Extrapyramidal usoro: extrapyramidal ọrịa

extrapyramidal usoro   - nural netwọk ke Central ụjọ usoro, nke na-adịghị agabiga corticospinal ma ọ bụ pyramidal usoro, ma o sina dị, achịkwakwa na njikwa ije. Ntem na ọ bụ akụkụ nke propulsion usoro. A nural netwọk a kpụrụ na ụbụrụ na mpaghara dị ka pons na medulla oblongata, n'ịnọgide na-na ọgidigi azụ.

Kwuru na dị ka na-apụtachaghị ìhè n'ụzọ ebighị nke moto ọrụ, extrapyramidal usoro bụ n'ụzọ bụ isi so na-achịkwa nke itule, nchikota, postcho, Akwara ụda, na-aghọ nkọ. Ka ihe atụ, mgbe mmadụ na-agba mbọ na-postcho (ọ na-anọ ma ọ bụ na-anọchi), mgbe ahụ, na oge a na a achikota ọrụ a ọtụtụ uru. Nke a na nchikota bụ n'okpuru anọ akara extrapyramidal ụzọ, ya bụ na vestibular-spinal ụzọ tektospinalnogo tract reticulospinal tract na rubrospinalnogo tract.

Na okwu nke na mmalite nke extrapyramidal usoro bụ ndị kasị ochie usoro emega ahụ, nke siri ike ịkọwa, na akụkụ n'ihi aka nke ya akụrụngwa ụzọ na nzaghachi anya nko. Otú ọ dị, ọ pụrụ ịbụ   Ọ na-ekewa atọ usoro   Control: cortical apụtachaghị ìhè, feedbacks na visual, auditory, vestibular ụzọ.

Anatomically extrapyramidal usoro   Ọ mejupụtara ụyọkọ akwara ozi na ụbụrụ azuokokoosisi, gụnyere red ntọala, elu bumps quadrigemina, reticular guzobere, vestibular ntọala. Large red ntọala axons etolite rubrospinalny tract, na-enyere aka ịchịkwa mmegharị nke elu aka na ụkwụ. Vestibular nuclei metụtara na n'ime ntị, ndị cerebellum na ọgidigi azụ, si otú akpụ vestibular-spinal tract maka postural regulators n'olu, isi, toso na aka na ụkwụ. Upper bumps quadrigemina mejupụtara tektospinalny tract dị mkpa ka na-atụgharị uche na mmegharị nke isi na anya (dị ka nkuchianaya mmechi tupu a mba ọzọ ahụ odụk anya). N'ikpeazụ, ndị reticular guzobere bụ maka reticulospinal tract abuana ke muscular akara.

Ụfọdụ ọnọdụ ma ọ bụ ọrịa nwere mmetụta na extrapyramidal usoro, ime na-anaghị ekwe nke Akwara ụda, postcho, mpiaji ọrịa. A ọnụ ọgụgụ nke mgbaàmà, kwuru na dị ka extrapyramidal ọrịa, ma ọ bụ extrapyramidal mgbaàmà (EPS), kwuru, dị ka a n'ihi nke neuroleptic ọgwụ ọjọọ na inwe mmetụta ụbụrụ na ya ụzọ. Antipsychotics-na-emeso psychotic ọrịa ndị dị otú dị ka isi mgbaka, schizoaffective aghara ma ọ bụ mgbaka.

Ihe Nlereanya nke EBL - akinesia, akathisia, torticollis, dyskinesia, dystonia. Site extrapyramidal ọrịa na-agụnye "oke bekee syndrome," na-egosipụta ugboro ugboro ịsụ rhythmic mmegharị perioral mọzụlụ, nke e mere site ogologo oge oriri nke neuroleptics. Nke a syndrome na a metụtara na ogologo oge iji ọgwụ ndị dị otú ahụ dị ka haloperidol, pimozide, fluphenazine, olanzopin, clozapine, risperidone. N'ụzọ dị mwute, ọ dịghị mfe iji gwọọ. Mgbe onye ọrịa ahụ kwesịrị antipsychotic ọgwụ, nwere ike ikwu gbara gharịị antipsychotics - kvetialin, remoxipride, n'ikuku nke nke bụ ihe na-erughị yiri ka ibu ihe na-akpata "oke bekee syndrome".

Extrapyramidal syndrome-akpata ịsụ mmegharị nke uru ahụ ma ọ bụ mgbu nke na ihu na olu. Ọ na-amalite mgbe nnyefe nke ọgụgụ akwara mbufe ozi dopamine insufficiently usoro. A na mmadụ nwere ike na-ata ahụhụ site na extrapyramidal syndrome dị ka a N'ihi natara a traumatic ụbụrụ mmerụ ahụ ma ọ ọrịa Parkinson, ma isi ihe mere bụ oghom mmeghachi omume antipsychotic ọgwụ ọjọọ. Ọgwụgwọ dị mkpa, ma ọ bụghị ịda iwu karịrị oge ghọọ ihe mgbagwoju anya. Ọgwụgwọ a na-emekarị iji na-akọwapụta na iwepu na-akpata.