Clinical Neurology
Back Clinical Neurology Tsigiro. El Paso, TX. Chiropractor, Dr. Alexander Jimenez anokurukura clinical neurology . Dr. Jimenez anopa ruzivo rwakanyanya rwekutsvakurudza kwakagadzikana kwezvinonyanya kuoma uye zvinowanzokanganiswa neurological kusanganisira misoro, chizivo, kushaya simba, kupera, uye ataxia. Izvo zvinotarisa zvichava pane pathophysiology, zviratidzo, uye kutarisa marwadzo maererano nekusuruvara nemamwe maitiro emagetsi, ane kodzero yekusiyanisa zvakakomba kubva kubenin pain pain syndromes.
Kutarisisa kwedu kwekiriniki uye zvinangwa zvedu ndezvekubatsira muviri wako kuzvirapa wega nenzira inokurumidza uye inoshanda. Dzimwe nguva, ingaratidzika senzira refu; zvisinei, nekuzvipira kwedu kwauri, chokwadi rwendo rwunonakidza. Kuzvipira kwauri muhutano ndiko, kusamborasikirwa nekubatana kwedu kwakadzama kune mumwe nemumwe wevarwere vedu murwendo urwu.
Kana muviri wako uine hutano hwechokwadi, unosvika padanho rako rekusimba rakakwana. Tinoda kukubatsira kuti urarame hupenyu hutsva uye huri nani. Kwemakumi emakore ekupedzisira e2 tichitsvaga uye nzira dzekuyedza nezviuru zvevarwere takadzidza zvinoshanda zvinobudirira pakuderedza marwadzo tichiwedzera simba revanhu. Kuti uwane mhinduro kumibvunzo ipi yaungave unayo ndapota fonera Dr. Jimenez pa915-850-0900.
by Dr Alex Jimenez Chiropractic , Clinical Neurology , Kutemwa nemusoro nekurapwa , Migraine , Migraines
Headaches zvinhu zvakasiyana-siyana zvehutano, uye vazhinji vanozvichengeta vachishandisa zvinokonzera kupisa, kunwa mvura yakawanda, nekuzorora, kana kungomirira kuti musoro uende uri woga. Sezvinei nenyaya, kuora musoro ndeimwe yezvikonzero zvakakurumbira zvekufurirwa kwehofisi.
Anenge anenge munhu wose achaona hutano pane imwe nguva muhupenyu hwavo. Kazhinji misoro haisati yakonzerwa nemamiriro ezvinhu akaoma kana akaipa. Zvisinei, vanhu vanonetseka kuti kana misoro inonzwa yakasiyana, ingave yakanyanya kunyanya, kunyanya inowanzoitika kana kuti isingaoneki munzira ipi zvayo. Asi, chinonyanya kunetseka ndechekuti musoro wepamusoro ungava chiratidzo chepfungwa yehutano, yakadai sechirwere chepfungwa.
Nyaya inotevera inokurukura musoro wemusoro kazhinji. Inotsanangura mhando dzakasiyana dzemusoro dzinogona kuitika uye dzinotsanangura izvo zvisingawanzoitika mamiriro ezvinhu apo musoro unogona kuva chiratidzo chechirwere chakakomba.
Mitemo yeMusoro
Musoro wepamusoro unogona kugoverwa sepokutanga, kana kuti unogona kuiswa sechipiri, zvichireva kuti iine chikamu-chechimwe cheimwe kukuvadzwa kana chimiro.
Mumwe nyanzvi yehutano anogona kazhinji kuziva kuti zvinokonzera sei misoro yako kubva pakutaura newe nekukuongorora. Kana vawana chikonzero iwe uchave nekukwanisa kusarudza nzira yakanakisisa yekurapa kwezviratidzo zvepfungwa dzako. Izvi zvinogona kusanganisira kushandisa zvinodhaka kana iwe uchinge wava nemusoro, kutora mishonga zuva nezuva kuti udzimise zvachose, uye / kana kunyange kumisa mishonga iwe watotora. Nenguva yakawanda, maziso anorwadza angada kuwedzera kuongororwa kuti atonge zvimwe zvinokonzera zvikonzero zvinokonzera. Chiropractic kuchengetedza uye kurapa kwepanyama zvinowanzoshandiswa kubatsira kubatsira kubata misoro. Pasi apa, tichakurukura maitiro akasiyana edzimusoro.
Primary Headaches
Mhando dzakawanda dzinowanikwa mumusoro, uye kure, ndezvemusoro wemusoro uye migraines.
Kupopotedzana musoro
Kushungurudza musoro musoro kunowanzoonekwa seboka rinopoteredza pahuma. Zvinogona kugara kwemazuva akawanda. Vangave vanopisa uye vasinganzwisisiki, asi havawanzovhiringidza kurara. Vanhu vakawanda vanogona kuramba vachishanda nekurwadziwa musoro musoro. Izvi zvinowanzova netsika yekuipisisa sezvo zuva rinopfuurira, zvisinei, hazviwanzo kuwedzerwa zvakanyanya nemabasa epanyama, asi hazvisi zvisinganzwisisiki kuti zvinyatsova nechiedza chakajeka kana ruzha.
Migraines
Migraines inowanikwawo mhando dzakasiyana-siyana dzemusoro. Chimwe chinonzi migraine chinorondedzerwa senzwi rekuputika. Musoro wemusoro unenge uri-wakagadzikana, musoro unoputika uye unorwadza musoro unoita kuti unzwe uchinetseka unowedzera kutora migraines uchienzaniswa nechinhu chipi zvacho. Migraines inowanzova yakaoma zvakakwana kuti isaremara. Vamwe vanhu vachada kuenda kundorara kuti varare pamatambudziko avo.
Cluster Headaches
Musoro wemusoro weCluster unorwadza musoro, dzimwe nguva unonzi "kuzviuraya musoro". Zvinowanikwa mumasumbu, kazhinji zuva nezuva kwemazuva mashoma kana zvichida masvondo. Ipapo vanopera kwemavhiki pamagumo. Aya marudzi emusoro haawanzoitiki uye anowanzoitika zvikurukuru muvanhu vakuru vanoputa. Izvo zvakanyanya, zvakagadzikana musoro, izvo zvinodzivisa zvikuru, zvichireva kuti vanorega kuita basa. Vanhu vanowanzotsanangura ivo sekutambudzika kwakaipisisa kwavakambonzwa. Musoro wemusoro weCluster unowanzo-mumwe. Varwere vanowanzova neziso rvuku tsvuku kune rumwe rutivi, mhepo inoputika yemhino uye maofiy eyelid.
Kusagadzikana Kupopotedzana musoro
Kurwara kwepfungwa kusingaperi (kana kusagadzikana kwemazuva ose) kunowanzokonzerwa nekushungurudzika kwemishumo mushure mehuro uye kunokanganisa vakadzi kakawanda kupfuura varume. Nzira dzisingagumi kuti dambudziko racho rinoramba riripo uye richienderera mberi. Iyi misoro inogona kukura nekuda kwekukuvara kwemutsipa kana kuneta uye inogona kuipa nekushandisa zvinodhaka / mishonga. Musoro unowanikwa anenge zuva rimwe nerimwe kwemavhiki e3 kana kupfuura anozivikanwa sechinhu chisingaperi chemazuva ese kana kuti kusingaperi kwemusoro wemusoro.
Mishonga-Kutora musoro Musoro
Mishonga-kunyanyisa musoro musoro kana mishonga-kukanganisa kunokonzerwa, inofadza uye inogara kwenguva refu musoro. Zvinounzwa nekutora painkillers zvinowanzoreva misoro. Zvinosuruvarisa, apo painkillers inotorwa nguva dzose nokuda kwemusoro, muviri unoita nekugadzira mamwe marwadzo masimba muuropi. Pakupedzisira, manzwiro ekurwadziwa akawanda zvokuti musoro unowedzera-uye musoro haugoni kuenda. Vanhu vane vane misoro iyi vanowanzotora nhamba inowedzera yevapiinkillers kuedza uye kunzwa zviri nani. Asi, iyo painkillers inogona kugara ichirega kushanda. Mishonga-kunyanyisa musoro misoro ndiyo chikonzero chinowanzoita chepamusoro wemusoro.
Musoro wemusoro / Musoro wepabonde
Musoro unobata musoro ndewe musoro unobatanidza nekuita muviri. Vanogona kukurumidza kukurumidza kutevera basa rakaoma sekukanganwa, kumhanya, nekuita zvepabonde, uye kushungurudza nekufamba kwemuviri. Ivo vanowanzosangana nevarwere vanewo migraines, kana vane hama dzine migraine.
Kushungurudza musoro kunobatanidza nepabonde kunonyanya kunetsa varwere Zvinogona kuitika sekuita zvepabonde kunotanga, pamusana, kana kutevera zvepabonde. Musoro wepamusoro pamusana unenge uri werudzi rwakakurumbira. Inowanzova yakaoma, kumashure kwemusoro, shure kwemeso kana kumativi ose. Dzinopera anenge maminetsi makumi maviri uye hazviwanzo chiratidzo cheimwe dambudziko rehutano kana matambudziko.
Kuve nemafungiro ehupombwe uye zvepabonde hazvisi izvo zvinoratidza kuti zvinetso zvakakomba zvepabonde. Nenguva pfupi, inogona kuva chiratidzo chokuti kune chidimbu chechiropa chinoputika pamusoro peuropi. Somugumisiro, kana vakanyorwa uye vachidzokorora, zvinonzwisisika kutaura pamusoro pavo nehutano hwehutano hwako.
Primary Stabbing Headache
Zvinonyanya kushungurudza musoro misoro dzimwe nguva zvinonzi "ice-sarudza musoro wemusoro" kana kuti "idiopathic stabbing headache". Izwi rokuti "idiopathic" rinoshandiswa navanachiremba kune chimwe chinhu chinouya pasina chikonzero chakajeka. Izvi ndezvenguva pfupi, kunyorera misoro inosuruvarisa uye yakaoma. Zvinowanzopfuura pakati pe5 ne 30 seconds uye zvinowira chero nguva yezuva kana usiku. Vanonzwa sokunge kuti chinhu chakakosha, sechitsva chechando, chiri kuramba chakaiswa mumusoro wako. Zvinowanzoitika mukati kana shure kwekunzwa uye dzimwe nguva zvinotyisa. Kunyange zvazvo vasiri migraines ivo vanowanikwa kune avo vanotambura nemigraines, inenge hafu yevanhu vanoona migraine vane kugona musoro kwepamusoro.
Vanowanzozvinzwa panzvimbo iyo pamusoro apo iyo migraines ine tsika yekuitika. Kunyanya kupwanya misoro yakanyanya kupfupika kutarisira, kunyange zvazvo migraine kudzivirira mishonga inogona kuderedza nhamba yavo.
Hemicrania Continua
Hemicrania inoenderera mberi isimba guru remusoro wezuva nezuva. Inowanzokonzera kurwadziwa kunoramba kuchienderera kune rumwe rutivi rweuropi. Zvinorwadza zvinowanzoenderera mberi nezvikamu zvekutambudzika kwakanyanya, izvo zvinogona kugara pakati pe20 maminitsi nemazuva mashoma. Muzviitiko izvi zvekutambudzika kwakanyanya kungave nezvimwe zviratidzo, zvakadai sokudiridza kana kubwinya kweziso, runny kana kuvharwa mumhino, nekunyorova kwemaofi, zvakakomberedza zvakananga rutivi rumwechete sezvinotyisa. Saizvozvowo kune migraine, kunogonawo kuve nekunzwisisa kuedza, kunzwa kurwara, sekunyunyuta, uye kurwara, sekurutsa. Musoro unenge usingaendi asi pane dzimwe nguva ungave usina kana musoro. Hemicrania inoenderera mberi misoro inopindura mushonga unonzi indometacin.
Trigeminal Neuralgia
Trigeminal neuralgia inokonzera kurwadziwa kwepiso. Marwadzo anoumbwa nekuputika kwemagetsi-kufanana nekunzwa chiso, kunyanya panzvimbo yemaziso, mhino, shisa, pepa, miromo kana mitezo. Inowanzova-yakagadzikana uye inowanzoonekwa kune vanhu vanopfuura makore 50. Inogona kuve yakakonzerwa nekubata kana kuti mhepo inopenya panzvimbo.
Musoro weChikonzero
Dzimwe nguva, misoro yepamusoro ine zvikonzero zvinokonzera, uye kurapwa kwemusoro kunosanganisira kubata chirwere chacho. Vanhu vanowanzotya kuti musoro wepamusoro unokonzerwa nekurwara kwakakomba, kana nehuwandu hwemhepo. Zvose izvi izvi zvinowanzoitika zvinokonzerwa nemusoro, kunyanya kuwedzerwa kweropa kunowanzokonzera zviratidzo munzira ipi zvayo.
Makemikari, Zvinodhaka uye Zvinhu Kuregererwa
Musoro wepamusoro unogona kuva nekuda kwechinhu, kana kuti kubviswa kwake, somuenzaniso:
Carbon monoxide, iyo inogadzirwa nemhepo inokonzera moto inenge isiri yakachena
Kunwa doro, nemusoro unowanzosangana nemangwanani akatevera
Kusakwana kwemuviri wemvura kana kupera simba
Musoro wemusoro nekuda kwekutaura kurwadziwa
Mimwe misoro inogona kukonzerwa nekurwa mune chimwe chikamu chemukoko, zvakadai senhamo kana dzino dzino, marwadzo mujaya pamwe nekurwadziwa mumutsipa.
Sinusitis inowanzokonzera musoro wemusoro. Zvivi "zvibhakera" mucheka zviripo kuti zvidzivise kuti zvirege kuva zvakanyanya kuti mutsipa uende kutenderera. Izvo zvakabatanidzwa nemakumbo emakumbo, zvakadai sedanda rehuni, uye izvi zvinogadzira masikiti mukupindura kutonhora kana kurwisa. Muchengeterwo weganda unobhururuka uye unogona kuvhiringidza mvura yakasviba kubva panzvimbo. Izvozvo zvinowanzoputika uye hutachiwana, zvichiguma nemusoro. Musoro we sinusitis unowanzotinzwa pamberi pepamusoro uye zvakare mumeso kana mazino.
Kakawanda chiso chinonzwa chinononoka kupesana, kunyanya pasi peziso kunze kwemhino. Iwe unogona kuva nemhino yakakosha uye kurwadziwa kunowanzoipa kana iwe ukakotama mberi. Acute sinusitis ndiyo iyo inouya nekukurumidza pamwe chete nechando kana kuti zvishoma nezvirwere. Iwe unogona kunge uine kutonhora uye ugoita huzhinji husemu. Chronic sinusitis inogona kukonzerwa nekurwisana, nekudzvinyirira vanonyanya kukura kana kuti neacute sinusitis isingagadziri. Zvivi zvinowanzova nehutachiona hwehutachiona uye mabhanhire emasina anoramba achibhururuka. Zviri mukati mechiberekero ichi zvingave zvakasviba asi kazhinji hazvina kutapukirwa.
Acute glaucoma inogona kukonzera misoro yakanyanya. Mumamiriro ezvinhu aya, kushungurudzika mukati maziso kunokwira kamwe-kamwe uye izvi zvinokonzera kushamisika, kuora musoro kwakanyanya kumeso kweziso. Kunyange ziso rinogona kunzwa rakanyanya kuoma kubata, ziso rakatsvuka, chikamu chepamberi cheziso, kana cornea, rinogona kuratidzika serakati uye maziso anowanzosvibiswa.
Ndeapi Musoro wemusoro unoparadza kana wakaoma?
Musoro wepamusoro wose hauna kufadza uye vamwe, vakadai sepfungwa kubva kumishonga inoshandiswa pakushandisa mishonga, vakanyanyisa mupfungwa yokuti kana vasina kutarisirwa zvakanaka vangasazoenda. Asi maziso mashomanana anoratidza zvirwere zvakakomba zvinetso. Izvi hazvishamisi, mune dzakawanda zviitiko zvisingawanzoitiki. Musoro unotyisa unowanzoitika kamwe kamwe, uye pakupedzisira unowedzera kuipa kupfuura nguva. Izvo zvinowanzoonekwa kune vakwegura. Zvinosanganisira zvinotevera:
Kubvongodza Pasi peBongo (Subarachnoid Haemorrhage)
Subarachnoid haemorrhage chirwere chakakomba chaizvo chinowanzoitika apo chiduku chiduku cheropa chinoputika pamusoro peupfungwa. Varwere vanokura musoro wakakomba uye musungo wakaoma uye vanogona kuva vasina kuziva. Ichi ndicho chinokonzera chisingaiti chekurwadza musoro.
Meningitis uye Brain Infections
Meningitis ine utachiona hwemashupu akakomberedza uye pamusoro pehuropi uye encephalitis utachiona hwehuropi pachake. Utachiona hwehutano hunogona kukonzerwa nemishonga inonzi mabhakitiriya, mavairasi kana marasita uye ivo vanoonga zvisingawanzoitiki. Zvinokonzera kusuruvara, kuporesa musoro musoro. Kazhinji, varwere vanogona kunzwa vanorwara kana kuti vachirutsa uye havagoni kutakura mwenje yakajeka, chimwe chinhu chinonzi photophobia. Kazhinji ivo vane musungo wakaoma, wakaomesera kune chiremba wako kuti ave nekwaniso yekukotamisa musoro kuitira kuti chigunwe chigunise chifukidzo, kunyange paunenge uchiedza kuporesa. Varwere vanowanzovawo vasinganzwisisiki, vachitaridzika, vanotambudzwa uye vose vanorwara.
Cell Giant Arteritis (Temporal Arteritis)
Giant cell arteritis (temporal arteritis), kazhinji, inongowanikwa kune vanhu vanopfuura makore e50. Iko kunokonzerwa nokuputika, kana kuputika, kwemasero ematemberi uye kumashure kweziso. Inokonzera bvudzi shure kwehuma, iyo inonziwo sechitupa musoro. Kazhinji mishonga yeropa pahuma iri nyoro uye munhu anoona marwadzo kubva pachiganda paanozora vhudzi ravo. Kazhinji marwadzo anowedzera kuwedzera nekucheka. Temporal arteritis yakaoma nokuti kana isingatariswi inogona kukonzera kurasikirwa kamwe kamwe kwemaziso. Kurapa kunobata steroid. Chido chekuchengeta idzi steroid inowanzoongororwa neGP kuburikidza nekuongorora ropa, uye inowanzodiwa kwemwedzi inoverengeka.
Brain Tumors
Uturu hwebongo chikonzero chisingawanzogadziriswa chepfungwa, kunyange zvazvo vakawanda varwere vane nguva refu, vane simba kana kuti vanoramba vachiita musoro vanotanga kunetseka kuti iyi ingava iyo chikonzero. Uturu hwebhondi hunogona kutungamirira kumusoro. Kazhinji kusuruvara kwehupombwe huripo pakumuka mangwanani, kwakaipa pakugara, uye kuwedzera kuwedzera muzuva nezuva, kusingagadziri uye kusambofa. Iyo dzimwe nguva inowedzera kuipa pakukanganiswa nekunyomba, sezvingaita sinus musoro musoro uye migraines.
Ndinofanira Kunyanya Kushushikana Nezve Musoro?
Kazhinji misoro haina musoro unokonzera chinokonzera. Zvisinei, vashandi vehutano vakarovedzwa kukubvunza pamusoro pezviratidzo uye zviratidzo zvinogona kuratidza kuti musoro wako unoda kuwedzera kuongororwa, kuti uone kuti hausi chinhu chakakomba.
Zvinhu zvinogona kuratidza kuna chiremba wako uye mukoti uyo musoro wako ungada kuwedzerwa kuongorora inosanganisira zvinotevera. Hazvirevi kuti misoro yako yakanyanya kana yakashata, asi inoratidza kuti chiremba wehutano angada kufarira mamwe maitiro kuti ave nechokwadi chokuti:
Iwe wakave nekukuvadza musoro musoro mumwedzi mitatu yapfuura.
Musoro wako unowedzera uye unofambidzana nekupisa kwepamusoro kana fever.
Musoro wako unotanga kusingatarisirwi.
Iwe wakagadzirisa matambudziko nekutaura uye kuenzanisa pamwe nemusoro.
Iwe wakagadzirisa matambudziko neyekuyeuka kwako kana kuchinja mumararamiro ako kana unhu pane kuwedzera kumusoro wemusoro.
Wakavhiringidzika kana kuvharwa pamwe chete nemusoro wako.
Musoro wako wakatanga pawakakoromora, kunyunyuta kana kuoma.
Musoro wako unonyanya kuipa kana iwe ugere kana kumira.
Musoro wako unobatanidzwa nemavhudzi matsvuku kana marwadzo.
Musoro wako hauna kufanana nechinhu chipi zvacho chawakambotarisana nazvo.
Iwe unenge usina kufungidzirwa kusuruvara pamwe chete nechisimba.
Iwe une hutachiona husina simba, somuenzaniso, kana une HIV, kana kuti uri mumuromo steroid mishonga kana immune suppressing drugs.
Iwe une kana wakave nerudzi rwekenza inogona kupararira mumuviri wose.
Dr. Alex Jimenez's Insight
Musoro wepfungwa inowanzosangana nehutano hwehutano hunoita huwandu hwehuwandu hwevanhu pasi pose. Kunyange zvazvo kakawanda, musoro unotsanangurwa kuti wakaita seumwe wakambotarisana nawo kare, ungangowanzova nehanya. Iko kune marudzi akawanda emusoro anokonzerwa nekukuvara kwakasiyana siyana uye / kana mamiriro ezvinhu. Semucherechedzo wehutano, zvinokosha kuti uwane hutano pakati pemhando dzisina kunaka kana dzengozi dzemusoro uye maitiro ezvinyorwa zvemusoro, kuitira kuti usarudze nzira yakanakisisa yekurapa. Nokunyatsoona hutano hwemusoro wemusoro wemurwere, zvose zvinokonzera uye zvinokanganisa mhando dzemusoro zvinogona kurapwa zvakakodzera.
tsananguro
Musoro wemusoro wakawanda, asi usina kufadza, haubatsiri uye unobata kune zvakasiyana-siyana zverapa, kusanganisira chiropractic kuchengetedza. Migraine, kushungurudzika kwemusoro uye mapiritsi-misoro yepamusoro inowanzozara. Ruzhinji rwevanhu ruchawana rimwe kana akawanda eaya. Kushanda chaizvo izvo zvinokonzera musoro wepfungwa chero ipi neipi kuburikidza nekukurukurirana nachiremba wako kazhinji ndiyo nzira yakanakisisa yekugadzirisa nayo. Zvinokwanisika kukudziridza chinoramba chiripo kana chisingagumi uye chinogara chiripo nekuswa kwemishonga uye / kana mishonga yawakatora kuti ubvise musoro wako. Chiremba wako anogona kukutsigira kuburikidza nemuitiro wekurega painkillers kana zvakadaro.
Musoro wemusoro ndewe, chaizvoizvo nguva dzose, chiratidzo chechirwere chakakomba kana chinotadza, uye misoro yakawanda inofamba iri yoga.
Kana uine hutano husingawanzoitiki kwauri iwe unofanirwa kukurukura nachiremba wako. Iwe unofanirwa zvakare kutaura nachiremba wako pamusoro pemisoro yemusoro inonyanya kuoma kana iyo inobata maitiro ako ezvisikwa, izvo zvinosanganiswa nezvimwe zviratidzo, zvakadai sekusungira kana kushaya simba, uye izvo zvinoita kuti iwe pachako unyatsopisa, kunyanya kana uri pamusoro pe 50 zera. Pakupedzisira, ramba uchitaura kune unyanzvi hwehutano paunenge usingaregi musoro wemusoro unovapo kwemazuva matatu kana kuti unova zvishoma nezvishoma.
Yeuka kuti misoro haifaniri kuitika kune vanhu vano:
Ita kuti mafungiro avo aite zvakanaka.
Idya kudya kwakakwana, nguva dzose.
Tora maitiro akaenzanisa.
Funga nezvekugadzirisa uye kumira mumatumbo.
Kurara pamitsipa miviri kana zvishomanana.
Inwa mvura zhinji.
Iva nehope dzakawanda.
Chero chinhu chaunogona kuita kusimudzira chimwe kana zvimwe zvezvinhu zvehupenyu hwako zvichavandudza hutano hwako uye kugara zvakanaka uye kudzikamisa huwandu hwemisoro yaunosangana nayo. Ita shuwa yekutsvaga kurapwa kwakakodzera kubva kune anokwanisa uye ane ruzivo rwehutano hwehutano mune chiitiko chemusoro wakakomba kusiyana nechero chinhu chawakamboona kare. Chiyero cheruzivo rwedu chinogumira kuchiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota inzwa wakasununguka kubvunza Dr. Jimenez kana kuti tibate isu pa 915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Zvimwe Zvinyorwa: Kubva Painini
Kutambudzika shure ndechimwe chezvikonzero zvakakosha zvikuru zvekuremara uye mazuva asina kukwana kubasa pasi rose. Sezvakangoitika, kurwadziwa kwekudzokera shure kwave kuchiitwa sechipiri chikonzero chikuru chechiremba chekushanyira, chakanyanya kupfurikidza nehutachiona hwepamusoro-kuporesa. Inenge 80 muzana yevanhu vanozoona rumwe rudzi rwemarwadzo emutsipa kamwechete kamwe chete muupenyu hwavo hwose. Iyo musana inorongwa yakaoma yakaumbwa nemapfupa, mafundo, magirasi nemasumbu, pakati pezvimwe zvinyoro zvishoma. Nemhaka yeizvi, kukuvadzwa uye / kana mamiriro ezvinhu akawandisa, akadai herniated discs , zvinogona kutungamirira kune zviratidzo zvekurwadziwa shure. Kukuvara kwemitambo kana kukuvara kwepamberi yemotokari kazhinji kunowanzokonzera kukonzera kurwadziwa, zvisinei, dzimwe nguva kufamba kwakanyanya kunogona kuva nemigumisiro inorwadza. Nenzira yakanaka, nzira dzakasiyana dzokurapa, dzakadai sechiropractic, dzinogona kubatsira kuderedza marwadzo shure kuburikidza nekushandurwa kwepelinha nekugadzirisa maitiro, pakupedzisira kunatsiridza marwadzo ekurwadziwa.
VIDEO
VIDEO
by Dr Alex Jimenez Cerebral Palsy , Clinical Case Reports , Uchapupu , Video
Robert "Bobby" Gomez akaberekwa aine cerebral palsy. Bobby anotsanangura manzwire aaiita seakaraswa, achikura aine hosha yacho, asi anotsanangura kuti anogona kuita zvakawanda sei kana asingazvidzwe. Nepo Robert Gomez achitsanangura kusaona zvipingamupinyi nekuda kwecerebral palsy, akatambura nemarwadzo uye kushomeka kwekufamba. Ndipo paakasarudza kutsvaga chiropractic kuchengetedza naDkt Alex Jimenez uye akawana rubatsiro rwakanyanya kupfuura zvaaitarisira. Kuburikidza nekugadziriswa kwemusana, kushandiswa kwemaoko, uye kurovedza muviri, Robert "Bobby" Gomez akawanazve kufamba uye akawana zviratidzo zvinorwadza zvishoma. Bobby anokurudzira Dr. Jimenez sechisarudzo chisina kuvhiyiwa che kurwadziwa shure uye inokurudzira vamwe kuti vazvidzidzise pamusoro pecerebral palsy.
Chiropractic Treatment For Cerebral Palsy
VIDEO
palsy chirwere chekufamba chisingaperi chinoonekwa muhuduku hwekutanga. Zviratidzo nezviratidzo zvinosiyana pakati pevanhu. Zviratidzo zvinowanzobatanidza kusarongeka zvakanaka, tsandanyama dzakaoma, kupera simba, uye kudedera. Panogona kunge paine matambudziko ekunzwa, kuona, kunzwa, kumedza, uye kutaura. Kazhinji, vacheche vane cerebral palsy havakunguruke, kugara, kufamba kana kukambaira sevamwe vana vezera ravo. Zvimwe zviratidzo zvinogona kusanganisira pfari uye matambudziko ekufunga kana kufunga, izvo zvinoitika muchikamu chimwe muzvitatu chevanhu vane cerebral palsy. Kunyange zvazvo zviratidzo zvingawedzera kuoneka mumakore mashomanana okutanga ehupenyu, matambudziko ari pasi haawedzere. Cerebral palsy inokonzerwa nekukura kusina kujairika kana kukuvadzwa kwenzvimbo dzehuropi dzinodzora kufamba, kuenzanisa, uye kumira. Kazhinji, matambudziko anoitika panguva yekuzvitakura; zvisinei, zvinogonawo kuitika panguva yekusununguka kana nokukurumidza mushure mokuberekwa.
Takaropafadzwa kuunza El Paso's Premier Wellness & Injury Care Clinic kwauri .
Nhandare yedu inoshandiswa uye inofunga nezvekukuvara uye yakakwana yekugadzirisa hurongwa. Nzvimbo dzedu dzekuita dzinosanganisira Wellness & Nutrition , Chronic Chronic Pain, Kukuvara Kwevanhu , Kutarisira Njodzi Kwemotokari, Kushanda Kushanda , Back Back Injury, Low Kudzorera Pain , Neck Pain, Migraine Headaches, Sports Kukuvara, Yakanyanya Sciatica , Scoliosis, Complex Herniated Discs, Fibromyalgia , Chronic Chronic Pain, Stress Management, uye Complex Injuries.
PaEl Paso's Chiropractic Rehabilitation Clinic & Integrated Medicine Center, isu tinonyanya kufunga nezvekurapa varwere mushure mekukuvara kunoshungurudza uye kusingaperi kurwadziwa syndromes. Isu tinotarisisa kuvandudza kugona kwako kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa mazera ese uye hurema.
Ndapota inzwa wakasununguka kunyoresa uye kugovera kana iwe wakanakidzwa nevhidhiyo iyi uye isu takubatsira iwe.
Mazvita & Mwari Komborera .
Dr. Alex Jimenez DC, CCST
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Kukuvadza Medical Clinic: Herniated Disc Kurapa & Kudzoreredza
VIDEO
by Dr Alex Jimenez Clinical Neurology
Mutemo we 4 we brainstem : nzira inonyoreswa yokunzwisisa brainstorm anatomy uye brainstem vascular
Mutemo we4 & Iyo Brainstem
Mutemo we4 inzira yakapusa kugadzirirwa kubatsira ofvadzidzi veeurology kurangarira maitiro eiyo brainstem uye nekudaro maficha eakasiyana maseru systemromes. Sevadzidzi vezvechiremba, isu tinodzidziswa zvakadzama anatomi yeiyo brainstem ine inovhiringidza nhamba yezvivakwa nemazita ekuda kuziva senge epamusoro colliculi, yakaderera maorivhi, akasiyana cranial nerve nuclei uye wepakati kureba kwenguva fasciculus. Muchokwadi patinoita ongororo yemitsipa isu tinoyedza mashoma chete ezvimiro izvi. Mutemo we4 unoziva izvi uye unongotsanangudza zvikamu zvehuropi hwatinoongorora kana tichiita ongororo yetsinga. Kuwanikwa kweropa kweiyo brainstem kwakadai kuti kune matavi eparamedia uye matavi akareba anotenderera (iyo anterior yakaderera cerebellar arteri (AICA), iyo posterior yakaderera cerebellar arteri (PICA) uye yepamusoro cerebellar arteri (SCA). mune medial (kana paramedian) brainstem syndromes uye kubviswa kwematavi akapoterera kunoguma ne lateral brainstem syndromes. Dzimwe nguva lateral brainstem syndromes inoonekwa mune imwe chete vertebral kuvharika. Iri pepa rinotsanangura nzira yakapfava yekubatsira mukunzwisisa kwe brainstem vascular syndromes.
Chero kuedza kwekuita kuti zvinhu zvive nyore, zvinokonzera njodzi yekuvhiringidza avo vanoda zvakadzama uye ini ndichikumbira ruregerero pamberi pevana vanotomistiri pakati pedu, asi kwemakore anopfuura 15 iyi pfungwa yakajeka yakabatsira vadzidzi vakawanda uye vagari vemo kunzwisisa, kazhinji kwenguva yekutanga, brainstem anatomy uye iyo inosanganisira kliniki syndromes inoguma.
In The Rule Of 4 Pane 4 Mitemo:
Kune zvivakwa zvina mu midline kutanga na M .
Kune 4 zvivako kune divi kutanga ne S .
Kune 4 inokonzera mitsipa mu medulla, 4 mumaponi uye 4 pamusoro pepons (2 mukatikatikati).
I4 motokari nuclei iyo iri pakati pepine ndeye iyo inoparadzanisa zvakafanana muC12 kunze kwe1 uye 2, iyo 3, 4, 6 uye 12 (5, 7, 9 uye 11 vari mumhepo inonzi lateral brainstem).
Kana iwe uchikwanisa kuyeuka mitemo iyi uye unoziva kuongorora hurongwa hwehutano, kunyanya kunetseka kwemitsipa , ipapo iwe uchakwanisa kuongorora brainstorm vascular syndromes nyore.
Mufananidzo 1 unoratidzira chikamu chepfungwa cheuropi, munyaya iyi pamwero we medulla, asi pfungwa ye4 yakatarisa uye 4 miviri yepamusoro inoshandawo kune pons, chete mishonga ye 4 inobatanidza ne midbrain vascular syndromes.
Izvo 4 Zvemukati Zvimiro & Iyo Yakabatana Yakakanganiswa Ndidzo:
The M iyo nzira (kana kuti korticospinal tract): contra contraalal weak weak arm and leg.
The M edial Lemniscus: contra lateral kurasikirwa kwekudengenyeka uye kugadzirwa kwepanyika musimba nemakumbo.
The M edial longitudinal fasciculus: i-interpnuclear nuclear ophthalmoplegia (kusagadziriswa kwemaziso ekupedzisira kumhino uye nystagmus mune ziso rakatarisana sezvainotarisa gare gare).
The M ntorus nucleus uye nerve: ipsalateral kurasikirwa kwenzara yakakanganiswa iyo yakakanganiswa (3, 4, 6 kana 12).
Iwo mana Ekupedzisira Masisitimu & Iyo Yakabatana Yakakanganiswa Ndea:
The S pinocerebellar pathways: ipsilateral ataxia yoruoko uye gumbo.
The S pinothalamic nzira: contra lateral kushandurwa kwekutambudzika uye kutonhora kunobata ruoko, gumbo uye kazhinji kasina.
The S nhengo ye-5th: kugadziriswa kwekurwadziwa uye kutonhora pane zviso mukupararira kweganda re 5th (iyi nucleus inoratidzika yakareba yakadzika inowedzera mumashure ekufamba kwepons kusvika mu medulla).
The S ympathetic nzira: ipsilateral Horner s syndrome, iyo yakasarudzika ptosis uye mudiki mudzidzi (miosis)
Idzi nzira dzinopfuura nehurefu hwese hweiyo brainstem uye dzinogona kufananidzwa nemaEmeridians ekureba nepo mitsipa yakasiyana siyana inogona kutaridzika seyakaenzana enharaunda . Kana iwe ukamisa panowanikwa meridians yehurefu uye kufanana kwenzvimbo kunosangana ipapo iwe wagadzira saiti yechironda.
Mufananidzo 2 unoratidza humwe hutano hwehutano hwehutano.
I4 Cranial Mitsipa MuMedulla Are:
9 Glossopharyngeal: ipsilateral kurasikirwa kwe pharyngeal sensation.10 Vagus: ipsilateral palatal weak.11 Mutsara wepamuviri: ipsilateral utera hwe trapezius uye sternocleidomastoid muscle.12 Hypoglossal: kushaya simba kwerurimi.
I12th mutsara weganda ndiyo inyanzvi yemagetsi mukatikati me medulla. Kunyange zvazvo 9th, 10th uye 11th mitsipa yemakumbo ine motokari, haisi kugovana zvakafanana muC12 (uchishandisa mutemo wedu) uye naizvozvo haisi iyo inodhonza mhepo.
I4 Cranial Mitsipa MuPons Ndiyo:
5 Trigeminal: ipsilateral kushandurwa kwekutambudzika, kutonhora uye kugadzikana kubata kumeso kumashure kusvika kune anterior zviviri zvezvitatu zveecalp nekudzivirira chikona chejaya.6 Abducent: ipsilateral kushaya simba kwekutora (lateral movement) yeziso.7 Buso: ipsilateral chiso chisina simba.8 Auditory: ipsilateral matsi.
I6th mutsara wegunha ndiyo inyanzvi yemagetsi mumaponi.
I7th inyanzvi yemagetsi asi inotakurawo nzira yekuravira, uye kushandisa mutemo we4 haina kuparadzanisa zvakaenzana ne12 uye naizvozvo haisi mutezo wemotokari uri pakati pekatikati. Chikamu chechivara chemuviri we 8th hachina kubatanidzwa kuitira kuchengeta pfungwa iri nyore uye kudzivisa kupesana. Nausea uye kurutsa uye vertigo kazhinji zvinowanzobatwa nekubatanidzwa kwezvipfeko zvekudzivirira mukati me lateral medulla.
I4 Cranial Mitsipa Pamusoro pePons Ndiyo:
4 Zvinyorwa: kwete mukatikati.5 Optic: kwete mu midbrain.6 Oculomotor: kusakundikana kutengesa, kushandiswa uye kupererwa kweziso rinenge riripo kana kuti pasina mudzidzi akawedzera. Ziso rakabuda uye zvishoma pasi.7 Trochlear: ziso rinotadza kutarisa pasi apo ziso rinotarisa mukati kumhuno.
I3rd uye 4th makumbo ane mitsipa ndiyo motokari yemagetsi mukatikati.
Nokudaro muhutano brainstyr syndrome ichabatana ne 4 M s uye yakakodzera motor cranial nerve, uye lateral brainstem syndrome ichabatana ne 4 S s uye kana 9 11th cranial nerve kana iri medulla, kana iyo 5th, 7th uye 8th cranial nerve kana iri mumaponi.
SYNDROMES (MEDAMEDIAN) BRAINSTEM
Ngatifungei kuti murwere wauri kuongorora ane chirwere chehuropi. Kana iwe ukawana ekumusoro mota neurone zviratidzo muruoko uye gumbo kune rimwe divi iwe unoziva kuti murwere ane medial brainstem syndrome nekuti mota nzira ndeye paramedian uye anoyambuka padanho re foramen magnum (kudzvanywa kwemapiramidhi). Iko kubatanidzwa kwenzira yemotokari ndiyo meridian yehurefu . Parizvino chironda ichi chinogona kunge chiri chero munzvimbo yepakati peiyo brainstem, kunyangwe kana kumeso kuchikanganiswa zvakare kunofanirwa kunge kuri pamusoro pemaponi epakati, padanho riri rechinomwe tsinga renucleus.
Iyo mota cranial nerve - izvo zvakafanana zve latitude inoratidza kana ronda racho riri mu medulla (12th), pons (6th) kana midbrain (3rd). Rangarira iyo cranial nerve palsy ichave iri parutivi kune rumwe rutivi rwechironda uye hemiparesis ichave yakabatana. Kana iyo medial lemniscus ikabatwawo ipapo iwe unowana kukanganiswa kwekupedzisira kurasikirwa kwekuzunguzika uye kugona mukati meruoko negumbo (iwo iwo mativi akabatwa nehemiparesis) semashure epamberi makoramu zvakare anoyambuka kumusoro kana pamusoro pechinhanho che foramen magnum chete. Iyo yepakati kureba fasciculus (MLF) kazhinji haina kukanganiswa kana paine hemiparesis sezvo MLF iri kudzoka zvakare mu brainstem.
Iyo MLF inogona kukanganisika mukuzviparadzanisa la lacunar infarct uye izvi zvinoguma ne ipsilateral internuclearuclear ophthalmoplegia, nekutadza kuburitsa (kufamba kumhino) yeziso rekupedzisira uye rinotungamira ziso nystagmus pakutarisa kumberi kune rimwe divi rakatarisana nechironda mu iro rinopesana neziso rekupedzisira. Dai murwere aibatanidzwa neMLF yekuruboshwe ipapo, pakakumbirwa kuti atarise kuruboshwe, kufamba kweziso kwaizove kwakajairika, asi pakutarisa kurudyi ziso rekuruboshwe raisazopfuura nepakati pepakati, nepo paine nystagmus mukati ziso rerudyi sezvo raitaridza kurudyi.
Mufananidzo 3 unoratidzira makiriniki ehutano hwehutano hwehutano hwepfungwa.
Zvakare tiri kufunga kuti murwere wauri kuona ane dambudziko rehutano hwepfungwa, zvichida ine chironda chepachiviri. The 4 S s kana maEmeridians ehurefu anozoratidza kuti urikugadzirisa nedambudziko repashure rehuropi uye iyo kunetseka kwemitsipa kana paradhiso yeparutivi inoratidza kuti dambudziko riri mu lateral medulla kana poneral pons.
Chimwe chepfungwa chinogadziriswa chinokanganisa chinokonzera kukonzerwa neatythatal ataxia yesimba uye gumbo semugumisiro wekubatanidzwa kwe S pinocerebellar nzira, contralateral kushandurwa kwekutambudzika uye kutonhora kushungurudzika nemhaka yekubatanidzwa kwe S pinothalamic nzira, ipsilateral kurasikirwa nemarwadzo uye kutonhora kunzwa kunobata chiso mukati mekupararira kwe S ensory nucleus ye trigeminal nerve (kubatika kwechiedza kunogona zvakare kukanganiswa nekubatanidzwa kwenzira yespinothalamic uye / kana seneti yekunzwa yeiyo trigeminal nerve). Iyo ipsilateral Horner s syndrome ine ptosis isina kukwana uye mwana mudiki (miosis) imhaka yekubatanidzwa kweiyo S ympathetic pathway. Izwi rune simba uye mafungiro anofanira kunge akafanana. Kubva ikozvino zvose zvatakaita ndezvekuona dambudziko rekupedzisira kwehutano hweuropi; kuburikidza nekuwedzera zvakakosha 3 zvinokonzera mitsipa mu medulla kana pons tinogona kuona nzvimbo iyi yeuropi.
I4 inokonzera mitsipa mumaponi ndeye: 5th, 6th, 7th uye 8th. Mutsara we6th ndiwo mutezo wemagetsi pakati pekatikati, iyo 5th, 7th uye 8th iri mumamiriro ekupedzisira emaponi, uye kana izvi zvichishungurudzwa pachava nehutachiona hwekusava nesimba, kushaya simba kwemapfupa emasterter uye pterygoid musungo (misumbu inozaruka uye kuvhara muromo) uye dzimwe nguva upsilateral matsi. Tsvina yakadai sey acoustic neuroma mu cerebello-pontine angle ichaguma nekutaura kwekutema, kutadza kwechiso uye kuora mwoyo kwekunzwa kwemaziso; ipapo inogonawo kunge ine rutivi rwechiropa neataxia kana ikanyanyisa ipsilateral cerebellum kana brainstem. Nzira inonzwira tsitsi inowanzoti yakadzika kuti irege kugadziriswa.
Kana pane zviratidzo zvezveral and the medial (paramedian) brainstem syndrome, zvino munhu anofanirwa kuongorora dambudziko re basilar artery, zvichida occlusion .
Muchidimbu, kana munhu achigona kuyeuka kuti kune 4 migwagwa mukatikati pekutanga achitanga netsamba M, 4 migwagwa muhutachiona hwehutachiona hunotanga netsamba S, pasi re 4 mutsara wemvura uri mu medulla, pakati pe4 cranial nerve mumaponi uye yekutanga 4 miviri yepamusoro pamusoro pemaponi ne 3rd uye 4th mukatikatikati, uye kuti mitsara ye 4 iri mukatikati mechina ndeye 4 iyo inoparadzanisa zvakafanana mu 12 kunze kwe1 ne 2, iyo 3 , 4, 6 uye 12, zvino zvichave zvichigoneka kutsvaga brainstem vascular syndromes ne pinpoint yakarurama.
P. GATES
Chipatara cheGeelong, Barwon Health, Geelong, Victoria, Australia
References
1 Chitsauko 7. Neurology. Muna: Williams PL, Warwick R, Dyson M, Bannister LH, eds. Grey Anatomy, 37th edn. Edinburgh: Churchill Livingstone; 1989; 860 1243.
by Dr Alex Jimenez Chiropractic , Clinical Neurology , Mishonga
Vanachiremba, neurologists, uye vamwe vashandi vehutano vanogona kugara vachitora chirwere chengwaru chekuongorora sechikamu chekuongorora kwehuroyi kuongorora kushanda kwe kunetseka kwemitsipa . Izvi zvinosanganisira zviongororwa zvakasiyana-siyana zveongororo dzinoongorora mamiriro ega ega ega. Chirwere chepfungwa chinokanganisa chinotanga nekucherechedza murwere zvichida nekuda kwekuti mutsara wesimbi ane mutsara ungaguma wakanganisa kuenzana kwechiso kana meso, pakati pezviratidzo nezviratidzo.
Iwo anoonekwa maseru ezveurusu maronda kana nystagmus inoedzwa kuburikidza nekuongororwa kweakanyanya kufamba kwemaziso. Kunzwa kwechiso kunoedzwa nekukumbira varwere kuti vaite mafambiro emeso akasiyana, sekukwazisa matama avo. Kunzwa kunoedzwa kuburikidza nezwi uye kugadzirisa maforogo. Chinzvimbo chekuvhurwa kwemunhu chinoongororwa zvakare nekuti asymmetry mukuiswa kwayo inogona kuratidza chironda cheiyo glossopharyngeal nerve. Mushure mekugona kwemunhu kushandisa mapendekete ake kuyedza tsinga yekuwana (XI), rurimi murwere mashandiro anowanzoongororwa nekuona akasiyana erurimi mafambiro.
Kukuvadza kana Kukuvadzwa kweMakumbo Akaoma
Kudzvinyirira
Nzira dzemawere dzinogona kuomeswa pamusana pekuwedzera kudzvinyirira, kushanda kwakanyanya kwema-intracerebral haemorrhage, kana kuti chirwere chinopesana nemisungo ine simba uye chinopesana nekukurukurirana kwemafungiro pamwe nekureba kweropa. Mune zvimwe zviitiko, kurasikirwa kwehutano hwehutano humwe hunoita humwe nguva hunova chiratidzo chekutanga cheganda risina tsvina kana ganda.
Kuwedzera kwekumanikidzika kunogona kukonzera kusagadzikana kwemagetsi anonzi optic (II) pamusana pekumanikidzwa kwemitsipa yakakomberedza uye capillaries, zvichiita kuti kuvhara kweziso reziso, rinozivikanwa sepapilloedema. Kenza, yakadai seop opoma glioma, inogonawo kukanganisa chirwere chinonzi optic (II). Chirwere chinoputika chinogona kukonzera maturakiti optic kana optic chiasm yemagetsi (II), zvichikonzera kurasikirwa mumunda. Chirwere chinokonzera chirwere chinogonawo kuwedzera mumuviri weva cavernous, kukonzera hutachiona hweiyo (III), chirwere chetrochlear (IV) uye kubvisa mutsara (VI), kazhinji kunotungamirira kune kaviri-maonero uye tsvina. Izvi zvinokonzera mitsipa zvinogonawo kugadziriswa nekuchekwa kwehupfumi hwemukati hwehuropi kuburikidza nehutumbwe hwemhepo.
Chikonzero chetaturiki neuralgia, uko rumwe rutivi rwechiso chinosangana nezviratidzo zvinorwadza uye zviratidzo, zvinotendwa kuti ndezvikonzero zvekumanikidzwa kwenzara yechipfuva neyeri kana musungo unobuda kubva muuropi uhwu. An acoustic neuroma, kunyanya pamagetsi pakati pepons uye medulla, inogona kudzvinyirira mutsara (VII) uye vestibulocochlear nerve (VIII), zvichiita kuti inzwa uye kurasikirwa kweropa kune rumwe rutivi rwakawirwa.
Kurohwa
Kuvhiringidza kwemitsipa yeropa iyo inopa mitsipa yakaoma kana nuclei yavo, kana chirwere cheschemic, zvinogona kukonzera zviratidzo nezviratidzo zvinogona kuona nzvimbo iyo chiitiko chakaitika. Chivharo muropa mumidziyo inodonha cavernous sinus, inozivikanwawo se cavernous sinus thrombosis, inogona kukanganisa oculomotor (III), trochlear (IV), uye maawa opthalamic emhando yezvirwere (V1) uye kubvisa mitsetse (VI ).
Kupisa
Kuvhiringidzika kunokonzerwa nehutachiona kunogona kukanganisa kushanda kweiyo ipi zvayo inotyisa. Kurwara kwehutano hwepiso (VII), somuenzaniso, kunogona kuita kuti Bell ave nepfungwa. Multiple sclerosis, chirwere chinoputika chinogona kukonzera kurasikirwa kweheelin myelin iyo inopoteredza mitsipa yakaoma, inogona kukonzera zviratidzo zvakasiyana-siyana zvekuchinja uye zviratidzo izvo zvingaguma zvinokonzera maitiro akawanda ekugadzikana.
mwe
Kutambudza kune dhehenya, chirwere chefupa sechirwere chePaget, uye kukanganisa kana kukuvadzwa kune mitsipa yakaoma kuburikidza neuroseurgery, nenzira yekufananidzira, kuburikidza nehutapwa kubviswa, ndeimwe mimwe inokonzera kukonzera kwehutano hwehutano hwehutano.
Dr. Alex Jimenez's Insight
Pane 12 mapaundi emakumbo anokonzera anobuda muuropi, imwe kumativi ose. Iyi mitsipa yakawanda inonzi uye yakaverengwa (I-XII) maererano nenzvimbo yavo muuropi pamwe chete nemabasa avo mumutumbi. Mamiriro akajairika, akadai sa multiple multiple sclerosis, anogona kukanganisa imwe kana kuti mamwe ematambudziko anokonzera, anokonzera kusakosha kwematunhu chaiwo asina kukodzera. Zviratidzo nezviratidzo zvinosangana nehutano hwehutano zvine hutano hwakanaka hunogona kubatsira vashandi vehutano vanoziva kuti chii chinokonzera dambudziko. Kuedza mitsipa yakaoma kunosanganisira matanho akawanda kuitira kuti uve nechokwadi chekuti basa remuviri womunhu rakagadziriswa sei.
Chirongwa cheKliniki Zvinorehwa neCranial Mitsipa
Kazhinji kazhinji, vanhu vanotenda kuti vane gumi nemaviri maviri emitsipa yakaoma iyo yakagoverwa nhamba dzeRoma I-XII yekuzivikanwa. Kuwanda kwemitsipa yakakonzerwa yakarongeka pane zvavanotanga kubva muuropi, kana kubva mberi kuenda kumashure kwe brain brain. Izvi zvinosanganisira: mutsara unoratidzira (I), chirwere chemaziso (II), nerve ye oculomotor (III), mutsara unonzi trochlear (IV), chirwere chetatu (V), chinoderedza mitsetse (VI), mushupa wechipfu (VII ), chirwere che vestibulocochlear (VIII), chirwere che glossopharyngeal (IX), vagus nerve (X), chirwere chekuwana (XI), uye nhengo yei hypoglossal (XII). Pasi apa tichaderedza chiremba chechirongwa chemashoko emakumbo.
Olfactory Nerve (I)
Nerve yakasimba (I) inotaura manzwiro ekunhuhwira kuuropi. Zvipembenene zvinokonzerwa neasmia, kana kurasikirwa kwerudzi rwekunhuhwirira, zvakagara zvatsanangurwa kuti zviitike kuburikidza nekushungurudzika, kukuvara kana kukuvara kumusoro, kunyanya mune zvakaitika apo murwere anorova kumashure kwemisoro yavo. Mukuwedzera, mazamu emapuranga, mapfupa, uye SOL akabatanidzwawo nekurasika kwekunzwa kunhuwa. Vashandi vezvehutano vakamboona kuti kurasikirwa kwekunzwa kunhuhwira ndeimwe yezviratidzo zvekutanga zvinowanikwa muAlzheimer's and early dementia patients.
Vashandi vehutano vanogona kuedza basa rehutano husina simba (I) nekuita kuti murwere asunge meso avo uye avhare chino imwe panguva imwechete kuitira kuti vafemedze kunze nemumhino dzavo vachiisa chinhuhwira pasi pemhino uye vachivafema. Chiremba achabvunza murwere, "Unonzwa kunhuhwira here?", Uye nyora zvawanikwa. Izvi zvinongororwa kana chirwere chiri kushanda zvakakodzera. Kana murwere achiti hongu, chiremba achazobvunza murwere kuti aone kunhuhwirira. Iyi iyi miedzo kana kuti nzira yekugadzirisa nzira, inozivikanwa sekuti temporal lobe, iri kushanda maererano.
Optic Nerve (II)
Iko tsvina yepamusoro (I) inotaurira ruzivo rwekuona kune retina. Zvipembenene kune mutsara uyu unogona kuva mugumisiro weCSS chirwere, chakadai seMS, kana CNS tumorumusi uye SOL. Nyaya dzakawanda dzehutano dzakabatanidzwa nehutarisiro hunobuda kubva pakunetseka kwakanyanya, zvirwere zvemagetsi kana zvipembenene. FOV yakarasika mumhepo inogona kuratidza zvakare kuti SOL inogona kunge ichikanganisa optic chiasm, kusanganisira tumarara yepituitary.
Mumwe nyanzvi yehutano anowanzotedza basa remagetsi (ii) nekubvunza kana murwere achigona kuona. Kana murwere achirondedzera kuva nechiratidzo muziso rimwe nerimwe, chirwere chemaziso chinoshanda. Vanachiremba vanogonawo kuita zviratidzo zvekuona zvakajeka vachishandisa Snellen chati, yekutanga ziso pane imwe nguva, ipapo maziso maviri pamwe chete, kana kuti vanogona kuedza kureva maonero ekuona. Kuyera kwekuona zviratidzo kunowanzobatanidza chati yeRenenbaum, yekutanga ziso pane imwe nguva, ipapo maziso maviri pamwechete. Zvimwe zvinoshandiswa kuenzanisa kuongorora kwekuona zvirongwa zvinogona kusanganisira, ophthalmoscopic kana funduscopic kuongorora, iyo inotarisa uwandu hweA / V uye mishonga / hutano hutano uyewo kuongorora kapu yekudhinda chiyero chekuona. Mimwe nzira yekuedza inosanganisira munda wekuona maonero, intraoccular pressure test uye iris shadow test.
Oculomotor Nerve (III), Trochlear Nerve (IV), uye Abducens Nerve (VI)
Ioculomotor nerve (III), chirwere chetrochlear (IV), iyo inoderedza mitsetse (VI) uye kupatsanurwa kwemafupa emitambo yezvirwere (V1) inotenderera kuburikidza ne cavernous sinus kusvika kunzvimbo yakasvibiswa yepamusoro, ichibuda kunze kwegheta mumugwagwa . Izvi zvinokonzera mitsipa inodzora zviduku zviduku zvinokonzera ziso uye zvinopawo kushaya kwekunzwa kwemaziso kune ziso uye kumativi.
Chirwere chemakiriniki che oculomotor nerve (III) inosanganisira diplopia, lateral strabismus (isina kukanganiswa lateral rectus m.), Kutenderera musoro kubva kune rumwe rutivi rwechirwere, mwana wechidiki (unopposed dilator pupillae m.), Uye ptosis yejeridi ( kurasikirwa kwebasa reruvhero palpebrae superioris m.). Zvipembenene kune oculomotor nerve (III) zvinogona kuitika nekuda kwezvirwere zvinoputika, zvakadai se syphilitic uye tuberculous meningitis, aneurysms yeperior post cerebral kana kupera kwepamusoro aa, uye SOL mumusana we cavernous kana kuti kubvisa chibvumirano chechirema kune rumwe rutivi. Kuedza ruzivo urwu runoshandiswa kuburikidza nekufambisa chiedza pamberi pomudzidzi wegwere kubva pachidimbu chekupedzisira uye kubata kwemashure 6. Chiremba anofanirwa kutarisa zvakananga (ispilateral eye) uye kubvumirana (ziso rekudzivirira) pupillary constriction kuitira kusiyanisa kusagadzikana kweanculomotor nerve (III).
Chirwere chechirwere chetachiona chinonzi trochlear mutezo (IV) chinoratidzwa apo murwere anopa diplopia uye kunetseka paanoramba achidzika pasi, kazhinji achigunun'una nezvekutambudzika paanenge achidzika pasi pamatanho, zvichiita kuti awedzere kutamba uye / kana kuwira, achiteverwa nokupambwa kwe rakavhiringidza ziso (risingatauri pasi pfupi oblique m.) uye musoro wakanamatira kune rumwe rutivi rusina hanya. Zvipembenene kumutsara we trochlear (IV) zvinowanzova chikonzero chezvirwere zvinoputira, aneurysms yeperior post cerebral kana cerebellar yapamusoro aa,, SOL muine cavernous sinus kana kukonzera mhando yepamusoro uye kusanganisa kushandiswa panguva yekuita mishonga. Musoro unotenderera kune zvakanyanya oblique palsy (CN IV kusakwanisa) inogonawo kuonekwa.
Chirwere chemakiriniki chinoderedza mutsara (VI) chinosanganisira diplopia, kushungurudzika kwemashure (kusinganzwisisiki rectus m.), Uye kutenderera musoro kune rumwe rutivi rwechirwere. Zvipembenene kune mutsara uyu unogona kuva nemigumisiro yeinerysms ye posterior yakaderera cerebellar kana basilar aa., SOL mu cavernous sinus kana 4th ventricle, yakadai semakumbo emakumbo, fractures of the posterior cranial fossa, uye kuwedzera kudzvinyirira. Kuedza mutsara uyu unopedzerwa kuburikidza nekuongororwa kweH-Pattern, uko nyanzvi yehutano ichaita kuti murwere atevere chinhu chisina kukura kupfuura 2 inches. Zvakakosha kuti chiremba atevere mitemo iyi yakadai semurwere anogona kuva nezvinetso kutarisa zvinhu zvakakura kwazvo, zvakare zvakakosha kuti chiremba arege kubata chinhu ichocho pedyo nemurwere. Kutendeuka uye kuongororwa kwekugara kunowanikwa nokuunza chinhu pedyo nebhurogi remhino yemurwere uye kudzoka kunze kwe2 nguva. Chiremba anofanira kutarisa pupillary constriction response pamwe nekushanduka kwemaziso.
Trigeminal Nerve (V)
Nzira yeutatu (V) yakagadzirwa nezvikamu zvitatu zvakasiyana: The. Panoiswa pamwe chete, mitsipa iyi inopa kunzwa kweganda rechiso uye rinodzora misumbu ye mastication, kana kucheka. Kushandiswa kwepfungwa dzisina kukodzera pane chero zvikamu zvakasiyana zvakasiyana-siyana zvehutatu (V) zvinogona kuratidza sechimiro chechirwere chinokonzerwa nechepakati chechironda, kurasikirwa kwekunzwa pamwe nekugoverwa kweV1, V2, neV3, uye kurasikirwa kwekromneal reflex. Zvipembenene kune hutatu hwemajeri (V) zvinogona kuva nemigumisiro yeinormsms kana SOL inokonzera pons, kunyanya matumire pamakona e cerebellopontine, kuputika kwetsanga pamasana emasikati kana kutyiswa kweforamen ovale, uye Tic doloureux, kazhinji inonzi inotenderera neuralgia, inoratidzwa nemarwadzo anorwadza pamwe chete nekugoverwa kwezvikamu zvakasiyana zvehutatu hwemitambo (V). Vanachiremba vangashandisa analgesic, anti-inflammatory kana contralateral stimulation kuti varware zviratidzo nezviratidzo.
Kuedza hutatu hwemitsipa (V) kunosanganisira kurwadziwa & kuyedza kwekubata-bata padivi peiyo ophthalmic (V1), iyo maxillary (V2), pamwe neiyo Mandibular (V3) tsinga dzetsinga dzenzou. Kuedza kunonyanya kuitirwa kune epakati kana proximal nzvimbo dze
Nhengo Yemaziso (VII) uye Vestibulocochlear Nerve (VIII)
Nhengo dzemaziso (VII) uye vestibulocochlear mutezo (VIII) zvose inopinza mukati megori rekuongorora mukati memafupa epanguva. Mutsara weshumba unozoenderera mberi kune rumwe rutivi rwechiso ndokubva wagovera kutonga uye kusvika pamisungo yose iri kutarisira chiso chemaziso. Mutsara we vestibulocochlear unosvika kune nhengo dzinodzora kuenzana nekuteerera munguva yemafupa.
Sezvo nezvose zvinokonzera mitsipa, zviratidzo uye zviratidzo pamwe nehutachiona (VII) rinotsanangura nzvimbo yechironda. Chirwere mumutauro wechimiro chinoratidzika se kurashikirwa kwekavara, ruzivo rwemazwi mumutauro uye salivary secretion. Chirwere chinotarisana ne branching chorda tympani, chakaita sechirwere chemaziso, chichaita kuti zviratidzo zvakafanana uye zviratidzo, pasina kurasikirwa kwekunzwa kworurimi rwechimiro, chikamu chakanaka nokuti V3 haisati yabatana nehutano hwepiso (VII ). Corticobulbar innervation haisi yepamusoro kune yepamusoro nechepamusoro yepisitoni motokari. Muchiitiko chechirwere cheMMN, kana chiremera kumagetsi e-corticobulbar, murwere achabatwa nekufa mitezo yemisungo iri kutaridzika kwechitarisiko chekunze mumutsara wechidiki pasi. Kana pane chirwere cheLMN, kana chironda kumusana wechipfuko pachako, murwere achaona kuora mitezo yemisimba yekutaridzika kwepiso mukati memakore ekupedzisira echiso, zvichida anozivikanwa seBell's palsy.
Mumwe nyanzvi yehutano achaedza nharo yepamusoro (VII) pakutanga nekukumbira murwere kutevedzera kana kutevera mirayiridzo yakananga kuti aite zvimwe zviso zvekuona. Chiremba anofanirwa kuve nechokwadi chekuongorora zvikamu zvina zvese zvechiso kuburikidza nekukumbira murwere kuti asimudze nheve dzake, achikotama matama ake, kunyemwerera uye ovhara meso avo zvakasimba. Pakupedzisira, chiremba anoedza nharo yepamusoro (VII) nekuongorora simba remuviri wegaccinator pakurwisana. Nyanzvi yehutano ichaita izvi kuburikidza nekukumbira murwere kuti atore mhepo mumatama avo sezvavanenge vachinyatsoridza kubva kunze. Murwere anofanira kunge achikwanisa kupikisana nekupikisa.
Zviratidzo nezviratidzo zvekushaya simba mukati mehutara vestibulocochlear (VIII) zvinowanzobatanidza kuchinja munzeve chete, kazhinji semugumisiro wehutachiona muhutitis media uye / kana semugumisiro wemakumbo ehenya. Chirwere chinowanzosvika kune mutsara uyu chinokonzerwa ne acoustic neuroma inobata CN VII neC VIII, kunyanya kubatana uye kuparadzanisa zvikamu, sechikonzero chekuswedera mukati menyama yekuongorora. Zviratidzo nezviratidzo zvehutano hwehutano zvinosanganisira kunyorera, kurutsa, chizungu, kunzwa kurasikirwa, tinnitus, uye kuora kweBell, nezvimwewo.
Kuedza iyo vestibulocochlear nerve (VIII) yekusagadzikana kunowanzo sanganisira otoscopic bvunzo, iyo yekutanga bvunzo, iyo inosarudzira kana murwere anokwanisa kunzwa zvakaenzana pamativi ese, iyo Weber bvunzo, bvunzo dze lateralization, 256 Hz tuning forogo yakaiswa pamusoro pemurwere. Heads musoro uri pakati, uyo unogona kubatsira kuratidza kuti murwere anozvinzwa zvinonzwika kune rimwe divi kupfuura iro, uye pekupedzisira iyo Rinne bvunzo, iyo inofanidza kuitisa kwemhepo kune bone conduction. Kazhinji, kuitiswa kwemhepo kunofanirwa kugara zvakapetwa kaviri sekureba sekubata kwepfupa.
Glossopharyngeal Nerve (IX), Nhengo Yemafupa (X) uye Inowanikwa Nerve (XI)
I-glossopharyngeal (IX), iyo vagus nerve (X) uye nerve yekuwana (XI) yose inobuda kubva muhenya kana kupinda mumutsipa. Irossopharyngeal nerve (IX) inopa kusununguka kumucheto wepamusoro uye kumucheto kworurimi, vagus nerve (X) inopa kusununguka kumisungo pazwi rezwi, uye inowira pasi kuti ipe parasympathetic innervation kumapfupa nemimba. Nzira yehutachiwana (XI) inodzora marwadzo etrapezius uye sternocleidomastoid pamutsipa nepfudzi.
Iyo glossopharyngeal nerve (IX) haiwanzo kukuvara yega, nekuda kwekuve padyo neCN X uye XI. Nyanzvi yezvehutano inofanirwa kuita bvunzo kuti itarise zviratidzo zveCN X & XI kukuvara zvakare kana CN IX kubatanidzwa kunofungidzirwa.
Varwere vane zviratidzo zvechipatara nezviratidzo zvinokonzerwa neve vagus nerve (X) kusagadzikana kunogona kuonekwa nedysarthria, kana kuti kuoma kutaura zvakananga, pamwe nedysphagia, kana kuti kuoma kukumedza. Izvi zvinogona kuisa sekudya kana mvura inobva mumhino dzavo kana kunyorera nguva dzose kana kukwezva kana uchidya uye / kana kunwa. Zvimwe zvikamu zvemakiriniki zvinosanganisira kusagadzikana kwechivako chinonzi visceral, chinotungamirira ku hypersecretion ye gastric acid uye zvinoguma nemaronda. Hyper-stimulation yenzwi guru rinogona kukonzera kukwezva, kupera, kurutsira uye reflex visceral motokari. Izvo zvinotaridzika zvinokonzerwa nehutano hunotipa manzwiro evanhu vasina unhu hwakanaka asi hutambudzi hwemaziso hunogona kuendesa kune nenyasha dzinonzwira tsitsi.
Kuedzwa kweiyo glossopharyngeal nerve (IX) uye iyo vagus nerve (X) inogona kusanganisira iyo gag reflex, uko CN IX inopa yakasarudzika (sensory) arc uye iyoCN X inopa iyo inoshanda (mota) arc. Vanenge makumi maviri muzana varwere vane yakashomeka kana isipo gag Reflex. Mimwe bvunzo inogona kusanganisira kuwallow, gargling, nezvimwewo, sezvo ichida CN X basa. Vashandi vezvehutano vanogona zvakare kuyedza kukwidziridzwa kwepalatal nekuti inoda CN X basa. Uyezve, chiremba achaona kana muromo wacho uchisimudza uye uchivhura zvinotsauka
Zvipembenene mumutsara wekuwana (XI) zvinogona kuitika nekuda kwekuvhiya kwakanyanya munzvimbo yemutsipa, sekubviswa kweiyo laryngeal carcinomas. Kuedzwa kweiyo yekuwana tsinga (XI) inogona kusanganisira iyo simba bvunzo SCM m. Varwere vane zviratidzo zvemakiriniki uye zviratidzo nekuda kwezvironda mumutsipa wekuwana (XI) vanozoona kunetseka kutenderedza misoro yavo kupokana nekushomeka kwenyanzvi yehutano, kunyanya kune rumwe rutivi rwakatarisana nechironda. Kuedzwa kweiyo yekuwana tsinga (XI) inogona zvakare kusanganisira iyo simba bvunzo trapezius m. Varwere vane makiriniki zviratidzo uye zviratidzo nekuda kwezvironda mune yekuwana tsinga (XI) vanosangana nematambudziko nekusimudzwa kwepafudzi parutivi rwechironda.
Hypoglossal Nerve (XII)
Mutsara we hypoglossal (XII) unotangira kubva pahenya rega kusvika parurimi kuitira kuti utonge zvinyorwa zvose zvinoshandiswa mukufamba kwerurimi. Chirwere chemakiriniki yehutano nyaya dzinobatanidzwa nenzara ye hypoglossal (XII) inogona kuratidza sorurimi rwakatsauka kune rumwe rutivi rwekushaya simba genioglossus m. parurimi rwunoputika. Izvi zvingawanzove zvakagadziriswa ku-corticobulbar, kana kuti UMN, chironda kana kubva kune ipsilateral kusvika kune hypoglossal n., Kana kuti LMN, lesion.
Kuongororwa kwenzara ye hypoglossal (XII) kunosanganisira nyanzvi yehutano achikumbira murwere kuti asunge rurimi rwavo. Chiremba achatsvaga kukanganisa chero kupi zvako kunogona kuratidzira dambudziko rehutano pamwe nehurefu hwehutano hwe hypoglossal (XII). Chimwe chiedzo chiremba angaita sechikamu chekuongorora chinogona kusanganisira chiremba achikumbira murwere kuti aise rurimi rwavo mumatama avo uye anoshandisa kumira kwakasimba, rumwe rutivi panguva. Murwere anofanira kukwanisa kurwisa rurimi rwavo nekudzvinyirira.
VIDEO
VIDEO
Chirwere chemakiriniki chezviratidzo uye zviratidzo zvinoratidzika semugumisiro wehutano hwehutano husina kunaka hunokosha kuitira kuti chiremba wehutano wehutano kuti aongorore zvakakodzera chirwere chehutano chaihwo. Zviriniki zvinowanikwa pamusoro apa zvinowanzosiyana nedzimwe nharo dzakagadziriswa uye kuongororwa uye kuongororwa kweumwe neumwe kunogona kubatsira kusimbisa kuongororwa. Kuongororwa kwakakodzera kunokosha kuitira kuti chiremba aenderere mberi nemishonga yakakodzera yemurwere. Kuwanda kweruzivo rwedu kunogumira kune chiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibvunzei kwatiri 915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Mimwe Misoro: Sciatica
Sciatica inoshandiswa mune zvemishonga sekusanganiswa kwezviratidzo, panzvimbo yekukuvara kamwe uye / kana mamiriro. Zviratidzo zve sciatic nerve pain, kana sciatica, inogona kusiyanisa muhuwandu uye hukuru, zvisinei, inowanzotsanangurwa seye kamwe-kamwe, inopinza (banga-se) kana kurwadziwa kwemagetsi kunokonzera kubva pasi zvakaderera pasi pamakumbo, zviuno, mahudyu uye makumbo mutsoka. Zvimwe zviratidzo zveSciatica zvinogona kusanganisira, kurira kana kutsva kwekunzwa, kushaya simba uye kushaya simba pamwe chete nehurefu hwehutano hweshu. Sciatica kakawanda inobata vanhu pakati pemakore e30 nemakore 50. Inogona kuwanzoitika sechikonzero chekuderera kwemupaka kubva pamakore, zvisinei, kudzvinyirira nekutsamwa kwehutano husina kunaka hunokonzerwa nekuputika kana herniated disc , pakati pezvimwe zvehutano hwepabonde, zvinogonawo kukonzera kurwadziwa kwehutano.
VIDEO
VIDEO
by Dr Alex Jimenez Clinical Neurology
Ataxia chirwere chinopera simba chetsinga. Zviratidzo zvinogona kutevedzera izvo zvekudhakwa / kudhakwa, ne-isina kutaura, kugumburwa, kudonha, uye kutadza kuchengetedza kubatana. Izvi zvinouya kubva mukudzikira kwecerebellum, inova chikamu chehuropi chinotungamira kurongedza kufamba. Icho chirwere chinobata vanhu veese mazera. Nekudaro, zera rechiratidzo rinotanga rinogona kusiyana, kubva paudiki kusvika kunonoka kukura. Zvinetso kubva kuchirwere zvinogona kuve zvakakomba, kunyange kuodza moyo uye kupfupisa hupenyu.
Zviratidzo zvinogona kusiyana kubva kumunhu kusvika kune munhu, uyewo, rudzi rweAtaxia. Chiratidzo chinotanga uye kufambira mberi kunogona kusiyana. Zviratidzo zvinogona kuwedzera zvishoma nezvishoma, kwemakumi emakore kana kukurumidza, kwemwedzi mishomanana. Zviratidzo zvinowanzosava nekushaikwa kwekubatana, kutaura kunotaurirana, kushungurudza kudya, kumedza, kufamba kwemaziso kusina kunaka, motokari yekugadzirisa, kuoma kufamba, kunetseka, kutengesa, uye zvinetso zvemwoyo. Vanhu vane Ataxia vanowanzoda mavhiripu, walkers, uye / kana scooters kuti vabatsire mukufamba.
Ataxia
The Loss Of Full Control Of Bodily Movements, Especially Gait
History Of Ataxia
Inguva yakareba sei iripo?
Inononoka kutanga? Degenerative chirwere?
Acute kutanga? Kurohwa?
Inoitika rini?
Kana yakawedzera nekufamba pamusoro penzvimbo dzisina kuenzana, kana nemaonero mashoma? Kunzwa ataxia?
Pane zviratidzo zvekugara pamwe chete here?
Vertigo, kushaya simba, kuoma, kusanganisa kugadzirisa, nezvimwewo.
Ko vamwe vakacherechedza izvi zvinokonzera kukanganisa here?
Kana kwete, funga nezvepfungwa dzepfungwa
Iko kuchinja kunowedzera kunonzwisisika nezvinetso zvepanyama zvakadai sekurwadziwa kana kushaya simba here?
Antalgic gait, limp, nezvimwe.
Kushaya simba
Yakanyanya mhasuru kushaya simba ? Myopathy?
Kuremara kwemhasuru kushaya simba? Neuropathy?
UMN zviratidzo?
LMN zviratidzo?
Ane murwere akawa here? Kana kuti pangozi yekuwa?
Isxia inopedza ADLs here?
musaridzwa
Unoshandisa Vestibular system
Cerebellar system
Ruzivo rwekucherechedza kwekuziva
Mashoko ekuona
Simba mota nekubatana
Vestibular System
Kazhinji, kana dambudziko riri muhutachiona hutachiona murwere achaona chirwere chezhezhe, zvichida kuva nerutivigo kana nystagmus
Haikwanisi kufamba mutsara wakarurama
Paunenge uchifamba, unowanzoenda kune rumwe rutivi
Kuedza Shanduro yeVestibular
Murwere anofamba munzvimbo uye meso akavharwa uye maoko akasimudzirwa kuC90 degrees pamberi pavo
Kana vakashandura kupfuura 30 madigiri = yakanaka
Mwoyo murefu unotenderera kune rumwe rutivi rwekuvhara kwemavara
Rhomberg Test
Kana murwere achienda kune rimwe divi nguva dzose maziso avo akavharwa, izvi zvinogona kuratidza kuvhiringidza kwemavara
Cerebellar System
Cerebellar zvinoonekwa zviripo nechepamusoro-soro uye kazhinji zvinosanganisira kudengenyeka uye kugadzirisa
Murwere anozonetseka kuita Rhomberg s bvunzo nemaziso akavhurika kana akavharwa, nekuti havagone kumira nemakumbo avo pamwechete
Ruzivo rwemashoko runobatsira hunoita kuongororwa pamusoro pokuti muviri uri kupi
Ventral spinocerebellar tract
Dorsal spinocerebellar tract
Cuneocerebellar tract
Olivocerebellar tract
Maturakiti akaoma anotakura ruzivo rwekuita kuti kugadziriswa kwemazwi emusana uye nzvimbo yekuchengetedza
Kuedza Cerebellar System
Piyano-yekutamba bvunzo & yekuyedza-kubata ruoko
Zvose dzinoongorora dysdiadochokinesia
Mune miviri miviri, murwere achave nechinetso chikuru chokufambisa chikamu parutivi rwe cerebellar dysfunction
Finger-to-nose test
Mwoyo murefu unogona kuva hyper / hypo metric mukufamba
Kutinhira kwechinangwa kunogona kuzarurwa
Joint Position Sense
Kuchengetedza kunyanzvi kunogona kuderedzwa, kunyanya kune vakwegura vakwegura nevarwere vane chirwere chepfungwa
Mashoko Anoona
Varwere vane chibatano chekubatanidza kurasikirwa mupfungwa vanowanzovimba nemashoko ekuona kuti vabatsire kubhadhara.
Kana yekuona yekuisa ikabviswa kana kuderedzwa aya murwere vakawedzeredza ataxia.
Motokari Simba & Kufambisa
Kana varwere vakaderedza kupera kwemarebe ekupedzisira vanogona kupedzisira vane apraxia ye gait, kwavanenge vachiomerwa nekutonga kwekuzvipira kwekufamba
Zvimwe zvinokonzerwa nePypyramidal zvakadai sePasinson zvirwere zvinokonzerwa nokusakwanisa kudzora motokari
Chipfeki bhandi musimba kushaya simba nekuda kwekuita myopathy kuchabudisa chimiro chisina kujairika
Zvinowanzoonekwa Sezvisina Kukwana Zvakaitwa
Kuchengeta kunowanikwa
Hemiplegia Kazhinji nekuda kwekurohwa
Bilaterally (Diplegic gait), zvinokonzera kufamba
Nhengo dzechirwere dzehutachiona hwevarwere
Festinating gait
Matanho mashomanana pamusana pepasticity
Inowanzoonekwa muPasinson Disease
Myopathicgait (waddling)
Anoona mukushungurudzika kwekuwedzera kwemaviri musimba
Steppage gait / Neuropathic gait
Mhete inotorwa kubva pachiuno, pasina kuora kwechikwata pamakumbo
Kazhinji kuonekwa kune varwere vane gumbo-rutsoka nekuda kwechirwere cheLMN
Wide-BasedCerebellargait
Gait Deviations
VIDEO
VIDEO
Chizutu
The Sensation Of Loss Of Balance
4 Mhando Dzokutanga
Vertigo
Peripheral
nechepakati
Pre-Syncope / Chiedza-musoro
Disequilibrium
Zvimwe / Rudzi rwakazara
Peripheral Vertigo
Zvimwe zvinowanikwa kupfuura vertigo
Nokuda kwekukuvadza kune nzeve yomukati kana CN VIII
Kazhinji inobereka kufamba kwemaziso kusina kujairika
Nystagmus Inogona kunge yakatwasuka kana kutenderera
Kazhinji zvakasununguka mumasikirwo echisikigo, nechitsva uye chinononoka
Inonzi zita rekutungamirirwa kwechikamu chekutsanya
Vertigo inowanzova yakaipa kana murwere achitarisa kune rumwe rutivi rwechikamu chekutsanya che nystagmus
Kuoma kwe nystagmus kazhinji kunobatanidza nekuoma kwe vertigo
Hapana zvimwe zviratidzo / zviratidzo zveNCS dysfunction
Mwoyo murefu unogona kuve nekunyunyuta kana kuti kuoma kufamba, asi nekuda kwekushaya simba kwemavara
Murwere anogona kunge anewo kurasikirwa kana kunzwa tinnitus kana CN VIII kana kuti kugadzirisa basa rinoparara
Kazhinji zvikonzero zvinotyisa, kusanganisira
Benign paroxysmal positional vertigo (BPPV) Cervicogenic vertigo
Acute labyrinthitis / Vestibular neuronitis
Chirwere cheMeniere
Perilymph fistula
Acoustic Neuroma
Kunyoresa Pasi
Kana kufamba, zvikurukuru yemusoro / mutsipa kuwedzera vertigo, funga: BPPV
Vertebrobasilar artery insufficiency
Cervicogenic vertigo
Kana ruzha runounza zvikamu, funga: Chirwere cheMeniere Perilymph fistula
Vertigo Hx Mibvunzo
Dzungu rako rinonzwa kunge uri parwendo rwepaki yekuvaraidza here?
Unoita kusvotwa kana wave nedzungu here?
Uri kufema here?
Kana kuti nyika inotenderera here?
Benign Paroxysmal Positional Vertigo (BPPV / BPV)
Ungasimuka pamusana pekutambudzika kukuru
Zviratidzo zvepfungwa zvinosanganiswa nemamwe maitiro:
Kutarisa pasherufu refu (optop-shelf vertigo )
Bending over
Kurungira mumubhedha
Kutanga kwe vertigo inotanga mashoma mashure mushure mekufamba, uye inogadzirisa mukati meminiti
Test diagnosis
Dix-Hallpike Maneuver
Kurapa nzira
Epley Maneuver Brandt-Daroff Exercises
Unogona kuzvigadzirisa sekuputika kwekristasi, asi zvinogona kutora mwedzi uye itsva otoliths inogona kusununguka
Cervicogenic Vertigo
Inoitika mushure mokukuvara kwemusoro / yemutsipa, asi haisi yakakurumbira
Kazhinji zvinowirirana nemarwadzo uye / kana kuvhara
Kazhinji vertigo uye nystagmus ichave yakanyanya kudarika kupfuura BPPV
Vertigo inotanga nechinangwa mumusoro wepamusoro asi hairi kukunde nokukurumidza sezvinoita muBPPV
Vertebrobasilar Artery Insufficiency
Inoitika kana iyo yakagadzirirwa arteri inomanikidzwa munguva yekutenderera musoro / kuwedzera
Kushandiswa kwe vertigo kunonoka kudarika muBPPV kana kuti cervigogenic vertigo, nokuti ischemia inotora kusvika maminitsi 15 kuti iitike
Chirongwa cheOrthopedic chingabatsira mukuongorora
Barre? -Nhema? Kana Sign DeKlyn Test / Hallpike Maneuver
Hautant test
Testberg Underberg
Vertebrobasilar Mushure meKushanda kweMabasa
Acute Labyrinthitis / Vestibular Neuronitis
Haana kunyatsonzwisiswa, asi anotenda kuva kuvhiringidzika kubva pakutanga
Inotevera hutachiona hwehutachiona kana kuti hukaita seine pasina chikonzero
Single, monophasic attack of vertigo
Kugadzirisa mumazuva kusvika kumavhiki mashomanana uye kazhinji hazviiti zvakare
Chirwere cheMeniere
Kuwedzerwa kwemuviri mu endolymph kunokonzera membrane rupture uye kusanganisa kamwe kamwe kwe endolymph uye perilymph
Zvikamu zvekupedzisira 30 maminitsi kusvika maawa akawanda, kusvikira kuenzana pakati pemvura inosvika
Nokufamba kwenguva, zvikamu zvinokuvadza vhutira uye cochlear mvere dzemasero
Low-pitch buzzing tinnitus
Kurasikirwa kwekunzwa kwepasi
Zvirwere zveMeniere vs. Syndrome
Meniere s syndrome ndipo apo zviratidzo zvechirwere cheMeniere zvinowanikwa zviri zvechipiri kune imwe mamiriro, akadai se:
Hypothyroidism
Acoustic neuroma
Superior semicircular canal dehiscence (SCDS)
Perilymph fistula
Chirwere chechokwadi cheMeniere chinonzi idiopathic
Perilymph Fistula
Kudukuka kwechidiki kunokonzera kushungurudzika, kunyanya barotrauma
Unogona kutaridzika zvakafanana zvakafanana nechiratidzo cheMeniere chirwere / chirwere
Yakanyanyisa nekuchinja mukumanikidza
Ndege inotasva
Driving uphill
Hennebert s chiratidzo
Vertigo kana nystagmus episode inounzwa nekuisa chisimbiso chekuteerera (zvakadai sokuisa otoscope)
Central Vertigo
Zvisiri zvishoma kupfuura veritigo yepipipuri
Inokonzerwa nekukuvadzwa kunzvimbo yekugadziriswa kwemashoko ekudzivirira muuropi yepamusoro pehupfungwa uye cerebral cortex
Kazhinji "dzungu" rinenge risinganyanyo kuomarara pane neiperiiperi vertigo
Nystagmus
Kazhinji zvakanyanya kuomarara pane kutsanangurwa
Unogona kuenda kune dzimwe nzira, kusanganisira vertical
May or may not have other CNS findings on examination
Hapana kuchinja munzeve kutarisira
Zvinokonzera Kusanganisira:
Cerebrovascular disease (zvakadai sokurwiswa kwechiIschemic zvishoma)
nemultiple sclerosis
Arnold-Chiari Malformation Kuparadza kune caudal brainstem kana vestibulocerebellum
Migraine chimiro
Pre-Syncope Hx Zvinyorwa
Zvinoita sekunge uchapfuura here?
Kozununguka kunonzwa zvakafanana here kana iwe ukasimhanya zvakanyanya?
Pre-Syncope
Kuchena musoro headed
CardiacOrigin
Matambudziko ekubuda
Arrhythmias
Holter monitor test
Postural / Orthostatic hypotension
Inogona kuva yechipiri kune mamwe matambudziko (chirwere cheshuga chirwere cheropa, adrenal hypofunction, Parkinsons, mamwe mishonga, nezvimwewo)
Vasovagal episodes
Inononoka mwoyo yezinga nekuderedza ropa
Kazhinji zvinounzwa nekutambudzika, kuzvidya mwoyo kana hyperventilation
Migraine
Nokuda kwekusagadzikana kweperebrovascular
Ropa shuga dysregulation
Disequilibrium Hx Mibvunzo
Dzungu rinongoitika kana iwe uri netsoka dzako here?
Zvinotapira here kana iwe uchibata / kubata pane chimwe chinhu?
Disequilibrium
Kazhinji kune vakwegura
Pamusana pezvikanganiso zvekunzwa
Kupera zvishoma
Yakagadziriswa nechitarisiko chakaderedzwa
Dark
Maziso akavharwa
Kutarisa matambudziko kurasikirwa
Kuvandudzwa kuburikidza nekubata chinhu chakamira
Kuzviisa pasi pehutano hunowanzovandudza ne-gait device (device, walker, etc.)
Zvimwe Zvinokonzera
Psychological stress
Kazhinji murwere anorondedzera dzungu se "kufashamira"
Mutungamirire kunze kwe hyperventilation nemamwe marudzi echezzinesi
Sources
Blumenfeld, Hal. Neuroanatomy kuburikidza neCliniki Cases. Sinauer, 2002.
by Dr Alex Jimenez Clinical Neurology
Wakaonekwa kuti une Benign Paroxysmal Positional Vertigo . Bhurocha iri rakagadzirirwa kubatsira kubvisa kunzwisisa kwako kwechirwere ichi uye zvinogona kurapwa.
Benign Paroxysmal Positional Vertigo
Chii chinonzi BPPV?
Benign paroxysmal positional vertigo (BPPV) chirwere che nzeve yemukati. Vanhu vane BPPV vanowanzoona zviitiko zvipfupi zve vertigo (dzungu) pavanoshandura chinzvimbo chemusoro wavo nekuremekedza giravhiti. Inenge makumi maviri muzana ezve vertigo inokonzerwa neBPPV.
Chii Chinokonzera BPPV?
Bhenign Paroxysmal Positional Vertigo inofungidzirwa kuti inokonzerwa nekriststal duku, inonzi otoconia, iyo yakaunganidzwa mukati mekunze kwenzeve yomukati. Otoconia ndiyo makristasi e-calcium carbonate ayo anowanzowanika mune imwe shanduro inonzi inzwi.
Chizutu inowanikwa apo makristasi acho akadzingwa kubva mumatricle kusvika mumagetsi emagetsi ekunze kwenzeve.
Chikonzero chinowanzoitika cheBPPV kuvanhu vari pasi pezera re 50 ndiko kukuvadzwa musoro. Muvanhu vakwegura, chinonyanya kukonzera kupera kwe vestibular system yenzeve yomukati. BPPV inova yakajairika zvikuru nekukwegura. Zvimwe zvinokonzera zvirwere zvishomanana, chirwere chaMeniere, uye mavairusi akadai seavo anokonzera kuora neuritis. Munenge hafu yezviitiko zvose zveBPPV, hapana chikonzero chinogona kugadziriswa.
Ndezvipi Zviratidzo?
Zviratidzo zveBPPV zvinosanganisira chizoro kana vertigo, musoro wakachena, kusaenzana, uye kushungurudza. Mabasa ayo
Ko Bhenin Paroxysmal Positional Vertigo (BPPV) Inoratidzwa Sei?
BPPV inowanikwa neDix-Hallpike muedzo. Uyu muedzo unosanganisira kutarisa maziso nemusoro nemuviri zvakagadzirwa nenzira dzakasiyana. Inogona kuitwa kana chiremba, kana sechikamu chekuongorora kwebhroatori inonzi electronystagmography, kana ENG. Kana chiratidzo cheDix-Hallpike chisina kujairika uye zvakawanikwa ndezve "dassic" yeBPPV, saka kuwedzerwa kuwedzera hakuna kudiwa. Kana zviitiko zvikaitika kana kuti kwete "classic" ipapo kuongororwa kweBPPV hakusi kwechokwadi uye mamwe mimwe miedzo inogona kutaurwa.
Chii Chinonzi Mishonga BPPV?
Pane maitiro mana ekurapa BPPV.
1. Usaita Chinhu uye Chimirira Izvo Kuti Uende Nayo
BPPV dzimwe nguva inopera mukati memwedzi mitanhatu yekutanga, saka iwe unogona kumira kumirira uye kuona kana zviratidzo zvako zvinopfurikidza pachavo. Munguva iyi yekumirira nguva, mishonga yekudzivisa kufamba kwechirwere kana kushungurudza dzimwe nguva inobatsira mukudzivirira kusuruvara kunobatanidza neBPPV.
2. Zvipfeko Zvepanyama Zvakaitwa MuCliniki
mabatiro izvo zvakakosha zvakanyanya kwauri.
Chimwe chezvirapa izvi zvinotora maminitsi e15 uye inoderedza zviratidzo zvema 80 muzana yevarwere. Mukusara kwe20 muzana, chirwere chechipiri chinogona kudiwa, kana iwe unogona kurayirirwa kuita maBritt-Daroff maitiro (ona "Home Treatment").
The Epley kufamba , iyo inonzi zvakare canalith reposi tioning maitiro (CRP) uye kudzoreredza zvidimbu, inzira inoitwa nachiremba kutamisa musoro wako muzvikamu zvishanu, kuchengetedza nzvimbo yega yega kweanenge masekondi makumi matatu. Iyo Semont maneuver (inonziwo maneveru maneuver) inzira iyo yechiremba anokurumidza kukufambisa kubva pakurara kune rimwe divi kuenda kunorara kune rimwe divi. Aya manejimendi anogona kunge asiri akakodzera kuvarwere vane mitsipa kana musana matambudziko. Varwere vanoona kusvotwa kana kushushikana vangangoda kutora mishonga kurapwa kusati kwaitika.
MASHOKO OKUITA MAKATI MUMWE MUMWE MUMWE MUMAKATI
Tevera mirayiridzo iyi mushure mokunge Epley kana Semont achifamba. Nokuita kudaro iwe uchaderedza mukana wekutora otoconia kudzokera kumigero yemigero yeinzeve yomukati uye kuderedza zvingaita kuti dutu rako richadzoka zvakare.
Mira kwenguva minuku 10 mushure mekufamba usati wapinda kumba.
Izvi ndezvekudzivisa "kukurumidza kuruka" kana kuputika kupfupi kwe vertigo apo otoconia inozvimisikidza pachayo nekukasira mushure mekufambisa. Kana zvichibvira, ronga kuti mumwe munhu akutakure kuenda kumba.
Mazuva maviri anotevera:
Pakati pezuva, edza kuchengeta musoro wako wakananga. Mutsipa wakanyorova unobatsira unogona kubatsira.
Usaenda kumubati, muchengeti wemavudzi kana mazino.
Paunenge uchiveura ndebvu, chengetedza musoro wako wechipfuva nekupfugama mberi muhudyu mako nemutsipa wako wakatambanudzwa.
Kana uchida kuisa madonhwe eziso, edza kuchengeta musoro wako sezviripamusoro.
Sham poo chete pasi pekugezera.
Muvhiki inotevera, regai kutyisa zvigaro zvepamusoro zvinogona kuunza BPPV.
Shandisa mapiro maviri paunorara.
Dzivisa kurara kune rumwe rutivi rwakawirwa.
Usafuratira musoro wako kumusoro kana kure kure.
Dzivisa kugadzirisa musoro wako kumashure kunyanya kana wakarara pamusana wako nemusoro wako wakatendeukira kune rumwe rutivi rwakavhiringidzika.
Kana zvichikwanisika, dzokerazve kuvhiyirwa kusarudzwa uye kuenda kuimba yekunakidza kana hofisi yamazino.
Dzivisa nzvimbo dzepamusoro-mberi uye udzidzise apo musoro wako usingachengetwi wakarurama, somuenzaniso toe unobata.
Kubudirira kwekurapwa kwekliniki hakugoni kutsanangurwa kwevhiki imwechete.
Chimirira vhiki imwe mushure mokurapa kuedza kubudirira kwehutano. Zviise iwe pachinzvimbo icho chinowanzoita kuti iwe ufare. Iva nechokwadi chekuzviisa iwe wakangwarira uye pasi pemamiriro ezvinhu umo iwe haugone kuwira kana kuzvikuvadza iwe pachako.
3. Home Treatment Of Benign Paroxysmal Positional Vertigo (Brandt-Daroff Exercises)
Kana kurapwa kwekiriniki (Epley kana Semont) kuchikundikana, kana divi rakabatanidzwa risingatariswe, kana kana nyaya iri nyoro, maitiro eBrandt-Daroff anogona kukurudzirwa. Aya maekisesaizi anobudirira mu95 muzana yezviitiko asi zvinotora nguva yakareba kuti zvishande kupfuura kurapwa kwekiriniki. Iwe unofanirwa kuita zviitwa izvi chete kana uchirairwa kuti uite saizvozvo nachiremba wako. Kana wako wechiCini cian aiita iyo Epley kana Semont maneuver, iwe unofanirwa kumirira vhiki imwe mushure mekurapwa usati watanga maitiro eBrandt-Daroff.
Izvi zvinoshandiswa zvinofanira kuitwa panzvimbo yakadzika, pasina mitsi.
Tanga kugara wakadzika pamucheto webhedha kana pasi.
(Position 1) Dzorera musoro wako 45 degrees kuruboshwe uye uvate pasi kurudyi kwako.
(Position 2) Kana uchinge uri kurudyi-wakarara nzvimbo, musoro wako unofanirwa kunge uri padanho re45-degree rakatendeuka pakati nepakati penzvimbo yepamusoro nedenga. Gara uri padivi-wakarara chinzvimbo kweanosvika makumi matatu masekondi. Kana iwe uchiri nedzungu, gara kusvikira dzungu radzikira kana mineti imwe, chero chipi zvacho chiri chidiki.
Ipapo gara (Position 3} uye gara wakagara posi tion kwemasekondi makumi matatu. Dzorera musoro wako 30 degrees kurudyi uye uvate pasi kuruboshwe kwako.
(Position 4) GZvezve nekuchengeta musoro wako watendeuka nepakati kuenda padenga kwemasekondi makumi matatu kana kudzamara dzungu rapera. Dzokera kuPosition 30 (gara wakamira) kwemasekondi makumi matatu. Uku kudzokorora kumwe.
Rimwe rakagadziridzwa (zvinyorwa zvishanu) rinotora maminitsi e10 kuti apedzise uye inofanira kuitwa mangwanani oga oga, pakati pezuva nemanheru.
Basa reBrandt-Daroff rinofanira kuitwa kwevhiki mbiri, vatatu vanoisa zuva rimwe nerimwe, kana kwemavhiki matatu, masero maviri pazuva rimwe (52 setswana yakazara). Muvanhu vakawanda, kuzorodzwa kwakakwana kwezviratidzo kunowanikwa mushure me30, kana kuti nezvemazuva 10. Mune anenge 30 muzana yevarwere, BPPV ichadzoka mukati memakore rimwe chete. Kana BPPV ichitsvaga iwe unogona kuwedzera imwe yedzidzo yeminiti 10 (imwe yakagadzirirwa) kune zvaunogara uchiita.
4. Kuvhiya Kurapa KweBenign Paroxysmal Positional Vertigo
Kana maitiro kana maitiro asingagoni kudzora zviratidzo zvakaramba zvichiitika kwegore kana kwenguva refu uye kuongororwa kwakajeka, chirwere chinogona kukurudzirwa. Nzira yekuvhiya inowanzozivikanwa, inonzi posterior canal kuvhara, inogadzirisa zvizhinji zvemashure endedhi yemagetsi pasina kuchinja mabasa emamwe migwagwa kana zvikamu zve nzeve. Pane, asi zvakadaro, panjodzi duku yekuteerera kurasikirwa. Kuvhiyiwa kunobudirira munharaunda ye90 yevanhu vasina kupindura kune dzimwe mishonga uye apo zviratidzo zvakaoma uye kwenguva refu.
2000? XNUMX Northwestern University. Vanyori: Timothy C. Hain, MD, Janet Odiry Helminski, PhD, PT.
Iyi zivo ndeyedzidziso dzekudzidzisa uye hazvifananidzi senzvimbo yekuongorora, kuongororwa, kana kurapwa kwakapiwa nechiremba ane chiremba uye ane unyanzvi. Basa iri rakatsigirwa neCentral for Sensory and Communicotion Disorders kuNorweswestern Yunivhesiti, tsvakurudzo yenyika uye yekudzidzira yakabhadharwa neNational Institute on Deafness uye Dzimwe Dambudziko Rokukurukura.
by Dr Alex Jimenez Chiropractic , Clinical Neurology
Mitsipa inokonzerwa nehutano inobva mumakumbo, kusanganisira brainstem, pakuenzanisa nemasana emusana, ayo anobva kune zvikamu zvemupopotedzo. Pakati pavo, 10 kunze kwe12 yezvipembenene izvi zvinokonzerwa neuropi. Nzira dzekutambudzika dzinotumira mashoko pakati peuropi uye zvikamu zvemuviri womunhu, zvikurukuru kune uye kubva kunzvimbo yemusoro nemutsipa.
Mutsara wemapapiro anobva kumutsipa wepelinha nemutsara wepelinha uri pedo nepamusoro (C1) inobva munzvimbo iri pamusoro pemiti yepervical vertebra. Mitsipa yakaoma, zvisinei, inobva kune central nerve system pamusoro penzvimbo iyi. Mutsara wega wega unobatanidzwa uye uripo kune rumwe rutivi rweuropi. Kubva pane tsanangudzo yevanhu, pane gumi nevaviri, dzimwe nguva nechegumi nematatu, maitiro emakumbo maviri, akapiwa nhamba dzeRoma I-XII yekuzivikanwa, dzimwe nguva dzinosanganisira nharo dzenzara zero pamwe chete. Kuwanda kwemitsipa yakakonzerwa yakarongeka pane zvavanotanga kubva muuropi, kana kubva mberi kuenda kumashure kwe brain brain.
Izvozvo zvinogadzirisa zvirwere, zvinokonzera mitsipa (I) uye optic nerve (II) inobva mumubhedha, kana forebrain, apo mamwe mapeji gumi ose emakumbo emakumbo anomuka mu brain brain, iyo iri chikamu chiduku cheuropi. Mitsipa yakaoma inofungidzirwa kuti inhengo dzehutachiona hwehutachiona hwepanyika (PNS), kunyange zvazvo dzichigadziriswa, hutachiona, maziso uye maitiro emagetsi anonyatsotaridzirwa sechikamu chemukati wegeyo system (CNS).
Kazhinji kazhinji, vanhu vanotenda kuti vane vane gumi nemaviri emapuropa (I-XII). Izvi zvinosanganisira: mutsara unoratidzira (I), chirwere chemaziso (II), nerve ye oculomotor (III), mutsara unonzi trochlear (IV), chirwere chetatu (V), chinoderedza mitsetse (VI), mushupa wechipfu (VII ), chirwere che vestibulocochlear (VIII), chirwere che glossopharyngeal (IX), vagus nerve (X), chirwere chekuwana (XI), uye nhengo yei hypoglossal (XII). Ikoko kunogona kunge kune chirwere chegumi nematatu chinokonzerwa nehutachiona, chinozivikanwa senhengo yekupedzisira, kana musinga N kana O, izvo zvisinganyanyi uye zvinogona kunge zvisingashandisi muvanhu.
Anatomy yeChrisal Mitsipa
Mitsipa yakawanda inowanzopiwa mazita maererano nehutano hwavo kana basa. Semuenzaniso, mutsara unofadza (I) unopa kunhuhwira, uye mutsara wepiso (VII) unopa motokari yemoto kusangana. Sezvo chiLatini chaiva mutauro unowanzoshandiswa mukudzidza kwemaatomy apo nhaurwa dzaive dzakanyorwa, dzakanyorwa, uye dzakataurwa, mavhinga akawanda anoramba mazita echiGiriki kana echiLatini, kusanganisira trochlear nerve (IV), inodanwa maererano neurongwa hwayo, sezvo inopa mushutu anosungira ku pulley (chiGiriki: trochlea). Izvo zvinonzi trigeminal nerve (V) inotumidzwa kubva pane zvayo zvitatu (ChiLatini: trigeminus zvinoreva katatu), uye vagus nerve (X) inozivikanwa nekuda kwekufamba kwayo (ChiLatin: vagus).
Mukuwedzera, manzwiro akaoma anoverengerwa maererano ne rostral-caudal, kana kuti mberi-kumashure, nzvimbo, apo achitarisa uropi. Kana uropi hwakabviswa zvakanyatsobva padhehenya, mitsipa inowanzoonekwa muhuwandu hwavo, kunze kweropa rekupedzisira, CN XII, inoita seinobuda kubva kumusoro, ichienda ku CN XI.
Nzira dzakasuruvara dzine migwagwa mukati uye kure nehenya. Nzira dziri mukati mehenya dzinozivikanwa se "nzira dzomukati" uye nzira dziri kunze kweganga dzinonzi "extracranial pathways". Iko kune zvikwata zvakawanda muhogi inozivikanwa se "foramina", iyo iyo mitsetse inogona kubva kubva kuhenya. Zvose zvinokonzera mitsipa zvakaparadzana, zvinoreva kuti zvinogona kuwanikwa kune zvose zviri kuruboshwe uye kurudyi kwemuviri womunhu. Ganda, mishonga, kana chimwe chimiro chemugadziro chinopiwa nehutano kune rumwe rutivi rwemuviri womunhu sezvo rutivi rwacho runotangira kubva, runonzi seypsilateral basa. Kana basa racho riri kune rumwe rutivi kubva pakabva mutsara, izvi zvinotumidzwa sechibvumirano chebasa.
Nzvimbo yeChrisal Mitsipa
Mushure mekubuda kubva muuropi, iyo tsinga dzakakora kubva mukati mehenya rinofanira kusiya ichi chimiro chemabhonzo kuitira kuti vasvike kwavanoenda. Dzakati wandei dzetsinga dzakakora dzinopfuura nemu foramina, holes mudehenya, pavanenge vachienda kunzvimbo dzavanoenda. Dzimwe tsinga dzinopfuura nemumabhonzo migero, nzira refu dzakapoteredzwa nefupa. Iyo foramina uye migero inogona kunge iine zvinopfuura imwechete tsinga dzenyonganyonga, uye inogona zvakare kusanganisira tsinga dzeropa. Pazasi pane runyorwa rwegumi nemaviri cranial tsinga uye ipfupi pfupiso yebasa ravo.
Nerve ine simba (I), yakagadzirwa nemhando dzakawanda dzakasiyana dzakasiyana-siyana dzesimbi, dzinopfuurira kuburikidza nemapapiro kubva pachigadziko che cribiform chikamu chetemaid ye bone. Iyo miviri inoguma muchepamusoro chemukati wechipfu uye inoshandawo kuti ikurukure mafungiro ane mashoko pamusoro pezvinonhuwira kana zvinonhuwira muuropi.
Iko tsvina yeviri (II) inopfuura napamusoro pemaziso emagetsi kubva pfupa re sphenoid kuitira kuti isvike kune ziso. Inotaura ruzivo rwekuona kuuropi.
Ioculomotor nerve (III), nerve ye trochlear (IV), iyo inobvisa mitsetse (VI) uye kuurayiwa kwehutano hwetendekete rwenzira (V1) rwendo kuburikidza ne cavernous sinus kusvika kune chiremera chepamusoro, chinenge chichibuda kunze kwehenya . Izvi zvinokonzera mitsipa inodzora zviduku zviduku zvinokonzera ziso uye zvinopawo kushaya kwekunzwa kwemaziso kune ziso uye kumativi.
Mazana emadhora emagetsi ekutenderera (V2) anofamba achipfuura neforamen rotundum kubva pfupa re sphenoid kuti ape ganda riri pakati pechiso.
Dare remandibular rerujovo rwetatu (V3) rinofamba nemuchizadziro chemafuro epa sphenoid bone kuti ipe chiso chepamusoro nekunzwa kusachengetedza. Iyi nharo inowedzera kusvika kunenge mishonga yose inodzora kudzora.
Nhengo dzemaziso (VII) uye vestibulocochlear mutezo (VIII) zvose inopinza mukati megori rekuongorora mukati memafupa epanguva. Mutsara weshungu unozoenderera kune rumwe rutivi rwechiso uchishandisa stylomastoid foramen, uyewo kubva panguva yemafupa. Matanda ayo zvino anoparadzira kuti atonge uye asvike ose emisungo ari kutarisira chiso chemaziso. Mutsara we vestibulocochlear unosvika kune nhengo dzinodzora kuwirirana uye kunzwa munzeve yemazuva, uye naizvozvo hausviki kune imwe kunze kwerhenya.
I-glossopharyngeal (IX), iyo vagus nerve (X) uye nerve yekuwana (XI) yose inobuda kubva mucheka kuburikidza nejugular foramen kupinda mumutsipa. Nzira ye glossopharyngeal inopa kusununguka kusvika kumucheto wepamusoro uye kumashure kworurimi, iyo vagus nerve inopa kusachengetedza kumisungo pazwibhoyo, uye inowira pasi kuti ipe parasympathetic innervation kumapfupa nemimba. Nzira inoshandiswa inoshandiswa inodzora marwadzo eti trapezius uye sternocleidomastoid pamutsipa nepfudzi.
Nzira ye hypoglossal (XII) inobva muhenya iyo inoshandisa chirwere che hypoglossal pachifupa che occipital uye inosvika kune rurimi kuti ironge zvese mishonga inobatanidzwa mukufamba kwechimiro ichi.
Basa reMigodhi yeMvura
Mitsipa yakaoma inopa motokari uye nekunzwa kusachengetedza kunyanya kune zvivako zvinowanikwa mukati memutsipa nemusoro. Inzwi rekusachengetedza rinosanganisira manzwiro e "zvakakwana," sekushisa uye kubata, uye "kunyanya" kusachengetwa, zvakadai sekunakidza, maonero, kunhuwa, kuenzanisa uye kunzwa. Semuenzaniso, vagus nerve (X) inopa pfungwa uye kuzvigadzirisa, kana kupisa simba, motokari yekuchengetedza kune zvivako mumutsipa uye kune dzakawanda zvenhengo dziri muchifuva nemimba. Pasi apa, tichakurukurirana basa rega rega rega rega mune mamwe tsanangudzo.
Futa (I)
Nerve ine simba (I) inotaura pfungwa yekunhuwa. Kukuvadza kwehutano husina kunaka (I) kunogona kukonzera kusakwanisa kunhuhwirira, kunonzi sarmia, kusvibiswa mupfungwa yekunhuhwira, kunonzi separosmia, kana kunyange kukanganisa kana kusavapo kwekunaka. Apo pane kunetseka kwekuchinja mupfungwa yekunhuhwira, mhino imwe neimwe inoedzwa nemishonga yezvinonhuwira zvinozivikanwa, zvakadai sefivha kana sesefu. Kunyanya kunhuwa kwemakemikari, zvakadai seammonia, zvinogona kutungamirira kumagadzirirwo emarwadzo ekurwadziwa, anozivikanwa seanaciceptors, emitambo yezvitatu inenge iri mumumvuri wemvura, izvo zvingaguma zvichinyanya kuedza kuongorora.
Chiratidzo (II)
Iko tsvina yeviri (II) inotaurira ruzivo rwekuona. Kukuvadza kweropa re optic (II) kunokanganisa zvimwe zvekuona izvo zvinobva panzvimbo yechiremera. Mumwe munhu angave asingakwanisi kuchengeta zvinhu zviri kuruboshwe kana kurudyi, anozivikanwa semunhu asingazivikanwi hemianopsia, kana kuti angave akaomerwa kuona zvinhu zviri kunze kwekuona, izvo zvinonzi bitemporal hemianopsia, kana optic chiasm inosanganiswa. Chiono chinogona kuongororwa nekuongorora mamiriro ekuona, kana nekungoongorora retina ine ophthalmoscope, ine nzira inonzi funduscopy. Kuongorora musango kunogona kushandiswa kune pini-pikisheni yezvipembenene mumakumbo eptic, kana kuenderera mberi nenzira dzinooneka.
Eye Movement (III, IV, VI)
Ioculomotor nerve (III), chirwere chetrochlear (IV) uye kubvisa mutsara (VI) kurongedza kufamba kweziso. Kukuvadza kwemitsipa III, IV, kana VI kunogona kukanganisa kufamba kweziso reziso. Rimwe kana maziso ose maviri anogona kuchinjwa; mumamiriro ose ezvinhu, zviratidzo zviviri, zvinonzi diplopia, zvingangodaro zvinoitika sezvo kufamba kwemaziso hakugoni kuenzaniswa. Mitsipa III, IV uye VI inoedzwa nekucherechedza nzira iyo ziso rinotevera chimwe chinhu nenzira dzakasiyana. Ichi chinhu chinogona kunge chiri munwe kana kana pini, uye inogona kutamiswa kune dzimwe nzira kuti uedze kutevera velocity. Kana maziso asingashandi pamwe chete, zvinonyanya kukonzera zvinokuvadza kune rumwe ruzivo rwomukati kana nuclei.
Kukuvadza kweoculomotor nerve (III) kunogona kukonzera kuonekwa kaviri, kana diplopia, uye kusakwanisa kurongedza kufamba kwemaziso ose, anozivikanwa se strabismus, pamwe neoyelid drooping, inonzi ptosis, uye kudzidzisa mwana, kana mydriasis. Zvisungo zvinogonawo kutungamirira kusakwanisa kuzarura ziso pamusana pekuora mitezo kwevheti yemapilpebrae muscle. Vanhu vane chirwere muoculomotor nerve vanogona kubhadhara kuburikidza nekuderedza misoro yavo kuti vadzidzise zviratidzo nekuda kwekuoma kwemweya kana kuti mamwe emisungo yemaziso iyo inotungamirira.
Kukuvadza kweropa re trochlear (IV) kunogona kukonzerawo diplopia neziso rose rakagadzirwa uye rakasimudzwa. Chigumisiro chichava ziso risingakwanisi kufamba pasi zvakanaka, kunyanya pasi apo mukati mukati mamiriro ekunze. Ichi chigumisiro chekupererwa kubva kune yakasvibiswa musimba, iyo isingabvumirwi nehutachiona.
Kukuvadza kunoderedza mitsetse (VI) kunogona kukonzerawo diplopia Ichi ndicho chikonzero chekuora mwoyo mune re lateral rectus muscle, iyo isingabhadharwi neinobvisa nerve.
Trigeminal nerve (V)
Nhengo yezvikamu zvitatu (V) yakaumbwa nezvikamu zvitatu zvakasiyana: The ophthalmic (V1), maxillary (V2), uyewo Mandibular (V3) nerve. Panoiswa pamwe chete, mitsipa iyi inopa kunzwa kweganda rechiso uye rinodzora misumbu ye mastication, kana kucheka. Mamiriro ezvinhu anokonzera hutatu hutachiona (V) anosanganisira, trigeminal neuralgia, misoro yemasumbu, uye trigeminal zoster. Trigeminal neuralgia inogona kuitika gare gare muupenyu, kubvira pazera remakore zvichienda mberi, kazhinji kacho mushure mezera re 60, uye iyo inowanzobatana nehurombo hwakasimba hunopararira pamusoro penharaunda isina chairo nemafungiro e maxillary kana mandibular ekubatana kwetatu (V2 neV3).
Kutaura kwechiso (VII)
Zvipembenene zvehutano hwepiso (VII) zvinogona kuratidza sechimiro chepara. Iyi ndiyo iyo munhu asingakwanisi kutamisa misungo kune imwe kana mativi maviri echiso. Chiitiko chinowanzoitika uye chenguva pfupi palsy chinonzi chirwere cheBell. Palsy yeBell ndiyo migumisiro yekupedzisira yeidiopathic (chisingazivikanwi), unilateral lower motor neuron lesion yeropa rekuona uye inoratidzika nokusakwanisa kutenderera maziso echitarisiko chechiso, kusanganisira kureba kwechiro uye kubhururuka kwehuma yavo. Varwere vane chirwere cheBell vanowanzova nemuromo unodonha pamusoro pechirwere chakakanganiswa uye kazhinji vane dambudziko rekucheka kubva musumbu weBaccinator unotambudzwa. Kufa kweBell kunowanzoitika kashoma, kunosangana neveZimbabwe dzeZimbabwe gore negore. Kuora chirwere chepamusoro kunogona kukonzerwa nedzimwe mamiriro ezvinhu kusanganisira, kurohwa. Mamiriro ezvinhu akafanana neBell's Palsy dzimwe nguva anonyatsotariswa seBell's Palsy. Bals's Palsy ndeyechinguva chiduku chinowanzoguma kwemwedzi ye40,000-2, asi inogona kuva nemigumisiro inogadzirisa hupenyu uye inogona kudzoka kakawanda. Kurohwa kazhinji kunobatsirawo mutsara unorema nekuvhara ropa kuderera kusvika mumitsipa mukati meuropi izvo zvinoratidza zvakajeka kuti mutsara uripo nezviratidzo zvakafanana.
Kunzwa uye Kubatana (VIII)
Mutsara we vestibulocochlear (VIII) unoparadzanisa muhutu hwemakumbo uye hunyoro. Nzvimbo iyo inoshandiswa ndiyo inotarisira kusachengetedza mabheti uye musikirini yemakona emunzeve yomukati; chimiro ichi chinotauridza ruzivo pamusoro pehutano, uye chinhu chinokosha che vestibuloocular reflex, chinoita kuti uropi huve hwakasimba uye inobvumira meso kuongorora zvinhu zvinofamba. Iyo mutsara unobatanidza deta kubva kune cochlea, zvichiita kuti inzwi rikanzwike. Kana zvakakanganiswa, mutsara unogona kubudisa manzwiro ekutsvaira uye chirwere. Basa rehutachiona hunogona kuongororwa nekuisa mvura inotonhorera uye inotonhorera munzeve uye kutarisa maziso maziso caloric stimulation. Kukuvadza kweropa re vestibulocochlear kunogonawo kuisa sekudzokorora kwemaziso nekudzokorora, kusati kwave kunotsanangurwa se nystagmus, kunyanya kana kutarisa mune imwe ndege yakanyanyisa. Kukuvadza kune mutsara unokonzera kunogona kukonzera kusanzwa kana kusakwana mune nzeve yakakanganiswa.
Kutaura Muchirevo, Kuravira, uye Kuziva (IX)
Irossopharyngeal nerve (IX) inosungirirwa inoshandisa stylopharyngeus muscle uye inopa manzwiro ekuchengetedza kusinganzwisisiki kune oropharynx uye kumashure kworurimi. Mutsara we glossopharyngeal unowedzera kupa parasympathetic innervation kune gland parotid. Kusasarudzwa kweUilateral kwegag reflex kunoratidza chiremera chendangariro ye glossopharyngeal (IX), uye zvichida vagus nerve (X).
Vagus Nerve (X)
Kurambidzwa kwebasa reve vagus nerve (X) kunogona kutungamirira kuderedzwa kwepasasympathetic innervation kune yakawanda nhamba yakawanda yezvivako. Migumisiro inokosha yekukuvadza kune vagus nerve inogona kusanganisira kuwedzerwa kweropa uye moyo wekutengesa. Isolated dysfunction of the vagus nerve is rare, but can be diagnosed with a loud voice, because of the failure of one of its branches, the recurrent laryngeal nerve. Kukuvadza kweropa iri kunogona kuita kuti matambudziko agone.
Kukwidzika Kwemusoro uye Musoro-Kutsiva (XI)
Kukuvadza kwehutano hwehutachiwana (XI) kunogona kutungamirira kuhutera hutsika mumutsipa we trapezius. Izvi zvinogona kuongororwa nekukumbira murwere kuti asimudzire mapepa avo kana kuputira, apo mafudzi epafudzi, kana kuti scapula, achaenderera mberi kune mapapiro. Uyezve, kana nharo iri kukuvadzwa, kushaya simba kana kukwanisa kukwidziridza sopapula inogona kuvapo nokuti mushanyi wefapula musikana anokwanisa chete kupa basa iri. Kubva pane nzvimbo yechironda, pangavewo uine utera mukati me sternocleidomastoid muscle, iyo inozoita kuti ishandure musoro kuitira kuti chiso chione kune rumwe rutivi.
Tongue Movement (XII)
Nzira ye hypoglossal (XII) yakasiyana neyokuti haina kunakidzwa mumotokari yemotokari yemhando mbiri dzeuropi. Kukuvadza kumutsipa wepamusoro motokari yezinga yeuroni kunogona kukonzera fasciculations kana kuti atrophy yemisungo yerurimi. Kufungidzira kwemurimi dzimwe nguva kunonzi kuonekwa se "bhegi rehonye". Kuipa kwepamusoro motokari yeuroni hakuzoiti kuti atrophy kana fasciculations, asi utera hushoma hwemasumbu asina kuchena. Kana kamwe musungo wacho wakakuvara, huchaita kuti urege kushaya simba rurimi kufamba kune rumwe rutivi. Kana yakaipa uye yakawedzerwa, rurimi ruchaenda kune rumwe rutivi kana rwakakanganiswa, sezvakaratidzwa mumufananidzo.
Dr. Alex Jimenez's Insights
Mitsipa yakanyanyisa ndiyo yakagadzirirwa mishonga inonzi 12 inobva kuhuropi. Mutsara maviri ekutanga, anozivikanwa sehutano husina simba uye mutsara we optic, inobva kubva ku cerebellum, uko masara gumi anoramba achibuda kubva muuropi anotangira. Mazita emakumbo emakumbo anotaura zvakananga nemabasa avo uye anowanikwawo munhamba dzomukomana I-XII nenzvimbo yavo chaiyo yeuropi uye nehuwandu hwavanenge vabva karakani. Kukuvadza kune chero ipi zvayo yakataurwa pamusoro apa kunokonzera mishonga kunogona kukonzera nyaya dzehutano dzakabatanidzwa nehutano chaiyo uye basa rejinga rimwe nerimwe. Zviratidzo nezviratidzo zvinowanikwa munzvimbo idzi zvinogona kubatsira vashandi vezvehutano vanoona zvirwere zvinoshungurudza.
Kuwanda kweruzivo rwedu kunogumira kune chiropractic pamwe nekukuvara kwepamuviri nemamiriro. Kuti ukurukure nyaya yacho, ndapota ivai vakasununguka kubvunza Dr. Jimenez kana kuti tibvunzei kwatiri 915-850-0900 .
Yakarongedzwa naDkt Alex Jimenez
Mimwe Misoro: Sciatica
Sciatica inoshandiswa mune zvemishonga sekusanganiswa kwezviratidzo, panzvimbo yekukuvara kamwe uye / kana mamiriro. Zviratidzo zve sciatic nerve pain, kana sciatica, inogona kusiyanisa muhuwandu uye hukuru, zvisinei, inowanzotsanangurwa seye kamwe-kamwe, inopinza (banga-se) kana kurwadziwa kwemagetsi kunokonzera kubva pasi zvakaderera pasi pamakumbo, zviuno, mahudyu uye makumbo mutsoka. Zvimwe zviratidzo zveSciatica zvinogona kusanganisira, kurira kana kutsva kwekunzwa, kushaya simba uye kushaya simba pamwe chete nehurefu hwehutano hweshu. Sciatica kakawanda inobata vanhu pakati pemakore e30 nemakore 50. Inogona kuwanzoitika sechikonzero chekuderera kwemupaka kubva pamakore, zvisinei, kudzvinyirira nekutsamwa kwehutano husina kunaka hunokonzerwa nekuputika kana herniated disc , pakati pezvimwe zvehutano hwepabonde, zvinogonawo kukonzera kurwadziwa kwehutano.
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VIDEO
LATERAL BRAINSTEM SYNDROMES
Maodzanyemba anonzi 4 ane mitsipa ari mu medulla uye mutsara we12th uri mukatikatikati kuitira kuti 9th, 10th uye 11th mitsipa ive iri mumamiriro ekupedzisira emu medulla. Kana izvi zvichitambudzwa, chigumisiro chacho chinonzi dysarthria uye dysphagia nehutachiona hwekugadzikana kwegag reflex uye chirwere chichakwira kune rumwe rutivi; dzimwe nguva pangave uine utera hwei ipsilateral trapezius uye / kana sternocleidomastoid muscle. Iyi ndiyo lateral medullary syndrome inowanzokonzerwa nekusvibiswa kwemazamu anoita sepinebral or posterior inferior cerebellar arteries.
Inogona kukura zvinyararire, kunyanya kune vakwegura
Kurara semiti-recumbent kwemausiku maviri anotevera. Izvi zvinoreva kurara nemusoro wako pakati nepakati nepakadzika uye yakarurama, pane imwe 45-degree angle. Izvi zviri nyore nyore kuitwa nekurara muchigaro chekuchera kana kuti nekurara nemapiroti zvakarongeka zvakarongwa pamubhedha.
