Focal neurologic kushomeka

Kukosha kwekutadza kweiyo neurologic idambudziko netsinga, musana, kana kushanda kwehuropi. Inobata nzvimbo yakatarwa, senge reruboshwe kumeso, ruoko rwerudyi, kana kunyangwe nzvimbo diki senge rurimi. Kutaura, kuona, uye kunzwa kwekunzwa kunoonekwawo sekukanganisa kwehuropi.

Rudzi, nzvimbo, uye kuomarara kwedambudziko zvinogona kuratidza kuti ndeipi nzvimbo yehuropi kana sisitimu yenjodzi inokanganiswa.

Mukupesana, dambudziko risiri-rekutarisa harisi rakanangana nenzvimbo yeuropi. Inogona kusanganisira kurasikirwa kukuru kwekuziva kana dambudziko remanzwiro.

Dambudziko rinotarisana neurologic rinogona kukanganisa chero eaya mabasa.

• Movement inoshanduka, kusanganisira kuora mitezo, kushaya simba, kurasikirwa kwemhasuru kudzora, kuwedzera mhasuru toni, kurasikirwa kwemhasuru toni, kana kufamba munhu asingakwanise kudzora (mafambiro asina basa, senge kudedera
• Kuchinja kwekunzwa, kusanganisira paresthesia (kusanzwisisika kwekunzwa), kupera, kana kuderera mukunzwa

Mimwe mienzaniso yekurasikirwa kwekukosha kwebasa kunosanganisira:

• Horner syndrome: mwana mudiki kune rumwe rutivi, rimwe-mativi eyelid kudonha, kushaya kwekutuka kune rumwe rutivi rwechiso, uye kunyura kweziso rimwe muhomwe yayo
• Kwete kuteerera kune zvakakukomberedza kana chikamu chemuviri (kuregeredza)
• Kurasikirwa kwekubatana kana kurasikirwa kwemabatiro akanaka emota (kugona kuita kufamba kwakaomarara)
• Yakashata gag reflex, kumedza kuoma, uye kugara uchidzipwa
• Kutaura kana mutauro mutauro, senge aphasia (dambudziko rekunzwisisa kana kuburitsa mazwi) kana dysarthria (dambudziko rekuita manzwi emazwi), kududza zvisina tsarukano, kusanzwisisa kutaura, kunetsekana kunyora, kushaya kugona kuverenga kana kunzwisisa kunyora, kutadza zita zvinhu (anomia)
• Chiono chinoshanduka, senge kuderedzwa kwemaonero, kuderera kwekutarisa munda, kungoerekana kurasikirwa kwekuona, kuona kwakapetwa

Chero chipi chinhu chinokuvadza kana kukanganisa chero chikamu chehurongwa hwemitsipa chinogona kukonzeresa kukanganiswa kweiyo neurologic. Mienzaniso inosanganisira:

• Mitezo yeropa isina kujairika (vascular malformation)
• Bundu rebongo
• Cerebral palsy
• Degenerative nerve chirwere (senge multiple sclerosis)
• Kukanganiswa kweiyo imwe tsinga kana tsinga boka (semuenzaniso, carpal tunnel syndrome)
• Kubatwa kwehuropi (senge meningitis kana encephalitis)
• Kukuvadza
• Kurohwa

Kuchengetwa kwemusha kunoenderana nerudzi uye chinokonzera dambudziko.

Kana iwe uine chero kurasikirwa kwekufamba, kunzwa, kana basa, fonera wako wezvehutano mutapi.

Mupiki wako anotora nhoroondo yako yekurapa uye oongorora muviri.

Iko kuongorora kwemuviri kunosanganisira kuongorora kwakadzama kwehurongwa hwako hwekutyaira.

Ndeapi mabvunzo anoitwa zvinoenderana nezvimwe zviratidzo uye izvo zvinogona kukonzeresa kushaya basa kwehunzwa. Kuyedza kunoshandiswa kuyedza kutsvaga chikamu chehurongwa hwetsinga hunobatanidzwa. Mienzaniso yakajairwa ndeiyi:

• CT scan yemusana, mutsipa, kana musoro
• Electromyogram (EMG), nerve conduction velocities (NCV)
• MRI yeshure, mutsipa, kana musoro
• Musana pombi

Kukanganisa kweiyo Neurological - yakakosha

• Ubongo

Deluca GC, Griggs RC. Kusvika kumurwere ane chirwere chetsinga. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 368.

Jankovic J, Mazziotta JC, Newman NJ, Pomeroy SL. Kuongororwa kwechirwere chetsinga. Muna: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley naDaroff's Neurology muClinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022: chits.