Wallenberg - Zakharchenko ọrịa: Mgbaàmà, Ọgwụ

Wallenberg syndrome - Zakharchenko akpọ ụbụrụ mmebi ruru ka a iro nke ọbara ya ọkọnọ. Nke a syndrome na-aha ya bụ na nsọpụrụ nke ndị ọkà mmụta sayensị na-akọwa ya fọrọ nke nta ka n'out oge. ọ na-akpọkarị dorsolateral medullary syndrome. E oria ruru insultoobraznogo n'azụ akwara thrombosis. Ọ bụ maka na ọbara esenyịn na cerebellum.

Description nke ọrịa

Man adịkarịghị tụfuru nsụhọ mgbe Wallenberg syndrome - Zakharchenko, ma e nwere mberede ọgụ nke vertigo, nke na-akpalite a ọnwụ nke itule, n'ihi na na-ata ahụhụ cerebellar akwara.

Ke adianade do, e nwere a mgbochiume ma ọ bụ retching, nakwa dị ka a mgbaàmà nke nwayọọ stupefaction.

Ọ nwere ike ime ka thrombosis atherosclerosis. Otú ọ dị, e nwere otu endarteriita vertebral akwara, nke syphilitic ụdị ma ọ bụ revmovaskulita.

E nwere a ngwa ngwa ọnwụ nke thrombotic ma ọ bụ netromboticheskogo agwa. The kasị emetụta nke ebe vertebral ma ọ bụ basilar akwara.

Wallenberg - Zaharchenko syndrome emee na oge mmelite mma ma na-arịa ọrịa na ahụ ike. Ma nke a bụ a usoro nke ọrịa ná.

Dị ka syndrome nwere ike ime?

Ọ pụrụ ịzụlite na ise variants. Ọ kpamkpam na-adabere na ebe na center bụ ọrịa na ihe na-adakarị ịrịba ama.

Tụlee syndrome ụdị ihe zuru ezu.

Isi ụdị

Institute of Neurology, na-egosi na ndị a mgbaàmà ime n'oge a nyere ọrịa:

• Horner si syndrome ;
• dissociated ọrịa sensashion ebupụta dị n'etiti na caudal zones Zeldera;
• cerebellar gemiataksiya;
• mkpọnwụ nke uru ahụ ndị na-esighị okpo ọnụ na akwara ụda olu.

Ụkọ iche nke mmepe

Olee ihe ọzọ nwere ike ịbụ Wallenberg - Zakharchenko syndrome? E nwere ụfọdụ ndị na-erughị nkịtị iche-iche. Ọtụtụ mgbe a ala òkè na weghaara pons n'ihi na eziokwu na ọtụtụ mgbaba posterior usụhọde cerebellar akwara.

Ọtụtụ mgbe ụdị ọrịa a hụrụ ngosipụta nke ọzọ na-, kewara abụọ iche iche - nwere a gahiere agahie isii ma ọ bụ asaa akwara.

Mgbe na usoro nke ida ọdụ òkè na medulla oblongata, ichighaazu cerebellar akwara na-ebelata. Ipsilateral chee otu mgbaàmà dị ka nke mbụ ụdị syndrome.

Ọtụtụ mgbe ntoputa nke cross triplegii ma ọ bụ hemiplegia. Anya nwetụ Wallenberg syndrome - Zakharchenko.

Na mmeri nke etiti nke cerebrospinal ụzọ nke trigeminal akwara mgbọrọgwụ ma ọ bụ okwu banyere ụdị ọzọ nke Wallenberg syndrome - Zakharchenko.

O nwere ike ịbụ a mebiri nke ụzọ na-ahụ maka uche nke ndị na-abụghị akụkụ nke ihu. Akpata nkewa mgbanwe elu uche na ihu na-efu efu. Ntụgharị ndị na akụkụ na-abụ nke mpaghara Zeldera. Nwere ike ikpuchi ihu gemigipesteziya n'elu susceptibility. E nwere onye na-agbasa-ulo-egbu mgbu n'ihi na na-agụnye na-eduzi na abụọ n'akụkụ ihu. Ọ e ji otu ihe ịrịba ama dị ka nke mbụ ụdị, naanị ihe extensions.

Clinical ihe ịrịba ama nke syndrome

Gịnị bụ data na nke a bụ Institute of Neurology? Na nke a na syndrome, e nwere a dịgasị iche iche nke mgbaàmà:

• mmadụ bụ ike ilo;
• Okwu ya bụ gbajiri;
• akụkụ nke na-esighị okpo ọnụ bụ agaghịkwa ọrụ;
• akwara ụda olu ọjọọ aga;
• Horner syndrome emee;
• apụta vestibular-cerebellar ịrịba ama (efu ụkwụ mmegharị, aka, ike tremor, itule na-agbajikwa);
• okpomọkụ ma ọ bụ ihe mgbu na-abụghị n'akụkụ nke ujo anọghị; a isi na-awa na otụk n'akụkụ ma ọ bụ gafee ihu.

Ọtụtụ mgbe hụrụ Wallenberg - Zakharchenko syndrome.

All ndị a na-adakarị mgbaàmà bilie n'ihi na eziokwu na posterior usụhọde cerebellar akwara na-egbochi. Elu akụkụ ụfọdụ nke medulla oblongata na-anwụ n'ihi ya.

Ya bụ na-ata ahụhụ n'ebe a trigeminal akwara (na nārigo nārida ibé ọmịiko emep uta eri).

therapies

Ọbara ọgbụgba anọghị ọzọ mgbe na-egbu egbu ọrịa na-adịghị na-egwu. Ma ọ bụrụ na ekpe untreated, ọ pụrụ inwe a dịgasị iche iche nke-eyi ndụ egwu nsogbu. Ya mere, ọ bụrụ na n'elu mgbaàmà na-egosi, mgbe ahụ, ihe ga-a ozugbo.

Ozugbo Wallenberg syndrome - Zakharchenko mbụ pụtara, nke dị oké mkpa na ọrụ nke ụbụrụ ga-Nọsi'ike, ọzịza nke anụ ahụ na-ewepụ. Ọ dị mma na-ebu manipulations ke akpa awa mgbe agha.

Obere mmebi ga-egosipụta onwe ma ọ bụrụ na enyemaka e nyere na a-adọ ha n'ụzọ. The mgbake usoro ga-ebe mfe na ngwa ngwa. Na ogologo oge ọdịda inye aka e nwere irreversible mgbanwe, na nke a, n'aka nke ya, na-akpalite a onye nkwarụ.

Ọ bụrụ na nsogbu na-eku ume, na ị chọrọ oxygen ọgwụ. Iji mee nke a, tinye a nkpuchi ma ọ bụ n'ibu ventilashion.

Olee ihe ọzọ ị chọrọ?

Gbasara obi ọrụ a ga-akwado, dị ka nke ọma dị ka na-agbalị ime ka iku ọbara mgbali nkịtị etoju. Mgbe niile, na syndrome nke Wallenberg - Zakharchenko-emekarị bụ ọbara mgbali. A ndidi na a na-aga n'ihu ihe ndabere nwere ịṅụ ọgwụ ọjọọ iji belata nsogbu.

Ke adianade do, ọgwụ gbasara obi glycosides na nitrati. Iji normalize ọbara clotting na ya ọkpụrụkpụ. Neuroprotective echebe mkpụrụ ndụ ụbụrụ. Site pụrụ iche ọgwụ wepụrụ mgbu, zuru ike uru. Ọ na-na-mgbe kenyere anticonvulsant na ogwuura ọgwụ ọjọọ.

Wallenberg - Zakharchenko anyị syndrome atụle n'isiokwu na-zuru ezu na a n'isiokwu a.