Bulbar syndrome: cov tsos mob, ua rau, kev kho mob

Bulbar syndrome hu ua bulbar tuag tes tuag taw - ib tug sublingual raug mob syndrome, glossopharyngeal thiab vagal cranial qab haus huv, lub nucleus ntawm uas yog nyob rau hauv lub medulla oblongata. Bulbar syndrome tshwm sim nyob rau hauv ob lub tsev (tsawg ntawm tug-ib tog) puas nuclei X, IX, XI thiab XII cranial paj, caudal mus rau lub hais txog pab pawg neeg thiab kos nyob rau hauv lub medulla oblongata. Nyob rau hauv tas li ntawd, kev puas tsuaj rau raug cov hauv paus hniav thiab paj yeej tsis pub dhau lub cranial kab noj hniav thiab tshaj.

Thaum bulbar syndrome tshwm sim flaccid tuag tes tuag taw ntawm lub caj pas nqaij, daim di ncauj, tus nplaig, mos palate, epiglottis thiab vocal cords. Cov tshwm sim ntawm no yog ib tug tuag tes tuag taw dysphagia (nqos tsis meej muaj nuj nqi) thiab dysarthria (ntxaug ntawm kev hais lus). Bulbar dysarthria yog yus muaj los ntawm tsis muaj zog thiab hollow suab, kom txog thaum lub teb aphonia, muaj twang thiab "plooj" suab. Hais tsiaj ntawv suab differing nyob rau hauv lub qhov chaw ntawm articulation (apicals, labial, velar) thiab ib txoj kev rau txoj kev (qhov, occlusives, mos mos, khoom) ua tib hom, thiab niam - tsis tshua distinguishable los ntawm txhua lwm yam. Hais lus nyob rau hauv cov neeg mob uas muaj tus mob ntawm "bulbar syndrome" slowed down thiab nkees heev cov neeg mob. Nyob rau hauv lub heev ntawm nqaij paresis thiab nws loj heev bulbar dysarthria syndrome tej zaum yuav ntiaj teb no, ib nrab los yog xim.

Cov neeg mob uas bulbar tuag tes tuag taw caj pas txawm kua zaub mov, raws li tsis tau tsim nqos Tsab ntawv tsa suab, nyob rau hauv loj heev zaum, cov neeg mob tsim mob ntawm mob ua si thiab kev ua pa rhythms uas feem ntau ua rau yus tuag. Yog li ntawd nws yog tsis tshua muaj ib qho tseem ceeb raws sij hawm thaum muaj xwm ceev kho mob rau cov neeg mob nrog rau qhov no syndrome. Nws yog los mus tshem tawm cov kev hem thawj rau lub neej thiab tom ntej kev thauj mus los rau ib tug tshwj xeeb tsev kho mob.

Bulbar syndrome yog tsiag ntawv los ntawm cov nram qab no cov kab mob:

- genetic cov kab mob, xws li Kennedy tus kab mob thiab porphyria;

- vascular kab mob (myocardial medulla);

- siringobulbiya, lub cev muaj zog neuron kab mob;

- inflammatory thiab kis kab mob (Lyme kab mob, mob Guillain-Barre syndrome);

- mob qog nqaij hlav (glioma, hlwb qia).

Lub hauv paus rau diagnosing bulbar tuag tes tuag taw yog tus qhia kom paub cov yam ntxwv tshwm sim los yog soj ntsuam cov tsos mob. Qhov tseem txhim khu kev qha txoj kev mob ntawm tus kab mob no muaj xws li electromyography cov ntaub ntawv thiab ncaj qha kev soj ntsuam ntawm lub oropharynx.

Muaj bulbar thiab pseudobulbar syndromes. Lub ntsiab sib txawv nruab nrab ntawm lawv cov lus dag nyob rau hauv lub fact tias cov pseudobulbar syndrome tuag tes tuag taw nqaij tsis ua atrophied, piv txwv li tuag tes tuag taw yog peripheral, tsis muaj fibrillary twitch nqaij ntawm tus nplaig thiab cov tshuaj tiv thaiv ntawm degeneration. Pseudobulbar tuag tes tuag taw yog feem ntau nrog los ntawm tsausmuag quaj thiab luag, uas yog tshwm sim los ntawm kev sib txuas lus tsis ua hauj lwm ntawm central subcortical ntshav thiab tawv. Pseudobulbar tuag tes tuag taw , tsis zoo li bulbar tsis ua apnea (cessation ntawm kev ua pa), thiab lub plawv atherosclerosis teeb. Nws yog cai nyob rau hauv ib tug ntau yam pauv loj diffuse hlwb txhab muaj vascular, mob, puas los yog intoxication genesis.

Bulbar syndrome: kev kho mob.

bulbar tuag tes tuag taw ntawm Kev Kho Mob yog tswj mas thaum xa rau lwm tus kab mob thiab raug mob zog yog tsis hnov lus. Yuav kom txhim kho nqos zog yog muab rau cov tshuaj xws li glutamic acid, Neostigmine, nootropics, galantamine thiab vitamins, thiab nyob muaj zog salivation - tshuaj atropine. Pub cov neeg mob no yog tsim los ntawm cov kev sojntsuam, piv txwv li, enterally. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum cai ntawm cov pa muaj nuj nqi yog muab rau ib tug lub tshuab ua pa.