Cov kab mob neurological thiab teeb meem hauv miv - Cov tsos mob thiab kev kho mob

Cov txheej txheem:

Cov kab mob neurological thiab teeb meem hauv miv - Cov tsos mob thiab kev kho mob
Cov kab mob neurological thiab teeb meem hauv miv - Cov tsos mob thiab kev kho mob
Anonim
Kab mob thiab cov teeb meem neurological hauv miv fetchpriority=siab
Kab mob thiab cov teeb meem neurological hauv miv fetchpriority=siab

Peb cov menyuam yaus tuaj yeem cuam tshuam los ntawm cov kab mob, kab mob lossis cov kab mob uas cuam tshuam rau hauv nruab nrab paj hlwb thiab/los yog kab mob peripheral, hu ua kab mob neurological thiab qhov ntawd tuaj yeem ua rau muaj kev tawm tsam, mob hnyav thiab tuag taus, tshwj xeeb tshaj yog tias tsis kuaj tau raws sijhawm.

Muaj ob yam kab mob neurological hauv miv: qaug dab peg thiab vestibular syndrome. Txawm li cas los xij, lawv kuj tuaj yeem cuam tshuam nrog qee zaus los ntawm cov kab mob lossis cov xwm txheej nyob hauv tus txha caj qaum lossis meninges. Cov ua rau cov kab mob neurological hauv miv tuaj yeem yog idiopathic, qog, metabolic, inflammatory, kis kab mob, mob, vascular thiab degenerative feem ntau, thiab kev kuaj mob yog ua raws li kev kuaj lub cev thiab anamnesis, kev tshuaj ntsuam xyuas thiab biochemical, kev kuaj mob hlwb rau kev puas tsuaj hauv cheeb tsam lossis Kev raug mob thiab kuaj kev kuaj pom, qhov zoo tshaj plaws yog magnetic resonance imaging. Kev suav tomography, radiography, thiab myelography kuj tseem yuav pab tau. Kev kho mob yuav txawv raws li tus kab mob, xav tau kev kho mob, kev txhawb nqa, kho lub cev lossis phais.

Nyob rau hauv no nyeem tsab xov xwm no rau ntawm peb lub xaib kom paub txog lub ntsiab kab mob thiab cov teeb meem neurological hauv miv.

Vestibular Syndrome

Miv tuaj yeem nthuav tawm ob hom kab mob vestibular: central thiab peripheral, uas nyob rau hauv lem tuaj yeem ua ib leeg lossis ob sab. Ua ntej tshaj plaws, nws yog ib qho tseem ceeb uas yuav tau piav qhia tias lub vestibular system, nyob rau hauv pob ntseg sab hauv (semicircular canals, saccule, utricle thiab vestibular paj), kuj muaj xws li lub hauv paus feem cuam tshuam nrog cov qauv xws li vestibular nuclei ntawm myelencephalon thiab cerebellum. thiab koom nrog kev tswj xyuas qhov muag ntawm lub qhov muag, caj dab thiab lub cev nrog kev hwm ntawm lub cev thiab lub taub hau txhua lub sijhawm.

Nyob rau hauv lub hauv paus vestibular syndrome, cov qauv nyob rau hauv lub hauv paus paj hlwb (lub vestibular paj nuclei) raug cuam tshuam, thaum nyob rau hauv lub peripheral, cov qauv nyob rau hauv lub puab pob ntseg thiab peripheral qab haus huv raug cuam tshuam. Vim tias nws koom nrog kev tswj hwm lub cev, yog tias lub vestibular system puas lossis hloov pauv, qhov kev saib xyuas no raug cuam tshuam, nrog rau cov tsos mob ntawm cov hlab ntsha hauv cov miv xws li tilting lossis tilting ntawm lub taub hau mus rau ib sab, ataxia (tsis muaj kev sib koom tes ntawm kev txav) thiab nystagmus (involuntary txav ntawm lub qhov muag tom qab nyob rau hauv nruab nrab los yog peripheral vestibular syndrome, los yog nce thiab nqis nyob rau hauv cov ntaub ntawv ntawm central vestibular syndrome).

Kev kho mob ntawm tus mob no yuav txawv nyob ntawm qhov ua rau nws tshwm sim, yog li tsis muaj kev kho tshwj xeeb thiab dav rau txhua kis. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tau mus rau lub tsev kho mob yog tias koj saib cov tsos mob tau hais.

Kab mob thiab teeb meem neurological hauv miv - Vestibular syndrome
Kab mob thiab teeb meem neurological hauv miv - Vestibular syndrome

EmpepSeps ZIB

Undoubtedly, qaug dab peg yog ib qho ntawm feem ntau cov teeb meem paj hlwb nyob rau hauv miv. Epilepsy txhais tau tias yog Hauv cov neeg mob qaug dab peg, muaj kev ua kom sai sai ntawm ib pawg ntawm cov neurons uas ua rau overexcitation thiab agitation nyob rau hauv ib cheeb tsam ntawm lub cev ntawm tus miv vim yog kev ua kom cov leeg nqaij los yog cov leeg nqaij (focal epilepsy) los yog thoob plaws hauv lub cev thaum tag nrho cov musculature. activated (convulsion lossis generalized epileptic haum).

Cov laj thawj tuaj yeem yog idiopathic lossis tsis muaj keeb kwm tshwm sim, kab mob uas cuam tshuam rau lub hlwb, vascular disorders lossis hypoxia, daim siab lossis lub raum mob (hepatic lossis uremic encephalopathy) lossis thiamine deficiency.

kev kho mob qaug dab peg yuav tsum muaj cov tshuaj xws li phenobarbital rau txo cov zaus thiab mob qaug dab peg, nrog rau kev tiv thaiv tsis tu ncua ntawm ntau tshaj. 10 feeb, uas tuaj yeem ua rau lub cev kub (hyperthermia) tuaj yeem ua rau tus menyuam tuag. Hauv kev kub ntxhov Epilepsies, cov tshuaj tiv thaiv kev kub ntxhov lossis cov tshuaj tiv thaiv kev txhim kho, ntawm lwm txoj kev kho mob, kom ruaj khov rau tus miv thiab tiv thaiv hyperthermia.

Koj yuav pom tag nrho cov ntsiab lus nyob rau hauv no ncej: "Epilepsy nyob rau hauv miv - Cov tsos mob thiab kev kho mob".

Cov qaum qaum tau muab faib ua plaub yam haujlwm: lub ncauj tsev menyuam, thoracic, lumbar, thiab lumbosacral qaum. Cov chav no tsim kev sib xyaw ua ke ntawm

Thoracolumbar lossis lumbosacral spinal cord disorders

Clinical signs highly indicative of spinal abnormality is paresis (ib nrab lub cev muaj zog insufficiency) los yog paraplegia(tag nrho lub cev muaj zog tsis ua hauj lwm) ntawm ib tug, ob peb los yog tag nrho cov extremities nrog nce los yog txo tus txha caj qaum reflexes, nyob ntawm seb tus kab mob thiab qhov chaw ntawm qhov txhab nyob rau hauv tus txha caj qaum. Piv txwv li, yog hais tias lub lumbosacral qaum (qhov chaw ntawm lub lumbar mus rau qhov pib ntawm tus Tsov tus tw), ib tug paresis ntawm ob lub hind caj npab ntawm lub qis lub cev muaj zog neuron hom yuav tshwm sim, uas yog, nrog rau cov txha caj qaum reflexes xws li patellar. Nyob rau hauv lub neurological kev ntsuam xyuas ntawm tus miv., yog hais tias lub cheeb tsam cuam tshuam yog lub thoracolumbar cheeb tsam (rov qab los ntawm lub T2 tus txha caj qaum ntu mus rau lub lumbar), lub paresis yog ntawm lub Upper motor neuron, qhov twg cov reflexes yog qhov opposite los yog zoo li qub. nce hauv qab ob txhais ceg.

Cov ua rau cov thoracolumbar lossis lumbosacral txha caj qaum yog hernias, fobrocartilaginous embolization, neoplasms, spondylosis, discospondylitis lossis degenerative lumbosacral stenosis, thiab lwm yam.

Cervical spinal cord disorders

The most serious form occurs when the spinal cord problem is located in the first spinal cord segments, that is, the neck and back mus rau tus txha caj qaum ntu T2, tshwm sim paresis ntawm plaub ceg ceg thiab ataxia Thaum qhov txhab nyob rau hauv thawj ib nrab (ntu C1-C5), nws tshwm sim ib tug Upper motor neuron syndrome nyob rau hauv tag nrho plaub ceg ceg, thaum yog hais tias nws tshwm sim nyob rau hauv lub C6-T2 ntu, ib tug qis lub cev muaj zog syndrome tshwm sim nyob rau hauv lub forelimbs thiab sab sauv nyob rau hauv lub hind libs.

Cov ua rau yog mob ncauj tsev menyuam, pob txha mos embolization, atlantoaxial subluxation lossis Wobbler's syndrome (cervical spondylopathy), thiab lwm yam.

Kab mob thiab teeb meem neurological nyob rau hauv miv - kab mob qaum
Kab mob thiab teeb meem neurological nyob rau hauv miv - kab mob qaum

kab mob meninges

Lwm lub hom phiaj yuav raug cuam tshuam yog meninges, uas yog cov membranes uas npog lub hauv paus paj hlwb thiab qaum qaum Cov meninges yog peb. txheej, thiab los ntawm sab hauv tawm lawv hu ua pia mater (nyias thiab vascularized heev, nyob rau hauv kev sib cuag nrog lub hlwb), arachnoid txheej, thiab dura mater. Lub cerebrospinal kua cushions tshuab thiab peb pom nws nyob rau hauv qhov chaw nruab nrab ntawm lub pia mater thiab arachnoid mater (subarachnoid qhov chaw) thiab kom tsawg dua nyob rau hauv qhov chaw ntawm lub arachnoid mater thiab dura mater (subdural chaw), ntxiv rau lwm qhov chaw. xws li cerebral ventricles lossis ependymal duct..

Cov meninges tuaj yeem ua rau mob lossis kis tau (meningitis) nyob rau hauv cais lossis tseem cuam tshuam rau lub hlwb (meningoencephalitis) lossis txha caj qaum (meningomyelitis), yog li ntawd yog lwm qhov teeb meem loj tshaj plaws hauv lub paj hlwb hauv miv. Cov tsos mob feem ntau yog mob, uas ua rau mob ncauj tsev menyuam e hyperesthesia ntawm caj dab thiab txha nraub qaumKoj tuaj yeem muaj qaug dab peg thiab hloov tus cwj pwm, nrog rau kub taub hau, anorexia thiab lethargy. Lwm qhov teeb meem nrog o ntawm meninges yog tias, los ntawm kev txo qhov nqus ntawm cerebrospinal kua nyob rau hauv subarachnoid qhov chaw thiab venous sinuses, nws tuaj yeem ua rau hydrocephalus

Qhov teeb meem no tau kuaj pom los ntawm kev txiav txim siab nce cov qe ntshav dawb hauv cov qauv ntawm cov kua cerebrospinal. Nyob rau hauv cov xwm txheej uas xav tias muaj kab mob, kab lis kev cai ntawm cov kua thiab kab mob PCR los yog kuaj ntshav thiab zis tuaj yeem ua tau. Cov neeg ua haujlwm koom nrog hauv miv tuaj yeem yog kab mob (Toxoplasma gondii), fungi (Cryptococcus neoformans) lossis kab mob xws li feline leukemia, feline herpesvirus, feline infectious peritonitis virus lossis feline panleukopenia. Yog li ntawd, kev kho mob yuav raug raws li hauv qab no.

Cranial Nerve Diseases

Nyob hauv miv, lub nerves hu ua cranial nerves uas tawm ntawm lub paj hlwb los yog hlwb thiab innervating lug ntawm lub taub hau kuj yuav puas thiab tsim neurological cim nyob rau hauv miv. Cia peb saib qee qhov piv txwv:

NWATIONZAUB RAU LUB CAIJ NTUJ NO(Khov V), uas qhia txog lub taub hau, uas qhia txog qhov tsis muaj rhiab heev thiab txo lub puab tsaig.

  • (pair VII) ua rau pob ntseg thiab daim di ncauj, txo cov kua muag thiab lub suab ntawm tus nplaig, xws li nws innervates cov qauv. Kev puas tsuaj rau cov hlab ntsha no tuaj yeem tshwm sim los ntawm otitis media lossis otitis sab hauv.
  • The glossopharyngeal nerve (pair IX), the vagus nerve(pair X) thiab accessory nerve (pair XI) yog lub luag haujlwm rau kev tswj lub cev muaj zog ntawm txoj hlab pas rau nqos, lub larynx thiab pharynx, yog li ntawd. Qee lub sij hawm, tuaj yeem raug mob ua ke thiab ua rau dysphagia, uas yog, nqos nyuaj, regurgitation, vocalization hloov, qhov ncauj qhuav, inspiratory dyspnea, cervical nqaij atrophy (nyob rau hauv cov ntaub ntawv ntawm accessory paj puas), thiab lwm yam.
  • LUB ZAUB RAU LUB Hypoglossal Skyery Thiab Actophy, ua rau nws nyuaj rau kev noj zaub mov.

  • Txawm hais tias cov no yog cov teeb meem ntawm lub paj hlwb thiab cov kab mob ntau tshaj plaws hauv miv, muaj ntau yam ntxiv uas tuaj yeem cuam tshuam rau hauv nruab nrab lub paj hlwb, ua rau lwm yam mob hnyav xws li mob stroke. Vim li no, nws yog ib qho tseem ceeb uas yuav tsum tau ua cov tshuaj tiv thaiv kom txaus thiab mus rau kev kuaj xyuas niaj hnub txhawm rau txhawm rau txheeb xyuas qhov tsis zoo sai li sai tau. Thiab yog tias koj pom ib qho ntawm cov tsos mob ntawm lub paj hlwb tau hais, tsis txhob yig coj koj tus miv mus rau qhov chaw kws kho tsiaj ze tshaj plaws.

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