Dambudziko rinogona kuchinja chero nzvimbo muuropi. Chirwere chepfungwa chinowanzoita shoma duku asi chinogona kukonzera zviratidzo zvikuru.
Icho chinokonzerwa neuropi ndiyo inharaunda yeuropi iyo yemuviri uye inoshanda inobatanidza hupamhi hweuropi hunoita nehumwe muviri wose. Icho chiriwo nzvimbo yekudzivirira yehupenyu hwakawanda hunosimbisa hupenyu, hwakadai sekufema uye moyo wemirairo.
Utano hwehutano, sezvinoratidzwa mumufananidzo uri pamusoro, huri mukati mukati meuropi uye hunoenderera mberi kumusoro wemusoro, uko apo dhehenya uye musana unosangana.
Chirwere chepfungwa chinokonzera kukanganiswa kweropa mukati memakuta maduku ari kumutsipa neuropi, zvakadai semastery artery, kurudyi kana kuruboshwe mushure mekutsika kwepamusoro-soro tereti kana kuti kurudyi kana kuruboshwe. Zvimwe zvinokonzera chirwere chepfungwa chinokonzera zvakafanana nezvinokonzera shamhu mune dzimwe nzvimbo dzeuropi.
Zviratidzo
Chirwere chepfungwa chinogona kukonzera zviratidzo zvakawanda. Inogona kukonzera kukanganisa kana kukanganiswa kwepfungwa kune rumwe rutivi rwomuviri rwakatarisana nechekuvhiringidzika kwema brain brain. Inogona kukonzera maonero maviri nokuti kutarisa kwemaziso maziso ari mu brain brain. Apo rimwe ziso harigone kufamba pamwe chete nedzimwe ziso rinotarisa-kusakosha kwekufambisa kunokonzera maonero emifananidzo miviri. Chirwere chepfungwa chinowanzobatanidzwa nevadzidzi vasina kukwana .
Kutsiva kana kutinhira kwekunyorera kwakajairika neuropiyo yepfungwa nokuti pfungwa yekuenzanisa inochengetwa mu brain brain. Kusina kusvibiswa uye musana wemasimba simba rinogona kukonzera chimwe chemafungiro kuti asvike kana rumwe rutivi rwemuromo . Inogona kukonzera dambudziko richimedza , kutaura kusinganzwisisiki kana kuita kuti rurimi ruve rutivi kune rumwe rutivi.
Zvinogonawo kukonzera utera hwemapfudzi, kazhinji kuratidzirwa sekusakundikana kukanganisa zvakakodzera mapepa.
Chimwe chezvinhu zvinoratidza kusiyana kwehutano hwepfungwa kubva pakurwadza kwechirwere checerex ndiyo inosangana nekunzwa kwemaziso. Apo chirwere chepfungwa chinokonzera kukanganisa kwekunzwa kwechiso, chiso chinoputika kune rumwe rutivi sechirwere. Izvi zvinopesana nekurohwa kwechirwere checerex, chinokonzera kukanganisa kwenzwi kune rumwe rutivi rwechiso. Ichi ndicho chimwe chezvinyorwa zvinoshandiswa neurologist kuti aongorore chirwere che brain brain.
Mune zvimwe zviitiko, chirwere chepfungwa chinokonzera huccups.
Izvo zvinogona kukonzera kurasikirwa kwekuziva nekuda kwebongoti yebasa iri mumutemo wekufema uye mwoyo basa.
Brainstem Stroke Syndromes
Mamwe maitiro europiro anonzi syroromes anosanganisira kuunganidza kwezviratidzo zvinoratidzika zvisina kubatana zvinoitika pamwe chete nokuti hutungamiri hwavo huri mune zvidiki zviduku zve brain brain izvo zvinogovera ropa rimwe chete.
Kutukwa kweOndine - kunobata kufema kwekuzvidira nekuda kwechirwere chema medulla pasi
Webers syndrome-isvirati yepakati pebonde inokonzera kushaya simba kune rumwe rutivi rwemuviri pamwe chete nekushaya simba kwemajeri uye kusimba kwekufamba kwemaziso kune rumwe rutivi
Kuvharwa muhutano -kurohwa kunokanganisa pons uye zvinoguma mukuparara kwakakwana uye kusakwanisa kutaura, nekutadza kunzwisisa uye kukwanisa kutamisa maziso. Inogona kuguma kubva kune munyu usingawanzoiti uye kushandiswa kwemvura .
Wallenberg syndrome, inonziwo lateral medullary syndrome -characteristically causessensory kuperevedza kwechiso kune rumwe rutivi sekurohwa uye kushaya simba kwemuviri kune rumwe rutivi rwepakati, sezvakaratidzwa mumuenzaniso uyu.
Kuziva
Kuongororwa kwehupfungwa hwepfungwa kunoda kunzwisisa zvakakwana uye ruzivo nehutano hwepfungwa. Brainstem kurwadza kazhinji hakusi kuonekwa seuropi CT kana ubongo hweMRI semhiriro mune dzimwe nzvimbo dzeuropi.
Icho chinokonzera uropi hachina zvishoma uye zvinowanzova zvakaoma kufungidzira zvichienderana nefupa riri pedo rehenya uye chikamu chepamusoro chepona. Kazhinji chirwere chinokonzerwa neuropi chinoratidzirwa nechirwere chechipatara chinowanikwa nechirwere chekuongorora kwechipatara uye zvinogona kutora mazuva kusvika masvondo kuitira kuti kuchinja kuonekwe pane zvidzidzo zvekufungidzira - kuronganirana nekliniki yekuongorora.
Prognosis
Sezvakaita kurohwa mune dzimwe nzvimbo dzouropi, kufungidzira kwehupfungwa hweuropi husiyana. Dhiyabhorosi zviratidzo zvinowanzosvika pakuneta kwemaawa nemazuva achangobva kuitika kutanga kwekurohwa asati atanga kuporeswa . Kunyatsotarisa kuongororwa kwehutano uye kutarisirwa kunogona kubatsira kukurudzira kupora uye kuderedza urema kune mushure mehutachiona hwepfungwa.
Sources
Martin Samuels naDavid Feske, Office Practice of Neurology, 2 nd Edition, Churchill Livingston, 2003
Walter G. Bradley DM FRCP, Robert B. Daroff MD, Gerald M Fenichel MD, Joseph Jankovic MD, Neurology muChipical Practice, 4th Edition, Butterworth-Heinemann, 2003