Bulbar lefu: matšoao a, bakang, kalafo

Bulbar syndrome, e bitswang bulbar bobokong - e sublingual mo ntša kotsi lefu, glossopharyngeal le vagal methapo cranial, motheo oa tse teng ka medulla oblongata. Bulbar lefu o hlahellang teng duplex (ka tlase ho e 'ngoe-tsehelitseng) nuclei senyehile X, IX, XI le XII cranial methapo ea kutlo, caudal ho sehlopha se amanang le aa ageletsweng ka medulla oblongata. Ho phaella moo, ho senya ka metso a pepesa le likutu methapo ea kutlo hara cavity cranial le ho feta.

Ha bulbar lefu le hlaha flaccid shoele litho tsa mesifa 'metso, molomo, leleme mahalapa a bonolo, epiglottis le lithapo tsa lentsoe. Phello ea sena ke shoele litho dysphagia (engole boloetse mosebetsi) le dysarthria (likhathatso tsa puo). Bulbar dysarthria e tšoauoa ka lentsoe fokola 'me sekoti, ho fihlela aphonia feletseng, ho na le twang le "hlakise" utloahala. Thinn melumo selumisoa tšoaneng sebakeng sa articulation (apicals, labial, velar) le mokhoa bakeng sa eaba ba etsa (sekotjana, occlusives, bonolo, le tiile) fetoha mofuta tšoanang, le liluma-nosi - seoelo distinguishable le e mong le tse ling. Puo bakuli le phumano ya "bulbar lefu" khoehlisa le bakuli khathetse haholo. Ho itšetlehile ka ho tiea a mesifa paresis le lona ata bulbar dysarthria syndrome, e ka 'na ea lefatše, leeme kapa khetha.

Bakuli ba bulbar bobokong bipetsa esita le mokelikeli lijo, joalokaha khone ho hlahisa engole Motion, maemong a matla, bakuli ba hlahisa lefu la mosebetsi cardiac le morethetho respiration hore hangata se isa lefung. Ka lebaka leo, ho ke ke ea bohlokoa haholo ka nako e loketseng tlhokomelo ya tshohanyetso ya bakuli ba lefu lena. Ke ho felisa tšokelo bophelong le lipalangoang latelang ho tla etsa hore mehaho e khethehileng ea meriana.

lefu Bulbar e tšoauoa ka mafu a latelang:

- mafu liphatsa tsa lefutso tse kang lefu Kennedy o le porphyria;

- lefu vascular (myocardial medulla);

- siringobulbiya, lefu dilenaneo neuron;

- mafu a hlabang le a tšoaetsanoang (lefu Lyme, Guillain-Barre lefu);

- kankere (glioma, boko bakoang).

Motheo oa diagnosing bulbar shoele litho ke boitsebiso matšoao bath kapa matšoao a litleleniki tsa. Mekhoa ho fetisisa e ka tšeptjoang bakeng sa fumanoe lefu lena kenyeletsa ya data electromyography le ho hlahloba ka ho toba oropharynx ena.

Ho na le bulbar le pseudobulbar syndromes. Phapang ka sehloohong pakeng tsa bona itšetlehile ka 'nete ea hore mesifa pseudobulbar lefu shoele litho u se keng la atrophied, ke hore, shoele litho ke pheriferale, ha ho na fibrillary twitch mesifa ea leleme le itsoara joang ka tsa degeneration. Pseudobulbar bobokong e atisa ho tsamaea le liketso tse mabifi tsa lla le ho tšeha, eo a bakoa ke ho hlōleha puisano pakeng tsa nodes bohareng subcortical le makhapetla a. Pseudobulbar bobokong , ho fapana le bulbar sa bakela apnea (cessation ea ho hema), 'me pelo ea morethetho meferefere. E a hlokomela ka mohlomong diffuse diso boko le vascular, a tšoaetsanoang, sithabetsang kapa botahoa Genese.

Bulbar lefu: kalafo.

bulbar shoele litho ea Phekolo o ikemiseditse haholo-holo ho felisa sesosa sa maloetse 'matšeliso mesebetsi di litsebeng. Ho ntlafatsa engole mesebetsi ba abeloa ho lithethefatsi tse kang acid e glutamic, Neostigmine, nootropics, galantamine le divithamini, 'me ka e ile ea eketseha salivation - lithethefatsi atropine. Feeding bakuli bana o entsoe ka fatang ka, ke hore,, enterally. Tabeng ea tlōlo ea mosebetsi le ho hema o abetsoe ho mochine o hokeletsoeng ka.