Brown-Sequard syndrome. ezahlukeneyo kunokwenzeka le khosi

Abantu abaninzi badla iintlungu nezolo umva. izinto zabo kwatshintsha: esibuhlungu, isifo luvo nxamnye umonakalo luvo. Enye mpawu zinzima izifo ezinxulumene ne iqolo, Brown-Sequard yi syndrome.

Iluphawu ezimbaxa zombini ontununtunu motor nezifo ezibangelwa uthambo kukwenzakala nomnqonqo ubukhulu. Uluhlu ithi kunye nezifo apho syndrome lafunyanwa isela elo, mkhulu kakhulu. Oyena nobangela ephambili oluqhelekilyo livela umonakalo nokwenzakala umva, leyo zingafumaneka ngenxa yokuba uhlatyiwe, yaye ngenxa yokwenzakala amandla luhlaza. Amatyala xa Brown-Sequard syndrome usisiphumo kwingozi yemoto, nto leyo ebangele ukuba inkalo ukwaphulwa offset.

Kakhulu kangako, kodwa kwakukho amatyala na isenzeko sifo kukuba ngenxa yamathumba extramedullary, herniated idiskhi, epidulyarnoy hematoma, iposi nomqolo okanye ukwahlulwa kwemithambo vertebral. Kodwa esona sizathu - yinto intambo nokwenzakala spinal nje ngenxa yokwenzakala ngoomatshini.

Lichaza ezinye mpawu, zibangelwa yi-syndrome ikhankanywe apha ngentla. Ngoko ke, nguwo lowo yakudala zilandelayo. Kwicala le indawo sisilonda esidumbileyoesingaphakathi kuvela okanye paresis okanye ukushwabana imilenze yomibini. Kukho uvakalelo womelele nomsindo (ubunzima, uxinzelelo), kunye nokungabikho kwayo ngokohlobo antsi kummandla innervation uziziqwempu ukuba zonakele yi trauma. Kwicala oko kukuthi amanxeba icala, kukho ukunqongophala uvakalelo komhlaba (ubushushu, iintlungu)

Brown-Sequard syndrome ngasemva ngobuwena na ezi mpawu zilandelayo. Iimpawu kule meko kwabanye. Kwicala weziko apho kusenokubakho yaphula nobuzaza komhlaba kunye nezinye - ukukhubazeka kunye paresis. Brown-Sequard uphawu ekhoyo kuphela ecaleni ukonzakala (ukuphazamiseka iimoto, ukuphazamiseka yovakalelo).

Ngoko-ebizwa buso syndrome ngobuwena yohlukile ngasentla avela phantse akukho iimpawu okanye waphawula zonally kuphela.

Loo ezahlukeneyo izinto kunokwenzeka ngenxa, ngaphezu kwabo bonke, indawo kunye nemvelo (ngenxeba, contusion, nangezilonda ingqondo, iyabhiqiza epidurit, kukophula ejikeleza jikelele nomqolo) ukwenzakala.

Into ebalulekileyo izifo ezifana Brown-Sequard syndrome, kukuba ngokuchasene nentsukaphi utshintsho ngentla, novakalelo imisipha namalungu zombini. Le nyaniso ngokulula wachaza into yokuba iintambo engaphandle umnqonqo ayitshintshanga, ngenxa yokuba ubonelelo kwegazi lwenziwa ngokusebenzisa umthambo spinal.

Le ngasentla nazimpawu syndrome ka Brown-Sequard kuqinisekiswa ngokwezonyango kwaye ngokuphindaphindiweyo kuvandlakanywa yezonyango.