Wallenberg - Zakharchenko Syndrome: Bayyanar cututtuka, jiyya

Wallenberg ciwo - Zakharchenko kira kwakwalwa lalacewa saboda wani warwarewarsu ta jini wadata. Wannan ciwo ne mai suna a cikin girmamawa ga masana kimiyya suka bayyana shi kusan lokaci guda. shi ne sau da yawa ake kira dorsolateral medullary ciwo. Akwai rashin lafiya saboda insultoobraznogo raya jijiya thrombosis. Shi ne alhakin jinin samar da cerebellum.

Description da cutar

Man wuya hasarar sani idan Wallenberg ciwo - Zakharchenko, amma akwai zato hare-hare na vertigo, wanda tsokani wani asarar balance, saboda wahala cerebellar jijiya.

Bugu da kari, akwai wani shaƙuwa ko retching, kazalika da alama na m stupefaction.

Yana iya sa thrombosis atherosclerosis. Duk da haka, akwai lokuta endarteriita vertebral jijiya, wanda syphilitic irin ko revmovaskulita.

Akwai m asarar thrombotic ko netromboticheskogo hali. Da aka fi shafa yankin na vertebral ko basilar jijiya.

Wallenberg - Zaharchenko ciwo ya auku tare da lokaci na ci gaba da tabarbarewar kiwon lafiya. Amma wannan shi ne wani tsari na cuta ci gaban.

Kamar ciwo zai iya faruwa?

Yana iya ci gaba a cikin biyar bambance-bambancen karatu. A gaba daya ya dogara a inda a cikin cibiyar akwai cũta, da abin da su ne asibiti ãyõyi.

La'akari da ciwo iri a cikin mafi daki-daki.

Babban irin

Cibiyar ilimin tsarin jijiyoyi, ya tabbatar da cewa wadannan cututtuka faruwa a ba rashin lafiya:

• Horner ta ciwo .
• barranta cuta abin mamaki saman located a tsakiyar da kuma caudal zones Zeldera.
• cerebellar gemiataksiya.
• inna na tsokoki na taushi palate da vocal igiyoyinsu.

Rarer iri na ci gaba

Abin da kuma zai iya zama Wallenberg - Zakharchenko ciwo? Akwai wasu ƙasa da na kowa siffofin. Sau da yawa wani ƙananan rabo cewa an kama pons saboda gaskiyar cewa da yawa wuraren na baya baya cerebellar jijiya.

Sau da yawa irin wannan cuta da aka lura bayyanuwar ƙarin fasali, zuwa kashi biyu kungiyoyin - da m shida ko bakwai ta jijiya.

A lokacin da a aiwatar da rushewar wutsiya rabo a cikin medulla oblongata, da mãsu bãyar da bãya cerebellar jijiya an rage. Ipsilateral gabatar da wannan bayyanar cututtuka kamar cewa asalin irin ciwo.

Sau da yawa fitowan da giciye triplegii ko hemiplegia. Saboda haka bayyananne alternating Wallenberg ciwo - Zakharchenko.

Tare da shan kashi na cibiyar na cerebrospinal hanyar da trigeminal jijiya tushen ko magana game da wani nau'i na Wallenberg ciwo - Zakharchenko.

Yana iya zama wani take hakkin da tafarkin da cewa suke da alhakin ji na ƙwarai daga kishiyar sashi na fuska. Discordant canje-canje a cikin sama ƙwarai a kan fuska sun bata. Watau wadanda sassa cewa ya kasance a cikin Shiyyar Zeldera. Iya rufe fuska gemigipesteziya surface laulayi. Akwai wani fadada jam'iyya mai raɗaɗi domin hada conductors a kan biyu gefen fuska. An halin guda ãyõyi a matsayin cewa na farko da irin, kawai more kari.

Clinical alamun ciwo

Mene ne data a kan wannan shi ne Institute of ilimin tsarin jijiyoyi? Tare da wannan ciwo, akwai da dama daga cututtuka:

• mutumin da wuya ya hadiye;
• Da magana ne karye.
• ɓangare na taushi da palate ne ba aiki;
• vocal igiyoyinsu bad tafi.
• Horner ciwo ya auku.
• bayyana vestibular-cerebellar ãyõyi (komai kafa ƙungiyoyi, da hannayensu, da karfi tremor, balance ne karya).
• da yawan zafin jiki, ko zafi a kan kishiyar sashi na buga ba a nan; da ciwon kai a kan abin ya shafa gefe ko a fadin fuska.

Saboda haka mafi sau da yawa gani Wallenberg - Zakharchenko ciwo.

Duk wadannan na asibiti bayyanar cututtuka bayyana saboda gaskiyar cewa na baya baya cerebellar jijiya ana katange. M rabo daga cikin medulla oblongata suna mutuwa a sakamakon.

Wato shan wahala wurin da trigeminal jijiya (da hawa da sauka bim m zaruruwa).

kwantar da hankali

Zubar jinni ne ba ya nan fiye da sau da yawa m cuta ba barazana. Amma idan ya bar untreated, shi zai iya ci gaba da dama rai-barazanar rikitarwa. Saboda haka, idan sama bayyanar cututtuka bayyana, sa'an nan mataki dole ne a dauki nan da nan.

Da zarar Wallenberg ciwo - Zakharchenko fara bayyana, da muhimmanci ayyuka na kwakwalwa dole ne stabilized, kumburi da kyallen takarda cire. Yana da kyau a gudanar da wani jan kafa a cikin ta farko hours bayan harin.

Da ƙasa da lalacewar zai bayyana kanta idan taimakon da aka bayar a dace hanya. A dawo da tsarin da zai faru da sauƙi, kuma da sauri. Tare da dogon lokacin da gazawar don samar da taimako akwai komowar canje-canje, da kuma wannan, bi da bi, ya tsokani wani mutum tawaya.

Idan gaji da damuwa da numfashi, kana bukatar oxygen far. Don yin wannan, tambaya a mask ko inji iska.

Me kuma kada ka bukatar?

Cardiac aiki ya kamata a tallafi, kazalika ga kokarin daidaita jini al'ada matakan. Bayan duk, ga ciwo na Wallenberg - Zakharchenko sau da yawa results ne hauhawar jini. A haƙuri a kan wani m-akai yana da dauki kwayoyi don rage matsa lamba.

Bugu da kari, da wajabta cardiac glycosides da nitrates. Don normalize jini clotting da kauri. Neuroprotective kare kwakwalwa Kwayoyin. Ta hanyar musamman magani cire zafi, shakata tsokoki. Yana kuma sau da yawa wajabta anticonvulsant da magani mai kantad da hankali kwayoyi.

Wallenberg - Zakharchenko mana ciwo tattauna a daki-daki a cikin wannan labarin.