinokosha mashandiro anoita uropi anofanira pazvakagadzikana, kuzvimba munyama kubviswa. Zviri nani kuita manipulations rokutanga maawa pashure kurwisa.

Kuderera zvakakanganisika vacharatidza pacharo kana rubatsiro yakanga inopiwa nenguva nenzira. The kupora kwacho kuchaitika nyore uye nokukurumidza. With-yakareba kutadza kupa rubatsiro pane kusingarapiki kuchinja, uye ichi, akavapindurawo, chinokurwadzai munhu akaremara.

Kana anetseka kufema, unofanira okisijeni mishonga. Kuti aite izvi, kushandisa masiki kana zvokuimba kufefetedza.

Chiizve hwaunofanira?

Cardiac basa anofanira aitsigira, uyewo kuedza kudzikamisa BP kuti kwomuzvarirwo nhanho. Pashure pezvose, kuti urwere pakati Wallenberg - Zakharchenko zvinowanzoita ndiyo BP. A murwere ari kuramba tichishandisa anofanira kutora zvinodhaka kuti kudzibatsira.

Uyewo, ushandiswe cardiac glycosides uye nitrates. To normalize kweropa uye Ukobvu. Neuroprotective anodzivirira masero uropi. Achishandisa chinokosha zvinodhaka akabvisa marwadzo, faranuka tsandanyama. Zvinonzi zvakare kakawanda ushandiswe anticonvulsant uye zvinodhaka kunyaradza.

Wallenberg - Zakharchenko isu chirwere inokurukurwa zvakadzama munyaya ino.