Luvo Hypoglossal. Uviwo lwe-luvo hypoglossal

Abantu abangenalo uqeqesho lonyango, akunakwenzeka ukuba ukucinga into luvo hypoglossal. Kodwa kwezinye iimeko, le nkcazelo kuba kubaluleke kakhulu. Kukho eziliqela iingxaki leyo imoshe umgangatho wobomi ezinxulumene nolwimi kunye luvo hypoglossal. Makhe sihlolisise ngokweenkcukacha.

Kwathi malunga isakhiwo

izinto luvo Hypoglossal, okt emphakathini luvo neziphelo ulwimi nenkqubo luvo. Inika motor (efferent) luvo, esivumela inkqubo luvo ukulawula imisebenzi zolwimi kunye orbicularis oris kwezihlunu. I-luvo nesithandwa, iluphawu isibini weshumi luvo cranial. Ephuma sulcus anterolateral kunye nucleus yayo ibekwe ecaleni Oblongata Medulla.

luvo Oral hypoglossal ethumela la mandla kwaye inikeza umsebenzi eliphezulu, ephantsi, longitudinal, ezinqamlezayo kunye nezihlunu ulwimi nkqo. Unoxanduva ukuhanjiswa kwesilevu-zeelwimi, sublingual, zeelwimi kunye styloid kwizihlunu.

Indlela ukuqonda ugqirha. Meaning of ngokoMthetho

Njengokuba ulwazi kwi-luvo hypoglossal kancinci kunzima ukuqonda, izigulane azisoloko ukuqonda oko utsho ingcali. Ukuze siqonde uxilongo, kuyimfuneko ukwazi amagama:

1. Gemiglossoplegiya. Eli gama libhekisela ukushwabana kwisiqingatha ulwimi.
2. Laloplegi - isimo zobulima olupheleleyo ulwimi.
3. "Dysarthria". Uxilongo, aveze kukwaphula intetho uliciko. Slurred sikhatshwe imvakalelo kwezinto nendaba emlonyeni.
4. "Anartrija '- sifo, ecacisa gca ukuba intetho nokucacisa akunakwenzeka.

Le nkcazelo ifumaneka kwiimbali enxulumene luvo hypoglossal, kaninzi. ukubaluleka kwabo ukukhumbula.

Yintoni isigulane isikhalo

Ukuze ubone ugqirha, ubukhulu becala izigulane ukhalaze malunga ubuthathaka ulwimi. Zikufumana kunzima ukuthetha, kwaye maxa wambi nkqu ukuginya. Ngokuthe ngcembe, ingxaki ekhulayo, yaye ulwimi enambuzelayo mandundu. Isigulane usenokuvakalelwa ukuba 'umlomo ngokupheleleyo ipapa ", ngenxa apho intetho yakhe kunzima ukuyiqonda. Kwiimeko kakhulu, iyalahleka ngokupheleleyo.

ukuxilongwa kwezempilo

Ukuba abarhanelwa ezizodwa wambetha luvo hypoglossal, iimpawu iya kugqiba ngexesha uhlolo ngolwimi kwisisu ngomlomo. Into yokuqala ugqirha wacela ukuba anamathele ulwimi lwakhe. Musa ukumangaliswa, esi senzo elula singachaza ukuba kukho ingxaki esisiseko. Ugqirha uya kuba nako ukufumanisa abangaboniyo ubungakanani sifo. Ukuba luvo hypoglossal ayisebenzi, ulwimi kuphambuka ecaleni. Oku kubangelwa hypotonia izihlunu kwicala elinye. bonke ubuso umzimba ejonge ukushwabana kwaye lube alatyuzayo. Kodwa apha simele sikhumbule ukuba izigulane ezininzi ziyayiphikisa ngabom ulwimi ukuya kwagqirha ukuze akwazi ukukhangela ngcono kuyo. Ukuba kukho amathandabuzo enoba ulwimi random okanye mbulo Wakhanyela, usondeze isigulane ukuba bachukumise incam kwenyeke. Ukuba isifo ayikho, incam iya kuba embindini, ukuba uthe wambetha kwenzwa - asuswa ukuya kwicala elinye.

Ngaphandle ezinxaxhileyo Ugqirha kufuneka sinikele ingqalelo yoma kunye fibrillar twitching.

sisilonda esidumbileyoesingaphakathi mazwe ye-luvo hypoglossal uyaqapheleka nama-20% amatyala. Esi sifo baphathwe kakhulu yaye zingakhokelela ukugqibezela ukulahleka zentetho.

Iinketho isifo. peripheral

Enyanisweni, peripheral - yenzakala luvo, enxibe non-ukudumba endalweni. Kwimeko ye hypoglossal luvo kwesifo elinikiweyo yahlulahlulwe peripheral engundoqo neuropathy.

indlela Central kortikonuklearnyh kuchaphazela luvo. Le ngxaki ichaphazela uthinte, yaye kwasekwa kwimithambo- yeshumi cranial. Olu hlobo neuropathy lidla kudityaniswe iingxaki luvo yobuso. Ulwimi xa protruded kuphambuka ukuya kwelinye icala izitshanguba, njengoko engundoqo ye-luvo hypoglossal kungenxa ikhweyitha esahlukileyo. Yoma kunye fibrillar twitching anayenza.

Le nkqubo kufuneka amanyathelo aliqela. Ukuba luvo hypoglossal wambetha kuphela kummandla yesebe yangaphakathi, izihlunu achaphazelekayo kuphela umsebenzi lolwimi.

Ukuba sisilonda esidumbileyoesingaphakathi iqala ngezantsi uphumo ijelo elo luvo hypoglossal, ingxaki uchaphazela luvo edibene ameva wesibeleko. Oku kukhokelela ukuphazamiseka nokusebenza izihlunu ukuba ubambe kwingqula. Igwinya iya lutshintshelwe kwicala esempilweni.

peripheral neuropathy

ekukhubazekeni iyathamba i-luvo hypoglossal banesifo ukuba le nkqubo ichaphazela emqolo okanye isiqalo intracerebral. Oogqirha basebenzisa ibinzana elithi "paresis izihlunu ulwimi." Zombini ezi magama alingana. Amaninzi, esi sifo macala onke, kodwa ukuba kukho iinkozo ngezifo, ukuze abonakalise umonakalo kwezihlunu macala omabini. Ngosuku loviwo, le ngxaki yoma olubonakalayo ulwimi. Lolwabo ulahlekelwa luthambe, uba flabby kunye "Ndayishwabanisa". Ukuba ityala kakhulu, umzimba umsebenzi motor eyanele kakhulu.

Ukuba luvo hypoglossal liyachatshazelwa kwelinye icala elinye, ulwimi em- somlomo asuswa kwicala lomelele. Xa isigulane isihange ngaphandle ulwimi lwakhe, yena lususwa kwicala abachaphazelekayo. Ugqirha uyakwazi ukubona iingcangcazela fibrillar (twitching). Oku bedidekile ngamanye amaxesha kunye njengesiqhelo izihlunu ukudideka, nto leyo enokwenzeka kwi ombane lolwimi ngexesha eveleleyo. Ukuba ingcali waphawula le meko, kufuneka bacele isigulane ukuba imisipha ulwimi. Barr kwemisipha Normal kwenzeka, kunye fibrillar ahlale.

Ejulile luvo yenyukliya sisilonda esidumbileyoesingaphakathi uphawu eyongeziweyo kuba setyhula izihlunu yoma emlonyeni. Isigulana akanako ukwenza iintshukumo elula - ukuba babeke phantsi imilebe yabo ibe tight tube, impempe, umvumbo.

Xa paresis iyathamba umbutho bilaterally ofe isekelwe phezu ezantsi kwisisu ngomlomo. Intetho kunye nesakhono ukuginya phula kakhulu.

Izizathu ngokoyiswa ngumongo luvo hypoglossal okukhulu ngokwanele. Wokukhulula ixhaphakileyo:

• gravis;
• motor isifo neuron, okt ngokoyiswa -luvo mafutha ;
• siringobulbiyu;
• ipoliyo;
• iingxaki yegazi.

Chaza ngokweenkcukacha iimpawu izifo ezininzi.

Bulbar kunye pseudobulbar onedumbe

Unobangela sifo sisiba mandundu lokuqala isicwili angakwazi kwi uthinte, igazi flow kakuhle kwi Medulla Oblongata, imbonakalo yamathumba Isiqu polientsefalomielit, ngezifo noshowo, ukwenzakala, ukhakhayi isiseko.

Tags: cwaka kulo epiglottis, kwingqula kunye inkalakahla ethambileyo, ukutshintsha ilizwi, ukufelwa intetho enentsingiselo, ubunzima yokuginya (ukutya esingamanzi ingena impumlo), ukusilela sokuphefumla. iintshukumo ngo "kwisigxina cadaveric" fibrillar ulwimi twitching. Ukuba isebe abachatshazelwa luvo yobuso kunye trigeminal, lo masseter izihlunu yoma, kunye umhlathi asezantsi ijinga.

Pseudobulbar palsy ifana kakhulu bulbar, kodwa nobudlelwane le ukoyiswa korkovoyadernyh omabini la maqela. Kuchaphazela inani elikhulu luvo cranial, kuquka luvo hypoglossal, kukho ischemia lobuchopho. Iimpawu Ifakwe salivating iintshukumo reflex le amehlo, maxa wambi belila okanye ukuhleka, dementia sinciphise ubukrelekrele.

Iindlela isifo kwaye afumane unyango

Ugqirha uqhuba imbali yezonyango, yenza uhlolo olubonakalayo ukuqinisekisa uxilongo limisela CT okanye MRI ebuchotsheni. Oku kukuvumela ukuba unobangela ucinezelo le-luvo hypoglossal.

Naluphi na unyango enikwa emva kokuqinisekiswa kwesifo. Eyona njongo - nempembelelo entle sifo ngxabano. Self-iyeza akuvumelekanga!