The medulla oblongata ndi dongosolo mu ubongo lomwe limapereka mauthenga a ubongo kuchokera mu ubongo kupita ku msana. Kuwonjezera pa kugwirizanitsa mauthenga ndi mphamvu zamagalimoto, ndizofunikira kugwira ntchito zambiri zofunikira kuphatikizapo kuyendetsa mphamvu ya magazi, kusintha mtima wanu ntchito, kuyendetsa mpweya wanu ndi kulumikiza kumeza.
Malo a Medulla Oblongata
The medulla oblongata, yomwe imadziƔikanso kuti medulla, imapezeka kumbuyo ndi m'munsi mwa ubongo, yogwirizana ndi msana wa msana. Kumalo komwe medulla oblongata ilipo nthawi zambiri amadziwika kuti brainstem. Ubongowu uli ndi zigawo zitatu: gawo loyamba limatchedwa midbrain, gawo lopakati ndi pons ndipo gawo la pansi pa ubongo ndi medulla. The medulla ili pamwamba pa msana ndi pansi pa pons.
Mliri wa Medulla
Mliri wa medulla oblongata umasokoneza mauthenga ofunika kwambiri ndipo ukhoza kuchititsa mavuto angapo, monga kuuma thupi limodzi kapena mbali zonse ziwiri za thupi, masomphenya awiri ndi kugwirizanitsa.
Mliri wa medulla ukhozanso kusokoneza thupi lanu kuti likhale lopuma komanso mtima. Anthu ena omwe ali ndi matenda osokoneza bongo angafune kugwiritsa ntchito makina kuti apume.
Kukwapula kwakukulu mu medulla oblongata kungayambitse "matenda otsekedwa", momwe anthu amadziwira ndipo sangathe kusuntha mbali iliyonse ya thupi kupatula maso awo.
Zizindikiro za matenda a Medullary Stroke
Zizindikiro za kupweteka zimakhala zovuta kuzizindikira. Kukwapula kwa ubongo ndi medulla kungayambitse zizindikiro zosadziwika, monga mutu ndi chizungulire.
Koma zizindikiro zikhoza kuwonjezereka ndipo sitiroko ikhoza kukula mofulumira.
Zina mwa zizindikiro za kupweteka kwa mankhwala ndizo:
- Mutu wamphamvu umayamba mwadzidzidzi ndipo umakhala woipitsitsa mukasintha malo, kupindika, kupsa, kapena chifuwa
- Masomphenya awiri
- Kuwoneka m'manja, nkhope kapena mwendo mbali imodzi
- Kufooka kwa nkhope, mkono kapena mwendo kumbali imodzi
- Chizungulire
- Kuvuta kuyenda
- Kusokonezeka kapena kugwirizana
- Makhalidwe osasunthika
- Kutaya chidziwitso
Zina mwazochitika za matenda osokoneza bongo ndikuti zimayambitsa kufooka ndi mavuto amalingaliro kumbali imodzi ya thupi, ndi kufooka kumbali ina. Izi si zachilendo chifukwa miyeso ina yambiri imayambitsa mavuto ndi zofooka pambali imodzi ya thupi. Pali njira zamakono zomwe zimapereka chidziwitso pakati pa thupi ndi ubongo- ndipo chifukwa njira zambirizi zimadutsira kumbali yina mu medulla - chitsanzo chodabwitsa cha zizindikiro ndizofanana ndi matenda a medullary.
Zowopsa
Zowopsa za matenda a medulla oblongata zimakhala zofanana ndi zifukwa zoopsa za matenda a sitiroko m'madera ena a ubongo, kuphatikizapo
- Kuthamanga kwa magazi
- Matenda a atrial ndi matenda ena a mtima
- Matenda a shuga
- Matenda a magazi
- Mbiri ya banja ya stroke
- Cholesterol yambiri ndi triglycerides
- Zaka
- Chikhalidwe
- Kugwiritsa ntchito mankhwala osagwirizana ndi mankhwala
- Kusuta
- Kusagwira ntchito
- Mankhwala opangira mahomoni ndi zowonjezeretsa
- Mankhwala oletsa kubadwa
- Nthawi zambiri, kuvulazidwa kwa mitsempha chifukwa cha kusuntha kwa mutu kapena khosi kungawonongeke. Wopulumuka wodwalayo akufotokozera nkhani yake ya kuvulazidwa mwadzidzidzi kumene kunamupweteka.
Kudziwa
Mliri wa medulla oblongata ukhoza kukhala kovuta kwambiri kudziwa kusiyana ndi zikwapu zina chifukwa cha zizindikiro zosadziwika, monga chizungulire, mavuto ozungulirana ndi mutu. Kawirikawiri katswiri wa zamagulu amatha kuzindikira matenda opatsirana pogonana pamene akufufuza, koma ngati zizindikirozo n'zofatsa, ndiye kuti sizingakhale zoonekeratu pamayambiriro oyambirira.
Kuyezetsa magazi kumaphatikizapo maphunziro ojambula ngati ubongo wa CT kapena ubongo wa MRI. Kawirikawiri, ubongo wa MRI umayesedwa ngati wodalirika pofuna kuyesa kukwapula ndi zovuta zina m'deralo. Ngati pali nkhawa yokhudza mitsempha ya magazi kapena magazi, nthawi zina ultrasound kapena angiogram ingathandize pakuwona mitsempha ya magazi.
Kubwezeretsa
Ngati mwadwala matenda osokoneza bongo, kupulumuka kwanu kumadalira kukula kwa msampha wanu komanso momwe mwathandizidwira mofulumira, komanso mlingo wanu wa machiritso . Kukwapula kwa medulla oblongata sikukhudza chilankhulo kapena malingaliro a ubongo, ndipo izi zingakupangitseni kukhala kosavuta kuti mutengere mbali zowonjezereka mu chithandizo chanu chokonzanso.
Mawu Ochokera
Maselo a Medullary, ndi ziwalo zina za ubongo, ndi zina mwa zovuta kwambiri kuzizindikira ndi kuzizindikira. Izi zikhoza kuchepetsa chithandizo chanu, chomwe chingakhale chokhumudwitsa inu ndi okondedwa anu. Zotsatira za kupwetekedwa kwa mankhwala amasiyana zimakhala zosiyana chifukwa ndi dera laling'ono la ubongo lomwe liri ndi ntchito zambiri zofunika.
> Kuwerenga Kwambiri:
> Clinical Stroke Syndromes, Kim JS, Caplan LR, Front Neurol Neurosci. 2016; 40: 72-92. Epub 2016 Dec 2.