Chetsinga chirwere: mifananidzo, description, zviratidzo uye kurapwa

Full upenyu munhu hunoenderana hutano uropi uye tsinga. Naizvozvo, zvirwere bata nhengo idzi nomuviri kunoitwa yakajeka uye dzimwe nguva kwazvo zviratidzo. Rimwe boka zvinetso zvakadaro chetsinga syndromes. Vanofanira kuteerera, nokuti pakuonekwa kwavo kunoratidza kukura ane zvakakwana nengozi intractable kwendangariro.

chetsinga urwere

Kuti tinzwisise zviri mungozi, tinofanira kubata chokwadi ane chirwere kuti akadai akadai. Tsanangudzo iri rinoshandiswa kurondedzera yakatarwa zviratidzo, pamwe kuratidzwa zvakafanana. Izvi izwi kunoita kuti zvakarurama chirwere uye chiedza. Nemamwe mashoko, okuti "chirwere" rinoshandiswa kutsanangura boka zviratidzo pane imwe.

Zvinofanira kunzwisiswa kuti mazwi hakusi kukodzera nguva kutsanangura chirwere, sezvo yokupedzisira anogona chokubatanidza syndromes akawanda. Saka kuziva mamiriro ose nomazvo murwere kazhinji zvinoda yakakwirira zvinodiwa uye ruzivo.

Key boka

Kana iwe uchiongorora huru chetsinga syndromes, ipapo uchaona kuti vamwe vavo zvakafanana, uye saka aibatanidza kupinda dzimwe mhando. Kutaura zvazviri, tiri kutaura pamusoro matatu mapoka rakajairika:

- vestibular syndrome. Izvi zvinoreva vachivavhiringidza siyana muuropi. Symptomatology muchiitiko ichi rakajeka zvakakwana, saka kuti kuvhiringidza nayo nevamwe kuratidzwa zvakaoma. Huru Zviratidzo zvinogona kutsunga shakiness uye dzungu.

- chetsinga chirwere chokuita zvetsandanyama nemapfupa maitiro. Izvi zvinosanganisira-siyana tsandanyama simba uye kuoma nhengo dzomuviri. The inonyanya kukonzera matambudziko akadai nourema, sitiroko zvakafanira, kunyange kuita kuti ezvinhu akadaro anogona uye poriyo.

- Pain. boka iri zvinogona kuwanikwa varwere kupfuura vamwe. Zviratidzo muchikwata ichi kwakasiyana kurwadziwa. Somuenzaniso, zvine musoro kuti vauye neuralgia tsinga, kukonzera kurwadziwa kumashure uye musoro.

- kwakawedzera intracranial kumanikidzwa nokuda-siyana chetsinga zvirwere.

Syndromes vachiri vaduku

Vana uyewo vanhu vakuru, vari nyore dzakasiyana-siyana zvirwere. Nokuda kwechikonzero ichi, vanachiremba kugadzirisa syndromes siyana uye kune varwere vaduku nemapoka.

Panyaya mapoka chaiwo zviratidzo, vava sezvinotevera:

1. Spastic syndrome. Kana mwana ane pfari, zvinogona kureva chokwadi pamusoro kuparadzwa uropi pamwe kweiyi nomumwe zvikamu uropi. Zvichienderana nezera ane chetsinga chirwere kungaratidzwa ne generalized pfari maoko nemakumbo, ziso uye uso musculature. Zvinofanira zvakare kuziva kuti pachavo zvakananga pfari angava clonic uye tonic. Izvi zvinoreva kuti vakabata muviri wose, kana uchifamba kubva chikamu mumwe. ezvinhu akadaro dzimwe nguva achiperekedzwa kufema kukundikana, okuyerera weti kana chetsoka uye mutauro dzichiruma.

2. Impact tserebrastenicheskom syndrome. Chikuru Chikonzero ezvinhu akadaro chinhu nokukurumidza neuro-mupfungwa kuneta kuti zvakabva kwazvo chaiko kana mupfungwa nomunhu. Zvingava chirwere, kushushikana, zvakasiyana mupfungwa uye manzwiro. Somugumisiro, pane kutyora vana kukwanisa kutsausa zvinhu uye kuitisa uchitamba mutambo mabasa. Rinotaurawo chinoramba mukana kusagadzikana mupfungwa. Pakazopera zuva zviratidzo zvinogona yekudyidzana kuwedzera.

3. dambudziko neBP-hydrocephalic syndrome. Zvinoita sokuti nokuda vawedzere intracranial kumanikidzwa, zvichiteverwa pakuwedzera dehenya doro dzezvimwe nokuti kuti vanounganidza yakawandisa emura. Pachena zvakafanana boka zviratidzo zvinogona sezvo akanatsiridzwa kukura musoro, bulging fontanelle, uye hydrocephalus.

4. chirwere pamusoro hyperexcitability. dambudziko iri zvinoita pacharo bata kuratidzwa akadai hope chinovanetsa, kusagadzikana mupfungwa uye wokusagadzikana. Pashure pokuongororwa kwacho, chiremba anogona kugadzirisa kunyange kuderera nezvokubvuta chikumbaridzo, kanganisika kufamba uye kuwedzera dzepanguva excitability.

Chirwere Kuneta Syndrome: Zviratidzo neMarapirwo

Chinokosha chiratidzo kuti inoratidza chirwere ndiye idzokororo kana vairamba kwemwedzi kunopfuura mitanhatu, kugara kuneta. Uye sezvo panyama kuneta uye Mental.

Achitaura pamusoro zvinowanzotaura chimiro, zvinokosha kuziva zvinotevera chokwadi: zvinganzi yakakura kuitira kuti zvichaita zvakajeka kudzora padivi zviratidzo. The dambudziko pano iri chokwadi kuti chirwere ichi hazvigoni neutralized pachishandiswa zororo, ndokusaka murwere basa yekudyidzana zvinoderedza mune zvose zvaanoita muupenyu hwake.

Kana isu kutaura zviratidzo CFS muudzame, zvinotevera zviratidzo vanofanira kuva anokudzwa:

- tsandanyama marwadzo;

- zvakawanda zvive pashure kurovedza muviri kuti kunotora kumativi wachi;

- kuzvimba kunorwadza node nodes, axillary uye remuromo kunyanya;

- marwadzo majoini, hauna achiperekedzwa zviratidzo kuzvimba kana kuzvimba;

- vasingadzoreki wevasungwa uye ndangariro;

- kwazvo huro;

- zvakakomba hope mabongozozo;

- nomusoro.

chisingaperi kuneta chirwere, zviratidzo uye mabatiro inofarirwa varwere vakawanda, Hazvisi zvikuru kukurumidza dambudziko, saka vanachiremba vane ruzivo yakakwana nomazvo chirwere uye kugadzwa remedial matanho. Asi vose, mishonga ipfupi kuti sangano muviri, normalization kwadzinoita zuva, uyewo kushandisa mavhitaminzi uye zvicherwa. Bad tsika kurega, zvakare, uyewo kubva refu mari nguva pedyo TV. Asi, vajaire manheru kufamba yakachena mhepo.

Achitaura kunzwisisa kurapwa nyaya, ndiko kupa zvinhu zvaro zvinotevera:

- normalization zvevatakuri muzorore;

- achiitisa mazuva kutsanya uye kudya mishonga;

- aromatherapy uye masaja;

- kubviswa dzakasiyana-siyana chirwere zvirwere, izvo kuomesa kurapwa kwacho;

- kushandiswa medicaments, kana dzimwe nzira haagoni neutralize chetsinga urwere;

- physiotherapy uye hydrotherapy.

Kutaura zvinodhaka, zvinofanira kucherechedzwa kuti kana yakafanana nyaya akakodzera vari mapiritsi, sorbents, immunomodulators, uye nezvimwe zvinhu - antihistamines.

Zvinoumba TOUR neuropathy

Ndiyo imwe nzira chetsinga urwere, izvo zvinogona kuva tsime zvinetso zvakakomba. Musimboti wacho kunorira iyi nyaya mamota pasi ndechokuti, yakafanira kukuvadza kana nzwara kuti TOUR etsinga sezvine kuoneka mune repamusoro richiripo zviratidzo. Chinofadza ndechokuti dambudziko iri haitungamiriri kusingarapiki nemigumisiro. Izvi zvinoreva kuti vose zviratidzo zvinogona neutralized.

Zvikonzero nekukudziridza TOUR neuropathy, nyore. Tiri kutaura pamusoro maronda, mitswe, mavanga uye dzimwe zvokuimba kukuvadza, kwakaitika somuuyo compression pamusoro TOUR etsinga. Dzimwe nguva panguva kukuvadzwa tsinga pachayo haina kukanganiswa, asi mavanga aumba dzakwidzwa vomanikidza pake, uye nokuda kwechikonzero ichi pane kukanganisa mitambo. The pakuonekwa kwakadai neuropathy zvinogona kukonzerwa kunyange chisingaperi kukuvara tsinga hunde anokonzerwa chenguva vachidzipukuta pamusoro unopinza pamuuyo mudzira panguva kwenguva refu mutoro brushes. Kunwisa kumanikidzwa madondoro uye harnesses kungakonzera nokuvhiringidzirwa etsinga.

Zviratidzo TOUR neuropathy zvikuru yakajeka: muchanza eminwe yenyu hazvigoni Vanokunga uye ruramisa anowanzoita, chero bhurasho kufamba, uye kunyanya zvigunwe, kuva matambudziko. A voltage Tsandanyama kuti flex mumakwenzi sezvo tsandanyama fibers extensor honokono rwakatambanudzwa.

Kana anozviratidza sezvinoita zviratidzo, chinhu chokutanga kuita - ndiko kuti kumanikidza chitsamhura rake honokono uye chiningoningo nharaunda. Kukunda matambudziko akadaro Anonyanyowanika kushandiswa kuchinja nzira: kuti nzira B mavhitamini, Paraffin dzokugezera, zvemagetsi kurudziro uye masaja unyanzvi. Surgery rokudzorera mashandiro ari TOUR etsinga haawanzopiwi kushandiswa. Uye chokwadi, nokuti kunaya zvakakwana achafanira narwo kunzwisisa muviri mishonga.

Progressive chinonzi sclerosing polidistrofiya

dambudziko iri ane rimwe zita - Alpers syndrome. Musimboti chirwere ichi ipfupi kuti dhefisiti nesimba muviri makemikari. Polidistrofii zviratidzo kuoneka pane imwe mangwanani chaizvo zera, ave mutemo, ndiwo makore 1-2.

First kuoneka generalized kana zvishomanana nezvipusha, uye myoclonus, ndiro nemishonga anticonvulsant kurapwa. On nezvinetso regai kugumira ipapo. Uyezve kunonoka kunoratidzwa mumuviri uye psychomotor kukura, hypotonia, wakawedzera mudzira hunenge, spastic paresis, uye kurasikirwa unyanzvi kuti dzave vawana ambotaurwa. Hazvina zvakafanira kuti asava kunzwa kurasikirwa uye zvakaratidzwa, kurutsa, lethargy, budiriro hepatomegaly, jaundice uye kunyange chiropa kukundikana, riri nomazvo pasina nenguva kunokwanisa kukonzera rufu.

Panguva iyoyo, hatina asi vakava rakabatana hurongwa zvinobudirira Mabatirwo Alpers chirwere, saka vanachiremba kushanda mumatanho mumwe nomumwe chiratidzo. Zviri pachena kuti pasina achibatsirwa medic yokugamuchira chaihwo kuvandudza hazvibviri mune kusagadzikana uropi kwakadaro.

Shaya urwere - Dreydzhera

Pasi zita iri anovanza nevanhu vakawanda idambudziko chakakomba - vakawanda hurongwa atrophy. chirwere chakadai chakaitwa pakati chiitiko kuti murwere pakutsvaga chakakomba kukundwa vari autonomic tsinga. Kutaura zvazviri, ndizvo zvakanaka chisingawanzowaniki chirwere, kunokanganisa uropi cerebellum, uyewo zvinokonzera autonomic zvirwere uye parkinsonism.

A dzakasiyana izere zvinokonzera vakawanda hurongwa atrophy, vanachiremba havagoni asi kuzadzisa. Asi vane chiwanzo chokudavira kuti kwakadaro nokuvhiringidzirwa ari cerebellum iri midzi majini nhaka murwere.

Kana marapirwo, ipapo chinobudirira kukanganisa murwere nemamiriro anofanira kutanga kuva nechokwadi kuti zvakakosha kuti izvozvo chirwere Shaya - Dreydzhera pane zvimwe zvirwere vane zviratidzo zvakafanana (Parkinson, chirwere uye vamwe.). Musimboti mushonga ipfupi kuti neutralize zviratidzo. Zvakakwana kukurira zvinetso uropi basa rakadaro, vanachiremba havana kugona asi.

Danger Bruns urwere

Ndiyo imwe boka zviratidzo kuti vane ukama chetsinga syndromes zvakananga. Nechikonzero ezvinhu akadaro ndiye occlusion likvoroprovodyaschih nzira panguva chepfungwa mugero kana Magendie buri.

Kana tikafunga kuti chirwere Bruns kuburikidza prism pakati mukuru zviratidzo, mufananidzo uri zvinotevera: kufema kukundikana uye mwoyo zvazvingava, kurutsa, dzungu, kurwadziwa mumusoro, kurasikirwa pfungwa, ataxia, disruptions mune tsandanyama Kufambisa uye chakamira pakunodengenyeka zvine.

Attention zvinofanira kubhadharwa, uye ocular zviratidzo. Izvi tikaisa amaurosis, strabismus, ptosis, diplopia, uye achideredza cornea wanda. Mune zvimwe zviitiko, yakatarwa kuzvimba optic etsinga wayo unozotevera atrophy.

Somunhu kukamura uchishandisa kurapwa rinoshandiswa degitradatsiya, ventrikulopunktsiya uye siyana cardiac uye tonicity nevasori (caffeine, "Kordiamin" "Korglikon"). Zvichienderana chirwere algorithm inogona kutsanangurwa kuvhiyiwa.

Wernicke kuti encephalopathy

Magazini ino Neurology chakakomba zvakakwana. Rinogonawo kunzi "Gaye chirwere -. Wernicke" Kutaura zvazviri, tiri kutaura pamusoro kuvadza hypothalamus uye nemakore uropi. Chikonzero wakadaro kwacho kunogona kutsunga thiamine kushayiwa murwere. Zvinokosha kucherechedza kuti chirwere ichi chinogona kuva migumisiro udhakwa, vhitamini kushaikwa B1 uye zvachose chaiko kuneta.

Huru zviratidzo zvinosanganisira kuvhiringidzika, kushatirwa, havachanyatsogoni gwenya kufambisa, lethargy uye kuoma ziso netsandanyama. Nokuti yakarurama chirwere zvakafanira kuti chiremba-wetsinga.

Kuti neutralize matambudziko chirwere, vanachiremba zvinogoneka kuburikidza kutungamirira murwere thiamine kwemazuva 5-6. Hypomagnesaemia kana zvakakodzera kugadziriswa kugamuchirwa magnesium oxide kana sulfide.

Wright urwere

Izwi iri rinoshandiswa kurondedzera mubatanidzwa acroparesthesia mukurwadziwa ari pectoralis muduku, uye trophic zvirwere uye blanching mune dzakawanda minwe uye ruoko. nezvekufadza kwakadaro kuitika kana paine compression tsinga hunde dzacho brachial plexus nemidziyo axilla. Kazhinji pezvakaitwa akadaro mugumisiro kunonyanyisa kutapa pamusoro pafudzi tensioning pectoralis tsandanyama kuduku izvo zvinozoita runonditsikirira manzwiro nemidziyo ropa.

Wright chirwere kunorondedzerwa ne zviratidzo zvakadai akacheneruka mumvuri reminwe uye maoko, chiveve, uye avo zviratidzo kuzvimba. Asi kiyi ndiye kuratidzwa kurwadziwa chipfuva pamafudzi tsandanyama. Kazhinji ane simba pafudzi kutapa ari TOUR tsinga kufamba kweropa nokupera.

Syndrome kubatwa chete pashure differentiating kubva nezvimwe zvirwere zvakafanana. Kamwe kuongororwa zvakarurama unoitwa, rinogona kushandiswa dzakasiyana-siyana vasiri uye dzokurapwa kupindira. Mune zvimwe zviitiko, kuvhiyiwa achava akakodzera.

Things kuziva urwere Gerstman?

Musimboti chirwere ichi ipfupi kuti tinofanira kugara kuratidzwa nomunwe agnosia, Alexia, agraphia, autotopagnozii, uyewo kutyora dzidziso yakarurama-kuruboshwe. Kana kuparadzirwa pathological muitiro kune dzimwe cerebral cortex pachayo rinogona kuziva hemianopsia, kutsinga dzinouya aphasia uye astereogoziya.

Gerstmann chirwere wakabatana zvakananga dzinoparadza pezvakaitwa mu sangano nzvimbo rworuboshwe parietal akafukidza uropi. In mamiriro ichi, murwere haizorambi aoma kuziva muviri wake pachake. Izvi zvinoratidza pachayo iri kutadza kusiyanisa kurudyi kubva kuruboshwe. Vanhu vane chirwere ichi hazvigoni kuita nyore svomhu nokunyora, ukuwo vamwe pfungwa dzavo kushanda zvakanaka.

Igaroziva rakatumbuka hemiplegia

Uyu kunzwisisa inoparadza urongwa, izvo zvinogona kunokosha Migumisiro pamusoro muviri. rakatumbuka hemiplegia Ndivo mugumisiro musana kukuvara, uye imwe hafu uropi. dzimwe nguva Mapoka aya wagumburiswa zviratidzo dzechimwe pfungwa kukuvara kana murombo kuparadzirwa muuropi uye musana.

Vanachiremba nguva nenguva kuona rakatumbuka hemiplegia anotevera zvipenyu: hwakakanyiwa siyana kukuvara localization, bulbar, uye pedicellate Pontina. With nemhando zviratidzo zvakawanda kudaro kunogona kuva zvakasiyana chaizvo: kusanzwa, oculomotor uye pupillary nyonganyonga, rikwanise kukundikana poturalnogo kudzora disgeneticheskie chirwere, obstructive hydrocephalus, uye vamwe.

Rokuongorora inoti vakadaro Pakusarudza chaiyo nzvimbo yacho lesion localization uye nemiganhu yayo.

Panyaya kurapwa, sangano rake riri zvikurukuru novimba yakananga boka zviratidzo uye migumisiro nyanzvi nechirwere.

zvabuda

Dambudziko chetsinga syndromes chichikusvota vanhu vazhinji uye zvinosuwisa kwete nguva dzose vanachiremba vanokwanisa neutralize zvachose matambudziko chirwere. Nokuda kwechikonzero ichi, hazvina musoro kuti nguva nenguva chokudzivirira chirwere uropi uye tsinga ezvinhu, kuti tizive zvinetso zvinogona panguva padariro dzakavapo.