Wallenberg - Zakharchenko Syndrome: Izimpawu, zokwelapha

Wallenberg syndrome - Zakharchenko ngokuthi ukulimala kobuchopho ngenxa ukwephulwa igazi layo supply. Lokhu sifo ogama lakhe behlonipha yososayensi abenza ukuyichazela cishe kanyekanye. ke uvame ukubizwa ngokuthi dorsolateral syndrome medullary. Kukhona isifo ngenxa insultoobraznogo ezingemuva Umthambo thrombosis. Kuyinto unesibopho igazi eligciniwe kuya cerebellum.

Incazelo isifo

Man akuvamile ilahlekelwa ukwazi lapho Wallenberg syndrome - Zakharchenko, kodwa kukhona ukuhlaselwa ngokushesha inzululwane, okuyinto kuphakamisa ukulahlekelwa ibhalansi, ngoba behlupheka Umthambo cerebellar.

Ngaphezu kwalokho, kukhona inwabi noma retching, kanye uphawu stupefaction omnene.

Kungase kubangele thrombosis isifo sokuqina kwemithambo yegazi. Nokho, zikhona izimo endarteriita Umthambo vertebral, yiluphi uhlobo syphilitic noma revmovaskulita.

Kukhona ukulahleka kancane uhlamvu thrombotic noma netromboticheskogo. Le ndawo ngokuvamile abathintekayo iningi Umthambo vertebral noma basilar.

Wallenberg - Zaharchenko syndrome kwenzeka izinkathi ngcono kanye Oqala ukungezwa aze agcine impilo. Kodwa lena inqubo ukuqhubekela phambili kwesifo.

Thanda syndrome singenzeka?

Kungaba kukhule ezahlukeneyo ezinhlanu. It incike ngokuphelele lapho ophakathi nendawo isifo futhi yiziphi izimpawu emtholampilo.

Cabanga syndrome izinhlobo kabanzi.

Uhlobo eyinhloko

Ihlangano yokuNgeza Neurology, uqinisekisa ukuthi lezi zimpawu kwenzeke ukucinana enikeziwe:

• Horner Syndrome ;
• dissociated iziyaluyalu ukuzwa evele ise esishintshashintshayo maphakathi kanye caudal Zeldera;
• gemiataksiya cerebellar;
• ukukhubazeka we imisipha ulwanga esithambile futhi yezwi.

izinhlobo lingandile yentuthuko

Yini enye kungaba Wallenberg - Zakharchenko syndrome? Kukhona ezinye izinhlobo ezingavamile kakhulu. Ngokuvamile ingxenye engezansi ukuthi udliwa Pons ngenxa yokuthi ezikhoselweni okuningi posterior phansi kunabaphostoli Umthambo cerebellar.

Ngokuvamile lolu hlobo sifo waphawula ukubonakaliswa izici ezengeziwe, ngamaqembu amabili - abe ezinzwa engaphelele lesithupha noma lesikhombisa.

Lapho inqubo nciphisa umsila izingxenye kuleli oblongata medulla, umfula ukubaleka cerebellar sinciphile. Ipsilateral ukwethula izimpawu ezifanayo njengoba ukuthi yohlobo yokuqala syndrome.

Ngokuvamile ukuvela triplegii engu- noma hemiplegia. sobala Ngakho kushintshana Wallenberg syndrome - Zakharchenko.

Lapho kunqotshwa maphakathi indlela cerebrospinal we trigeminal emsipheni impande noma inkulumo mayelana olunye uhlobo Wallenberg syndrome - Zakharchenko.

Kungenzeka kokunikezwa kwe-izindlela ukuthi banesibopho nozwela esesayidini ebusweni. izinguquko ezingezwani e ukuzwela engenhla ebusweni azikho. Okungukuthi labo izingxenye ukuthi singabakaNkulunkulu zone Zeldera. Ingabe ubuso gemigipesteziya ebusweni ezifweni. Kukhona ekamelweni ukunwetshwa okubuhlungu ngenxa zihlanganisa babashayeli olwesibili ohlangothini ubuso. It libhekene izimpawu efanayo ukuthi uhlobo lokuqala, izandiso kuphela ngaphezulu.

izimpawu Clinical yalesi sifo

Yiziphi idatha lokhu Isikhungo Neurology? Nge yilesi sifo kukhona izimpawu ezinhlobonhlobo:

• indoda kunzima ukugwinya;
• inkulumo yakhe siphukile;
• ingxenye ulwanga ezithambile ayisasebenzi;
• yezwi hambisa ezimbi;
• Horner syndrome kwenzeka;
• ukuvela izimpawu vestibular-cerebellar (lutho umlenze ukunyakaza, izandla, ukuzamazama okunamandla, ibhalansi sinqamukile);
• lokushisa noma ubuhlungu ngakolunye uhlangothi we lingekho ukushaqeka; ikhanda ohlangothini ethintekile noma ngempama.

Ngakho avame ukubonakala Wallenberg - Zakharchenko syndrome.

kuphakama Zonke lezi izimpawu zokwelashwa ngenxa yokuthi ukuthi posterior phansi kunabaphostoli Umthambo cerebellar ivinjelwe. izingxenye elingaphandle oblongata medulla bayafa ngenxa yalokho.

Okungukuthi ehlupheka indawo lapho emsipheni trigeminal (ekuntweleni kanye izingodo ukwehla Imicu yotshani nozwela).

zokwelapha

Ukopha engekho kaningi isifo esibulalayo akuyona kusongelwa. Kodwa uma iyekwa ingelashwa, kungaba ukuthuthukisa ezihlukahlukene yezinkinga ezisongela ukuphila. Ngakho-ke, uma avele izimpawu ngenhla, khona-ke isenzo kumele kuthathwe ngokushesha.

Uma Wallenberg syndrome - Zakharchenko wabonakala kuqala, imisebenzi ebalulekile zobuchopho kumele ngcono, ukuvuvukala kwezicubu isusiwe. Kungcono ukuba bafeze manipulations emahoreni lokuqala emuva kwalesi sigameko.

umonakalo Ngaphansi ngeke ukuzibonakalisa uma usizo enikeziwe ngendlela esifike ngesikhathi. Inqubo yokutakula kuyokwenzeka kalula futhi ngokushesha. Nge ukwehluleka eside ukunikeza usizo kukhona izinguquko ezingenakuhlehliswa, futhi lokhu, esikhundleni salokho, kuphakamisa okhubazeke umuntu.

Uma siyabhubha ukuphefumula, udinga ukwelashwa umoya-mpilo. Ukuze wenze lokhu, isicelo buso noma ukupholisa lokukhanda.

Yini enye umzimba oludingayo?

umsebenzi senhliziyo kumele asekwe, kanye ukuzama usimamise wegazi ukuba amazinga evamile. Phela, ukuze lesi sifo ka Wallenberg - Zakharchenko Imvama kuba nomfutho wegazi ophezulu. Isiguli njalonjalo has ukuthatha imithi ukwehlisa ingcindezi.

Ngaphezu kwalokho, ebekiwe glycosides inhliziyo nemikhiqizo kamanyolo. Ukuze kulesetayelekile igazi ekunqandeni kanye Uhlonze lwalo. Neuroprotective ivikela amangqamuzana obuchopho. Esebenzisa izidakamizwa ezikhethekile kususwe ubuhlungu, uphumule imisipha. Liphinde evame ukunikezwa anticonvulsant nezidakamizwa sine.

Wallenberg - Zakharchenko kithi syndrome idingidwa kulesi sihloko.