I-medulla oblongata isakhiwo esengqondweni esithumela imiyalezo yesibindi ukusuka kwingqondo ukuya kumgca wesipelini. Ukongezelela ekudibaniseni imiyalezo kunye nemiyalezo yemoto, inoxanduva lwemisebenzi eminingi ebalulekileyo yokubandakanya ukulawula uxinzelelo lwegazi, ukulungiswa komsebenzi wakho wenhliziyo, ukunyusa izinga lokuphefumula nokulungelelanisa ukugwinya.
Indawo ye-Medulla Oblongata
I-medulla oblongata, eyaziwa nje nje ngokuba yi-medulla, ifumaneka kumqolo nangaphantsi wengqondo, ixhunywe kumgca wesipelini. Ummandla apho i-medulla oblongata ifumaneka ngokuqhelekileyo njenge-brainstem. I-brainstem iqulethwe ngamacandelo amathathu: inxalenye ephezulu ibizwa ngokuba yi-midbrain, inxalenye ephakathi yimpons kwaye inxalenye engezantsi ye-brainstem yi-medulla. I-medulla ifumane ngaphezu kwentambo yomgogodla kwaye ngaphantsi kweepon.
Isibetho seMedulla
Ukubetha kwe-medulla oblongata kukuphazamisa imiyalezo ebalulekileyo yesibindi kwaye kunokubangela iingxaki ezinzulu, ezifana nokukhubazeka kwelinye okanye kumacala omabili omzimba, imibono emibini kunye neengxaki zokuququzelela.
I-stroke echaphazela i-medulla inokuphazamisa nomzimba wakho oqhelekileyo wokuphefumula kunye nenhliziyo. Abanye abantu abane-stroke ye-medullary bangadinga ukusebenzisa umatshini wokuphefumla.
Izibetho ezinzima kwi-medulla oblongata zinokubangela "ukungena kwi-syndrome", imeko apho abantu baqaphela kwaye abakwazi ukuhambisa nayiphi na inxalenye yomzimba ngaphandle kwamehlo abo.
Iimpawu zeMedullary Stroke
Iimpawu ze-stroke zinzima ukuzibona. Ukubethelwa kwe-brainstem kunye ne-medulla kunokuqala kubangele izibonakaliso ezingacacanga, ezinjengeentloko kunye nesisu.
Kodwa iimpawu zingaba zibi kwaye i-stroke ingaqhubela phambili ngokukhawuleza.
Ezinye zeempawu ze-stroke ye-medullary ziquka:
- Inwele entle eqala ngokukhawuleza kwaye iya kuba nzima xa utshintshe izikhundla, ukugoba, ukunyuka, okanye ukukhwehlela
- Umbono ombini
- Ubungqina kwisandla, ubuso okanye umlenze kwicala elinye
- Ubuthathaka buso, ingalo okanye umlenze kwicala elinye
- Utywala
- Unzima ukuhamba
- Ukulahleka kokulinganisela okanye ukulungelelaniswa
- I-hiccups eqhubekayo
- Ukulahleka kwengqondo
Phakathi kweziganeko ezikhethekileyo zesifo sokugulisa indlebe kukuba kubangelwa ingqungquthela kunye neengxaki zengqondo kwicala elinye lomzimba, kunye nobuthathaka kwicala. Oku kuyinto engavamile kuba ezinye izibetho zibangela iingxaki zengqondo kunye nobuthathaka kwicala elinye lomzimba. Kukho iindlela ezinomdla ezininzi ezithumela ulwazi phakathi komzimba kunye nengqondo-kwaye ngenxa yokuba ezininzi zale ndlela ziwela ngaphesheya kwimizuzu ye-medulla- le ndlela ekhethekileyo yempawu ibonakalisa ukubethelwa kwe-medullary.
Izinto zobungozi
Imiba yengozi ye-medulla oblongata i-stroke ifana neemeko zobungozi kwiindawo ezithile zobuchopho, kuquka
- Igazi elonyukayo
- I-fibrillation ye-Atrial nezinye izifo zentliziyo
- Sikashukela
- Ukuphazamiseka kwegazi
- Imbali yentsapho yokubetha
- I-cholesterol ephakamileyo kunye ne-triglycerides
- Ubudala
- Buhlanga
- Ukusetyenziswa kweziyobisi ezingekho mthethweni
- Ukutshaya
- Ukungasebenzi
- I-hormone yonyango yokutshintshela kunye nezongezelelo
- Iipilisi zokulawula inzala
- Kwiimeko ezinqabileyo, ukulimala emthonjeni ngenxa yokunyuka kwentloko okanye ukunyakaza kwentamo kungabangela. Lo msindisi ophazamisayo uxelela ibali lakhe lokulimala ngokukhawuleza okwabangela ukuba ahlaselwe.
Ukuxilongwa
Ukuphazamiseka kwi-medulla oblongata kunokuba nzima ngakumbi ukuxilonga kunezinye izibetho ngenxa yezibonakaliso ezingacacanga, ezinjengezotyhefu, iingxaki zokulinganisela kunye neentloko. Ngokuqhelekileyo i-neurologist ingakwazi ukuchonga ukubethelwa kwemithi ngexesha lokuhlolwa komzimba, kodwa ukuba iimpawu zibucotha, ngoko kungenakubonakala ngokucacileyo kumanyathelo okuqala.
Uvavanyo lokuxilonga luquka izifundo zokucinga ezifana ne-brain CT okanye i-MRI yengqondo. Ngokuqhelekileyo, i-MRI yengqondo ibhekwa njengesiqinisekiso esinokwethenjelwa sokuchonga imivimbo kunye nezinye izinto ezingaqhelekanga kulo mmandla wengqondo. Ukuba kukho inkxalabo malunga neemithambo zegazi okanye ukuhamba kwegazi, ngamanye amaxesha i-ultrasound okanye i-angiogram inokukunceda ekujongeni imithwalo yegazi.
Ukubuyisela
Ukuba unesifo sokugulisa ingqondo, ukubuyiswa kwakho kuxhomekeke kubukhulu besifo sakho kunye nendlela oye waphathwa ngayo ngokukhawuleza, kunye nesilinganiselo sakho sokuphulukisa . Izibetho ze-medulla oblongata azichaphazeli ulwimi okanye iingcinga zokucinga kwengqondo, kwaye oku kunokwenza kube lula ukuba uthathe inxaxheba ngokuthe xaxa kwipilisi yakho yokuvuselela.
ILizwi
Izibetho zeMedullary, kunye nezinye izigulane zengqondo, ziphakathi kwezona zinto zinzima ukuziqonda kunye nokuxilonga. Oku kunokulibazisa unyango lwakho, oluya kuphazamisa wena nabathandekayo bakho. Isiphumo sendlela yokugulisa i-medullary iyakwazi ukuhluka- njengendawo encinane yengqondo kunye nemisebenzi emininzi ebalulekileyo.
> Ukufunda okuqhubekayo:
> I-Clinical Stroke Syndromes, i-Kim JS, i-Caplan LR, i-Front neurol neurosci. 2016; 40: 72-92. Epub 2016 Ngomhla wesi-2.