Wallenberg - Zakharchenko Syndrome: Cov tsos mob, kev kho mob

Wallenberg syndrome - Zakharchenko hu ua lub hlwb puas tsuaj vim muaj ib tug ua txhaum cai ntawm nws cov ntshav mov. Qhov no syndrome yog muaj npe nyob rau hauv Honor ntawm tus zaum uas piav txog nws yuav luag ib txhij. nws yog feem ntau hu ua lub dorsolateral medullary syndrome. Muaj kev mob nkees vim insultoobraznogo rear leeg thrombosis. Nws yog lub luag hauj lwm rau cov ntshav mov rau lub cerebellum.

Hauj lwm ntawm tus kab mob

Tus txiv neej tsis tshua muaj tsis nco thaum Wallenberg syndrome - Zakharchenko, tab sis muaj ceev tawm tsam ntawm Kiv tauv hau, uas provokes ib tug tsis tshuav nyiaj li cas, vim hais tias raug kev txom nyem cerebellar leeg.

Nyob rau hauv tas li ntawd, muaj ib tug ntsos los yog retching, raws li zoo raws li ib tug cov tsos mob ntawm me me stupefaction.

Nws yuav ua rau thrombosis atherosclerosis. Txawm li cas los, muaj mob endarteriita vertebral leeg, uas syphilitic ntaus los yog revmovaskulita.

Muaj yog ib tug qeeb tsis thrombotic los yog netromboticheskogo cim. Cov feem ntau cuam tshuam rau thaj tsam ntawm lub vertebral los yog basilar leeg.

Wallenberg - Zaharchenko syndrome muaj tshwm sim nrog lub sij hawm ntawm txoj kev txhim kho thiab deterioration nyob rau hauv kev noj qab nyob. Tab sis qhov no yog ib tug txheej txheem ntawm tus kab mob mob.

Zoo li syndrome yuav tshwm sim?

Nws muaj peev xwm tsim nyob rau hauv tsib variants. Nws kiag li nyob rau qhov twg nyob rau hauv lub center yog tus kab mob thiab dab tsi yog qhov kev soj ntsuam tej yam tshwm sim.

Xav txog syndrome hom nyob rau hauv ntau yam.

Lub ntsiab yam ntawm

Lub koom haum ntawm kev kawm txoj tib neeg lub hlwb, qhia hais tias cov tsos mob tshwm sim ntawm ib tug muab kev mob nkees:

• Horner lub syndrome ;
• dissociated mob nov ntawm nqaij tawv chaw nyob nyob rau hauv nruab nrab thiab caudal aav Zeldera;
• cerebellar gemiataksiya;
• tuag tes tuag taw ntawm cov nqaij ntshiv ntawm lub mos palate thiab vocal cords.

Rarer hom ntawm kev loj hlob

Yuav ua li cas lwm tus muaj peev xwm yuav Wallenberg - Zakharchenko syndrome? Muaj ib co tsis tshua muaj heev cov ntaub ntawv. Feem ntau ib tug tsawg dua feem uas yog tej Pons vim lub fact tias ntau retreats posterior ua tsis tau zoo cerebellar leeg.

Feem ntau qhov no hom ntawm tus kab mob yog cai manifestation ntxiv nta, muab faib ua ob pawg - muaj ib tug puas rau los yog xya paj.

Thaum nyob rau hauv tus txheej txheem ntawm lub cev qhuav dej tus Tsov tus tw feem nyob rau hauv lub medulla oblongata, tus tawm cerebellar leeg yog txo. Ipsilateral tuaj rau mob ib yam nkaus li uas cov thawj hom syndrome.

Feem ntau cov emergence ntawm tus ntoo khaub lig triplegii los yog hemiplegia. Yog li ntawd tshwm alternating Wallenberg syndrome - Zakharchenko.

Nrog lub yeej ntawm qhov chaw ntawm lub hlwb txha nqaj qaum kev ntawm lub trigeminal paj paus los yog tham txog lwm daim ntawv ntawm Wallenberg syndrome - Zakharchenko.

Nws yuav ua tau ib tug ua txhaum ntawm lub txoj uas yog lub luag hauj lwm rau qhov rhiab heev ntawm qhov opposite sab ntawm lub ntsej muag. Discordant hloov nyob rau hauv lub qaum rhiab heev nyob rau hauv lub ntsej muag uas ploj lawm. Xws li yog cov chaw uas yuav mus rau lub cheeb tsam Zeldera. Yuav npog lub ntsej muag gemigipesteziya nto nyhav. Muaj yog ib qho kev expansion chamber mob vim hais tias muaj xws li conductors rau lub thib ob sab ntsej muag. Nws yog tsiag ntawv los ntawm tib tej yam tshwm sim raws li hais tias ntawm lub thawj hom, tsuas yog xav paub ntxiv extensions.

Soj ntsuam tej yam tshwm sim ntawm lub syndrome

Yuav ua li cas yog cov ntaub ntawv nyob rau hauv no yog lub koom haum ntawm kev kawm txoj tib neeg lub hlwb? Nrog rau qhov no syndrome, muaj ntau yam ntawm cov tsos mob:

• tus txiv neej yog ib qho nyuaj rau nqos;
• Nws hais lus yog lawm;
• ib feem ntawm qhov muag palate yog tsis active;
• vocal cords phem txav;
• Horner syndrome tshwm sim;
• tshwm sim vestibular-cerebellar tej yam tshwm sim (khoob ceg taw, lub ob txhais tes, tus muaj zog co, tshuav nyiaj li cas lawm);
• kub los yog mob nyob rau sab nraud ntawm lub poob siab tsis tuaj kawm ntawv; ib tug mob taub hau rau cov cov sab los yog thoob plaws lub ntsej muag.

Yog li ntawd feem ntau pom Wallenberg - Zakharchenko syndrome.

Tag nrho cov kev soj ntsuam cov tsos mob tshwm sim vim lub fact tias cov posterior ua tsis tau zoo cerebellar leeg lawm. Txheej feem ntawm lub medulla oblongata yuav tuag raws li ib tug tshwm sim.

Namely suffers qhov chaw nyob qhov twg lub trigeminal paj (lub ascending thiab nqis beams sympathetic fibers).

kev kho mob

Hemorrhage yog tsis tuaj kawm ntawv ntau zaus tuag kab mob no yog tsis raug teeb meem. Tab sis yog tias tsis kho, nws muaj peev xwm tsim ib tug ntau yam ntawm lub neej-hem teeb meem. Yog li ntawd, yog hais tias tus saum toj no cov tsos mob yuav tshwm sim, ces txiav txim yuav tsum tau coj sai li sai tau.

Thaum Wallenberg syndrome - Zakharchenko nyob, qhov tseem ceeb heev functions ntawm lub paj hlwb yuav tsum tau stabilized, o ntawm cov ntaub so ntswg tshem tawm. Nws yog zoo dua mus nqa tawm manipulations nyob rau hauv thawj lub sij hawm tom qab tus nres.

Tsawg puas yuav manifest nws tus kheej yog hais tias tus pab tau muab nyob rau hauv ib tug raws sijhawm. Cov rov qab txheej txheem yuav muab qhov chaw yooj yim thiab sai sai. Nrog ntev-lub sij hawm tsis ua hauj lwm los muab kev pab muaj irreversible hloov, thiab qhov no, nyob rau hauv lem, provokes ib tug neeg xiam oob qhab.

Yog hais tias ntxhov ua tsis taus pa, koj yuav tsum pa txoj kev kho. Ua li no, thov ib tug daim npog qhov ncauj los sis cov neeg kho tshuab cua.

Dab tsi ntxiv uas koj xav tau?

Plawv muaj nuj nqi yuav tsum tau txaus siab, raws li tau zoo raws li mus sim mus rau stabilize cov ntshav siab los ua ib txwm theem. Tom qab tag nrho, mus rau lub syndrome ntawm Wallenberg - Zakharchenko feem ntau tau yog tawg. Ib tug neeg uas nyob rau hauv ib tug tas mus lub hauv paus muaj noj tshuaj kom txo tau lub siab.

Nyob rau hauv tas li ntawd, cov tshuaj mob glycosides thiab nitrates. Yuav kom normalize cov ntshav txhaws thiab nws cov thickness. Neuroprotective tiv thaiv lub hlwb hlwb. Los ntawm txoj kev tshwj xeeb cov tshuaj tshem tawm mob, so kom txaus cov leeg. Nws yog feem ntau kuj muab anticonvulsant thiab sedative tshuaj.

Wallenberg - Zakharchenko peb syndrome sib tham nyob rau hauv kom meej nyob rau hauv no tsab xov xwm.