Brown-Sequard syndrome. ezahlukeneyo olungenzeka course

Abantu abaningi bavame yansukuzonke iqolo. izimbangela zabo nhlobonhlobo: ukuhlukumezeka, isifo esithinta izinzwa ngokumelene ukulimala isimiso sezinzwa. Omunye ukubonakaliswa ezinzima kunazo zonke izifo ukuhlotshaniswa nobuhlungu emuva, Brown-Sequard kuyinto syndrome.

Lokhu kusho iziyaluyalu eziyinkimbinkimbi kokubili ebucayi kanye motor kubangelwa umgogodla cord yokulimala ububanzi. Uhlu uthi nezifo lapho lesi sifo sitholakala, mikhulu. Imbangela enkulu futhi esivame kakhulu lapho ivela khona kuyinto ukulimala emuva, okuyinto ingatholakala ngenxa kokugwazwa, futhi ngenxa blunt amandla ukulimala. Amacala lapho Brown-Sequard syndrome yisimo yi ngengozi yemoto, okwabangela isici ukwa nge-offset.

Kakhulu kangakanani, kodwa namanje kwakukhona amacala okuvela kuyo le sifo ngenxa izimila extramedullary, disc herniated, epidulyarnoy hematoma, infarction umgogodla noma ukuhlala ngokwahlukana we Umthambo vertebral. Nokho isizathu esiyinhloko - kuyinto umgogodla cord yokulimala ngenxa yokulimala lokukhanda.

Lichaza ezinye zezindlela, okubangelwa syndrome oshiwo ngenhla. Ngakho-ke, nguye yakudala okulandelayo. Ngakolunye uhlangothi indawo lesion kuphakama noma paresis noma ukukhubazeka kokubili imilenze. Kukhona ecasukile ukuzwela eqinile (isisindo, ingcindezi), futhi ukungabi yawo ngesimo ndikindiki endaweni innervation izingxenye ukuthi alinyazwa izinto ezivela ukuhlukumezeka. Ohlangothini okungukuthi izilonda okuphambene, kukhona ukuntuleka kwamanzi sensitivity (lokushisa, ubuhlungu)

Brown-Sequard syndrome nasemuva samuntu has izici ezilandelayo. Izimpawu kulokhu abanye. Ngakolunye uhlangothi le okuyinto ukubeka khona kungaba kokunikezwa kwe-ukuzwela surface kanye nezinye - ukukhubazeka kanye paresis. Brown-Sequard uphawu likhona kuphela ohlangothini ukulimala (motor neziyaluyalu, iziyaluyalu sezinzwa).

Lokho okubizwa ngokuthi i ngokwengxenye syndrome samuntu ihlukile ngenhla evelayo cishe akukho izimpawu noma waphawula zonally kuphela.

ezihlukahlukene okunjalo ukubonakaliswa kungenzeka ngenxa, ngaphezu kwakho konke, indawo kanye nemvelo (isilonda, contusion, izimila ebuchosheni, iqhubeka epidurit, ukwephulwa ukuzungeza jikelele we umgogodla) ukulimala.

Kuvele okufakiwe izifo ezifana Brown-Sequard syndrome, wukuthi ngokumelene isizinda lezi zinguquko ezingenhla, ukuzwela emisipheni nasemalungeni balondolozwa. Leli qiniso kalula wachaza iqiniso lokuthi ngamagoda engaphandle umgogodla ihleli, ngoba ukuthengisela wegazi Kwenziwa esebenzisa Umthambo umgogodla.

Okungenhla izimpawu yalesi sifo ka Brown-Sequard emtholampilo kwaqinisekisa futhi ziye ngokuphindaphindiwe ebonwe zokwelapha.